Fig. 6

Schematic model of the gut-brain signaling during metabolic diseases and related behavioral disorders. Chronic exposure to high-fat diet (HFD) alters intestinal physiology, inducing a low-grade inflammation, dysbiosis, and increased mucosal permeability. Microbe-derived products that violate the impaired intestinal barrier may activate enteric glia within the enteric nervous system (ENS) via TLR4 pathway, leading to reactive gliosis and ENS neurons dysfunction. This elicits a glia-dependent signaling between the gastrointestinal tract and the brain responsible for impairing the energy metabolism and behavior, including depressive- and anxiety-like symptoms