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Journal of Clinical and

                                                                   Basic Psychosomatics



                                        REVIEW ARTICLE
                                        The gut–brain axis: Collective impact of

                                        psychosomatic conditions and gut microbiota
                                        on health and disease



                                        Alejandro Camacho-Zamora, Ángel R. Rábago-Monzón, David A. Armienta-Rojas,
                                        Josué Camberos-Barraza, and Alberto K. De la Herrán-Arita*
                                        Department of Neurosciences, Faculty of Medicine, Autonomous University of Sinaloa, Culiacán,
                                        Sinaloa, México




                                        Abstract
                                        The gut–brain axis represents a dynamic, bidirectional communication system
                                        linking the central nervous system and the gastrointestinal (GI) tract through neural,
                                        hormonal, and immune pathways. A growing body of research highlights the role
                                        of gut  microbiota in  modulating  neuroinflammatory  responses, neurotransmitter
                                        production, and vagal nerve signaling. However, while numerous reviews have
                                        addressed gut microbiota’s impact on health and disease, few have systematically
                                        compared findings across different study models or emphasized recent advances
            *Corresponding author:      in  therapeutic  interventions.  Hence,  this  review  consolidates  present  research  on
            Alberto K. De la Herrán-Arita
            (alberto.kousuke@uas.edu.mx)  the interplay between gut microbiota, psychological conditions (stress, anxiety,
                                        and depression), and GI disorders (irritable bowel syndrome and inflammatory
            Citation: Camacho-Zamora A,
            Rábago-Monzón ÁR, Armienta-  bowel disease). This review explores the latest methodologies, including genomic
            Rojas DA, Camberos-Barraza J,   approaches and metabolomics, to understand microbial signatures in health and
            De la Herrán-Arita AK. The gut–  disease. Furthermore, it examines therapeutic interventions, including probiotics,
            brain axis: Collective impact of
            psychosomatic conditions and gut   pre-biotics, dietary modifications, and fecal microbiota transplantation, and their
            microbiota on health and disease.    efficacy across different studies. The gut–brain axis plays a crucial role in health
            J Clin Basic Psychosom.     and disease through complex interactions between gut microbiota, psychological
            2025;3(3):25-44.
            doi: 10.36922/JCBP025040008  conditions, and GI disorders. By consolidating recent research and advancements
                                        in therapeutic interventions, this review provides a comprehensive perspective on
            Received: January 25, 2025
                                        emerging  methodologies  and  potential  treatments.  A  deeper  understanding  of
            1st revised: March 11, 2025  these mechanisms may pave the way for more effective, personalized therapeutic
            2nd revised: March 19, 2025  strategies.
            Accepted: March 20, 2025
                                        Keywords: Gut–brain Axis; Microbiota; Nervous system; Psychosomatic
            Published online: April 3, 2025
            Copyright: © 2025 Author(s).
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   1. Introduction
            License, permitting distribution,
            and reproduction in any medium,   The gut–brain axis represents a dynamic communication system linking the
            provided the original work is   gastrointestinal (GI) tract and the central nervous system (CNS) through neural,
            properly cited.             endocrine, immune, and metabolic pathways. This is facilitated by critical components,
            Publisher’s Note: AccScience   including the vagus nerve and the enteric nervous system. The vagus nerve, which
            Publishing remains neutral with   extends from the brainstem to the gut, transmits signals that influence mood, cognition,
            regard to jurisdictional claims in
            published maps and institutional   and stress responses. In parallel, the enteric nervous system, often called the “second
            affiliations.               brain,”  operates  independently  to  regulate  GI  functions  while  maintaining  strong


            Volume 3 Issue 3 (2025)                         25                         doi: 10.36922/JCBP025040008
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