Elsevier

Journal of Biotechnology

Volume 84, Issue 3, 28 December 2000, Pages 197-215
Journal of Biotechnology

Review article
Probiotic bacteria: safety, functional and technological properties

https://doi.org/10.1016/S0168-1656(00)00375-8Get rights and content

Abstract

During the past two decades probiotic (health promoting) micro-organisms have been increasingly included in various types of food products, especially in fermented milks. Several aspects, including safety, functional and technological characteristics, have to be taken into consideration in the selection process of probiotic micro-organisms. Safety aspects include specifications such as origin (healthy human GI-tract), non-pathogenicity and antibiotic resistance characteristics. Functional aspects include viability and persistence in the GI-tract, immunomodulation, antagonistic and antimutagenic properties. Before probiotic strains, chosen on the basis of their good safety and functional characteristics, can benefit the consumer, they must first be able to be manufactured under industrial conditions. Furthermore, they have to survive and retain their functionality during storage, and also in the foods into which they are incorporated without producing off-flavours. Factors related to the technological and sensory aspects of probiotic food production are of utmost importance since only by satisfying the demands of the consumer can the food industry succeed in promoting the consumption of functional probiotic products in the future.

Introduction

Probiotics are live microbial food supplements which benefit the health of consumers by maintaining or improving their intestinal microbial balance (Fuller, 1989). Due to their perceived health benefits probiotic bacteria have been increasingly included in yoghurts and fermented milks during the past two decades. Most commonly they have been lactobacilli such as Lactobacillus acidophilus, and bifidobacteria often referred to as ‘bifidus’ (Daly and Davis, 1998). A major development in functional foods pertain to foods containing probiotics and prebiotics which enhance health promoting microbial flora in the intestine. There is growing scientific evidence to support the concept that the maintenance of healthy gut microflora may provide protection against gastrointestinal disorders including gastrointestinal infections, inflammatory bowel diseases, and even cancer (Haenel and Bendig, 1975, Mitsuoka, 1982, Salminen et al., 1998a). The use of probiotic bacterial cultures stimulates the growth of preferred micro-organisms, crowds out potentially harmful bacteria, and reinforces the body's natural defence mechanisms. Today, plenty of evidence exists on the positive effects of probiotics on human health. However, this has usually been demonstrated in diseased human populations only (Salminen et al., 1998a). Thus there is an urgent need for evidence for probiotic health benefits in average (generally healthy) populations.

Before a probiotic can benefit human health it must fulfil several criteria: It must have good technological properties so that it can be manufactured and incorporated into food products without loosing viability and functionality or creating unpleasant flavours or textures; it must survive passage through the upper gastrointestinal (GI) tract and arrive alive at its site of action; and it must be able to function in the gut environment. To study the probiotic strain in the GI-tract, molecular techniques must be established for distinguishing the ingested probiotic strain from the potentially thousands of other bacterial strains that make up the gastrointestinal ecosystem. Additionally, techniques are required to establish the effect of the probiotic strain on other members of the intestinal microbiota and importantly on the host. This includes not only positive health benefits, but also demonstration that probiotic strains do not have any deleterious effects. Armed with this knowledge, the probiotics can then enter human pilot studies that attempt to assess their health benefits to consumers (Mattila-Sandholm and Salminen, 1998, Mattila-Sandholm et al., 1999).

Section snippets

Selecting probiotic strains: important aspects

The theoretical basis for the selection of probiotic micro-organisms including safety, functional and technological aspects is illustrated in Fig. 1.

Current safety criteria for successful probiotics have been defined in several reviews (Lee and Salminen, 1995, Donohue and Salminen, 1996, Salminen et al., 1996b, Salminen et al., 1998b, Adams, 1999). The significance of human origin has been debated recently, but most current successful strains are indicated to be of human origin. It can also be

Safety aspects of probiotics

The safety of probiotic strains is of prime importance and guidelines for the safety assessment can be found in several articles (Lee and Salminen, 1995, Donohue and Salminen, 1996, Salminen et al., 1996b, Salminen et al., 1998b, Adams, 1999) (Fig. 2). Several approaches are possible in the assessment of the probiotic safety: (a) studies on the instrinsic properties of the probiotic strain; (b) studies on the pharmacokinetics of the probiotic strain; and (c) studies on interactions between the

Functional aspects of probiotics

Clinical effects of some probiotic strains in humans are shown in Table 1. These include, for example, immunomodulation, modulation of intestinal flora, prevention of diarrhoeas, and lowering of fecal enzyme activities. Some of the functional aspects of probiotics are discussed in more detail below.

Technological aspects of probiotics

Functional foods with probiotics are now well established on the European market. Starting about 20 years ago this product range has increased (Young, 1998) and is presently known to most consumers. To succeed in promoting the consumption of functional probiotic products the food industry has to satisfy the demands of the consumer. All probiotic foods should be safe and have good sensory properties. The probiotic foods should also include specific probiotic strains at a suitable level during

Future trends

Diet is a major focus of public health strategy aimed at maintaining optimum health throughout life, preventing early onset of chronic diseases such as gastrointestinal disorders, cardiovascular disease, cancer, osteoporosis, as well as promoting healthier ageing. Although the highly complex relationship of food and health is still poorly understood, recent research advances in different disciplines provide promising new approaches to improve our understanding. The growing demand for ‘healthy’

Acknowledgements

This work was supported by European Concerted Action PL98 4230.

References (165)

  • B. German et al.

    The development of functional foods: lessons from the gut

    TIBTECH

    (1999)
  • A.M. Gomes et al.

    Growth enhancement of Bifidobacterium lactis Bo and Lactobacillus acidophilus Ki by milk hydrolyzates

    J. Dairy Sci.

    (1998)
  • H. Hayatsu et al.

    Suppressing effect of Lactobacillus casei administration on the urinary mutagenicity arising from ingestion of fried ground beef in human

    Cancer Lett.

    (1993)
  • I. Helander et al.

    Potential of lactic acid bacteria and novel antimicrobials against gram-negative bacteria

    Trends Food Sci. Technol.

    (1997)
  • W.H. Holzapfel et al.

    Biological preservation of foods with reference to protective cultures, bacteriocins and food-grade enzymes

    Int. J. Food Microbiol.

    (1995)
  • A Hosono et al.

    Antimutagenic properties of lactic acid cultured milk on chemical and fecal mutagens

    J. Dairy Sci.

    (1986)
  • M.-L. Johansson et al.

    Survival of Lactobacillus plantarum DSM 9843 (299v), and effect on the short-chain fatty acid content of faeces after ingestion of a rose-hip drink with fermented oats

    Int. J. Food Microbiol.

    (1998)
  • P.V. Kirjavainen et al.

    The ability of probiotic bacteria to bind human intestinal mucus

    FEMS Microbiol. Lett.

    (1998)
  • R. Korpela et al.

    Lactobacillus rhamnosus GG (ATCC 53013) and platelet aggregation in vitro

    Int. J. Food Microbiol.

    (1997)
  • Y.-K. Lee et al.

    The coming of age of probiotics

    Trends Food Sci. Technol.

    (1995)
  • K.S. Lim et al.

    Antimicrobial susceptibility of bifidobacteria

    J. Dairy Sci.

    (1993)
  • W.H. Ling et al.

    Lactobacillus strain GG supplementation decreases colonic hydrolytic and reductive enzyme activities in healthy female adults

    J. Nutr.

    (1994)
  • H. Link-Amster et al.

    Modulation of a specific humoral immune response and changes in intestinal flora mediated through fermented milk intake

    FEMS Immunol. Med. Microbiol.

    (1994)
  • A.D. Mackay et al.

    Lactobacillus endocarditis caused by a probiotic organism

    Clin. Microbiol. Infect.

    (1999)
  • H. Majamaa et al.

    Probiotics: a novel approach in the management of food allergy

    J. Allergy Clin. Immunol.

    (1997)
  • P. Marteau et al.

    Effect of chronic ingestion of a fermented dairy product containing Lactobacillus acidophilus and Bifidobacterium bifidum on metabolic activities of the colonic flora in humans

    Am. J. Clin. Nutr.

    (1990)
  • D. Matteuzzi et al.

    Antimicrobial susceptibility of Bifidobacterium

    Ann. Microbiol. (Paris)

    (1983)
  • T. Mattila-Sandholm et al.

    Lactic acid bacteria with health claims — interference and interactions with gastrointestinal flora

    Int. Dairy J.

    (1999)
  • M. Alander et al.

    Recovery of Lactobacillus rhamnosus GG from human colonic biopsies

    Lett. Appl. Microbiol.

    (1997)
  • M. Alander et al.

    Persistence of colonization of human colonic mucosa by a probiotic strain, Lactobacillus rhamnosus GG, after oral consumption

    Appl. Environ. Microbiol.

    (1999)
  • Alm, L., Ryd-Kjellen, E., Setterberg, G., Blomquist, L., 1993. Effect of a new fermented milk product “Cultura” on...
  • L. Andersen

    Pre- and probiotics — sausage science

    Functional Foods

    (1998)
  • T. Arvola et al.

    Prophylactic Lactobacillus GG reduces antibiotic-associated diarrhea in children with respiratory infections: a randomized study

    Pediatrics

    (1999)
  • Y. Aso et al.

    Prophylactic effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer

    Urol. Int.

    (1992)
  • Y. Aso et al.

    Preventive effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer in a double-blind trial

    Eur. Urol.

    (1995)
  • D.J. Austin et al.

    The relationship between the volume of antimicrobial consumption in human communities and the frequency of resistance

    PNAS

    (1999)
  • R.G. Bennett et al.

    Treatment of relapsing Clostridium difficile diarrhea with Lactobacillus GG

    Nutr. Today

    (1996)
  • M.-F. Bernet et al.

    Adhesion of human bifidobacterial strains to cultured human intestinal epithelial cells and inhibition of enteropathogen–cell interactions

    Appl. Environ. Microbiol.

    (1993)
  • M.-F. Bernet et al.

    Lactobacillus acidophilus LA 1 binds to cultured human intestinal cell lines and inhibits cell attachment and cell invasion by enterovirulent bacteria

    Gut

    (1994)
  • M.-F. Bernet-Camard et al.

    The human Lactobacillus acidophilus strain LA1 secretes a nonbacteriocin antibacterial substance(s) active in vitro and in vivo

    Appl. Environ. Microbiol.

    (1997)
  • D. Billot-Klein et al.

    Modification of peptidoglucan precursors is a common feature of the low-level vancomycin-resistant VANB-type Enterococcus D366 and of the naturally glycopeptide-resistant species Lactobacillus casei, Pediococcus pentosaceus, Leuconostoc mesenteroides, and Enterococcus gallinarum

    J. Bacteriol.

    (1994)
  • F. Black et al.

    Effect of lactic acid producing bacteria on the human intestinal microflora during ampicillin treatment

    Scand. J. Infect. Dis.

    (1991)
  • Black, F.T., Andersen, P.L., Orskov, J., Orskov, F., Gaarslev, K., Laulund, S., 1989. Prophylactic efficacy of...
  • G. Bleichner et al.

    Saccharomyces boulardii prevents diarrhea in critically ill tube-fed patients. A multicenter, randomized, double-blind placebo-controlled trial

    Intensive Care Med.

    (1997)
  • J.P. Buts et al.

    Saccharomyces boulardii for Clostridium difficile-associated enteropathies in infants

    J. Pediatr. Gastroenterol. Nutr.

    (1993)
  • W.P. Charteris et al.

    Antibiotic susceptibility of potentially probiotic Bifidobacterium isolates from the human gastrointestinal tract

    Lett. Appl. Microbiol.

    (1998)
  • G. Chauviere et al.

    Adhesion of human Lactobacillus acidophilus strain LB to human enterocyte-like Caco-2 cells

    J. Gen. Microbiol.

    (1992)
  • M.-H. Coconnier et al.

    Adhering heat-killed human Lactobacillus acidophilus, strain LB, inhibits the process of pathogenicity of diarrhoeagenic bacteria in cultured human intestinal cells

    J. Diarrh. Dis.

    (1993)
  • M.-H. Coconnier et al.

    Inhibition of adhesion of enteroinvasive pathogens to human intestinal Caco-2 cells by Lactobacillus acidophilus strain LB decreases bacterial invasion

    FEMS Microbiol. Lett.

    (1993)
  • Cited by (886)

    View all citing articles on Scopus
    View full text