Development of the microbiome-gut-brain axis and its effect on behavior
Humans coexist in a mutualistic relationship with the gut microbiota, a complex ecologic community of commensal, symbiotic, and pathogenic microorganisms inhabiting the gastrointestinal tract. This chapter reviews evidence from both human and animal studies that the composition of this community influences development of the host brain. Infancy represents a critical period in the establishment of the gut microbiome and early alterations in microbial colonization may have long-term effects on mental health. Several mechanisms through which the microbiota could affect brain development are discussed including 1) activation of the peripheral immune system, 2) production of neuroactive metabolites, and 3) processing of nutrients and environmental chemicals. The chapter concludes with a discussion of whether modulation of the gut microbiota represents a tractable strategy for treating or preventing complex neurodevelopmental disorders.