Connecting the Dots: The Interplay Between Stroke and the Gut-Brain Axis

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 4; p. e37324
• Main Authors: Murthy, Pooja M, Ca, Jayashankar, Kandi, Venkataramana, Reddy, Mithun K, Harikrishna, Ganaraja V, Reddy, Kavitha, Jp, Ramya, Reddy, Ankush N, Narang, Jigya
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 09-04-2023; Cureus
• Subjects: Bacteria; Blood-brain barrier; Brain research; Dysphagia; Gastroenterology; Gram-negative bacteria; Infectious Disease; Inflammation; Microbiota; Mortality; Motility; Nervous system; Neurology; Oxidative stress; Pathophysiology; Patients; Probiotics; Stroke; Traumatic brain injury; therapeutic approach; gastrointestinal tract; stroke; dysbiosis; gut-brain axis
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.37324

This article discusses the interplay between the gut-brain axis and stroke, a multifaceted neurological disorder that affects millions of people worldwide. The gut-brain axis is a bidirectional communication network linking the central nervous system (CNS) to the gastrointestinal tract (GIT), including the enteric nervous system (ENS), vagus nerve, and gut microbiota. Dysbiosis in the gut microbiota, alterations in the ENS and vagus nerve, and gut motility changes have been linked to increased inflammation and oxidative stress, which are contributing factors in the development and progression of stroke. Research on animals has shown that modifying the gut microbiota can impact the results of a stroke. Germ-free mice displayed improved neurological function and decreased infarct volumes, indicating a positive effect. Furthermore, studies in stroke patients have shown alterations in the gut microbiota composition, indicating that targeting dysbiosis could be a potential therapeutic strategy for stroke. The review suggests that targeting the gut-brain axis may represent a potential therapeutic approach to reduce the morbidity and mortality associated with stroke.