Functional Two-Way Crosstalk Between Brain and Lung: The Brain-Lung Axis

Cell Mol Neurobiol. 2023 Apr;43(3):991-1003. doi: 10.1007/s10571-022-01238-z. Epub 2022 Jun 9.

Abstract

The brain has many connections with various organs. Recent advances have demonstrated the existence of a bidirectional central nervous system (CNS) and intestinal tract, that is, the brain-gut axis. Although studies have suggested that the brain and lung can communicate with each other through many pathways, whether there is a brain-lung axis remains still unknown. Based on previous findings, we put forward a hypothesis: there is a cross-talk between the central nervous system and the lung via neuroanatomical pathway, endocrine pathway, immune pathway, metabolites and microorganism pathway, gas pathway, that is, the brain-lung axis. Beyond the regulation of the physiological state in the body, bi-directional communication between the lung and the brain is associated with a variety of disease states, including lung diseases and CNS diseases. Exploring the brain-lung axis not only helps us to understand the development of the disease from different aspects, but also provides an important target for treatment strategies.

Keywords: Brain; Brain–lung axis; Crosstalk; Lung.

Publication types

  • Review

MeSH terms

  • Brain* / metabolism
  • Central Nervous System
  • Central Nervous System Diseases* / metabolism
  • Humans
  • Intestines
  • Lung