D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants

There is mounting evidence that ingestion of selected probiotics can modify disease morbidity for specific conditions affecting humans, and there is growing interest in the amelioration or prevention of disease with probiotics. Modulation in gene expression of the cellular elements of the intestinal...

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Main Author: David R Mack
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2004/342583
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author David R Mack
author_facet David R Mack
author_sort David R Mack
collection DOAJ
description There is mounting evidence that ingestion of selected probiotics can modify disease morbidity for specific conditions affecting humans, and there is growing interest in the amelioration or prevention of disease with probiotics. Modulation in gene expression of the cellular elements of the intestinal mucosa and interbacterial interactions are leading theories as to the mechanism whereby probiotics can effect benefit for the host. Furthermore, gene-environmental interactions are considered to be important in the development of disease in those at genetic risk. With the intestinal tract harbouring large numbers of bacteria, alteration of the microbial environment with probiotic microbes is being considered as a controllable factor that may limit disease expression for those at genetic risk. This reasoning has led to interest in the administration of probiotics to infants. However, there are significant developmental changes occurring in many organ systems from the time of parturition and during the first months of life. Because there is little in the published scientific medical literature regarding the effects of long-term administration of probiotics to infants, potential problems must be considered; one such issue is that of administration of D(-)-lactate-producing probiotics. An appraisal of the current knowledge of this potential adverse effect is the subject of this communication.
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spelling doaj-art-93e57bab05fa47fca7627fe5f2b76c522025-02-03T01:29:51ZengWileyCanadian Journal of Gastroenterology0835-79002004-01-01181167167510.1155/2004/342583D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and InfantsDavid R MackThere is mounting evidence that ingestion of selected probiotics can modify disease morbidity for specific conditions affecting humans, and there is growing interest in the amelioration or prevention of disease with probiotics. Modulation in gene expression of the cellular elements of the intestinal mucosa and interbacterial interactions are leading theories as to the mechanism whereby probiotics can effect benefit for the host. Furthermore, gene-environmental interactions are considered to be important in the development of disease in those at genetic risk. With the intestinal tract harbouring large numbers of bacteria, alteration of the microbial environment with probiotic microbes is being considered as a controllable factor that may limit disease expression for those at genetic risk. This reasoning has led to interest in the administration of probiotics to infants. However, there are significant developmental changes occurring in many organ systems from the time of parturition and during the first months of life. Because there is little in the published scientific medical literature regarding the effects of long-term administration of probiotics to infants, potential problems must be considered; one such issue is that of administration of D(-)-lactate-producing probiotics. An appraisal of the current knowledge of this potential adverse effect is the subject of this communication.http://dx.doi.org/10.1155/2004/342583
spellingShingle David R Mack
D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants
Canadian Journal of Gastroenterology
title D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants
title_full D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants
title_fullStr D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants
title_full_unstemmed D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants
title_short D(—)–Lactic Acid Producing Probiotics, D(—)–Lactic Acidosis and Infants
title_sort d lactic acid producing probiotics d lactic acidosis and infants
url http://dx.doi.org/10.1155/2004/342583
work_keys_str_mv AT davidrmack dlacticacidproducingprobioticsdlacticacidosisandinfants