Probiotics

Probiotics Defined

  • Probiotics are living microorganisms, specifically bacteria, that, when ingested in adequate quantities, provide health benefits.
  • The concept of beneficial bacteria for human health emerged in the early 20th century.
  • While some fermented foods qualify as probiotics, not all do.
  • To be termed a probiotic, a food or product must:
    • Contain live microorganisms.
    • Have a sufficient viable count.
    • Consist of well-defined strains.
    • Offer a reasonable expectation of benefit to the host's well-being.

Strain Specificity

  • The actions and characteristics of microorganisms are strain-specific, not species or genus-specific.
  • Example: If Lactobacillus rhamnosus GG demonstrates a specific health benefit in clinical trials, it cannot be assumed that other bacteria like Lactobacillus acidophilus LA-5 will have the same effect.

Mechanisms of Action

  • Probiotics exert their effects through various mechanisms:
    • Suppressing the growth of pathogenic bacteria.
    • Blocking epithelial attachment by pathogenic bacteria.
    • Enhancing mucosal function.
    • Modulating the host's immune response.

Probiotic Products

  • Probiotics are available in various forms:
    • Capsules
    • Powders
    • Fortified foods such as fermented milks and yogurts.

Conditions Benefited by Probiotics

  • Probiotics have shown promise in managing or preventing several conditions, including:
    • Diarrhea
    • Infectious childhood illnesses
    • Antibiotic-associated conditions
    • Inflammatory Bowel Disease (IBD), such as diverticulitis and ulcerative colitis
    • Irritable Bowel Syndrome (IBS)
    • Allergy prevention

Mechanisms of Action

  • Probiotics exert their effects through various mechanisms:
    • Suppressing the growth of pathogenic bacteria.
    • Blocking epithelial attachment to pathogens.
    • Enhancing mucosal function.
    • Modulating host immune response.