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Probiotics

Lactobacillus reuteri featured article

Introduction

Lactobacillus reuteri is a bacterium found in the digestive tracts of mammals, including humans, and in fermented foods. It is a member of the genus Lactobacillus, which comprises most of the bacteria that live on and in the human body. Lactic acid-producing bacteria, such as those in the Lactobacillus genus, are commonly used in probiotic supplements. Furthermore, some online resources provide step-by-step instructions for at-home bulk production of yogurt with L. reuteri enrichment. (see also: 1, 2, 3).

**L. reuteri has recently gained popularity due to emerging evidence (of varying quality) that suggests supplemental L. reuteri may...

Episodes

Posted on February 21st 2022 (about 3 years)

In this clip, Dr. Eran Elinav discusses the intestinal barrier's important role in absorbing nutrients while keeping out pathogens.

Posted on February 5th 2022 (over 3 years)

Dr. Rhonda Patrick answers audience questions on various health, nutrition, and science topics in this Q&A session.

Posted on June 5th 2021 (almost 4 years)

Dr. Rhonda Patrick answers audience questions on various health, nutrition, and science topics in this Q&A session.

Topic Pages

  • Depression

    Depression – a neuropsychiatric disorder affecting 322 million people worldwide – is characterized by negative mood and metabolic, hormonal, and immune disturbances.

  • Lactobacillus reuteri

    Lactobacillus reuteri is a probiotic bacterium that regulates the immune system, reduces cholesterol, and prevents diarrheal disease.

News & Publications

  • Probiotics attenuate inflammation-associated sickness behaviors.

    The gut-brain axis, a bidirectional signaling pathway between the gastrointestinal tract and the nervous system, plays critical roles in human health. Key elements of this pathway are the tens of trillions of microbes that comprise the intestinal microbiota. Findings from a 2015 study suggest that probiotics attenuate inflammation-associated sickness behaviors.

    Probiotics are typically defined as live microorganisms that, when consumed in sufficient amounts, confer a health benefit on the consumer. They contain a variety of microorganisms, but Lactobacillus and Bifidobacterium bacteria are among the most common. Probiotics can be found in yogurt, kefir, kimchi, and other fermented foods and are widely available as dietary supplements.

    Sickness behaviors are adaptive behavioral changes that occur during infection or chronic inflammatory disorders and may include lethargy, depressed mood, appetite loss, sleepiness, pain, or confusion. Evidence suggests that tumor necrosis factor-alpha (TNF-alpha), a pro-inflammatory cytokine produced by immune cells, activates microglia (the brain’s resident immune cells) and recruits white blood cells to the brain, driving the development of inflammation-associated sickness behaviors.

    The investigators used a model of liver inflammation in mice to study the effects of a probiotic on inflammation-associated sickness behavior. Mice with this form of liver inflammation typically have high levels of pro-inflammatory cytokines and exhibit distinct sickness behaviors. They fed the mice either a probiotic or a placebo and then they studied the animals' behavior. They also measured TNF-alpha levels in the animals' blood and the number of activated immune cells in the animals' brains.

    They found that although the probiotic did not reduce the severity of liver inflammation in the mice, it did reduce sickness behaviors better than the placebo. Mice that received the probiotics also had lower TNF-alpha levels and fewer activated immune cells in their brains compared to mice that received a placebo.

    These findings suggest that probiotics attenuate inflammation-associated sickness behaviors in mice, likely via modulation of the gut-brain axis. Learn about factors to consider when choosing a probiotic supplement in this clip featuring Dr. Jed Fahey.

  • Morning sickness affects up to 85 percent of pregnant women and is caused by hormonal changes during early pregnancy. Vitamin B6, antihistamines, and some prescription medications are used to treat nausea and vomiting during pregnancy; however, additional treatments that address hormonal imbalances are needed. Findings of a new report show that probiotics reduced nausea and vomiting and improved quality of life in pregnant women.

    Levels of hormones such as estrogen and progesterone fluctuate throughout pregnancy altering the composition of the gut microbiota and gastrointestinal function. Gut microbes metabolize food, supplements, and medications and produce compounds such as short-chain fatty acids and bile acids, which are absorbed into the bloodstream and facilitate communication between the microbiota and host. Previous research has demonstrated that probiotics reduce nausea and vomiting; however, research in pregnant women is lacking.

    The investigators recruited 32 female participants who were in their first trimester of pregnancy with no high-risk conditions and had reported symptoms of nausea and vomiting. Participants completed two cycles of Nature’s Bounty brand probiotics (containing 10 billion live cultures of Lactobacillus bacteria) consisting of six days of daily probiotics and two days without probiotics. Participants answered daily questionnaires about gastrointestinal symptoms and provided fecal samples in order to sequence bacterial DNA and measure bacterial metabolites.

    Probiotic supplementation reduced the severity of nausea and vomiting, but did not significantly alter the concentration of fecal metabolites, except for alpha-tocopherol, a form of vitamin E. Probiotic supplementation also had little effect on the composition of the gut microbiota, except for a progressive reduction in the concentration of Akkermansia bacteria. When measuring copies of important bacterial genes, the researchers found that probiotics increased the expression of a gene required to produce the enzyme bile salt hydrolase more than fivefold. Participants with high levels of fecal alpha-tocopherol, low levels of fecal Akkermansia, and/or high copy numbers of the bile salt hydrolase gene were less likely to report vomiting throughout the study.

    The authors interpret these findings to suggest that probiotics enhanced the production of free bile acids in the intestines, facilitating intestinal mobility and metabolism and reducing painful gastrointestinal symptoms.