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Can probiotics modulate human disease by impacting intestinal barrier function?
Open accessAbstract
Intestinal barrier integrity is a prerequisite for homeostasis of mucosal function, which is balanced to maximise absorptive capacity, while maintaining efficient defensive reactions against chemical and microbial challenges. Evidence is mounting that disruption of epithelial barrier integrity is one of the major aetiological factors associated with several gastrointestinal diseases, including infection by pathogens, obesity and diabetes, necrotising enterocolitis, irritable bowel syndrome and inflammatory bowel disease. The notion that specific probiotic bacterial strains can affect barrier integrity fuelled research in which in vitro cell lines, animal models and clinical trials are used to assess whether probiotics can revert the diseased state back to homeostasis and health. This review catalogues and categorises the lines of evidence available in literature for the role of probiotics in epithelial integrity and, consequently, their beneficial effect for the reduction of gastrointestinal disease symptoms.
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“There is substantial evidence that probiotics can strengthen the intestinal barrier, regulate mucosal immune function, and produce metabolites beneficial to the host to maintain health, as illustrated in Figure 1 [22,23].”
From Probiotics Regulate Gut Microbiota: An Effective Method to Improve Immunity (2021) · cites this paper as [22]
In the citing paper
“a variety of studies do suggest that probiotics are able to improve mucosal barrier function (Bron et al., 2017).”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Bron et al., 2017
In the citing paper
“There is compelling evidence that probiotics are able to support the intestinal barrier (Bron et al., 2017), which may act to dampen the increased inflammatory tone seen in aging and enhance the immune response to viral infections and vaccinations.”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Bron et al., 2017
In the citing paper
“The GI microbiome is thought to be a key player in this process as it is essential for the proper maintenance of the intestinal barrier through various mechanisms, e.g., production of SCFA (Bron et al., 2017) as well as tryptophan metabolites (Rothhammer and Quintana, 2019).”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Bron et al., 2017
In the citing paper
“Similar as the endogenous microbiota, probiotics may improve mucosal barrier function, limiting the ability of viral particles to cross this physical barrier and maintain this barrier during viral disease (Bron et al., 2017).”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Bron et al., 2017
In the citing paper
“Numerous pre-clinical studies have shown that oral probiotics are capable of positively influencing gut barrier function and systemic immunity, and thus, in the case of pneumonia, may enhance the host’s ability to suppress and clear reproducing lung pathogens as they emerge (Bron et al., 2017) (Forsythe, 2014).”
From Viral Infections, the Microbiome, and Probiotics (2021) · cites this paper as Bron et al., 2017
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“Probiotics have been widely reported to treat pathogens-caused diarrhea by maintaining or improving the balance of gut microbiota and the mechanisms may be associated with the inhibitory effect on the colonization of harmful bacteria by competing for nutrients and producing antibacterial compounds (Bron et al., 2017).”
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“Currently, specific compounds responsible for probiotic-induced changes to epithelial barrier function are largely unknown [52].”
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“Probiotics have been proposed to have an impact on the intestinal barrier directly, by limiting the colonization of pathogenic bacteria as well as indirectly by interacting with innate immune cells, leading to the production of IL-22 and the initiation of specific mucin genes [147].”
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“The ability of probiotics to alter intestinal barrier and microbiome has been recently reviewed (46) and is summarized in this study.”
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“Gut commensals, referred to as probiotics, were discovered to reinforce intestinal health by impacting the intestinal barrier function (39, 40).”
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“infection and inflammation) [164], it is suggested that probiotic supplementation may also ameliorate exercise-associated gastrointestinal perturbations.”
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Role of prebiotics in enhancing the function of next-generation probiotics in gut microbiota
Fei, Y., Chen, Z., Han, S., Zhang, S., Zhang, T., Lu, Y., Berglund, B., Xiao, H., Li, L., & Yao, M. (2021) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2021.1958744 · Cited by 105
“For example, butyrate, being a primary substrate for intestinal epithelial cells, increases intestinal mucus production, stimulates the proliferation of colonocytes and strengthens tight junctions by reducing bacterial translocation (Bron et al. 2017; Lewis et al. 2010; Wilson andWhelan 2017).”
BackgroundMicrobiota and Probiotics in Health and HIV Infection
D’Angelo, C., Reale, M., & Costantini, E. (2017) · Nutrients · doi:10.3390/nu9060615 · Cited by 97
Engineering Diagnostic and Therapeutic Gut Bacteria
Landry, B. P., & Tabor, J. J. (2017) · Microbiology Spectrum · doi:10.1128/microbiolspec.bad-0020-2017 · Cited by 95
“These microbes have been used to treat Clostridium infection (7); in fl amma-tory diseases such as obesity, diabetes, and in fl ammatory bowel disease (8); and neurological conditions such as anxiety, depression, and autism spectrum disorder (6), among other pathologies.”
Singh, A., Vishwakarma, V., & Singhal, B. (2018) · Advances in Bioscience and Biotechnology · doi:10.4236/abb.2018.94012 · Cited by 97
Probiotics in microbiome ecological balance providing a therapeutic window against cancer
Sehrawat, N., Yadav, M. K., Singh, M. P., Kumar, V., Sharma, V., & Sharma, A. K. (2020) · Seminars in Cancer Biology · doi:10.1016/j.semcancer.2020.06.009 · Cited by 99
Hu, J. P., Chen, L., Zheng, W., Shi, M. Y., Liu, L., Xie, C., Wang, X., Niu, Y., Hou, Q., Xu, X., et al. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.00897 · Cited by 95
“Growing evidences have revealed that probiotics (benign commensals) facilitated the intestinal epithelial barrier function maintenance in mammals (Bron et al., 2011, 2017; Wan et al., 2016).”
BackgroundSales, K. M., & Reimer, R. A. (2022) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2022.09.002 · Cited by 106
“This reduces the translocation of bacteria and endotoxins from the intestinal lumen into systemic circulation, thus reducing inflammation and improving immunity.(78) As a result, it is possible the Lactobacillus and Bifidobacterium interventions indirectly improved endurance exercise capacity by enhancing intestinal b…”
BackgroundHan, C., Xiao, Y., Liu, E., Su, Z., Meng, X., & Liu, B. (2020) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2020.07.247 · Cited by 94
Probiotics to prevent necrotising enterocolitis in very preterm or very low birth weight infants
Sharif, S., Meader, N., Oddie, S., Rojas, M. X., & McGuire, W. L. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005496.pub6 · Cited by 112
The ameliorative effect of Lactobacillus plantarum -12 on DSS-induced murine colitis
Sun, M., Liu, Y., Song, Y., Gao, Y., Zhao, F., Luo, Y., Qian, F., Mu, G., & Tuo, Y. (2020) · Food & Function · doi:10.1039/d0fo00007h · Cited by 92
The Potential Effects of Probiotics and ω-3 Fatty Acids on Chronic Low-Grade Inflammation
Hutchinson, A. N., Tingö, L., & Brummer, R. J. (2020) · Nutrients · doi:10.3390/nu12082402 · Cited by 92
Zhao, T.-S., Xie, L., Cai, S., Xu, J., Zhou, H., Tang, L., Yang, C., Fang, S., Li, M., & Tian, Y. (2021) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2021.717636 · Cited by 89
“A study reported that the beneficial bacteria regulated the composition of gut microbiota by competing for nutrients or producing metabolites, and affected the colonization of intestinal pathogens (Bron et al., 2017; Pickard et al., 2017).”
BackgroundChen, T., Shen, M., Yu, Q., Chen, Y., Wen, H., Lu, H., Chen, D., & Xie, J. (2022) · Food Chemistry · doi:10.1016/j.foodchem.2022.133768 · Cited by 88
Advances in Probiotic Regulation of Bone and Mineral Metabolism
McCabe, L. R., & Parameswaran, N. (2018) · Calcified Tissue International · doi:10.1007/s00223-018-0403-7 · Cited by 85
Obesity and Multiple Sclerosis—A Multifaceted Association
Schreiner, T. G., & Genes, T.-M. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10122689 · Cited by 89
“We should also mention early research related to probiotic treatment and fecal microbial transplantation that modifies the intestinal microbiota ecosystem and could be useful in MS, although currently without significant therapeutic impact (Bron et al., 2017) [70].”
BackgroundFilippis, A. D., Ullah, H., Baldi, A., Dacrema, M., Esposito, C., Garzarella, E. U., Santarcangelo, C., Tantipongpiradet, A., & Daglia, M. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21144929 · Cited by 87
“Probiotics can provide a number of benefits to the host beyond nutrition, such as enhancing intestinal epithelial integrity, regulating immunity of the GI mucosa, protecting gut barrier disruption, and inhibiting the growth and/or activity of pathogenic microbes in the GI [70,71,99].”
BackgroundRomán, E., Nieto, J. C., Gely, C., Vidal, S., Pozuelo, M., Poca, M., Juárez, C., Guarner, C., Manichanh, C., & Soriano, G. (2019) · Hepatology Communications · doi:10.1002/hep4.1325 · Cited by 80
“Nevertheless, we would like to point out that the results from the biomarkers used in the present study that could suggest an improvement in the intestinal barrier after probiotic treatment are consistent with previous data.(23,38-45) As future research, a study with a larger number of patients and with a longer treat…”
ResultEffect of Non-Nutritive Sweeteners on the Gut Microbiota
Conz, A., Salmona, M., & Diomede, L. (2023) · Nutrients · doi:10.3390/nu15081869 · Cited by 94
“They are also a crucial energy source for intestinal epithelial cells, reinforcing the mucosal barrier [28,29].”
BackgroundGarcía-Castillo, V., Komatsu, R., Clua, P., Indo, Y., Takagi, M., Salva, S., Islam, M. A., Alvarez, S., Takahashi, H., García, A., et al. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.01376 · Cited by 79
“Experimental models have demonstrated that immunobiotics can attenuate the severity of infections caused by several gastrointestinal pathogens including Helicobacter pylori, Citrobacter rodentium, Listeria monocytogenes, and Salmonella typhimurium (16).”
BackgroundInteractions of probiotics and prebiotics with the gut microbiota
Ballan, R., Battistini, C., Xavier-Santos, D., & Saad, S. M. I. (2020) · Progress in molecular biology and translational science · doi:10.1016/bs.pmbts.2020.03.008 · Cited by 84
“leading to the activation of NF-κB and production of cytokines such as TNF-α, which results in increased insulin resistance due to an IRS-1 phosphorylation in serine.(142,143) Interestingly, some scientists have attempted to”
BackgroundDeng, H., Yang, S., Zhang, Y., Qian, K., Zhang, Z., Liu, Y., Wang, Y., Bai, Y., Fan, H., Zhao, X., et al. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.00601 · Cited by 78
Soluble Fiber and Insoluble Fiber Regulate Colonic Microbiota and Barrier Function in a Piglet Model
Chen, T., Chen, D., Tian, G., Zheng, P., Mao, X., Yu, J., He, J., Huang, Z., Luo, Y., Luo, J., et al. (2019) · BioMed Research International · doi:10.1155/2019/7809171 · Cited by 78
Jiang, H., Zhang, Y., Xu, D., & Wang, Q. (2021) · Journal of Clinical Laboratory Analysis · doi:10.1002/jcla.23650 · Cited by 76
Ferro, M., Charneca, S., Dourado, E., Guerreiro, C. S., & Fonseca, J. E. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.711788 · Cited by 77
“Examples include the adherent Lactobacillus spp, which can stimulate MUC3 expression in human intestinal epithelial cells and MUC2 production and secretion (Sicard et al., 2017; Bron et al., 2017), and Lactobacillus reuteri (L.”
BackgroundKing, S., Tancredi, D. J., Lenoir‐Wijnkoop, I., Gould, K. M., Vann, H., Connors, G., Sanders, M. E., Linder, J. A., Shane, A. L., & Merenstein, D. (2018) · European Journal of Public Health · doi:10.1093/eurpub/cky185 · Cited by 76
Kleerebezem, M., Binda, S., Bron, P. A., Gross, G., Hill, C., Vlieg, J. E. V. H., Lebeer, S., Satokari, R. M., & Ouwehand, A. C. (2018) · Current Opinion in Biotechnology · doi:10.1016/j.copbio.2018.09.007 · Cited by 75
“Finally, most of the AAD associated pathogens disturb the intestinal barrier, an effect that could be compensated by probiotic stimulation of barrier integrity and/or repair [36,37].”
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“Unlike probiotics, postbiotics do not rely on live microorganisms, making them more stable and easier to incorporate into health interventions.”
Is there a relationship between intestinal microbiota, dietary compounds, and obesity?
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Probiotics in Gut-Bone Signaling
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Spotlight on the Compositional Quality of Probiotic Formulations Marketed Worldwide
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Mechanisms linking the human gut microbiome to prophylactic and treatment strategies for COVID-19
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Metadata
- Authors
- Bron, P. A., Kleerebezem, M., Brummer, R.-J., Cani, P. D., Mercenier, A., MacDonald, T. T., Garcia-Ródenas, C. L., & Wells, J. M.
- Affiliations
- Nederlands Instituut Voor Zuivel Oonderzoek (NL)
- Wageningen University & Research (NL)
- Örebro University (SE)
- Walloon Excellence in Lifesciences and Biotechnology (BE)
- Nestlé (Switzerland) (CH)
- Queen Mary University of London (GB)
- Corresponding author
- Bron, Peter A.
- ORCID
- Venue
- British Journal Of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2017-01-14
- Volume
- 117
- Issue
- 1
- Pages
- 93-107
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- PMC
- PMC5297585
- OpenAlex
- W2573938105
- Cited by
- 499
- References
- 232
- Citations by year
- 2026: 54 · 2025: 47 · 2024: 55 · 2023: 52 · 2022: 64 · 2021: 67 · 2020: 54 · 2019: 43 · 2018: 42 · 2017: 19
- FWCI
- 4.68
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- British Journal Of Nutrition (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion, cc-by-nc-nd)
- Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) (submittedVersion, other-oa)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
- Funders
- Fonds De La Recherche Scientifique - FNRS (WELBIO-CR-2012S-02R)
- Walloon excellence in life sciences and biotechnology
- FP7 Ideas: European Research Council (336452)
- 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
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- probiotics, intestinal barrier function, epithelial barrier integrity, mucosal homeostasis, gastrointestinal diseases, irritable bowel syndrome, inflammatory bowel disease, necrotizing enterocolitis, obesity, diabetes mellitus, pathogen infection
- MeSH terms
- Animals, Humans, Intestinal Diseases, Intestines, Probiotics
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