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Assessing the impact of binge drinking and a prebiotic intervention on the gut-brain axis in young adults: protocol for a randomised controlled trial.

作者信息

Prata-Martins Diogo, Nobre Clarisse, Almeida-Antunes Natália, Azevedo Pedro, Sousa Sónia S, Crego Alberto, Cryan John, Sampaio Adriana, Carbia Carina, López-Caneda Eduardo

机构信息

School of Psychology, University of Minho, Braga, Portugal.

University of Minho, Braga, Portugal.

出版信息

BMJ Open. 2025 Sep 4;15(9):e095932. doi: 10.1136/bmjopen-2024-095932.


DOI:10.1136/bmjopen-2024-095932
PMID:40908013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12414231/
Abstract

INTRODUCTION: Adolescence and youth are periods of significant maturational changes, which seem to involve greater susceptibility to disruptive events in the brain, such as binge drinking (BD). This pattern-characterised by repeated episodes of alcohol intoxication-is of particular concern, as it has been associated with significant alterations in the developing brain. Recent evidence indicates that alcohol may also induce changes in gut microbiota composition and that such disturbances can lead to impairments in both brain function and behaviour. Moreover, there is evidence suggesting that microbiota-targeted interventions (psychobiotics) may help mitigate alcohol-induced damage in individuals with chronic alcohol use, positively influencing cognitive and brain functioning. However, the triadic relationship between BD, gut microbiota and brain structure/function, as well as the therapeutic potential of gut microbiota-targeted interventions in young binge drinkers, remains largely unexplored. METHODS AND ANALYSIS: This double-blind, parallel, randomised controlled study aims to evaluate whether a BD pattern disrupts gut microbiota diversity in young college students (primary outcome). Additionally, it seeks to determine whether alcohol-induced alterations in the microbial composition and function are associated with immunological, cognitive, neurostructural and neurofunctional impairments (secondary outcomes). A total of 82 college students (36 non/low drinkers and 46 binge drinkers (BDs)), matched for age and sex, will be recruited from the University of Minho (Portugal). During the pre-intervention phase, all participants will undergo a comprehensive assessment protocol, including gut microbiota profiling, measurement of inflammatory markers, neuropsychological testing and structural and functional MRI. BDs will then be randomly assigned to a 6-week intervention with either a prebiotic (inulin) or a placebo (maltodextrin). Post-intervention assessment will mirror the baseline protocol, and craving and alcohol use will be monitored for 3 months. ETHICS AND DISSEMINATION: The present protocol was approved by the Ethics Committee for Social and Human Sciences of the University of Minho (CEICSH 078/2022), ensuring compliance with national and international ethical guidelines, including the Declaration of Helsinki. Participation is voluntary and preceded by informed consent, with confidentiality and data processing safeguarded in accordance with the General Data Protection Regulation. All procedures are safe and non-invasive, and the prebiotics used are recognised as food ingredients in Europe, hold Generally Recognized as Safe status in the USA and are classified as dietary fibres by the Food and Drug Administration. Findings will be disseminated in national and international scientific forums, with preference for publication in open-access, peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT05946083.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbff/12414231/e9a6660dadc4/bmjopen-15-9-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbff/12414231/94296246e4f4/bmjopen-15-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbff/12414231/e9a6660dadc4/bmjopen-15-9-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbff/12414231/94296246e4f4/bmjopen-15-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbff/12414231/e9a6660dadc4/bmjopen-15-9-g002.jpg

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本文引用的文献

[1]
Exploring the gut microbiome: probiotics, prebiotics, synbiotics, and postbiotics as key players in human health and disease improvement.

Food Sci Biotechnol. 2024-6-27

[2]
Mesocorticolimbic system reactivity to alcohol use-related visual cues as a function of alcohol sensitivity phenotype: A pilot fMRI study.

Addict Neurosci. 2024-6

[3]
Immunomodulatory effects of inulin and its intestinal metabolites.

Front Immunol. 2023

[4]
Clinical and Preclinical Evidence for Gut Microbiome Mechanisms in Substance Use Disorders.

Biol Psychiatry. 2024-2-15

[5]
The Microbiome-Gut-Brain axis regulates social cognition & craving in young binge drinkers.

EBioMedicine. 2023-3

[6]
Alterations and correlations of gut microbiota, fecal, and serum metabolome characteristics in a rat model of alcohol use disorder.

Front Microbiol. 2023-1-4

[7]
Substance use, microbiome and psychiatric disorders.

Pharmacol Biochem Behav. 2022-9

[8]
Effects of Persistent Binge Drinking on Brain Structure in Emerging Adults: A Longitudinal Study.

Front Psychiatry. 2022-6-23

[9]
A dual treatment blocks alcohol binge-drinking relapse: Microbiota as a new player.

Drug Alcohol Depend. 2022-7-1

[10]
Evaluation of Microbial-Fructo-Oligosaccharides Metabolism by Human Gut Microbiota Fermentation as Compared to Commercial Inulin-Derived Oligosaccharides.

Foods. 2022-3-25

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