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Probiotics & Their Multifold Benefits

Loosely defined, probiotics are ingested microbes that can modify intestinal microbial populations in a way that benefit the host. Many of the benefits of supplemental microflora, including Bifidobacteria and Lactobacilli, are well known. These benefits include maintenance of intestinal homeostasis, competitive exclusion of pathogens, production of antimicrobial compounds, promotion of the intestinal barrier function, immune modulation and some very promising results in the area of inflammatory bowel disease.1

There are more than 400 different species of microbes in the intestinal tract. These lactic acid-producing bacteria provide many benefits, including: 

  • Synthesizing vitamins and increasing the bioavailability of minerals.5

  • Maintaining the mucosal barrier.6

  • Reduces untoward symptoms of Irritable Bowel Syndrome.7

  • Inhibiting bacterial pathogens by producing lactic acid, hydrogen peroxide and antibacterial substances called bacteriocins.8,9 Stimulating immune function,10,11,12

  • Modulating immune system hypersensitivity.13

  • Inhibiting Candida albicans.14

 

Probiotic bacteria colonize primarily the human colon15, produce lactic acid and work to block bacterial infection in the gut by producing antimicrobial substances that are effective against many harmful gram-positive and gram-negative bacteria.16,17 Further, many species of Lactobacilli and Bifidobacteria bind to the intestinal mucosa and prevent attachment of pathogenic coliform bacteria.18,19,20

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Probiotics and the Immune System

It is important to note that intestinal immune tissue constitutes nearly 80% of all the immunologically active cells in the body. Research demonstrates an important relationship between microflora and the intestinal immune system. The most dramatic demonstration of the immune stimulating properties of probiotics is in studies on animals raised in a “germ-free” environment (gnotobiotic environment). In these animals, the intestinal immune system is underdeveloped, but is rapidly restored to a normal state upon the introduction of even a single bacterial species.21

Surprisingly, despite the presence of many potential pathogens in the intestinal microflora mix, humans rarely get infected. Research is beginning to clarify why. We now know that the intestine interacts with intestinal bacteria to develop several protective mechanisms. These include two major areas:

(1) improving the intestinal barrier function, which is a combination of a mucus layer and the intestinal epithelial cells themselves.

(2) stimulating immune function while avoiding exaggerated responses via immune modulation. This interaction between the human host and probiotic microflora is believed to explain some of the clinical benefits, such as treatment and prevention of diarrhea, reducing the risk of necrotizing enterocolitis and modulating host immune response (such as in allergic disease).22

References

  1. Sheil, B., et al., “Probiotic effects on inflammatory bowel disease.” J Nutr, 137(3 Suppl 2): 819S-24S 2007

  2. Madsen K, et al. “Lactobacilli prevents colitis in interleukin 10 gene-deficient mice.” Gastroenterol. 1999;116:1107-14.

  3. Shornikova AV et al. “Lactobacillus reuteri as a therapeutic agent in acute diarrhea in young children.” J Pediatr Gastroenterol Nutr. 1997;24:399-404.

  4. Zeng J, et al. Clinical trial: effect of active lactic acid bacteria on mucosal barrier function in patients with diarrhoea-predominant irritable bowel syndrome. Aliment Pharmacol Ther, 28(8): 994-1002 2008.

  5. Velraeds MM et al. “Inhibition of initial adhesion of uropathogenic Enterococcus faecalis by biosurfactants from Lactobacillus isolates.” Appl Environ Microbiol. 1996;62:1958-63.

  6. Gupta K et al. “Inverse association of H2O2-producing Lactobacilli and vaginal Escherichia coli colonization in women with recurrent urinary tract infections.” J Infect Dis. 1998;178:446-50.

  7. Schultz M, Sartor RB. “Probiotics and inflammatory bowel diseases.” Am J Gastroenterol. 2000;95:S19-21.

  8. deRoos NM, Katan MB. “Effects of probiotic bacteria on diarrhea, lipid metabolism, and carcinogenesis: a review of papers published between 1988 and 1998.” Am J Clin Nutr. 2000;71:405-11.

  9. Isolauri E et al. “Probiotics: effects on immunity.” Am J Clin Nutr. 2001;73:444S-450S.

  10. Pelto L et al. “Probiotic bacteria down-regulate the milk-induced inflammatory response in milk-hypersensitive subjects but have an immunostimulatory effect in healthy subjects.” Clin Exp Allergy. 1998;28:1474-9.

  11. Wagner RD et al. “Biotherapeutic effects of probiotic bacteria on candidiasis in immunodeficient mice.” Infect Immunol. 1997;65:4165-4172.

  12. Macfarlane GT, Cummings JH. “Probiotics and prebiotics: can regulating the activities of intestinal bacteria benefit health?” BMJ. 1999;318:999-1003.

  13. Lievin V et al. “Bifidobacterium strains from resident infant human gastrointestinal microflora exert antimicrobial activity.” Gut. 2000;47:646-52.

  14. Rastall RA. “Bacteria in the gut: friends and foes and how to alter the balance.” J Nutr. 2004;134:2022S-2026S.

  15. Chen RM et al. “Increase of intestinal Bifidobacterium and suppression of coliform bacteria with short-term yogurt ingestion.” J Dairy Sci. 1999:82:2308-14.

  16. Chiang BL et al. “Enhancing immunity by dietary consumption of a probiotic lactic acid bacterium (Bifidobacterium lactis HN019): optimization and definition of cellular immune responses.” Eur J Clin Nutr. 2000;54:849-55.

  17. Lewis SJ, Freedman AR. “Review article: the use of biotherapeutic agents in the prevention and treatment of gastrointestinal disease.” Aliment Pharmacol Ther. 1998;12:807-22.

  18. McCracken VJ, Gaskins HR (1999) In Probiotics: a Critical Review. (ed. GW Tannock),

  19. Saavedra, JM, “Use of probiotics in pediatrics: rationale, mechanisms of action, and practical aspects.” Nutr Clin Pract, 22(3): 351-65 2007

  20. Klein, A., et al., “Lactobacillus acidophilus 74-2 and Bifidobacterium animalis subsp lactis DGCC 420 modulate unspecific cellular immune response in healthy adults.” European Journal of Clinical Nutrition 2007; 10:1038

  21. Alberda, C., et al., “Effects of probiotic therapy in critically ill patients: a randomized, double-blind, placebo-controlled trial.” Am J Clin Nutr, 85(3): 816-23 2007

  22. Agañero, G. et al., Beneficial immunomodulatory activity of Lactobacillus casei in malnourished mice pneumonia: effect on inflammation and coagulation. Nutrition, 22(7-8): 810-9 2006

  23. Ivec, M. et al., Interactions of macrophages with probiotic bacteria lead to increased antiviral response against vesicular stomatitis virus. Antiviral Res, (): 0 2007

  24. Kodali, V., Sen, R. Antioxidant and free radical scavenging activities of an exopolysaccharide from a probiotic bacterium. Biotechnol J 2008

    1. Kale VV, et al. Development and evaluation of a suppository formulation containing Lactobacillus and its application in vaginal diseases. Ann N Y Acad Sci, 1056(): 359-65 2005

  25. Prescott SL, Macaubas C, Holt BJ, Smallacombe TB, Loh R, Sly PD, et al., “Transplacental priming of the human immune system to environmental allergens: universal skewing of initial T cell responses toward the Th2 cytokine profile.” (1998) J Immunol 160:4730-4737.

  26. Prescott SL, Macaubas C, Smallacombe TB, Holt BJ, Sly PD, Holt PG, “Development of allergen-specific T-cell memory in atopic and normal children.” (1999) Lancet 353:196-200.

  27. Erb KJ “Atopic disorders: a default pathway in the absence of infection?” (1999) Immunol Today 20:317-22.

  28. Matricardi PM, Bonini S, “High microbial turnover rate preventing atopy: a solution to inconsistencies impinging on the Hygiene hypothesis?” (2000) Clin Exp Allergy 30:1506-10.

  29. Kalliomäki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E, et al., “Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial.” (2001) Lancet 357:1076-79.

  30. Ouwehand, A.C., et al., “Antiallergic effects of probiotics.” J Nutr, 137(3 Suppl 2): 794S-7S 2007

  31. Isolauri E, Salminen s. Probiotics: use in allergic disorders: a Nutrition, Allergy, Mucosal Immunology, and Intestinal Microbiota (NAMI) Research Group Report. J Clin Gastroenterol, 42 Suppl 2(): S91-6 2008

  32. Savalahti E, et al. Pre and probiotics in the prevention and treatment of food allergy. Curr Opin Allergy Clin Immunol, 8(3): 243-8 2008

  33. Arslanoglu S, et al. Early dietary intervention with a mixture of prebiotic oligosaccharides reduces the incidence of allergic manifestations and infections during the first two years of life. J Nutr, 138(6): 1091-5 2008

  34. Lorente F, et al. Prevention of allergic diseases. Allergol Immunopathol (Madr), 35(4): 151-6 2007

  35. Reid, G. Probiotics for Urogenital Health. Nutr Clin Care, 5(1): 3-8 2002

  36. Morelli, L., et al. Utilization of the intestinal tract as a delivery system for urogenital probiotics. Clin Gastroenterol, 38(6 Suppl): S107-10 2004

  37. Reid, G., et al. Oral probiotics can resolve urogenital infections. FEMS Immunol Med Microbiol, 30(1): 49-52 2001

  38. Kale VV, et al. Development and evaluation of a suppository formulation containing Lactobacillus and its application in vaginal diseases. Ann N Y Acad Sci, 1056(): 359-65 2005

  39. Falagas, ME, et al. Probiotics for prevention of recurrent vulvovaginal candidiasis: a review. J Antimicrob Chemother, 58(2): 266-72 2006

  40. Strus, M., et al. Inhibitory activity of vaginal Lactobacillus bacteria on yeasts causing vulvovaginal candidiasis. Med Dosw Mikrobiol, 57(1): 7-17 2005

  41. Strus, M., et al. The in vitro activity of vaginal Lactobacillus with probiotic properties against Candida. Infect Dis Obstet Gynecol, 13(2): 69-75 2005

  42. Payne, s., Gibson, G., et al. In vitro studies on colonization resistance of the human gut microbiota to Candida albicans and the effects of tetracycline and Lactobacillus plantarum LPK. Curr Issues Intest Microbiol, 4(1): 1-8 2003

  43. Okkers DJ , et al. Characterization of pentocin TV35b, a bacteriocin-like peptide isolated from Lactobacillus pentosus with a fungistatic effect on Candida albicans. J Appl Microbiol, 87(5): 726-34 1999

  44. Parent D, Bossens M, Bayot D, et al. Therapy of vaginosis using exogenously-applied lactobacilli acidophili and a low dose of estriol: A placebo-controlled multicentric clinical trial. Arzneimittel Forschung 1996; 46(1):68-73.

  45. Williams AB, Yu C, Tashima K, et al. Evaluation of two self-care treatments for prevention of vaginal candidiasis in women with HIV. J Assoc Nurses AIDS care 2001; 12(4):51-57.

  46. Zoppi G et al. “Oral bacteriotherapy in clinical practice. I. The use of different preparations in infants treated with antibiotics.” Eur J Ped. 1982;139:18-21.

  47. Gotz VP, Romankiewics JA, Moss J. “Prophylaxis against ampicillin-associated diarrhea with a lactobacillus preparation.” Am J Hosp Pharm. 1979;36:754-757.

  48. Hentges DJ, ed. Human intestinal microflora in health and disease. New York: Academic Press, 1983.

  49. Shahani KM, Ayebo AD. “Role of dietary lactobacilli in gastrointestinal microecology.” Am J Clin Nutr. 1980;33:2448-2457.

  50. Friend BA, Shahani KM. “Nutritional and therapeutic aspects of lactobacilli.” J Appl Nutr. 1984;36:125-152.

  51. Pizzorno JE, Murray MT. Textbook of Natural Medicine, 3rd edition. Churchill Livingstone; 2005.

  52. Gaon D et al. “Effect of Lactobacillus strains (L. casei and L. acidophilus strains cereal) on bacterial overgrowth-related chronic diarrhea.” Medicina (Brazil). 2002;62:159-163.

  53. Barefoot SF, Klaenhammer TR. “Detection and activity of Lactacin B, a Bacteriocin produced by Lactobacillus acidophilus.” Appl Environ Microbiol. 1983;45:1808–15.

  54. Kishi A et al. “Effect of the oral administration of Lactobacillus brevis subsp. coagulans on interferon-alpha producing capacity in humans.” J Am Coll Nutr. 1996;15:408-12.

  55. Doncheva NI et al. “Experimental and clinical study on the hypolipidemic and antisclerotic effect of Lactobacillus bulgaricus strain GB N 1 (48).” Nutr Res. 2002;22:393-403.

  56. Losada MA, Olleros T. “Towards a healthier diet for the colon: the influence of fructooligosaccharides and lactobacilli on intestinal health.” Nutr Res. 2002;22:71-84.

  57. Rasic J, Jovanovic D, Mira AC. Op cit.

  58. Wagner RD et al. Op cit.

  59. Mack DR et al. “Probiotics inhibit enteropathogenic E. coli adherence in vitro by inducing intestinal mucin gene expression.” Am J Physiol. 1999;276:G941-G950.

  60. Nobaek S et al. “Alteration of intestinal microflora is associated with reduction in abdominal bloating and pain in patients with irritable bowel syndrome.” Am J Gastroenterol. 2000;95:1231-8.

  61. O’Mahony L et al. “Lactobacillus and bifidobacterium in irritable bowel syndrome: symptom responses and relationship to cytokine profiles.” Gastroenterol. 2005;128:541-51.

  62. Ishikawa H et al. “Randomized controlled trial of the effect of bifidobacteria-fermented milk on ulcerative colitis.” J Am Coll Nutr. 2003;22:56-63.

  63. Kato K et al. “Randomized placebo-controlled trial assessing the effect of bifidobacteria-fermented milk on active ulcerative colitis.” Aliment Pharmacol Ther. 2004;20:1133-41.

  64. Colombel JF et al. “Yoghurt with Bifidobacterium longum reduces erythromycin-induced gastrointestinal effects.” Lancet. 1987;2:43.

  65. Lactobacillus monograph. Natural Medicines Comprehensive Database. Stockton, CA.

  66. Bifidobacteria monograph. Natural Medicines Comprehensive Database. Stockton, CA.

  67. Bouhnik Y et al. “Short-chain fructo-oligosaccharide administration dose-dependently increases fecal bifidobacteria in healthy humans.” J Nutr. 1999;129:113-6.

  68. Menne E, Guggenbuhl N, Roberfroid M. “Fn-type chicory inulin hydrolysate has a prebiotic effect in humans.” J Nutr. 2000;130:1197-9.

  69. Cummings JH, Macfarlane GT, Englyst HN. “Prebiotic digestion and fermentation.” Am J Clin Nutr. 2001;73:415S-420S.

  70. Catanzaro JA, Green L. “Microbial Ecology and Probiotics in Human Medicine (Part II).” Alt Med Rev. 1997;2(4):296-305.

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