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Dietary fibre responses in microbiota reveal opportunity for disease-specific prebiotic approaches. 膳食纤维在微生物群中的反应揭示了针对特定疾病的益生元方法的机会。
IF 3.1 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-03-28 DOI: 10.1163/18762891-bja00067
T Chen, T M Cantu-Jungles, B Zhang, T Yao, L Lamothe, M Shaikh, P A Engen, S J Green, A Keshavarzian, B R Hamaker

Prebiotics or fermentable dietary fibres are known for their potential to shape the gut microbial community and could be used as a tool in treating gut dysbiotic states found in a wide range of diseases. However, it remains unclear whether the microbiota of individuals with distinct diseases respond to fibre treatments in the same way as healthy individuals do. In this study, a mechanistic understanding of fibre responses across health conditions was performed through in vitro faecal fermentations with various dietary fibres and faecal microbial communities from healthy individuals (HC) as well as Crohn's disease (CD), ulcerative colitis (UC), and Parkinson's disease (PD). Production of short chain fatty acids (SCFAs) was measured, and microbial community structure shifts were assessed using 16S rRNA gene amplicon sequencing. All tested dietary fibres increased short chain fatty acid production upon fermentation, with variations based on both, disease state and fibre type. The magnitude of shifts in microbial community structure resulting from in vitro fermentation varied by condition; for example, samples from individuals with UC responded weakly to fibre fermentation, while those from individuals with PD underwent dramatic changes. Still, each health condition had distinct fibre types that were more effective in shifting the community structure and increasing SCFAs. Overall, these results suggest that the response to fibres on gut microbiota varies by disease. The selection of disease-specific prebiotics could be tailored according to health conditions for optimal desired gut microbiota responses.

益生元或可发酵膳食纤维因其塑造肠道微生物群落的潜力而闻名,可作为治疗多种疾病中发现的肠道益生菌失调状态的工具。然而,目前尚不清楚患有不同疾病的个体的微生物群对纤维治疗的反应是否与健康个体相同。在这项研究中,通过对健康个体(HC)以及克罗恩病(CD)、溃疡性结肠炎(UC)和帕金森病(PD)的各种膳食纤维和粪便微生物群落进行体外粪便发酵,对纤维在健康状况下的反应机制进行了了解。测量短链脂肪酸(SCFAs)的产量,并使用16S rRNA基因扩增子测序评估微生物群落结构的变化。所有被测试的膳食纤维在发酵时都增加了短链脂肪酸的产量,根据疾病状态和纤维类型而有所不同。体外发酵引起的微生物群落结构变化幅度因条件而异;例如,UC患者的样品对纤维发酵的反应较弱,而PD患者的样品则发生了巨大的变化。尽管如此,每种健康状况都有不同的纤维类型,这些纤维类型在改变群落结构和增加scfa方面更有效。总的来说,这些结果表明,肠道菌群对纤维的反应因疾病而异。疾病特异性益生元的选择可以根据健康状况量身定制,以获得最佳所需的肠道微生物群反应。
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引用次数: 0
Antivirulence effects of lactic acid bacteria: pioneering new probiotic applications. 乳酸菌的抗毒作用:开拓新的益生菌应用。
IF 3.1 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-03-26 DOI: 10.1163/18762891-bja00063
Yasmin Neves Vieira Sabino, Thaı́s Costa de Almeida, Cinthia Alvim Faria, Sthefania Dalva da Cunha Rezende, Juliana Pereira Costa Miranda, Aline Dias Paiva, Alessandra Barbosa Ferreira Machado

Lactic acid bacteria are a group of microorganisms recognised for their health-promoting properties, with several strains being commercially utilised as probiotics. Probiotics offer numerous benefits, including modulation of the immune system, enhancement of nutrient absorption, regulation of intestinal microbiota, protection against intestinal pathogens, and strengthening of the intestinal barrier. However, the precise mechanisms by which probiotics exert their effects remain incompletely understood. In recent years, research into new therapeutic applications for probiotics has intensified, driven by the urgent need for strategies to combat antibiotic-resistant bacteria. Among the newly discovered properties of probiotics is their ability to produce antivirulence compounds. These compounds reduce the virulence of pathogens without inhibiting microbial growth, thereby imposing less selective pressure for the development of resistance compared to traditional antibiotics. Given the potential for these compounds in clinical settings, this study aims to provide a comprehensive review of the antivirulence activities of probiotics, with particular focus on lactic acid bacteria. It discusses their effects on two-component and quorum sensing systems, which regulate the simultaneous expression of various virulence genes, as well as their anti-adhesion, anti-biofilm, anti-toxin, and anti-enzymatic activities against a range of pathogens. Thus, this review offers insight into the novel mechanisms by which lactic acid bacteria contribute to health, potentially broadening their applications.

乳酸菌是一组被认为具有促进健康特性的微生物,有几种菌株被商业上用作益生菌。益生菌具有许多益处,包括调节免疫系统,增强营养吸收,调节肠道微生物群,保护肠道病原体,加强肠道屏障。然而,益生菌发挥其作用的确切机制仍不完全清楚。近年来,由于迫切需要对抗抗生素耐药细菌的策略,益生菌的新治疗应用研究已经加强。新发现的益生菌的特性之一是它们能够产生抗毒化合物。这些化合物在不抑制微生物生长的情况下降低病原体的毒力,因此与传统抗生素相比,产生耐药性的选择性压力较小。鉴于这些化合物在临床环境中的潜力,本研究旨在对益生菌的抗毒活性进行全面回顾,特别关注乳酸菌。它讨论了它们对双组分和群体感应系统的影响,这些系统调节各种毒力基因的同时表达,以及它们对一系列病原体的抗粘附、抗生物膜、抗毒素和抗酶活性。因此,这篇综述提供了对乳酸菌促进健康的新机制的见解,潜在地扩大了它们的应用。
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引用次数: 0
In vitro incubation reveals the human overall gut microbiota composition is resilient to changes in methanogenesis. 体外培养表明,人类整体肠道微生物群组成对甲烷生成的变化具有弹性。
IF 3.1 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-03-25 DOI: 10.1163/18762891-bja00059
Taojun Wang, Hauke Smidt, Erwin G Zoetendal

Hydrogen metabolism plays a central role in microbial fermentation. However, how hydrogenotrophic microbes impact microbiota composition and metabolite production in gut ecosystems remains largely unknown. Hence this study aims to investigate the impact of altering hydrogenotrophic activities, namely methanogenesis and sulphate reduction, on human gut microbiota composition and metabolite production. Faecal slurries from three methane excretors (MEs) and three non-methane excretors (NMEs) were inoculated into a basal medium with pectin or a carbohydrate mixture as substrates. Methanogenesis was inhibited by adding 2-bromoethanesulfonate to ME incubations or stimulated by adding Methanobrevibacter smithii to NME incubations. Sulphate reduction was stimulated by adding sodium sulphate to both incubations. Our observations revealed that microbial richness and composition, and propionate and methane production differed significantly between MEs and NMEs. Lower hydrogen concentrations were observed in MEs compared to NMEs in the incubations with pectin, but not with the carbohydrate mixture. Remarkably, sulphate was not consumed in either ME or NME incubations. Adding M. smithii to the NME inocula resulted in its persistence in the community and methane production during incubations. The addition of 2-bromoethanesulfonate inhibited methane production in the ME incubations, accompanied with a lower relative abundance of methanogens when pectin was used as substrate. However, altering methanogenesis did not significantly change overall microbiota composition and short-chain fat acid production in MEs and NMEs. These findings suggest that methanogens can occupy a niche in a microbiota that originally lacks methanogens, but that modulating methanogenesis has a minor effect on overall microbiota composition and activity.

氢代谢在微生物发酵过程中起着核心作用。然而,氢营养微生物如何影响肠道生态系统中微生物群的组成和代谢物的产生在很大程度上仍然未知。因此,本研究旨在研究改变氢营养活动,即甲烷生成和硫酸盐还原,对人类肠道微生物群组成和代谢物产生的影响。将三种甲烷排泄物(MEs)和三种非甲烷排泄物(NMEs)的粪便浆液接种到以果胶或碳水化合物混合物为底物的基础培养基中。在ME培养皿中添加2-溴乙磺酸盐可以抑制甲烷的生成,在NME培养皿中添加史密斯甲烷预防菌可以促进甲烷的生成。在两个培养皿中加入硫酸钠可以促进硫酸盐还原。结果表明,微生物丰富度和组成、丙酸盐和甲烷产量在MEs和NMEs之间存在显著差异。与果胶孵育的NMEs相比,在MEs中观察到较低的氢浓度,但与碳水化合物混合物相比则没有。值得注意的是,在ME和NME孵育中都没有消耗硫酸盐。在NME接种剂中添加M. smithii导致其在孵育期间在群落中持续存在并产生甲烷。在发酵过程中,添加2-溴乙烷磺酸抑制了甲烷的产生,同时以果胶为底物时产甲烷菌的相对丰度较低。然而,改变甲烷生成并没有显著改变MEs和NMEs的总体微生物群组成和短链脂肪酸产量。这些发现表明,产甲烷菌可以在原本缺乏产甲烷菌的微生物群中占据一个生态位,但调节产甲烷对整体微生物群组成和活性的影响很小。
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引用次数: 0
Probiotic enhanced immunity and mental wellbeing of generally healthy women: a randomised, placebo-controlled and double-blind study. 益生菌增强了一般健康女性的免疫力和心理健康:一项随机、安慰剂对照和双盲研究。
IF 3.1 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-02-24 DOI: 10.1163/18762891-bja00061
A A Nisaa, U Mageswary, X Pei, M N Kadir, C-E Oon, D Rajendran, J-J Tan, F F Roslan, S D Balasubramaniam, S Sany, E H E Ismail, A S Azizan, M-T Liong

The elucidation of the gut-brain axis underscores the critical role of probiotics in enhancing mental wellbeing through immunomodulatory mechanisms. We thus aimed to investigate the effects of a probiotic Lactiplantibacillus plantarum Probio87 (orally administered one sachet/day; 9 log cfu/sachet) or placebo for 12-weeks, on immunity and brain health, via possible mechanisms of inflammation and neurotransmitter functions in a generally healthy women population. A parallel, randomised, double-blind and placebo-controlled study was performed in generally healthy women (n = 112). Women were randomised to either the probiotic (n = 58, mean age 38.38 ± 0.85 years) or placebo (n = 54, mean age 38.91 ± 0.98 years) for 12-weeks. Immunity and mental wellbeing profiles were evaluated via questionnaires and blood gene expression profiles. Over the study period, the Probio87 group demonstrated a better impact on general women's health as compared to the control group, as measured by the Women's Health Questionnaire (WHQ), particularly in domains related to depressed mood, somatic symptoms, anxiety, sexual health, sleep, and menstrual health. The probiotic effects were exhibited later, typically after 6-weeks of intervention, taking over placebo effects that primarily faded off during early stages of the intervention. Regarding immunity, women in the Probio87 group exhibited upregulation of more immunity-related genes than those in the placebo group, primarily associated with NK cells and anti-inflammatory effects via IL-10. Additionally, Probio87 provided gut-brain axis benefits by enhancing the actions of neurotransmitters serotonin and GABA, while also balancing hunger and satiety. The probiotic Lactiplantibacillus plantarum Probio87 significantly improved general health, mood, anxiety, and sleep in a generally healthy women population over 12 weeks. It enhanced immune function through increased expression of immunity-related genes and positively modulated neurotransmitters involved in brain health. All these findings supported from our WHQ data, where the administration of probiotic improved domains related to depressed mood, anxiety, sexual behaviour and sleep problems. The study is registered at ClinicalTrials.gov under identifier number: NCT05302687.

肠脑轴的阐明强调了益生菌在通过免疫调节机制增强心理健康方面的关键作用。因此,我们的目的是研究一种益生菌植物乳杆菌Probio87(口服一袋/天;9 log cfu/小袋)或安慰剂12周,通过炎症和神经递质功能的可能机制,对一般健康女性人群的免疫和脑健康进行影响。一项平行、随机、双盲和安慰剂对照研究在一般健康的女性中进行(n = 112)。妇女被随机分为益生菌组(n = 58,平均年龄38.38±0.85岁)和安慰剂组(n = 54,平均年龄38.91±0.98岁),持续12周。通过问卷调查和血液基因表达谱评估免疫和心理健康状况。在研究期间,根据妇女健康问卷(WHQ)的测量,与对照组相比,Probio87组对一般女性健康的影响更好,特别是在与抑郁情绪、躯体症状、焦虑、性健康、睡眠和月经健康相关的领域。益生菌的效果在随后显现,通常在干预6周后,取代了在干预早期阶段逐渐消失的安慰剂效应。在免疫方面,Probio87组的女性比安慰剂组的女性表现出更多免疫相关基因的上调,主要与NK细胞和通过IL-10的抗炎作用有关。此外,Probio87通过增强神经递质5 -羟色胺和GABA的作用,同时也平衡饥饿和饱腹感,提供肠-脑轴益处。在12周的时间里,益生菌植物乳杆菌Probio87显著改善了一般健康女性的总体健康状况、情绪、焦虑和睡眠。它通过增加免疫相关基因的表达和积极调节与大脑健康有关的神经递质来增强免疫功能。所有这些发现都得到了WHQ数据的支持,其中益生菌的管理改善了与抑郁情绪、焦虑、性行为和睡眠问题相关的领域。该研究已在ClinicalTrials.gov注册,识别码为:NCT05302687。
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引用次数: 0
Gut microbiota composition of lean and obese Lebanese individuals. 瘦肉和肥胖黎巴嫩人的肠道菌群组成。
IF 3.1 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-02-17 DOI: 10.1163/18762891-bja00062
M Abou-Samra, K Venema, C Ayoub Moubareck, M Karavetian

An altered gut microbiota has been shown to contribute to the development of metabolic diseases such as obesity. In this study gut microbiota profile of 30 obese and 23 lean Lebanese individuals was performed via DNA isolation and sequencing of the V3-V4 region of the 16S rRNA of faecal samples. The abundance of the phylum Verrucomicrobiota was higher in lean subjects and there was no significant difference in the Bacillota/ Bacteroidota ratio between the obese and lean groups. The evenness and Shannon alpha diversity indices were significantly higher in the lean group than in the obese group ( q = 0.012 and q = 0.030, respectively). Beta diversity was higher in the obese group based for unweighted uniFrac distance variability ( q = 0.047). Lachnoclostridium was the only genus that was higher in obese ( q = 0.013) and it is linked to diet induced obesity, while the abundance of the genera Peptococcus, Ruminococcus_2, Lachnospiraceae UCG-001, Ruminiclostridium 6, the uncharacterised taxon within Coriobacteriaceae, Ruminococcaceae UCG-005, Ruminococcaceae UCG-010 and Oxalobacter, were significantly higher in lean subjects. These bacterial species that were higher in lean people, possess anti-inflammatory properties through the production of short chain fatty acids and are linked with lower body mass index, promote satiety and weight loss and may play a role in the protection against obesity and type 2 diabetes. Further research to generate a clear understanding of the interaction of the gut microbiota and health is needed.

改变的肠道微生物群已被证明有助于代谢疾病的发展,如肥胖。在本研究中,通过分离粪便样本16S rRNA V3-V4区域的DNA和测序,对30名肥胖和23名瘦弱黎巴嫩人的肠道微生物群进行了分析。瘦子组verrucomum microbiota丰度较高,肥胖组和瘦子组Bacillota/ Bacteroidota比值无显著差异。瘦肉组的均匀度和Shannon α多样性指数显著高于肥胖组(q = 0.012和q = 0.030)。基于未加权uniFrac距离变异性,肥胖组的β多样性更高(q = 0.047)。肥胖人群中只有毛杆菌属(Lachnoclostridium)的丰度较高(q = 0.013),且与饮食引起的肥胖有关,而胃球菌属(Peptococcus)、瘤胃球菌属(Ruminococcus_2)、毛杆菌科(Lachnospiraceae) UCG-001、瘤胃球菌科(Ruminococcaceae) UCG-005、瘤胃球菌科(Ruminococcaceae) UCG-010和草酸杆菌属(Oxalobacter)的丰度显著高于瘦人群。这些细菌在瘦人体内含量较高,通过产生短链脂肪酸具有抗炎特性,与较低的体重指数有关,促进饱腹感和体重减轻,可能在预防肥胖和2型糖尿病方面发挥作用。需要进一步的研究来清楚地了解肠道微生物群与健康之间的相互作用。
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引用次数: 0
Beneficial effects of Lactiplantibacillus plantarum BGPKM22 manifest only in interaction with healthy, but not with diseased human bronchial epithelial cells. 植物乳杆菌BGPKM22的有益作用仅在与健康人支气管上皮细胞相互作用中表现出来,而不与患病人支气管上皮细胞相互作用。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-02-13 DOI: 10.1163/18762891-bja00060
H Mitrovic, S Sokovic Bajic, K Veljovic, N Golic, M Stankovic

It has already been recognised that lung microbiota differs in healthy and diseased lungs. In chronic obstructive pulmonary disease (COPD), a change in the structure, abundance and diversity of lung microbiota correlates with the severity of disease. But how the members of lung microbiota influence healthy and diseased lungs, as well as how they are affected by the lung health status is still largely unknown. In this study, we applied a dual RNA sequencing in order to scrutinise an early interspecies interaction between healthy and diseased human primary bronchial epithelial cells exposed to the beneficial bacteria Lactiplantibacillus plantarum BGPKM22. In healthy and diseased cells interaction with BGPKM22 led to a change in expression of 52 and 45 genes, respectively. The genes IQCN, LINC01554, KCNB1, and CDK7 indicated a specific response of human bronchial epithelial cells exposed to the BGPKM22 strain, regardless of the health status. Markedly more genes showed a change in expression in the BGPKM22 strain in interaction with healthy than with diseased cells, 486 and 101, respectively. Interaction with human bronchial epithelial cells caused a stress to bacteria, but the response of bacteria depended on the health status of the cells. The adhesion of the BGPKM22 strain was better to healthy, than to diseased cells. The fitness of the BGPKM22 strain increased only in interaction with healthy, but not with diseased cells. Remarkably, interaction with healthy, but not with diseased cells, stimulated the synthesis of exopolysaccharide layer of the strain BGPKM22. So, beneficial effects of bacteria can be diminished in interaction with diseased cells. Also, a lowered affinity of bacteria towards diseased environment can explain microbiota dysbiosis in the diseased lungs, such as lungs in patients with COPD.

人们已经认识到,健康和患病肺部的微生物群是不同的。在慢性阻塞性肺疾病(COPD)中,肺微生物群的结构、丰度和多样性的变化与疾病的严重程度相关。但是,肺微生物群的成员如何影响健康和患病的肺,以及它们如何受到肺健康状况的影响,在很大程度上仍然未知。在这项研究中,我们应用了双RNA测序,以仔细检查暴露于有益细菌植物乳杆菌BGPKM22的健康和患病人原代支气管上皮细胞之间的早期种间相互作用。在健康细胞和病变细胞中,与BGPKM22的相互作用分别导致52个和45个基因的表达变化。基因IQCN、LINC01554、KCNB1和CDK7表明,无论健康状况如何,暴露于BGPKM22菌株的人支气管上皮细胞都有特异性反应。BGPKM22菌株在与健康细胞相互作用时表达变化的基因明显多于与患病细胞相互作用时表达变化的基因,分别为486个和101个。与人支气管上皮细胞的相互作用对细菌产生应激,但细菌的反应取决于细胞的健康状况。BGPKM22菌株对健康细胞的粘附效果优于对病变细胞的粘附效果。BGPKM22菌株的适应度仅在与健康细胞相互作用时增加,而与患病细胞相互作用时没有增加。值得注意的是,与健康细胞的相互作用,而不是与患病细胞的相互作用,刺激了菌株BGPKM22胞外多糖层的合成。因此,细菌的有益作用在与患病细胞的相互作用中会减弱。此外,细菌对患病环境的亲和力降低可以解释患病肺部(如COPD患者的肺部)微生物群失调的原因。
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引用次数: 0
Causal relationship between Faecalibacterium abundance and risk of Faecalibacterium-related diseases: a two-sample bi-directional Mendelian randomisation study. 粪杆菌丰度与粪杆菌相关疾病风险之间的因果关系:一项双样本双向孟德尔随机研究
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-02-12 DOI: 10.1163/18762891-bja00058
S Zhao, Y Qu, H Huang, P Xie, X Cai, Q Peng, J Peng, W Zhang, H Zhou, H Yan, X Li

Faecalibacterium is an essential probiotic in the human gut; changes in its abundance are associated with various disease states in many studies. However, the causal nature of such associations remains obscure. Therefore, we aimed to thoroughly investigate the causal relationships between Faecalibacterium and its related diseases. A two-sample bi-directional Mendelian randomisation analysis was conducted using publicly available genome-wide association studies summary statistics for Faecalibacterium and its related diseases. We found that Faecalibacterium was negatively correlated with the risk of ankylosing spondylitis (odds ratio [OR] = 0.526, 95% confidence interval [CI]:0.304-0.908, P = 0.021), atopic dermatitis (OR = 0.484, 95%CI: 0.261-0.898, P = 0.021) and heart failure (OR = 0.657, 95%CI: 0.467-0.924, P = 0.016), while Faecalibacterium was positively associated with autism spectrum disorder risk (OR = 2.529, 95%CI: 1.012-6.319, P = 0.047). The results of reverse Mendelian randomisation analysis showed that acute sinusitis (OR = 0.902, 95%CI: 0.839-0.970, P = 0.005) and Alzheimer's disease (OR = 0.976, 95%CI: 0.958-0.993, P = 0.008) was causally associated with lower Faecalibacterium abundance, respectively, while cirrhosis (OR = 1.154, 95%CI: 1.028-1.295, P = 0.015) and multiple myeloma (OR = 2.619 × 1012, 95%CI: 2.492-2.754 × 1024, P = 0.043) was causally associated with higher Faecalibacterium abundance. Our findings firstly showed that changes in Faecalibacterium abundance may contribute to the risk of ankylosing spondylitis, atopic dermatitis, heart failure and autism spectrum disorders, and potentially as a result of acute sinusitis, Alzheimer's disease, cirrhosis and multiple myeloma.

粪杆菌是人体肠道中必需的益生菌;在许多研究中,其丰度的变化与各种疾病状态有关。然而,这种关联的因果性质仍然不清楚。因此,我们旨在深入探讨粪杆菌与其相关疾病之间的因果关系。利用公开可得的Faecalibacterium及其相关疾病的全基因组关联研究汇总统计数据,进行了双样本双向孟德尔随机化分析。我们发现Faecalibacterium与强直性脊柱炎(优势比[OR] = 0.526, 95%可信区间[CI]:0.304 ~ 0.908, P = 0.021)、特应性皮炎(OR = 0.484, 95%CI: 0.261 ~ 0.898, P = 0.021)、心力衰竭(OR = 0.657, 95%CI: 0.467 ~ 0.924, P = 0.016)的风险呈负相关,而Faecalibacterium与自闭症谱系障碍(OR = 2.529, 95%CI: 1.012 ~ 6.319, P = 0.047)的风险呈正相关。反向孟德尔随机化分析结果显示,急性鼻窦炎(OR = 0.902, 95%CI: 0.839-0.970, P = 0.005)和阿尔茨海默病(OR = 0.976, 95%CI: 0.958-0.993, P = 0.008)分别与Faecalibacterium丰度较低相关,而肝硬化(OR = 1.154, 95%CI: 1.028-1.295, P = 0.015)和多发性骨髓瘤(OR = 2.619 × 1012, 95%CI: 2.492-2.754 × 1024, P = 0.043)与Faecalibacterium丰度较高相关。我们的研究结果首先表明,Faecalibacterium丰度的变化可能会增加强直性脊柱炎、特应性皮炎、心力衰竭和自闭症谱系障碍的风险,并可能导致急性鼻窦炎、阿尔茨海默病、肝硬化和多发性骨髓瘤。
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引用次数: 0
Effect of Bacillus subtilis ATCC 122264 on intestinal gas symptoms and quality of life in adults with functional bloating. 枯草芽孢杆菌ATCC 122264对功能性腹胀成人肠道气体症状和生活质量的影响
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-01-28 DOI: 10.1163/18762891-bja00057
A LeMoire, L Lin, S A Girard, J Baisley, J Wang, A Atif, R Zahra, M Millette

Probiotics can confer a beneficial effect on gastrointestinal-related symptoms and their impact on daily life. This randomised, double-blind, placebo-controlled study assessed the efficacy of a novel probiotic strain Bacillus subtilis ATCC 122264 as a probiotic on gas-related symptoms in healthy adults. One hundred healthy adults with functional bloating/distension according to the ROME IV criteria, were randomised in a 1:1 ratio to receive either 5 billion cfu of B. subtilis) or placebo daily for 8 weeks. Intestinal gas symptoms and impact on daily life were assessed weekly by the 17-item Intestinal Gas Questionnaire (IGQ) and the change from baseline was analysed by ANCOVA at 4 and 8 weeks. Post-hoc analyses were conducted on the two parts of the IGQ, scored separately. Sub-group analyses based on sex were also done on the IGQ global and dimension scores as well as the scores from the two individual parts of the IGQ. Safety was assessed by reports of adverse events. B. subtilis did not differ from placebo in the change from baseline to Weeks 4 or 8 in IGQ global score or dimension scores of bloating, flatulence, belching, bad breath, stomach rumbling and difficult gas evacuation ( P > 0.05). In females taking B. subtilis, the severity of belching and flatulence significantly decreased after 4 ( P = 0.046) and 8 weeks ( P = 0.039) respectively, compared to females taking placebo. The impact of flatulence on daily life decreased after 8 weeks in females taking B. subtilis compared to placebo ( P = 0.03). B. subtilis was safe and well tolerated over the 8-week study period. The results suggest that B. subtilis may reduce gas-related symptoms, such as bloating and flatulence, in females. Further studies are needed to confirm the sex-related effects of B. subtilis in populations with gastrointestinal symptoms. Registered at Clinicaltrials.gov: NCT06308146.

益生菌可以对胃肠道相关症状及其对日常生活的影响产生有益的影响。这项随机、双盲、安慰剂对照的研究评估了一种新型益生菌菌株枯草芽孢杆菌ATCC 122264作为益生菌对健康成人气体相关症状的疗效。根据ROME IV标准,100名患有功能性腹胀/腹胀的健康成年人按1:1的比例随机分配,每天接受50亿cfu的枯草芽杆菌或安慰剂,持续8周。每周通过17项肠道气体问卷(IGQ)评估肠道气体症状及其对日常生活的影响,并在第4周和第8周通过ANCOVA分析与基线的变化。对IGQ的两个部分进行了事后分析,分别打分。基于性别的分组分析也对IGQ的整体和维度得分以及IGQ的两个单独部分的得分进行了分析。通过不良事件的报告来评估安全性。从基线到第4周或第8周,枯草芽孢杆菌组IGQ总体评分或腹胀、胀气、打嗝、口臭、胃鸣和气体排出困难的维度评分的变化与安慰剂组无显著差异(P < 0.05)。服用枯草芽孢杆菌的女性在4周(P = 0.046)和8周(P = 0.039)后,与服用安慰剂的女性相比,打嗝和胀气的严重程度显著降低。与安慰剂相比,服用枯草芽孢杆菌的女性在8周后肠胃胀气对日常生活的影响有所下降(P = 0.03)。在8周的研究期间,枯草芽孢杆菌是安全且耐受性良好的。结果表明,枯草芽孢杆菌可以减轻女性的气相关症状,如腹胀和胀气。需要进一步的研究来证实枯草芽孢杆菌在胃肠道症状人群中的性别相关效应。注册网址:Clinicaltrials.gov: NCT06308146。
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引用次数: 0
The prebiotic landscape: history, health and physiological benefits, and regulatory challenges - an IPA perspective part 1. 益生元景观:历史,健康和生理效益,以及监管挑战-国际生物学会视角第1部分。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-01-13 DOI: 10.1163/18762891-bja00056
S H Saville, J A Younes, G Paraskevakos, K Venema

Prebiotics are becoming increasingly recognized by consumers, health care professionals and regulators as important contributors to health. Nonetheless, the development, progress, and adoption of prebiotics is hindered by loose terminology, various misconceptions about sources and types of compounds that may be classified as prebiotics, and the lack of consensus on a definition that satisfies regulators. Evolving knowledge of the microbiome and its effects on host health has generated opportunities for modulation of the microbiota that can support host health. Various types of biotics - probiotics, prebiotics, and postbiotics, are compounds that either modulate the microbiota or arise from the microbiota, affecting health locally and distally. Each of these classes of biotic compounds have distinct, yet complementary benefits. While many scientists have proposed definitions for prebiotics, and there have been attempts by selected scientists to develop a 'consensus definition', the fact remains that globally, scientists, manufacturers, and marketers have adopted different definitions to suit their own interests and purposes, leading to confusion among consumers and health care professionals. The pathway to regulatory acceptance and to reduce/eliminate confusion is a definition that puts the focus on the consumer, and the benefits that consumers can realise from consumption of prebiotics. This consumer-focused approach, supported by science, will also align with regulators and support broader regulatory approval of prebiotics as a category. In this review, we discuss the history of prebiotics, and introduce criteria and a decision tree to classify compounds as prebiotics, supported by the scientific literature to date. This includes a summary of compounds that have been clearly recognised as prebiotics. We also review the microbiota, microbiome, and the various ways in which prebiotics can beneficially affect the microbiota and health. The safety and efficacy of prebiotics is also reviewed, along with effective doses and limitations associated with prebiotic use. This includes scientific tools and methods that help to establish the function, safe use and efficacy of a prebiotic. We also identify misconceptions that can be addressed in communications to consumers and health care professionals. Manufacturing guidelines and the current regulatory status of prebiotics in various jurisdictions are also reviewed. Collectively, this review provides an in-depth overview of the role for prebiotics to support the health of consumers. This consumer-focused approach provides clear criteria for the product category, safe use, effective communication of health benefits and limitations, and a pathway towards regulatory approval.

益生元越来越被消费者、卫生保健专业人员和监管机构认识到是健康的重要贡献者。然而,益生元的发展、进步和采用受到术语松散、对可能被归类为益生元的化合物的来源和类型的各种误解以及对满足监管机构的定义缺乏共识的阻碍。对微生物群及其对宿主健康影响的不断发展的认识为调节能够支持宿主健康的微生物群提供了机会。各种类型的益生菌——益生菌、益生元和后益生菌,是调节微生物群或由微生物群产生的化合物,影响局部和远处的健康。每一类生物化合物都有不同的,但互补的好处。虽然许多科学家提出了益生元的定义,也有一些选定的科学家试图形成一个“共识定义”,但事实仍然是,在全球范围内,科学家、制造商和营销人员采用了不同的定义来适应自己的利益和目的,导致消费者和卫生保健专业人员之间的混淆。监管机构接受和减少/消除混淆的途径是一个将重点放在消费者身上的定义,以及消费者可以从食用益生元中获得的好处。这种以消费者为中心的方法,在科学的支持下,也将与监管机构保持一致,并支持将益生元作为一个类别进行更广泛的监管批准。在本文中,我们讨论了益生元的历史,并介绍了迄今为止的科学文献支持的益生元化合物分类标准和决策树。这包括已被明确认定为益生元的化合物的摘要。我们还回顾了微生物群,微生物群,以及益生元对微生物群和健康有益的各种方式。本文还综述了益生元的安全性和有效性,以及与益生元使用相关的有效剂量和限制。这包括有助于确定益生元的功能、安全使用和功效的科学工具和方法。我们还确定了可以在与消费者和卫生保健专业人员的沟通中解决的误解。本文还对益生元的生产指南和目前在各个司法管辖区的监管状况进行了综述。总的来说,这篇综述对益生元在支持消费者健康方面的作用进行了深入的概述。这种以消费者为中心的方法为产品类别、安全使用、有效宣传健康益处和局限性以及获得监管部门批准的途径提供了明确的标准。
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引用次数: 0
Probiotic viability in the gastrointestinal tract in a randomised placebo controlled trial: combining molecular biology and novel cultivation techniques. 随机安慰剂对照试验中益生菌在胃肠道中的生存能力:结合分子生物学和新培养技术。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-01-07 DOI: 10.1163/18762891-bja00055
A Sen, M Kimura, R Ejima, S Arai, E Mitsuyama, H Kaneko, R Mishima, N Muto, A Hiraku, K Kato, Y Kuwano, H Maruyama, M Nakamura, N Iwabuchi, M Nakano, T Odamaki, M Tanaka

Understanding the viability of ingested probiotics within the gastrointestinal tract is essential for evaluating their efficacy and deciphering their mechanisms of action. Detecting Bifidobacterium longum subspecies longum BB536 is particularly challenging owing to its indistinguishability from the naturally abundant B. longum species in the human gut. We aimed to address this challenge by developing a selective culture medium for B. longum BB536 and employing a propidium monoazide-quantitative polymerase chain reaction (PMA-qPCR) method to verify the survival of the probiotic after consumption. To achieve this, we designed a novel lactose-mupirocin-trimethoprim (LMT) medium that facilitates the cultivation of B. longum BB536 under anaerobic conditions at 42 °C. We screened 52 healthy adults and enrolled 39 who met the eligibility criteria. The participants were randomised into two groups, with 34 completing the protocol: 17 received commercial yogurt containing B. longum BB536 (9.30 log10 cfu/day) and 17 received a placebo. Prior to the intervention, B. longum BB536 was undetectable in all participants. However, following supplementation, LMT culturing identified viable B. longum BB536, with average counts of 6.33 ± 0.69 log10 cfu/g on day 3 and 6.16 ± 0.74 log10 cfu/g on day 17. PMA-qPCR further validated these results, showing viable cell counts of 6.09 ± 0.68 log10 cells/g wet faeces on day 3 and 6.44 ± 0.64 log10 cells/g wet faeces on day 17. While each method detected B. longum BB536 in some participants where the other did not, no participant tested negative by both methods at any time point. This complementarity between LMT culturing and PMA-qPCR ensures a comprehensive detection strategy, confirming the presence and resilience of B. longum BB536 in the gastrointestinal tract and underscoring its potential as a beneficial probiotic strain (UMIN000052110). Japan Conference of Clinical Research: registration number: BYG2B-01; University Hospital Medical Information Network: study protocol registration UMIN000052110.

了解摄入的益生菌在胃肠道内的生存能力对于评估其功效和破译其作用机制至关重要。长双歧杆菌BB536亚种的检测尤其具有挑战性,因为它与人类肠道中自然丰富的长双歧杆菌难以区分。为了解决这一挑战,我们开发了长芽孢杆菌BB536的选择性培养基,并采用单叠氮丙啶-定量聚合酶链反应(PMA-qPCR)方法来验证益生菌在食用后的存活率。为了实现这一目标,我们设计了一种新的乳糖-莫匹罗辛-甲氧苄啶(LMT)培养基,在42°C的厌氧条件下促进长芽孢杆菌BB536的培养。我们筛选了52名健康成人,并招募了39名符合资格标准的人。参与者被随机分为两组,34人完成方案:17人接受含有长芽杆菌BB536 (9.30 log10 cfu/天)的商业酸奶,17人接受安慰剂。在干预前,所有参与者均未检测到长芽胞杆菌BB536。然而,在补充后,LMT培养中发现了活的长曲霉BB536,第3天的平均计数为6.33±0.69 log10 cfu/g,第17天的平均计数为6.16±0.74 log10 cfu/g。PMA-qPCR进一步验证了这些结果,显示第3天的活细胞计数为6.09±0.68 log10细胞/g湿粪便,第17天的活细胞计数为6.44±0.64 log10细胞/g湿粪便。虽然每种方法在一些参与者中检测到长曲杆菌BB536,而另一种方法没有,但没有参与者在任何时间点通过两种方法检测为阴性。LMT培养和PMA-qPCR之间的这种互补性确保了一种全面的检测策略,证实了长梭菌BB536在胃肠道中的存在和恢复能力,并强调了其作为有益益生菌菌株的潜力(UMIN000052110)。日本临床研究会议:注册号:BYG2B-01;大学医院医疗信息网:研究方案注册号为UMIN000052110。
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Beneficial microbes
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