Dietary Modulation of the Human Colonic Microbiota: Introducing the Concept of Prebiotics

https://doi.org/10.1093/jn/125.6.1401Get rights and content

Abstract

Because the human gut microbiota can play a major role in host health, there is currently some interest in the manipulation of the composition of the gut flora towards a potentially more remedial community. Attempts have been made to increase bacterial groups such as Bifidobacterium and Lactobacillus that are perceived as exerting health-promoting properties. Probiotics, defined as microbial food supplements that beneficially affect the host by improving its intestinal microbial balance, have been used to change the composition of colonic microbiota. However, such changes may be transient, and the implantation of exogenous bacteria therefore becomes limited. In contrast, prebiotics are nondigestible food ingredients that beneficially affect the host by selectively stimulating the growth and/or activity of one or a limited number of bacterial species already resident in the colon, and thus attempt to improve host health. Intake of prebiotics can significantly modulate the colonic microbiota by increasing the number of specific bacteria and thus changing the composition of the microbiota. Nondigestible oligosaccharides in general, and fructooligosaccharides in particular, are prebiotics. They have been shown to stimulate the growth of endogenous bifidobacteria, which, after a short feeding period, become predominant in human feces. Moreover, these prebiotics modulate lipid metabolism, most likely via fermentation products. By combining the rationale of pro- and prebiotics, the concept of synbiotics is proposed to characterize some colonic foods with interesting nutritional properties that make these compounds candidates for classification as health-enhancing functional food ingredients.

Literature Cited (108)

  • MacfarlaneG.T. et al.

    Estimation of short chain fatty acid production from protein by human intestinal bacteria based on branched-chain fatty acid measurements.

    FEMS (Fed. Eur. Microbiol. Soc.) Microbiol. Ecol.

    (1992)
  • MillerT.L. et al.

    Methanogens in human and animal intestinal tract systems.

    Appl. Environ. Microbiol.

    (1986)
  • MizutaniT. et al.

    Inhibitory effect of some intestinal bacteria on liver tumorigenesis in gnotobiotic C3H/HE male mice.

    Cancer Lett.

    (1980)
  • MooreW.E.C. et al.

    Identification of anaerobic bacteria.

    Am. J. Clin. Nutr.

    (1972)
  • PochartP. et al.

    Survival of bifidobacteria ingested via fermented milk during their passage through the human small intestine: an in vivo study using intestinal perfusion.

    Am. J. Clin. Nutr.

    (1992)
  • RechkemmerG. et al.

    Fermentation of polysaccharides and absorption of short chain fatty acids in the mammalian hindgut.

    Comp. Biochem. Physiol.

    (1988)
  • ReddyB.S. et al.

    Effects of high risk and low risk diets for colon carcinogenesis on fecal microflora and steroids in man.

    J. Nutr.

    (1975)
  • RumessenJ.J. et al.

    Fructans of Jerusalem artichokes: intestinal transport, absorption, fermentation and influence on blood glucose, insulin and C-peptide responses in healthy subjects.

    Am. J. Clin. Nutr.

    (1990)
  • SalyersA.A.

    Energy sources of major intestinal fermentative anaerobes.

    Am. J. Clin. Nutr.

    (1979)
  • SalyersA.A. et al.

    Carbohydrate utilization in the human colon.

  • SchulzA.G.M. et al.

    Dietary native resistant starch but not retrograded resistant starch raises magnesium and calcium absorption in rats.

    J. Nutr.

    (1993)
  • SchumannW.C. et al.

    Metbolism of [2-14C] acetate and its use in assessing hepatic Krebs cycle activity and gluconeogenesis.

    J. Biol. Chem.

    (1991)
  • AllisonC. et al.

    Effect of nitrate on methane production by slurries of human faecal bacteria.

    J. Gen. Microbiol.

    (1988)
  • Bach Knudsen, K. E. & Hessov, I. (1995) Recovery of inulin from Jerusalem artichoke (Helianthus tuberosus L.) in the...
  • BergJ.O.

    Cellular location of glycoside hydrolases in Bacteroides fragilis.

    Curr. Microbiol.

    (1981)
  • BezkorovainyA. et al.

    Biochemistry and Physiology of Bifidobacteria.

  • CallowayD.H. et al.

    The use of expired air to measure intestinal gas formation.

    Ann. N. Y. Acad. Sci.

    (1968)
  • ChristlS.U. et al.

    Role of dietary sulphate in the regulation of methanogenesis in the human large intestine.

    Gut

    (1992)
  • CummingsJ.H.

    Short chain fatty acids in the human colon.

    Gut

    (1981)
  • CummingsJ.H.

    Diet and short chain fatty acids in the gut.

  • CummingsJ.H. et al.

    Quantitative estimate of fermentation in the hindgut of man.

    Acta Vet. Scand.

    (1989)
  • CummingsJ.H. et al.

    A review: the control and consequences of bacterial fermentation in the human colon.

    J. Appl. Bacteriol.

    (1991)
  • CummingsJ.H. et al.

    Short chain fatty acids in human large intestine, portal, hepatic and venous blood.

    Gut

    (1987)
  • Delzenne, N. M., Kok, N., Fiordaliso, M. F., Deboyser, D. M., Goethals, F. M. & Roberfroid, M. B. (1993) Dietary...
  • DrasarB.S. et al.

    Human Intestinal Flora.

  • DrasarB.S. et al.

    The influence of a diet rich in wheat fibre on the human faecal flora.

    J. Med. Microbiol.

    (1976)
  • DrasarB.S. et al.

    Control of the large bowel microflora.

  • EastwoodM.L.

    Colon structure.

  • EdelmanJ. et al.

    The metabolism of fructose polymers in plants: transfructosylation in tubers of Helianthus tuberosus L.

    Biochem. J.

    (1966)
  • FinegoldS.M. et al.

    Fecal bacteriology of colonic polyp patients and control patients.

    Cancer Res.

    (1975)
  • FiordalisoM.F. et al.

    Oligofructose supplemented diet lowers serum and VLDL concentrations of triglycerides, phospholipids and cholesterol in rats.

    Lipids

    (1995)
  • FrankelW.L. et al.

    Soy fiber delays disease onset and prolongs survival in experimental Clostridium difficile ileocecitis.

    J. Parenter. Enteral Nutr.

    (1994)
  • FullerR.

    Probiotics in man and animals.

    J. Appl. Bacteriol.

    (1989)
  • FullerR.

    Probiotics in human medicine.

    Gut

    (1991)
  • FullerR.

    Probiotics. The Scientific Basis.

  • GardinerK.R. et al.

    Colonic bacteria and bacterial translocation in experimental colitis.

    Br. J. Surg.

    (1993)
  • Gibson, G. R., Beatty, E. B., Wang, X. & Cummings, J. H. (1995) Selective stimulation of bifidobacteria in the human...
  • GibsonG.R. et al.

    Intestinal bacteria and disease.

  • GibsonG.R. et al.

    Ocurrence of sulphate-reducing bacteria in human faeces and the relationship of dissimilatory sulphate reduction to methanogenesis in the large gut.

    J. Appl. Bacteriol.

    (1988)
  • GibsonG.R. et al.

    Inhibitory effects of bifidobacteria on other colonic bacteria.

    J. Appl. Bacteriol.

    (1994)
  • Cited by (5937)

    View all citing articles on Scopus
    View full text