Evidence map›Paper›PMID 41126787›Full record

Trial reportMovement disorders : official journal of the Movement Disorder Society2025

Effects of a Four-Strain Probiotic on Gut Microbiota, Inflammation, and Symptoms in Parkinson's Disease: A Randomized Clinical Trial.

Valentina Leta, Pavlos Zinzalias, Lucia Batzu, Gargi Mandal, Juliet Staunton, Frida Jernstedt, Kristina Rosqvist, Jonathan Timpka, Trinette van Vliet, Dhaval Trivedi and 21 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Movement disorders : official journal of the Movement Disorder Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05146921 (Gut Health and Probiotics in Parkinson's), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

NCT05146921 naunknown statusnot on this map

Gut Health and Probiotics in Parkinson's (SymPD)

TypeinterventionalSponsorKing's College Hospital NHS TrustRan2019 to 2023Enrolled60ConditionsParkinson DiseaseArmsMulti-strain probiotic, Placebo
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

31 authors.

Valentina LetaDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.ORCID https://orcid.org/0000-0002-5794-7540
Pavlos ZinzaliasParkinson's Foundation Center of Excellence at King's College Hospital, London, United Kingdom.
Lucia BatzuDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.ORCID https://orcid.org/0000-0001-6249-2803
Gargi MandalPsychology and Neuroscience, Department of Psychological Medicine, Institute of Psychiatry, King's College London, London, United Kingdom.
Juliet StauntonParkinson's Foundation Center of Excellence at King's College Hospital, London, United Kingdom.
Frida JernstedtDepartment of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Skåne University Hospital, Lund, Sweden.
Kristina RosqvistDepartment of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Skåne University Hospital, Lund, Sweden.ORCID https://orcid.org/0000-0002-3861-8012
Jonathan TimpkaDepartment of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Skåne University Hospital, Lund, Sweden.ORCID https://orcid.org/0000-0002-2577-8607
Trinette van VlietDepartment of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Skåne University Hospital, Lund, Sweden.
Dhaval TrivediDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Aleksandra PodlewskaDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Miriam ParryDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Daniel J van WamelenParkinson's Foundation Center of Excellence at King's College Hospital, London, United Kingdom.ORCID https://orcid.org/0000-0003-0921-5158
Alexandra RizosParkinson's Foundation Center of Excellence at King's College Hospital, London, United Kingdom.
Carolina SportelliParkinson's Foundation Center of Excellence at King's College Hospital, London, United Kingdom.
Ana Laura BonderDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Guy Chung-FayeParkinson's Foundation Center of Excellence at King's College Hospital, London, United Kingdom.
Cristian Falup-PecurariuDepartment of Neurology, County Clinic Hospital, Brasov, Romania.
Simon GaisfordUCL School of Pharmacy, University College London, London, United Kingdom.
Edoardo MorettoInstitute of Neuroscience, CNR, Vedano al Lambro, Italy.
Gwenaelle Le GallNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
David VauzourNorwich Medical School, University of East Anglia, Norwich, United Kingdom.ORCID https://orcid.org/0000-0001-5952-8756
Ana Rodriguez-MateosDepartment of Nutritional Sciences, School of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Anna SauerbierDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Carmen Rodriguez BlazquezNational Centre of Epidemiology and Network Centre for Biomedical Research in Neurodegenerative Diseases (CIBERNED), Carlos III Institute of Health, Madrid, Spain.ORCID https://orcid.org/0000-0003-3829-0675
Jonas GhyselinckProDigest BV, Ghent, Belgium.
Benoît MarsauxProDigest BV, Ghent, Belgium.
Carmine Maria PariantePsychology and Neuroscience, Department of Psychological Medicine, Institute of Psychiatry, King's College London, London, United Kingdom.
Alessandra BorsiniPsychology and Neuroscience, Department of Psychological Medicine, Institute of Psychiatry, King's College London, London, United Kingdom.
Per OdinDepartment of Neurology, Rehabilitation Medicine, Memory and Geriatrics, Skåne University Hospital, Lund, Sweden.
Kallol Ray ChaudhuriDepartment of Basic and Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.

Funding

Faculty of Medicine at Lund University (Multipark)NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College LondonParkinson's UKSkåne Health Care RegionSwedish Parkinson AcademySwedish Parkinson FoundationSwedish Research CouncilSymprove Ltd
6 · The paper itself

Abstract

backgroundGut dysbiosis and gut-brain-axis involvement in people with Parkinson's disease (PwP) support the use of gut-microbiota-modulating interventions. Probiotics may help manage constipation in PwP; however, mechanisms underpinning additional beneficial properties are unknown.

objectiveThe aim was evaluating the effects of a probiotic (Lacticaseibacillus rhamnosus, Lactobacillus acidophilus, Lactiplantibacillus plantarum and Enterococcus faecium) on gut microbiota, inflammation, motor and non-motor symptoms (NMS) in PwP and constipation.

methodsIn this multicenter, randomized, double-blind, placebo-controlled trial (NCT05146921), PwP and constipation were randomized (1:1) to receive either the probiotic (4.08 × 10

resultsBetween July 17, 2019 and February 6, 2022, 74 participants were randomized. Data from 35 (probiotic) and 33 (placebo) participants were analyzed. Enrichments of bacteria with beneficial health-related properties (Odoribacteraceae, Enterococcaceae, and Blautia faecicola) were observed in the active group compared to placebo (P ≤ 0.05). Proinflammatory cytokine TNF-α plasma levels decreased with probiotic treatment and increased with placebo (P < 0.05). No changes in SCFAs levels were observed. Reductions in time-to-on and NMS scale scores (P < 0.05) were observed only in the active group.

conclusionsThis probiotic was effective in beneficially enriching the gut microbiota with potential to reduce systemic inflammation, shortening time-to-on following levodopa administration, and alleviating NMS burden in PwP experiencing constipation. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

ConstipationGastrointestinal MicrobiomeInflammationParkinson DiseaseProbioticsAgedDouble-Blind MethodDysbiosisFemaleHumansMaleMiddle Agedgut microbiotainflammationmotor symptomsnon‐motor symptomsParkinson's diseaseprobiotics

Identifiers

PMID41126787
PMCPMC12710184

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.