Irritable Bowel Syndrome, Gut Microbiota and Probiotics.
- Author:
Beom Jae LEE
1
;
Young Tae BAK
Author Information
1. Department of Gastroenterology, Korea University Guro Hospital, Seoul, Korea. drbakyt@korea.ac.kr
- Publication Type:Review ; Clinical Trial
- Keywords:
Immunity;
Inflammation;
Irritable bowel syndrome;
Microbiota;
Probiotics
- MeSH:
Abdominal Pain;
Autonomic Nervous System;
Axis, Cervical Vertebra;
Diarrhea;
Disease Progression;
Enterocolitis, Necrotizing;
Hypersensitivity;
Immune System;
Inflammation;
Insurance Benefits;
Irritable Bowel Syndrome;
Metagenome;
Pouchitis;
Probiotics
- From:Journal of Neurogastroenterology and Motility
2011;17(3):252-266
- CountryRepublic of Korea
- Language:English
-
Abstract:
Irritable bowel syndrome (IBS) is a complex disorder characterized by abdominal symptoms including chronic abdominal pain or discomfort and altered bowel habits. The etiology of IBS is multifactorial, as abnormal gut motility, visceral hypersensitivity, disturbed neural function of the brain-gut axis and an abnormal autonomic nervous system are all implicated in disease progression. Based on recent experimental and clinical studies, it has been suggested that additional etiological factors including low-grade inflammation, altered gut microbiota and alteration in the gut immune system play important roles in the pathogenesis of IBS. Therefore, therapeutic restoration of altered intestinal microbiota may be an ideal treatment for IBS. Probiotics are live organisms that are believed to cause no harm and result in health benefits for the host. Clinical efficacy of probiotics has been shown in the treatment or prevention of some gastrointestinal inflammation-associated disorders including traveler's diarrhea, antibiotics-associated diarrhea, pouchitis of the restorative ileal pouch and necrotizing enterocolitis. The molecular mechanisms, as cause of IBS pathogenesis, affected by altered gut microbiota and gut inflammation-immunity are reviewed. The effect of probiotics on the gut inflammation-immune systems and the results from clinical trials of probiotics for the treatment of IBS are also summarized.
