Migraine and the Gut–Brain Axis—The Role of Microbiome-Targeted Biotics

Mar 14, 2026Nutrients

Migraine and the Gut-Brain Connection: The Role of Microbiome-Targeted Probiotics and Biotics

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Abstract

Migraine is associated with intestinal dysbiosis, increased gut permeability, and low-grade systemic inflammation.

  • Alterations in the gut microbiota and dysregulation of the gut-brain axis may contribute to migraine through immune activation and oxidative stress.
  • Probiotics may modulate inflammatory cytokine profiles and enhance gut barrier integrity.
  • Clinical trials indicate probiotics could reduce migraine frequency, severity, and analgesic use, especially in chronic migraine and pediatric populations.
  • Limited evidence suggests prebiotics and microbiota-derived metabolites like short-chain fatty acids may also play a role in migraine management.
  • Current knowledge on the strain-, formulation-, and population-specific characteristics of probiotics, prebiotics, and postbiotics remains insufficient.

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