Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, 2193, Johannesburg, South Africa.
AAPS PharmSciTech. 2014 Feb;15(1):29-43. doi: 10.1208/s12249-013-0027-1. Epub 2013 Sep 25.
Probiotic delivery systems are widely used nutraceutical products for the supplementation of natural intestinal flora. These delivery systems vary greatly in effectiveness to exert health benefits for a patient. Probiotic delivery systems can be categorized into conventional, pharmaceutical formulations, and non-conventional, mainly commercial food-based, products. The degree of health benefits provided by these probiotic formulations varies in their ability to deliver viable, functional bacteria in large enough numbers (effectiveness), to provide protection against the harsh effects of the gastric environment and intestinal bile (in vivo protection), and to survive formulation processes (viability). This review discusses the effectiveness of these probiotic delivery systems to deliver viable functional bacteria focusing on the ability to protect the encapsulated probiotics during formulation process as well as against harsh physiological conditions through formulation enhancements using coatings and polymer enhancements. A brief overview on the health benefits of probiotics, current formulation, patient and legal issues facing probiotic delivery, and possible recommendations for the enhanced delivery of probiotic bacteria are also provided. Newer advanced in vitro analyses that can accurately determine the effectiveness of a probiotic formulation are also discussed with an ideal probiotic delivery system hypothesized through a combination of the two probiotic delivery systems described.
益生菌输送系统是广泛用于补充天然肠道菌群的营养保健品。这些输送系统在发挥对患者健康益处的有效性上有很大的差异。益生菌输送系统可分为传统的药物制剂和非传统的,主要是商业的基于食品的产品。这些益生菌配方提供的健康益处程度因它们能够以足够大的数量输送活菌和功能性细菌的能力而有所不同(有效性),提供对胃环境和肠道胆汁的苛刻影响的保护(体内保护),并在制剂过程中存活(生存能力)。本文综述了这些益生菌输送系统输送活菌和功能性细菌的有效性,重点讨论了在制剂过程中保护包封益生菌的能力,以及通过使用涂层和聚合物增强来改善制剂,抵抗苛刻生理条件的能力。还简要概述了益生菌的健康益处、当前的配方、益生菌输送面临的患者和法律问题,以及对益生菌细菌增强输送的可能建议。还讨论了新的更先进的体外分析方法,这些方法可以准确确定益生菌配方的有效性,并通过结合描述的两种益生菌输送系统来假设理想的益生菌输送系统。