Feb 11, 2005

Role of probiotics in the modulation of intestinal infections and inflammation

Current Opinion in Gastroenterology
David R Mack, Sylvie Lebel

Abstract

Using microorganisms to influence positively the course of an illness caused by injurious microorganisms is an approach with mounting clinical evidence showing efficacy. Whereas antibiotics will remain an important therapeutic option, there are limitations and problems to their increasing and chronic usage, and probiotics offer a strategy to reduce antibiotic usage. Increasingly, it has become clear that the mechanisms whereby probiotics can impact in intestinal diseases involve a large repertoire of responses. This review summarizes recent findings on how probiotics may effect benefit through interactions with host eukaryotic cells. Limiting the access of microbes associated with the development of disease to host mucosal surfaces and altering the responses of host to microbial insults are potential mechanisms whereby probiotics can influence the pathogenesis of disease. Evidence is accumulating that live, viable probiotic organisms diminish accessibility to intestinal epithelial cell; however, the mucosal exclusion is not through direct blockage of shared epithelial receptors between probiotic microbes and pathogenic organisms. Modulation of mucosal defenses such as innate protective mechanisms, enhanced epithelial cell survi...Continue Reading

Mentioned in this Paper

Microorganism
Immune Response
Pathogenic Aspects
Pathogenesis
Intestinal Infectious Disease (Disorder)
Mucositis
Pathogenic Organism
Etiology
Soluble
Entire Intestinal Tract

About this Paper

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