Inflammatory Bowel Diseases and the Efficacy of Probiotics as Functional Foods

L. Vitetta, D. Oldfield, A. Sali
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Abstract

Adverse intestinal microbiome profiles described as a dysbiotic gut are a complicit etiological operative factor that can progress and maintain inflammatory sequelae in the intestines. The disruption of the gut microbiome that ensues with intestinal dysbiosis is, for example, posited by decreases in the alpha-diversity of the gut microbiome, which is characterized by significant reductions in the abundance of bacterial members from the Bacteroidetes and Firmicutes phyla. Proteobacteria have often been recognized as gut microbial signatures of disease. For example, this happens with observed increases in abundance of the phyla Proteobacteria and Gammaproteobacteria , such as the adherent-invasive Escherichia coli strain, which has been significantly linked with maintaining inflammatory bowel diseases. Research on the administration of probiotics, often identified as gut-functional foods, has demonstrated safety, tolerability, and efficacy issues in treating inflammatory bowel diseases (IBDs). In this narrative review, we explore the efficacy of probiotics in treating IBDs with bacterial strain-and dose-specific characteristics and the association with multi-strain
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炎症性肠病和作为功能性食品的益生菌的功效
被称为肠道菌群失调的不良肠道微生物群谱是一个共谋的病因操作因素,可导致并维持肠道炎症后遗症。肠道菌群失调会导致肠道微生物群紊乱,例如,肠道微生物群的α-多样性减少,其特征是类杆菌科和固粒菌科细菌成员的丰度显著降低。蛋白质细菌常常被认为是疾病的肠道微生物特征。例如,在肠道中观察到的变形杆菌和伽马变形杆菌(Gammaproteobacteria)的丰度增加,如大肠埃希氏菌(Escherichia coli)菌株的粘附侵入,这与炎症性肠病的维持有很大关系。益生菌通常被认为是肠道功能食品,对益生菌的研究表明,益生菌在治疗炎症性肠病(IBD)方面存在安全性、耐受性和有效性问题。在这篇叙述性综述中,我们探讨了益生菌治疗 IBD 的疗效与细菌菌株和剂量的特异性,以及与多菌株的关系。
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