Evidence map›Paper›PMID 42318200›Full record

ReviewFrontiers in neuroscience2026

Beyond the 'second brain': the gut microbiota as a constitutive co-constructor of embodied cognitive network.

Yue Gou, Xuemei Liu, Wenjie Zhu, Yanling Yuan, Yu Wang, Qinglian Xie

Abstract readReview
In one paragraph

Review in Frontiers in neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yue GouDepartment of Outpatient, West China Xiamen Hospital, West China Hospital, Sichuan University, Xiamen, Fujian, China.
Xuemei LiuInstitute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu, China.
Wenjie ZhuWest China School of Medicine, Sichuan University, Chengdu, China.
Yanling YuanDepartment of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.
Yu WangMental Health Center, National Center for Mental Disorders, West China Hospital, Sichuan University, Chengdu, China.
Qinglian XieDepartment of Outpatient, West China Xiamen Hospital, West China Hospital, Sichuan University, Xiamen, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traditional cognitive science has historically confined the mind within the cranium. While the "second brain" metaphor underscores the autonomy of the enteric nervous system, it remains entrenched in a neurocentric paradigm. Here, we propose a transformative framework: the gut microbiota may function as a constitutively relevant contributor to specific embodied cognitive architectures. We contend that cognition, emotion, and behavior are not fully understandable in brain-isolated terms. Instead, these processes emerge from a sustained, bidirectional dialogue between the host and its symbiotic microbial ecosystem. Integrating 4E cognition theory, we systematically delineate how gut microbiota functions as an embedded signaling system-producing cognitively active metabolites, such as short-chain fatty acids and neuroactive substances-to shape interoceptive states and neural function via neural, immune, and metabolic/endocrine interfaces. We establish a rigorous evidential chain, categorized as "deprivation, replacement, observation, and intervention," synthesizing germ-free animal models, fecal microbiota transplantation, human multi-omics, and clinical interventions. These data-drawn from animal models that establish causal necessity and sufficiency, human cohort studies that reveal systematic ecological associations, and proof-of-concept intervention trials that demonstrate clinical plasticity-converge to support the view that microbiota-derived processes may be constitutively relevant to the realization of specific embodied cognitive architectures, especially those organized through interoceptive prediction, affective appraisal, and vagal-metabolic signaling, rather than functioning as merely transient or incidental regulators. The multi-level nature of this evidence base, spanning causal mechanisms in controlled settings to ecological validity in human populations, provides a robust foundation for reframing the gut microbiota as a symbiotic co-constructor of the embodied mind. Ultimately, we move beyond the linear "gut-brain axis" model to outline a multispecies framework for understanding the embodied architectures within which interoceptive, affective, and related cognitive processes unfold. This paradigm shift offers a novel biological foundation for the mind and enables precision interventions for mental health, such as psychobiotics and targeted ecological remodeling. Looking forward, we envision a unified "microbiota-mind" model that integrates computational modeling and ethical frameworks. This endeavor challenges the traditional concept of a "self" bounded by the skin, providing a roadmap for the future of precision psychiatry and cognitive science.

Indexed as

4E cognitioncognitively active metabolitesembodied cognitiongut-brain axisgut microbiotaholobiontpsychobioticssymbiotic co-constructor

Identifiers

PMID42318200
PMCPMC13271913

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.