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Microbiota and Pain: Save Your Gut Feeling
Chiara Morreale1, Ilia Bresesti1, Annalisa Bosi2
1Department of Woman and Child, ASST-Settelaghi, University of Insubria, 21100 Varese, Italy.
Abstract:
Recently, a growing body of evidence has emerged regarding the interplay between microbiota and the nervous system. This relationship has been associated with several pathological conditions and also with the onset and regulation of pain. Dysregulation of the axis leads to a huge variety of diseases such as visceral hypersensitivity, stress-induced hyperalgesia, allodynia, inflammatory pain and functional disorders. In pain management, probiotics have shown promising results. This narrative review describes the peripheral and central mechanisms underlying pain processing and regulation, highlighting the role of the gut-brain axis in the modulation of pain. We summarized the main findings in regard to the stress impact on microbiota's composition and its influence on pain perception. We also focused on the relationship between gut microbiota and both visceral and inflammatory pain and we provided a summary of the main evidence regarding the mechanistic effects and probiotics use.
Insights
The gut-brain axis influences pain perception. Probiotics show potential for managing pain by modulating the gut microbiota, offering new therapeutic avenues for pain relief.
Area of Science:
- Neuroscience
- Microbiology
- Gastroenterology
Background:
- The gut-brain axis, a bidirectional communication network, plays a crucial role in health and disease.
- Emerging evidence links microbiota dysregulation to pain conditions like visceral hypersensitivity and inflammatory pain.
- The gut microbiota's composition is influenced by stress, impacting pain perception.
Purpose of the Study:
- To review the mechanisms of pain processing and regulation.
- To highlight the gut-brain axis's role in pain modulation.
- To summarize evidence on microbiota, stress, and pain, including probiotic efficacy.
Main Methods:
- Narrative review of existing literature.
- Analysis of studies on gut-brain axis and pain mechanisms.
- Synthesis of findings on stress, microbiota composition, and pain perception.
Main Results:
- Gut microbiota dysregulation is implicated in various pain disorders.
- Stress significantly impacts gut microbiota, influencing pain sensitivity.
- Probiotics demonstrate promising therapeutic potential in pain management.
Conclusions:
- The gut-brain axis is a key regulator of pain.
- Modulating the gut microbiota via probiotics may offer novel pain management strategies.
- Further research into mechanistic effects is warranted for targeted therapies.
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