Evidence map›Paper›PMID 40717466›Full record

Trial reportCNS neuroscience & therapeutics2025

Effect of Probiotics Supplementation on REM Sleep Behavior Disorder and Motor Symptoms in Parkinson's Disease: A Pilot Study.

Yitong Du, Lin Wang, Ying Cui, Xiaojiao Xu, Mingkai Zhang, Yue Li, Ting Gao, Dan Gao, Zhi Sheng, Shiya Wang and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Beyond bacteria: a multi-omics view of the gut-brain axis in Parkinson's disease.Frontiers in cellular and infection microbiology · 2026
    Pooled it
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Gut-Brain Signaling in Parkinson's Disease: A Narrative Review.International journal of molecular sciences · 2026
    Review
  8. Review
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Yitong DuDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Lin WangDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Ying CuiDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Xiaojiao XuDepartment of Neurology, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Mingkai ZhangDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yue LiNanfang Hospital Baiyun Branch, Guangdong, China.
Ting GaoEditorial Department, Chinese Medical Journal, Chinese Medical Association Publishing House, Beijing, China.
Dan GaoBeijing Renhe Hospital, Beijing, China.
Zhi ShengShijingshan Teaching Hospital of Capital Medical University, Beijing Shijingshan Hospital, Beijing, China.
Shiya WangDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Houzhen TuoDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Funding

National Natural Science Foundation of China 82071257National Natural Science Foundation of China 82371254
6 · The paper itself

Abstract

backgroundParkinson's disease (PD) patients experience gut microbiota dysbiosis. Probiotic intervention could potentially serve as a safe and effective adjunctive therapeutic approach for PD, but its effects on rapid eye movement sleep behavior disorder (RBD) and motor symptoms in PD patients warrant further investigation.

objectivesTo examine the influence of probiotics on RBD, motor symptoms, gut microbiota, and serum metabolites in individuals with PD.

methodsIn this randomized controlled trial, PD patients were randomly allocated to either a probiotics or a control group while maintaining standard treatments. Clinical outcomes, including Unified Parkinson's Disease Rating Scale (UPDRS) and RBD Questionnaire-Hong Kong (RBDQ-HK) were assessed at baseline and post-treatment. Furthermore, fecal and blood samples were collected from PD patients at both timepoints, with additional samples obtained from healthy controls for comparison. The 16S rRNA gene V3-V4 region sequencing method was used to analyze gut microbiota composition, and untargeted metabolomic techniques were utilized to assess serum metabolite alterations, followed by correlation analysis.

resultsFifty eligible PD patients were enrolled and randomly allocated into two groups. After 12 weeks of intervention, the probiotic group showed significant reductions in both UPDRS total scores (-4.8 ± 7.5 vs. 1.8 ± 13.1, p = 0.009) and RBDQ-HK scores (-7.5 ± 6.5 vs. 0 ± 5.8, p = 0.015) compared to controls. Gut microbiota analysis revealed increased abundance of Actinobacteria, Negativicutes, and Bacillus, with reductions in Lactococcus, Comamonas, and Enterococcus after probiotic intervention. Furthermore, compared to normal controls, PD patients exhibited 9 significantly elevated and 11 significantly reduced metabolites; probiotic intervention altered the serum metabolome in PD patients.

conclusionsThis study demonstrated probiotics' potential to ameliorate RBD and motor symptoms while positively affecting the composition of the gut microbiota and serum metabolites in PD patients.

Indexed as

Parkinson DiseaseProbioticsREM Sleep Behavior DisorderAgedFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedPilot ProjectsTreatment Outcomegut microbiotamotor symptomsParkinson's diseaseprobioticsREM sleep behavior disorder

Identifiers

PMID40717466
PMCPMC12301574

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.