Brain-Gut Axis Integrity refers to the optimal, bidirectional communication and functional harmony between the central nervous system and the enteric nervous system, mediated by neural, endocrine, and immune pathways. Maintaining this integrity is essential for balanced physiological homeostasis, influencing mood, cognition, digestion, and systemic immunity. Compromise of this axis can lead to widespread dysregulation across multiple organ systems.
Origin
This term originates from the field of neurogastroenterology, expanding upon the recognition of the gut as the “second brain” due to its extensive intrinsic nervous system. The endocrine perspective integrated the role of gut-derived hormones, neuropeptides, and microbial metabolites as critical signaling molecules in this complex inter-system dialogue. Modern clinical practice emphasizes this axis as a key target for wellness interventions.
Mechanism
Communication occurs via the vagus nerve, which provides a direct neural link, and through circulating endocrine factors released by the gut in response to nutrient sensing and microbial activity. The gut microbiota plays a pivotal role, producing short-chain fatty acids and neurotransmitter precursors that influence brain function and HPA axis regulation. A disruption in the intestinal barrier or a shift in the microbial balance compromises this delicate integrity, leading to systemic neuroendocrine consequences.
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