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The gut brain connection: what the science actually says

Written by Cherilyn Charlton

In this article:

Around 90% of your body's serotonin is made in your gut

Here's where it gets really interesting. Roughly 90% of your body's serotonin is produced not in your brain, but in your gut, by specialised cells called enterochromaffin cells. Serotonin is best known for its role in mood regulation, but in the gut it plays an equally important part in digestion, helping to control how food moves through your intestines and how your body responds to what you eat.

Gut serotonin doesn't cross directly into the brain. The blood-brain barrier prevents that. But it does influence the brain indirectly, primarily through the vagus nerve, the longest nerve in the body and the main communication highway between your gut and your brain. When serotonin activates nerve fibres in the gut wall, signals travel up the vagus nerve to the brainstem, where they're processed and relayed to regions involved in mood, stress responses and cognition.

This is why digestive discomfort so often comes with changes in mood, and why stress and anxiety frequently show up as stomach problems. The gut brain connection runs both ways.

Your gut microbiome is part of the conversation

Your gut is home to trillions of microorganisms, collectively known as the microbiome. These bacteria, fungi and other organisms don't just help with digestion. They actively participate in gut brain communication.

Gut bacteria produce a wide range of compounds that influence the nervous system. Short-chain fatty acids, produced when bacteria ferment dietary fibre, can encourage the gut to produce more serotonin and interact with vagus nerve endings to send signals to the brain. Other bacterial metabolites influence immune function, which in turn affects brain health.

The UK is investing significantly in understanding this. In 2025, the Biotechnology and Biological Sciences Research Council (BBSRC) funded the UK Gut-Immunology-Brain Axis Network+, a £4.5 million, four-year research initiative led by the University of Southampton, with partners including the University of Cambridge, the Quadram Institute and King's College London. It's the first network of its kind in the UK, bringing together experts from across research disciplines to investigate how lifestyle factors including diet, sleep and stress influence communication along the gut-immune-brain axis.

The network's lead researcher, Professor Jonathan Swann of the University of Southampton, has noted that the gut and brain are intimately connected, and that there's growing evidence the health of your gut and the microbes that inhabit it can influence mood and cognitive ability. But scientists don't yet fully understand the precise mechanisms, which is exactly what this initiative aims to uncover.

What the science is still working out

It's important to be honest about what we don't yet know. While the connections between the gut, the immune system and the brain are well established, the precise biological mechanisms are still being mapped. Most of the research into specific gut bacteria and their effects on brain function has been conducted in animal models, and translating those findings to humans is complicated.

The UK Gut-Immunology-Brain Axis Network+ was set up specifically to address this, using advanced methods including AI analysis of large datasets and less invasive ways to study the gut brain connection in people rather than mice. The goal is to move from observing associations to understanding exactly how and why these connections work, so that future health recommendations are built on solid evidence.

That's the approach we respect: follow the science, be transparent about what's proven and what's promising, and don't overclaim.