Schroeder · Nature medicine 2016 · narrative review · n=?

Signals from the gut microbiota to distant organs in physiology and disease.

Cited 1424 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing mechanistic concepts without systematic review methodology or primary human data.

PubMed 27711063 · doi:10.1038/nm.4185 · record verified 2026-08-26

What was done

This narrative review summarizes literature on the communication pathways between the gut microbiota and distant extraintestinal organs, focusing on how diet-derived microbial metabolites interact with host immune, endocrine, metabolic, and neural systems (the gut-brain axis).

What was found

No quantitative data, effect sizes, or participant numbers are reported in the abstract. The authors describe that microbiota-derived metabolites serve as essential signaling molecules maintaining normal host physiology, whereas disrupted signaling is associated with obesity, inflammatory diseases, and behavioral and physiological abnormalities in neurodevelopmental disorders.

Why it matters

The review synthesizes conceptual frameworks for understanding how intestinal microbes act as a systemic signaling hub influencing multi-organ physiology and disease pathogenesis.

Limits

The abstract describes a narrative review without systematic search criteria, quantitative synthesis, or original clinical trial data. It relies largely on mechanistic and associative evidence where causality and effect sizes in humans are not established.

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