28-Oct-2025
The gut–brain–immune triad in neurodegeneration: an integrated perspective
Xia & He Publishing Inc.Peer-Reviewed Publication
Neurodegenerative diseases (NDs), such as Alzheimer’s disease (AD), Parkinson’s disease (PD), amyotrophic lateral sclerosis (ALS), and multiple sclerosis (MS), represent a growing global health burden, particularly in aging populations. While traditional research has focused on neuronal mechanisms like protein misfolding and oxidative stress, recent evidence underscores the critical role of the gut-brain-immune axis in disease pathogenesis. This review synthesizes current knowledge on how gut microbiota dysbiosis influences neuroinflammation, blood-brain barrier (BBB) integrity, and immune homeostasis through microbial-derived metabolites, including short-chain fatty acids (SCFAs), lipopolysaccharides (LPS), and bacterial amyloids. We explore the communication pathways linking the gut, immune system, and central nervous system (CNS), and highlight disease-specific mechanisms and therapeutic opportunities. Despite promising preclinical findings, significant challenges remain in establishing causality and translating these insights into clinical practice.
- Journal
- Journal of Translational Gastroenterology