Background: Alcohol Use Disorder (AUD) is depicted by persistent craving and repeated administration, underpinned by neuroinflammation, oxidative stress, and dysregulation of reward pathways. Emerging evidence suggests a role for gut-brain communication of these processes, with gut dysbiosis exacerbating behavioral and neurochemical correlates of addiction. Purpose: This investigation aimed to evaluate the therapeutic efficacy of targeted probiotic supplementation in modulating alcohol-seeking behavior and its underlying neurobiological substrates. Study design: Preclinical controlled study. Methods: Using a pre-clinical rodent model of AUD, subjects were administered a specific multi-strain probiotic formulation alongside chronic intermittent ethanol exposure. Behavioral assays were employed to quantify alcohol preference and reward-motivated behaviour (using conditioned place preference). Parallel biochemical analyses assessed systemic and central anti-inflammatory markers and antioxidant capacity. Levels of serotonin, dopamine and metabolites were estimation in caudate and nucleus accumbens via high performance liquid chromatography. Results: Probiotic administration significantly reduced alcohol preference and attenuated conditioned place preference for ethanol-paired contexts compared to controls. These behavioral improvements correlated with robust anti-inflammatory and antioxidant effects, as evidenced by reduced pro-inflammatory cytokines and enhanced oxidative stress defense in both plasma and brain tissue. Critically, probiotic treatment normalized neurochemical dysregulation, increasing tonic GABAergic inhibition and restoring dopamine dynamics within the reward circuitry. Conclusion: These findings demonstrate that probiotic supplementation effectively reduces alcohol seeking behavior and reward-related behaviors by mitigating neuroinflammation, oxidative stress, and aberrant neurotransmission. The results highlight the gut-brain axis as a viable target for novel nutritional interventions in AUD and provide a mechanistic rationale for the adjunct use of probiotics in managing alcohol dependence.



