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Gut microbiota composition correlates with insomnia severity: insights from high-throughput sequencing analysis
Zhe Xu1, Jinxia Zhang1, Haifang Zhou2
1Sleep Medicine Center, Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Frontiers in Microbiology
|January 30, 2026
Summary
Insomnia severity correlates with gut microbiome changes, including a lower Firmicutes/Bacteroidetes ratio and reduced Clostridia. These alterations may impact gut-brain axis signaling, potentially worsening sleep quality.
Area of Science:
- Microbiome research
- Sleep science
- Gut-brain axis studies
Background:
- Insomnia is a prevalent sleep disorder with significant health implications.
- The gut microbiome plays a crucial role in host physiology, including neurological functions.
- Emerging evidence suggests a link between gut microbiota dysbiosis and sleep disturbances.
Purpose of the Study:
- To investigate differential alterations in gut microbiota composition and diversity across varying degrees of insomnia severity.
- To provide empirical evidence elucidating the relationship between sleep disorders and the gut microbiome.
- To identify specific microbial signatures associated with insomnia.
Main Methods:
- 120 insomnia patients and 20 healthy controls were enrolled.
- Gut microbiota was analyzed using 16S rDNA high-throughput sequencing on the Illumina NovaSeq platform.
- Alpha and beta diversity, along with species composition, were assessed across mild, moderate, and severe insomnia groups.
Main Results:
- Alpha diversity indices (Chao1, ACE) were elevated in insomnia patients compared to controls.
- Beta diversity analysis showed significant differences in microbial community structure correlating with insomnia severity.
- A progressive decline in the Firmicutes/Bacteroidetes ratio and Clostridia abundance was observed with increasing insomnia severity.
Conclusions:
- Gut microbiota structure is intrinsically linked to insomnia severity.
- A diminished Firmicutes/Bacteroidetes ratio and reduced Clostridia abundance characterize insomnia.
- These microbial shifts may impair neuro-immune regulation via the gut-brain axis, potentially exacerbating sleep dysregulation.
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