A gut feeling: Exploring the effects of probiotics on risk-taking behavior using TMS

Aline M Dantas1,2,3,4, Teresa Schuhmann1,4, Elisabeth Brüggen3,5,6,7

  • 1Department of Cognitive Neurosciences, Maastricht University, Maastricht, the Netherlands.

Iscience
|February 18, 2026
PubMed

Insights

Probiotics significantly increased risky choices and response times, impacting the gut-brain axis (GBA). However, ventromedial prefrontal cortex (VMPFC) stimulation did not alter these probiotic-induced behavioral changes.

Area of Science:

  • Neuroscience
  • Psychology
  • Microbiology

Background:

  • The gut-brain axis (GBA) is a bidirectional communication system linking the gut microbiota and the central nervous system.
  • Understanding GBA's influence on decision-making, particularly risk-taking, is crucial for behavioral science.
  • The ventromedial prefrontal cortex (VMPFC) is implicated in processing GBA signals related to risk.

Purpose of the Study:

  • To investigate the impact of probiotics on risk-taking behavior via the gut-brain axis (GBA).
  • To examine the role of the ventromedial prefrontal cortex (VMPFC) in mediating GBA-related risk-taking.
  • To assess the combined effects of probiotics and VMPFC neuromodulation on decision-making.

Main Methods:

  • A 4-week double-blinded, placebo-controlled probiotic intervention.
  • The Maastricht Gambling Task (MGT) to assess risk-taking behavior.
  • Transcranial magnetic stimulation (TMS), specifically continuous theta burst stimulation (cTBS), targeting the VMPFC, superior parietal lobule (SPL), and sham conditions.

Main Results:

  • Probiotics significantly increased risky choices and response times in the MGT compared to placebo.
  • VMPFC stimulation independently promoted riskier choices, irrespective of probiotic intake.
  • No significant interaction was found between probiotics and VMPFC stimulation, suggesting the VMPFC is not a key mediator of probiotic effects on risk-taking.

Conclusions:

  • Probiotics can modulate human risk-taking behavior through the gut-brain axis (GBA).
  • The VMPFC may not be the primary neural substrate through which probiotics influence risk-related decisions.
  • These findings highlight the complex interplay between gut microbiota and brain function in shaping decision-making processes.