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Seminar topic :-probiotics
Naveen Chaudhary
P.hd scholar
PGIMER ,Chandigarh
Probiotics
ī‚—
Introduction
History
Properties
Mode of action
Advantages
Application
Probiotic products
Adverse effects
Future aspects
Introduction
Origin of life :- Started 3.8 billions years back
The first living things on Earth:- Single-celled microbes lacking a
cell nucleus
Introduction
īƒ˜Evolutionary biologists generally agree that humans and
other living originated from the bacterial cells
Probiotics
ī‚— Probiotics are live microorganisms that are
similar to beneficial microorganisms found in the
human gut. They are also called “friendly
bacteria” or “good bacteria.
ī‚— Latin word pro means "for"and the Greek letter
bios means "life".
ī‚— The term contrasts with the term antibiotic
Definition
ī‚— Experts have debated how to
define probiotics
ī‚— One widely used definition,
developed by the World
Health(WHO)
ī‚— “Live microorganisms,
which, when administered in
adequate amounts, confer a
health benefit on the host ”
8
Antibiotics
Synbiotics
Prebiotics
Probiotics
History
ī‚— The history of probiotics can be traced to the first use of
cheese and fermented products, that were well known to the
Greeks and Romans who recommended their consumption
ī‚— Nobel laureate Élie Metchnikoft suggested Proteolytic
bacteria such as clostridia, which are part of the normal gut
flora, produce toxic substances like phenol and ammonia ,
he called "intestinal autointoxication which would cause
the physical changes associated with old age
Elie Metchnikoff
ī‚§ He postulated that yogurt-consuming Bulgarian
farmers lived longer lives because of their custom.
ī‚§ Metchnikoff proposed that consumption of fermented milk
would "seed" the intestine with harmless lactic-acid
bacteria and decrease the intestinal pH, and that this would
suppress the growth of proteolytic bacteria.
Probiotics facts
ī‚— There Are 10 Times More Probiotics Than Cells In
Our Body
ī‚— Probiotics Live Throughout Our Entire Body (Not
Just Our Stomach!
Appendix Is Not Useless – It Incubates
Probiotics
Properties of Effective Probiotics
ī‚— Non pathogenic and non toxic
ī‚— Able to survive the passage through the digestive system.
ī‚— Able to attach to the intestinal epithelia and colonise.
ī‚— Able to maintain good viability.
ī‚— Able to utilise the nutrients and substrates in a normal diet.
ī‚— Capable of exerting a benificial effect on the host.
ī‚— Stability of desired characteristics during processing, storage and
transportation.
ī‚— Anti-inflammatory, antimutagenic, immunostimulatory.
Probiotics - Mode of Action
Tiwari et al, 2012
14
īƒ˜Bacteriocins:- Bacteriocins are potent protein toxins
produced by virtually bacterial and archeal species
īƒ˜These bactericidal peptides play an important role in
regulating competitive interactions in natural microbial
systems
TYPES OF BACTERIOCINS
Nisin
Microcins
Colicins
pediocin
Advantages
īļIncreased nutritional value
īļPromotion recovery of diarrhea
īļInhibition of pathogen growth and translocation
īļProduce vitamins (especially Vitamin B and vitamin K)
īļEnhancing specific and nonspecific immune response
īļStimulation of gastrointestinal immunity
īļDecreasing prevalence of allergy in susceptible
individuals
Guidelines for evolution of
candiadate probiotic strains
Isolation of probiotics :-
steps
ī‚— Collection of Samples
ī‚— Isolation
ī‚— Identification
ī‚— Acidic tolerence
ī‚— Bile tolerence
ī‚— Antibiotic senstivity
Isolation and identification of
Lactobacillus
ī‚— Collection of Samples:- fecal ,milk,yoghurt
samples
ī‚— Media :-MRS
ī‚— Identification:
ī‚— Gram Staining,
ī‚— catalase test
Tolerance of Lactobacillus casei to
gastric juice(acidic)
ī‚— One aliquat (0.2 ml) of bacteria was transfered in
a 2ml sterile eppendroff tube and mixed in 0.3ml
of 0.5% sterile Nacl solution and 1ml stimulated
gastric juice of pH 2, 3, and 4 respectively
ī‚— Viability of strains was analysed by determination
of CFU/ml after different periods of incubation.
(0min, 30min, 60min, 90min) on MRS solid
media after an incubation time of 48hrs at 37ÂēC
Tolerance of Lactobacillus casei to
gastric juice(acidic)
Bile tolerence
ī‚— One aliquat (0.2ml) of bacteria mixed with 0.3ml of
sterile Nacl solution and 1ml stimulated intestinal
juice (0.5%, 1% and 1.5 %) followed by incubation at
37ÂēC for 48hrs
ī‚— Viability of srains determined by CFU/ml after
different periods of incubation (0min, 30min, 90min,
180min) in stimulated intestinal juice by inoculation
on MRS media after an incubation time of 48 hrs
at37ÂēC
Tolerance of Lactobacillus casei to
bile juice(basic )
Antibiotic senstivity
ī‚— Sensitivity of Lactobacillus spp. to different
antibiotics can be determined by minimum
inhibitory concentration (MIC) or disc diffusion
assay
Is yogurt a probiotic product?
How is yogurt different from curd?
ī‚— It is a prevalent myth, what curd is to India, yogurt is
to west
How is yogurt different from curd?
1.Curd
( i) Obtained by coagulation of milk by harmless
lactic acid bacteria like Lactobacillus
Lactococcus lactis.
(ii) It may contain a wide variety of bacteria, which
are not defined qualitatively/quantitatively
2.Yoghurt
( i) Obtained by lactic acid fermentation of milk by
Lactobacillus bulgaricus and Streptococcus
thermophillus
Is yogurt a probiotic product?
ī‚— Not all yogurts contain probiotics
Dosage Formsâ€Ļ.
Standard forms:
ī‚— Capsules
ī‚— Sticks
ī‚— Powder blends
ī‚— Chewable tablets
yakult
ī‚— Yakult is a probiotic dairy product made
by fermenting a mixture of skimmed milk with a
special strain of the bacterium Lactobacillus
casei Shirota.
ī‚— It was created by Japanese scientist Minoru
Shirota , who graduated from the Medical School
of Kyoto University in 1930
Dr. Minoru Shirota, Yakult
founder
ī‚§ Sugar (sucrose, dextrose)
ī‚§ Skimmed milk powder
ī‚§ Natural flavours
ī‚§ Live Lactobacillus casei Shirota strain, 6.5
billion per 65 ml bottle ( 108 CFU/mL)
ī‚§ Water
Floraster
ī‚— While traveling in Indo china in the early 1920’s,
Henri Boulard, a French microbiologist, noticed
the locals drinking a special tea—made from
lychee and mangosteen
ī‚— S. boulardii was first introduced to the market in
1953 by the French pharmaceutical company
Biocodex. Since then, it has become available in
over 100 countries making it the worldwide
FLORASTOR
ī‚— 250 mg Saccharomyces boulardii lyo.
ī‚— 32.50 mg lactose monohydrate.
ī‚— 2.85 mg magnesium stearate.
ī‚— hypromellose (outer capsule shell)
ī‚— capsule printed colouring: titanium dioxid
Probiotics in Skincare Products
īļProbiotic skincare product NUDE SkincareŠ was first
introduce in 2007 by NUDE Brands Ltd., UK/USA
īļProbiotics help balance and also stabilize microflora on the
skin
īļIt increases certain probiotic strains in skin that protect
skin from environmental stressors, soothes skin and
improves moisture retention
38
Probiotic skin cream
Skin Probiotics Offer Best Defense
Against MRSA Infections
The research discovered this ability to prevent MRSA infection on the
skin and into wounds was due not only to the Propionibacterium acnes’
ability to inhibit MRSA biochemically: Propionibacterium acnes along
with another skin probiotic, Staphylococcus epidermidis, stimulate the
release of the body’s own immunity mechanisms through activating Toll-
like receptors
The researchers tested the ability of Propionibacterium acnes bacteria
to prevent infection on the skin of mice. The Propionibacterium acnes
bacteria cultures significantly inhibited MRSA infections – at even
greater degrees than within the laboratory. The researchers also found
that the Propionibacterium acnes bacteria tended to colonize into and
around any wounds on the skin of the mice – thereby preventing
MRSA infection into the wound.
41
Johannes, 2012
Table The Probiotic effect of lactic acid bacteria (LAB) in human and animal health.
Medical target Example strain Reference
Prevent food allergy
Block formation of biogenic amines
Overcome lactose intolerance
Prevent diarrhea (antibiotic-induced,
rotavirus, travellers, community acquired,
Clostridium difficile colitis)
Reduce intestinal disorders and pouchitis.
Suppress side effects of
Helicobacter pylori medication with
antibiotics.
Treat Crohn’s disease, ulcerative colitis and
imflammatory bowel disease (IBD)
Stimulate anticarcinogenic activity
Treat coronary heart disease and
anticholesterolaemic effects
Control of human urinary tract infection and
vaginosis.
Immunomodulating effect
L. rhamnosus GG
L. lactis ESI 561
E. faecalis INIA 4-07
E. faecalis EFS 2
L. acidophilus
LAB
L. rhamnosus GG
L. acidophilus LB
LAB
L. rhamnosus GG
L. acidophilus
L. rhmanosus GG
B. infants UGC35624
LAB
LAB
L. acidophilus
L. acidophilus
L. rhamnosus (GG)
L. rhamnosus GR-1
L. plantarum 299
L. rhmanosus GG
Sutas et al., 1996
Joosten et al., 1996
Gilliland and Kim, 1984
Fooks et al., 1999
Heyman, 2000
Oksanen et al., 1990
Simakachorn et al., 2000
Sanders, 2003
Gionchetti et al., 2000
Kuisma et al., 2003
Canducci et al., 2000
Gupta et al., 2000
Von Wright et al., 2002
Marteau et al., 2002
Goldin, 1990
Hirayma and Rafter, 2000
Schaafsma et al., 1998
Gilliland et al., 1985
Kontiokari et al., 2001
Reid, 2001
Reid 2002
Pathmakanthan S, et al., 2004
Schultz M, et al., 2003, Passi T, 2000
Probiotics - Clinical Applications
īƒŧ Diarrhea
īƒŧ Colon cancer
īƒŧ Cardiovascular diseases
īƒŧ Prevention of Helicobacter pylori infection
īƒŧ Allergy
īƒŧInflammatory bowel disease (IBD)
īƒŧ Lactose malabsorption
īƒŧ Urogenital infections
43
Lactose Intolerance
ī‚— Lactose intolerance is a condition in which
people have symptoms due to the decreased
ability to digest lactose, a sugar found in milk
products. Those affected vary in the amount of
lactose they can tolerate before symptoms
develop. Symptoms may include abdominal
pain, bloating, diarrhea, gas, and nausea
LACTOSE INTOLERNCE
Antibiotic Associated Diarrhea
Disease Antibiotic treatment
Disturbance of
gut microbiota
Clostridium overgrowth
produces toxins
Diarrhea46
Balance
Microbiota
Probiotics
īƒ˜Production of antimicrobial substances
īƒ˜Stimulation of the mucus secretion
īƒ˜Competition for adhesion sites
īƒ˜Stimulation of speciīŦc and non-speciīŦc immune responses
Probiotics
Prevention of Helicobacter
pylori infection
Helicobacter pylori Infection
47
īƒ˜Assimilation of cholesterol by bacterial cells
īƒ˜Deconjugation of bile acids by bacterial acid hydrolases
īƒ˜Cholesterol-binding to bacterial cell walls
īƒ˜Reduction of hepatic cholesterol synthesis
īƒ˜Redistribution of cholesterol from plasma to liver
īƒ˜Bacterial production of short-chain fatty acids
Probiotics
Reduction of blood cholesterol level
Probiotics and Heart Diseases
48
īƒ˜Reverse increased intestinal permeability
īƒ˜ Enhance gut-specific IgA responses
īƒ˜Promote gut barrier function
īƒ˜Modulation of immune response
īƒ˜Enhance IL-10 and cytokines production that promote
production of IgE antibodies
Probiotics
Beneficial in Allergy and
Atopic diseases
Probiotics and Allergy
49
Urogenital Tract Disorders
īƒ˜Production of antimicrobial substances
īƒ˜Competition for adhesion sites
īƒ˜Competitive exclusion of pathogens
Probiotics
Relief from Urogenital Infection
50
Probiotics and Cancer
Enzymes of Gut Flora
īƒŧGlycosidase
īƒŧβ- glucuronidase
īƒŧNitroreductase
Probiotics
īļ Oligofructose plus two probiotic strains (L. acidophilus and
L. casei) supplementation in humans helped to decrease
levels of these gut flora enzymes
52
ī‚§ LcS can augment host immune defense through induction of IL-12
production by phagocytes, in which the unique cell wall structure of
this probiotic organism plays a key role
ī‚§Studies with mouse peritoneal macrophages demonstrated that
phagocytosis of LcS is essential for its induction of IL-12 production
by macrophages, but that recognition of LcS by Toll-like receptor
(TLR)2, a sensor for a variety of Gram-positive bacteria, is not
required for IL-12 induction.
ī‚§The active component of LcS for the IL-12 induction has been
revealed to be the intact cell wall, and the LcS bacterial body
engulfed by the macrophages showed significant resistance to
digestion .
Production Of GLP-1 by probiotics
GLP-1( Glucagon-like peptide-1) is a potent antihyperglycemic hormone,
inducing the β-cells of the pancreas to release the hormone insulin in
response to rising glucose, while suppressing glucagon secretion
GLP-1 is also known to inhibit the programmed cell death (apoptosis of
pancreatic β-cells, and to stimulate β-cell proliferation and differentiation
Probiotics for the Management of
Diabetes
Side Effects of Probiotics
ī‚— Rare cases cause bloating, diarrhea, abdominal pain.
ī‚— If in excess cause infection that require medical attentions.
ī‚— People having on underlying disease or compromised immune
system cause potential health problems like skin rash, fever,
bloody stools etc.
ī‚— Sometimes interact with immunosupressive drugs leading to life
threating cnditions. So people taking such drugs should avoid it.
Adverse effects
ī‚— May be infective in severely
immunocompromised
individuals
ī‚— Introduced into a sterile body
fluids.
Probiotics effect Reference
S.Boulardii
L.Rhamnosus
Fungemia
Liver abscess
Rautio
M(1999)
Piarroux
R(1999)
Synbiotics
ī‚— PROBIOTICS + PREBIOTICS
ī‚— Foods containing the combination of probiotics and
prebiotics are referred to as sybiotics.
ī‚— Improved survival in upper GIT and more efficient
implantation.
Genetically engineered probiotics
īƒ˜Weight gain can be prevented with engineered probiotics,
īƒ˜Researchers genetically modified probiotic bacteria to produce a
hunger-suppressing compound called NAPE, which is normally
released by the cells in the small intestine after a meal and signals
the brain to reduce food intake
īƒ˜Studies have found that people who are obese appear to not
produce enough NAPE, which stands for N-
acylphosphatidylethanolamine, and works to suppress appetite
after having a meal
Institutes engaged in Probiotic research in
India
ī‚— Central Food Technology And Research Institute,
Mysore, India
ī‚— National dairy research institute, Karnal, Haryana,
India
ī‚— Institute of microbial technology, Chandigarh,
India
ī‚— National dairy development board, Anand, Gujarat,
India
ī‚— Nestle Pvt Ltd, Panipat, Haryana, India
Indian studies
Future prospects of probiotics
ī‚— The future of probiotic foods is even promising, as
modern consumers are worried to maintain their
personal health, and expect the food that they eat
to be healthy and capable of preventing illness
ī‚— These research results will probably be as
essential for the positioning of probiotic
preparations as either a food, a food supplement
or as pharmaceutical preparation
THANKS

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Probiotics ppt seminar prebiotics presentation

  • 1. Seminar topic :-probiotics Naveen Chaudhary P.hd scholar PGIMER ,Chandigarh
  • 4. Introduction Origin of life :- Started 3.8 billions years back The first living things on Earth:- Single-celled microbes lacking a cell nucleus
  • 5. Introduction īƒ˜Evolutionary biologists generally agree that humans and other living originated from the bacterial cells
  • 6. Probiotics ī‚— Probiotics are live microorganisms that are similar to beneficial microorganisms found in the human gut. They are also called “friendly bacteria” or “good bacteria. ī‚— Latin word pro means "for"and the Greek letter bios means "life". ī‚— The term contrasts with the term antibiotic
  • 7. Definition ī‚— Experts have debated how to define probiotics ī‚— One widely used definition, developed by the World Health(WHO) ī‚— “Live microorganisms, which, when administered in adequate amounts, confer a health benefit on the host ”
  • 9. History ī‚— The history of probiotics can be traced to the first use of cheese and fermented products, that were well known to the Greeks and Romans who recommended their consumption ī‚— Nobel laureate Élie Metchnikoft suggested Proteolytic bacteria such as clostridia, which are part of the normal gut flora, produce toxic substances like phenol and ammonia , he called "intestinal autointoxication which would cause the physical changes associated with old age Elie Metchnikoff
  • 10. ī‚§ He postulated that yogurt-consuming Bulgarian farmers lived longer lives because of their custom. ī‚§ Metchnikoff proposed that consumption of fermented milk would "seed" the intestine with harmless lactic-acid bacteria and decrease the intestinal pH, and that this would suppress the growth of proteolytic bacteria.
  • 11. Probiotics facts ī‚— There Are 10 Times More Probiotics Than Cells In Our Body ī‚— Probiotics Live Throughout Our Entire Body (Not Just Our Stomach!
  • 12. Appendix Is Not Useless – It Incubates Probiotics
  • 13. Properties of Effective Probiotics ī‚— Non pathogenic and non toxic ī‚— Able to survive the passage through the digestive system. ī‚— Able to attach to the intestinal epithelia and colonise. ī‚— Able to maintain good viability. ī‚— Able to utilise the nutrients and substrates in a normal diet. ī‚— Capable of exerting a benificial effect on the host. ī‚— Stability of desired characteristics during processing, storage and transportation. ī‚— Anti-inflammatory, antimutagenic, immunostimulatory.
  • 14. Probiotics - Mode of Action Tiwari et al, 2012 14
  • 15. īƒ˜Bacteriocins:- Bacteriocins are potent protein toxins produced by virtually bacterial and archeal species īƒ˜These bactericidal peptides play an important role in regulating competitive interactions in natural microbial systems TYPES OF BACTERIOCINS Nisin Microcins Colicins pediocin
  • 16. Advantages īļIncreased nutritional value īļPromotion recovery of diarrhea īļInhibition of pathogen growth and translocation īļProduce vitamins (especially Vitamin B and vitamin K) īļEnhancing specific and nonspecific immune response īļStimulation of gastrointestinal immunity īļDecreasing prevalence of allergy in susceptible individuals
  • 17. Guidelines for evolution of candiadate probiotic strains
  • 18.
  • 19. Isolation of probiotics :- steps ī‚— Collection of Samples ī‚— Isolation ī‚— Identification ī‚— Acidic tolerence ī‚— Bile tolerence ī‚— Antibiotic senstivity
  • 20. Isolation and identification of Lactobacillus ī‚— Collection of Samples:- fecal ,milk,yoghurt samples ī‚— Media :-MRS ī‚— Identification: ī‚— Gram Staining, ī‚— catalase test
  • 21. Tolerance of Lactobacillus casei to gastric juice(acidic) ī‚— One aliquat (0.2 ml) of bacteria was transfered in a 2ml sterile eppendroff tube and mixed in 0.3ml of 0.5% sterile Nacl solution and 1ml stimulated gastric juice of pH 2, 3, and 4 respectively ī‚— Viability of strains was analysed by determination of CFU/ml after different periods of incubation. (0min, 30min, 60min, 90min) on MRS solid media after an incubation time of 48hrs at 37ÂēC
  • 22. Tolerance of Lactobacillus casei to gastric juice(acidic)
  • 23. Bile tolerence ī‚— One aliquat (0.2ml) of bacteria mixed with 0.3ml of sterile Nacl solution and 1ml stimulated intestinal juice (0.5%, 1% and 1.5 %) followed by incubation at 37ÂēC for 48hrs ī‚— Viability of srains determined by CFU/ml after different periods of incubation (0min, 30min, 90min, 180min) in stimulated intestinal juice by inoculation on MRS media after an incubation time of 48 hrs at37ÂēC
  • 24. Tolerance of Lactobacillus casei to bile juice(basic )
  • 25. Antibiotic senstivity ī‚— Sensitivity of Lactobacillus spp. to different antibiotics can be determined by minimum inhibitory concentration (MIC) or disc diffusion assay
  • 26. Is yogurt a probiotic product?
  • 27. How is yogurt different from curd? ī‚— It is a prevalent myth, what curd is to India, yogurt is to west
  • 28. How is yogurt different from curd? 1.Curd ( i) Obtained by coagulation of milk by harmless lactic acid bacteria like Lactobacillus Lactococcus lactis. (ii) It may contain a wide variety of bacteria, which are not defined qualitatively/quantitatively 2.Yoghurt ( i) Obtained by lactic acid fermentation of milk by Lactobacillus bulgaricus and Streptococcus thermophillus
  • 29. Is yogurt a probiotic product? ī‚— Not all yogurts contain probiotics
  • 30. Dosage Formsâ€Ļ. Standard forms: ī‚— Capsules ī‚— Sticks ī‚— Powder blends ī‚— Chewable tablets
  • 32. ī‚— Yakult is a probiotic dairy product made by fermenting a mixture of skimmed milk with a special strain of the bacterium Lactobacillus casei Shirota. ī‚— It was created by Japanese scientist Minoru Shirota , who graduated from the Medical School of Kyoto University in 1930
  • 33. Dr. Minoru Shirota, Yakult founder
  • 34. ī‚§ Sugar (sucrose, dextrose) ī‚§ Skimmed milk powder ī‚§ Natural flavours ī‚§ Live Lactobacillus casei Shirota strain, 6.5 billion per 65 ml bottle ( 108 CFU/mL) ī‚§ Water
  • 35.
  • 36. Floraster ī‚— While traveling in Indo china in the early 1920’s, Henri Boulard, a French microbiologist, noticed the locals drinking a special tea—made from lychee and mangosteen ī‚— S. boulardii was first introduced to the market in 1953 by the French pharmaceutical company Biocodex. Since then, it has become available in over 100 countries making it the worldwide
  • 37. FLORASTOR ī‚— 250 mg Saccharomyces boulardii lyo. ī‚— 32.50 mg lactose monohydrate. ī‚— 2.85 mg magnesium stearate. ī‚— hypromellose (outer capsule shell) ī‚— capsule printed colouring: titanium dioxid
  • 38. Probiotics in Skincare Products īļProbiotic skincare product NUDE SkincareŠ was first introduce in 2007 by NUDE Brands Ltd., UK/USA īļProbiotics help balance and also stabilize microflora on the skin īļIt increases certain probiotic strains in skin that protect skin from environmental stressors, soothes skin and improves moisture retention 38
  • 40. Skin Probiotics Offer Best Defense Against MRSA Infections The research discovered this ability to prevent MRSA infection on the skin and into wounds was due not only to the Propionibacterium acnes’ ability to inhibit MRSA biochemically: Propionibacterium acnes along with another skin probiotic, Staphylococcus epidermidis, stimulate the release of the body’s own immunity mechanisms through activating Toll- like receptors The researchers tested the ability of Propionibacterium acnes bacteria to prevent infection on the skin of mice. The Propionibacterium acnes bacteria cultures significantly inhibited MRSA infections – at even greater degrees than within the laboratory. The researchers also found that the Propionibacterium acnes bacteria tended to colonize into and around any wounds on the skin of the mice – thereby preventing MRSA infection into the wound.
  • 42. Table The Probiotic effect of lactic acid bacteria (LAB) in human and animal health. Medical target Example strain Reference Prevent food allergy Block formation of biogenic amines Overcome lactose intolerance Prevent diarrhea (antibiotic-induced, rotavirus, travellers, community acquired, Clostridium difficile colitis) Reduce intestinal disorders and pouchitis. Suppress side effects of Helicobacter pylori medication with antibiotics. Treat Crohn’s disease, ulcerative colitis and imflammatory bowel disease (IBD) Stimulate anticarcinogenic activity Treat coronary heart disease and anticholesterolaemic effects Control of human urinary tract infection and vaginosis. Immunomodulating effect L. rhamnosus GG L. lactis ESI 561 E. faecalis INIA 4-07 E. faecalis EFS 2 L. acidophilus LAB L. rhamnosus GG L. acidophilus LB LAB L. rhamnosus GG L. acidophilus L. rhmanosus GG B. infants UGC35624 LAB LAB L. acidophilus L. acidophilus L. rhamnosus (GG) L. rhamnosus GR-1 L. plantarum 299 L. rhmanosus GG Sutas et al., 1996 Joosten et al., 1996 Gilliland and Kim, 1984 Fooks et al., 1999 Heyman, 2000 Oksanen et al., 1990 Simakachorn et al., 2000 Sanders, 2003 Gionchetti et al., 2000 Kuisma et al., 2003 Canducci et al., 2000 Gupta et al., 2000 Von Wright et al., 2002 Marteau et al., 2002 Goldin, 1990 Hirayma and Rafter, 2000 Schaafsma et al., 1998 Gilliland et al., 1985 Kontiokari et al., 2001 Reid, 2001 Reid 2002 Pathmakanthan S, et al., 2004 Schultz M, et al., 2003, Passi T, 2000
  • 43. Probiotics - Clinical Applications īƒŧ Diarrhea īƒŧ Colon cancer īƒŧ Cardiovascular diseases īƒŧ Prevention of Helicobacter pylori infection īƒŧ Allergy īƒŧInflammatory bowel disease (IBD) īƒŧ Lactose malabsorption īƒŧ Urogenital infections 43
  • 44. Lactose Intolerance ī‚— Lactose intolerance is a condition in which people have symptoms due to the decreased ability to digest lactose, a sugar found in milk products. Those affected vary in the amount of lactose they can tolerate before symptoms develop. Symptoms may include abdominal pain, bloating, diarrhea, gas, and nausea
  • 46. Antibiotic Associated Diarrhea Disease Antibiotic treatment Disturbance of gut microbiota Clostridium overgrowth produces toxins Diarrhea46 Balance Microbiota Probiotics
  • 47. īƒ˜Production of antimicrobial substances īƒ˜Stimulation of the mucus secretion īƒ˜Competition for adhesion sites īƒ˜Stimulation of speciīŦc and non-speciīŦc immune responses Probiotics Prevention of Helicobacter pylori infection Helicobacter pylori Infection 47
  • 48. īƒ˜Assimilation of cholesterol by bacterial cells īƒ˜Deconjugation of bile acids by bacterial acid hydrolases īƒ˜Cholesterol-binding to bacterial cell walls īƒ˜Reduction of hepatic cholesterol synthesis īƒ˜Redistribution of cholesterol from plasma to liver īƒ˜Bacterial production of short-chain fatty acids Probiotics Reduction of blood cholesterol level Probiotics and Heart Diseases 48
  • 49. īƒ˜Reverse increased intestinal permeability īƒ˜ Enhance gut-specific IgA responses īƒ˜Promote gut barrier function īƒ˜Modulation of immune response īƒ˜Enhance IL-10 and cytokines production that promote production of IgE antibodies Probiotics Beneficial in Allergy and Atopic diseases Probiotics and Allergy 49
  • 50. Urogenital Tract Disorders īƒ˜Production of antimicrobial substances īƒ˜Competition for adhesion sites īƒ˜Competitive exclusion of pathogens Probiotics Relief from Urogenital Infection 50
  • 51.
  • 52. Probiotics and Cancer Enzymes of Gut Flora īƒŧGlycosidase īƒŧβ- glucuronidase īƒŧNitroreductase Probiotics īļ Oligofructose plus two probiotic strains (L. acidophilus and L. casei) supplementation in humans helped to decrease levels of these gut flora enzymes 52
  • 53. ī‚§ LcS can augment host immune defense through induction of IL-12 production by phagocytes, in which the unique cell wall structure of this probiotic organism plays a key role ī‚§Studies with mouse peritoneal macrophages demonstrated that phagocytosis of LcS is essential for its induction of IL-12 production by macrophages, but that recognition of LcS by Toll-like receptor (TLR)2, a sensor for a variety of Gram-positive bacteria, is not required for IL-12 induction. ī‚§The active component of LcS for the IL-12 induction has been revealed to be the intact cell wall, and the LcS bacterial body engulfed by the macrophages showed significant resistance to digestion .
  • 54. Production Of GLP-1 by probiotics GLP-1( Glucagon-like peptide-1) is a potent antihyperglycemic hormone, inducing the β-cells of the pancreas to release the hormone insulin in response to rising glucose, while suppressing glucagon secretion GLP-1 is also known to inhibit the programmed cell death (apoptosis of pancreatic β-cells, and to stimulate β-cell proliferation and differentiation Probiotics for the Management of Diabetes
  • 55.
  • 56.
  • 57. Side Effects of Probiotics ī‚— Rare cases cause bloating, diarrhea, abdominal pain. ī‚— If in excess cause infection that require medical attentions. ī‚— People having on underlying disease or compromised immune system cause potential health problems like skin rash, fever, bloody stools etc. ī‚— Sometimes interact with immunosupressive drugs leading to life threating cnditions. So people taking such drugs should avoid it.
  • 58. Adverse effects ī‚— May be infective in severely immunocompromised individuals ī‚— Introduced into a sterile body fluids. Probiotics effect Reference S.Boulardii L.Rhamnosus Fungemia Liver abscess Rautio M(1999) Piarroux R(1999)
  • 59. Synbiotics ī‚— PROBIOTICS + PREBIOTICS ī‚— Foods containing the combination of probiotics and prebiotics are referred to as sybiotics. ī‚— Improved survival in upper GIT and more efficient implantation.
  • 60. Genetically engineered probiotics īƒ˜Weight gain can be prevented with engineered probiotics, īƒ˜Researchers genetically modified probiotic bacteria to produce a hunger-suppressing compound called NAPE, which is normally released by the cells in the small intestine after a meal and signals the brain to reduce food intake īƒ˜Studies have found that people who are obese appear to not produce enough NAPE, which stands for N- acylphosphatidylethanolamine, and works to suppress appetite after having a meal
  • 61. Institutes engaged in Probiotic research in India ī‚— Central Food Technology And Research Institute, Mysore, India ī‚— National dairy research institute, Karnal, Haryana, India ī‚— Institute of microbial technology, Chandigarh, India ī‚— National dairy development board, Anand, Gujarat, India ī‚— Nestle Pvt Ltd, Panipat, Haryana, India
  • 63. Future prospects of probiotics ī‚— The future of probiotic foods is even promising, as modern consumers are worried to maintain their personal health, and expect the food that they eat to be healthy and capable of preventing illness ī‚— These research results will probably be as essential for the positioning of probiotic preparations as either a food, a food supplement or as pharmaceutical preparation