Table 2. Probiotics and their anti-PD effects

Probiotic strain Study model Key findings Reference
Lactobacillus casei Shirota Patient study (RCT) Improved bowel movements and reduced gastrointestinal symptoms in PD patients (Cassani et al., 2011)
Lactobacillus acidophilus & Bifidobacterium infantis Patient study (RCT) Alleviated abdominal pain and bloating (Georgescu et al., 2016)
Probiotic mix (L. acidophilus, B. bifidum, L. reuteri, L. fermentum) Patient study (RCT) Reduced MDS-UPDRS scores (Movement disorders society-unified parkinson’s disease rating scale) (Tamtaji et al., 2019)
Bifidobacterium bifidum, Bifidobacterium longum, Lactobacillus rhamnosus, L. plantarum, Lactococcus lactis subsp. lactis MitoPark PD mice Improved motor function and reduced nigral dopaminergic neuronal degeneration in transgenic PD mice (Hsieh et al., 2020)
Lactobacillus rhamnosus GG, Bifidobacterium animalis lactis, Lactobacillus acidophilus Mouse model Increased butyrate production and neuroprotection in MPTP and rotenone models. (Srivastav et al., 2019)
SLAB51 (multi-strain mix) In vitro + Mouse model Neuroprotection through anti-inflammatory and antioxidant pathways and behavioral improvement (Castelli et al., 2020)
Lactococcus lactis subsp. cremori (engineered strain with GLP-1) Mouse model Improved dopaminergic neurons and reduced locomotor impairment; boosted beneficial gut microbiota, reduced proinflammatory molecules (Fang et al., 2019)
Bacillus subtilis PXN21 C. elegans Model Reduced α-synuclein aggregation and enhanced clearance of aggregates via alterations in sphingolipid metabolism (Goya et al., 2020)
Lactobacillus spp. and Bifidobacterium spp. In vitro (Blood cells from PD patients) Modulation of inflammatory cytokines and inhibition of pathogenic bacteria growth (Magistrelli et al., 2019)
Multi-strain mix and prebiotic fibers Patient study (RCT) Enhanced stool consistency, frequency, and quality of life in PD-related constipation. (Barichella et al., 2016)
Probiotics mixture Patient study (RCT) Reduced overall disease severity related to constipation in PD patients (Tan et al., 2021)
B. longum 1714, B. breve 1205 Mouse model Enhanced spatial and non-spatial memory, reduced visceral pain (Savignac et al., 2015)
Lactobacillus acidophilus, L. reuteri, Bifidobacterium bifidum, L. fermentum Male Wistar rats Improved rotational behavior, cognitive function and neuronal damage (Alipour Nosrani et al., 2021)
Bifidobacterium breve A1 Mouse model Restored hippocampal synaptic plasticity, reversed CA1 spine density decline, and improved contextual fear extinction (Ishii et al., 2021)
Streptococcus thermophilus CRL 808, L. plantarum CRL 2130, S. thermophilus CRL 807 Mouse model Increased TH-positive cell counts, reduced inflammatory cytokines, and elevated anti-inflammatory IL-10 in brain (Perez Visñuk et al., 2020)
Clostridium butyricum Mouse model Ameliorated synaptic dysfunction, improved dopaminergic neuron loss, motor function and reversed gut microbiota dysbiosis (Sun et al., 2021)
Lacticaseibacillus rhamnosus HA-114 Mouse model Improved hippocampal-dependent cognition deficits (Xie & Prasad, 2020)