Article(id=1304414877322338326, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304414858296971266, articleNumber=null, orderNo=null, doi=10.7501/j.issn.0253-2670.2026.06.014, pmid=null, cstr=null, oa=null, hot=0, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1761235200000, receivedDateStr=2025-10-24, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1788926341609, onlineDateStr=2026-09-09, pubDate=null, pubDateStr=null, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1788926341609, onlineIssueDateStr=2026-09-09, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1788926341609, creator=13701087609, updateTime=1788926341609, updator=13701087609, issue=Issue{id=1304414858296971266, tenantId=1146029695717560320, journalId=1302319053441957962, year='2026', volume='57', issue='6', pageStart='2009', pageEnd='2444', issueExtLink='null', onlineDate='null', pubDate='1774627200000', pubDateStr='2026-03-28', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1788926337074, creator='13701087609', updateTime=1788926665348, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1304416235240841997, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304414858296971266, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1304416235240841998, tenantId=1146029695717560320, journalId=1302319053441957962, issueId=1304414858296971266, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=2158, endPage=2169, ext={EN=ArticleExt(id=1304414879046197273, articleId=1304414877322338326, tenantId=1146029695717560320, journalId=1302319053441957962, language=EN, title=Anti-anxiety effect of baicalein based on zebrafish model and 16S rRNA microbial diversity sequencing technology, columnId=null, journalTitle=Chinese Traditional and Herbal Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=Objective To study the anti-anxiety effect of baicalein based on zebrafish model. Methods The zebrafish were divided into control group, model group, baicalein group and diazepam group. Except for the control group, all other groups underwent the induction of a zebrafish anxiety model through unpredictable chronic stress (UCS). After drug intervention, the behavior changes of zebrafish were evaluated through novel tank test. ELISA was used to measure the levels of stress response biomarkers cortisol and brain neurotransmitter serotonin 5-hydroxytryptamine (5-HT). qRT-PCR was employed to detect the gene expressions of tryptophan hydroxylase 2 (TPH2), a rate-limiting enzyme for 5-HT synthesis in brain tissue, 5-hydroxytryptamine 1ab receptors (5-HT1abR), interleukin-1β (IL-1β), nuclear factor-κB (NF-κB), as well as intestinal IL-1β, IL-6, tumor necrosis factor-α (TNF-α) and NF-κB. Western blotting was used to detect the protein expressions of 5-hydroxytryptamine 1A receptors (5-HT1AR) in brain tissue. The composition of intestinal microbiota was analyzed using 16S rRNA microbial diversity sequencing technology. Results After UCS treatment, zebrafish exhibited anxiety-like behavior, with a decrease in the total number and diversity of intestinal microbiota species, and an increase in the proportion of Aeromonas. Compared with model group, after intervention with baicalein, the dwell time of zebrafish at the bottom of the tank was significantly reduced (P < 0.001), cortisol level was significantly decreased (P < 0.001), 5-HT level in brain tissue was significantly increased (P < 0.001), gene expression of TPH2 in brain tissue was significantly increased (P < 0.05), gene expressions of IL-1β, NF-κB in brain tissue and IL-1β, IL-6, TNF-α, NF-κB in intestine were significantly decreased (P < 0.05, 0.01, 0.001), the protein expression of 5-HT1AR in brain tissue was decreased (P < 0.001), species richness and diversity of intestinal microbiota species were increased, the gene expression of 5-HT1abR in brain tissue was significantly reduced in 2 mg/L baicalein group (P < 0.01), while the gene expression of 5-HT1abR in brain tissue was significantly increased in 1, 4 mg/L baicalein groups (P < 0.05, 0.001). Conclusion Baicalein has a certain protective effect on UCS-induced anxiety-like behavior in zebrafish, which may be achieved by anti-inflammatory and regulating gut microbiota, inhibiting excessive production of cortisol in zebrafish, maintaining normal secretion of 5-HT, and exerting anti-anxiety effects., authors=ZHAO Kexin, GE Yang, MA Yangguang, NA Mula, DONG Wu, KANG Guiying, YU Jianhua, authorsList=ZHAO Kexin, GE Yang, MA Yangguang, NA Mula, DONG Wu, KANG Guiying, YU Jianhua, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1304414878970699800, articleId=1304414877322338326, tenantId=1146029695717560320, journalId=1302319053441957962, language=CN, title=基于斑马鱼模型和16S rRNA微生物多样性测序技术探讨黄芩素抗焦虑作用, columnId=1304140191707456168, journalTitle=中草药, columnName=药理与临床, runingTitle=null, highlight=null, articleAbstract=目的 基于斑马鱼模型研究黄芩素的抗焦虑作用。方法 将斑马鱼分为对照组、模型组、黄芩素组和地西泮组,除对照组外,其余各组均通过不可预期慢性应激(unpredictable chronic stress,UCS)诱导斑马鱼焦虑模型。给予药物干预后,通过新缸测试检测斑马鱼的行为学变化;采用ELISA测定应激反应生物标志物皮质醇和脑组织神经递质5-羟色胺(5-hydroxytryptamine,5-HT)水平;采用qRT-PCR检测脑组织5-HT合成限速酶色氨酸羟化酶2(tryptophan hydroxylase 2,TPH2)、5-羟色胺1ab受体(5-hydroxytryptamine 1ab receptors,5-HT₁abR)、白细胞介素-1β(interleukin-1β,IL-1β)、核因子-κB(nuclear factor-κB,NF-κB)和肠道IL-1β、IL-6、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、NF-κB的基因表达;采用Western blotting检测脑组织5-羟色胺1A受体(5-hydroxytryptamine 1A receptors,5-HT₁AR)的蛋白表达;采用16S rRNA微生物多样性测序技术对肠道菌群组成进行检测分析。结果 UCS处理后斑马鱼产生焦虑样行为,肠道菌群物种总数和多样性减少,气单胞菌属Aeromonas比例增加。与模型组比较,黄芩素干预后斑马鱼在水缸底部的停留时间显著减少(P<0.001),皮质醇水平显著降低(P<0.001),脑组织5-HT水平显著升高(P<0.001),脑组织TPH2基因表达显著升高(P<0.05),脑组织IL-1β、NF-κB和肠道IL-1β、IL-6、TNF-α、NF-κB基因表达显著降低(P<0.05、0.01、0.001),脑组织5-HT₁AR蛋白表达水平显著降低(P<0.001),肠道菌群物种丰富度和多样性增加,2 mg/L黄芩素组脑组织5-HT₁abR基因表达显著降低(P<0.01),1、4 mg/L黄芩素组脑组织5-HT₁abR基因表达显著升高(P<0.05、0.001)。结论 黄芩素对UCS诱导的斑马鱼焦虑样行为有一定保护作用,其可能是通过抗炎和调节肠道菌群,抑制斑马鱼皮质醇的过量产生,维持5-HT的正常分泌而发挥抗焦虑作用。, authors=赵可欣1, 葛杨1, 马阳光1, 娜穆拉1, 董武1, 康桂英1, 于建华1, authorsList=赵可欣, 葛杨, 马阳光, 娜穆拉, 董武, 康桂英, 于建华, authorCompany=1 内蒙古民族大学动物科技学院, 内蒙古 通辽 028000, correspAuthors=null, authorNote=赵可欣: 赵可欣,硕士研究生,研究方向为中药药理学。E-mail:zkxxuanyu@163.com, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=pfac0kvVy9qaqHrysRe6lA==, pdfFileSize=1437440, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, 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Generalised anxiety disorder and depression: Contemporary treatment approaches[J]. Adv Ther, 2021, 38(Suppl 2): 45-51. Simpson C A, Diaz-Arteche C, Eliby D, et al. The gut microbiota in anxiety and depression-A systematic review[J]. Clin Psychol Rev, 2021, 83: 101943. Strawn J R, Geracioti L, Rajdev N, et al. Pharmacotherapy for generalized anxiety disorder in adult and pediatric patients: An evidence-based treatment review[J]. Expert Opin Pharmacother, 2018, 19(10): 1057-1070. Chi F Y, Wang W S, Zhai S S, et al. Self-assembled baicalein-2,4-decadienal nanomedicine synergistically inhibits PGE2 expression and elicits anti-inflammatory responses[J]. Chin Herb Med, 2025, https://doi.org/ 10.1016/j.chmed.2025.10.001. Song J X, Li M X, Kang N, et al. Baicalein ameliorates cognitive impairment of vascular dementia rats via suppressing neuroinflammation and regulating intestinal microbiota[J]. Brain Res Bull, 2024, 208: 110888. Chen S F, Hsu C W, Huang W H, et al. Post-injury baicalein improves histological and functional outcomes and reduces inflammatory cytokines after experimental traumatic brain injury[J]. Br J Pharmacol, 2008, 155(8): 1279-1296. Santos Marques de Carvalho R, Duarte F S, de Lima T C M. Involvement of GABAergic non-benzodiazepine sites in the anxiolytic-like and sedative effects of the flavonoid baicalein in mice[J]. Behav Brain Res, 2011, 221(1): 75-82. Ruan L N, Guan K Y, Wang Y, et al. Baicalein exerts anxiolytic and antinociceptive effects in a mouse model of posttraumatic stress disorder: Involvement of the serotonergic system and spinal delta-opioid receptors[J]. Prog Neuropsychopharmacol Biol Psychiatry, 2023, 122: 110689. Selvaraj L K, Jeyabalan S, Wong L S, et al. Baicalein prevents stress-induced anxiety behaviors in zebrafish model[J]. Front Pharmacol, 2022, 13: 990799. Stewart A, Gaikwad S, Kyzar E, et al. Modeling anxiety using adult zebrafish: A conceptual review[J]. Neuropharmacology, 2012, 62(1): 135-143. Marcon M, Herrmann A P, Mocelin R, et al. Prevention of unpredictable chronic stress-related phenomena in zebrafish exposed to bromazepam, fluoxetine and nortriptyline[J]. Psychopharmacology, 2016, 233(21/22): 3815-3824. Piato  L, Capiotti K M, Tamborski A R, et al. Unpredictable chronic stress model in zebrafish (Danio rerio): Behavioral and physiological responses[J]. Prog Neuropsychopharmacol Biol Psychiatry, 2011, 35(2): 561-567. Zhang J E, Deng Y Y, Cheng B, et al. Protective effects and molecular mechanisms of baicalein on thioacetamide-induced toxicity in zebrafish larvae[J]. Chemosphere, 2020, 256: 127038. Pang H X, Xue W, Shi A X, et al. Multiple-ascending-dose pharmacokinetics and safety evaluation of baicalein chewable tablets in healthy Chinese volunteers[J]. Clin Drug Investig, 2016, 36(9): 713-724. Juruena M F, Eror F, Cleare A J, et al. The role of early life stress in HPA axis and anxiety[J]. Adv Exp Med Biol, 2020, 1191: 141-153. Mitra R, Sapolsky R M. Acute corticosterone treatment is sufficient to induce anxiety and amygdaloid dendritic hypertrophy[J]. Proc Natl Acad Sci USA, 2008, 105(14): 5573-5578. Vignesh V, Castro-Dominguez B, James T D, et al. Advancements in Cortisol detection: From conventional methods to next-generation technologies for enhanced hormone monitoring[J]. ACS Sens, 2024, 9(4): 1666-1681. Balasamy S, Atchudan R, Arya S, et al. Cortisol: Biosensing and detection strategies[J]. Clin Chim Acta, 2024, 562: 119888. 李小红, 付成, 付世建. 焦虑对雌性成年斑马鱼热耐受和游泳能力的影响[J]. 水生生物学报, 2024, 48(9): 1566-1572. Singh D, Singh P, Srivastava P, et al. Development and challenges in the discovery of 5-HT(1A) and 5-HT(7) receptor ligands[J]. Bioorg Chem, 2023, 131: 106254. Albert P R, Le François B, Millar A M. Transcriptional dysregulation of 5-HT1A autoreceptors in mental illness[J]. Mol Brain, 2011, 4: 21. Albert P R. Transcriptional regulation of the 5-HT1A receptor: Implications for mental illness[J]. Philos Trans R Soc Lond B Biol Sci, 2012, 367(1601): 2402-2415. Popova N K, Naumenko V S. 5-HT1A receptor as a key player in the brain 5-HT system[J]. Rev Neurosci, 2013, 24(2): 191-204. Terao T, Ishii N, Hirakawa H, et al. Is the bell-shaped dose-response curve of the selective serotonin reuptake inhibitor due to 5-HT(1A) auto-receptors?[J]. Med Hypotheses, 2020, 140: 109681. Bandeira Junior G, Baldisserotto B. Fish infections associated with the genus Aeromonas: A review of the effects on oxidative status[J]. J Appl Microbiol, 2021, 131(3): 1083-1101. Lemaire O N, Méjean V, Iobbi-Nivol C. The Shewanella genus: Ubiquitous organisms sustaining and preserving aquatic ecosystems[J]. FEMS Microbiol Rev, 2020, 44(2): 155-170. Janda J M, Abbott S L. The genus Shewanella: From the briny depths below to human pathogen[J]. Crit Rev Microbiol, 2014, 40(4): 293-312. 郝丽华, 周秀彦. 从微生物-肠-脑轴分析焦虑、抑郁与炎症性肠病关系的进展[J]. 中国临床研究, 2021, 34(5): 694-698. Jiang H Y, Zhang X, Yu Z H, et al. Altered gut microbiota profile in patients with generalized anxiety disorder[J]. J Psychiatr Res, 2018, 104: 130-136. Ma X Y, Shin Y J, Park H S, et al. Lactobacillus casei and its supplement alleviate stress-induced depression and anxiety in mice by the regulation of BDNF expression and NF-κB activation[J]. Nutrients, 2023, 15(11): 2488. Liu J F, Zhang T H, Wang Y Y, et al. Baicalin ameliorates neuropathology in repeated cerebral ischemia-reperfusion injury model mice by remodeling the gut microbiota[J]. Aging, 2020, 12(4): 3791-3806. Roth W, Zadeh K, Vekariya R, et al. Tryptophan metabolism and gut-brain homeostasis[J]. Int J Mol Sci, 2021, 22(6): 2973.)
Objective To study the anti-anxiety effect of baicalein based on zebrafish model. Methods The zebrafish were divided into control group, model group, baicalein group and diazepam group. Except for the control group, all other groups underwent the induction of a zebrafish anxiety model through unpredictable chronic stress (UCS). After drug intervention, the behavior changes of zebrafish were evaluated through novel tank test. ELISA was used to measure the levels of stress response biomarkers cortisol and brain neurotransmitter serotonin 5-hydroxytryptamine (5-HT). qRT-PCR was employed to detect the gene expressions of tryptophan hydroxylase 2 (TPH2), a rate-limiting enzyme for 5-HT synthesis in brain tissue, 5-hydroxytryptamine 1ab receptors (5-HT1abR), interleukin-1β (IL-1β), nuclear factor-κB (NF-κB), as well as intestinal IL-1β, IL-6, tumor necrosis factor-α (TNF-α) and NF-κB. Western blotting was used to detect the protein expressions of 5-hydroxytryptamine 1A receptors (5-HT1AR) in brain tissue. The composition of intestinal microbiota was analyzed using 16S rRNA microbial diversity sequencing technology. Results After UCS treatment, zebrafish exhibited anxiety-like behavior, with a decrease in the total number and diversity of intestinal microbiota species, and an increase in the proportion of Aeromonas. Compared with model group, after intervention with baicalein, the dwell time of zebrafish at the bottom of the tank was significantly reduced (P < 0.001), cortisol level was significantly decreased (P < 0.001), 5-HT level in brain tissue was significantly increased (P < 0.001), gene expression of TPH2 in brain tissue was significantly increased (P < 0.05), gene expressions of IL-1β, NF-κB in brain tissue and IL-1β, IL-6, TNF-α, NF-κB in intestine were significantly decreased (P < 0.05, 0.01, 0.001), the protein expression of 5-HT1AR in brain tissue was decreased (P < 0.001), species richness and diversity of intestinal microbiota species were increased, the gene expression of 5-HT1abR in brain tissue was significantly reduced in 2 mg/L baicalein group (P < 0.01), while the gene expression of 5-HT1abR in brain tissue was significantly increased in 1, 4 mg/L baicalein groups (P < 0.05, 0.001). Conclusion Baicalein has a certain protective effect on UCS-induced anxiety-like behavior in zebrafish, which may be achieved by anti-inflammatory and regulating gut microbiota, inhibiting excessive production of cortisol in zebrafish, maintaining normal secretion of 5-HT, and exerting anti-anxiety effects.
ZHAO Kexin, GE Yang, MA Yangguang, NA Mula, DONG Wu, KANG Guiying, YU Jianhua.
Anti-anxiety effect of baicalein based on zebrafish model and 16S rRNA microbial diversity sequencing technology[J].
Chinese Traditional and Herbal Drugs,
2026
, 57
(6)
: 2158
-2169
.
DOI: 10.7501/j.issn.0253-2670.2026.06.014
Goodwin G M, Stein D J. Generalised anxiety disorder and depression: Contemporary treatment approaches[J]. Adv Ther, 2021, 38(Suppl 2): 45-51. Simpson C A, Diaz-Arteche C, Eliby D, et al. The gut microbiota in anxiety and depression-A systematic review[J]. Clin Psychol Rev, 2021, 83: 101943. Strawn J R, Geracioti L, Rajdev N, et al. Pharmacotherapy for generalized anxiety disorder in adult and pediatric patients: An evidence-based treatment review[J]. Expert Opin Pharmacother, 2018, 19(10): 1057-1070. Chi F Y, Wang W S, Zhai S S, et al. Self-assembled baicalein-2,4-decadienal nanomedicine synergistically inhibits PGE2 expression and elicits anti-inflammatory responses[J]. Chin Herb Med, 2025, https://doi.org/ 10.1016/j.chmed.2025.10.001. Song J X, Li M X, Kang N, et al. Baicalein ameliorates cognitive impairment of vascular dementia rats via suppressing neuroinflammation and regulating intestinal microbiota[J]. Brain Res Bull, 2024, 208: 110888. Chen S F, Hsu C W, Huang W H, et al. Post-injury baicalein improves histological and functional outcomes and reduces inflammatory cytokines after experimental traumatic brain injury[J]. Br J Pharmacol, 2008, 155(8): 1279-1296. Santos Marques de Carvalho R, Duarte F S, de Lima T C M. Involvement of GABAergic non-benzodiazepine sites in the anxiolytic-like and sedative effects of the flavonoid baicalein in mice[J]. Behav Brain Res, 2011, 221(1): 75-82. Ruan L N, Guan K Y, Wang Y, et al. Baicalein exerts anxiolytic and antinociceptive effects in a mouse model of posttraumatic stress disorder: Involvement of the serotonergic system and spinal delta-opioid receptors[J]. Prog Neuropsychopharmacol Biol Psychiatry, 2023, 122: 110689. Selvaraj L K, Jeyabalan S, Wong L S, et al. Baicalein prevents stress-induced anxiety behaviors in zebrafish model[J]. Front Pharmacol, 2022, 13: 990799. Stewart A, Gaikwad S, Kyzar E, et al. Modeling anxiety using adult zebrafish: A conceptual review[J]. Neuropharmacology, 2012, 62(1): 135-143. Marcon M, Herrmann A P, Mocelin R, et al. Prevention of unpredictable chronic stress-related phenomena in zebrafish exposed to bromazepam, fluoxetine and nortriptyline[J]. Psychopharmacology, 2016, 233(21/22): 3815-3824. Piato  L, Capiotti K M, Tamborski A R, et al. Unpredictable chronic stress model in zebrafish (Danio rerio): Behavioral and physiological responses[J]. Prog Neuropsychopharmacol Biol Psychiatry, 2011, 35(2): 561-567. Zhang J E, Deng Y Y, Cheng B, et al. Protective effects and molecular mechanisms of baicalein on thioacetamide-induced toxicity in zebrafish larvae[J]. Chemosphere, 2020, 256: 127038. Pang H X, Xue W, Shi A X, et al. Multiple-ascending-dose pharmacokinetics and safety evaluation of baicalein chewable tablets in healthy Chinese volunteers[J]. Clin Drug Investig, 2016, 36(9): 713-724. Juruena M F, Eror F, Cleare A J, et al. The role of early life stress in HPA axis and anxiety[J]. Adv Exp Med Biol, 2020, 1191: 141-153. Mitra R, Sapolsky R M. Acute corticosterone treatment is sufficient to induce anxiety and amygdaloid dendritic hypertrophy[J]. Proc Natl Acad Sci USA, 2008, 105(14): 5573-5578. Vignesh V, Castro-Dominguez B, James T D, et al. Advancements in Cortisol detection: From conventional methods to next-generation technologies for enhanced hormone monitoring[J]. ACS Sens, 2024, 9(4): 1666-1681. Balasamy S, Atchudan R, Arya S, et al. Cortisol: Biosensing and detection strategies[J]. Clin Chim Acta, 2024, 562: 119888. 李小红, 付成, 付世建. 焦虑对雌性成年斑马鱼热耐受和游泳能力的影响[J]. 水生生物学报, 2024, 48(9): 1566-1572. Singh D, Singh P, Srivastava P, et al. Development and challenges in the discovery of 5-HT(1A) and 5-HT(7) receptor ligands[J]. Bioorg Chem, 2023, 131: 106254. Albert P R, Le François B, Millar A M. Transcriptional dysregulation of 5-HT1A autoreceptors in mental illness[J]. Mol Brain, 2011, 4: 21. Albert P R. Transcriptional regulation of the 5-HT1A receptor: Implications for mental illness[J]. Philos Trans R Soc Lond B Biol Sci, 2012, 367(1601): 2402-2415. Popova N K, Naumenko V S. 5-HT1A receptor as a key player in the brain 5-HT system[J]. Rev Neurosci, 2013, 24(2): 191-204. Terao T, Ishii N, Hirakawa H, et al. Is the bell-shaped dose-response curve of the selective serotonin reuptake inhibitor due to 5-HT(1A) auto-receptors?[J]. Med Hypotheses, 2020, 140: 109681. Bandeira Junior G, Baldisserotto B. Fish infections associated with the genus Aeromonas: A review of the effects on oxidative status[J]. J Appl Microbiol, 2021, 131(3): 1083-1101. Lemaire O N, Méjean V, Iobbi-Nivol C. The Shewanella genus: Ubiquitous organisms sustaining and preserving aquatic ecosystems[J]. FEMS Microbiol Rev, 2020, 44(2): 155-170. Janda J M, Abbott S L. The genus Shewanella: From the briny depths below to human pathogen[J]. Crit Rev Microbiol, 2014, 40(4): 293-312. 郝丽华, 周秀彦. 从微生物-肠-脑轴分析焦虑、抑郁与炎症性肠病关系的进展[J]. 中国临床研究, 2021, 34(5): 694-698. Jiang H Y, Zhang X, Yu Z H, et al. Altered gut microbiota profile in patients with generalized anxiety disorder[J]. J Psychiatr Res, 2018, 104: 130-136. Ma X Y, Shin Y J, Park H S, et al. Lactobacillus casei and its supplement alleviate stress-induced depression and anxiety in mice by the regulation of BDNF expression and NF-κB activation[J]. Nutrients, 2023, 15(11): 2488. Liu J F, Zhang T H, Wang Y Y, et al. Baicalin ameliorates neuropathology in repeated cerebral ischemia-reperfusion injury model mice by remodeling the gut microbiota[J]. Aging, 2020, 12(4): 3791-3806. Roth W, Zadeh K, Vekariya R, et al. Tryptophan metabolism and gut-brain homeostasis[J]. Int J Mol Sci, 2021, 22(6): 2973.