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August 28, 2026Reviews in the NeurosciencesOpen Access

BDNF-related brain–liver communication in metabolic syndrome: implications for anxiety and depression

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Authors

CLChang LiuCSChen SunCKChengxia Kan

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Overview

Narrative review uncovers bidirectional BDNF signaling between the brain and liver in metabolic syndrome, highlighting mechanistic links to co-occurring anxiety and depression.

Key Points

  • To evaluate the role of brain-derived neurotrophic factor (BDNF) and TrkB signaling in bidirectional brain–liver communication and identify mechanisms linking metabolic syndrome with anxiety and depression.
  • Synthesized molecular, physiological, and circuit-level evidence on central BDNF-TrkB signaling, autonomic innervation, and hepatic glucose regulation.
  • Assessed multisystem neuro-metabolic pathways, including adipose signaling, inflammatory cascades, the hypothalamic-pituitary-adrenal axis, and glucagon-like peptide-1 interactions.
  • Central BDNF-TrkB pathways actively regulate feeding, energy expenditure, and hepatic glucose production, whereas peripheral metabolic dysfunction impairs hypothalamic and hippocampal BDNF signaling.
  • Chronic stress, anxiety, and depression converge with metabolic syndrome through shared hypothalamic-pituitary-adrenal axis dysregulation and altered neuroplasticity across a multisystem network.
  • The distinct functional contributions of circulating BDNF, liver-specific autonomic pathways, and GLP-1 interactions remain poorly defined, requiring tissue-specific manipulation and longitudinal human studies.

Cite This Study

Liu et al. (2026) studied this question.

synapsesocial.com/papers/6a916ea0d15324a1df3aa7e0https://doi.org/10.1515/revneuro-2026-0110
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