| Summary Probiotic therapy in
its rudimentary form originated in the Near and Middle East, where ancient physicians
prescribed fermented milks for the treatment of various diseases, including tuberculosis
and gastrointestinal disorders. Clinical interest in fermented milks and their role in
human health was triggered by a Russian physician, E. Metchnikoff, who attributed the
longevity of people in the Balkan countries to the regular consumption of fermented milk.
The healthful properties of fermented milk are provided by the indigenous lactobacilli,
which are also normal inhabitants of the human gastrointestinal tract, skin and vaginal
mucosa.
Lactobacillus therapy
has been shown to be effective in the treatment of a variety of disorders, including
gastrointestinal disorders, vaginal infections, hepatic encephalopathy,
hypercholesterolemia and conditions related to deficiency of vitamins B. Lactobacilli have
proved to be useful in delaying the induction of tumors and have found use in the
prevention of colon cancer. Lactobacilli are thus valuable therapeutically and are often
used as adjuvants to antibiotic therapy. They also find use as growth enhancers for
domestic animals and poultry.
Lactobacilli
through their metabolic processes prevent the growth of putrefactive organisms by
competitive inhibition, the generation of a non-conducive acidic environment and the
production of bacteriocins. They improve the digestibility of ingested food constituents
and the bioavailability of nutrients, possess hypocholesterolemic activity and enhance the
immune response.
The therapeutically
used species of Lactobacillus include L. acidophilus , L. brevis, L. casei, L.
bulgaricus and L. bifidus. However, the evidence for effectiveness of
implantation, survival and proliferation of these organisms in the gut are not impressive.
A superior species,
which is effectively implanted in the gut, is semi-resident and can survive the gastric
acidity and bile is L. sporogenes*. This organism forms spores which are
protected by natures own microencapsulation system and germinate into viable cells
in the intestine, which can then proliferate extensively. Clinical trials with L.
sporogenes* have proven successful in the treatment of gastrointestinal disorders,
non-specific vaginitis, aphthous stomatitis, hepatic encephalopathy and in growth
improvement of farm animals. L. sporogenes* is therefore the probiotic of choice in
clinical applications . |