María Remes Troche José, Coss Adame Enrique, Ángel Valdovinos Díaz Miguel, Gómez Escudero Octavio, Eugenia Icaza Chávez María, Antonio Chávez-Barrera José, Zárate Mondragón Flora, Antonio Ruíz Velarde Velasco José, Rafael Aceves Tavares Guillermo, Antonio Lira Pedrín Marco, Cerda Contreras Eduardo, Carmona Sánchez Ramón Isaías, Guerra López Héctor, Solana Ortiz Rodolfo
Instituto e Investigaciones Médico Biológicas de la Universidad Veracruzana, Veracruz, Mexico.
Gastroenterology Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Therap Adv Gastroenterol. 2020 Nov 24;13:1756284820971201. doi: 10.1177/1756284820971201. eCollection 2020.
Dysbiosis, a loss of balance between resident bacterial communities and their host, is associated with multiple diseases, including inflammatory bowel diseases (nonspecific chronic ulcerative colitis and Crohn's disease), and digestive functional disorders. Probiotics, prebiotics, synbiotic organisms and, more recently, pharmabiotics, have been shown to modulate the human microbiota. In this review, we provide an overview of the key concepts relating to probiotics, prebiotics, synbiotic organisms, and pharmabiotics, with a focus on available clinical evidence regarding the specific use of a unique pharmabiotic, the strain LB (), for the management of gastrointestinal disorders. Since it does not contain living organisms, the administration of LB is effective and safe as an adjuvant in the treatment of acute diarrhea, chronic diarrhea, and antibiotic-associated diarrhea, even in the presence of immunosuppression.
菌群失调是指常驻细菌群落与其宿主之间失去平衡,与多种疾病相关,包括炎症性肠病(非特异性慢性溃疡性结肠炎和克罗恩病)以及消化功能紊乱。益生菌、益生元、合生元,以及最近出现的药物益生菌,已被证明可调节人体微生物群。在本综述中,我们概述了与益生菌、益生元、合生元和药物益生菌相关的关键概念,重点关注关于一种独特的药物益生菌菌株LB()用于治疗胃肠道疾病的现有临床证据。由于LB不含活的生物体,即使在存在免疫抑制的情况下,LB作为辅助药物用于治疗急性腹泻、慢性腹泻和抗生素相关性腹泻也是有效且安全的。