articleMolecular BiomedicineSep 15, 2025DIAMOND OA

Microbiota–gut–brain axis in neurodegenerative diseases: molecular mechanisms and therapeutic targets

China Pharmaceutical University · Bengbu Medical College · +2 more institutions

PubMed
Indexed incrossrefdoajpubmed

Abstract

The microbiota-gut-brain axis (MGBA) is an intricate bidirectional communication network that links intestinal microbiota with the central nervous system (CNS) through immune, neural, endocrine, and metabolic pathways. Emerging evidence suggests that dysregulation of the MGBA plays pivotal roles in the onset and progression of neurodegenerative diseases. This review outlines the key molecular mechanisms by which gut microbes modulate neuroinflammation, blood-brain barrier integrity, protein misfolding, and neuronal homeostasis. We discuss how microbial metabolites, such as short-chain fatty acids, tryptophan derivatives, and bile acids, interact with host to influence CNS functions. Disease-specific features…

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