Your new experience awaits. Try the new design now and help us make it even better

REVIEW article

Front. Nutr.

Sec. Nutrition, Psychology and Brain Health

Volume 12 - 2025 | doi: 10.3389/fnut.2025.1634548

Mechanisms of the effect of gut microbes on depression through the microbiota-gut-brain axis

Provisionally accepted
Xiangyan  ZhouXiangyan Zhou1Sixing  WangSixing Wang1Xiaohui  WangXiaohui Wang1Xiran  ChenXiran Chen1Pei  ZhouPei Zhou2*Kai  MaKai Ma2,3*Peng  ZhangPeng Zhang2*
  • 1Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • 2Huazhong University of Science and Technology Tongji Medical College Union Hospital, Wuhan, China
  • 3Huazhong University of Science and Technology, Wuhan, China

The final, formatted version of the article will be published soon.

Depression is a significant public health issue which exerts profound psychological and social impacts on both individuals and society. However, existing therapeutic strategies often exhibit limited efficacy. Accumulating evidence underscores the vital role of gut microbiota in the pathophysiology of depression through the microbiota-gut-brain (MGB) axis. This involves multiple mechanisms, including short-chain fatty acid (SCFA) metabolism, communication via the vagal nerve, regulation of the hypothalamic-pituitary-adrenal (HPA) axis, and immune-inflammatory interactions. This review provides a comprehensive review of the mechanisms through which gut microbiota influences depression via the MGB axis. It synthesizes recent achievements in this field and evaluates the potential of microbiome-targeted therapies for depression treatment. Furthermore, it outlines future research directions to establish a theoretical framework for novel therapeutic approaches and to foster the development of this area.

Keywords: Gut Microbiota, MGB axis, Depression, Metabolism, neurotransmitters, Neuroinflammation

Received: 26 May 2025; Accepted: 17 Jul 2025.

Copyright: © 2025 Zhou, Wang, Wang, Chen, Zhou, Ma and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Pei Zhou, Huazhong University of Science and Technology Tongji Medical College Union Hospital, Wuhan, China
Kai Ma, Huazhong University of Science and Technology, Wuhan, China
Peng Zhang, Huazhong University of Science and Technology Tongji Medical College Union Hospital, Wuhan, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.