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Tryptophan in nutrition, health, and disease

Published online by Cambridge University Press:  28 July 2026

Anne Christine Aust
Affiliation:
Department of Urology, Pediatric Urology and Andrology, Justus Liebig University Giessen, Germany
Florian Wagenlehner
Affiliation:
Department of Urology, Pediatric Urology and Andrology, Justus Liebig University Giessen, Germany
Vojtech Thon*
Affiliation:
RECETOX, Faculty of Science, Masaryk University, Czech Republic
*
Corresponding author: Vojtech Thon; Email: vojtech.thon@recetox.muni.cz
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Abstract

Content of image described in text.

Tryptophan (TRP) is an essential amino acid that needs to be ingested into the human body with food. Once ingested in the human body, it is metabolised by gut microbiota into indole metabolites. These indole metabolites can bind to the aryl hydrocarbon receptor (AhR) and pregnane X receptor (PXR). AhR is expressed in many immune cells. The innate and adaptive immune system is modulated by the binding of the indole metabolites to this receptor, and anti-inflammatory signal cascades are activated. PXR is enriched in the enterohepatic system and is essential in handling xenobiotics. Our analysis of results showed that the amino acid TRP and its indole metabolites are ligands, which can modulate mucosal barrier integrity and regulate disease states. The TRP indole metabolites were shown to be a possibility for the supported treatment of diseases such as inflammatory bowel disease, ischaemic diseases, and neurodegenerative and autoimmune diseases, including multiple sclerosis. This review shows that the gut microbiome can be altered by supplementation in the nutrition of these bacterial metabolites. As shown in the examples in this review, inclusive experimental models and the supplementation of TRP and its metabolites could be an alternative approach for treating patients. This review highlights the nutritional aspects of tryptophan and its biochemistry. Furthermore, it sheds light on nutrition and the role of TRP malnutrition.

Information

Type
Review Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society
Figure 0

Fig. 1. Chemical structure of tryptophan: C atoms are numbered in blue; the benzene ring is marked in turquoise; the pyrrole ring is dark blue; dashed lines represent the indole ring.

Figure 1

Table 1. Tryptophan in aspects of the role of a precursor for indole metabolites and a gut bacterial producer of indole tryptophan metabolitesTable 1 long description.