Advances in probiotics research: mechanisms of action, health benefits, and limitations in applications

Karan Prajapati, Krithika Bisani, Harsh Prajapati, Siddharth Prajapati, Dharmista Agrawal, Sweta Singh, Meenu Saraf, Dweipayan Goswami

Systems Microbiology and Biomanufacturing ›› 2023, Vol. 4 ›› Issue (2) : 386-406. DOI: 10.1007/s43393-023-00208-w
Review

Advances in probiotics research: mechanisms of action, health benefits, and limitations in applications

Author information +
History +

Abstract

The human gastrointestinal tract harbors a complex microbiota, pivotal in maintaining health equilibrium. Disruption of this microbial balance has implications for myriad health conditions. Probiotics, beneficial microbial entities, have demonstrated potential in rectifying gut microbiota imbalances, offering health benefits and disease prevention. This review elucidates the nuanced roles of probiotics, emphasizing their interactions with both pathogenic and commensal gut microorganisms. Recent breakthroughs in the identification of potent probiotic strains and their prospective applications in biomedical research are delineated. Comprehensive analyses of clinical studies underscore the safety, efficacy, and applicability of probiotics in diverse food and therapeutic avenues. As probiotic research burgeons, this review amalgamates current insights with future directions, accentuating the transformative prospects of probiotics in contemporary biomedical paradigms. The gut's microflora plays a cardinal role in nutrient metabolism, immune modulation, and protection against pathogens. Disturbances in this microflora can lead to dysbiosis, with potential repercussions for digestive and systemic health. Probiotics exert their beneficial effects through multiple mechanisms, including competitive exclusion of pathogens, production of antimicrobial substances, and modulation of the host's immune response. Their health benefits encompass not only gastrointestinal health, such as in the management of diarrhea, irritable bowel syndrome, and inflammatory bowel diseases but also systemic effects in areas like immune modulation and mental health. The growing recognition of these benefits has led to a surge in the market demand for probiotic supplements and fortified foods, with research continually unveiling novel strains and applications.

Keywords

Probiotic / Gut microbiome / Pathogen / Lactobacillus / Human health

Cite this article

Download citation ▾
Karan Prajapati, Krithika Bisani, Harsh Prajapati, Siddharth Prajapati, Dharmista Agrawal, Sweta Singh, Meenu Saraf, Dweipayan Goswami. Advances in probiotics research: mechanisms of action, health benefits, and limitations in applications. Systems Microbiology and Biomanufacturing, 2023, 4(2): 386‒406 https://doi.org/10.1007/s43393-023-00208-w

References

[1.]
Zendeboodi F, Khorshidian N, Mortazavian AM, da Cruz AG. Probiotic: conceptualization from a new approach. Curr Opin Food Sci, 2020, 32: 103-123.
CrossRef Google scholar
[2.]
Gasbarrini G, Bonvicini F, Gramenzi A. Probiotics history. J Clin Gastroenterol, 2016, 50: S116-S119.
[3.]
Harvard Health Publishing Should you take probiotics?, 2019 Boston Harvard Medical School 1-7.
[4.]
Fijan S. Microorganisms with claimed probiotic properties: an overview of recent literature. Int J Environ Res Public Health, 2014, 11: 4745-4767.
[5.]
Javanshir N, Hosseini GNG, Sadeghi M, Esmaeili R, Satarikia F, Ahmadian G, et al. Evaluation of the function of probiotics, emphasizing the role of their binding to the intestinal epithelium in the stability and their effects on the immune system. Biol Proced Online, 2021, 23: 23.
[6.]
Davani-Davari D, Negahdaripour M, Karimzadeh I, Seifan M, Mohkam M, Masoumi S, et al. Prebiotics: definition, types, sources, mechanisms, and clinical applications. Foods, 2019, 8: 92.
[7.]
Pandey KR, Naik SR, Vakil BV. Probiotics, prebiotics and synbiotics—a review. J Food Sci Technol, 2015, 52: 7577-7587.
[8.]
Raghuwanshi S, Misra S, Sharma R, Bisen PS. Probiotics: nutritional therapeutic tool. J Probiotics Heal., 2018, 6: 1-52.
CrossRef Google scholar
[9.]
Day RL, Harper AJ, Woods RM, Davies OG, Heaney LM. Probiotics: current landscape and future horizons. Futur Sci OA., 2019.
CrossRef Google scholar
[10.]
van den Nieuwboer M, van de Burgwal LHM, Claassen E. A quantitative key-opinion-leader analysis of innovation barriers in probiotic research and development: valorisation and improving the tech transfer cycle. PharmaNutrition, 2016, 4:9-18.
[11.]
J. Yeboah P, Wijemanna NS, Eddin AA, Williams LL, Ibrahim SA. Lactic acid bacteria: review on the potential delivery system as an effective probiotic. In: Dairy processing—from basics to advances [working title]. London: IntechOpen; 2023.
[12.]
Ebner S, Smug LN, Kneifel W, Salminen SJ, Sanders ME. Probiotics in dietary guidelines and clinical recommendations outside the European Union. World J Gastroenterol, 2014, 20: 16095-16100.
[13.]
Gogineni VK, Morrow LE, Gregory PJ, Malesker MA. Probiotics: history and evolution. J Infect Dis, 2013, 1:1-7.
[14.]
McGuire MK, McGuire MA. Human milk: mother nature’s prototypical probiotic food?. Adv Nutr, 2015, 6: 112-123.
[15.]
Amara AA, Shibl A. Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi Pharm J, 2015, 23: 107-114.
[16.]
Kandati K, Belagal P, Nannepaga JS, Viswanath B. Role of probiotics in the management of cervical cancer: an update. Clin Nutr ESPEN, 2022, 48: 5-16.
[17.]
Ozen M, Dinleyici EC. The history of probiotics: the untold story. Benef Microbes, 2015, 6: 159-165.
[18.]
Fuller LK. Yogurt, yoghurt, youghourt, 2020 Cambridge CRC Press
[19.]
Aggarwal N, Kitano S, Puah GRY, Kittelmann S, Hwang IY, Chang MW. Microbiome and human health: current understanding, engineering, and enabling technologies. Chem Rev, 2023, 123: 31-72.
[20.]
Aspri M, Papademas P, Tsaltas D. Review on non-dairy probiotics and their use in non-dairy based products. Fermentation, 2020, 6:30
[21.]
Lantbert V. Lifestyle and functional properties of lactobacilli and bifidobacteria in water kefir. 2020.
[22.]
Khalighi A, Behdani R, Kouhestani S. Probiotics: a comprehensive review of their classification, mode of action and role in human nutrition. In: Probiotics and prebiotics in human nutrition and health. London: InTech; 2016.
[23.]
Soccol CR, Vandenberghe LPDS, Spier MR, Medeiros ABP, Yamaguishi CT, De Dea Lindner J, et al. The potential of probiotics: a review. Food Technol Biotechnol., 2010, 48:413-434.
[24.]
Yasmin I, Saeed M, Khan WA, Khaliq A, Chughtai MFJ, Iqbal R, et al. In vitro probiotic potential and safety evaluation (hemolytic, cytotoxic activity) of bifidobacterium strains isolated from raw camel milk. Microorganisms, 2020, 8: 354.
[25.]
Mirmajid SH, Irajie C, Savardashtaki A, Negahdaripour M, Nezafat N, Ghasemi Y. Identification of potential RapJ hits as sporulation pathway inducer candidates in Bacillus coagulans via structure-based virtual screening and molecular dynamics simulation studies. J Mol Model, 2023, 29:256
[26.]
Elshaghabee FMF, Rokana N, Gulhane RD, Sharma C, Panwar H. Bacillus as potential probiotics: status, concerns, and future perspectives. Front Microbiol, 2017.
CrossRef Google scholar
[27.]
Fuller C. Probiotics in man and animals. J Appl Bacteriol, 1989, 66: 365-378.
[28.]
Cutting SM. Bacillus probiotics. Food Microbiol, 2011, 28: 214-220.
[29.]
Nithya V, Halami PM. Evaluation of the probiotic characteristics of Bacillus species isolated from different food sources. Ann Microbiol, 2013, 63:129-137.
[30.]
Ricca E, Henriques AO, Cutting SM. Bacterial spore formers : probiotics and emerging applications, 2004 Horizon Bioscience Norfolk
[31.]
Fijan S, Fijan T, Connil N. Overview of probiotic strains of Weizmannia coagulans, previously known as Bacillus coagulans, as food supplements and their use in human health. Appl Microbiol, 2023, 3:935-947.
[32.]
de Almada CN, de Almada CN, de Souza Sant’Ana A. Paraprobiotics as potential agents for improving animal health. Probiotics and prebiotics in animal health and food safety, 2018 Cham Springer International Publishing 247-268.
[33.]
Liao C, Cui J, Lei J, Guo Y, Zhang B. Effects of Bacillus subtilis Natto NB205 and its mutant NBMK308 on egg quality in aging laying hens. Life, 2023, 13: 1109.
[34.]
Skrypnik K, Suliburska J. Association between the gut microbiota and mineral metabolism. J Sci Food Agric, 2018, 98: 2449-2460.
CrossRef Google scholar
[35.]
Krishna KV, Koujalagi K, Surya RU, Namratha MP, Malaviya A. Enterococcus species and their probiotic potential: current status and future prospects. J Appl Biol Biotechnol., 2022.
CrossRef Google scholar
[36.]
Newberry SJ. Probiotics for the prevention and treatment of antibiotic-associated diarrhea. JAMA, 2012, 307: 1959.
[37.]
DiRienzo DB. Effect of probiotics on biomarkers of cardiovascular disease: implications for heart-healthy diets. Nutr Rev, 2014, 72: 18-29.
[38.]
Bednorz C, Guenther S, Oelgeschläger K, Kinnemann B, Pieper R, Hartmann S, et al. Feeding the probiotic Enterococcus faecium strain NCIMB 10415 to piglets specifically reduces the number of Escherichia coli pathotypes that adhere to the gut mucosa. Appl Environ Microbiol, 2013, 79: 7896-7904.
[39.]
Cao GT, Zeng XF, Chen AG, Zhou L, Zhang L, Xiao YP, et al. Effects of a probiotic, Enterococcus faecium, on growth performance, intestinal morphology, immune response, and cecal microflora in broiler chickens challenged with Escherichia coli K88. Poult Sci, 2013, 92: 2949-2955.
[40.]
Martinović A, Cocuzzi R, Arioli S, Mora D. Streptococcus thermophilus: to survive, or not to survive the gastrointestinal tract, that is the question!. Nutrients, 2020, 12: 2175.
[41.]
Ziaei R, Ghavami A, Khalesi S, Ghiasvand R, Mokari Yamchi A. The effect of probiotic fermented milk products on blood lipid concentrations: a systematic review and meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis, 2021, 31: 997-1015.
[42.]
Maia O. Evaluation of the components of a commercial probiotic in gnotobiotic mice experimentally challenged with Salmonella enterica subsp. enterica ser. typhimurium. Vet Microbiol, 2001, 79: 183-189.
[43.]
Gupta U, Dey P. Rise of the guardians: gut microbial maneuvers in bacterial infections. Life Sci, 2023, 330.
[44.]
Staniszewski A, Kordowska-Wiater M. Probiotic and potentially probiotic yeasts—characteristics and food application. Foods, 2021, 10: 1306.
[45.]
Abid R, Waseem H, Ali J, Ghazanfar S, Muhammad Ali G, Elasbali AM, et al. Probiotic yeast saccharomyces: back to nature to improve human health. J Fungi, 2022, 8:444
[46.]
Psani M, Kotzekidou P. Technological characteristics of yeast strains and their potential as starter adjuncts in Greek-style black olive fermentation. World J Microbiol Biotechnol, 2006, 22:1329-1336.
[47.]
Perpetuini G, Prete R, Garcia-Gonzalez N, Khairul Alam M, Corsetti A. Table olives more than a fermented food. Foods, 2020, 9: 178.
[48.]
Hossain MN, Afrin S, Humayun S, Ahmed MM, Saha BK. Identification and growth characterization of a novel strain of Saccharomyces boulardii isolated from soya paste. Front Nutr, 2020.
CrossRef Google scholar
[49.]
Ansari JM, Colasacco C, Emmanouil E, Kohlhepp S, Harriott O. Strain-level diversity of commercial probiotic isolates of Bacillus, Lactobacillus, and Saccharomyces species illustrated by molecular identification and phenotypic profiling. PLoS ONE, 2019, 14: e0213841. Calderaro A, editor
[50.]
Palma ML, Zamith-Miranda D, Martins FS, Bozza FA, Nimrichter L, Montero-Lomeli M, et al. Probiotic Saccharomyces cerevisiae strains as biotherapeutic tools: is there room for improvement?. Appl Microbiol Biotechnol, 2015, 99: 6563-6570.
[51.]
Zanello G, Meurens F, Berri M, Salmon H. Saccharomyces boulardii effects on gastrointestinal diseases. Curr Issues Mol Biol, 2009, 11: 47-58.
[52.]
Plaza-Diaz J, Ruiz-Ojeda FJ, Gil-Campos M, Gil A. Mechanisms of action of probiotics. Adv Nutr, 2019, 10: S49-66.
[53.]
Yan F, Polk DB. Probiotics and probiotic-derived functional factors—mechanistic insights into applications for intestinal homeostasis. Front Immunol, 2020.
CrossRef Google scholar
[54.]
Tegegne BA, Kebede B. Probiotics, their prophylactic and therapeutic applications in human health development: a review of the literature. Heliyon, 2022, 8.
[55.]
Teame T, Wang A, Xie M, Zhang Z, Yang Y, Ding Q, et al. Paraprobiotics and postbiotics of probiotic Lactobacilli, their positive effects on the host and action mechanisms: a review. Front Nutr, 2020, 7: 570344.
[56.]
Mokoena MP. Lactic acid bacteria and their bacteriocins: classification, biosynthesis and applications against uropathogens: a mini-review. Molecules, 2017, 22: 1255.
[57.]
Das TK, Pradhan S, Chakrabarti S, Mondal KC, Ghosh K. Current status of probiotic and related health benefits. Appl Food Res, 2022, 2
[58.]
Darbandi A, Asadi A, Mahdizade Ari M, Ohadi E, Talebi M, Halaj Zadeh M, et al. Bacteriocins: properties and potential use as antimicrobials. J Clin Lab Anal, 2022.
CrossRef Google scholar
[59.]
Aziz N, Bonavida B. Activation of natural killer cells by probiotics. For Immunopathol Dis Therap, 2016, 7: 41-55.
[60.]
Kumar Bajaj B, Claes IJJ, Lebeer S. Functional mechanisms of probiotics. J Microbiol Biotechnol food Sci, 2015, 4:321-327.
[61.]
Azad MAK, Sarker M, Wan D. Immunomodulatory effects of probiotics on cytokine profiles. Biomed Res Int, 2018, 2018:1-10.
[62.]
Plaza-Díaz J, Ruiz-Ojeda FJ, Vilchez-Padial LM, Gil A. Evidence of the anti-inflammatory effects of probiotics and synbiotics in intestinal chronic diseases. Nutrients, 2017, 9: 555.
[63.]
Wang J, Ji H, Wang S, Liu H, Zhang W, Zhang D, et al. Probiotic Lactobacillus plantarum promotes intestinal barrier function by strengthening the epithelium and modulating gut microbiota. Front Microbiol, 2018, 9:1-14.
[64.]
Ríos-Covián D, Ruas-Madiedo P, Margolles A, Gueimonde M, De los Reyes-Gavilán CG, Salazar N. Intestinal short chain fatty acids and their link with diet and human health. Front Microbiol, 2016, 7:1-9.
[65.]
Bron PA, Kleerebezem M, Brummer RJ, Cani PD, Mercenier A, MacDonald TT, et al. Can probiotics modulate human disease by impacting intestinal barrier function?. Br J Nutr, 2017, 117: 93-107.
[66.]
Flach J, van der Waal MB, Kardinaal AFM, Schloesser J, Ruijschop RMAJ, Claassen E. Probiotic research priorities for the healthy adult population: a review on the health benefits of Lactobacillus rhamnosus GG and Bifidobacterium animalis subspecies lactis BB-12. Cogent Food Agric., 2018, 4: 1452839.
CrossRef Google scholar
[67.]
Aguilar-Toalá JE, Garcia-Varela R, Garcia HS, Mata-Haro V, González-Córdova AF, Vallejo-Cordoba B, et al. Postbiotics: An evolving term within the functional foods field. Trends Food Sci Technol, 2018, 75: 105-114.
CrossRef Google scholar
[68.]
Güttsches A-K, Löseke S, Zähringer U, Sonnenborn U, Enders C, Gatermann S, et al. Anti-inflammatory modulation of immune response by probiotic Escherichia coli Nissle 1917 in human blood mononuclear cells. Innate Immun, 2012, 18: 204-216.
[69.]
Iqbal Z, Ahmed S, Tabassum N, Bhattacharya R, Bose D. Role of probiotics in prevention and treatment of enteric infections: a comprehensive review. 3 Biotech., 2021, 11: 242.
[70.]
Molska M, Reguła J. Potential mechanisms of probiotics action in the prevention and treatment of colorectal cancer. Nutrients, 2019, 11: 2453.
[71.]
Kim S, Covington A, Pamer EG. The intestinal microbiota: antibiotics, colonization resistance, and enteric pathogens. Immunol Rev, 2017, 279: 90-105.
[72.]
Markowiak P, Ślizewska K. Effects of probiotics, prebiotics, and synbiotics on human health. Nutrients, 2017, 9: 1021.
[73.]
Dahiya D, Nigam PS. Nutraceuticals prepared with specific strains of probiotics for supplementing gut microbiota in hosts allergic to certain foods or their additives. Nutrients, 2023, 15: 2979.
[74.]
Varankovich NV, Nickerson MT, Korber DR. Probiotic-based strategies for therapeutic and prophylactic use against multiple gastrointestinal diseases. Front Microbiol, 2015.
CrossRef Google scholar
[75.]
Stavropoulou E, Bezirtzoglou E. Probiotics in medicine: a long debate. Front Immunol, 2020.
CrossRef Google scholar
[76.]
van de Heijning B, Berton A, Bouritius H, Goulet O. GI Symptoms in infants are a potential target for fermented infant milk formulae: a review. Nutrients, 2014, 6: 3942-3967.
[77.]
Domínguez Rubio AP, D’Antoni CL, Piuri M, Pérez OE. Probiotics, their extracellular vesicles and infectious diseases. Front Microbiol, 2022.
CrossRef Google scholar
[78.]
Moura FA, Goulart MOF. Inflammatory bowel diseases. Gastrointest tissue, 2017 Amsterdam Elsevier 99-112.
[79.]
Cheng FS, Pan D, Chang B, Jiang M, Sang LX. Probiotic mixture VSL#3: an overview of basic and clinical studies in chronic diseases. World J Clin Cases, 2020, 8: 1361-1384.
[80.]
Lopez-Santamarina A, Gonzalez EG, Lamas A, Mondragon ADC, Regal P, Miranda JM. Probiotics as a possible strategy for the prevention and treatment of allergies. A narrative review. Foods, 2021, 10: 701.
[81.]
Mazziotta C, Tognon M, Martini F, Torreggiani E, Rotondo JC. Probiotics mechanism of action on immune cells and beneficial effects on human health. Cells, 2023, 12: 184.
[82.]
Lamichhane P, Maiolini M, Alnafoosi O, Hussein S, Alnafoosi H, Umbela S, et al. Colorectal cancer and probiotics: are bugs really drugs?. Cancers (Basel), 2020, 12: 1162.
[83.]
Shahbazi R, Yasavoli-Sharahi H, Alsadi N, Ismail N, Matar C. Probiotics in Treatment of Viral Respiratory Infections and Neuroinflammatory Disorders. Molecules, 2020, 25: 4891.
[84.]
Zhang X, Chen S, Zhang M, Ren F, Ren Y, Li Y, et al. Effects of fermented milk containing lacticaseibacillus paracasei strain shirota on constipation in patients with depression: a randomized, double-blind, placebo-controlled trial. Nutrients, 2021, 13: 2238.
[85.]
Mills S, Yang B, Smith GJ, Stanton C, Ross RP. Efficacy of Bifidobacterium longum alone or in multi-strain probiotic formulations during early life and beyond. Gut Microbes., 2023.
CrossRef Google scholar
[86.]
Hugenholtz F, van der Veer C, Terpstra ML, Borgdorff H, van Houdt R, Bruisten S, et al. Urine and vaginal microbiota compositions of postmenopausal and premenopausal women differ regardless of recurrent urinary tract infection and renal transplant status. Sci Rep, 2022, 12: 1-11.
CrossRef Google scholar
[87.]
Saghafi N, Karjalian M, Ghazanfarpour M, Khorsand I, Rakhshandeh H, Mirteimouri M, et al. The effect of a vaginal suppository formulation of dill (Anethum graveolens) in comparison to clotrimazole vaginal tablet on the treatment of vulvovaginal candidiasis. J Obstet Gynaecol, 2018, 38: 985-988.
CrossRef Google scholar
[88.]
Parolin C, Marangoni A, Laghi L, Foschi C, Palomino RAÑ, Calonghi N, et al. Isolation of vaginal lactobacilli and characterization of anti-candida activity. PLoS ONE, 2015, 10:1-17.
[89.]
Roszczenko-Jasińska P, Wojtyś MI, Jagusztyn-Krynicka EK. Helicobacter pylori treatment in the post-antibiotics era—searching for new drug targets. Appl Microbiol Biotechnol, 2020, 104: 9891-9905.
[90.]
Shimizu M, Hashiguchi M, Shiga T, Tamura H, Mochizuki M. Meta-analysis: effects of probiotic supplementation on lipid profiles in normal to mildly hypercholesterolemic individuals. PLoS ONE, 2015, 10: e0139795. Brennan L, editor
[91.]
Shaffi MS, Hameed MK. The role of probiotics in animal nutrition and health. World J Adv Res Rev., 2023, 17:276-280.
[92.]
Monteagudo-Mera A, Rastall RA, Gibson GR, Charalampopoulos D, Chatzifragkou A. Adhesion mechanisms mediated by probiotics and prebiotics and their potential impact on human health. Appl Microbiol Biotechnol, 2019, 103: 6463-6472.
[93.]
Wuertz S, Schroeder A, Wanka KM. Probiotics in fish nutrition—long-standing household remedy or native nutraceuticals?. Water, 2021, 13:1348
[94.]
You S, Ma Y, Yan B, Pei W, Wu Q, Ding C, et al. The promotion mechanism of prebiotics for probiotics: a review. Front Nutr, 2022.
CrossRef Google scholar
[95.]
Maldonado Galdeano C, Cazorla SI, Lemme Dumit JM, Vélez E, Perdigón G. Beneficial effects of probiotic consumption on the immune system. Ann Nutr Metab, 2019, 74: 115-124.
[96.]
Lahlali R, Ezrari S, Radouane N, Kenfaoui J, Esmaeel Q, El Hamss H, et al. Biological control of plant pathogens: a global perspective. Microorganisms, 2022, 10: 596.
[97.]
Grand View Research Probiotics market size, share & trends analysis report by product (probiotic food & beverages, probiotic dietary supplements), by ingredient (bacteria, yeast), by end use, by distribution channel, and segment forecasts, 2021–2030, 2021 San Francisco Grand View Research 135
[98.]
Jaya B, Roshan D. Probiotics market size, share & trends analysis report by product (probiotic food & beverages, probiotic dietary supplements), by ingredient (bacteria, yeast), by end use, by distribution channel, and segment forecasts, 2021–2030. Appl. Mark. Research. 2022. p. 135.
[99.]
Zhou C. House price prediction using polynomial regression with particle swarm optimization. IOP Conf Ser Earth Environ Sci., 2021, 1802:032034
[100.]
Grand View Research Asia Pacific prebiotics market size, share & trends analysis report by source (roots, fruits & vegetables, cereals & grains), by product, by form, by functionality, by application, by region, and segment forecasts, 2020–2028, 2020 San Francisco Grand View Research 95
[101.]
Sarkar P, Lohith Kumar DH, Dhumal C, Panigrahi SS, Choudhary R. Traditional and ayurvedic foods of Indian origin. J Ethn Foods, 2015, 2:97-109.
[102.]
Vairagar VG, Sankhala G, Kale RB, Kad SV. Preferences of stakeholders towards health foods. Int J Trop Agric, 2015, 33:1495-1499.
[103.]
Arora M, Baldi A. Regulatory categories of probiotics across the globe: a review representing existing and recommended categorization. Indian J Med Microbiol, 2015, 33:S2-10.
[104.]
Lakshmy G, Seetha Devi B, Ramesh B. The blooming prospects of probiotic products in India. Int J Recent Technol Eng, 2018, 7:253-258.
[105.]
Huang R, Wang K, Hu J. Effect of probiotics on depression: a systematic review and meta-analysis of randomized controlled trials. Nutrients, 2016, 8: 483.
[106.]
Goh KK, Liu YW, Kuo PH, Chung YCE, Lu ML, Chen CH. Effect of probiotics on depressive symptoms: a meta-analysis of human studies. Psychiatry Res, 2019, 282: 112568.
CrossRef Google scholar
[107.]
Lolou V, Panayiotidis MI. Functional role of probiotics and prebiotics on skin health and disease. Fermentation, 2019, 5:41
[108.]
Cuello-Garcia CA, Brozek JL, Fiocchi A, Pawankar R, Yepes-Nuñez JJ, Terracciano L, et al. Probiotics for the prevention of allergy: a systematic review and meta-analysis of randomized controlled trials. J Allergy Clin Immunol, 2015, 136: 952-961.
[109.]
Strauss M, Mičetić-Turk D, Pogačar , Fijan S. Probiotics for the prevention of acute respiratory-tract infections in older people: systematic review. Healthc, 2021, 9:1-20.
[110.]
Villena J, Kitazawa H. Modulation of intestinal TLR4-inflammatory signaling pathways by probiotic microorganisms: lessons learned from Lactobacillus jensenii TL2937. Front Immunol, 2013, 4:1-12.
[111.]
Kothari D, Patel S, Kim S-K. Probiotic supplements might not be universally-effective and safe: a review. Biomed Pharmacother, 2019, 111: 537-547.
[112.]
Cunningham M, Azcarate-Peril MA, Barnard A, Benoit V, Grimaldi R, Guyonnet D, et al. Shaping the future of probiotics and prebiotics. Trends Microbiol, 2021, 29: 667-685.
[113.]
Ailioaie L, Litscher G. Probiotics, photobiomodulation, and disease management: controversies and challenges. Int J Mol Sci, 2021, 22: 4942.
[114.]
Wendel U. Assessing viability and stress tolerance of probiotics—a review. Front Microbiol, 2022.
CrossRef Google scholar
[115.]
Palanivelu J, Thanigaivel S, Vickram S, Dey N, Mihaylova D, Desseva I. Probiotics in functional foods: survival assessment and approaches for improved viability. Appl Sci, 2022, 12:455
[116.]
Lee BJ, Bak Y-T. Irritable bowel syndrome, gut microbiota and probiotics. J Neurogastroenterol Motil, 2011, 17: 252-266.
[117.]
Zhao Z, Xu S, Zhang W, Wu D, Yang G. Probiotic Escherichia coli NISSLE 1917 for inflammatory bowel disease applications. Food Funct, 2022, 13: 5914-5924.
[118.]
Mandel DR, Eichas K, Holmes J. Bacillus coagulans: a viable adjunct therapy for relieving symptoms of rheumatoid arthritis according to a randomized, controlled trial. BMC Complement Altern Med, 2010, 10: 1.
[119.]
Gao J, Li X, Zhang G, Sadiq FA, Simal-Gandara J, Xiao J, et al. Probiotics in the dairy industry—advances and opportunities. Compr Rev Food Sci Food Saf, 2021, 20: 3937-3982.
[120.]
Haddad MA. Viability of probiotic bacteria during refrigerated storage of commercial probiotic fermented dairy products marketed in Jordan. J Food Res, 2017, 6:75
[121.]
Mishra SS, Behera PK, Kar B, Ray RC. Advances in probiotics, prebiotics and nutraceuticals. Innovations in technologies for fermented food and beverage industries, 2018 Cham Springer 121-141.
[122.]
Dey G. Non-dairy probiotic foods: innovations and market trends. Innovations in technologies for fermented food and beverage industries, 2018 Cham Springer 159-173.
[123.]
Auclair J, Frappier M, Millette M. Lactobacillus acidophilus CL1285, Lactobacillus casei LBC80R, and Lactobacillus rhamnosus CLR2 (Bio-K+): characterization, manufacture, mechanisms of action, and quality control of a specific probiotic combination for primary prevention of clostridium dif. Clin Infect Dis, 2015, 60: S135-S143.
[124.]
Fusieger A, Martins MCF, de Freitas R, Nero LA, de Carvalho AF. Technological properties of Lactococcus lactis subsp. lactis bv. diacetylactis obtained from dairy and non-dairy niches. Braz J Microbiol, 2020, 51: 313-321.
[125.]
Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, et al. Expert consensus document: the international scientific association for probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol, 2014, 11: 506-514.
CrossRef Google scholar
[126.]
Kristensen NB, Bryrup T, Allin KH, Nielsen T, Hansen TH, Pedersen O. Alterations in fecal microbiota composition by probiotic supplementation in healthy adults: a systematic review of randomized controlled trials. Genome Med., 2016.
CrossRef Google scholar
[127.]
Ford AC, Quigley EMM, Lacy BE, Lembo AJ, Saito YA, Schiller LR, et al. Efficacy of prebiotics, probiotics, and synbiotics in irritable bowel syndrome and chronic idiopathic constipation: systematic review and meta-analysis. Am J Gastroenterol, 2014, 109: 1547-1562.
[128.]
McFarland LV. Use of probiotics to correct dysbiosis of normal microbiota following disease or disruptive events: a systematic review. BMJ Open, 2014, 4:e005049
[129.]
Doron S, Snydman DR. Risk and safety of probiotics. Clin Infect Dis, 2015, 60: S129-S134.
[130.]
Lerner A, Shoenfeld Y, Matthias T. Probiotics: if it does not help it does not do any harm. Really?. Microorganisms., 2019, 7:1-20.
[131.]
Zolnikova O, Komkova I, Potskherashvili N, Trukhmanov A, Ivashkin V. Application of probiotics for acute respiratory tract infections. Ital J Med, 2018, 12:32-38.
[132.]
Suez J, Zmora N, Zilberman-Schapira G, Mor U, Dori-Bachash M, Bashiardes S, et al. Post-antibiotic gut mucosal microbiome reconstitution is impaired by probiotics and improved by autologous FMT. Cell, 2018, 174: 1406-1423.e16.
CrossRef Google scholar
[133.]
Wallace CJK, Milev R. The effects of probiotics on depressive symptoms in humans: a systematic review. Ann Gen Psychiatry, 2017, 16:1-10.
[134.]
Freijy TM, Cribb L, Oliver G, Metri NJ, Opie RS, Jacka FN, et al. Effects of a high-prebiotic diet versus probiotic supplements versus synbiotics on adult mental health: the “Gut Feelings” randomised controlled trial. Front Neurosci, 2023, 16:1-18.
[135.]
Kobyliak N, Conte C, Cammarota G, Haley AP, Styriak I, Gaspar L, et al. Probiotics in prevention and treatment of obesity: a critical view. Nutr Metab, 2016.
CrossRef Google scholar
[136.]
Suez J, Zmora N, Segal E, Elinav E. The pros, cons, and many unknowns of probiotics. Nat Med, 2019, 25: 716-729.
CrossRef Google scholar
[137.]
Daliri EBM, Lee BH, Oh DH. Current perspectives on antihypertensive probiotics. Probiot Antimicrob Proteins, 2017, 9:91-101.
[138.]
Khalesi S, Sun J, Buys N, Jayasinghe R. Effect of probiotics on blood pressure: a systematic review and meta-analysis of randomized, controlled trials. Hypertension, 2014, 64: 897-903.
[139.]
Catanzaro R, Sciuto M, Marotta F. Lactose intolerance: an update on its pathogenesis, diagnosis, and treatment. Nutr Res, 2021, 89: 23-34.
CrossRef Google scholar
[140.]
Davis C. Enumeration of probiotic strains: review of culture-dependent and alternative techniques to quantify viable bacteria. J Microbiol Methods, 2014, 103: 9-17.
CrossRef Google scholar
[141.]
Habeebuddin M, Karnati RK, Shiroorkar PN, Nagaraja S, Asdaq SMB, Anwer MK, et al. Topical probiotics: more than a skin deep. Pharmaceutics, 2022, 14:1-22.
[142.]
Bowe WP, Logan AC. Acne vulgaris, probiotics and the gut-brain-skin axis—back to the future?. Gut Pathog, 2011, 3: 1-11.

Accesses

Citations

Detail

Sections
Recommended

/