Cited by 83Gastrointestinal motility and disordersGut microbiota and healthProbiotics and Fermented Foods

Effect of commensals and probiotics on visceral sensitivity and pain in irritable bowel syndrome

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Theodorou, Vassilia, Ait-Belgnaoui, Afifa, Agostini, Simona, Eutamene, Helene·2014·Gut Microbes

Abstract

The last ten years' wide progress in the gut microbiota phylogenetic and functional characterization has been made evidencing dysbiosis in several gastrointestinal diseases including inflammatory bowel diseases and irritable bowel syndrome (IBS). IBS is a functional gut disease with high prevalence and negative impact on patient's quality of life characterized mainly by visceral pain and/or discomfort, representing a good paradigm of chronic gut hypersensitivity. The IBS features are strongly regulated by bidirectional gut-brain interactions and there is increasing evidence for the involvement of gut bacteria and/or their metabolites in these features, including visceral pain. Further, gut microbiota modulation by antibiotics or probiotics has been promising in IBS. Mechanistic data provided mainly by animal studies highlight that commensals or probiotics may exert a direct action through bacterial metabolites on sensitive nerve endings in the gut mucosa, or indirect pathways targeting the intestinal epithelial barrier, the mucosal and/or systemic immune activation, and subsequent neuronal sensitization and/or activation.

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  1. Mayer EA. Gut feelings: the emerging biology of gut-brain communication. Nat Rev Neurosci 2011; 12:453-66; PMID:21750565; http://dx.doi. org/10.1038/nrn3071 · DOI · Paper page
  2. Meyrat P, Safroneeva E, Schoepfer AM. Rifaximin treatment for the irritable bowel syndrome with a positive lactulose hydrogen breath test improves symptoms for at least 3 months. Aliment Pharmacol Ther 2012; 36:1084-93; PMID:23066911; http:// dx.doi.org/10.1111/apt.12087 · DOI
  3. O'Mahony L, McCarthy J, Kelly P, Hurley G, Luo F, Chen K, O'Sullivan GC, Kiely B, Collins JK, Shanahan F, et al. Lactobacillus and bifidobacterium in irritable bowel syndrome: symptom responses and relationship to cytokine profiles. Gastroenterology 2005; 128:541-51; PMID:15765388; http://dx.doi. org/10.1053/j.gastro.2004.11.050 · DOI · Paper page

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Authors
Theodorou, V., Ait-Belgnaoui, A., Agostini, S., & Eutamene, H.
Affiliations
Ecole d'Ingénieurs de PURPAN (FR)
Venue
Gut Microbes
Published
2014-05
Volume
5
Issue
3
Pages
430-629
ISSN
  • 1949-0976 (ISSN-L)
  • 1949-0984
OpenAlex
W2077113985
Cited by
83
References
85
Citations by year
2026: 1 · 2025: 8 · 2024: 3 · 2023: 8 · 2022: 4 · 2021: 8 · 2020: 8 · 2019: 8 · 2018: 8 · 2017: 15 · 2016: 5 · 2015: 7
FWCI
1.47
Type
journal article
Language
en
Open access
Locations
  • Gut Microbes (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Keywords
irritable bowel syndrome, gut microbiota, commensal bacteria, probiotics, visceral pain, visceral hypersensitivity, gut-brain axis, dysbiosis, bacterial metabolites, intestinal epithelial barrier, immune activation, neuronal sensitization
MeSH terms
Animals, Disease Models, Animal, Humans, Pain, Symbiosis, Probiotics, Irritable Bowel Syndrome, Microbiota

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