Abstract
Irritable Bowel Syndrome (IBS) is the most common gastrointestinal (GI) disorder in Western populations and therefore a major public health/economic concern. However, despite extensive research, psychological and physiological factors that contribute to the aetiology of IBS remain poorly understood. Consequently, clinical management of IBS is reduced to symptom management through various suboptimal options. Recent evidence has suggested human milk oligosaccharides (HMOs) as a potential therapeutic option for IBS. Here, we review literature concerning the role of HMOs in IBS, including data from intervention and in vitro trials. HMO supplementation shows promising results in altering the gut microbiota and improving IBS symptoms, for instance by stimulating bifidobacteria. Further research in adults is required into HMO mechanisms, to confirm the preliminary results available to date and recommendations of HMO use in IBS.
Funder
Biotechnology and Biological Sciences Research Council
Subject
Virology,Microbiology (medical),Microbiology
Reference140 articles.
1. Bowel Disorders;Mearin;Gastroenterology,2016
2. The burden of IBS: Looking at metrics;Spiegel;Curr. Gastroenterol. Rep.,2009
3. Guidelines on the irritable bowel syndrome: Mechanisms and practical management;Spiller;Gut,2007
4. Iribarren, C. (2022). Intestinal Microenvironment, Epithelial Barrier Interactions and Human Milk Oligosaccharide Supplementation in Irritable Bowel Syndrome, University of Gothenburg.
5. Clinical trial: The effects of a trans-galactooligosaccharide prebiotic on faecal microbiota and symptoms in irritable bowel syndrome;Silk;Aliment. Pharmacol. Ther.,2009