Probiotics for inflammatory bowel disease: Is there sufficient evidence?

Abstract: Inflammatory bowel disease (IBD) refers to chronic inflammatory disorders of the gut. Ulcerative colitis (UC) and Crohn’s disease (CD) are two subtypes of IBD. Evidence suggests that the intestinal microbiota plays a role in the pathogenesis of IBD, so probiotics have garnered a lot of interest as a potential treatment or prevention for IBD. However, clinical evidence of the efficacy of probiotics is still debatable. We performed a literature review. An advanced search considered clinical studies on probiotic for IBD from inception to 2023 in PubMed, Embase, Cochrane Library, and Web of Science. In the treatment of UC with probiotics, only Escherichia coli Nissle 1917 for maintenance treatment of UC in remission, and Bifidobacterium and VSL#3 for induction of remission in patients with mild to moderately active UC have shown strong evidence. Currently, there are no definitive conclusions regarding the effectiveness of probiotics in CD. The mechanism of probiotic treatment for IBD may be related to reducing oxidative stress, repairing the intestinal barrier, regulating intestinal flora balance, and modulating intestinal immune response. Differences in the benefits of probiotics between CD and UC may be attributable to the different lesion extent and immune-mediated pathophysiology. More robust randomized clinical trials are required to validate the efficacy and safety of diverse probiotic strains in IBD.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Probiotics for inflammatory bowel disease: Is there sufficient evidence? ; volume:19 ; number:1 ; year:2024 ; extent:24
Open life sciences ; 19, Heft 1 (2024) (gesamt 24)

Creator
Ma, Yueying
Yang, Dandan
Huang, Jin
Liu, Kunli
Liu, Huirong
Wu, Huangan
Bao, Chunhui

DOI
10.1515/biol-2022-0821
URN
urn:nbn:de:101:1-2024040615354121029905
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:48 AM CEST

Data provider

This object is provided by:
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.

Associated

  • Ma, Yueying
  • Yang, Dandan
  • Huang, Jin
  • Liu, Kunli
  • Liu, Huirong
  • Wu, Huangan
  • Bao, Chunhui

Other Objects (12)