Fecal microbiota transplantation from psychiatric patients to mice - systematic review of methodologies and a call

Antonio Maria D'Onofrio1, Adrian Gomez-Nguyen2,3, Giovanni Camardese4,5

  • 1Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.

Translational Psychiatry
|February 11, 2026
PubMed
Abstract

Insights

Fecal microbiota transplantation (FMT) research in psychiatric disorders lacks standardized methods. This review highlights inconsistencies and calls for transparent protocols to improve the microbiome-gut-brain axis field.

Area of Science:

  • Neuroscience
  • Microbiology
  • Psychiatry

Background:

  • Fecal microbiota transplantation (FMT) is crucial for studying the microbiome-gut-brain axis in psychiatric disorders.
  • Methodological inconsistencies currently hinder progress in this research area.

Purpose of the Study:

  • To review and highlight methodological inconsistencies in FMT studies related to the microbiome-gut-brain axis and psychiatric disorders.
  • To provide recommendations for standardized methodologies to enhance research reproducibility.

Main Methods:

  • A comprehensive literature search identified 31 studies using FMT from human psychiatric patients into rodent models.
  • Analysis focused on variations in rodent models, antibiotic regimens, FMT protocols, and behavioral assessments.

Main Results:

  • Significant heterogeneity was observed across all 31 studies regarding FMT protocols.
  • Inconsistencies were noted in rodent model selection, antibiotic use, FMT procedures, and outcome assessments.

Conclusions:

  • Standardized methodologies are essential for advancing microbiome research in psychiatric disorders.
  • Transparent and rigorous protocols are needed to improve the translational potential of microbiome-gut-brain axis research.

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