The gut-brain axis, BDNF, NMDA and CNS disorders

Maqsood, R. and Stone, T. W. (2016) The gut-brain axis, BDNF, NMDA and CNS disorders. Neurochemical Research, 41(11), pp. 2819-2835. (doi: 10.1007/s11064-016-2039-1) (PMID:27553784)

Abstract

Gastro-intestinal (GI) microbiota and the ‘gut-brain axis’ are proving to be increasingly relevant to early brain development and the emergence of psychiatric disorders. This review focuses on the influence of the GI tract on Brain-Derived Neurotrophic Factor (BDNF) and its relationship with receptors for N-methyl-d-aspartate (NMDAR), as these are believed to be involved in synaptic plasticity and cognitive function. NMDAR may be associated with the development of schizophrenia and a range of other psychopathologies including neurodegenerative disorders, depression and dementias. An analysis of the routes and mechanisms by which the GI microbiota contribute to the pathophysiology of BDNF-induced NMDAR dysfunction could yield new insights relevant to developing novel therapeutics for schizophrenia and related disorders. In the absence of GI microbes, central BDNF levels are reduced and this inhibits the maintenance of NMDAR production. A reduction of NMDAR input onto GABA inhibitory interneurons causes disinhibition of glutamatergic output which disrupts the central signal-to-noise ratio and leads to aberrant synaptic behaviour and cognitive deficits. Gut microbiota can modulate BDNF function in the CNS, via changes in neurotransmitter function by affecting modulatory mechanisms such as the kynurenine pathway, or by changes in the availability and actions of short chain fatty acids (SCFAs) in the brain. Interrupting these cycles by inducing changes in the gut microbiota using probiotics, prebiotics or antimicrobial drugs has been found promising as a preventative or therapeutic measure to counteract behavioural deficits and these may be useful to supplement the actions of drugs in the treatment of CNS disorders.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Stone, Professor Trevor
• Authors: Maqsood, R., and Stone, T. W.
• College/School: College of Medical Veterinary and Life Sciences > School of Psychology & Neuroscience
• Journal Name: Neurochemical Research
• Publisher: Springer
• ISSN: 0364-3190
• ISSN (Online): 1573-6903
• Published Online: 23 August 2016
• Copyright Holders: Copyright © 2016 Springer Science+Business Media New York
• First Published: First published in Neurochemical Research 41(11):2819-2835
• Publisher Policy: Reproduced in accordance with the copyright policy of the publisher