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Gut-Derived Metabolites and Cognitive Health: Roles of Short-Chain Fatty Acids and Trimethylamine N-oxide - PubMed

7 hours ago
  • #gut-brain axis
  • #cognitive health
  • #microbial metabolites
  • The gut microbiota plays a significant role in host physiology, extending beyond digestion and metabolism.
  • The gut-brain axis is a bidirectional communication network connecting the gastrointestinal tract and the central nervous system.
  • Short-chain fatty acids (SCFAs) and trimethylamine N-oxide (TMAO) are key microbial metabolites involved in gut-brain signaling.
  • SCFAs and TMAO have potential roles in neuroinflammation, vascular dysfunction, and cognitive decline.
  • Altered gut microbiota and reduced SCFA levels are associated with Parkinson's disease severity and neurological phenotypes.
  • TMAO has been detected in human cerebrospinal fluid and interacts with the blood-cerebrospinal fluid barrier.
  • Circulating TMAO levels are linked with Alzheimer's disease biomarkers, mild cognitive impairment, and dementia-related neuroimaging features.
  • TMAO supplementation promotes brain aging and cognitive impairment in animal models.
  • SCFAs, particularly butyrate, show neuroprotective effects in models of Alzheimer's and Parkinson's diseases.
  • SCFAs may modulate immune responses, preserve blood-brain barrier integrity, and regulate microglial activity.
  • TMAO is associated with endothelial dysfunction, oxidative stress, and neurovascular impairment.
  • Current evidence supports biologically plausible but preliminary roles for gut-derived metabolites in cognitive health.
  • Human causality remains unproven, and clinical translation is premature.