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      Gut feelings: the microbiota-gut-brain axis on steroids

      1 , 1 , 2
      American Journal of Physiology-Gastrointestinal and Liver Physiology
      American Physiological Society

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          Abstract

          The intricate connection between central and enteric nervous systems is well established with emerging evidence linking gut microbiota function as a significant new contributor to gut-brain axis signaling. Several microbial signals contribute to altered gut-brain communications, with steroids representing an important biological class that impacts central and enteric nervous system function. Neuroactive steroids contribute pathologically to neurological disorders, including dementia and depression, by modulating the activity of neuroreceptors. However, limited information is available on the influence of neuroactive steroids on the enteric nervous system and gastrointestinal function. In this review, we outline how steroids can modulate enteric nervous system function by focusing on their influence on different receptors that are present in the intestine in health and disease. We also highlight the potential role of the gut microbiota in modulating neuroactive steroid signaling along the gut-brain axis.

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          Most cited references280

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          The neuroactive potential of the human gut microbiota in quality of life and depression

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            Identification of a nuclear receptor for bile acids.

            Bile acids are essential for the solubilization and transport of dietary lipids and are the major products of cholesterol catabolism. Results presented here show that bile acids are physiological ligands for the farnesoid X receptor (FXR), an orphan nuclear receptor. When bound to bile acids, FXR repressed transcription of the gene encoding cholesterol 7alpha-hydroxylase, which is the rate-limiting enzyme in bile acid synthesis, and activated the gene encoding intestinal bile acid-binding protein, which is a candidate bile acid transporter. These results demonstrate a mechanism by which bile acids transcriptionally regulate their biosynthesis and enterohepatic transport.
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              Postnatal microbial colonization programs the hypothalamic-pituitary-adrenal system for stress response in mice.

              Indigenous microbiota have several beneficial effects on host physiological functions; however, little is known about whether or not postnatal microbial colonization can affect the development of brain plasticity and a subsequent physiological system response. To test the idea that such microbes may affect the development of neural systems that govern the endocrine response to stress, we investigated hypothalamic-pituitary-adrenal (HPA) reaction to stress by comparing germfree (GF), specific pathogen free (SPF) and gnotobiotic mice. Plasma ACTH and corticosterone elevation in response to restraint stress was substantially higher in GF mice than in SPF mice, but not in response to stimulation with ether. Moreover, GF mice also exhibited reduced brain-derived neurotrophic factor expression levels in the cortex and hippocampus relative to SPF mice. The exaggerated HPA stress response by GF mice was reversed by reconstitution with Bifidobacterium infantis. In contrast, monoassociation with enteropathogenic Escherichia coli, but not with its mutant strain devoid of the translocated intimin receptor gene, enhanced the response to stress. Importantly, the enhanced HPA response of GF mice was partly corrected by reconstitution with SPF faeces at an early stage, but not by any reconstitution exerted at a later stage, which therefore indicates that exposure to microbes at an early developmental stage is required for the HPA system to become fully susceptible to inhibitory neural regulation. These results suggest that commensal microbiota can affect the postnatal development of the HPA stress response in mice.
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                Author and article information

                Contributors
                Journal
                American Journal of Physiology-Gastrointestinal and Liver Physiology
                American Journal of Physiology-Gastrointestinal and Liver Physiology
                American Physiological Society
                0193-1857
                1522-1547
                January 01 2022
                January 01 2022
                : 322
                : 1
                : G1-G20
                Affiliations
                [1 ]Department of Pathology and Immunology, Baylor College of Medicine, Houston, Texas
                [2 ]Department of Pathology, Texas Children’s Microbiome Center, Texas Children’s Hospital, Houston, Texas
                Article
                10.1152/ajpgi.00294.2021
                34730020
                0baf8872-a03b-4b8f-8b75-b403813e0f55
                © 2022
                History

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