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Peer-reviewedCC BY 4.0The Journal of Physiology

Infra‐slow brain–heart–gut electrophysiological interactions reveal a co‐ordinated multisystem physiological network in humans

Abstract

Growing evidence indicates that brain continuously interacts with other physiological systems through neural and non-neural pathways. The brain–heart and brain–gut axes play a central role in homoeostasis, allostasis and behaviour, but also in cognitive aspects, including emotion and decision-making. Disruptions in these axes have been linked to a wide range of cardiovascular, neurological and psychiatric disorders. Despite this evidence, triadic crosstalk between the brain, heart and gut remains largely unexplored. Brain activity, cardiac autonomic fluctuations and gastric rhythms all exhibit slow temporal components in resting state, suggesting that brain–heart–gut electrophysiological interactions may occur over time scales from the infra-slow (0.01–0.1 Hz) physiological range. Using open-access electrophysiological recordings from 28 healthy subjects at rest, we extracted time-varying power dynamics describing the activity of the three organs: brain alpha power, cardiac sympathetic and parasympathetic indices, and the power of the gastric rhythm. Statistical associations among these organs were quantified using the maximal information coefficient across the extended temporal delay range. Physiological interactions were confirmed using surrogate-based testing, which allowed us to construct the network topology of interactions between the three organs. Our findings show that triadic brain–heart–gut interactions form a multidirectional network primarily at infra-slow time scales during resting state. This study offers one of the first insights into the physiology of brain–heart–gut interplay, providing a methodological baseline for the development of more comprehensive biomarkers based on network dynamics capable of linking pathological conditions to dysregulation across multiple organ systems.

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BibTeX
@article{sitti2026infraslow,
  title = {{Infra‐slow brain–heart–gut electrophysiological interactions reveal a co‐ordinated multisystem physiological network in humans}},
  author = {Giovanni Sitti and Laura Pitti and Diego Candia-Rivera},
  journal = {The Journal of Physiology},
  year = {2026},
  month = oct,
  doi = {10.1113/jp291568},
  url = {https://hal.science/hal-05836402v1},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Infra‐slow brain–heart–gut electrophysiological interactions reveal a co‐ordinated multisystem physiological network in humans
AU  - Giovanni Sitti
AU  - Laura Pitti
AU  - Diego Candia-Rivera
PY  - 2026
DA  - 2026/10/22
JO  - The Journal of Physiology
DO  - 10.1113/jp291568
UR  - https://hal.science/hal-05836402v1
AB  - Growing evidence indicates that brain continuously interacts with other physiological systems through neural and non-neural pathways. The brain–heart and brain–gut axes play a central role in homoeostasis, allostasis and behaviour, but also in cognitive aspects, including emotion and decision-making. Disruptions in these axes have been linked to a wide range of cardiovascular, neurological and psychiatric disorders. Despite this evidence, triadic crosstalk between the brain, heart and gut remains largely unexplored. Brain activity, cardiac autonomic fluctuations and gastric rhythms all exhibit slow temporal components in resting state, suggesting that brain–heart–gut electrophysiological interactions may occur over time scales from the infra-slow (0.01–0.1 Hz) physiological range. Using open-access electrophysiological recordings from 28 healthy subjects at rest, we extracted time-varying power dynamics describing the activity of the three organs: brain alpha power, cardiac sympathetic and parasympathetic indices, and the power of the gastric rhythm. Statistical associations among these organs were quantified using the maximal information coefficient across the extended temporal delay range. Physiological interactions were confirmed using surrogate-based testing, which allowed us to construct the network topology of interactions between the three organs. Our findings show that triadic brain–heart–gut interactions form a multidirectional network primarily at infra-slow time scales during resting state. This study offers one of the first insights into the physiology of brain–heart–gut interplay, providing a methodological baseline for the development of more comprehensive biomarkers based on network dynamics capable of linking pathological conditions to dysregulation across multiple organ systems.
SN  - 0022-3751
SN  - 1469-7793
ER  -