Rifaximin improves anxiety- and depression-like behaviors in rats by regulating NPY in the colon and mPFC

Qian Luo1, Haonan Li1, Yihe Wang2

  • 1Department of Medical Psychology and Ethics, School of Basic Medicine Sciences, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong, China.

Scientific Reports
|December 22, 2025
PubMed

Insights

Rifaximin, an antibiotic, shows antidepressant and anxiolytic effects in a rat model of depression. It works by restoring gut-brain axis function and neuropeptide Y (NPY) levels in the colon and medial prefrontal cortex.

Area of Science:

  • Neuroscience
  • Gastroenterology
  • Pharmacology

Background:

  • The brain-gut axis is increasingly implicated in depression, but mechanisms are unclear.
  • Chronic unpredictable mild stress (CUMS) in rats models depression, causing behavioral and physiological changes.

Purpose of the Study:

  • To investigate the antidepressant potential of rifaximin.
  • To elucidate the mechanisms of rifaximin's action via the brain-gut axis in a CUMS rat model.

Main Methods:

  • Rats were subjected to CUMS to induce depression-like behaviors.
  • Rifaximin treatment was administered, and its effects on behavior, colonic function, and neuropeptide Y (NPY) levels were assessed.
  • Neuronal activation and neurotransmitter balance in the medial prefrontal cortex (mPFC) were analyzed.
  • NPY function was modulated via knockdown in the mPFC.

Main Results:

  • CUMS induced anxiety, depression, impaired colonic function, and altered NPY levels and neurotransmitters (GABA, Glu, 5-HT) in the mPFC.
  • Rifaximin ameliorated behavioral deficits, restored colonic function, and normalized NPY levels and neurotransmitter balance.
  • Knocking down NPY in the mPFC abolished rifaximin's anxiolytic effects, highlighting NPY's role.

Conclusions:

  • Rifaximin exhibits anxiolytic and antidepressant effects in the CUMS rat model.
  • Rifaximin's mechanism involves regulating the NPY-mediated gut-brain axis between the colon and mPFC.

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