The gut-brain axis in Alzheimer's disease: how gut microbiota modulate microglial function

Huan Wang1, Feifan Yang2, Zhejianyi Gao1

  • 1College of Acupuncture-Moxibustion and Tuina, Liaoning University of Traditional Chinese Medicine, Shenyang, China.

Frontiers in Aging
|December 8, 2025
PubMed

Insights

The gut microbiome influences Alzheimer's disease (AD) by affecting microglia, the brain's immune cells. Modulating the gut microbiota offers potential therapeutic strategies for AD treatment.

Area of Science:

  • Neuroscience
  • Microbiology
  • Immunology

Background:

  • Alzheimer's disease (AD) pathogenesis involves amyloid-beta, Tau pathology, and neuroinflammation.
  • Microglia, the CNS immune cells, play a crucial role in AD-related neuroinflammation and cognitive function.
  • Emerging evidence links gut microbiota dysregulation to AD development.

Purpose of the Study:

  • To review the direct and indirect effects of gut microbiota on microglia.
  • To explore the role of gut microbiota in Alzheimer's disease pathogenesis.
  • To discuss gut microbiota-based therapeutic strategies for AD.

Main Methods:

  • Literature review of studies investigating the gut microbiota-microglia axis in AD.
  • Analysis of mechanisms linking gut microbiota to microglial phenotype and function.
  • Synthesis of current therapeutic approaches targeting gut microbiota for AD.

Main Results:

  • Gut microbiota and its derivatives impact microglia through direct metabolite action and indirect immune/neurotransmitter regulation.
  • Microglial dysregulation driven by gut microbiota contributes to neuroinflammation in AD.
  • Therapeutic strategies include dietary interventions, probiotics, fecal microbiota transplantation, and traditional Chinese medicine.

Conclusions:

  • The gut microbiota-microglia axis is a significant factor in Alzheimer's disease.
  • Targeting gut microbiota presents promising therapeutic avenues for AD.
  • Further research is essential to fully elucidate and optimize these interventions for AD treatment.