A Lactobacillus consortium provides insights into the sleep-exercise-microbiome nexus in proof of concept studies of elite athletes and in the general population

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Reviewed Marked as Reviewed by KateRasheed on 2025-5-6
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI
Authors
Bongiovanni T, Santiago M, Zielinska K, Scheiman J, Barsa C, Jäger R, Pinto D, Rinaldi F, Giuliani G, Senatore T, Kostic AD
Journal
Microbiome
Year
2025
Keywords:
Lactobacillus, Energy, Fatigue, Microbiome, Oxidative stress, Probiotic, Recovery, Sleep, Testosterone
BACKGROUND: The complex relationship among sleep, exercise, and the gut microbiome presents a unique opportunity to improve health and wellness. Here, we conducted the first large-scale investigation into the influence of a novel elite athlete-derived probiotic, consisting of a multi-strain Lactobacillus consortium, on sleep quality, exercise recovery, and gut microbiome composition in both elite athletes (n = 11) and the general population (n = 257). RESULTS: Our two-phase study design, which included an open-label study followed by a controlled longitudinal study in a professional soccer team, allowed us to identify key interactions between probiotics, the gut microbiome, and the host. In the placebo-controlled study, we observed significant improvements in self-reported sleep quality by 69%, energy levels by 31%, and bowel movements by 37% after probiotic intervention relative to after placebo. These improvements were associated with a significant decrease in D-ROMS (a marker of oxidative stress) and a significantly higher free-testosterone/cortisol ratio. Multi-omics analyses revealed specific changes in microbiome composition and function, potentially providing mechanistic insights into these observed effects. CONCLUSION: This study provides novel insights into how a multi-strain Lactobacillus probiotic modulates sleep quality, exercise recovery, and gut microbiome composition in both the general population and elite athletes, and introduces potential mechanisms through which this probiotic could be influencing overall health. Our results emphasize the untapped potential of tailored probiotic interventions derived from extremely fit and healthy individuals in improving several aspects of health and performance directly in humans. Video Abstract.

Experiment 1


Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/21

Curator: Asoler2004

Revision editor(s): Asoler2004, Anne-mariesharp

Subjects

Location of subjects
Italy
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Treatment outcome measurement Treatment outcome measurement,treatment outcome measurement
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Baseline
Group 1 name Corresponds to the case (exposed) group for case-control studies
Placebo
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Healthy male soccer players taking placebo pills blindly for the first period of 12weeks.
Group 0 sample size Number of subjects in the control (unexposed) group
11
Group 1 sample size Number of subjects in the case (exposed) group
11
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
3 months

Lab analysis

Sequencing type
WMS
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
Not specified
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Mixed-Effects Regression
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/21

Curator: Asoler2004

Revision editor(s): Asoler2004

Source: Figure 4b, Table 2

Description: Soccer players' taxa that significantly change after the ingestion of placebo pills

Abundance in Group 1: increased abundance in Placebo

NCBI Quality ControlLinks
Agathobacter rectalis
Phocaeicola vulgatus
Roseburia intestinalis

Revision editor(s): Asoler2004

Signature 2

Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/21

Curator: Anne-mariesharp

Revision editor(s): Anne-mariesharp

Source: Figure 4b, Table 2

Description: Soccer players' taxa that significantly change after the ingestion of placebo pills

Abundance in Group 1: decreased abundance in Placebo

NCBI Quality ControlLinks
[Ruminococcus] torques

Revision editor(s): Anne-mariesharp

Experiment 2


Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/21

Curator: Asoler2004

Revision editor(s): Asoler2004, Anne-mariesharp

Differences from previous experiment shown

Subjects

Group 1 name Corresponds to the case (exposed) group for case-control studies
Probiotic
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Healthy male soccer players taking probiotic pills blindly for the second period of 12 weeks.

Lab analysis

Statistical Analysis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/22

Curator: Asoler2004

Revision editor(s): Asoler2004

Source: Figure 4b, Table 2

Description: Soccer players' taxa that significantly change after the ingestion of probiotic pills

Abundance in Group 1: increased abundance in Probiotic

NCBI Quality ControlLinks
Agathobacter rectalis
Alistipes putredinis
Bifidobacterium longum
Faecalibacterium prausnitzii
Phocaeicola vulgatus
Roseburia intestinalis

Revision editor(s): Asoler2004

Signature 2

Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/22

Curator: Asoler2004

Revision editor(s): Asoler2004, Anne-mariesharp

Source: Figure 4b, Table 2

Description: Soccer players' taxa that significantly change after the ingestion of probiotic pills.

Abundance in Group 1: decreased abundance in Probiotic

NCBI Quality ControlLinks
Blautia obeum
Coprococcus comes
Dorea longicatena
Phascolarctobacterium succinatutens
[Ruminococcus] torques

Revision editor(s): Asoler2004, Anne-mariesharp

Experiment 4


Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/24

Curator: Anne-mariesharp

Revision editor(s): Anne-mariesharp, KateRasheed

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
log transformation
Statistical test
Kruskall-Wallis

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
unchanged

Signature 1

Reviewed Marked as Reviewed by KateRasheed on 2025-5-6

Curated date: 2025/04/24

Curator: Anne-mariesharp

Revision editor(s): Anne-mariesharp

Source: Figure 4d

Description: The abundance of the Lactobacillaceae family increases with probiotic use but not placebo.

Abundance in Group 1: increased abundance in Probiotic

NCBI Quality ControlLinks
Lactobacillaceae

Revision editor(s): Anne-mariesharp