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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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Colorectal Cancer Mitigation Through Probiotics: Current Evidence and Future Directions
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“Certain probiotic strains have been documented to induce mucin-3 expression in intestinal epithelial cells 47 , promoting mucus production 48 and thereby contributing to the preservation of intestinal barrier integrity.”
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“Probiotic-mediated improvement of gut barrier function has been positively associated with health benefits in several vertebrate species [69].”
Assessment of the role of probiotics in prevention of ventilator-associated pneumonia in neonates
Khodair, H. A., Elmahdy, H. S., Zidan, L. K., Elashry, S. M., & Elmashad, A. (2025) · European Journal of Pediatrics · doi:10.1007/s00431-025-06380-6 · Cited by 2
Bacterial fructan-metabolizing enzymes: modular architecture and biotechnological potential
Siziya, I. N., Seo, M., Park, C.-S., & Jung, D.-H. (2026) · 3 Biotech · doi:10.1007/s13205-026-04695-1 · Cited by 3
“Harmo-nizing global standards and developing clear guidelines for enzyme-enriched functional foods would support broader market access (Hill et al. 2014; Angelin and Kavitha 2020; Berstad et al. 2016; Bron et al. 2017).”
Sosa, C. D. L., Díaz, F. R. G., Álvarez, H. R., Ruíz, A. V., Higuera-Piedrahita, R. I., de la Crúz-Crúz, H. A., Cuéllar-Ordaz, J. A., Rico, G. R., Negrete‐Abascal, E., Reyes‐López, M., et al. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27062764 · Cited by 2
“The interaction between probiotic bacteria and the innate immune system has garnered considerable interest due to its potential to modulate inflammatory and antimicrobial responses in mucosal epithelial tissues [1,2].”
Xu, H., Zhang, H., Yang, R., Xie, X., Cao, Z., Zhao, Y. (., Lin, H., Lu, D., Bischoff, F. Z., Zhang, X., et al. (2026) · The Innovation Nutrition · doi:10.59717/j.xinn-nutri.2026.100004 · Cited by 2
Zhu, K., Yuan, L., Gao, H. J., Wang, X., Wang, J., Wang, L., & Deng, F. (2021) · Iranian Journal of Pediatrics · doi:10.5812/ijp.114996 · Cited by 2
İnsan bağırsak mikrobiyomunu COVID-19 için tedavi stratejileriyle ilişkilendiren mekanizmalar
Akın, N., & Özışık, D. (2023) · Uludağ Üniversitesi Ziraat Fakültesi dergisi/Bursa uludağ üniversitesi ziraat fakültesi dergisi · doi:10.20479/bursauludagziraat.1276832 · Cited by 2
Yao, P., Jiang, J., & Kong, Z. (2022) · BioMed Research International · doi:10.1155/2022/6293095 · Cited by 2
RetractedProbiotics and Prebiotics in Healthy Ageing
Kadam, A., Kadam, D., Tungare, K., & Shah, H. S. (2021) · Healthy ageing and longevity · doi:10.1007/978-3-030-83017-5_5 · Cited by 2
Dysbiosis and probiotic applications in autoimmune diseases
de Salis, L. V. V., Martins, L. S. A., Rodrigues, G. S. P., & de Oliveira, G. L. V. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-824390-9.00004-9 · Cited by 2
Colorectal cancer: risk factors and potential of dietary probiotics in its prevention
Arora, R., Sharma, S., & Kumar, B. (2022) · Proceedings of the Indian National Science Academy · doi:10.1007/s43538-022-00083-4 · Cited by 2
Translation of Immunomodulatory Effects of Probiotics into Clinical Practice
Ryan, J. C., Narasimha, S. V., Pattison, R., Zackria, R., Ghobrial, Y., Basit, S. A., Ammar, T. A. R. A., Jayaraman, V., Stone, C. D., & Shih, D. Q. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.109864 · Cited by 2
Ogita, T., Miyamoto, J., Hirabayashi, Y., Rossi, M., Mazzarella, G., Takahashi, I., Tanabe, S., & Suzuki, T. (2019) · Beneficial Microbes · doi:10.3920/bm2018.0171 · Cited by 2
Ullah, H., Daglia, M., & Khan, H. Z. (2022) · Wiley eBooks · doi:10.1002/9781119746843.ch5 · Cited by 2
Nutraceuticals Approach as a Treatment for Cancer Cachexia
Chiocchetti, G. D. M. E., Viana, L. R., Lopes‐Aguiar, L., Miyaguti, N. A. D. S., & Gomes‐Marcondes, M. C. C. (2022) · Wiley eBooks · doi:10.1002/9781119746843.ch14 · Cited by 2
Syndrome of increased epithelial permeability: opportunities of current pharmacotherapy
Туркина, С. В., Стаценко, М. Е., & Андреевна, Т. И. (2023) · Экспериментальная и клиническая гастроэнтерология · doi:10.31146/1682-8658-ecg-204-8-123-132 · Cited by 1
Ageing-associated gut dysbiosis deteriorates mouse cognition
Ju, H., Zhou, Y., Wei, W., Yan, H., Fang, H., Chen, Z., Sun, X., Shi, Y. P., & Fang, H. (2024) · Acta Biochimica et Biophysica Sinica · doi:10.3724/abbs.2024217 · Cited by 1
“5), a marker of intestinal neurons [26,27], was lower in aged mice than in young mice.”
Banerjee, A., Pal, S., Das, A. K., & Dhar, P. (2025) · Food and Humanity · doi:10.1016/j.foohum.2025.100725 · Cited by 1
Navarro, A., Rodea, G. E., Cruz-Montoya, A. H. D. L., Díaz-Velásquez, C. E., Vaca‐Paniagua, F., del Prado, A. N.-C., Tirado-Gómez, L. L., Vilchis-Reyes, A., de la Torre, G. G., Cruz-Licea, V., et al. (2026) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.70386 · Cited by 2
Avian cecal microbiome response and resilience to Newcastle disease are dictated by breed background
Ameer, A., Saleem, F., Keating, C., Afzal, F., Irshad, H., Ahmed, K. P., Sattar, S., Ijaz, U. Z., & Javed, S. (2026) · Frontiers in Systems Biology · doi:10.3389/fsysb.2025.1659648 · Cited by 1
Kim, H., Lee, H. H., Song, S., Haque, M. A., Razzak, M. A., Jang, M. J., Maki, K., & Ku, S. (2026) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-026-10992-1 · Cited by 2
Shamsuzzaman, M., Dahal, R. H., & Kim, S.-M. (2026) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-026-11008-8 · Cited by 1
“…non-pathogenic actinobacteria isolated from fecal samples, including Bifidobacterium and Corynebacterium species, have been reported to suppress nitric oxide production in LPS-stimulated macrophages, reflect - ing immunomodulatory responses rather than direct anti-inflammatory effects [ 52, 53].”
Abusidu, M., Alioui, Y., Al-tibi, L., Alwayli, D., Ali, S., Rahman, M. U., Farooqui, N. A., Atta, A., Feng, B. L., Lu, S., et al. (2026) · Frontiers in Nutrition · doi:10.3389/fnut.2026.1774118 · Cited by 1
Kim, H., Lee, H., Bang, W. Y., Park, H., & Moon, J. S. (2026) · Food Science & Nutrition · doi:10.1002/fsn3.71780 · Cited by 1
Najnine, F., Guo, X., & Cai, J. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1762396 · Cited by 1
Sangam, S., Surati, U., Kumar, S., Bharti, B., Singh, M. K., Mallappa, R. H., & Pradhan, D. (2026) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2026.152391 · Cited by 1
Dowgiałło‐Gornowicz, N., Botulińska, A., Sosnowska-Turek, E., Garbowicz, M., Zarucka, E., & Siwik, P. (2026) · Polish Annals of Medicine · doi:10.31648/paom/213335 · Cited by 1
Liu, C., Zhang, S., Yue, Q., Sun, X., Zheng, K., Li, K., Su, L., & Zhao, L. (2026) · Folia Microbiologica · doi:10.1007/s12223-026-01468-4 · Cited by 1
Zhang, Y.-L., Gou, H.-Z., Li, Z.-J., Xi, J.-H., Wang, X.-J., Shang, J., Zhu, D., Ren, L., Shu, X.-J., & (38117), L. Z. (2026) · BMC Microbiology · doi:10.1186/s12866-026-05224-z · Cited by 1
“Currently, probiotics have good efficacy in the treatment of enterohepatic diseases due to their important functions such as improving the disordered state of GM and their metabolites, repairing the gut barrier, and regulating the body’s immunity [122, 123].”
Viable and Heat-Inactivated Bifidobacterium bifidum MIMBb75 Protect the Intestinal Barrier
Storr, M., & Gschwender, M. (2026) · Microorganisms · doi:10.3390/microorganisms14061349 · Cited by 1
Dutta, S., Dutta, T. K., Nanda, P. K., Dhar, P., Das, A. K., & Bhunia, A. K. (2026) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-026-11136-1 · Cited by 2
Aktaş, H., Aktaş, H. M., Karaman, M., & Çeti̇n, B. (2026) · Brazilian Archives of Biology and Technology · doi:10.1590/1678-4324-2026240325 · Cited by 1
Genome-wide safety evaluation and functional characterization of a fermentation strain for Mi Zhen
Shi, M., Guo, T., Lin, F., & Lin, Q. (2026) · Applied Food Research · doi:10.1016/j.afres.2026.102459 · Cited by 1
Jiao, Y., Li, L., Ji, X., & Cheng, H. (2026) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.70734 · Cited by 1
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“Probiotic effects together with commensal microbes are crucial in barrier integrity and mucosal homeostasis in different body sites like the skin or the gut, among others [26,27].”
Background
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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