3,544
Views
0
CrossRef citations to date
0
Altmetric
Review

The contribution of age-related changes in the gut-brain axis to neurological disorders

, , & ORCID Icon
Article: 2302801 | Received 06 Aug 2023, Accepted 04 Jan 2024, Published online: 18 Jan 2024
 

ABSTRACT

Trillions of microbes live symbiotically in the host, specifically in mucosal tissues such as the gut. Recent advances in metagenomics and metabolomics have revealed that the gut microbiota plays a critical role in the regulation of host immunity and metabolism, communicating through bidirectional interactions in the microbiota-gut-brain axis (MGBA). The gut microbiota regulates both gut and systemic immunity and contributes to the neurodevelopment and behaviors of the host. With aging, the composition of the microbiota changes, and emerging studies have linked these shifts in microbial populations to age-related neurological diseases (NDs). Preclinical studies have demonstrated that gut microbiota-targeted therapies can improve behavioral outcomes in the host by modulating microbial, metabolomic, and immunological profiles. In this review, we discuss the pathways of brain-to-gut or gut-to-brain signaling and summarize the role of gut microbiota and microbial metabolites across the lifespan and in disease. We highlight recent studies investigating 1) microbial changes with aging; 2) how aging of the maternal microbiome can affect offspring health; and 3) the contribution of the microbiome to both chronic age-related diseases (e.g., Parkinson’s disease, Alzheimer’s disease and cerebral amyloidosis), and acute brain injury, including ischemic stroke and traumatic brain injury.

This article is part of the following collections:
Gut microbiota and aging

Acknowledgments

This work was supported by National Institutes of Health grants R35NS132265, R01NS103592, and R01NS094543 (to LDM) and a Career Development Award (857947) from the American Heart Association (to JL).

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The work was supported by the American Heart Association and National Institute of Neurological Disorders and Stroke.