Markova Iu M, Sheveleva S A
Vopr Pitan. 2014;83(4):4-14.
This review concerns the issues of foodfortifications and the creation of functional foods (FF) and food supplements based on probiotics and covers an issue of approaches to the regulation of probiotic food products in various countries. The status of functional foods, optimizing GIT functions, as a separate category of FF is emphasized. Considering the strain-specificity effect of probiotics, the minimum criteria used for probiotics in food products are: 1) the need to identify a probiotics at genus, species, and strain levels, using the high-resolution techniques, 2) the viability and the presence of a sufficient amount of the probiotic in product at the end of shelf life, 3) the proof of functional characteristics inherent to probiotic strains, in the controlled experiments. The recommended by FA O/WHO three-stage evaluation procedure offunctional efficiency of FF includes: Phase I--safety assessment in in vitro and in vivo experiments, Phase II--Evaluation in the Double-Blind, Randomized, Placebo-Controlled trial (DBRPC) and Phase III--Post-approval monitoring. It is noted that along with the ability to obtain statistically significant results of the evaluation, there are practical difficulties of conducting DBRPC (duration, costs, difficulties in selection of target biomarkers and populations). The promising approach for assessing the functional efficacy of FF is the concept of nutrigenomics. It examines the link between the human diet and the characteristics of his genome to determine the influence of food on the expression of genes and, ultimately, to human health. Nutrigenomic approaches are promising to assess the impact of probiotics in healthy people. The focusing on the nutrigenomic response of intestinal microbial community and its individual populations (in this regard the lactobacilli can be very informative) was proposed.
本综述涉及食品强化以及基于益生菌的功能性食品(FF)和食品补充剂的研发问题,并涵盖了各国对益生菌食品监管方法的相关问题。强调了作为FF单独一类的、优化胃肠道功能的功能性食品的地位。考虑到益生菌的菌株特异性效应,食品中益生菌使用的最低标准为:1)需要使用高分辨率技术在属、种和菌株水平上鉴定益生菌;2)在保质期结束时产品中益生菌的存活能力和足够数量的存在;3)在对照实验中证明益生菌菌株固有的功能特性。粮农组织/世卫组织推荐的FF功能效率三阶段评估程序包括:第一阶段——体外和体内实验的安全性评估;第二阶段——双盲、随机、安慰剂对照试验(DBRPC)评估;第三阶段——批准后监测。需要指出的是,除了能够获得具有统计学意义的评估结果外,进行DBRPC还存在实际困难(持续时间、成本、选择目标生物标志物和人群的困难)。评估FF功能功效的有前景的方法是营养基因组学概念。它研究人类饮食与其基因组特征之间的联系,以确定食物对基因表达的影响,并最终对人类健康的影响。营养基因组学方法有望评估益生菌对健康人的影响。有人提出应关注肠道微生物群落及其个体群体的营养基因组反应(在这方面,乳酸杆菌可能非常有参考价值)。