The Gut Microbiome in Sleep Disorders: A Review of Recent Evidence.

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Title: The Gut Microbiome in Sleep Disorders: A Review of Recent Evidence.
Authors: Borrego-Ruiz, Alejandro1 a.borrego@psi.uned.es, Borrego, Juan J.2
Source: Actas Espanolas de Psiquiatria. 2026, Vol. 54 Issue 2, p586-601. 16p.
Subjects: Sleep disorders, Gut microbiota, Dysbiosis, Sleep-wake cycle, Fecal microbiota transplantation
Abstract: Alterations in the gut microbiome have been shown to influence sleep through gut-brain interactions. However, the interplay between the gut microbiome and sleep disorders remains insufficiently understood. This narrative review provides an overview of recent evidence on the role of the gut microbiome in sleep disorders, examining host-microbial regulation of the sleep cycle, the relationship between gut microbiome dysbiosis and sleep disorders, the influence of the gut microbiome on sleep-related breathing disorders, sleep deprivation, and sleep fragmentation, as well as microbial therapeutic approaches to sleep disorders. Through its effects on bacterial metabolites, immune responses, and neuronal signaling, the gut microbiome might be potentially involved in the regulation of sleep-wake cycles. Disturbances in sleep have been associated with shifts in gut microbiome composition, but this relationship remains incompletely understood and it suggests a bidirectional nature. Evidence indicates that interventions targeting the gut microbiome, such as the use of psychobiotics and fecal microbiota transplantation, may have potential for improving sleep outcomes, but further research is needed to determine their actual effectiveness. Understanding the full range of factors influencing the gut microbiome and their interactions with other variables will be essential for elucidating the mechanisms behind gut-sleep interactions. Thus, future studies should focus on clarifying causality, identifying key biomarkers, and developing microbial-based interventions to establish effective therapeutic strategies. [ABSTRACT FROM AUTHOR]
Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: The Gut Microbiome in Sleep Disorders: A Review of Recent Evidence.
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  Data: <searchLink fieldCode="AR" term="%22Borrego-Ruiz%2C+Alejandro%22">Borrego-Ruiz, Alejandro</searchLink><relatesTo>1</relatesTo><i> a.borrego@psi.uned.es</i><br /><searchLink fieldCode="AR" term="%22Borrego%2C+Juan+J%2E%22">Borrego, Juan J.</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Actas+Espanolas+de+Psiquiatria%22">Actas Espanolas de Psiquiatria</searchLink>. 2026, Vol. 54 Issue 2, p586-601. 16p.
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  Data: <searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Gut+microbiota%22">Gut microbiota</searchLink><br /><searchLink fieldCode="DE" term="%22Dysbiosis%22">Dysbiosis</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep-wake+cycle%22">Sleep-wake cycle</searchLink><br /><searchLink fieldCode="DE" term="%22Fecal+microbiota+transplantation%22">Fecal microbiota transplantation</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Alterations in the gut microbiome have been shown to influence sleep through gut-brain interactions. However, the interplay between the gut microbiome and sleep disorders remains insufficiently understood. This narrative review provides an overview of recent evidence on the role of the gut microbiome in sleep disorders, examining host-microbial regulation of the sleep cycle, the relationship between gut microbiome dysbiosis and sleep disorders, the influence of the gut microbiome on sleep-related breathing disorders, sleep deprivation, and sleep fragmentation, as well as microbial therapeutic approaches to sleep disorders. Through its effects on bacterial metabolites, immune responses, and neuronal signaling, the gut microbiome might be potentially involved in the regulation of sleep-wake cycles. Disturbances in sleep have been associated with shifts in gut microbiome composition, but this relationship remains incompletely understood and it suggests a bidirectional nature. Evidence indicates that interventions targeting the gut microbiome, such as the use of psychobiotics and fecal microbiota transplantation, may have potential for improving sleep outcomes, but further research is needed to determine their actual effectiveness. Understanding the full range of factors influencing the gut microbiome and their interactions with other variables will be essential for elucidating the mechanisms behind gut-sleep interactions. Thus, future studies should focus on clarifying causality, identifying key biomarkers, and developing microbial-based interventions to establish effective therapeutic strategies. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.62641/aep.v54i2.2123
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 586
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      – SubjectFull: Sleep disorders
        Type: general
      – SubjectFull: Gut microbiota
        Type: general
      – SubjectFull: Dysbiosis
        Type: general
      – SubjectFull: Sleep-wake cycle
        Type: general
      – SubjectFull: Fecal microbiota transplantation
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              M: 03
              Text: 2026
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              Y: 2026
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