Eixo intestino-cérebro: relação entre a microbiota intestinal e desordens mentais

Autores

  • Ingrid Gabriela de Oliveira Tonini Centro Universitário Campo Real https://orcid.org/0000-0003-2568-8721
  • Diana Souza Santos Vaz Universidade Estadual de Campinas
  • Caryna Eurich Mazur Universidade Estadual do Centro-Oeste Guarapuava

DOI:

https://doi.org/10.33448/rsd-v9i7.4303

Palavras-chave:

Ansiedade; Depressão; Microbioma gastrointestinal; Transtornos mentais.

Resumo

O termo “eixo intestino-cérebro” tem sido amplamente utilizado no estudo da comunicação entre o trato gastrointestinal e o sistema nervoso central, uma relação vital para a manutenção da homeostase e cujo desequilíbrio pode resultar em alterações na resposta ao estresse e no comportamento humano. Esta revisão visa apresentar e discutir os achados de estudos sobre o eixo intestino-cérebro e a possível relação entre disbiose intestinal e desordens mentais. A pergunta norteadora foi: “Como a saúde intestinal pode afetar o cérebro e seu funcionamento?”. De cinquenta artigos encontrados em todas as bases de dados, foram selecionados sete para integrar esta revisão, sendo todos publicados em inglês. Os achados de todos os artigos discutidos nesta revisão demonstram impacto direto e significativo da microbiota intestinal sobre o sistema nervoso central, observando-se comportamentos relacionados à ansiedade, depressão e estresse frente à disbiose.

Referências

Barbosa, FT, Cunha, RM, Pinto, ALCLT. (2008). Delirium pós-operatório em idosos. Rev Bras Anestesiol, 58(6).

Bastiaanssen, TFS, Cussotto, S, Claesson, MJ, Clarke, G, Dinan, TG & Cryan, JF. (2020). Gutted! Unraveling the Role of the Microbiome in Major Depressive Disorder. Harvard Review of Psychiatry, 28(1), 26-39.

Bourassa, MW, Alim, I, Bultman, SJ & Ratan, RR. (2016). Butyrate, neuroepigenetics and the gut microbiome: Can a high fiberdiet improve brain health? Neuroscience Letters, 625, 56-63.

Burokas, A, Arboleya, S, Moloney, RD, Peterson, VL, Murphy, K, Clarke, G, Stanton, C, Dinan, TG, Cryan, JF. (2017). Targeting the Microbiota-Gut-Brain Axis: Prebiotics Have Anxiolytic and Antidepressantlike Effects and Reverse the Impact of Chronic Stress in Mice. Biological Psychiatry, 82(7), 472-487.

Cerejeira, J, Firmino, H & Vaz-Serra, A. (2010). The neuroinflammatory hypothesis of delirium. Acta Neuropathol, 119(6), 737-754.

Clarke, G, Grenham, S, Scully, P, Fitzgerald, P, Moloney, RD, Shanahan, F, Dinan, TG, Cryan, JF. (2013). The microbiome-gut-brain axis during early life regulates the hippocampal serotonergic system in a sex-dependent manner. Molecular Psychiatry, 18(6), 666-673.

Cryan, JF, O’Mahony, SM. (2011). The microbiome‐gut‐brain axis: from bowel to behavior. Neurogastroenterol Motil, 23(3), 187-192.

Del’arco, APWT, Magalhães, P, Quilici, FA. (2017). SIM Brasil study – Women’s Gastrointestinal Health: gastrointestinal symptoms and impact on the Brazilian women quality of life. Arq Gastroenterol, 54(2), 115-122.

Dinan, TG, Cryan, JF. (2017). The Microbiome-Gut-Brain Axis in Health and Disease. Gastroenterol Clin North Am., 46(1), 77-89.

Dinan, TG, Stanton, C, Cryan, JF. (2013). Psychobiotics: a novel class of psychotropic. Biol Psychiatry, 74(10), 720-6.

Dinan, TG, Stilling, RM, Stanton, C, Cryan, JF. (2015). Collective unconscious: How gut microbes shape human behavior. Journal of Psychiatric Research, 63, 1-9.

Gareau, MG, Wine, E, Rodrigues, DM, Cho, JH, Whary, MT, Philpott, DJ, Macqueen, G, Sherman, PM. (2011). Bacterial infection causes stress-induced memory dysfunction in mice. Gut, 60(3), 307-17.

Gershon, MD, Tack, J. (2007). The serotonin signaling system: from basic understanding to drug development for functional GI disorders. Gastroenterology, 132(1), 397-414.

Heym, N, Heasman, BC, Hunter, K, Blanco, SR, Wang, GY, Siegert, R, Cleare, A, Gibson, Kumari, V, Sumich, AL. (2019). The role of microbiota and inflammation in self-judgement and empathy: implications for understanding the brain-gut-microbiome axis in depression. Psychopharmacology, 236(5), 1459-1470.

Kelly, JR, Clarke, G, Cryan, JF, Dinan, TG. (2016). Brain-Gut-Microbiota axis: Challenges for Translation in Psychiatry. Annals of Epidemiology, 26(5), 366-72.

Kelly, JR, Borre, Y, O’Brien, C, Patterson, E, El Aidy, S, Deane, J, Kennedy, PJ, Beers, S, Scott, K, Fitzgerald, P, Ross, P, Stanton, C, Clarke, G, Cryan, JF, Dinan, TG. (2016). Transferring the blues: Depression-associated gut microbiota induces neurobehavioural changes in the rat. Journal of Psychiatric Research, 82, 109-18.

Kelly, JR, Kennedy, PJ, Cryan, JF, Dinan, TG, Clarke, G & Hyland, NP. (2015). Breaking down the barriers: the gut microbiome, intestinal permeability and stress-related psychiatric disorders. Front Cell Neurosci, 9, 392.

Lach, G, Morais, LH, Costa, APR, Hoeller, AA. (2017). Envolvimento da flora intestinal na modulação de doenças psiquiátricas. Vittalle – Revista de Ciências da Saúde, 29(1), 64-82.

Liu, P, Peng, G, Zhang, N, Wang, B, Luo, B. (2019). Crosstalk Between the Gut Microbiota and the Brain: An Update on Neuroimaging Findings. Front Neurol, 10, 883.

Liu, Q. F., Kim, H. M., Lim, S., Chung, M. J., Lim, C. Y., Koo, B. S., Kang, S. S. (2020). Effect of probiotic administration on gut microbiota and depressive behaviors in mice. DARU J Pharm Sci.

Ministério da Saúde. Biblioteca Virtual em Saúde. (2015). Ansiedade. Retrieved February 04, from http://bvsms.saude.gov.br/dicas-em-saude/470-ansiedade.

Organização Pan-Americana de Saúde. Organização Mundial da Saúde. (2018). Folha informativa – Transtornos mentais. Retrieved February 04, from https://www.paho.org/bra/index.php?option=com_content&view=article&id=5652:folha-informativa-transtornos-mentais&Itemid=839.

Ozan, ZT, Tanik, N, Inan, LE. (2019). Constipation is associated with tension type headache in women. Arq Neuropsiquiatr, 77(3), 161-165.

Pan, JX, Deng, FL, Zeng, BH, Zheng, P, Liang, WW, Yin, BM, Wu, J, Dong, MX, Luo, Y. Y, Wang, HY, Wei, H & Xie, P. (2019). Absence of gut microbiota during early life affects anxiolytic Behaviors and monoamine neurotransmitters system in the hippocampal of mice. Journal of the Neurological Sciences, 400, 160-168.

Reigstad, CS, Salmonson, CE, Rainey, JF, Szurszewski, JH, Linden, DR, Sonnenburg, JL, Farrugia, G & Kashyap, PC. (2015). Gut microbes promote colonic serotonin production through an effect of short-chain fatty acids on enterochromaffin cells. FASEB J, 29(4), 1395-1403.

Schmidt, K, Cowen, PJ, Harmer, CJ, Tzortzis, G, Errington, S, Burnet, PWJ. (2015). Prebiotic intake reduces the waking cortisol response and alters emotional bias in healthy volunteers. Psychopharmacology (Berl), 232(10), 1793-801.

Stilling, RM, Dinan, TG, Cryan, JF. (2014). Microbial genes, brain & behaviour – epigenetic regulation of the gut–brain axis. Genes, Brain and Behavior, 13(1), 69-86.

World Health Organization. (2017). Depression and Other Common Mental Disorders: Global Health Estimates. Retrieved February 04, from https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf.

Xiao, HW, Ge, C, Feng, GX, Li, Y, Luo, D, Dong, JL, Li, H, Wang, H, Cui, M & Fan, SJ. (2018). Gut microbiota modulates alcohol withdrawal-induced anxiety in mice. Toxicology Letters, 287, 23-30.

Yano, JM, Yu, K, Donaldson, GP, Shastri, GG, Ann, P, Ma, L, Nagler, CR, Ismagilov, RF, Mazmanian, SK & Hsiao, EY. (2015). Indigenous Bacteria from the Gut Microbiota Regulate Host Serotonin Biosynthesis. Cell, 161(2), 264-276.

Zhang, J, Bi, JJ, Guo, GJ, Yang, L, Zhu, B, Zhan, GF, Li, S, Huang, NN, Hashimoto, K, Yang, C & Luo, AL. (2019). Abnormal composition of gut microbiota contributes to delirium‐like behaviors after abdominal surgery in mice. CNS Neurosci Ther, 25(6), 685-696.

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Publicado

23/05/2020

Como Citar

TONINI, I. G. de O.; VAZ, D. S. S.; MAZUR, C. E. Eixo intestino-cérebro: relação entre a microbiota intestinal e desordens mentais. Research, Society and Development, [S. l.], v. 9, n. 7, p. e499974303, 2020. DOI: 10.33448/rsd-v9i7.4303. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4303. Acesso em: 21 nov. 2024.

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Artigos de Revisão