Probiotic Bacteria Influence the Composition and Function of the Intestinal Microbiota

Paul W. O’Toole, Jakki C. Cooney

Interdisciplinary Perspectives on Infectious Diseases · 2008 · 199 citations · 75 references

DOIFull text

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Concepts

TL;DR

Probiotics are proposed to benefit health by modulating the gut microbiota through substrate competition, inhibitory substances, competitive exclusion, and host‑mediated effects such as barrier function and immune response. The study aims to perform controlled human intervention trials with advanced molecular methods to identify bacterial species that influence the microbiota and to rigorously characterize diet–microbiota–probiotic interactions for health modulation. Mechanistic insights will be obtained using metabolomics and other small‑molecule analytical techniques. Recent molecular studies have identified over 1,000 phylotypes in the human gut, and detailed microbial inventories and genetic blueprints now enable unprecedented ecological analysis, showing that dietary components are differentially utilized by individual phylotypes.

Abstract

Probiotics have a range of proposed health benefits for the consumer, which may include modulating the levels of beneficial elements in the microbiota. Recent investigations using molecular approaches have revealed a human intestinal microbiota comprising over 1000 phylotypes. Mechanisms whereby probiotics impact on the intestinal microbiota include competition for substrates, direct antagonism by inhibitory substances, competitive exclusion, and potentially host-mediated effects such as improved barrier function and altered immune response. We now have the microbial inventories and genetic blueprints to begin tackling intestinal microbial ecology at an unprecedented level of detail, aided by the understanding that dietary components may be utilized differentially by individual phylotypes. Controlled intervention studies in humans, utilizing latest molecular technologies, are required to consolidate evidence for bacterial species that impact on the microbiota. Mechanistic insights should be provided by metabolomics and other analytical techniques for small molecules. Rigorous characterization of interactions between the diet, microbiota, and probiotic bacteria will provide new opportunities for modulating the microbiota towards improving human health.

References

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