INTESTINE Vol.15 No.5(11)

Theme Intestinal mucosal immunology update for clinician
Title Treatment of inflammatory bowel disease with probiotics
Publish Date 2011/09
Author Keiichi Mitsuyama Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Satoshi Matsumoto Yakult Central Institute for Microbiological Research
Author Hiroshi Yamasaki Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Kotaro Kuwaki Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Hidetoshi Takedatsu Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Shinichiro Yoshioka Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Koji Nagayama Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Teppei Kobayashi Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Osamu Tsuruta Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
Author Michio Sata Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine
[ Summary ] Although the cause of inflammatory bowel disease (IBD) remains only partially understood, the current model favors a dysregulated immune system which is triggered by an environmental factor in a genetically-susceptible host. There is evidence that intestinal microflora play a significant role as environmental triggers. Identification of the link between intestinal microflora and IBD has led to a number of studies being conducted which have investigated the therapeutic potential of bacterial modification of the luminal environment using probiotics. Altering the composition of intestinal microflora through introduction of probiotics may improve clinical outcomes for patients with IBD. This review summarizes current clinical knowledge concerning in vitro experiments, in vivo animal studies and human clinical trials employing probiotics.
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