Environmental pollutants and the gut microbiota: mechanistic links from exposure to systemic disease

Environmental pollution has emerged as a pervasive global health threat, yet its effects extend far beyond direct organ toxicity. Increasing evidence reveals that the gut microbiota serves as a central mediator of pollutant-induced physiological dysfunctions. This review integrates recent advances on how air pollutants, heavy metals, persistent organic pollutants, and emerging contaminants perturb microbial composition, metabolic activity, and host-microbe signaling. Pollutant exposure alters microbial-derived metabolites such as short-chain fatty acids, bile acids, and tryptophan derivatives, thereby impairing intestinal barrier integrity and immune homeostasis. These microbiota-driven disturbances trigger…