Mechanisms of action of probiotics: Recent advances
Abstract
The intestinal microbiota plays a fundamental role in maintaining immune homeostasis. In controlled clinical trials probiotic bacteria have demonstrated a benefit in treating gastrointestinal diseases, including infectious diarrhea in children, recurrent Clostridium difficile-induced infection, and some inflammatory bowel diseases. This evidence has led to the proof of principle that probiotic bacteria can be used as a therapeutic strategy to ameliorate human diseases. The precise mechanisms influencing the crosstalk between the microbe and the host remain unclear but there is growing evidence to suggest that the functioning of the immune system at both a systemic and a mucosal level can be modulated by bacteria in the gut. Recent compelling evidence has demonstrated that manipulating the microbiota can influence the host. Several new mechanisms by which probiotics exert their beneficial effects have been identified and it is now clear that significant differences exist between different probiotic bacterial species and strains; organisms need to be selected in a more rational manner to treat disease. Mechanisms contributing to altered immune function in vivo induced by probiotic bacteria may include modulation of the microbiota itself, improved barrier function with consequent reduction in immune exposure to microbiota, and direct effects of bacteria on different epithelial and immune cell types. These effects are discussed with an emphasis on those organisms that have been used to treat human inflammatory bowel diseases in controlled clinical trials.
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Particular concern relates to probiotics' potential to create systemic infections.
“Of these, particular concern relates to probiotics potential to create (not improve or treat) systemic infections [49, 64, 215].”
From International Society of Sports Nutrition Position Stand: Probiotics (2019) · cites this paper as [49]
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- Authors
- Ng, S. C., Hart, A. L., Kamm, M. A., Stagg, A. J., & Knight, S. C.
- Affiliations
- Imperial College London (GB)
- The University of Melbourne (AU)
- Queen Mary University of London (GB)
- Venue
- Inflammatory Bowel Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-02
- Volume
- 15
- Issue
- 2
- Pages
- 300-310
- ISSN
- 1078-0998 (ISSN-L)
- OpenAlex
- W2073395843
- Cited by
- 596
- References
- 114
- Citations by year
- 2026: 16 · 2025: 25 · 2024: 35 · 2023: 30 · 2022: 40 · 2021: 45 · 2020: 36 · 2019: 36 · 2018: 40 · 2017: 37 · 2016: 33 · 2015: 37 · 2014: 40 · 2013: 44 · 2012: 41
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Inflammatory Bowel Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- probiotics, mechanism of action
- MeSH terms
- Animals, Humans, Intestinal Diseases, Intestinal Mucosa, Inflammatory Bowel Diseases, Probiotics
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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