A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis

Research output: Contribution to journalReview articleResearchpeer review

Authors

  • Gizem Kezer
  • Spiros Paramithiotis
  • Khaoula Khwaldia
  • Iskandar Azmy Harahap
  • Martina Čagalj
  • Vida Šimat
  • Slim Smaoui
  • Walid Elfalleh
  • Fatih Ozogul
  • Tuba Esatbeyoglu

External Research Organisations

  • Ahi Evran University
  • University of Ioannina
  • Grand Sud-Ouest
  • University of Split
  • University of Sfax
  • Imam Mohammad Ibn Saud Islamic University (IMSIU)
  • Cukurova University
View graph of relations

Details

Original languageEnglish
Article number1651965
Pages (from-to)1651965
JournalFrontiers in Microbiology
Volume16
Publication statusPublished - 17 Oct 2025

Abstract

The gut-brain axis (GBA) represents a complex bidirectional communication system connecting the gastrointestinal tract and the central nervous system through neural, endocrine, immune, and metabolic pathways. Emerging evidence suggests that dietary interventions, particularly probiotics, prebiotics, and synbiotics, can influence the composition and activity of the gut microbiota, thereby modulating GBA function. Such modulation has been linked to potential benefits for cognitive performance, emotional regulation, and resilience against neurodegenerative and neuropsychiatric disorders. In addition, these interventions may contribute to immune homeostasis and the management of chronic conditions such as inflammatory bowel disease, irritable bowel syndrome, and multiple sclerosis. Nevertheless, the mechanisms underlying these effects and their long-term clinical relevance remain incompletely understood. In this narrative review, we systematically synthesize current clinical and preclinical evidence on the role of probiotics, prebiotics, and synbiotics in regulating the GBA. Particular attention is given to their impact on neurocognitive outcomes and systemic health, highlighting both the therapeutic potential and the existing gaps that warrant further investigation.

Keywords

    gut-brain axis, health, prebiotic, probiotic, synbiotic

ASJC Scopus subject areas

Cite this

A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis. / Kezer, Gizem; Paramithiotis, Spiros; Khwaldia, Khaoula et al.
In: Frontiers in Microbiology, Vol. 16, 1651965, 17.10.2025, p. 1651965.

Research output: Contribution to journalReview articleResearchpeer review

Kezer, G, Paramithiotis, S, Khwaldia, K, Harahap, IA, Čagalj, M, Šimat, V, Smaoui, S, Elfalleh, W, Ozogul, F & Esatbeyoglu, T 2025, 'A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis', Frontiers in Microbiology, vol. 16, 1651965, pp. 1651965. https://doi.org/10.3389/fmicb.2025.1651965
Kezer, G., Paramithiotis, S., Khwaldia, K., Harahap, I. A., Čagalj, M., Šimat, V., Smaoui, S., Elfalleh, W., Ozogul, F., & Esatbeyoglu, T. (2025). A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis. Frontiers in Microbiology, 16, 1651965. Article 1651965. https://doi.org/10.3389/fmicb.2025.1651965
Kezer G, Paramithiotis S, Khwaldia K, Harahap IA, Čagalj M, Šimat V et al. A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis. Frontiers in Microbiology. 2025 Oct 17;16:1651965. 1651965. doi: 10.3389/fmicb.2025.1651965
Kezer, Gizem ; Paramithiotis, Spiros ; Khwaldia, Khaoula et al. / A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis. In: Frontiers in Microbiology. 2025 ; Vol. 16. pp. 1651965.
Download
@article{8db941e7f51b46fca93403045749eca3,
title = "A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis",
abstract = "The gut-brain axis (GBA) represents a complex bidirectional communication system connecting the gastrointestinal tract and the central nervous system through neural, endocrine, immune, and metabolic pathways. Emerging evidence suggests that dietary interventions, particularly probiotics, prebiotics, and synbiotics, can influence the composition and activity of the gut microbiota, thereby modulating GBA function. Such modulation has been linked to potential benefits for cognitive performance, emotional regulation, and resilience against neurodegenerative and neuropsychiatric disorders. In addition, these interventions may contribute to immune homeostasis and the management of chronic conditions such as inflammatory bowel disease, irritable bowel syndrome, and multiple sclerosis. Nevertheless, the mechanisms underlying these effects and their long-term clinical relevance remain incompletely understood. In this narrative review, we systematically synthesize current clinical and preclinical evidence on the role of probiotics, prebiotics, and synbiotics in regulating the GBA. Particular attention is given to their impact on neurocognitive outcomes and systemic health, highlighting both the therapeutic potential and the existing gaps that warrant further investigation.",
keywords = "gut-brain axis, health, prebiotic, probiotic, synbiotic",
author = "Gizem Kezer and Spiros Paramithiotis and Khaoula Khwaldia and Harahap, {Iskandar Azmy} and Martina {\v C}agalj and Vida {\v S}imat and Slim Smaoui and Walid Elfalleh and Fatih Ozogul and Tuba Esatbeyoglu",
note = "Copyright {\textcopyright} 2025 Kezer, Paramithiotis, Khwaldia, Harahap, {\v C}agalj, {\v S}imat, Smaoui, Elfalleh, Ozogul and Esatbeyoglu.",
year = "2025",
month = oct,
day = "17",
doi = "10.3389/fmicb.2025.1651965",
language = "English",
volume = "16",
pages = "1651965",
journal = "Frontiers in Microbiology",
issn = "1664-302X",
publisher = "Frontiers Media S.A.",

}

Download

TY - JOUR

T1 - A comprehensive overview of the effects of probiotics, prebiotics and synbiotics on the gut-brain axis

AU - Kezer, Gizem

AU - Paramithiotis, Spiros

AU - Khwaldia, Khaoula

AU - Harahap, Iskandar Azmy

AU - Čagalj, Martina

AU - Šimat, Vida

AU - Smaoui, Slim

AU - Elfalleh, Walid

AU - Ozogul, Fatih

AU - Esatbeyoglu, Tuba

N1 - Copyright © 2025 Kezer, Paramithiotis, Khwaldia, Harahap, Čagalj, Šimat, Smaoui, Elfalleh, Ozogul and Esatbeyoglu.

PY - 2025/10/17

Y1 - 2025/10/17

N2 - The gut-brain axis (GBA) represents a complex bidirectional communication system connecting the gastrointestinal tract and the central nervous system through neural, endocrine, immune, and metabolic pathways. Emerging evidence suggests that dietary interventions, particularly probiotics, prebiotics, and synbiotics, can influence the composition and activity of the gut microbiota, thereby modulating GBA function. Such modulation has been linked to potential benefits for cognitive performance, emotional regulation, and resilience against neurodegenerative and neuropsychiatric disorders. In addition, these interventions may contribute to immune homeostasis and the management of chronic conditions such as inflammatory bowel disease, irritable bowel syndrome, and multiple sclerosis. Nevertheless, the mechanisms underlying these effects and their long-term clinical relevance remain incompletely understood. In this narrative review, we systematically synthesize current clinical and preclinical evidence on the role of probiotics, prebiotics, and synbiotics in regulating the GBA. Particular attention is given to their impact on neurocognitive outcomes and systemic health, highlighting both the therapeutic potential and the existing gaps that warrant further investigation.

AB - The gut-brain axis (GBA) represents a complex bidirectional communication system connecting the gastrointestinal tract and the central nervous system through neural, endocrine, immune, and metabolic pathways. Emerging evidence suggests that dietary interventions, particularly probiotics, prebiotics, and synbiotics, can influence the composition and activity of the gut microbiota, thereby modulating GBA function. Such modulation has been linked to potential benefits for cognitive performance, emotional regulation, and resilience against neurodegenerative and neuropsychiatric disorders. In addition, these interventions may contribute to immune homeostasis and the management of chronic conditions such as inflammatory bowel disease, irritable bowel syndrome, and multiple sclerosis. Nevertheless, the mechanisms underlying these effects and their long-term clinical relevance remain incompletely understood. In this narrative review, we systematically synthesize current clinical and preclinical evidence on the role of probiotics, prebiotics, and synbiotics in regulating the GBA. Particular attention is given to their impact on neurocognitive outcomes and systemic health, highlighting both the therapeutic potential and the existing gaps that warrant further investigation.

KW - gut-brain axis

KW - health

KW - prebiotic

KW - probiotic

KW - synbiotic

UR - http://www.scopus.com/inward/record.url?scp=105020703707&partnerID=8YFLogxK

U2 - 10.3389/fmicb.2025.1651965

DO - 10.3389/fmicb.2025.1651965

M3 - Review article

C2 - 41178959

VL - 16

SP - 1651965

JO - Frontiers in Microbiology

JF - Frontiers in Microbiology

SN - 1664-302X

M1 - 1651965

ER -

By the same author(s)