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Review Article

Gut Microbiota in Health and Probiotics in Functional Bowel Disease

The Ewha Medical Journal 2017;40(1):22-28. Published online: January 31, 2017

Department of Surgery, Seoul Song Do Colorectal Hospital, Seoul, Korea.

Corresponding author Jai Hyun Rhyou. Department of Surgery, Seoul Song Do Colorectal Hospital, 78 Dasan-ro, Jung-gu, Seoul 04588, Korea. Tel: 82-2-2231-0900, Fax: 82-2-2233-8528, mdrhyou@medigate.net
• Received: January 2, 2017   • Accepted: January 4, 2017

Copyright © 2017. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Microorganisms coexist in the human body and its function is essential to maintain normal physiology and homeostasis. Microbiota refers to the entire population of microorganisms that colonizes a particular location; includes not just bacteria but also other microbes. Gut microbiota is vast and complex. It could be changed dynamically according to the variable factors. Well balanced host-microbial symbiotic state is a harmonious ecosystem in the stable individual. But, dysbiosis is a state of deviation in composition or function from the usual gut microbiota. It has been found that this condition is associated with many gastrointestinal, metabolic, allergic and the other diseases. Dysbiosis plays an important role in the pathophysiology of functional bowel disease, such as irritable bowel syndrome and functional constipation. Probiotics is microorganism which, when administrated in adequate amounts, confer a health benefit on the host. Probiotics have beneficial effects to reduce several symptoms of functional bowel diseases. Currently, complementary and alternative medicine therapies with probiotics is recommended for symptomatic relief from functional bowel disease.

The main point of this review was presented at the Symposium of the 49th Korean Society of Coloproctology on April 2, 2016.

  • 1. Jandhyala SM, Talukdar R, Subramanyam C, Vuyyuru H, Sasikala M, Nageshwar Reddy D. Role of the normal gut microbiota. World J Gastroenterol 2015;21:8787-8803.
  • 2. Kim BS, Jeon YS, Chun J. Current status and future promise of the human microbiome. Pediatr Gastroenterol Hepatol Nutr 2013;16:71-79.
  • 3. Lee BJ, Bak YT. Irritable bowel syndrome, gut microbiota and probiotics. J Neurogastroenterol Motil 2011;17:252-266.
  • 4. Theodorou V, Ait Belgnaoui A, Agostini S, Eutamene H. Effect of commensals and probiotics on visceral sensitivity and pain in irritable bowel syndrome. Gut Microbes 2014;5:430-436.
  • 5. Iovino P, Bucci C, Tremolaterra F, Santonicola A, Chiarioni G. Bloating and functional gastro-intestinal disorders: where are we and where are we going? World J Gastroenterol 2014;20:14407-14419.
  • 6. Lee KJ. Treatment of irritable bowel syndrome. Korean J Med 2011;80:499-504.
  • 7. Kim JM. Roles of enteric microbial composition and metabolism in health and diseases. Korean J Gastroenterol 2013;62:191-205.
  • 8. Clauson ER, Crawford P. What you must know before you recommend a probiotic. J Fam Pract 2015;64:151-155.
  • 9. de Moreno de LeBlanc A, LeBlanc JG. Effect of probiotic administration on the intestinal microbiota, current knowledge and potential applications. World J Gastroenterol 2014;20:16518-16528.
  • 10. Hong SN, Rhee PL. Unraveling the ties between irritable bowel syndrome and intestinal microbiota. World J Gastroenterol 2014;20:2470-2481.
  • 11. Tojo R, Suarez A, Clemente MG, de los Reyes-Gavilan CG, Margolles A, Gueimonde M, et al. Intestinal microbiota in health and disease: role of bifidobacteria in gut homeostasis. World J Gastroenterol 2014;20:15163-15176.
  • 12. Kim SE, Choi SC, Park KS, Park MI, Shin JE, Lee TH, et al. Change of fecal flora and effectiveness of the short-term VSL#3 probiotic treatment in patients with functional constipation. J Neurogastroenterol Motil 2015;21:111-120.
  • 13. Bennet SM, Ohman L, Simren M. Gut microbiota as potential orchestrators of irritable bowel syndrome. Gut Liver 2015;9:318-331.
  • 14. Kim JW. What is the therapeutic mechanism of the probiotics in irritable bowel syndrome patients with visceral hypersensitivity? J Neurogastroenterol Motil 2014;20:555-557.
  • 15. Mayer EA, Savidge T, Shulman RJ. Brain-gut microbiome interactions and functional bowel disorders. Gastroenterology 2014;146:1500-1512.
  • 16. Lee KN, Lee OY. Intestinal microbiota in pathophysiology and management of irritable bowel syndrome. World J Gastroenterol 2014;20:8886-8897.
  • 17. Dupont HL. Review article: evidence for the role of gut microbiota in irritable bowel syndrome and its potential influence on therapeutic targets. Aliment Pharmacol Ther 2014;39:1033-1042.
  • 18. Park MI. Diagnosis and treatment of functional bloating. Korean J Med 2012;83:562-567.
  • 19. Kvasnovsky CL, Bjarnason I, Papagrigoriadis S. What colorectal surgeons should know about probiotics: a review. Colorectal Dis 2015;17:840-848.
  • 20. Bull MJ, Plummer NT. Part 1: the human gut microbiome in health and disease. Integr Med (Encinitas) 2014;13:17-22.
  • 21. Dore J, Simren M, Buttle L, Guarner F. Hot topics in gut microbiota. United European Gastroenterol J 2013;1:311-318.
  • 22. Dai C, Zheng CQ, Jiang M, Ma XY, Jiang LJ. Probiotics and irritable bowel syndrome. World J Gastroenterol 2013;19:5973-5980.
  • 23. Choi HH, Cho YS. Fecal microbiota transplantation: current applications, effectiveness, and future perspectives. Clin Endosc 2016;49:257-265.
  • 24. Soldi S, Vasileiadis S, Uggeri F, Campanale M, Morelli L, Fogli MV, et al. Modulation of the gut microbiota composition by rifaximin in non-constipated irritable bowel syndrome patients: a molecular approach. Clin Exp Gastroenterol 2015;8:309-325.
  • 25. Tiequn B, Guanqun C, Shuo Z. Therapeutic effects of Lactobacillus in treating irritable bowel syndrome: a meta-analysis. Intern Med 2015;54:243-249.
  • 26. Kennedy PJ, Cryan JF, Dinan TG, Clarke G. Irritable bowel syndrome: a microbiome-gut-brain axis disorder? World J Gastroenterol 2014;20:14105-14125.
  • 27. Chey WD, Maneerattaporn M, Saad R. Pharmacologic and complementary and alternative medicine therapies for irritable bowel syndrome. Gut Liver 2011;5:253-266.
  • 28. Oshima T, Miwa H. Epidemiology of functional gastrointestinal disorders in Japan and in the world. J Neurogastroenterol Motil 2015;21:320-329.
  • 29. Ford AC, Quigley EM, Lacy BE, Lembo AJ, Saito YA, Schiller LR, et al. Efficacy of prebiotics, probiotics, and synbiotics in irritable bowel syndrome and chronic idiopathic constipation: systematic review and meta-analysis. Am J Gastroenterol 2014;109:1547-1561.
  • 30. Wall GC, Bryant GA, Bottenberg MM, Maki ED, Miesner AR. Irritable bowel syndrome: a concise review of current treatment concepts. World J Gastroenterol 2014;20:8796-8806.
  • 31. Kwon JG, Park KS, Park JH, Park JM, Park CH, Lee KJ, et al. Guidelines for the treatment of irritable bowel syndrome. Korean J Gastroenterol 2011;57:82-99.
  • 32. Lee YJ, Park KS. Irritable bowel syndrome: emerging paradigm in pathophysiology. World J Gastroenterol 2014;20:2456-2469.
  • 33. Moloney RD, O'Mahony SM, Dinan TG, Cryan JF. Stress-induced visceral pain: toward animal models of irritable-bowel syndrome and associated comorbidities. Front Psychiatry 2015;6:15.
  • 34. Floch MH. Recommendations for probiotic use in humans: a 2014 update. Pharmaceuticals (Basel) 2014;7:999-1007.
  • 35. Mazurak N, Broelz E, Storr M, Enck P. Probiotic therapy of the irritable bowel syndrome: why is the evidence still poor and what can be done about it? J Neurogastroenterol Motil 2015;21:471-485.
  • 36. Hur KY, Lee MS. Gut microbiota and metabolic disorders. Diabetes Metab J 2015;39:198-203.
  • 37. Martinez RC, Bedani R, Saad SM. Scientific evidence for health effects attributed to the consumption of probiotics and prebiotics: an update for current perspectives and future challenges. Br J Nutr 2015;114:1993-2015.
  • 38. Hong KS, Kang HW, Im JP, Ji GE, Kim SG, Jung HC, et al. Effect of probiotics on symptoms in korean adults with irritable bowel syndrome. Gut Liver 2009;3:101-107.
  • 39. Dimidi E, Christodoulides S, Fragkos KC, Scott SM, Whelan K. The effect of probiotics on functional constipation in adults: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr 2014;100:1075-1084.
  • 40. Ojetti V, Ianiro G, Tortora A, D'Angelo G, Di Rienzo TA, Bibbo S, et al. The effect of Lactobacillus reuteri supplementation in adults with chronic functional constipation: a randomized, double-blind, placebo-controlled trial. J Gastrointestin Liver Dis 2014;23:387-391.
  • 41. Choi CH, Chang SK. Alteration of gut microbiota and efficacy of probiotics in functional constipation. J Neurogastroenterol Motil 2015;21:4-7.
  • 42. Heo J, Kim SK, Park KS, Jung HK, Kwon JG, Jang BI. A double-blind, randomized, active drug comparative, parallel-group, multi-center clinical study to evaluate the safety and efficacy of probiotics (Bacillus licheniformis, Zhengchangsheng® capsule) in patients with diarrhea. Intest Res 2014;12:236-244.
  • 43. Lee KJ. Pharmacologic Agents for Chronic Diarrhea. Intest Res 2015;13:306-312.
  • 44. Yoon H, Park YS, Lee DH, Seo JG, Shin CM, Kim N. Effect of administering a multi-species probiotic mixture on the changes in fecal microbiota and symptoms of irritable bowel syndrome: a randomized, double-blind, placebo-controlled trial. J Clin Biochem Nutr 2015;57:129-134.
  • 45. Didari T, Mozaffari S, Nikfar S, Abdollahi M. Effectiveness of probiotics in irritable bowel syndrome: updated systematic review with meta-analysis. World J Gastroenterol 2015;21:3072-3084.
  • 46. Santos AR, Whorwell PJ. Irritable bowel syndrome: the problem and the problem of treating it. Is there a role for probiotics? Proc Nutr Soc 2014;73:470-476.
Table 1

Definitions of probiotics, prebiotics and synbiotics

emj-40-22-i001.jpg
Table 2

Potential mechanisms of probiotics action

emj-40-22-i002.jpg

Figure & Data

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      Gut Microbiota in Health and Probiotics in Functional Bowel Disease
      Ewha Med J. 2017;40(1):22-28.   Published online January 31, 2017
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      Gut Microbiota in Health and Probiotics in Functional Bowel Disease
      Gut Microbiota in Health and Probiotics in Functional Bowel Disease

      Definitions of probiotics, prebiotics and synbiotics

      Potential mechanisms of probiotics action

      Table 1 Definitions of probiotics, prebiotics and synbiotics

      Table 2 Potential mechanisms of probiotics action

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