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The Effect of Psychobiotics on Gut Microbiota and Neurological Functions

Yıl 2025, Cilt: 7 Sayı: 2, 621 - 635, 07.08.2025
https://doi.org/10.46413/boneyusbad.1514178

Öz

In the past decade, studies have highlihted the potential effects of probiotics on neurological function processes such as neuroinflammation and neurogenesis. As a result, there is increasing interest in psychobiotics, a class of probiotics thought to influence the treatment of neurological disorders and psychiatric diseases. Psychobiotics are defined as microorganisms that interact with the gut microbiota and have a positive effect on mental health and neurological functions with adequate consumption of probiotics. Additionally, psychobiotics influence physical and mental states though the microbiota-gut-brain axis, offering different approaches for the treatment of psychiatric diseases. Research indicates that psychobiotics may regulate the hypothalamic-pituitary-adrenal axis and neurotransmitters, impacting central nervous system functionality in conditions such as anxiety, depression, stress, and cognitive disorders. This review evaluates the mechanisms of action of psychobiotics, their relationship with gut microbiota and neurological functions, and current information on their therapeutic effects in neurological diseases such as Alzheimer’s disease, anxiety, depression, and autism spectrum disorders.

Kaynakça

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Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi

Yıl 2025, Cilt: 7 Sayı: 2, 621 - 635, 07.08.2025
https://doi.org/10.46413/boneyusbad.1514178

Öz

Son on yılda yapılan çalışmalar probiyotiklerin nöroinflamasyon, nörojenez gibi nörolojik fonksiyon süreçlerinde etkisinin olabileceğini vurgulamaktadır. Bu nedenle nörolojik bozukluklar-psikiyatrik hastalıkların tedavisine etkisinin olacağı düşünülen ve probiyotik sınıfından olan psikobiyotiklere olan ilgi giderek artmaktadır. Psikobiyotikler; probiyotiklerin yeterli düzeyde tüketilmesiyle birlikte bağırsak mikrobiyotası ile etkileşime girerek ruh sağlığı ve nörolojik fonksiyonlar üzerinde pozitif etki yaratan mikroorganizmalar olarak tanımlanmaktadır. Aynı zamanda psikobiyotikler, mikrobiyota-bağırsak-beyin aksı aracılığı ile fiziksel ve zihinsel durumu etkilemekte psikiyatrik hastalıkların tedavisinde farklı yaklaşımlara olanak sağlamaktadır. Psikobiyotiklerin hipofiz-adrenal aksı ve nörotransmitterleri düzenleyerek anksiyete, depresyon, stres ve bilişsel bozukluklarda merkezi sinir sisteminin işlevselliği üzerine etkisinin olduğuna yönelik çalışmalar mevcuttur. Bu derlemede psikobiyotiklerin etki mekanizmaları, bağırsak mikrobiyotası ve nörolojik fonksiyonlarla ilişkisi, nörolojik hastalıklarda (Alzheimer hastalığı, anksiyete, depresyon ve otizm spektrum bozuklukları gibi) kullanımının tedaviye etkisine ilişkin güncel bilgiler değerlendirilmiştir.

Kaynakça

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  • Akbari, E., Asemi, Z., Daneshvar Kakhaki, R., Bahmani, F., Kouchaki, E., Tamtaji, O. R., ... Salami, M. (2016). Effect of probiotic supplementation on cognitive function and metabolic status in Alzheimer's disease: a randomized, double-blind and controlled trial. Frontiers in Aging Neuroscience, 8, 256. doi: 10.3389/fnagi.2016.00256
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  • Fang, H., Yao, T., Li, W., Pan, N., Xu, H., Zhao, Q., ... Wang, J. (2023). Efficacy and safety of fecal microbiota transplantation for chronic insomnia in adults: a real world study. Frontiers in Microbiology, 14, 1299816. doi: 10.3389/fmicb.2023.1299816
  • Gasbarrini, G., Bonvicini, F., Gramenzi, A. (2016). Probiotics history. Journal of Clinical Gastroenterology, 50, S116-S119. doi: 10.1097/MCG.0000000000000697
  • Gazete, R. (2017). Türk Gıda Kodeksi Beslenme ve Sağlık Beyanları Yönetmeliği. Resmi Gazete, (29960).
  • Grimaldi, R., Gibson, G. R., Vulevic, J., Giallourou, N., Castro-Mejía, J. L., Hansen, L. H., ... and Costabile, A. (2018). A prebiotic intervention study in children with autism spectrum disorders (ASDs). Microbiome, 6, 1-13. doi: 10.1186/s40168-018-0523-3
  • Guidetti, C., Salvini, E., Viri, M., Deidda, F., Amoruso, A., Visciglia, A., ... Caucino, A. C. (2022). Randomized double-blind crossover study for evaluating a probiotic mixture on gastrointestinal and behavioral symptoms of autistic children. Journal of Clinical Medicine, 11(18), 5263. doi: 10.3390/jcm11185263
  • Gwioździk, W., Helisz, P., Grajek, M., Krupa-Kotara, K. (2023). Psychobiotics as an intervention in the treatment of irritable bowel syndrome: a systematic review. Applied Microbiology, 3(2), 465-475. doi: 10.3390/applmicrobiol3020032
  • Heidarzadeh-Rad, N., Gökmen-Özel, H., Kazemi, A., Almasi, N., Djafarian, K. (2020). Effects of a psychobiotic supplement on serum brain-derived neurotrophic factor levels in depressive patients: a post hoc analysis of a randomized clinical trial. Journal of Neurogastroenterology and Motility, 26(4), 486. doi: 10.5056/jnm20079
  • Hsiao, E. Y., McBride, S. W., Hsien, S., Sharon, G., Hyde, E. R., McCue, T., ... Mazmanian, S. K. (2013). Microbiota modulate behavioral and physiological abnormalities associated with neurodevelopmental disorders. Cell, 155(7), 1451-1463. doi: 10.1016/j.cell.2013.11.024
  • Hwang, Y. H., Park, S., Paik, J. W., Chae, S. W., Kim, D. H., Jeong, D. G., ... Chung, Y. C. (2019). Efficacy and safety of Lactobacillus plantarum C29-fermented soybean (DW2009) in individuals with mild cognitive impairment: A 12-week, multi-center, randomized, double-blind, placebo-controlled clinical trial. Nutrients, 11(2), 305. doi: 10.3390/nu11020305
  • İkiz, K., Kaymaz, K., Adaköy, A. (2023). Bağırsaktan Beyine: Mod Değiştiren Nootropikler. Sempozyum Onursal Başkanları, 77.
  • Jarosz, Ł. S., Socała, K., Michalak, K., Wiater, A., Ciszewski, A., Majewska, M., ... Wlaź, P. (2024). The effect of psychoactive bacteria, Bifidobacterium longum Rosell®-175 and Lactobacillus rhamnosus JB-1, on brain proteome profiles in mice. Psychopharmacology, 241(5), 925-945. doi: 10.1007/s00213-023-06519-z
  • Kahraman, M., Karahan, A. G. (2018). Probiyotiklerin tümör baskılayıcı etkileri. Türk Hijyen ve Deneysel Biyoloji Dergisi, 75(4), 421-442. doi: 10.5505/TurkHijyen.2018.15428
  • Khalili, L., Alipour, B., Asghari Jafarabadi, M., Hassanalilou, T., Mesgari Abbasi, M., Faraji, I. (2019). Probiotic assisted weight management as a main factor for glycemic control in patients with type 2 diabetes: a randomized controlled trial. Diabetology & metabolic syndrome, 11, 1-9. doi: 10.1186/s13098-019-0400-7
  • Kocsis, T., Molnár, B., Németh, D., Hegyi, P., Szakács, Z., Bálint, A., ... Solymar, M. (2020). Probiotics have beneficial metabolic effects in patients with type 2 diabetes mellitus: a meta-analysis of randomized clinical trials. Scientific Reports, 10(1), 11787. doi: 10.1038/s41598-020-68440-1
  • Kong, X. J., Liu, J., Liu, K., Koh, M., Sherman, H., Liu, S., ... Song, Y. (2021). Probiotic and oxytocin combination therapy in patients with autism spectrum disorder: a randomized, double-blinded, placebo-controlled pilot trial. Nutrients, 13(5), 1552. doi: 10.3390/nu13051552
  • Kuyumcu, A., Yıldız, M. (2020). Sağlık bilimleri fakültesi öğrencilerinin psikobiyotik özellik gösteren besinlerin tüketim durumları ile mutluluk düzeyleri arasındaki ilişki. Namık Kemal Tıp Dergisi, 8(2), 212-218. doi: 10.37696/nkmj.688156
  • Lambert, K., Rinninella, E., Biruete, A., Sumida, K., Stanford, J., Raoul, P., ... Mafra, D. (2023). Targeting the gut microbiota in kidney disease: The future in renal nutrition and metabolism. Journal of Renal Nutrition, doi: 10.1053/j.jrn.2022.12.004
  • Liu, T. (2024). Prebiotics vs. Probiotics: Understanding the Key Differences, Nutritional Supplements Directory. Magalhães-Guedes, K. T. (2022). Psychobiotic therapy: method to reinforce the immune system. Clinical Psychopharmacology and Neuroscience, 20(1), 17. doi: 10.9758/cpn.2022.20.1.17
  • Majeed, M., Nagabhushanam, K., Arumugam, S., Majeed, S., Ali, F. (2018). Bacillus coagulans MTCC 5856 for the management of major depression with irritable bowel syndrome: a randomised, double-blind, placebo controlled, multi-centre, pilot clinical study. Food Nutrition Research, 62. doi: 10.29219/fnr.v62.1218
  • Mazziotta, C., Tognon, M., Martini, F., Torreggiani, E., Rotondo, J. C. (2023). Probiotics mechanism of action on immune cells and beneficial effects on human health. Cells, 12(1), 184. doi: 10.3390/cells12010184
  • Mensi, M. M., Rogantini, C., Marchesi, M., Borgatti, R., Chiappedi, M. (2021). Lactobacillus plantarum PS128 and other probiotics in children and adolescents with autism spectrum disorder: a real-world experience. Nutrients, 13(6), 2036. doi: 10.3390/nu13062036
  • Messaoudi, M., Lalonde, R., Violle, N., Javelot, H., Desor, D., Nejdi, A., ... Cazaubiel, J. M. (2011). Assessment of psychotropic-like properties of a probiotic formulation (Lactobacillus helveticus R0052 and Bifidobacterium longum R0175) in rats and human subjects. British Journal of Nutrition, 105(5), 755-764. doi: 10.1017/S0007114510004319
  • Misra, S., Mohanty, D. (2019). Psychobiotics: a new approach for treating mental illness?. Critical Reviews in Food Science and Nutrition, 59(8), 1230-1236. doi: 10.1080/10408398.2017.1399860
  • Morales-Torres, R., Carrasco-Gubernatis, C., Grasso-Cladera, A., Cosmelli, D., Parada, F. J., Palacios-García, I. (2023). Psychobiotic effects on anxiety are modulated by lifestyle behaviors: A randomized placebo-controlled trial on healthy adults. Nutrients, 15(7), 1706. doi: 10.3390/nu15071706
  • Morita, C., Tsuji, H., Hata, T., Gondo, M., Takakura, S., Kawai, K., ... Sudo, N. (2015). Gut dysbiosis in patients with anorexia nervosa. PloS one, 10(12), e0145274. doi: 10.1371/journal.pone.0145274
  • Nguyen, M., Ferge, K. K., Vaughn, A. R., Burney, W., Teng, L. H., Pan, A., ... Sivamani, R. K. (2020). Probiotic supplementation and food intake and knowledge among patients and consumers. Probiotics and Antimicrobial Proteins, 12, 824-833. doi: 10.1007/s12602-019-09602-0
  • Nimgampalle, M., Kuna, Y. (2017). Anti-Alzheimer properties of probiotic, Lactobacillus plantarum MTCC 1325 in Alzheimer’s disease induced albino rats. Journal of clinical and diagnostic research: Journal of Clinical and Diagnostic Research, 11(8), KC01. doi: 10.7860/JCDR/2017/26106.10428
  • Nishihira, J., Kagami-Katsuyama, H., Tanaka, A., Nishimura, M., Kobayashi, T., Kawasaki, Y. (2014). Elevation of natural killer cell activity and alleviation of mental stress by the consumption of yogurt containing Lactobacillus gasseri SBT2055 and Bifidobacterium longum SBT2928 in a double-blind, placebo-controlled clinical trial. Journal of Functional Foods, 11, 261-268. doi: 10.1016/j.jff.2014.09.002
  • Oleskin, A. V., Shenderov, S. A. (2020). Probiotics, psychobiotics, and metabiotics: problems and prospects. Physical and Rehabilitation Medicine, Medical Rehabilitation, 2(3), 233-243. doi: 10.36425/rehab25811
  • Oroojzadeh, P., Bostanabad, S. Y., Lotfi, H. (2022). Psychobiotics: the influence of gut microbiota on the gut-brain axis in neurological disorders. Journal of Molecular Neuroscience, 72(9), 1952-1964. doi: 10.1007/s12031-022-02053-3
  • Reid, G. (2016). Probiotics: definition, scope and mechanisms of action. Best Practice Research Clinical Gastroenterology, 30(1), 17-25. doi: 10.1016/j.bpg.2015.12.001
  • Ritchie, G., Strodl, E., Parham, S., Bambling, M., Cramb, S., & Vitetta, L. (2023). An exploratory study of the gut microbiota in major depression with anxious distress. Journal of Affective Disorders, 320, 595-604.
  • Sanders, M. E., Merenstein, D., Merrifield, C. A., Hutkins, R. (2018). Probiotics for human use. Nutrition Bulletin, 43(3), 212-225. doi: 10.1111/nbu.12334
  • Selhub, E. M., Logan, A. C., Bested, A. C. (2014). Fermented foods, microbiota, and mental health: ancient practice meets nutritional psychiatry. Journal of Physiological Anthropology, 33, 1-12. doi: 10.1186/1880-6805-33-2
  • Sharma, R., Gupta, D., Mehrotra, R., Mago, P. (2021). Psychobiotics: The next-generation probiotics for the brain. Current Microbiology, 78, 449-463. doi: 10.1007/s00284-020-02289-5
  • Skowron, K., Budzyńska, A., Wiktorczyk-Kapischke, N., Chomacka, K., Grudlewska-Buda, K., Wilk, M., ... Gospodarek-Komkowska, E. (2022). The Role of Psychobiotics in Supporting the Treatment of Disturbances in the Functioning of the Nervous System—A Systematic Review. International Journal of Molecular Sciences, 23(14), 7820. doi: 10.3390/ijms23147820
  • Snigdha Misra, S. M., Debapriya Mohanty, D. M. (2019). Psychobiotics: a new approach for treating mental illness?, Critical Reviews in Food Science and Nutrition, 59, 1230-1236. doi: 10.1080/10408398.2017.1399860
  • Şahin, A. N. (2017, Aralık). Yetişkin bireylerde psikobiyotik özellik gösteren probiyotik besinlerin tüketimi ve mental sağlık arasındaki ilişkinin incelenmesi, (Yayınlanmış Yüksek Lisans Tezi), Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
  • Taşdemir, A. (2017). Probiyotikler, prebiyotikler, sinbiyotikler. Sağlık Akademisi Kastamonu, 2(1), 71-88. doi: 10.25279/sak.300045
  • Venkataraman, R., Madempudi, R. S., Neelamraju, J., Ahire, J. J., Vinay, H. R., Lal, A., ... Stephen, S. (2021). Effect of multi-strain probiotic formulation on students facing examination stress: a double-blind, placebo-controlled study. Probiotics and Antimicrobial Proteins, 13(1), 12-18. doi: 10.1007/s12602-020-09681-4
  • Vinot, N., 2023. Probiotics regulation in Europe: when lack of harmonization undermines both consumers and the industry. Microbiome post. https://microbiomepost.com/probiotics-regulation-in-europe-when-lack-of-harmonization-undermines-both-consumers-and-the-industry/
  • Wang, H. C., Lau, C. I., Lin, C. C., Chang, A., & Kao, C. H. (2016). Group A streptococcal infections are associated with increased risk of pediatric neuropsychiatric disorders: a Taiwanese population-based cohort study. The Journal of clinical psychiatry, 77(7), 20070.
  • Wang, L. J., Yang, C. Y., Kuo, H. C., Chou, W. J., Tsai, C. S., Lee, S. Y. (2022). Effect of Bifidobacterium bifidum on clinical characteristics and gut microbiota in Attention-Deficit/Hyperactivity Disorder. Journal of Personalized Medicine, 12(2), 227. doi: 10.3390/jpm12020227
  • World Health Organization. (2022). Mental disorder: https://www. who. int/news-room/fact-sheets/detail/mental-disorders. 2022. Accessed Nov, 25.
  • Yang, R., Zhao, X., Wu, W., Shi, J. (2021). Potential of probiotics for use as functional foods in patients with non-infectious gastric ulcer. Trends in Food Science Technology, 111, 463-474. doi: 10.1016/j.tifs.2021.02.070
  • Yang, Y., Tian, J., Yang, B. (2018). Targeting gut microbiome: A novel and potential therapy for autism. Life Sciences, 194, 111-119. doi: 10.1016/j.lfs.2017.12.027
  • You, S., Ma, Y., Yan, B., Pei, W., Wu, Q., Ding, C., Huang, C. (2022). The promotion mechanism of prebiotics for probiotics: A review. Frontiers in Nutrition, 9, 1000517 doi: 10.3389/fnut.2022.1000517
  • Zhu, R., Fang, Y., Li, H., Liu, Y., Wei, J., Zhang, S., ... Chen, T. (2023). Psychobiotic Lactobacillus plantarum JYLP-326 relieves anxiety, depression, and insomnia symptoms in test anxious college via modulating the gut microbiota and its metabolism. Frontiers in Immunology, 14, 1158137. doi: 10.3389/fimmu.2023.1158137
  • Zhu, X., Han, Y., Du, J., Liu, R., Jin, K., Yi, W. (2017). Microbiota-gut-brain axis and the central nervous system. Oncotarget, 8(32), 53829. doi: 10.18632/oncotarget.17754
Toplam 75 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Beslenme Bilimi
Bölüm DERLEME MAKALE
Yazarlar

Esma Avci 0009-0002-1031-417X

Zeynep Begüm Kalyoncu Atasoy 0000-0001-6208-3540

Erken Görünüm Tarihi 6 Ağustos 2025
Yayımlanma Tarihi 7 Ağustos 2025
Gönderilme Tarihi 10 Temmuz 2024
Kabul Tarihi 21 Kasım 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 2

Kaynak Göster

APA Avci, E., & Kalyoncu Atasoy, Z. B. (2025). Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, 7(2), 621-635. https://doi.org/10.46413/boneyusbad.1514178
AMA Avci E, Kalyoncu Atasoy ZB. Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. Ağustos 2025;7(2):621-635. doi:10.46413/boneyusbad.1514178
Chicago Avci, Esma, ve Zeynep Begüm Kalyoncu Atasoy. “Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7, sy. 2 (Ağustos 2025): 621-35. https://doi.org/10.46413/boneyusbad.1514178.
EndNote Avci E, Kalyoncu Atasoy ZB (01 Ağustos 2025) Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7 2 621–635.
IEEE E. Avci ve Z. B. Kalyoncu Atasoy, “Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 7, sy. 2, ss. 621–635, 2025, doi: 10.46413/boneyusbad.1514178.
ISNAD Avci, Esma - Kalyoncu Atasoy, Zeynep Begüm. “Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 7/2 (Ağustos2025), 621-635. https://doi.org/10.46413/boneyusbad.1514178.
JAMA Avci E, Kalyoncu Atasoy ZB. Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;7:621–635.
MLA Avci, Esma ve Zeynep Begüm Kalyoncu Atasoy. “Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 7, sy. 2, 2025, ss. 621-35, doi:10.46413/boneyusbad.1514178.
Vancouver Avci E, Kalyoncu Atasoy ZB. Psikobiyotiklerin Bağırsak Mikrobiyotası ve Nörolojik Fonksiyonlara Etkisi. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2025;7(2):621-35.

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