Review
Copyright ©The Author(s) 2025.
World J Exp Med. Sep 20, 2025; 15(3): 101277
Published online Sep 20, 2025. doi: 10.5493/wjem.v15.i3.101277
Table 1 Interactions of the gut microbiota with other organs of the body
Gut-organ axis
Interactions
Important bacteria associated
Ref.
Gut-brain axisCommunication between CNS, ANS, and ENS. Significant role in neuroinflammation, and neuropsychiatric disorders and neurological diseases, interaction with neurotransmitters like serotonin, noradrenaline, norepinephrine dopamine, and GABACandida, Enterococcus, Escherichia, Lactobacillus, Bifidobacterium, etc.[43,44]
Gut-heart axisSignificant role in development of coronary artery diseases, hypertension, cardiac fibrosis, atherosclerosis, etc.Escherichia spp., Shigella, Streptococcus, Ruminococcus, Veillonella, etc., and a decline in the abundance of Prevotella, Faecalibacterium, Megamonas[45,46]
Gut-lung axisOnset and progression of tuberculosis, chronic obstructive pulmonary disease, cystic fibrosis, asthma, etc.Decreased abundance of Eubacterium, Bacteroides, Bifidobacterium and Feacalibacterium, and abundance of propionate and butyrate producers like Facelibacterium, Eubacterium and Phascolarctobacterium[47]
Gut-liver axisDevelopment of non-alcoholic liver disease, cirrhosis, and hepatocellular carcinomaBifidobacterium, Lactobacillus, Enterobacteriaceae, Clostridiales, Bacteroides, Prevotella[48]
Gut-pancreas axisSignificant effects on insulin signaling and glucose and lipid metabolism, along with onset and progression of diabetes mellitus and inflammation of the pancreas
Gut-bone axisDysbiois may result in osteoporosis, and other osteodegenerative diseases[49]
Gut-muscle axisDevelopment of sarcopenia and muscular atrophy[50]
Gut-skin axisSkin-related disorders such as psoriasis, alopecia, rosacea, acne and skin cancer may result due to dysbiosisBacteroides and Faecalibacterium, Clostridium, Escherichia[51]
Gut-reproductive axisSuggested role in spermatogenesis and development of PCOS, cervical and ovarian cancer and postmenopausal disordersEscherichia, Clostridium and Citrobacter, an increased abundance of microbiota such as Phocaeicola vulgatus, Bacillota, Streptococcus and Escherichia/Shigella complex, and a decreased population of Akkermansiaa and Oscillospiraceae[52]
Gut-kidney axisOnset and progression of chronic kidney diseases, acute kidney injury, and diabeteic kidney diseaseIncreased occurrence of bacteria including Clostridium spp., Enterobacteria, Eggerthella spp., and a decreased occurrence of Prevotella, Bacteroides, and Roseburia
Gut-bladder axisRecurring urinary tract infections and overactive bladder[53]