Effects of the Administration of Probiotics on Fecal Microbiota Diversity and Composition in Healthy Individuals.

Journal of neurogastroenterology and motility. 2018;24(3):452-459
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Probiotics are popular health supplements taken by the general population. The influence of probiotics on the composition of gut microbiota has not been fully evaluated, and the duration of the effects of probiotics administration is still unclear. This study aimed to investigate the changes in the composition and diversity of gut microbiota by the administration of probiotics in healthy individuals. The study was carried out in Korea. 12 healthy volunteers aged between 30 and 42 years were given probiotic capsules containing five billion colony forming units of a mixture Bifidobacterium, Lactobacillus, and Enterococcus for four weeks. Stool samples were collected at the beginning of the study, after four weeks of probiotics, and again two weeks after stopping the probiotics. The overall diversity of faecal microbiota was not significantly altered by the probiotics, but significantly decreased two weeks after stopping them. The composition of faecal microbiota was not significantly changed by the probiotics at the phylum level, but the proportions of Bacteroidetes and Actinobacteria significantly changed 2 weeks after stopping the probiotics. The proportions of Lactobacillus and Enterococcus were significantly increased by the probiotics, but the proportions of Bifidobacterium, Lactobacillus, and Enterococcus decreased two weeks after stopping the probiotics. There was no difference in the levels of calprotectin between the start and end of the study. The authors concluded that the proportion of faecal microbiota at the genus level, but not diversity, is significantly altered by the administration of probiotics in healthy people. This effect does not seem to last long, probably because of homeostasis or dietary influence.

Abstract

BACKGROUND/AIMS: Probiotics are expected to modify the composition of gut microbiota. We aimed to investigate the changes in the composition and diversity of gut microbiota by the administration of probiotics in healthy individuals. METHODS Twelve healthy volunteers with age range of 30-42 years provided baseline fecal samples. Subsequently, they took commercially available probiotic capsules (a mixture for Bifidobacterium, Lactobacillus, and Enterococcus) for 4 weeks. Fecal samples were collected at 4 weeks of administration and 2 weeks after the stop of administration. Fecal microbiota was analyzed via 16S ribosomal RNA gene sequencing. RESULTS The mean Shannon index was not significantly altered by the 4-week administration of probiotics (4.365 vs 4.556, P > 0.05). The proportion of Bacteroidetes, Actinobacteria, Firmicutes , and Proteobacteria was not significantly changed by the 4-week administration of probiotics. At the genus level, the proportions of Lactobacillus (2.138% vs 2.773%, P = 0.028) and Enterococcus (0.022% vs 2.758%, P = 0.004) significantly increased 4 weeks after the administration of probiotics, but reduced 2 weeks after the stop of administration (2.773% vs 3.292%, P = 0.064 and 2.758% vs 0.001%, P = 0.001). CONCLUSIONS The diversity of fecal microbiota is not significantly affected by 4 weeks of probiotics administration. The proportion of fecal microbiota at the genus level is significantly altered by the administration of probiotics. However, this effect does not seem to last long, probably because of homeostasis or dietary influence.

Lifestyle medicine

Patient Centred Factors : Mediators/Microbiome
Environmental Inputs : Microorganisms
Personal Lifestyle Factors : Nutrition
Functional Laboratory Testing : Stool

Methodological quality

Allocation concealment : Not applicable
Publication Type : Journal Article

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