Evidence map›Paper›PMID 40298641›Full record

Trial reportGut microbes2025

Multi-species probiotic supplement enhances vagal nerve function - results of a randomized controlled trial in patients with depression and healthy controls.

Sabrina Mörkl, Martin Narrath, Daria Schlotmann, Marie-Therese Sallmutter, Julia Putz, Julia Lang, Andreas Brandstätter, Rene Pilz, Helmut Karl Lackner, Nandu Goswami and 12 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gut microbes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07786285 (Adjunctive Probiotic Therapy in Major Depressive Disorder), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 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.

NCT07786285 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Adjunctive Probiotic Therapy in Major Depressive Disorder: A Randomized Controlled Trial (ProMOOD)

TypeinterventionalSponsorUniversity MariborRan2026 to 2030Enrolled200ConditionsDepression / Major Depressive DisorderArmsOMNi-BiOTiC® STRESS Repair, Matched Placebo Powder for Oral Solution
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

22 authors.

Sabrina MörklDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0001-5034-6358
Martin NarrathDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Daria SchlotmannDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Marie-Therese SallmutterDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Julia PutzDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Julia LangDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Andreas BrandstätterDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Rene PilzDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Helmut Karl LacknerDivision of Physiology und Pathophysiology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-0159-3720
Nandu GoswamiDivision of Physiology und Pathophysiology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6704-0723
Bianca SteuberDivision of Physiology und Pathophysiology, Medical University of Graz, Graz, Austria.
Jasmin TatzerDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Sonja LacknerDivision of Immunology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-5002-4460
Sandra HolasekDivision of Immunology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-2958-3516
Annamaria PainoldDivision of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-7372-8655
Emanuel JaukDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0003-3267-1688
Julian WenningerDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.
Angela HorvathDivision of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.ORCID 0000-0001-7279-0628
Nicolai SpicherDepartment of Medical Informatics, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0002-2879-9948
Asmus BarthDepartment of Medical Informatics, University Medical Center Göttingen, Göttingen, Germany.
Mary I ButlerDepartment of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland.
Jolana Wagner-SkacelDivision of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0003-0771-4543

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major depression (MD) significantly impacts individual well-being and society. The vagus nerve plays a pivotal role in the gut-brain axis, facilitating bidirectional communication between these systems. Recent meta-analyses suggest potential antidepressant effects of probiotics, although their mechanisms remain unclear. This study aimed to assess the impact of a multi-species probiotic (OMNi-BiOTiC® STRESS Repair) on vagus nerve function in 43 MD patients and 43 healthy controls (HC). Participants received either probiotics or placebo twice daily. Serum and stool samples were collected at baseline, 7 days, 28 days, and 3 months. Vagus nerve (VN) function was evaluated using 24-hour electrocardiography (ECG) for heart rate variability (HRV), alongside stool microbiome analysis via 16S rRNA sequencing. After 3 months, MD patients receiving probiotics demonstrated significantly improved morning VN function compared to HC. MD participants who were in the probiotic group showed a significant increase in

Indexed as

Major Depressive DisorderProbioticsVagus NerveAdultAkkermansiaBacteriaDietary SupplementsFecesFemaleGastrointestinal MicrobiomeHeart RateHumansMaleMiddle Ageddepressiongut microbiomeheart rate variabilityprobioticVagus nerve

Identifiers

PMID40298641
PMCPMC12045568

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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 OpenQuestion graph.