Evidence map›Paper›PMID 39367119›Full record

Trial reportScientific reports2024

Synbiotic supplementation may globally improve non-motor symptoms in patients with stable Parkinson's disease: results from an open label single-arm study.

V Andreozzi, S Cuoco, M Balestrieri, F Fierro, N Ferrara, R Erro, M Di Filippo, G Barbella, M C Memoli, A Silvestri and 5 more

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Antioxidants (Basel, Switzerland) · 2026
    Article
  7. Review
  8. Review
  9. Review
  10. Gut-Brain Signaling in Parkinson's Disease: A Narrative Review.International journal of molecular sciences · 2026
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Gut Microbiome as a Source of Probiotic Drugs for Parkinson's Disease.International journal of molecular sciences · 2025
    Review
  17. Review
  18. Review
  19. Article
  20. 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

15 authors.

V AndreozziDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
S CuocoDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
M BalestrieriDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", Gastrointestinal Unit, University of Salerno, Salerno, Italy.
F FierroDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", Gastrointestinal Unit, University of Salerno, Salerno, Italy.
N FerraraDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", Gastrointestinal Unit, University of Salerno, Salerno, Italy.
R ErroDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
M Di FilippoDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
G BarbellaDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
M C MemoliDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
A SilvestriDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
M SquillanteDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
S GuglielmettiμbEat Lab, Department of Biotechnology and Biosciences (BtBs), University of Milano-Bicocca, Milan, Italy.
P BaroneDepartment of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy.
P Iovino *Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", Gastrointestinal Unit, University of Salerno, Salerno, Italy.
M T Pellecchia *Department of Medicine Surgery and Dentistry, Scuola Medica Salernitana, Neuroscience Section, University of Salerno, Salerno, Italy. mpellecchia@unisa.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut microbiota changes and brain-gut-axis (BGA) dysregulation are common in people with Parkinson's Disease (PD). Probiotics and prebiotics are emerging as a potential therapeutic approach for PD patients. The aim of this paper was to assess the neurological and gastroenterological effects in PD patients with constipation after the administration of a synbiotic product, with a focus on behavioral and cognitive symptoms. We enrolled patients with stable PD who met diagnostic criteria for functional constipation and/or irritable bowel syndrome with constipation according to Rome IV Criteria. Patients received a synbiotic treatment (Enterolactis Duo, containing the probiotic strain Lacticaseibacillus paracasei DG and the prebiotic fiber inulin) for 12 weeks. A neurological and a gastroenterological evaluation were collected before and after the treatment. In addition, 16S rRNA gene profiling and short chain fatty acid quantification were performed to characterize the microbial ecosystem of fecal samples collected before (n = 22) and after (n = 9) the synbiotic administration. 30 patients were consecutively enrolled. After treatment, patients performed better in MDS-UPDRS part 1 (p = 0.000), SCOPA-AUT (p = 0.001), TAS-20 (p = 0.014), HAM-D (p = 0.026), DIFt (p = 0.003), PAS-A (p = 0.048). Gastroenterological evaluations showed improvements in PAC-SYM score (p < 0.001), number of complete bowel movement (p < 0.001) and BSFS (p < 0.001). After the synbiotic administration, we observed a significant increase in the abundance of the order Oscillospirales, as well as the Oscillospiraceae family and the species Faecalibacterium prausnitzii within this order in fecal samples. Synbiotic treatment demonstrates potential efficacy in ameliorating non-motor features in PD patients.

Indexed as

Gastrointestinal MicrobiomeParkinson DiseaseSynbioticsAgedConstipationDietary SupplementsFecesFemaleHumansMaleMiddle AgedProbioticsRNA, Ribosomal, 16SRNA, Ribosomal, 16SConstipationMovement disordersNon motor symptomsParkinson’s disease

Identifiers

PMID39367119
PMCPMC11452401

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Registered trials

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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 OpenQuestion graph.