Gut-brain axis: how gut health affects cognition, brain, and mental health
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Gut-brain axis: how gut health affects cognition, brain, and mental health

Woman relaxing on a sofa in natural sunlight while holding a cup of coffee, with a dog resting beside her in a calm and cozy home environment.

Did you know that your gut and brain are in constant communication?
This connection reaches far beyond digestion. Studies now indicate that the gut may influence cognition, mood, stress responses, and even how the brain ages over time.

This communication network is known as the gut-brain axis. It connects the gut, brain, immune system, hormones, nervous system, and gut microbiome through a complex two-way signaling system.

Research on brian gut axis continues to show that changes in gut bacteria appear to be linked with inflammation, neurotransmitter signaling cognitive function, and mental health.

While the science is still evolving, one thing is becoming increasingly clear: supporting gut health may also support brain health. Read along in this blog to know more.

What is the gut-brain axis?

The gut-brain axis is the bidirectional communication system between the gastrointestinal tract and the brain.

This gut brain axis mechanism involves several systems working together:

  • The nervous system
  • The immune system
  • Hormones
  • Metabolites produced by gut bacteria

One of the most important pathways is the gut brain axis vagus connection. The vagus nerve acts as a direct communication route between the gut and brain. Through this gut brain connection vagus nerve pathway, signals from the digestive system may influence stress responses, mood, inflammation, and cognition.

The gut microbiome also plays a central role. Trillions of bacteria in the gut produce signalling compounds that may affect the nervous system and immune function.

Related: How food influences the microbiome and digestion

Scientists are especially interested in several gut-brain axis biomarkers, including inflammatory markers, microbiome composition, vagus nerve activity, and microbial metabolites that may help explain changes in cognitive and neurological health.

The gut is also closely connected to serotonin production. Serotonin is a neurotransmitter that helps regulate mood, sleep, appetite, stress responses, and digestion. Although serotonin is often associated with the brain, most of it is actually produced in the gut. This is one reason why gut brain axis serotonin signaling has become such an active research area.

In simple terms

The gut-brain axis works like a communication network between the gut and the brain. Within this network, the vagus nerve acts like a direct “highway,” sending signals back and forth between the digestive system and the brain.

Gut health and cognitive decline

A growing number of studies are exploring how changes in the gut microbiome may play a role in memory, dementia, and gut brain axis Alzheimer’s disease research.

A 2026 Nature study explored whether an aged microbiome could directly affect memory. The researchers transferred gut microbiota from old mice into young mice. After receiving the aged microbiome, the young mice developed memory problems similar to those seen in older animals.

The researchers identified higher levels of a bacterium called Parabacteroides goldsteinii. This appeared to increase inflammatory immune signaling in the gut and disturb communication through the vagus nerve. They also observed reduced activity in the hippocampus, a brain region strongly involved in memory formation.

When the researchers stimulated vagus nerve activity in older mice, memory performance improved.

This does not mean the same effect has been proven in humans. But it gives a clearer picture of how the microbiome, inflammation, the vagus nerve, and cognitive aging may be connected.

Human research points in a similar direction. A 2026 systematic review looked at adults over 45 with cognitive impairment or a higher risk of dementia. The review found that microbiome-focused strategies, including dietary interventions, probiotics, and fecal microbiota transplantation, showed the most promising effects in people with early cognitive decline. Improvements were seen in memory, executive function, and overall cognition.

Coffee, polyphenols, and the gut-brain axis

Coffee may also be part of the gut-brain story. A 2026 Nature Communications study found that habitual coffee intake changed the gut microbiome, microbial metabolites, and several markers linked to cognition, mood, and stress regulation.

The researchers compared moderate coffee drinkers with non-coffee drinkers and then followed coffee drinkers through a short coffee-free period before reintroducing either caffeinated or decaffeinated coffee.

Interestingly, some microbiome changes appeared after both caffeinated and decaffeinated coffee. This suggests that coffee polyphenols — and not only caffeine — may influence gut-brain signaling and communication between the microbiome and nervous system.

The study also identified changes in metabolites linked to neurotransmitter activity and stress responses, including pathways connected to serotonin and GABA signaling.

This does not prove that coffee directly improves brain health or prevents cognitive decline. But it supports a growing area of gut brain axis latest research suggesting that everyday dietary compounds may shape the microbiome in ways that influence cognition, inflammation, mood, and healthy aging.

Gut health and neurological disorders

The relationship between the microbiome and the nervous system is now being studied in several neurological conditions.

Evidence from neurological research points to a possible link between microbiome imbalance may influence inflammation, immune activity, oxidative stress, and communication between the gut and the brain.

In gut brain axis Parkinson’s disease research, scientists have observed microbiome differences in people with Parkinson’s compared to healthy controls. Some researchers believe these changes may affect neuroinflammation and alpha-synuclein aggregation.

Research on the gut brain axis multiple sclerosis connection has also shown altered gut microbiota profiles in patients with MS. Experimental studies suggest that microbial metabolites seem to play a role in immune responses involved in the disease.

The gut brain axis Alzheimer’s field continues to expand as researchers investigate whether microbial metabolites, chronic inflammation, and intestinal permeability may contribute to neurodegenerative processes associated with Alzheimer’s disease.

Migraine is another area of interest. Emerging evidence suggests that the gut brain axis migraine connection may involve inflammatory cytokines, serotonin signaling, and microbiome-derived metabolites.

Current evidence does not prove that gut dysfunction causes neurological disease. However, it increasingly suggests that the gut microbiome may influence disease progression, inflammation, and symptom severity.

Gut health and mental health

The relationship between the gut brain axis and mental health has become a major research area over the past decade.

Communication between the gut, immune system, nervous system, and brain goes both ways. Stress can affect the gut, and gut changes may affect mood and emotional health.

A study suggest possible explanation is inflammation. Chronic stress may alter the microbiome, weaken the gut barrier, and activate inflammatory pathways that affect the brain.

Research on gut brain axis depression suggests that people with depression often show differences in gut microbiome composition compared to healthy individuals.

Gut brain axis anxiety is also being studied closely. Research suggests that gut bacteria may influence stress responsiveness, cortisol regulation, and neurotransmitter signaling. This is why gut brain connection with anxiety has become relevant in both neuroscience and gut brain axis psychiatry.

Research on gut brain axis autism has also expanded in recent years. Some individuals with autism spectrum disorder show altered microbiome composition and more gastrointestinal symptoms. Scientists are now investigating whether communication between the gut and brain may influence symptoms linked to autism. The gut brain connection with autism is still complex and not fully understood.

Researchers are also exploring possible links between gut brain axis bipolar disorder and inflammation or metabolic pathways, although the evidence is still limited and mixed.

Current evidence does not support simplistic claims that probiotics or diet alone can treat mental health conditions. The relationship is much more complex and involves inflammation, metabolism, stress physiology, immune signaling, the microbiome, and the nervous system.

Supporting your gut-brain axis

You cannot control every aspect of your microbiome. But daily habits may help support a healthier gut environment and better communication between the gut and brain.

Eat more fiber-rich foods

Fiber feeds beneficial gut bacteria. These bacteria produce short-chain fatty acids that help support the gut barrier, immune balance, and gut-brain communication.

A varied diet with vegetables, berries, legumes, nuts, seeds, and whole foods is a practical place to start and may support gut brain axis optimization over time.

Include fermented and polyphenol-rich foods

Fermented foods may increase microbiome diversity and help reduce inflammatory markers.

Polyphenol-rich foods such as berries, cocoa, olive oil, green tea, and coffee may also support microbial diversity and oxidative stress regulation.

Related: Probiotics and prebiotics – the longevity impact explained.

Prioritize sleep, movement, and stress balance

Poor sleep, chronic stress, and physical inactivity may negatively affect both the microbiome and brain health.

Regular movement, time outdoors, restorative sleep, and stress management may all support healthier gut-brain communication.

More about these topics here:

What about supplements?

Research into gut brain axis vitamins and supplementation continues to grow. Fiber, polyphenols, omega-3 fatty acids, probiotics, and fermented compounds are all being studied for their possible role in gut-brain signaling.

There is also increasing interest in gut brain axis supplements kids, although more research is still needed before clear conclusions can be made for children.

If you want to learn more about how gut health changes with age, read our article on gut health and aging.

For those looking to support healthy aging and oxidative balance, our liposomal resveratrol and quercetin supplements provide polyphenols that are increasingly being studied in relation to the microbiome, gut health, and longevity.

Go to all Purovitalis longevity supplements here.

References
  1. Carabotti M, et al. The gut-brain axis: interactions between enteric microbiota, central and enteric nervous systems. Ann Gastroenterol. 2015.
  2. Cryan JF, et al. The microbiota-gut-brain axis. Physiol Rev. 2019.
  3. Yano JM, et al. Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell. 2015.
  4. Vogt NM, et al. Gut microbiome alterations in Alzheimer’s disease. Sci Rep. 2017.
  5. Nature study on aging microbiome, vagus nerve signaling, and memory decline. 2026.
  6. Systematic review on microbiota and cognitive decline in older adults. Neuroscience & Biobehavioral Reviews. 2026.
  7. Boscaini S, Bastiaanssen TFS, Moloney GM, et al. Habitual coffee intake shapes the gut microbiome and modifies host physiology and cognition.Nature Communications. 2026.
  8. Sharon G, et al. The central nervous system and the gut microbiome. Cell. 2016.
  9. Scheperjans F, et al. Gut microbiota are related to Parkinson’s disease. Mov Disord. 2015.
  10. Berer K, et al. Gut microbiota from multiple sclerosis patients enables spontaneous autoimmune encephalomyelitis in mice. Proc Natl Acad Sci USA. 2017.
  11. Arzani M, et al. Gut-brain axis and migraine headache. J Headache Pain. 2020.
  12. Foster JA, et al. Stress and the gut-brain axis. Trends Neurosci. 2017.
  13. Kelly JR, et al. Transferring the blues: depression-associated gut microbiota induces neurobehavioural changes in rats. J Psychiatr Res. 2016.
  14. Liang S, et al. Gut microbiota and anxiety. Neuropsychiatr Dis Treat. 2018.
  15. Cryan JF, et al. The microbiota-gut-brain axis and autism spectrum disorder. Neurogastroenterol Motil. 2019.
  16. Painold A, et al. A step ahead: exploring the gut microbiota in bipolar disorder. Bipolar Disord. 2019.
  17. Makki K, et al. Dietary fiber and the gut microbiota. Nutrients. 2018.
  18. Wastyk HC, et al. Fermented foods, microbiome diversity, and inflammation. Cell. 2021.

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Prof. Dr. Andrea Maier

Prof. Dr. Andrea Maier is an internist and professor of aging (“ longevity medicine ”) at the Vrije Universiteit in Amsterdam and the University of Melbourne, Australia. She studies the aging body and searches for anti-aging treatments. She heads the Center for Healthy Longevity in Singapore.
Why do we gradually decline during our average life of more than 80 years? Can we stop that process? Or maybe even turn around? And to what extent should we really want that? Maier gives practical tips on how we can extend our lifespan while also staying healthy.

Topics Andrea Maier talks about

  • Health
  • Aging and rejuvenation
  • Interventions to reverse aging
  • Gerontology
  • Innovation in medicine
  • Medicine


Background Andrea Maier

Andrea Maier graduated in Medicine from the University of Lübeck in 2003. She specialized in internal medicine at the Leiden University Medical Center and subsequently chose the subspecialty of Geriatric Medicine. This is where she started her research into aging.

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