TABLE 2.
Different antidepressant therapeutic approaches and their biological targets.
Intervention strategies | Drugs/strains | Biological targets | Effect on gut microbiota | References |
Antidepressants | (R)-ketamine | NMDA receptor | Recovery of Bacteroidales, Clostridiales, and Ruminococcaceae levels. | Qu et al., 2017; Hua et al., 2022 |
NMDEA | Inflammasome signaling pathway | Recovery of the richness and the dysbiosis among bacterial species. | An et al., 2020 | |
Rifaximin | Microglia | ↑Ruminococcaceae and Lachnospiraceae | Li et al., 2021 | |
Chinese materia medica | Jia Wei Xiao Yao San | Purine metabolism | ↑Lactobacillus animalis | Ji et al., 2022 |
Shihosogansan | NF-κB pathway | ↓Desulfovibrionaceae and γ-Proteobacteria; ↑Lactobacillaceae and Prevotellaceae | Han et al., 2021 | |
Schisandra chinensis ameliorates | TLR4/NF-κB/IKKα | Alterations of the relative proportions of Bacteroidetes and Firmicutes phylum members | Yan et al., 2021 | |
Yang-Xin-Jie-Yu decoction | TCA cycle and propanoate metabolism | ↑Monoglobus | Liang et al., 2022 | |
Xiaoyaosan | IL-6/MAPK1/STAT3/JUN | ↑Firmicutes; ↓Actinobacteria | Liu et al., 2021c; Lv et al., 2021 | |
Kai-Xin-San | NGF, BDNF, and Trk receptor | ↑Allobaculum, Bifidobacterium, and Turicibacter | Zhu et al., 2017; Cao et al., 2020 | |
Dietary | Flavonoid-Rich Orange Juice | BDNF | ↑Lachnospiraceae family | Park et al., 2020 |
Okra (polysaccharide) | TLR4/NF-κB/MAPKs | ↑Firmicutes; ↓Bacteroidetes, and Actinobacteria | Yan et al., 2020 | |
Almond | GPR43 | Stimulating the growth of SCFAs-producing bacteria | Ren et al., 2020 | |
Probiotics | Lactobacillus reuteri | IDO1 | Restoring the Lactobacillus population | Marin et al., 2017 |
Bifidobacterium bifidum BGN4 and Bifidobacterium longum BORI | BDNF | The relative abundances of Eubacterium, Allisonella, Clostridiales, and Prevotellaceae gradually changed. | Kim et al., 2021 |
NMDA, N-methyl-D-aspartic acid; NMDEA, N-(2-(7-methoxy-3,4-dihydroisoquinolin-1-yl)ethyl)acetamide hydrochloride; GABA, aminobutyric acid; TLR4, Toll-like receptor 4; NF-κB, nuclear factor kappa-B; IKKα, fwd 5′-ACCGTGAACATCCTCTG-3′, rev 5′-CTGCTCTGGTCCTCATT-3′; TCA cycle, tricarboxylic acid cycle; IL-6,interleukin-6; MAPK1, mitogen-activated protein kinase 1; STAT3, signal transducer and activator of transcription 3; JUN, transcription factor AP-1; NGF, nerve growth factor; BDNF, brain-derived neurotrophic factor; Trk, tyrosine kinase; SCFAs, short-chain fatty acids; GPR43, G protein-coupled receptor43; IDO1, indoleamine2,3-dioxygenase1; oleamine2,3 G pr↓, downregulated.