Broekaert Ilse J, Walker W Allan
Mucosal Immunology Laboratory, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA 02129, USA.
J Clin Gastroenterol. 2006 Mar;40(3):270-4. doi: 10.1097/00004836-200603000-00021.
In today's climate, changed lifestyles and the increased use of antibiotics are significant factors that affect the preservation of a healthy intestinal microflora. The concept of probiotics is to restore and maintain a microflora advantageous to the human body. Probiotics are found in a number of fermented dairy products, infant formula, and dietary supplements. Basic research on probiotics has suggested several modes of action beneficial for the human body and clinical research has proven its preventive and curative features in different intestinal and extraintestinal diseases. Chronic diseases cause considerable disablement in patients and represent a substantial economic burden on healthcare resources. Research has demonstrated a crucial role of nutrition in the prevention of chronic disease. Thus, positive, strain-specific effects of probiotics have been shown in diarrheal diseases, inflammatory bowel diseases, irritable bowel syndrome, and Helicobacter pylori-induced gastritis, and in atopic diseases and in the prevention of cancer. As the majority of probiotics naturally inhabit the human intestinal microflora, their use has been regarded as very safe. However, in view of the range of potential benefits on health that might be achieved by the use of some probiotic bacteria, major and thorough evaluation is still necessary. In conclusion, probiotics act as an adjuvant in the prevention and treatment of a wide variety of chronic diseases.
在当今环境下,生活方式的改变以及抗生素使用的增加是影响健康肠道微生物群保存的重要因素。益生菌的概念是恢复和维持对人体有益的微生物群。在许多发酵乳制品、婴儿配方奶粉和膳食补充剂中都能找到益生菌。对益生菌的基础研究表明了几种对人体有益的作用模式,临床研究也证实了其在不同肠道和肠道外疾病中的预防和治疗特性。慢性病会给患者带来相当大的残疾,并给医疗资源带来沉重的经济负担。研究表明营养在预防慢性病中起着关键作用。因此,益生菌在腹泻病、炎症性肠病、肠易激综合征、幽门螺杆菌引起的胃炎、特应性疾病以及癌症预防方面已显示出特定菌株的积极作用。由于大多数益生菌天然存在于人体肠道微生物群中,它们的使用被认为非常安全。然而,鉴于使用某些益生菌可能对健康带来的潜在益处范围,仍需要进行全面而深入的评估。总之,益生菌在预防和治疗多种慢性病中起辅助作用。