El Hage Racha, Hernandez-Sanabria Emma, Van de Wiele Tom
Center for Microbial Ecology and Technology, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium.
Front Microbiol. 2017 Sep 29;8:1889. doi: 10.3389/fmicb.2017.01889. eCollection 2017.
The link between gut microbiota and human health is well-recognized and described. This ultimate impact on the host has contributed to explain the mutual dependence between humans and their gut bacteria. Gut microbiota can be manipulated through passive or active strategies. The former includes diet, lifestyle, and environment, while the latter comprise antibiotics, pre- and probiotics. Historically, conventional probiotic strategies included a phylogenetically limited diversity of bacteria and some yeast strains. However, biotherapeutic strategies evolved in the last years with the advent of fecal microbiota transplant (FMT), successfully applied for treating CDI, IBD, and other diseases. Despite the positive outcomes, long-term effects resulting from the uncharacterized nature of FMT are not sufficiently studied. Thus, developing strategies to simulate the FMT, using characterized gut colonizers with identified phylogenetic diversity, may be a promising alternative. As the definition of probiotics states that the microorganism should have beneficial effects on the host, several bacterial species with proven efficacy have been considered next generation probiotics. Non-conventional candidate strains include , and members of the Clostridia clusters IV, XIVa, and XVIII. However, viable intestinal delivery is one of the current challenges, due to their stringent survival conditions. In this review, we will cover current perspectives on the development and assessment of next generation probiotics and the approaches that industry and stakeholders must consider for a successful outcome.
肠道微生物群与人类健康之间的联系已得到充分认识和描述。这种对宿主的最终影响有助于解释人类与其肠道细菌之间的相互依存关系。肠道微生物群可以通过被动或主动策略进行调控。前者包括饮食、生活方式和环境,而后者包括抗生素、益生元和益生菌。从历史上看,传统的益生菌策略包括细菌和一些酵母菌株的系统发育多样性有限。然而,随着粪便微生物群移植(FMT)的出现,生物治疗策略在过去几年中得到了发展,FMT已成功应用于治疗艰难梭菌感染(CDI)、炎症性肠病(IBD)和其他疾病。尽管取得了积极成果,但由于FMT的性质尚不明确,其长期影响尚未得到充分研究。因此,开发使用具有确定系统发育多样性的特征性肠道定植菌来模拟FMT的策略可能是一个有前途的替代方案。由于益生菌的定义指出微生物应对宿主具有有益作用,几种已证实具有功效的细菌物种已被视为下一代益生菌。非常规候选菌株包括梭菌属IV、XIVa和XVIII簇的成员。然而,由于它们严格的生存条件,可行的肠道递送是当前面临的挑战之一。在这篇综述中,我们将涵盖下一代益生菌开发和评估的当前观点,以及行业和利益相关者为取得成功结果必须考虑 的方法。