Alcock · BioEssays : news and reviews in molecular, cellular and developmental biology 2014 · narrative review / theoretical framework · n=?

Is eating behavior manipulated by the gastrointestinal microbiota? Evolutionary pressures and potential mechanisms.

Cited 456 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and theoretical hypothesis paper based on mechanistic and evolutionary reasoning without new empirical human data.

PubMed 25103109 · doi:10.1002/bies.201400071 · record verified 2026-08-30

What was done

This narrative review synthesized evolutionary theory and literature on potential mechanisms through which gastrointestinal microbes may influence host dietary choices and eating behavior. The authors evaluated potential biological pathways including vagus nerve signaling, alteration of taste receptors, production of mood-altering toxins, and modulation of host reward and satiety pathways.

What was found

The abstract reports no quantitative data or numerical findings. It outlines a theoretical model proposing two strategies by which microbes alter host behavior to optimize their own fitness: inducing specific food cravings that favor microbial specialization or suppress competitors, and causing dysphoria until preferred nutrients are consumed.

Why it matters

It provides an evolutionary biology framework for understanding persistent unhealthy eating behaviors and suggests that manipulating the microbiome via diet, prebiotics, probiotics, antibiotics, or fecal transplants could offer novel strategies to treat obesity.

Limits

This is a theoretical narrative review rather than an empirical trial or systematic review, presenting no original human data or quantitative effect sizes. The proposed strategies and causal pathways remain speculative mechanistic hypotheses that require direct experimental validation.

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