Of bowels, brain and behavior: A role for the gut microbiota in psychiatric comorbidities in irritable bowel syndrome Article Swipe
Lars Wilmes
,
James M. Collins
,
Kenneth J. O’Riordan
,
Siobhain M. O’Mahony
,
John F. Cryan
,
Gerard Clarke
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/nmo.14095
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/nmo.14095
Background The gastrointestinal microbiota has emerged as a key regulator of gut‐brain axis signalling with important implications for neurogastroenterology. There is continuous bidirectional communication between the gut and the brain facilitated by neuronal, endocrine, metabolic, and immune pathways. The microbiota influences these signalling pathways via several mechanisms. Studies have shown compositional and functional alterations in the gut microbiota in stress‐related psychiatric disorders. Gut microbiota reconfigurations are also a feature of irritable bowel syndrome (IBS), a gut‐brain axis disorder sharing high levels of psychiatric comorbidity including both anxiety and depression. It remains unclear how the gut microbiota alterations in IBS align with both core symptoms and these psychiatric comorbidities. Methods In this review, we highlight common and disparate features of these microbial signatures as well as the associated gut‐brain axis signalling pathways. Studies suggest that patients with either IBS, depression or anxiety, alone or comorbid, present with alterations in gut microbiota composition and harbor immune, endocrine, and serotonergic system alterations relevant to the common pathophysiology of these comorbid conditions. Key results Research has illustrated the utility of fecal microbiota transplantation in animal models, expanding the evidence base for a potential causal role of disorder‐specific gut microbiota compositions in symptom set expression. Moreover, an exciting study by Constante and colleagues in this issue highlights the possibility of counteracting this microbiota‐associated aberrant behavioral phenotype with a probiotic yeast, Saccharomyces boulardii CNCM I‐745. Conclusions and inferences Such data highlights the potential for therapeutic targeting of the gut microbiota as a valuable strategy for the management of comorbid psychiatric symptoms in IBS.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/nmo.14095
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nmo.14095
- OA Status
- hybrid
- Cited By
- 42
- References
- 148
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3129078174
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3129078174Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/nmo.14095Digital Object Identifier
- Title
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Of bowels, brain and behavior: A role for the gut microbiota in psychiatric comorbidities in irritable bowel syndromeWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-02-13Full publication date if available
- Authors
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Lars Wilmes, James M. Collins, Kenneth J. O’Riordan, Siobhain M. O’Mahony, John F. Cryan, Gerard ClarkeList of authors in order
- Landing page
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https://doi.org/10.1111/nmo.14095Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nmo.14095Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nmo.14095Direct OA link when available
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Irritable bowel syndrome, Gut flora, Gut–brain axis, Anxiety, Dysbiosis, Medicine, Depression (economics), Bioinformatics, Biology, Immunology, Psychiatry, Economics, MacroeconomicsTop concepts (fields/topics) attached by OpenAlex
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42Total citation count in OpenAlex
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2025: 9, 2024: 16, 2023: 8, 2022: 5, 2021: 4Per-year citation counts (last 5 years)
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148Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.illustrated | 173 |
| abstract_inverted_index.mechanisms. | 47 |
| abstract_inverted_index.possibility | 214 |
| abstract_inverted_index.psychiatric | 61, 83, 107, 254 |
| abstract_inverted_index.therapeutic | 239 |
| abstract_inverted_index.compositions | 196 |
| abstract_inverted_index.implications | 17 |
| abstract_inverted_index.serotonergic | 157 |
| abstract_inverted_index.Saccharomyces | 226 |
| abstract_inverted_index.bidirectional | 23 |
| abstract_inverted_index.communication | 24 |
| abstract_inverted_index.compositional | 51 |
| abstract_inverted_index.counteracting | 216 |
| abstract_inverted_index.comorbidities. | 108 |
| abstract_inverted_index.pathophysiology | 164 |
| abstract_inverted_index.transplantation | 179 |
| abstract_inverted_index.gastrointestinal | 3 |
| abstract_inverted_index.reconfigurations | 65 |
| abstract_inverted_index.stress‐related | 60 |
| abstract_inverted_index.disorder‐specific | 193 |
| abstract_inverted_index.neurogastroenterology. | 19 |
| abstract_inverted_index.microbiota‐associated | 218 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5003021083 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I27577105, https://openalex.org/I4210141138 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7799999713897705 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.96504356 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |