Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders

Human lifestyle and dietary behaviors contribute to disease onset and progression. Neurodegenerative diseases (NDDs), considered multifactorial disorders, have been associated with changes in the gut microbiome. NDDs display pathologies that alter brain functions with a tendency to worsen over time....

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Main Authors: Alma Rosa Lezama Toledo, Germán Rivera Monroy, Felipe Esparza Salazar, Jea-Young Lee, Shalini Jain, Hariom Yadav, Cesario Venturina Borlongan
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/3/1184
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author Alma Rosa Lezama Toledo
Germán Rivera Monroy
Felipe Esparza Salazar
Jea-Young Lee
Shalini Jain
Hariom Yadav
Cesario Venturina Borlongan
author_facet Alma Rosa Lezama Toledo
Germán Rivera Monroy
Felipe Esparza Salazar
Jea-Young Lee
Shalini Jain
Hariom Yadav
Cesario Venturina Borlongan
author_sort Alma Rosa Lezama Toledo
collection DOAJ
description Human lifestyle and dietary behaviors contribute to disease onset and progression. Neurodegenerative diseases (NDDs), considered multifactorial disorders, have been associated with changes in the gut microbiome. NDDs display pathologies that alter brain functions with a tendency to worsen over time. NDDs are a worldwide health problem; in the US alone, 12 million Americans will suffer from NDDs by 2030. While etiology may vary, the gut microbiome serves as a key element underlying NDD development and prognosis. In particular, an inflammation-associated microbiome plagues NDDs. Conversely, sequestration of this inflammatory microbiome by a correction in the dysbiotic state of the gut may render therapeutic effects on NDDs. To this end, treatment with short-chain fatty acid-producing bacteria, the main metabolites responsible for maintaining gut homeostasis, ameliorates the inflammatory microbiome. This intimate pathological link between the gut and NDDs suggests that the gut-brain axis (GBA) acts as an underexplored area for developing therapies for NDDs. Traditionally, the classification of NDDs depends on their clinical presentation, mostly manifesting as extrapyramidal and pyramidal movement disorders, with neuropathological evaluation at autopsy as the gold standard for diagnosis. In this review, we highlight the evolving notion that GBA stands as an equally sensitive pathological marker of NDDs, particularly in Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis and chronic stroke. Additionally, GBA represents a potent therapeutic target for treating NDDs.
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spelling doaj.art-0ad78113fbc1472eb48ea3d214a81e9e2023-11-23T16:36:17ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-01-01233118410.3390/ijms23031184Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative DisordersAlma Rosa Lezama Toledo0Germán Rivera Monroy1Felipe Esparza Salazar2Jea-Young Lee3Shalini Jain4Hariom Yadav5Cesario Venturina Borlongan6Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USACenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USACenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USACenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USACenter for Microbiome Research, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USACenter for Microbiome Research, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USACenter of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USAHuman lifestyle and dietary behaviors contribute to disease onset and progression. Neurodegenerative diseases (NDDs), considered multifactorial disorders, have been associated with changes in the gut microbiome. NDDs display pathologies that alter brain functions with a tendency to worsen over time. NDDs are a worldwide health problem; in the US alone, 12 million Americans will suffer from NDDs by 2030. While etiology may vary, the gut microbiome serves as a key element underlying NDD development and prognosis. In particular, an inflammation-associated microbiome plagues NDDs. Conversely, sequestration of this inflammatory microbiome by a correction in the dysbiotic state of the gut may render therapeutic effects on NDDs. To this end, treatment with short-chain fatty acid-producing bacteria, the main metabolites responsible for maintaining gut homeostasis, ameliorates the inflammatory microbiome. This intimate pathological link between the gut and NDDs suggests that the gut-brain axis (GBA) acts as an underexplored area for developing therapies for NDDs. Traditionally, the classification of NDDs depends on their clinical presentation, mostly manifesting as extrapyramidal and pyramidal movement disorders, with neuropathological evaluation at autopsy as the gold standard for diagnosis. In this review, we highlight the evolving notion that GBA stands as an equally sensitive pathological marker of NDDs, particularly in Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis and chronic stroke. Additionally, GBA represents a potent therapeutic target for treating NDDs.https://www.mdpi.com/1422-0067/23/3/1184neurodegenerationmicrobiomestem cellsepigeneticsneurological disorders
spellingShingle Alma Rosa Lezama Toledo
Germán Rivera Monroy
Felipe Esparza Salazar
Jea-Young Lee
Shalini Jain
Hariom Yadav
Cesario Venturina Borlongan
Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders
International Journal of Molecular Sciences
neurodegeneration
microbiome
stem cells
epigenetics
neurological disorders
title Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders
title_full Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders
title_fullStr Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders
title_full_unstemmed Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders
title_short Gut–Brain Axis as a Pathological and Therapeutic Target for Neurodegenerative Disorders
title_sort gut brain axis as a pathological and therapeutic target for neurodegenerative disorders
topic neurodegeneration
microbiome
stem cells
epigenetics
neurological disorders
url https://www.mdpi.com/1422-0067/23/3/1184
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