Gut microbiota-dependent mechanisms and efficacy of natural polysaccharides in multitarget antidepressant therapy: a systematic review - Summary - MDSpire

Gut microbiota-dependent mechanisms and efficacy of natural polysaccharides in multitarget antidepressant therapy: a systematic review

  • By

  • Haoqi Liu

  • Min Wang

  • Chen Bai

  • Jingchun Li

  • Kaiqiang Dong

  • Rongjuan Guo

  • June 29, 2026

  • 0 min

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Objective:

To summarize preclinical evidence on the antidepressant efficacy of natural polysaccharides and explore mechanisms involving the microbiota-gut-brain axis.

Approach:
  • Literature Search: A comprehensive search was performed in PubMed, Web of Science, and Embase for studies up to October 4, 2023, following PRISMA guidelines.
  • Study Inclusion: Twenty preclinical studies were included based on specific criteria related to in vivo animal experiments.
Key Findings:
  • Polysaccharide treatment improved depression-like behaviors and normalized neurotransmitter levels.
  • Treatment reduced inflammation and oxidative stress.
  • Changes in intestinal barrier function, gut microbiota composition, and short-chain fatty acid metabolism were observed.
  • High risk of bias and substantial heterogeneity were noted across studies.
Interpretation:

Natural polysaccharides exhibit potential antidepressant effects in preclinical models, but evidence remains preliminary.

Limitations:
  • Substantial heterogeneity in study designs and outcomes.
  • High risk of bias in included studies.
Conclusion:

Well-designed translational and clinical studies are needed to advance findings on the antidepressant effects of natural polysaccharides.

Sources:

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