Irritable Bowel Syndrome in Terms of Changes in the Microbiota

Aim: to review available data confirming the pathogenetic role of the intestinal microbiota in the formation of irritable bowel syndrome (IBS).Key findings. Changes in the intestinal biotope cause the development of visceral hypersensitivity and impaired intestinal motor activity, as well as neuroim...

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Main Authors: Vladimir T. Ivashkin, Oxana Yu. Zolnikova
Format: Article
Language:Russian
Published: Gastro LLC 2019-03-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/330
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author Vladimir T. Ivashkin
Oxana Yu. Zolnikova
author_facet Vladimir T. Ivashkin
Oxana Yu. Zolnikova
author_sort Vladimir T. Ivashkin
collection DOAJ
description Aim: to review available data confirming the pathogenetic role of the intestinal microbiota in the formation of irritable bowel syndrome (IBS).Key findings. Changes in the intestinal biotope cause the development of visceral hypersensitivity and impaired intestinal motor activity, as well as neuroimmune transmission. This article discusses the main aspects of the biological properties of probiotic bacteria in terms of their action within the “brain — intestine — microbiota” chain. The results of experimental and clinical studies elucidating the mechanisms of action of probiotic cultures have been generalized. The understanding of these mechanisms allows practitioners to make informed decisions in prescribing probiotics to IBS patients. Key concepts concerning fecal microbiota transplantation, as well as the prospects and difficulties of implementing this approach are considered.Conclusions. The term “microbiota — intestine — brain” clearly demonstrates the correlation between the main functional components of IBS. Meta-analyses and systematic reviews confirm the efficacy of probiotics in IBS. However, further research into probiotic therapy options is needed to identify specific bacterial strains with proven clinical efficacy. The fecal microbiota transplantation method also requires further research, since many issues associated with this approach remain unclear.
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-a6f54bf02bda4615b40f0f43a2354d522025-02-10T16:14:35ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732019-03-01291687610.22416/1382-4376-2019-29-1-84-92288Irritable Bowel Syndrome in Terms of Changes in the MicrobiotaVladimir T. Ivashkin0Oxana Yu. Zolnikova1I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Aim: to review available data confirming the pathogenetic role of the intestinal microbiota in the formation of irritable bowel syndrome (IBS).Key findings. Changes in the intestinal biotope cause the development of visceral hypersensitivity and impaired intestinal motor activity, as well as neuroimmune transmission. This article discusses the main aspects of the biological properties of probiotic bacteria in terms of their action within the “brain — intestine — microbiota” chain. The results of experimental and clinical studies elucidating the mechanisms of action of probiotic cultures have been generalized. The understanding of these mechanisms allows practitioners to make informed decisions in prescribing probiotics to IBS patients. Key concepts concerning fecal microbiota transplantation, as well as the prospects and difficulties of implementing this approach are considered.Conclusions. The term “microbiota — intestine — brain” clearly demonstrates the correlation between the main functional components of IBS. Meta-analyses and systematic reviews confirm the efficacy of probiotics in IBS. However, further research into probiotic therapy options is needed to identify specific bacterial strains with proven clinical efficacy. The fecal microbiota transplantation method also requires further research, since many issues associated with this approach remain unclear.https://www.gastro-j.ru/jour/article/view/330irritable bowel syndromelactobacteriabifidobacteriaprobioticsintestinal microbiota
spellingShingle Vladimir T. Ivashkin
Oxana Yu. Zolnikova
Irritable Bowel Syndrome in Terms of Changes in the Microbiota
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
irritable bowel syndrome
lactobacteria
bifidobacteria
probiotics
intestinal microbiota
title Irritable Bowel Syndrome in Terms of Changes in the Microbiota
title_full Irritable Bowel Syndrome in Terms of Changes in the Microbiota
title_fullStr Irritable Bowel Syndrome in Terms of Changes in the Microbiota
title_full_unstemmed Irritable Bowel Syndrome in Terms of Changes in the Microbiota
title_short Irritable Bowel Syndrome in Terms of Changes in the Microbiota
title_sort irritable bowel syndrome in terms of changes in the microbiota
topic irritable bowel syndrome
lactobacteria
bifidobacteria
probiotics
intestinal microbiota
url https://www.gastro-j.ru/jour/article/view/330
work_keys_str_mv AT vladimirtivashkin irritablebowelsyndromeintermsofchangesinthemicrobiota
AT oxanayuzolnikova irritablebowelsyndromeintermsofchangesinthemicrobiota