Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression

The hypothalamus-pituitary-adrenal (HPA) and gut-brain axes are vital biological pathways in depression. The HPA axis regulates the body's stress response, and chronic stress can lead to overactivation of the HPA axis, resulting in elevated cortisol levels that contribute to neuronal damage, pa...

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Main Authors: Amanda Gollo Bertollo, Camila Ferreira Santos, Margarete Dulce Bagatini, Zuleide Maria Ignácio
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1541075/full
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author Amanda Gollo Bertollo
Camila Ferreira Santos
Margarete Dulce Bagatini
Zuleide Maria Ignácio
author_facet Amanda Gollo Bertollo
Camila Ferreira Santos
Margarete Dulce Bagatini
Zuleide Maria Ignácio
author_sort Amanda Gollo Bertollo
collection DOAJ
description The hypothalamus-pituitary-adrenal (HPA) and gut-brain axes are vital biological pathways in depression. The HPA axis regulates the body's stress response, and chronic stress can lead to overactivation of the HPA axis, resulting in elevated cortisol levels that contribute to neuronal damage, particularly in regions such as the hippocampus and prefrontal cortex, both of which are involved in mood regulation and mental disorders. In parallel, the gut-brain axis, a bidirectional communication network between the gut microbiota and the central nervous system, influences emotional and cognitive functions. Imbalances in gut microbiota can affect the HPA axis, promoting inflammation and increasing gut permeability. This allows endotoxins to enter the bloodstream, contributing to neuroinflammation and altering neurotransmitter production, including serotonin. Since the majority of serotonin is produced in the gut, disruptions in this pathway may be linked to depressive symptoms. This review explores the interplay between the HPA axis and the gut-brain axis in the context of depression.
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spelling doaj-art-fa2782d0f1ca4623966accde0b9c31062025-02-06T07:09:53ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-02-011910.3389/fnins.2025.15410751541075Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depressionAmanda Gollo BertolloCamila Ferreira SantosMargarete Dulce BagatiniZuleide Maria IgnácioThe hypothalamus-pituitary-adrenal (HPA) and gut-brain axes are vital biological pathways in depression. The HPA axis regulates the body's stress response, and chronic stress can lead to overactivation of the HPA axis, resulting in elevated cortisol levels that contribute to neuronal damage, particularly in regions such as the hippocampus and prefrontal cortex, both of which are involved in mood regulation and mental disorders. In parallel, the gut-brain axis, a bidirectional communication network between the gut microbiota and the central nervous system, influences emotional and cognitive functions. Imbalances in gut microbiota can affect the HPA axis, promoting inflammation and increasing gut permeability. This allows endotoxins to enter the bloodstream, contributing to neuroinflammation and altering neurotransmitter production, including serotonin. Since the majority of serotonin is produced in the gut, disruptions in this pathway may be linked to depressive symptoms. This review explores the interplay between the HPA axis and the gut-brain axis in the context of depression.https://www.frontiersin.org/articles/10.3389/fnins.2025.1541075/fullhypothalamus-pituitary-adrenal axisgut-brain axisgut microbiotadepressionstress response
spellingShingle Amanda Gollo Bertollo
Camila Ferreira Santos
Margarete Dulce Bagatini
Zuleide Maria Ignácio
Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression
Frontiers in Neuroscience
hypothalamus-pituitary-adrenal axis
gut-brain axis
gut microbiota
depression
stress response
title Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression
title_full Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression
title_fullStr Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression
title_full_unstemmed Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression
title_short Hypothalamus-pituitary-adrenal and gut-brain axes in biological interaction pathway of the depression
title_sort hypothalamus pituitary adrenal and gut brain axes in biological interaction pathway of the depression
topic hypothalamus-pituitary-adrenal axis
gut-brain axis
gut microbiota
depression
stress response
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1541075/full
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