Lactobacillus acidophilus LB: a useful pharmabiotic for the treatment of digestive disorders

Author:

María Remes-Troche José1,Coss-Adame Enrique2,Ángel Valdovinos-Díaz Miguel3,Gómez-Escudero Octavio4,Eugenia Icaza-Chávez María5,Antonio Chávez-Barrera José6,Zárate-Mondragón Flora7,Antonio Velarde-Ruíz Velasco José8,Rafael Aceves-Tavares Guillermo9,Antonio Lira-Pedrín Marco10,Cerda-Contreras Eduardo11,Carmona-Sánchez Ramón Isaías12,Guerra López Héctor13,Solana Ortiz Rodolfo13

Affiliation:

1. Instituto e Investigaciones Médico Biológicas de la Universidad Veracruzana, Veracruz, Mexico

2. Gastroenterology Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

3. National Institute of Medical Sciences and Nutrition Salvador Zubirán, Vasco de Quiroga 15, Belisario Domínguez Secc 16, Mexico City 14080, Mexico

4. Ángeles Hospital de Puebla, Puebla, Mexico

5. Hospital Star Médica, Mérida, Yucatán, Mexico

6. Pediatric Gastroenterology Department, Instituto Mexicano del Seguro Social, Mexico City, Mexico

7. Gastroenterology Department, Instituto Nacional de Pediatría, Mexico City, Mexico

8. Gastroenterology Service, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico

9. Gastroenterology Service, Hospital General del Estado Dr. Ernesto Ramos Bours, Hermosillo, Sonora, Mexico

10. Hospital Ángeles Tijuana, Tijuana, Mexico

11. Hospital Médica Sur, Mexico City, Mexico

12. Ambulatory Care Unit Christus Muguerza, San Luis Potosí, S.L.P., Mexico

13. Laboratorios Carnot, Mexico City, Mexico

Abstract

Dysbiosis, a loss of balance between resident bacterial communities and their host, is associated with multiple diseases, including inflammatory bowel diseases (nonspecific chronic ulcerative colitis and Crohn’s disease), and digestive functional disorders. Probiotics, prebiotics, synbiotic organisms and, more recently, pharmabiotics, have been shown to modulate the human microbiota. In this review, we provide an overview of the key concepts relating to probiotics, prebiotics, synbiotic organisms, and pharmabiotics, with a focus on available clinical evidence regarding the specific use of a unique pharmabiotic, the strain Lactobacillus acidophilus LB ( Lactobacillus boucardii), for the management of gastrointestinal disorders. Since it does not contain living organisms, the administration of L. acidophilus LB is effective and safe as an adjuvant in the treatment of acute diarrhea, chronic diarrhea, and antibiotic-associated diarrhea, even in the presence of immunosuppression.

Publisher

SAGE Publications

Subject

Gastroenterology

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