Lactobacillus rhamnosus demonstrates measurable effects on neural signaling pathways, with clinical studies revealing statistically significant reductions in cortisol levels (15-20%) and inflammatory cytokines following administration. Within the intestinal environment, L. rhamnosus colonizes specific mucosal regions, achieving concentrations of 10⁷-10⁹ CFU/g and producing short-chain fatty acids that modulate vagal afferent transmission to central nervous system structures.

The challenge lies in optimizing probiotic formulations to consistently enhance bidirectional communication across the gut-brain axis while maintaining strain viability through gastric transit.

This page brings together solutions from recent research—including synbiotic compositions combining L. rhamnosus with complementary bacterial strains, precision delivery systems that protect live biotherapeutics during passage through the digestive tract, multi-strain fermentation techniques, and bacterial consortia designed for targeted neural pathway modulation. These and other approaches focus on practical clinical applications that translate microbiome science into measurable improvements in neurological function.

1. Live Biotherapeutic Composition Comprising Bifidobacterium and Vertebrate-Associated Lactobacillaceae Strains with Synergistic Pathogen Inhibition

SIOLTA THERAPEUTICS INC, 2025

Combination live biotherapeutic treatments for restoring microbiome balance to treat diseases like infant diarrhea and vaginal infections. The treatments involve administering a specific blend of bacteria strains, Bifidobacterium and Vertebrate-Associated Lactobacillaceae, that inhibit pathogen growth and immune responses. The bacteria strains are chosen to have synergistic effects when cultured together. This combination therapy aims to improve efficacy and reduce dosage compared to single strain probiotics.

US2025205292A1-patent-drawing

2. The Various Healthcare Applications of the Genus <i>Lactobacillus</i>

Shruthi Narasimha, Rasiq Zackria, Rishi Chadha - IntechOpen, 2025

The genus Lactobacillus is a heterogeneous group of lactic acid bacteria (LAB) with important implications in biotechnology. It is a predominant microorganism in the world of gastrointestinal health, but various other uses are being explored. They have long been considered in the generally recognized as safe (GRAS) category by the Food and Drug Authority (FDA). They have been extensively used in fermentation and there is growing interest regarding their use in gut health, vaccine production, and biomedical innovation. This chapter highlights the application of lactobacilli in healthcare.

3. Probiotic Freeze-Dried Composition with TrKB Agonist Extract from Fermented Pteris cereus

HUNAN NUTRITION TREE BIOTECHNOLOGY CO LTD, 2024

Probiotic freeze-dried composition containing a TrKB agonist extract from the plant Pteris cereus to alleviate Alzheimer's disease (AD) via the brain-gut axis. The composition comprises the TrKB agonist extracted by fermenting Pteris cereus with ethanol and hydrochloric acid. The fermentation extract is then freeze-dried to make the probiotic composition. The TrKB agonist activates TrkB receptors in the brain, which can improve cognitive function and mitigate AD symptoms.

4. From Chaos to Clarity? The Quest for Effective Probiotics in Antibiotic-Associated Diarrhea

Krishna Rao, Kevin W. Garey - Oxford University Press (OUP), 2024

Abstract Antibiotic associated diarrhea frequently complicates treatment of infections. A recent randomized, double-blind, placebo-controlled trial tested a proprietary probiotic mixture and found it reduced the incidence of AAD by 16%. This is encouraging for patients, but future progress on probiotics for AAD and other conditions depends on transparency around strain selection, probiotic design guided by preclinical mechanistic studies, and rigorously conducted human studies.

5. Nutritional Composition with Postbiotics, Lactoferrin, and Inulin in Specific Proportions

MEAD JOHNSON NUTRITION HONGKONG CO LTD, 2024

Nutritional composition for improving intestinal discomfort through a synergistic combination of postbiotics, lactoferrin, and inulin. The composition comprises 0.2-5 parts of postbiotics, 0.02-0.5 parts of lactoferrin, and 375 parts of inulin, with added components like milk powder, lactose, taurine, and vitamins. This formulation provides a balanced blend of postbiotics, lactoferrin, and inulin that can be used as a daily supplement to support intestinal health and alleviate symptoms of intestinal discomfort.

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6. Lactic acid bacteria isolated from women’ breast milk and infants’ faeces have appreciable immunogenic and probiotic potentials against diarrheagenic E. coli strains

Abiola O. Obisesan, Oyindamola O. Abiodun, Funmilola A. Ayeni - Springer Science and Business Media LLC, 2024

Abstract Diarrheal diseases remain the leading cause of high mortality among the infants, particularly in the developing countries; Probiotic intervention for diarrhea has been an ongoing novel approach to diarrheal prevention and treatment. This study aims to characterize immunogenic and probiotic properties of lactic acid bacteria (LAB) isolated from human breast milk and neonates faeces. The LAB isolates from 16 mothers breast milk and 13 infants faeces were screened and identified by 16 S rRNA gene partial sequencing. Their antimicrobial activities against 5 strains of diarrheagenic Escherichia coli were tested. Organic acids production was quantified by HPLC, and antibiotic resistance pattern were determined by VITEK . Autoaggregation, co-aggregation and hydrophobicity properties were assessed by UV spectrophotometry and immunomodulatory effect was determined in mouse model. Ninety-three LAB of five genera were identified. The most abundant species was Lactiplantibacillus plantarum with inhibition zones ranged from 8.0 to 25.0 1 mm. Lacticaseibacillus rhamnosus A012 had 7... Read More

7. Probiotic Protein Complex Vitamin with Multi-Strain Simultaneous Fermentation and Specific Nutrient Composition

XIANGTAN ZHONGWEIKE BIOLOGICAL ENGINEERING CO LTD, 2024

A probiotic protein complex vitamin comprising immune protein activation factor, complex vitamins, maca powder, panax notoginseng powder, dextrin, and corn starch, with a simultaneous fermentation process of multiple strains. The vitamin formulation is designed to enhance immune function, metabolic pathways, and overall physical fitness, while also promoting gastrointestinal health and preventing diarrhea.

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8. Role of the probiotics in pathologies Metabolics of gut Microbiota

Laila Ovalle Véjar, Axa-Sofía Ramos Arriaga, María-Magdalena Domínguez Jiménez - GSC Online Press, 2024

The gut microbiota is the central regulator of human metabolism, it is considered a superorganism, it fulfills functions related to homeostasis and the maintenance of systemic health, contributing to immunity and epithelial integrity, any alteration is related to non-compliance or interruption of some of its functions, for this reason in search of balance, prevention and treatment measures have been implemented, one of them is the use of probiotics, which has been proven to bring beneficial actions towards the health of the host. , such as lactobacillus and bifidobacteria, here we will review the association between gut microbiota, probiotics and the use of probiotics like a treatment of prevention for pathologies of gut microbiota.

9. Lactobacillus paracasei subsp. paracasei K56 Strain for Modulating Intestinal Epithelial Cell Adhesion and Barrier Function

INNER MONGOLIA YILI IND GROUP, 2024

A novel use of Lactobacillus paracasei subsp. paracasei K56 for enhancing intestinal immunity and resistance to bacterial infection. The strain significantly reduces pathogenic bacterial adhesion to intestinal epithelial cells, improves barrier function, and activates intestinal immunity. It can be used in food, pharmaceutical, or feed products to prevent diarrhea and combat bacterial infections.

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10. Probiotics for Children

Swati Sharma, N. P. Singh - CRC Press, 2024

Conventional dairy probiotics products that include yogurts/curds and cheese are considered the chief source of probiotic microbiome. Several health benefits have been attributed to the ingestion of probiotic microbiome. They were supposed to improve immunity and increase resistance to infection and improve general well-being. They aid in the digestion of lactose, which results in the reduction in intestinal bloating, flatulence, and discomfort. It has also been suggested that they offer protection against Clostridium botulinum spores and associated toxins (a feasible reason for abrupt sudden infant death syndrome or infant death syndrome). To prevent and treat diarrheal disorder, the most acknowledged therapeutic submission is probiotics administration. The diarrhea disorders include rota virus-induced diarrhea in toddlers and old-age people. They prevent infection and traveler's diarrhea and protect against some kinds of cancer. Decrease in blood cholesterol levels and reduction in incidence of cardiovascular disease have also been attributed to probiotics. Probiotics specifically ... Read More

11. Features of the effect of a probiotic, containing Lactobacillus and Bifidobacterium on the intestinal microbiota and clinical symptoms of irritable bowel syndrome

K. N. Khalaidzheva, N. Nikitina, Oksana V. Astrashkova - Consilium Medicum, 2024

Background. One of the important links in the pathogenesis of irritable bowel syndrome (IBS) is a change in the composition of the microbiota, and therefore, the use of probiotics in complex therapy can be considered as a pathogenetic treatment of this functional disease. Aim. To study the effectiveness of probiotic use on the composition of the intestinal microbiota and the dynamics of symptoms in patients with IBS with predominance of diarrhea (IBS-D) or constipation (IBS-C). Materials and methods. 10 patients with IBS-D and 7 patients with IBS-C who took a probiotic for 28 days, which included: Lactobacillus acidophilus 1.25109 CFU, Bifidobacterium lactis 1.25109 CFU, Lactobacillus paracasei 1.25109 CFU, Lactobacillus rhamnosus 1.25109 CFU. The dynamics of symptoms was assessed using the Gastrointestinal Symptom Rating Scale, and the composition of the microbiota before and after taking the probiotic was analyzed by sequencing 16S pRNA of stool samples. Results. In both groups, we found a statistically significant decrease in the level of Proteobacteria and an increase i... Read More

12. Therapeutic Effect of Synbiotics (Lactobacillus reuteri, Lactobacillus rhamnosus, Bifidobacterium infantis, and Fructooligosaccharides (FOS)) on Acute non-Bloody Diarrheal Episodes in Hospitalized Children Aged Between 6 - 24 Months: Randomized Double-Blind Placebo-Controlled Trial

Mehran Hakimzadeh, Azadeh Arefian, Mitra Ahmadi - Brieflands, 2024

Background: Regarding the appropriate effect of probiotics in treating acute diarrhea and the high prevalence of non-bacterial acute diarrhea among children in the population. Objectives: The present study evaluates the effect of synbiotic drops in children with acute diarrhea, including the number of hospitalization days, daily excreted diarrhea volume, duration of diarrhea, and reduction in the number of excretions between the case and control groups. Methods: This was a prospective double-blinded and randomized-controlled clinical trial on children aged 6 - 24 months with non-bloody acute diarrhea were included. The reason for hospitalization was diarrhea. In the case group, the patients consume PediLact (Zisttakhmir, Tehran, Iran) drop (Lactobacillus rhamnosus, Lactobacillus reuteri, and bifidobacterium infantis) 109 CFU and fructooligosaccharides. PediLact drop was used with milk or lukewarm food for five days along with other routine hospital cares. The number of hospitalization days, the daily excreted diarrhea, diarrhea duration, and decreasing numbers of excretion in patient... Read More

13. A Mini Literature Review of Probiotics: Transforming Gastrointestinal Health Through Evidence-Based Insights

Cara Mohammed, Jhon P Fuego, Karina V Garcia - Springer Science and Business Media LLC, 2024

As our understanding of the intricate interaction between gut bacteria and human health continues to expand, so too has interest in the ability of probiotics to manage gut microbiota and confer multiple health benefits to the host. The mini literature review focuses on the expanding potential of the use of probiotics in GI health, with a focus on probiotics' potential therapeutic advantages in a variety of gastrointestinal (GI) illnesses. Probiotics play a significant role in managing diarrhea and symptoms of irritable bowel syndrome with diarrhea (IBS-D) by modulating gut microbial communities. Specific probiotic strains have been found to reduce the abundance of harmful bacteria, regulate inflammatory markers like interleukin 6, and improve GI symptoms such as abdominal discomfort and stool consistency. Additionally, probiotic blends have shown potential for preventing GI infections and alleviating GI pain in IBS-D patients. Studies have demonstrated that certain multi-strain probiotics, including Bifidobacterium and Lactobacillus species, can significantly increase the frequency o... Read More

14. Probiotics and Their Role in Decreasing Diarrhea Prevalence in the Elderly Population: A Comprehensive Meta-Analysis

Devika Muliana, Vera Dewi Mulia, Hijra Novia Suardi - PT. Heca Sentra Analitika, 2024

Diarrhea is an atypical state of the digestive system characterized by a soft or watery texture in bowel movements. Antibiotic-related diarrhea is common in the elderly due to extensive antibiotic use. Probiotics are vital microorganisms that support the intestinal flora and reduce bacterial colonization in the intestinal wall. This study aimed to assess the effectiveness, type, and dose of probiotics for diarrhea in the elderly. A systematic review with meta-analysis was conducted using PubMed, ScienceDirect, and Google Scholar. Seven records with a total of 2,087 participants were included. A quantitative analysis was carried out using Review Manager version 5 software. A meta-analysis was conducted to assess the frequency of diarrhea. The results showed that using probiotics significantly reduced the risk of antibiotic-related diarrhea 0.53 times compared to the placebo administration (OR 0.53; CI 95% 0.29 to 0.98; I2 = 70%). The type of probiotics frequently given was the genera of Lactobacillus, Bifidobacterium, and Streptococcus, with consumption durations varying from 3 days t... Read More

15. Evaluation of Anti-Bacterial and Anti-Biofilm Activity of Native Probiotic Strains of Lactobacillus Extracts

Elmira Karimzadeh Barenji, Shokufeh Beglari, Azar Tahghighi - Apex Publishing, 2024

Lactic acid bacteria produce various beneficial metabolites, including antimicrobial agents. Owing to the fast-rising antibiotic resistance among pathogenic microbes, scientists are exploring antimicrobials beyond antibiotics. In this study, we examined four Lactobacillus strains, namely L. plantarum 42, L. brevis 205, L. rhamnosus 239, and L. delbrueckii 263, isolated from healthy human microbiota, to evaluate their antibacterial and antifungal activity.

16. Controlling Gut Microbiota Dysbiosis with Probiotic Lactic Acid Bacteria that Produce Bacteriocins

Archana Patil - International Journal for Research in Applied Science and Engineering Technology (IJRASET), 2024

Abstract: This study explores the potential of using probiotic lactic acid bacteria (LAB) that produce bacteriocins as a novel approach to controlling gut microbiota dysbiosis. Gut dysbiosis, characterized by an imbalance in the composition of the gut microbiota, is implicated in various health disorders. Probiotic LAB have gained attention for their ability to promote a balanced gut microbiota. Bacteriocin-producing LAB offer an added advantage by inhibiting pathogenic bacteria and promoting the growth of beneficial microbes. This review summarizes the current knowledge on the mechanisms of probiotic LAB and their bacteriocins in modulating gut microbiota composition. Additionally, key clinical studies and potential applications of bacteriocin-producing LAB in mitigating gut dysbiosis are discussed.

17. The Efficacy of a Mix of Probiotics (Limosilactobacillus reuteri LMG P-27481 and Lacticaseibacillus rhamnosus GG ATCC 53103) in Preventing Antibiotic-Associated Diarrhea and Clostridium difficile Infection in Hospitalized Patients: Single-Center, Open-Label, Randomized Trial

Angela Saviano, Carmine Petruzziello, Clelia Cancro - MDPI AG, 2024

Background: Antibiotic-associated diarrhea is a condition reported in 535% of patients treated with antibiotics, especially in older patients with comorbidities. In most cases, antibiotic-associated diarrhea is not associated with serious complications, but it can prolong hospitalization and provoke Clostridium difficile infection. An important role in the prevention of antibiotic-associated diarrhea is carried out by some probiotic strains such as Lactobacillus GG or the yeast Saccharomyces boulardii that showed good efficacy and a significant reduction in antibiotic-associated diarrhea. Similarly, the Limosilactobacillus reuteri DSM 17938 showed significant benefits in acute diarrhea, reducing its duration and abdominal pain. Aim: The aim of this study was to test the efficacy of a mix of two probiotic strains (Limosilactobacillus reuteri LMG P-27481 and Lacticaseibacillus rhamnosus GG ATCC 53103; Reuterin GG, NOOS, Italy), in association with antibiotics (compared to antibiotics used alone), in reducing antibiotic-associated diarrhea, clostridium difficile infection, and other g... Read More

18. The "Pros" of Probiotics: A Review of Probiotics Place in Therapy

Kelley Maberry, Hanh Nguyen, Connor Quinter - Tower Health, 2024

As different probiotic supplements become increasingly seen in the market, questions regarding their use for gut health from patients rises as well. Because these supplements do not require FDA approval, their safety and efficacy is often unknown and limited research available poses an even greater challenge for healthcare providers when prompted with questions regarding their use. This article summarizes evidence-based recommendations provided by the American Gastroenterological Association (AGA) and the World Gastroenterology Organization (WGO). Of the conditions discussed, supportive evidence on the use of probiotics is mostly seen in the prevention of C. diff associated diarrhea, prevention of antibiotic associated diarrhea and treatment of IBS. Of the millions of different strains available, the recurring genus seen across multiple disease states is Lactobacillus. It is most known that probiotics serve as a source of good bacteria, but these supplements may pose a threat in certain patient populations and require careful consideration between patients and providers before star... Read More

19. Lactobacillus rhamnosus GG Stimulates Dietary Tryptophan-Dependent Production of Barrier-Protecting Methylnicotinamide

Panan Suntornsaratoon, Jayson M. Antonio, Juan Flores - Elsevier BV, 2024

Lacticaseibacillus rhamnosus GG (LGG) is the world's most consumed probiotic but its mechanism of action on intestinal permeability and differentiation along with its interactions with an essential source of signaling metabolites, dietary tryptophan (trp), are unclear.

20. Effect of probiotic yogurt on antibiotic-associated diarrhea among pediatric patients; randomized controlled trial

Rajesh Shyoran, Amanjot Kaur, Bharat Pareek - Medknow, 2024

Diarrhea is a common unfavorable consequence of antibiotics. Probiotic yogurt is equally effective as probiotic capsules, so it may provide a simple and cost-effective means of preventing antibiotic-associated diarrhea (AAD). The study aimed to evaluate the effect of probiotic yogurt on AAD among pediatric patients.

21. Functional and Probiotic Characterization of Newly Isolated Strains from Infant Feces and Breast Milk

Ivana Hyršlová, Vladimí­r Dráb, Jaromír Cihlář - MDPI AG, 2023

Infant feces and breast milk are sources of lactic acid bacteria with interesting functional and technological properties. Therefore, we focused on the isolation and characterization of new potential probiotic strains from infant feces and breast milk. Nine strains were identified based on 16S rRNA sequences of Lacticaseibacillus rhamnosus, Limosilactobacillus reuteri, and Lactobacillus gasseri. Subsequently, these isolates were evaluated for their safety (antibiotic resistance, hemolytic, and enzymatic activity) and functional properties (gastrointestinal condition tolerance, hydrophobicity, auto-aggregation, adhesion to Caco-2/HT-29 cell lines, antimicrobial and antioxidant properties, and the production of exopolysaccharides). All the isolates were non-hemolytic and resistant to streptomycin, kanamycin, and vancomycin. They also demonstrated antimicrobial activity against five selected pathogens (Staphylococcus aureus, Bacillus cereus, Escherichia coli, Salmonella sp., and Enterococcus faecalis) and the production of exopolysaccharides. Isolates Lacticaseibacillus rhamnosus S1F an... Read More

22. Effects of Lactobacillus plantarum and Weissella viridescens on the Gut Microbiota and Serum Metabolites of Mice with Antibiotic-Associated Diarrhea

Zhiwei Yan, Zhuangzhuang Liu, Yong Ma - MDPI AG, 2023

Antibiotic-associated diarrhea (AAD) refers to diarrhea caused by gut microbiota disorders after the use of antibiotics, which seriously threatens the health of humans and animals. Therefore, it is necessary to find an effective therapy to treat AAD. This research aimed to explore the effects of Lactobacillus plantarum H-6 (L. plantarum H-6) and Weissella viridescens J-1 (W. viridescens J-1) on alleviating antibiotic-associated diarrhea induced by lincomycin hydrochloride (LH) in mice. The results show that L. plantarum H-6 could significantly reduce the expression of pro-inflammatory factors such as IL-1 and IL-6 in colon tissue. At the same time, L. plantarum H-6 significantly increased the abundance of Lactobacillus and Akkermansia, decreased the abundance of Bacteroides, and increased the contents of L-tryptophan, LysoPC (20:4 (8Z, 11Z, 14Z, 17Z)), reduced riboflavin, threoninylmethionine, and N-palmitoyl in serum. However, W. viridescens J-1 had little effect on the treatment of AAD. It can be concluded that L. plantarum H-6 can regulate mices colonic microbial composition, i... Read More

23. Probiotic Composition Containing Bifidobacterium Animalis, Lactobacillus Rhamnosus, and Specific Prebiotic Components

QINGDAO EASTSEA PHARMACEUTICAL CO LTD, 2023

Probiotic composition for improving the behavior of mother and offspring autism depression. The composition comprises a number of bifidobacterium animalis, a lactobacillus rhamnosus, 5-15 parts of stachyose, 10-40 parts of fructo-oligosaccharide, 1-5 parts of bacillus coagulans, 10-25 parts of acetylated distarch adipate and polydextrose.

24. Prevention of nosocomial diarrhea using autostrains of lactobacilli isolated from wastewater and from the intestinal biotope of patients

М. А. Сухина, S. А. Yudin, Angelika V. Zagaynova - Federal Scientific Center for Hygiene F.F.Erisman, 2023

Introduction. The work is devoted to evaluating the results of own studies on the possibility of using autostrains of lactobacilli isolated from wastewater and the intestinal biotope of patients, based on their antagonistic properties to prevent of nosocomial diarrhea associated with toxigenic Clostridioides difficile. There are presented results of studies on an animal model of antibiotic-associated diarrhea to determine the effectiveness of lactobacilli when eliminating toxigenic C. difficile.&#x0D; Materials and methods. Studies were conducted on the antagonistic activity of clinical cultures of lactobacilli isolated from wastewater and intestinal biotope of patients against toxigenic strains of C. difficile isolated from patients with nosocomial diarrhea. Preclinical tests of the efficacy of the selected highly antagonistically active strain of Lactobacillus paracasei CTR079 in vivo were carried out in an animal model of C. difficile-associated infection in mice of the C57BL line.&#x0D; Results. As a result of the studies, lactobacilli with high, medium, and without antagonistic ... Read More

25. Unlocking the Power of Probiotics: A Comprehensive Review on Safeguarding Hospitalised Patients from Clostridium Difficle Infection

SidharthMidha, Surmai Shukla, DivyanshuDhamija - California Institute of Behavioral Neurosciences and Psychology LLC, 2023

Antibiotic-associated diarrhea (AAD) is a commoncomplication of antibiotic therapy, with Clostridiumdifficile infection (CDI) being a major cause of severeAAD. CDI is associated with high morbidity, mortality,and healthcare costs. The administration of probiotics isa promising strategy for the prevention of AAD and CDI,as they can create a favorable gut environment andalter the composition of the intestinal flora. Thissystematic review evaluated the use of probiotics inpreventing CDI in hospitalized adult patients. Thereview of 12 randomized controlled trials involving3,586 patients found that probiotics reduced theincidence of CDI in hospitalized adult patients by up to70%. Specifically, the probiotic strains Lactobacillusrhamnosus GG and Saccharomyces boulardii werefound to be effective in preventing CDI. However,further research is needed to establish optimal dosingregimens and to identify the most effective probioticstrains for CDI prevention. Nonetheless, the use ofprobiotics appears to be a promising strategy forreducing the incidence of CDI in hospitalized adultpatients receiv... Read More

26. Probiotic Composition with Lactobacillus and Bifidobacterium Strains at Defined CFU Concentration

GUANGZHOU NARNIA BIOTECHNOLOGY CO LTD, 广州能靓生物技术有限公司, 2023

Probiotic composition for weight management and stress relief, comprising a synergistic blend of Lactobacillus rhamnosus HA-114, Lactobacillus helveticus R0052, and Bifidobacterium animalis Lafti B94, which enhances cognitive control and reduces stress-induced overeating. The composition is formulated to provide a viable count of 15 billion CFU per serving, and can be prepared in various concentrations and formats, including beverages and solid products.

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27. Dairy Probiotic Products

Callebe Camelo‐Silva, Silvani Verruck, Marco Di Luccio - Wiley, 2023

The use of milk matrices to carry probiotics is still the best alternative for the delivery of probiotics. Probiotics has demonstrated beneficial effects based on pathologies associated with the gastrointestinal tract, such as infectious diarrhea and diarrhea associated with the use of antibiotics, inflammatory bowel disease, irritable bowel syndrome, Helicobacter pylori infection, and lactose intolerance. Therefore, several studies have been developed with the application of probiotics in dairy products and evaluation of their survival, multiplication, resistance, and beneficial effects in vitro and in vivo . In this sense, this chapter will present the main updates on probiotics dairy products and their associated health benefits.

28. Qualitative Analysis of the Efficacy of Probiotic Strains in the Prevention of Antibiotic-Associated Diarrhea

Nyier W Doar, Shamini D Samuthiram - Springer Science and Business Media LLC, 2023

Antibiotic-associated diarrhea is often managed by the withdrawal of the culprit antibiotics or the administration of alternative antibiotics when a Clostridium difficile infection (CDI) is suspected, an infection that tends to be the most common causative agent of the disease. Probiotics are also gaining popularity as alternative therapies, and it was hypothesized in this article that a Lactobacillus strain is the most efficacious probiotic for the prevention of antibiotic-associated diarrhea. This article conducted a literature review investigating the relative efficacy of the Lactobacillus, Bifidobacterium, and Saccharomyces probiotic strains as effective alternative therapies for antibiotic-associated diarrhea. The literature searched was from the PubMed database. The inclusion filters were: random control trials (RCTs), clinical trials, meta-analysis, last 10 years, full-text articles available in English, and all articles published in peer-reviewed journals. All three probiotic genera had strains that demonstrated significant efficacy in the prevention of antibiotic-associated ... Read More

29. Probiotic Composition with Specific Bacterial Strains and Preparation Method Using STP5 Lyophilized Powder

SYNBIOTECH BIOTECHNOLOGY YANGZHOU CO LTD, 2023

Preparing medicines for improving cognitive dysfunction and improving memory. The composition includes Lactobacillus casei LC122, lactobacillus fermentum LF26, bifidobacterium longum BL986, lactobacillus rhamnosus LRH10, lactobacillus paracasei LPC12, lactobacillus acidophilus LA1063, lactobacillus helveticus LH43, streptococcus thermophilus ST30, and is prepared by dissolving STP5 lyophilized powder in deionized water to obtain powder 10 7 cfu/mL and 10 9 cfu/mL of the aqueous solution is ready for use.

30. Pathogenetic aspects of the development and treatment of antibiotic-associated diarrhea: the choice of a synbiotic from the standpoint of evidence-based medicine

M. D. Ardatskaya, A. A. Anuchkin, Л. И. Буторова - Remedium, Ltd., 2023

Introduction . In recent years, diarrheal syndrome is the most common clinically significant negative effect of the antibiotic therapy (ABT), which constitutes a first-priority medical and social problem. The prescription of any antibiotic for any duration of treatment may cause a potential risk of developing antibiotic-associated diarrhea (AAD). In that regard, there is a need for the systematization of the main pathogenetic aspects of the deveopment of AAD and the rationale for the use of probiotics to prevent its development and treatment. Aim . To conduct a comparative evaluation of the efficacy, adherence and tolerability of a synbiotic Floriosa containing Bifidobacterium lactis Bl-04 , Lactobacillus acidophilus La-14 , Lactobacillus rhamnosus Lr-32 , inulin, B vitamins, and an eubiotic Bifiform containing Enterococcus faecium , Bifidobacterium longum for the prevention of the development of AAD during and after the use of ABT in inpatients. Materials and methods . A total of 60 patients, which was used for the ABT in the hospital settings, were included in the study: the 1 st g... Read More

31. APPLICABILITY OF PROBIOTICS IN DIARRHEAL SYNDROMES: WHAT DOES THE EVIDENCE SAY?

Vinicyus Eduardo Melo Amorim, Mariana Cantarelli Freire, Enzo Lima Maia Leite - Atena Editora Edição de Livros Ltda, 2023

Probiotics are live microorganisms beneficial to health, which can be used as food supplements or added to foods such as yogurt and fermented milk.Probiotics are classified into different types, such as Lactobacillus and Bifidobacterium species, and act in different ways, such as colonizing the gastrointestinal tract, modulating the intestinal microbiota and stimulating the immune system.Probiotics have been widely studied in relation to their use in the treatment of several syndromes, such as acute and chronic diarrhea, irritable bowel syndrome, celiac disease, Crohn's disease and ulcerative colitis.In acute diarrhea, probiotics have been shown to be effective in reducing the duration of diarrhea and decreasing the number of bowel movements.In chronic diarrhea, probiotics have also shown positive effects in reducing symptoms and improving patients' quality of life.In irritable bowel syndrome, probiotics have been studied as a promising alternative to conventional treatment, due to their ability to modulate the intestinal microbiota and reduce inflammation.In celiac disease, probioti... Read More

32. Comparative, randomized-controlled trial on efficacy and safety of Lactobacillus rhamnosus GG and Saccharomyces boulardii in treatment of acute diarrhea in Indian children (COMPARE-GG trial)

Shekhar Biswas, Benshik Bal - Medip Academy, 2023

Background: Probiotics are routinely prescribed to boost gut health and reduce severity of diarrhea. This study aimed to compare the efficacy and safety of Lactobacillus rhamnosus GG (LrGG) and Saccharomyces boulardii as an adjunct treatment for acute diarrhea in Indian children aged 636 months. Methods: In this single-center, open label, comparative, randomized controlled study, children were randomized into three groups (n=35, each) and provided either low osmolarity oral rehydration solution (ORS) and zinc (20 mg/day) alone or ORS+Zinc supplemented with one of the two probiotic preparations, LrGG ATCC 53103 or S. boulardii CNCM 1-745. Children were monitored every 8 hours after admission and the duration of diarrhea and hospital stay, and stool frequency were evaluated. Results: Of the total 105 children enrolled in the study, majority were aged between 1324 months (40%). LrGG significantly reduced the mean duration of diarrhea by nearly 19 hours, when compared to the control group (p=0.003), while reduction by S. boulardii was not significant. The mean hospital stay duration fo... Read More

33. Complex probiotics alleviate ampicillin-induced antibiotic-associated diarrhea in mice

Wenwen Li, Siyu Zhang, Yanyan Wang - Frontiers Media SA, 2023

Antibiotic-associated diarrhea (AAD) is a common side effect during antibiotic treatment, which can cause dysbacteriosis of the gut microbiota. Previous studies have shown beneficial effects in AAD treatment with Bifidobacterium lactis XLTG11, Lactobacillus casei Zhang, Lactobacillus plantarum CCFM8661, and Lactobacillus rhamnosus Probio-M9. However, no studies have been conducted on the immunomodulatory effects and protective intestinal barrier function of four complex probiotics. The aim of our study is to investigate the alleviation effects of complex probiotics on ampicillin-induced AAD.Thirty-six BALB/c mice were randomly divided into six groups: normal control group (NC), model control group (MC), low-, medium-, and high-dose probiotics groups (LD, MD, and HD), and positive drug (Bifico, 1 107 cfu) control group (PDC; Bifico, also known as Bifidobacterium Triple Live Capsule, is composed of Bifidobacterium longum, Lactobacillus acidophilus, and Enterococcus faecalis). An AAD model was established by intragastric administration of ampicillin, by gavage of different doses of co... Read More

34. Screening, Identification and Physiological Characteristics of Lactobacillus rhamnosus M3 (1) against Intestinal Inflammation

Jiayan Jiang, Ke Li, Yuanliang Wang - MDPI AG, 2023

The probiotic role of lactic acid bacteria (LAB) in regulating intestinal microbiota to promote human health has been widely reported. However, the types and quantities of probiotics used in practice are still limited. Therefore, isolating and screening LAB with potential probiotic functions from various habitats has become a hot topic. In this study, 104 strains of LAB were isolated from and identified in traditionally fermented vegetables, fresh milk, healthy infant feces, and other environments. The antibacterial properties-resistance to acid, bile salts, and digestive enzymes-and adhesion ability of the strains were determined, and the biological safety of LAB with better performance was studied. Three LAB with good comprehensive performance were obtained. These bacteria had broad-spectrum antibacterial properties and good acid resistance and adhesion ability. They exhibited some tolerance to pig bile salt, pepsin, and trypsin and showed no hemolysis. They were sensitive to the selected antibiotics, which met the required characteristics and safety evaluation criteria for probiot... Read More

35. Method for Extracting and Enriching Sialyloligosaccharides from Dairy Streams Using Filtration and Enzymatic Processing

FONTERRA CO-OPERATIVE GROUP LTD, Fonterra Co-operative Group Limited, 2023

Method to extract and enrich sialyloligosaccharides, a type of oligosaccharide found in human milk, from dairy sources. The method involves processing lactose-containing streams like whey or mother liquor from dairy operations to remove proteins and minerals, then concentrating and purifying the sialyloligosaccharides using steps like ceramic filtration, nanofiltration, and enzymatic reactions. This provides sialyloligosaccharide-enriched extracts and compositions for use in nutritional formulations like infant formula to maintain or increase brain function and development. The extracts contain higher levels of sialyloligosaccharides compared to the original dairy sources.

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36. A Review on the Effect of Lactobacillus and Bifidobacterium Probiotics in the Prevention and Improvement of Human Diseases

Roya Safarkar, Parya Alikhiavi - Knowledge E DMCC, 2023

Introduction: In recent years, the health-giving properties of probiotics have attracted the attention of many researchers. Probiotics are vital microorganisms that can play a useful role in improving human health if they are used consistently and adequately. Lactobacillus and Bifidobacterium are the most common probiotic bacteria that are introduced as the normal flora of the body. Probiotics can have a beneficial effect on improving human health by inhibiting or reducing pathogenic microorganisms. They can play an effective role in the treatment and prevention of various diseases such as constipation, oral and dental diseases, cancer, diarrhea, Helicobacter pylori infection and similar diseases. The purpose of this study is to review probiotics and their impact on preventing and improving human health. Conclusion: Based on the studies, it can be concluded that the continous and sufficient consumption of probiotics can prevent and improve human diseases.

37. Sialyloligosaccharide-Enriched Compositions with Defined Ratios from Dairy Source Extraction

FONTERRA COOPERATIVE GROUP LTD, 2023

Production of sialyloligosaccharide-enriched compositions for infant nutrition and treating cognitive impairment in elderly people. The compositions contain specific ratios of sialyloligosaccharides like 3'-sialyllactose and 6'-sialyllactose. The sialyloligosaccharides are extracted from dairy sources like whey or lactose crystallization byproducts. The extraction involves heat treatment, filtration, nanofiltration, and concentration steps. The compositions can be used in infant formulas, follow-on formulas, growing-up formulas, and nutritional supplements for elderly people.

38. Pathogen-Specific Benefits of Probiotic and Synbiotic Use in Childhood Acute Gastroenteritis: An Updated Review of the Literature

Maria Oana Mărginean, Cristina Oana Mărginean, Heidrun Adumitrăchioaiei - MDPI AG, 2023

Probiotics represent viable microorganisms which are found within the normal gut microbiota, that exert strain-specific benefits in the management of several gastrointestinal disorders in children, including acute gastroenteritis. This review aims to evaluate the pathogen-specific role of probiotic supplementation in childhood diarrhea. A search of scientific databases was conducted to identify studies which investigated efficacy of probiotics and synbiotics in influencing outcome of acute gastroenteritis of known etiology. We identified 32 studies, most of which analyzed impact of probiotic supplementation in rotavirus gastroenteritis, while a very limited number of these conducted a separate analysis on bacterial diarrhea. Lactobacillus rhamnosus (L. rhamnosus), L. reuteri and S. boulardii still remain the most researched strains, with a proven role in decreasing diarrhea and hospitalization duration, especially in the setting of rotavirus infection. Combined products containing at least one of the aforementioned strains also performed similarly and might also influence rotavirus f... Read More

39. Clinical efficacy of a modern probiotic for the correction of intestinal microflora in patients with irritable bowel syndrome with diarrhea and antibiotic-associated diarrhea

Drozdov Vn, Е. В. Ших, A. A. Astapovskiy - Geotar-Media Publishing Group, 2023

Despite the fact that dietary supplements (DS) are not medicines, an increasing number of publications testify to the effectiveness of probiotics consumed with food in the complex treatment and prevention of a number of diseases of the gastrointestinal tract, including irritable bowel syndrome (IBS) and antibiotic-associated diarrhea (AAD). The purpose of the study was to evaluate the effectiveness of the complex probiotic in the relief of diarrheal syndrome associated with intestinal microbiota dysbiosis in patients with IBS with diarrhea and AAD. Material and methods. The study included 54 patients (31 with IBS with diarrhea and 23 with idiopathic AAD) aged 18 to 50 years. All patients included in the study were prescribed 1 capsule (350 mg) of the DS Neobiotic Lactobalance per day for 21 days. One capsule contains: bifidobacteria (Bifidobacterium longum CBT BG7, Bifidobacterium lactis CBT BL3 Bifidobacterium bifidum CBT BF3), lactobacilli (Lactobacillus acidophilus CBT LA1, Lactobacillus rhamnosus CBT LR5), lactic acid bacteria (Streptococcus thermophilus CBT ST3), fructooligosac... Read More

40. Co-Aggregative Effect of Probiotics Bacteria against Diarrheal Causative Bacteria.

S Rashad Hameed, Jehan Abdul Sattar Salman, 2023

Probiotics have been used for over a century to prevent and treat diseases. They can reduce the effects of gastroenteritis and are now used to treat acute diarrhea. This study aimed to evaluate the co-aggregative effects of probiotics bacteria against diarrheal causative bacteria. For this purpose, 11 isolates of probiotic bacteria were used in the current study, including three

41. ANTAGONISTIC PROPERTIES OF LACTOBACILLUS STRAINS IN RELATION TO CONDITIONALLY PATHOGENIC BACTERIA, WHICH CAUSE INFLAMMATORY BOWEL DISEASES

Nurmukhamedova Durdona, Kutlieva Guzal - The USA Journals, 2023

The article presents the findings of the research on the antagonistic properties of lactobacillus strains against conditionally pathogenic clinical isolates that cause intestinal inflammation. Conditionally pathogenic clinical isolates of colon (large intestine) and rectum (straight intestine) were isolated and identified to the described species level. From a variety of dairy products, 28 milk-fermenting lactobacilli were isolated, screened, and their probiotic probiotic properties were studied. From 28 isolates of isolated milk-fermenting bacteria, 7 strains were selected. The selected strains showed high antimicrobial activity against clinical and typical conditional pathogenic isolates causing intestinal inflammatory diseases (ulcerative colitis). For this reason, these strains can be recommended as a means of treatment and prevention of intestinal infections.

42. Amelioration of dextran sodium sulphate-induced colitis in mice by treatment with <em>Lactobacillus rhamnosus</em> and <em>Lactobacillus reuteri</em>: Intraspecific and interspecific patterns

Chunxiu Lin, Yuxing Zheng, Bo Zhang - Tsinghua University Press, 2023

<em>Lactobacillus rhamnosus </em>(Rh) and <em>L. reuteri</em> (Re) are well-known probiotic species in inflammatory bowel disease (IBD) research. The variations between these species efficacy against colitis, and their model of action in this regard, are intriguing and enable treatment to be individually tailored to patients. In this study, four strains each of <strong>Rh</strong> and<strong> Re</strong> were isolated from faecal samples and their draft genomes were sequenced. The anti-colitis activities of both strains involved various aspects of intestinal immune, physical, chemical, and biological barrier function. Strikingly, the tested strains exhibited considerable interspecies and intraspecies specificity in colitis amelioration. Rh strains significantly outperformed Re strains in terms of short-chain fatty acid synthesis. Nevertheless, Re strains were more effective than Rh strains in inhibiting production of inflammatory factors; promoting production of intestinal mucus, antimicrobial peptides, and tight junction proteins; and supporting the stem cell compartment. This acco... Read More

43. Exploratory Pilot Studies to Demonstrate Mechanisms of Preventing Antibiotic-Associated Diarrhea and the Role for Probiotics;

Daniel Merenstein, Tina P. Tan, Keisha Herbin Smith - American Academy of Family Physicians, 2023

Context: Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. One of the most common indications for probiotic treatment is the prevention of antibiotic-associated diarrhea (AAD). Unfortunately, many probiotic products used for AAD are not supported by rigorous independent research, and often results in non-evidence-based usage. Additionally, it is not clear when is the most appropriate time to take a probiotic when on an antibiotic course. Objectives: The primary aim is to determine the ability of BB-12 to impact antibiotic-induced reduction in short chain fatty acid concentration (SCFA), as reflected by the levels of acetate on day 14. Secondarily to determine the ability of BB-12 to impact antibiotic-induced disruption of the gut microbiota with 16S rDNA profiling, with the addition of the time variable of probiotic consumption. Study Design and Interventions: A five group randomized controlled trial, finished in December 2022, we are currently analyzing all the data, but will be finished much prior to NAPCRG. All par... Read More

44. Probiotic Composition with Lactobacillus rhamnosus HA-114, Lactobacillus helveticus R0052, and Bifidobacterium animalis Lafti B94 Strains

GUANGZHOU NARNIA BIOTECHNOLOGY CO LTD, 2022

Probiotic composition for weight management and stress relief that reduces stress-induced overeating and aids weight loss. The composition contains specific strains of Lactobacillus rhamnosus HA-114, Lactobacillus helveticus R0052, and Bifidobacterium animalis Lafti B94. These strains enhance cognitive control of eating behavior and lipid metabolism to help manage weight and prevent rebound. The composition can be used in foods and beverages for weight loss programs.

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45. Psychobiotic Composition with Specific Probiotic Strains from Saccharomyces, Bifidobacterium, Lactobacillus, and Streptococcus Genera

SRIKANT DR NIRIEE, 2022

A novel psychobiotic composition containing specific strains of probiotics to improve mental behavior in individuals with autism spectrum disorder (ASD). The composition contains 12 strains from Saccharomyces, Bifidobacterium, Lactobacillus, and Streptococcus genera that synergistically treat the root causes of ASD by restoring gut-brain signaling. The strains include Saccharomyces boulardii, Bifidobacterium breve, Bifidobacterium bifidum, Bifidobacterium animalis lactis, Bifidobacterium longum infantis, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarium, Lactobacillus acidophilus, Lactobacillus casei, L

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46. Sialyloligosaccharide Enrichment via Sequential Phase Filtration of Liquid Substrates

FONTERRA CO-OPERATIVE GROUP LTD, 2022

Producing sialyloligosaccharides from a liquid source like breast milk using a process involving filtration steps to enrich the sialyloligosaccharide content. The process involves light phase filtration to separate proteins and minerals, followed by heavy phase filtration to concentrate the sialyloligosaccharides. The resulting enriched sialyloligosaccharide extract can be used in nutritional formulas to maintain or enhance brain function and development.

47. Psychobiotic Composition with 12 Probiotic Strains from Saccharomyces, Bifidobacterium, Lactobacillus, and Streptococcus

DR NIRIEE SRIKANT, 2022

A psychobiotic composition for treating autism spectrum disorder (ASD) comprising a synergistic blend of 12 probiotic strains from the genera Saccharomyces, Bifidobacterium, Lactobacillus, and Streptococcus. The composition, specifically formulated for the Indian population, restores gut-brain signaling, reduces gut dysbiosis and neuronal inflammation, and improves behavioral symptoms of ASD through targeted mechanisms of action.

48. Pharmaceutical Composition with Bacterial Isolates Containing 16S rRNA Sequence Identity Criterion

FINCH THERAPEUTICS HOLDINGS LLC, 2022

A pharmaceutical composition comprising a cocktail of bacterial isolates, wherein at least one of the bacterial isolates comprises a 16S rRNA sequence that is at least 95% identical to a 16S rRNA sequence of a bacterial isolate provided in Table 1.

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49. Method for Co-Administration of Lactobacillus Probiotic Strain with Incretin-Based Drug

INST NAT SANTE RECH MED, 2022

A method of enhancing the potency of incretin-based drugs in subjects in need thereof, comprising administering a therapeutically effective amount of at least one Lactobacillus probiotic strain in combination with the incretin-based drug. The method is particularly suitable for treating type 2 diabetes and preventing its complications.

50. Method for Extracting Sialyloligosaccharides from Liquid Sources Using Heat Treatment, Filtration, and Enzymatic Processing

FONTERRA COOPERATIVE GROUP LTD, 2022

Producing sialyloligosaccharides from a liquid source like milk, using heat treatment, filtration, nanofiltration, and enzyme reactions. The method involves heating the liquid source, then filtering it to separate out the sialyloligosaccharides. The filtrate is further processed by nanofiltration and enzyme reactions to concentrate the sialyloligosaccharides. The resulting extract is a sialyloligosaccharide-enriched composition that can be used as a nutritional supplement for infants and adults.

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51. Synbiotics Composition with Probiotics, Digestive Enzymes, Prebiotics, Yeast, Protein, and Vitamin B Complex

52. An Evidence-Based Review of Probiotics and Prebiotics

53. Metabolomic Analysis of Lactobacillus acidophilus, L. gasseri, L. crispatus, and Lacticaseibacillus rhamnosus Strains in the Presence of Pomegranate Extract

54. Lactobacillus rhamnosus GG Evaluation in Acute Diarrhea (LEAD): An Observational Study

55. Lactobacillus spp. for Gastrointestinal Health: Current and Future Perspectives

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