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PROBIOTICS

DR SANGEETHA P

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Functional foods

Functional foods – substances or supplements administered to obtain a specific result in addition to basic nutrition.

  • Also called “nutriceuticals” or “biotherapeutics”

  • Examples:

    • Prebiotics

    • Probiotics

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The concept of probiotics

  • Probiotics (Greek) – “for life”

  • WHO definition:Live microorganisms which, when administered in adequate amounts, confer a health benefit on the host

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KEY POINTS

  • Live micro organisms

  • Can affect the intestinal flora

  • Promoted as food supplements

  • Huge market potential

  • Many health claims…

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History

  • Fermented foods rich in probiotics are popular since prehistoric era eg: yoghurt,pickled vegetables..
  • Metchnikoff – 1907 – yogurt with Lactobacilli

prolongs life

  • Parker – 1974 – 1st to use the term probiotics
  • Fuller – 1989 – defined probiotics

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Common organisms

  • Lactobacillus

  • Bifidobacillus

  • Saccharomyces cerevaciae..

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Criteria for probiotics

. Bacteria of human origin

Resist secretions of the upper GI tract

Survive passage through

the GI tract

Adhere to human intestinal cells

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Criteria for probiotics

. Able to colonize the intestine

  • Protect the cells against invasion by pathogens

Antagonize carcinogenic and pathogenic flora

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A few words about the gut microflora..

  • Intesine is a main component of immune system

  • The gut microflora is an important constituent in the intestine's defence barrier.

  • Their number is 10 times the human cells..

  • Have collective metabolic activity equal to a virtual extra organ !

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The gut microflora

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Symbiosis of gut flora

Specially adapted commensals.. Beneficial to the host

Stimulates immune function Produces antimicrobial substances Trophic effect on intestinal epithelium

Maintains the enterohepatic circulation

Involved in metabolic processes

(i.e., fermentation) in the colon

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Factors affecting normal flora

  • A n y a c t i o n t a k e n t o k i l l „ b a d ‟
  • Antibiotics

  • Infections

  • Diet (highly processed, low-fiber foods)

  • Chronic diarrhea

  • Stress

b a c t e r i a

e s s e n t i a l l y

k i l l s

„ g o o d ‟

b a c t e r i a

a s w e l l .

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  • .

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Actions of probiotics

  • Restore the balance b/w „Good‟ and „bad‟ bacteria in gut

secrete bactericidal proteins

↓ses the pH

  • Block the attachment & invasion of epithelium by pathogens

  • Improve epithelial barrier function

↑ mucus production

↑ barrier integrity

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Actions of probiotics

  • Alter host immune responses

stimulate IgA production

↓ proinflammatory cytokines

  • Produce β-galactosidase,so digest lactose

  • ↓ production of carcinogenic metabolites

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Probiotic Products

Wide range of products

No legal definition

No universal standards

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Prebiotics

. term introduced by Gibson who exchanged

The

“pro” for “pre,” which means “before” or “for.”

Prebiotics : Nondigestible substances that provide a beneficial physiological effect for the host by selectively stimulating the favourable growth or activity of a limited number of indigenous bacteria

Synbiotics : Products that contain both probiotics and prebiotics

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Probiotics

Prebiotics

Live microbes

Inert chemicals

Act on gut flora

Act as cofactor for

probiotics

Eg:lactobacillus

Eg:lactulose

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Examples

  • Lactulose

  • Galactosaccharides

  • Fructo-oligosaccharides

  • Isomalto-oligosccharides

  • Lacto-sucrose

  • Gentio-oligosaccharides

  • Xylooligosaccharides

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Synbiotics

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Summary

  • Microflora of the large intestine protect against pathogenic bacteria and stimulate development of the immune system

  • Probiotics and prebiotics in the diet can modify the composition and some metabolic activities of the microflora

  • Do not extrapolate from one strain to another

  • Many claims for the potential health benefits of prebiotics remain unproved

  • Critically evaluate and use only when data supports

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