Beneficial Effects of Probiotic Bifidobacterium and Galacto-Oligosaccharide in Patients with Ulcerative Colitis: A Randomized Controlled Study
Abstract
Background/Aim: In previous studies, we described the beneficial effects of bifidobacteria-fermented milk in patients with ulcerative colitis (UC). Here, we examined the effects of a live Bifidobacterium breve strain Yakult, a probiotic contained in bifidobacteria-fermented milk, and galacto-oligosaccharide (GOS) as synbiotics in UC patients. Methods: Forty-one patients with mild to moderate UC were assigned to two groups; one group was treated with the synbiotics and the other was not (control). The treatment group ingested 1 g of the probiotic powder (109 CFU/g) three times a day, and 5.5 g of GOS once a day for one year. At the start and the end of this study, colonoscopic index and the amount of myeloperoxidase in a lavage solution were used as disease activity indices. Bacterial counts in the feces at the start and the end of this study were also examined. Results: After a one-year treatment with the synbiotics, the clinical status of the UC patients as assessed by colonoscopy, significantly improved. Furthermore, the amount of myeloperoxidase in the lavage also decreased in these patients after the synbiotic treatment. The synbiotics significantly reduced the fecal counts of Bacteroidaceae and fecal pH. Conclusion: Administration of live B. breve strain Yakult and GOS can improve the clinical condition of patients with UC. These results encouraged us to perform a large-scale randomized, placebo-controlled trial.
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The two B. breve strains included in Table 2 were tested together with other bacteria or with prebiotics such as galacto-oligosaccharides.
“the two strains of B. breve included in the table were tested together with some of these bacteria [139,141] , or even with prebiotics such as galacto-oligosaccharides [140]”
From Intestinal microbiota in health and disease: Role of bifidobacteria in gut homeostasis (2014) · cites this paper as [140]
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- Authors
- Ishikawa, H., Matsumoto, S., Ohashi, Y., Imaoka, A., Setoyama, H., Umesaki, Y., Tanaka, R., & Otani, T.
- Affiliations
- Kyoto Prefectural University of Medicine (JP)
- Yakult Central Institute (JP)
- Osaka International Cancer Institute (JP)
- Venue
- Digestion
- Publisher
- S. Karger AG
- Published
- 2011
- Volume
- 84
- Issue
- 2
- Pages
- 128-133
- ISSN
- 0012-2823 (ISSN-L)
- 1421-9867
- OpenAlex
- W2050226660
- Cited by
- 197
- References
- 25
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 19 · 2023: 16 · 2022: 14 · 2021: 21 · 2020: 19 · 2019: 15 · 2018: 14 · 2017: 17 · 2016: 11 · 2015: 11 · 2014: 14 · 2013: 4 · 2012: 7
- FWCI
- 12.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Digestion (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Nursing › Nutrition and Dietetics › Microbial Metabolites in Food Biotechnology
- Keywords
- ulcerative colitis, Bifidobacterium breve, Yakult, galactooligosaccharides, synbiotics, probiotics, myeloperoxidase, fecal pH, disease activity, colonoscopy
- MeSH terms
- Adult, Bifidobacterium, Colitis, Ulcerative, Colonoscopy, Feces, Female, Humans, Male, Middle Aged, Peroxidase, Oligosaccharides, Severity of Illness Index, Probiotics, Prebiotics, Synbiotics
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