The Effect of a Probiotic Complex on the Gut-Brain Axis: A Translational Study

<b><i>Background:</i></b> The gut-brain axis refers to the network of connections that involve multiple biologic systems, allowing bidirectional communication between the gut and the brain. This communication is mainly mediated by gut microbiota, thanks to its ability to modulate several processes like the production of neurotransmitters. As such, keeping a balanced gut microbiota through probiotic intake could be a valid solution in supporting the right gut-brain communications. <b><i>Methods:</i></b> A two-step in vitro screening of five different probiotic strains was carried out to select the best performers in the modulation of stress markers. A first selection on SK-N-DZ neuronal cell lines was performed to evaluate the inhibition of the epigenetic enzyme LSD1, promotion of GABA, and expression of serotonin. Three out of five strains were tested for their ability to promote serotonin synthesis in the Caco2 cell line. As a result, <i>Limosilactobacillus reuteri</i> PBS072 and <i>Bifidobacterium breve</i> BB077 were selected as the best performing strains. To confirm their effects in humans, a proof-of-concept trial was carried out to evaluate stress-related parameters for 28 days of product intake in a group of 30 stressed students. <b><i>Results:</i></b> A significant improvement of cognitive functions, in terms of short-term memory, attention, and executive performance, as well as of psychophysiological markers, such as salivary cortisol level, skin conductance, sleep quality, and anxiety, were observed. <b><i>Conclusions:</i></b> According to the results, <i>L. reuteri</i> PBS072 and <i>B. breve</i> BB077 are potential probiotic candidates for improving stress resilience, cognitive functions, and sleep quality.