Table 2 Major clinical and clinically relevant studies have revealed gut‒brain or gut‒immune‒brain axes in neurological disorders

From: Beyond the gut: decoding the gut–immune–brain axis in health and disease

Disorder

Model

Axis

Key findings

Ref.

ASD

Humanized GF and BTBR Mouse Models

Gut Microbiota-Brain

Human ASD patient microbiota can induce ASD phenotypes in GF mice

↑ Bacteriodetes, β-Proteobacteria, Lactobacillales, Clostridiacseae, and Enterobacteriaceae in ASD-FMT murine offspring 5-aminovaleric acid and taurine improves ASD

[381]

Clinical

Gut Microbiota-Brain

Clostridium, Streptococcus, Acinetobacter, and Alcaligenaceae in ASD

↑ Arginase metabolism in ASD

[305]

Clinical

Gut Microbiota-Brain

↓ Butyrate producing microbes in ASD

[306]

Clinical

Gut Microbiota-Brain

Bacteroidetes

Catenibacterium, Tenericutes in ASD

[307]

Clinical

Gut Microbiota-Brain

Lactobacillaceae, Bacteroides, Parabacteroides, Proteus

Bifidobacterium, Prevotella, Bacteroidetes, Blautia in ASD

↑ Zinc, Copper, Nickel in ASD

[308]

Clinical

Gut Microbiota-Metabolite-Brain

Prevotella, Megamonas

Escherichia-Shigella, Dialister, Bifidobacterium

Disrupted lipid, vitamin, glycan, xenobiotic, and amino acid metabolisms

[325]

Clinical

Metabolite-Brain

↑ Glutamate, citrulline, acetylcarnitine, lactate, choline, ornithine, glycine, histidine, free fatty acids in ASD

[310,311,312,313]

Clinical

Metabolite-Brain

↑ GABA degradation into butyrate

[314]

Clinical

Metabolite-Brain

↑ lactate, alanine, glycerol-3-phosphate, threonine, linoleic acid, linoleylcarnitine, cholesterol, ceramides

↓ anti-inflammatory and antioxidant molecules (glutathione, carnosine, carnitine, betaine, 5’methyltetrahydrofolic acid, CoQ10), bile acid metabolism, dopamine, serotonin in ASD

[315]

Clinical

Immune-Brain

↑ IL-1β, IL-6, IL-8, IL-12, IL-17, IFN-γ, and TNF-α in blood among ASD

[316,317,318]

Clinical

Immune-Brain

↑ IL-1β, IL-6, IL-17, and TNF-α in brain among ASD

[319]

AD

Clinical

Gut Microbiota-Brain

↓ Microbiota richness, Firmicutes, SMB53, Dialister, Clostridium, Turicibacter, Bifidobacterium, Adlercreutzia

↑ Bacteroidetes, Blautia, Phascolarctobacterium, Gemella, Bacteroides, Alistipes

[327]

Clinical

Gut Microbiota-Brain

Dorea formicigenerans, Oscilibacter sp. 57_20, Faecalibacterium prausnitzii, Coprococcus catus, Anaerostipes hadras in preclinical AD

Bacteroides caccae, Bifidobacterium longum, Bacteroides faecis, Bacteroides salyersiae, Bacteroides massiliensis in healthy

[382]

Clinical

Gut Microbiota-Brain

↑ Correlation between higher cognitive performance with Bacteroides massiliensis, Bifidobacterium pseudocatenulatum, Fusicatenibacter saccharivorans, Eggerthella lenta

[330]

Clinical

Gut Microbiota-Immune-Brain

↓ Butyrate-producing bacteria

↑ proinflammatory-associated bacteria in AD

[329]

Depression

Clinical

Gut Microbiota-Immune-Brain

Paramecium excretum, Parasutterella, lysine biosynthesis and methionine biosynthesis pathways in depression

Correlation with CD8, CD11b, and CD27 B cells in depression

[335]

Clinical and Humanized Mouse Model

Gut Microbiota-Immune-Brain

Bacteroides, TNF, MCSF, IL-12

Clostridiumn, Roseburia, Haemophilus, SMB53, and Turicibacter

FMT of depression microbiota can induce inflammatory depression via TLR4/NF-κB

SCFA can regulate inflammation and symptoms

[336]

Clinical and Chronic Social-defeat Stress Mouse Model

Gut Microbiota-Immune-Brain

Lactobacillus correlated with lower depression rating scales in depression patients

↑ γδ17 T cells in colon and meninges in depressed mice

[337]