Skip to main content

Advertisement

Log in

Advances in probiotics research: mechanisms of action, health benefits, and limitations in applications

  • Review
  • Published:
Systems Microbiology and Biomanufacturing Aims and scope Submit manuscript

Abstract

The human gastrointestinal tract harbors a complex microbiota, pivotal in maintaining health equilibrium. Disruption of this microbial balance has implications for myriad health conditions. Probiotics, beneficial microbial entities, have demonstrated potential in rectifying gut microbiota imbalances, offering health benefits and disease prevention. This review elucidates the nuanced roles of probiotics, emphasizing their interactions with both pathogenic and commensal gut microorganisms. Recent breakthroughs in the identification of potent probiotic strains and their prospective applications in biomedical research are delineated. Comprehensive analyses of clinical studies underscore the safety, efficacy, and applicability of probiotics in diverse food and therapeutic avenues. As probiotic research burgeons, this review amalgamates current insights with future directions, accentuating the transformative prospects of probiotics in contemporary biomedical paradigms. The gut's microflora plays a cardinal role in nutrient metabolism, immune modulation, and protection against pathogens. Disturbances in this microflora can lead to dysbiosis, with potential repercussions for digestive and systemic health. Probiotics exert their beneficial effects through multiple mechanisms, including competitive exclusion of pathogens, production of antimicrobial substances, and modulation of the host's immune response. Their health benefits encompass not only gastrointestinal health, such as in the management of diarrhea, irritable bowel syndrome, and inflammatory bowel diseases but also systemic effects in areas like immune modulation and mental health. The growing recognition of these benefits has led to a surge in the market demand for probiotic supplements and fortified foods, with research continually unveiling novel strains and applications.

Graphical abstract

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Zendeboodi F, Khorshidian N, Mortazavian AM, da Cruz AG. Probiotic: conceptualization from a new approach. Curr Opin Food Sci. 2020;32:103–23. https://doi.org/10.1016/j.cofs.2020.03.009.

    Article  Google Scholar 

  2. Gasbarrini G, Bonvicini F, Gramenzi A. Probiotics history. J Clin Gastroenterol. 2016;50:S116–9.

    CAS  PubMed  Google Scholar 

  3. Harvard Health Publishing. Should you take probiotics? Boston: Harvard Medical School; 2019. p. 1–7.

    Google Scholar 

  4. Fijan S. Microorganisms with claimed probiotic properties: an overview of recent literature. Int J Environ Res Public Health. 2014;11:4745–67.

    PubMed  PubMed Central  Google Scholar 

  5. Javanshir N, Hosseini GNG, Sadeghi M, Esmaeili R, Satarikia F, Ahmadian G, et al. Evaluation of the function of probiotics, emphasizing the role of their binding to the intestinal epithelium in the stability and their effects on the immune system. Biol Proced Online. 2021;23:23.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Davani-Davari D, Negahdaripour M, Karimzadeh I, Seifan M, Mohkam M, Masoumi S, et al. Prebiotics: definition, types, sources, mechanisms, and clinical applications. Foods. 2019;8:92.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Pandey KR, Naik SR, Vakil BV. Probiotics, prebiotics and synbiotics—a review. J Food Sci Technol. 2015;52:7577–87.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Raghuwanshi S, Misra S, Sharma R, Bisen PS. Probiotics: nutritional therapeutic tool. J Probiotics Heal. 2018;6:1–52. https://doi.org/10.4172/2329-8901.1000194.

    Article  Google Scholar 

  9. Day RL, Harper AJ, Woods RM, Davies OG, Heaney LM. Probiotics: current landscape and future horizons. Futur Sci OA. 2019. https://doi.org/10.4155/fsoa-2019-0004.

    Article  Google Scholar 

  10. van den Nieuwboer M, van de Burgwal LHM, Claassen E. A quantitative key-opinion-leader analysis of innovation barriers in probiotic research and development: valorisation and improving the tech transfer cycle. PharmaNutrition. 2016;4:9–18.

    Google Scholar 

  11. J. Yeboah P, Wijemanna NS, Eddin AA, Williams LL, Ibrahim SA. Lactic acid bacteria: review on the potential delivery system as an effective probiotic. In: Dairy processing—from basics to advances [working title]. London: IntechOpen; 2023.

  12. Ebner S, Smug LN, Kneifel W, Salminen SJ, Sanders ME. Probiotics in dietary guidelines and clinical recommendations outside the European Union. World J Gastroenterol. 2014;20:16095–100.

    PubMed  PubMed Central  Google Scholar 

  13. Gogineni VK, Morrow LE, Gregory PJ, Malesker MA. Probiotics: history and evolution. J Infect Dis. 2013;1:1–7.

    Google Scholar 

  14. McGuire MK, McGuire MA. Human milk: mother nature’s prototypical probiotic food? Adv Nutr. 2015;6:112–23.

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Amara AA, Shibl A. Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi Pharm J. 2015;23:107–14.

    CAS  PubMed  Google Scholar 

  16. Kandati K, Belagal P, Nannepaga JS, Viswanath B. Role of probiotics in the management of cervical cancer: an update. Clin Nutr ESPEN. 2022;48:5–16.

    PubMed  Google Scholar 

  17. Ozen M, Dinleyici EC. The history of probiotics: the untold story. Benef Microbes. 2015;6:159–65.

    CAS  PubMed  Google Scholar 

  18. Fuller LK. Yogurt, yoghurt, youghourt. Cambridge: CRC Press; 2020.

    Google Scholar 

  19. Aggarwal N, Kitano S, Puah GRY, Kittelmann S, Hwang IY, Chang MW. Microbiome and human health: current understanding, engineering, and enabling technologies. Chem Rev. 2023;123:31–72.

    CAS  PubMed  Google Scholar 

  20. Aspri M, Papademas P, Tsaltas D. Review on non-dairy probiotics and their use in non-dairy based products. Fermentation. 2020;6:30.

    CAS  Google Scholar 

  21. Lantbert V. Lifestyle and functional properties of lactobacilli and bifidobacteria in water kefir. 2020.

  22. Khalighi A, Behdani R, Kouhestani S. Probiotics: a comprehensive review of their classification, mode of action and role in human nutrition. In: Probiotics and prebiotics in human nutrition and health. London: InTech; 2016.

  23. Soccol CR, Vandenberghe LPDS, Spier MR, Medeiros ABP, Yamaguishi CT, De Dea Lindner J, et al. The potential of probiotics: a review. Food Technol Biotechnol. 2010;48:413–34.

    CAS  Google Scholar 

  24. Yasmin I, Saeed M, Khan WA, Khaliq A, Chughtai MFJ, Iqbal R, et al. In vitro probiotic potential and safety evaluation (hemolytic, cytotoxic activity) of bifidobacterium strains isolated from raw camel milk. Microorganisms. 2020;8:354.

    CAS  PubMed  PubMed Central  Google Scholar 

  25. Mirmajid SH, Irajie C, Savardashtaki A, Negahdaripour M, Nezafat N, Ghasemi Y. Identification of potential RapJ hits as sporulation pathway inducer candidates in Bacillus coagulans via structure-based virtual screening and molecular dynamics simulation studies. J Mol Model. 2023;29:256.

    CAS  Google Scholar 

  26. Elshaghabee FMF, Rokana N, Gulhane RD, Sharma C, Panwar H. Bacillus as potential probiotics: status, concerns, and future perspectives. Front Microbiol. 2017. https://doi.org/10.3389/fmicb.2017.01490.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Fuller C. Probiotics in man and animals. J Appl Bacteriol. 1989;66:365–78.

    CAS  PubMed  Google Scholar 

  28. Cutting SM. Bacillus probiotics. Food Microbiol. 2011;28:214–20.

    PubMed  Google Scholar 

  29. Nithya V, Halami PM. Evaluation of the probiotic characteristics of Bacillus species isolated from different food sources. Ann Microbiol. 2013;63:129–37.

    CAS  Google Scholar 

  30. Ricca E, Henriques AO, Cutting SM. Bacterial spore formers : probiotics and emerging applications. Horizon Bioscience: Norfolk; 2004.

    Google Scholar 

  31. Fijan S, Fijan T, Connil N. Overview of probiotic strains of Weizmannia coagulans, previously known as Bacillus coagulans, as food supplements and their use in human health. Appl Microbiol. 2023;3:935–47.

    Google Scholar 

  32. de Almada CN, de Almada CN, de Souza Sant’Ana A. Paraprobiotics as potential agents for improving animal health. In: Probiotics and prebiotics in animal health and food safety. Cham: Springer International Publishing; 2018. p. 247–68.

    Google Scholar 

  33. Liao C, Cui J, Lei J, Guo Y, Zhang B. Effects of Bacillus subtilis Natto NB205 and its mutant NBMK308 on egg quality in aging laying hens. Life. 2023;13:1109.

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Skrypnik K, Suliburska J. Association between the gut microbiota and mineral metabolism. J Sci Food Agric. 2018;98:2449–60. https://doi.org/10.1002/jsfa.8724.

    Article  CAS  PubMed  Google Scholar 

  35. Krishna KV, Koujalagi K, Surya RU, Namratha MP, Malaviya A. Enterococcus species and their probiotic potential: current status and future prospects. J Appl Biol Biotechnol. 2022. https://doi.org/10.7324/JABB.2023.110105-1.

    Article  Google Scholar 

  36. Newberry SJ. Probiotics for the prevention and treatment of antibiotic-associated diarrhea. JAMA. 2012;307:1959.

    PubMed  Google Scholar 

  37. DiRienzo DB. Effect of probiotics on biomarkers of cardiovascular disease: implications for heart-healthy diets. Nutr Rev. 2014;72:18–29.

    PubMed  Google Scholar 

  38. Bednorz C, Guenther S, Oelgeschläger K, Kinnemann B, Pieper R, Hartmann S, et al. Feeding the probiotic Enterococcus faecium strain NCIMB 10415 to piglets specifically reduces the number of Escherichia coli pathotypes that adhere to the gut mucosa. Appl Environ Microbiol. 2013;79:7896–904.

    CAS  PubMed  PubMed Central  Google Scholar 

  39. Cao GT, Zeng XF, Chen AG, Zhou L, Zhang L, Xiao YP, et al. Effects of a probiotic, Enterococcus faecium, on growth performance, intestinal morphology, immune response, and cecal microflora in broiler chickens challenged with Escherichia coli K88. Poult Sci. 2013;92:2949–55.

    CAS  PubMed  Google Scholar 

  40. Martinović A, Cocuzzi R, Arioli S, Mora D. Streptococcus thermophilus: to survive, or not to survive the gastrointestinal tract, that is the question! Nutrients. 2020;12:2175.

    PubMed  PubMed Central  Google Scholar 

  41. Ziaei R, Ghavami A, Khalesi S, Ghiasvand R, Mokari Yamchi A. The effect of probiotic fermented milk products on blood lipid concentrations: a systematic review and meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis. 2021;31:997–1015.

    CAS  PubMed  Google Scholar 

  42. Maia O. Evaluation of the components of a commercial probiotic in gnotobiotic mice experimentally challenged with Salmonella enterica subsp. enterica ser. typhimurium. Vet Microbiol. 2001;79:183–9.

    CAS  PubMed  Google Scholar 

  43. Gupta U, Dey P. Rise of the guardians: gut microbial maneuvers in bacterial infections. Life Sci. 2023;330: 121993.

    CAS  PubMed  Google Scholar 

  44. Staniszewski A, Kordowska-Wiater M. Probiotic and potentially probiotic yeasts—characteristics and food application. Foods. 2021;10:1306.

    CAS  PubMed  PubMed Central  Google Scholar 

  45. Abid R, Waseem H, Ali J, Ghazanfar S, Muhammad Ali G, Elasbali AM, et al. Probiotic yeast saccharomyces: back to nature to improve human health. J Fungi. 2022;8:444.

    CAS  Google Scholar 

  46. Psani M, Kotzekidou P. Technological characteristics of yeast strains and their potential as starter adjuncts in Greek-style black olive fermentation. World J Microbiol Biotechnol. 2006;22:1329–36.

    CAS  Google Scholar 

  47. Perpetuini G, Prete R, Garcia-Gonzalez N, Khairul Alam M, Corsetti A. Table olives more than a fermented food. Foods. 2020;9:178.

    CAS  PubMed  PubMed Central  Google Scholar 

  48. Hossain MN, Afrin S, Humayun S, Ahmed MM, Saha BK. Identification and growth characterization of a novel strain of Saccharomyces boulardii isolated from soya paste. Front Nutr. 2020. https://doi.org/10.3389/fnut.2020.00027.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Ansari JM, Colasacco C, Emmanouil E, Kohlhepp S, Harriott O. Strain-level diversity of commercial probiotic isolates of Bacillus, Lactobacillus, and Saccharomyces species illustrated by molecular identification and phenotypic profiling. PLoS ONE. 2019;14:e0213841 (Calderaro A, editor).

    CAS  PubMed  PubMed Central  Google Scholar 

  50. Palma ML, Zamith-Miranda D, Martins FS, Bozza FA, Nimrichter L, Montero-Lomeli M, et al. Probiotic Saccharomyces cerevisiae strains as biotherapeutic tools: is there room for improvement? Appl Microbiol Biotechnol. 2015;99:6563–70.

    CAS  PubMed  Google Scholar 

  51. Zanello G, Meurens F, Berri M, Salmon H. Saccharomyces boulardii effects on gastrointestinal diseases. Curr Issues Mol Biol. 2009;11:47–58.

    CAS  PubMed  Google Scholar 

  52. Plaza-Diaz J, Ruiz-Ojeda FJ, Gil-Campos M, Gil A. Mechanisms of action of probiotics. Adv Nutr. 2019;10:S49-66.

    PubMed  PubMed Central  Google Scholar 

  53. Yan F, Polk DB. Probiotics and probiotic-derived functional factors—mechanistic insights into applications for intestinal homeostasis. Front Immunol. 2020. https://doi.org/10.3389/fimmu.2020.01428.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Tegegne BA, Kebede B. Probiotics, their prophylactic and therapeutic applications in human health development: a review of the literature. Heliyon. 2022;8: e09725.

    CAS  PubMed  PubMed Central  Google Scholar 

  55. Teame T, Wang A, Xie M, Zhang Z, Yang Y, Ding Q, et al. Paraprobiotics and postbiotics of probiotic Lactobacilli, their positive effects on the host and action mechanisms: a review. Front Nutr. 2020;7:570344.

    PubMed  PubMed Central  Google Scholar 

  56. Mokoena MP. Lactic acid bacteria and their bacteriocins: classification, biosynthesis and applications against uropathogens: a mini-review. Molecules. 2017;22:1255.

    PubMed  PubMed Central  Google Scholar 

  57. Das TK, Pradhan S, Chakrabarti S, Mondal KC, Ghosh K. Current status of probiotic and related health benefits. Appl Food Res. 2022;2: 100185.

    CAS  Google Scholar 

  58. Darbandi A, Asadi A, Mahdizade Ari M, Ohadi E, Talebi M, Halaj Zadeh M, et al. Bacteriocins: properties and potential use as antimicrobials. J Clin Lab Anal. 2022. https://doi.org/10.1002/jcla.24093.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Aziz N, Bonavida B. Activation of natural killer cells by probiotics. For Immunopathol Dis Therap. 2016;7:41–55.

    PubMed  PubMed Central  Google Scholar 

  60. Kumar Bajaj B, Claes IJJ, Lebeer S. Functional mechanisms of probiotics. J Microbiol Biotechnol food Sci. 2015;4:321–7.

    Google Scholar 

  61. Azad MAK, Sarker M, Wan D. Immunomodulatory effects of probiotics on cytokine profiles. Biomed Res Int. 2018;2018:1–10.

    Google Scholar 

  62. Plaza-Díaz J, Ruiz-Ojeda FJ, Vilchez-Padial LM, Gil A. Evidence of the anti-inflammatory effects of probiotics and synbiotics in intestinal chronic diseases. Nutrients. 2017;9:555.

    PubMed  PubMed Central  Google Scholar 

  63. Wang J, Ji H, Wang S, Liu H, Zhang W, Zhang D, et al. Probiotic Lactobacillus plantarum promotes intestinal barrier function by strengthening the epithelium and modulating gut microbiota. Front Microbiol. 2018;9:1–14.

    Google Scholar 

  64. Ríos-Covián D, Ruas-Madiedo P, Margolles A, Gueimonde M, De los Reyes-Gavilán CG, Salazar N. Intestinal short chain fatty acids and their link with diet and human health. Front Microbiol. 2016;7:1–9.

    Google Scholar 

  65. Bron PA, Kleerebezem M, Brummer RJ, Cani PD, Mercenier A, MacDonald TT, et al. Can probiotics modulate human disease by impacting intestinal barrier function? Br J Nutr. 2017;117:93–107.

    CAS  PubMed  PubMed Central  Google Scholar 

  66. Flach J, van der Waal MB, Kardinaal AFM, Schloesser J, Ruijschop RMAJ, Claassen E. Probiotic research priorities for the healthy adult population: a review on the health benefits of Lactobacillus rhamnosus GG and Bifidobacterium animalis subspecies lactis BB-12. Cogent Food Agric. 2018;4:1452839. https://doi.org/10.1080/23311932.2018.1452839.

    Article  Google Scholar 

  67. Aguilar-Toalá JE, Garcia-Varela R, Garcia HS, Mata-Haro V, González-Córdova AF, Vallejo-Cordoba B, et al. Postbiotics: An evolving term within the functional foods field. Trends Food Sci Technol. 2018;75:105–14. https://doi.org/10.1016/j.tifs.2018.03.009.

    Article  CAS  Google Scholar 

  68. Güttsches A-K, Löseke S, Zähringer U, Sonnenborn U, Enders C, Gatermann S, et al. Anti-inflammatory modulation of immune response by probiotic Escherichia coli Nissle 1917 in human blood mononuclear cells. Innate Immun. 2012;18:204–16.

    PubMed  Google Scholar 

  69. Iqbal Z, Ahmed S, Tabassum N, Bhattacharya R, Bose D. Role of probiotics in prevention and treatment of enteric infections: a comprehensive review. 3 Biotech. 2021;11:242.

    PubMed  PubMed Central  Google Scholar 

  70. Molska M, Reguła J. Potential mechanisms of probiotics action in the prevention and treatment of colorectal cancer. Nutrients. 2019;11:2453.

    CAS  PubMed  PubMed Central  Google Scholar 

  71. Kim S, Covington A, Pamer EG. The intestinal microbiota: antibiotics, colonization resistance, and enteric pathogens. Immunol Rev. 2017;279:90–105.

    CAS  PubMed  PubMed Central  Google Scholar 

  72. Markowiak P, Ślizewska K. Effects of probiotics, prebiotics, and synbiotics on human health. Nutrients. 2017;9:1021.

    PubMed  PubMed Central  Google Scholar 

  73. Dahiya D, Nigam PS. Nutraceuticals prepared with specific strains of probiotics for supplementing gut microbiota in hosts allergic to certain foods or their additives. Nutrients. 2023;15:2979.

    CAS  PubMed  PubMed Central  Google Scholar 

  74. Varankovich NV, Nickerson MT, Korber DR. Probiotic-based strategies for therapeutic and prophylactic use against multiple gastrointestinal diseases. Front Microbiol. 2015. https://doi.org/10.3389/fmicb.2015.00685.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Stavropoulou E, Bezirtzoglou E. Probiotics in medicine: a long debate. Front Immunol. 2020. https://doi.org/10.3389/fimmu.2020.02192.

    Article  PubMed  PubMed Central  Google Scholar 

  76. van de Heijning B, Berton A, Bouritius H, Goulet O. GI Symptoms in infants are a potential target for fermented infant milk formulae: a review. Nutrients. 2014;6:3942–67.

    PubMed  PubMed Central  Google Scholar 

  77. Domínguez Rubio AP, D’Antoni CL, Piuri M, Pérez OE. Probiotics, their extracellular vesicles and infectious diseases. Front Microbiol. 2022. https://doi.org/10.3389/fmicb.2022.864720.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Moura FA, Goulart MOF. Inflammatory bowel diseases. Gastrointest tissue. Amsterdam: Elsevier; 2017. p. 99–112.

    Google Scholar 

  79. Cheng FS, Pan D, Chang B, Jiang M, Sang LX. Probiotic mixture VSL#3: an overview of basic and clinical studies in chronic diseases. World J Clin Cases. 2020;8:1361–84.

    PubMed  PubMed Central  Google Scholar 

  80. Lopez-Santamarina A, Gonzalez EG, Lamas A, Mondragon ADC, Regal P, Miranda JM. Probiotics as a possible strategy for the prevention and treatment of allergies. A narrative review. Foods. 2021;10:701.

    CAS  PubMed  PubMed Central  Google Scholar 

  81. Mazziotta C, Tognon M, Martini F, Torreggiani E, Rotondo JC. Probiotics mechanism of action on immune cells and beneficial effects on human health. Cells. 2023;12:184.

    CAS  PubMed  PubMed Central  Google Scholar 

  82. Lamichhane P, Maiolini M, Alnafoosi O, Hussein S, Alnafoosi H, Umbela S, et al. Colorectal cancer and probiotics: are bugs really drugs? Cancers (Basel). 2020;12:1162.

    CAS  PubMed  Google Scholar 

  83. Shahbazi R, Yasavoli-Sharahi H, Alsadi N, Ismail N, Matar C. Probiotics in Treatment of Viral Respiratory Infections and Neuroinflammatory Disorders. Molecules. 2020;25:4891.

    CAS  PubMed  PubMed Central  Google Scholar 

  84. Zhang X, Chen S, Zhang M, Ren F, Ren Y, Li Y, et al. Effects of fermented milk containing lacticaseibacillus paracasei strain shirota on constipation in patients with depression: a randomized, double-blind, placebo-controlled trial. Nutrients. 2021;13:2238.

    PubMed  PubMed Central  Google Scholar 

  85. Mills S, Yang B, Smith GJ, Stanton C, Ross RP. Efficacy of Bifidobacterium longum alone or in multi-strain probiotic formulations during early life and beyond. Gut Microbes. 2023. https://doi.org/10.1080/19490976.2023.2186098.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Hugenholtz F, van der Veer C, Terpstra ML, Borgdorff H, van Houdt R, Bruisten S, et al. Urine and vaginal microbiota compositions of postmenopausal and premenopausal women differ regardless of recurrent urinary tract infection and renal transplant status. Sci Rep. 2022;12:1–11. https://doi.org/10.1038/s41598-022-06646-1.

    Article  CAS  Google Scholar 

  87. Saghafi N, Karjalian M, Ghazanfarpour M, Khorsand I, Rakhshandeh H, Mirteimouri M, et al. The effect of a vaginal suppository formulation of dill (Anethum graveolens) in comparison to clotrimazole vaginal tablet on the treatment of vulvovaginal candidiasis. J Obstet Gynaecol. 2018;38:985–8. https://doi.org/10.1080/01443615.2018.1432578.

    Article  CAS  PubMed  Google Scholar 

  88. Parolin C, Marangoni A, Laghi L, Foschi C, Palomino RAÑ, Calonghi N, et al. Isolation of vaginal lactobacilli and characterization of anti-candida activity. PLoS ONE. 2015;10:1–17.

    Google Scholar 

  89. Roszczenko-Jasińska P, Wojtyś MI, Jagusztyn-Krynicka EK. Helicobacter pylori treatment in the post-antibiotics era—searching for new drug targets. Appl Microbiol Biotechnol. 2020;104:9891–905.

    PubMed  PubMed Central  Google Scholar 

  90. Shimizu M, Hashiguchi M, Shiga T, Tamura H, Mochizuki M. Meta-analysis: effects of probiotic supplementation on lipid profiles in normal to mildly hypercholesterolemic individuals. PLoS ONE. 2015;10:e0139795 (Brennan L, editor).

    PubMed  PubMed Central  Google Scholar 

  91. Shaffi MS, Hameed MK. The role of probiotics in animal nutrition and health. World J Adv Res Rev. 2023;17:276–80.

    CAS  Google Scholar 

  92. Monteagudo-Mera A, Rastall RA, Gibson GR, Charalampopoulos D, Chatzifragkou A. Adhesion mechanisms mediated by probiotics and prebiotics and their potential impact on human health. Appl Microbiol Biotechnol. 2019;103:6463–72.

    CAS  PubMed  PubMed Central  Google Scholar 

  93. Wuertz S, Schroeder A, Wanka KM. Probiotics in fish nutrition—long-standing household remedy or native nutraceuticals? Water. 2021;13:1348.

    Google Scholar 

  94. You S, Ma Y, Yan B, Pei W, Wu Q, Ding C, et al. The promotion mechanism of prebiotics for probiotics: a review. Front Nutr. 2022. https://doi.org/10.3389/fnut.2022.1000517.

    Article  PubMed  PubMed Central  Google Scholar 

  95. Maldonado Galdeano C, Cazorla SI, Lemme Dumit JM, Vélez E, Perdigón G. Beneficial effects of probiotic consumption on the immune system. Ann Nutr Metab. 2019;74:115–24.

    CAS  PubMed  Google Scholar 

  96. Lahlali R, Ezrari S, Radouane N, Kenfaoui J, Esmaeel Q, El Hamss H, et al. Biological control of plant pathogens: a global perspective. Microorganisms. 2022;10:596.

    CAS  PubMed  PubMed Central  Google Scholar 

  97. Grand View Research. Probiotics market size, share & trends analysis report by product (probiotic food & beverages, probiotic dietary supplements), by ingredient (bacteria, yeast), by end use, by distribution channel, and segment forecasts, 2021–2030. San Francisco: Grand View Research; 2021. p. 135.

    Google Scholar 

  98. Jaya B, Roshan D. Probiotics market size, share & trends analysis report by product (probiotic food & beverages, probiotic dietary supplements), by ingredient (bacteria, yeast), by end use, by distribution channel, and segment forecasts, 2021–2030. Appl. Mark. Research. 2022. p. 135.

  99. Zhou C. House price prediction using polynomial regression with particle swarm optimization. IOP Conf Ser Earth Environ Sci. 2021;1802:032034.

    Google Scholar 

  100. Grand View Research. Asia Pacific prebiotics market size, share & trends analysis report by source (roots, fruits & vegetables, cereals & grains), by product, by form, by functionality, by application, by region, and segment forecasts, 2020–2028. San Francisco: Grand View Research; 2020. p. 95.

    Google Scholar 

  101. Sarkar P, Lohith Kumar DH, Dhumal C, Panigrahi SS, Choudhary R. Traditional and ayurvedic foods of Indian origin. J Ethn Foods. 2015;2:97–109.

    Google Scholar 

  102. Vairagar VG, Sankhala G, Kale RB, Kad SV. Preferences of stakeholders towards health foods. Int J Trop Agric. 2015;33:1495–9.

    Google Scholar 

  103. Arora M, Baldi A. Regulatory categories of probiotics across the globe: a review representing existing and recommended categorization. Indian J Med Microbiol. 2015;33:S2-10.

    Google Scholar 

  104. Lakshmy G, Seetha Devi B, Ramesh B. The blooming prospects of probiotic products in India. Int J Recent Technol Eng. 2018;7:253–8.

    Google Scholar 

  105. Huang R, Wang K, Hu J. Effect of probiotics on depression: a systematic review and meta-analysis of randomized controlled trials. Nutrients. 2016;8:483.

    PubMed  PubMed Central  Google Scholar 

  106. Goh KK, Liu YW, Kuo PH, Chung YCE, Lu ML, Chen CH. Effect of probiotics on depressive symptoms: a meta-analysis of human studies. Psychiatry Res. 2019;282:112568. https://doi.org/10.1016/j.psychres.2019.112568.

    Article  PubMed  Google Scholar 

  107. Lolou V, Panayiotidis MI. Functional role of probiotics and prebiotics on skin health and disease. Fermentation. 2019;5:41.

    CAS  Google Scholar 

  108. Cuello-Garcia CA, Brozek JL, Fiocchi A, Pawankar R, Yepes-Nuñez JJ, Terracciano L, et al. Probiotics for the prevention of allergy: a systematic review and meta-analysis of randomized controlled trials. J Allergy Clin Immunol. 2015;136:952–61.

    PubMed  Google Scholar 

  109. Strauss M, Mičetić-Turk D, Pogačar MŠ, Fijan S. Probiotics for the prevention of acute respiratory-tract infections in older people: systematic review. Healthc. 2021;9:1–20.

    Google Scholar 

  110. Villena J, Kitazawa H. Modulation of intestinal TLR4-inflammatory signaling pathways by probiotic microorganisms: lessons learned from Lactobacillus jensenii TL2937. Front Immunol. 2013;4:1–12.

    CAS  Google Scholar 

  111. Kothari D, Patel S, Kim S-K. Probiotic supplements might not be universally-effective and safe: a review. Biomed Pharmacother. 2019;111:537–47.

    CAS  PubMed  Google Scholar 

  112. Cunningham M, Azcarate-Peril MA, Barnard A, Benoit V, Grimaldi R, Guyonnet D, et al. Shaping the future of probiotics and prebiotics. Trends Microbiol. 2021;29:667–85.

    CAS  PubMed  Google Scholar 

  113. Ailioaie L, Litscher G. Probiotics, photobiomodulation, and disease management: controversies and challenges. Int J Mol Sci. 2021;22:4942.

    CAS  PubMed  PubMed Central  Google Scholar 

  114. Wendel U. Assessing viability and stress tolerance of probiotics—a review. Front Microbiol. 2022. https://doi.org/10.3389/fmicb.2021.818468.

    Article  PubMed  PubMed Central  Google Scholar 

  115. Palanivelu J, Thanigaivel S, Vickram S, Dey N, Mihaylova D, Desseva I. Probiotics in functional foods: survival assessment and approaches for improved viability. Appl Sci. 2022;12:455.

    CAS  Google Scholar 

  116. Lee BJ, Bak Y-T. Irritable bowel syndrome, gut microbiota and probiotics. J Neurogastroenterol Motil. 2011;17:252–66.

    PubMed  PubMed Central  Google Scholar 

  117. Zhao Z, Xu S, Zhang W, Wu D, Yang G. Probiotic Escherichia coli NISSLE 1917 for inflammatory bowel disease applications. Food Funct. 2022;13:5914–24.

    CAS  PubMed  Google Scholar 

  118. Mandel DR, Eichas K, Holmes J. Bacillus coagulans: a viable adjunct therapy for relieving symptoms of rheumatoid arthritis according to a randomized, controlled trial. BMC Complement Altern Med. 2010;10:1.

    PubMed  PubMed Central  Google Scholar 

  119. Gao J, Li X, Zhang G, Sadiq FA, Simal-Gandara J, Xiao J, et al. Probiotics in the dairy industry—advances and opportunities. Compr Rev Food Sci Food Saf. 2021;20:3937–82.

    PubMed  Google Scholar 

  120. Haddad MA. Viability of probiotic bacteria during refrigerated storage of commercial probiotic fermented dairy products marketed in Jordan. J Food Res. 2017;6:75.

    Google Scholar 

  121. Mishra SS, Behera PK, Kar B, Ray RC. Advances in probiotics, prebiotics and nutraceuticals. In: Innovations in technologies for fermented food and beverage industries. Cham: Springer; 2018. p. 121–41.

    Google Scholar 

  122. Dey G. Non-dairy probiotic foods: innovations and market trends. In: Innovations in technologies for fermented food and beverage industries. Cham: Springer; 2018. p. 159–73.

    Google Scholar 

  123. Auclair J, Frappier M, Millette M. Lactobacillus acidophilus CL1285, Lactobacillus casei LBC80R, and Lactobacillus rhamnosus CLR2 (Bio-K+): characterization, manufacture, mechanisms of action, and quality control of a specific probiotic combination for primary prevention of clostridium dif. Clin Infect Dis. 2015;60:S135–43.

    PubMed  Google Scholar 

  124. Fusieger A, Martins MCF, de Freitas R, Nero LA, de Carvalho AF. Technological properties of Lactococcus lactis subsp. lactis bv. diacetylactis obtained from dairy and non-dairy niches. Braz J Microbiol. 2020;51:313–21.

    CAS  PubMed  Google Scholar 

  125. Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, et al. Expert consensus document: the international scientific association for probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11:506–14. https://doi.org/10.1038/nrgastro.2014.66.

    Article  PubMed  Google Scholar 

  126. Kristensen NB, Bryrup T, Allin KH, Nielsen T, Hansen TH, Pedersen O. Alterations in fecal microbiota composition by probiotic supplementation in healthy adults: a systematic review of randomized controlled trials. Genome Med. 2016. https://doi.org/10.1186/s13073-016-0300-5.

    Article  PubMed  PubMed Central  Google Scholar 

  127. Ford AC, Quigley EMM, Lacy BE, Lembo AJ, Saito YA, Schiller LR, et al. Efficacy of prebiotics, probiotics, and synbiotics in irritable bowel syndrome and chronic idiopathic constipation: systematic review and meta-analysis. Am J Gastroenterol. 2014;109:1547–62.

    PubMed  Google Scholar 

  128. McFarland LV. Use of probiotics to correct dysbiosis of normal microbiota following disease or disruptive events: a systematic review. BMJ Open. 2014;4:e005049.

    Google Scholar 

  129. Doron S, Snydman DR. Risk and safety of probiotics. Clin Infect Dis. 2015;60:S129–34.

    PubMed  PubMed Central  Google Scholar 

  130. Lerner A, Shoenfeld Y, Matthias T. Probiotics: if it does not help it does not do any harm. Really? Microorganisms. 2019;7:1–20.

    Google Scholar 

  131. Zolnikova O, Komkova I, Potskherashvili N, Trukhmanov A, Ivashkin V. Application of probiotics for acute respiratory tract infections. Ital J Med. 2018;12:32–8.

    CAS  Google Scholar 

  132. Suez J, Zmora N, Zilberman-Schapira G, Mor U, Dori-Bachash M, Bashiardes S, et al. Post-antibiotic gut mucosal microbiome reconstitution is impaired by probiotics and improved by autologous FMT. Cell. 2018;174:1406-1423.e16. https://doi.org/10.1016/j.cell.2018.08.047.

    Article  CAS  PubMed  Google Scholar 

  133. Wallace CJK, Milev R. The effects of probiotics on depressive symptoms in humans: a systematic review. Ann Gen Psychiatry. 2017;16:1–10.

    Google Scholar 

  134. Freijy TM, Cribb L, Oliver G, Metri NJ, Opie RS, Jacka FN, et al. Effects of a high-prebiotic diet versus probiotic supplements versus synbiotics on adult mental health: the “Gut Feelings” randomised controlled trial. Front Neurosci. 2023;16:1–18.

    Google Scholar 

  135. Kobyliak N, Conte C, Cammarota G, Haley AP, Styriak I, Gaspar L, et al. Probiotics in prevention and treatment of obesity: a critical view. Nutr Metab. 2016. https://doi.org/10.1186/s12986-016-0067-0.

    Article  Google Scholar 

  136. Suez J, Zmora N, Segal E, Elinav E. The pros, cons, and many unknowns of probiotics. Nat Med. 2019;25:716–29. https://doi.org/10.1038/s41591-019-0439-x.

    Article  CAS  PubMed  Google Scholar 

  137. Daliri EBM, Lee BH, Oh DH. Current perspectives on antihypertensive probiotics. Probiot Antimicrob Proteins. 2017;9:91–101.

    Google Scholar 

  138. Khalesi S, Sun J, Buys N, Jayasinghe R. Effect of probiotics on blood pressure: a systematic review and meta-analysis of randomized, controlled trials. Hypertension. 2014;64:897–903.

    CAS  PubMed  Google Scholar 

  139. Catanzaro R, Sciuto M, Marotta F. Lactose intolerance: an update on its pathogenesis, diagnosis, and treatment. Nutr Res. 2021;89:23–34. https://doi.org/10.1016/j.nutres.2021.02.003.

    Article  CAS  PubMed  Google Scholar 

  140. Davis C. Enumeration of probiotic strains: review of culture-dependent and alternative techniques to quantify viable bacteria. J Microbiol Methods. 2014;103:9–17. https://doi.org/10.1016/j.mimet.2014.04.012.

    Article  CAS  PubMed  Google Scholar 

  141. Habeebuddin M, Karnati RK, Shiroorkar PN, Nagaraja S, Asdaq SMB, Anwer MK, et al. Topical probiotics: more than a skin deep. Pharmaceutics. 2022;14:1–22.

    Google Scholar 

  142. Bowe WP, Logan AC. Acne vulgaris, probiotics and the gut-brain-skin axis—back to the future? Gut Pathog. 2011;3:1–11.

    PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The authors are thankful to the teaching and non-teaching staff of the DST-FIST sponsored Department of Microbiology and Biotechnology (Gujarat University) for the preparation of this manuscript.

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

Authors

Contributions

KP, KB, HP, SP, DA and SS have written the manuscript. MS suggested changes and rearrangement of the manuscript. whereas DG reviewed the manuscript.

Corresponding author

Correspondence to Dweipayan Goswami.

Ethics declarations

Conflict of interest

All the authors declare that there is no conflict of interest in this work.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Prajapati, K., Bisani, K., Prajapati, H. et al. Advances in probiotics research: mechanisms of action, health benefits, and limitations in applications. Syst Microbiol and Biomanuf 4, 386–406 (2024). https://doi.org/10.1007/s43393-023-00208-w

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s43393-023-00208-w

Keywords

Navigation