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Home > Online-first > Erlita

The Role of Probiotics on Depression and Quality of Life in Irritable Bowel Syndrome Patients

Diana Erlita, Hamzah Shatri, Achmad Fauzi, Murdani Abdullah

Abstract

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by abdominal pain and/or constipation, often accompanied by altered stool frequency and shape. The gut microbiota, predominantly residing in the distal small and large intestines, comprises approximately 100 trillion microorganisms. Studies have identified a higher prevalence of Firmicutes (e.g., Lactobacillus, Ruminococcus), Proteobacteria, and Veillonella in IBS patients, alongside reduced populations of Lactobacillus and Bifidobacterium. Probiotics haves a role in alleviating IBS symptoms and depressive symptoms. Emerging evidence highlights the potential of probiotics to modulate the brain-gut axis, particularly in IBS patients with coexisting depressive symptoms, in order to alleviate IBS symptoms and depressive symptomps.

 Keywords

depression; irritable bowel syndrome; probiotic; quality of life

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References

Lacy BE, Mearin F, Chang L, Chey WD, Lembo AJ, Simren M, et al. Bowel disorders. Gastroenterology. 2016;150:1393-1407.

Kopczynska M, Mokros L, Pietras T, Malecka-Panas E. Quality of life and depression in patients with irritable bowel syndrome. Prz Gastroenterol 2018;13:102–8.

Gwee KA, Ghoshal UC, Chen M. Irritable bowel syndrome in Asia: pathogenesis, natural history, epidemiology, and management. J Gastroenterol Hepatol 2018;33:99-110.

Rahman MM, Mahadeva S, Ghoshal UC. Epidemiological and clinical perspectives on irritable bowel syndrome in India, Bangladesh and Malaysia: A review. World J Gastroenterol 2017;23:6788-6801.

Rodiño-Janeiro, Vicario M, Alonso-Cotoner C, Pascua-García R, Santos J, Bruno K. A Review of Microbiota and Irritable Bowel Syndrome: Future in Therapies. Adv Ther 2018;35:289–310.

Trindade IA, Melchior C, Törnblom H, Simrén M. Quality of life in irritable bowel syndrome: Exploring mediating factors through structural equation modelling. J Psychosom Res 2022;159.

Chen M, Ruan G, Chen L, Ying S, Li G, Xu F, et al. Neurotransmitter and intestinal interactions: focus on the microbiota-gut-brain axis in irritable bowel syndrome. Front Endocrinol (Lausanne) 2022;13:817100.

Satish Kumar L, Pugalenthi LS, Ahmad M, Reddy S, Barkhane Z, Elmadi J. Probiotics in irritable bowel syndrome: a review of their therapeutic role. Cureus 2022;14:e24240

Kok CR, Hutkins R. Yogurt and other fermented foods as sources of health-promoting bacteria. Nutr Rev 2018;76:4–15.

Akkasheh G, Kashani-Poor Z, Tajabadi-Ebrahimi M, Jafari P, Akbari H, Taghizadeh M, et al. Clinical and metabolic response to probiotic administration in patients with major depressive disorder: a randomized, double-blind, placebo-controlled trial. Nutrition 2016;32:315–20.

Mudyanadzo TA, Hauzaree C, Yerokhina O, Architha NN, Ashqar HM. Irritable bowel syndrome and depression: a shared pathogenesis. Cureus 2018;10:e3178.

Holtmann GJ, Ford AC, Talley NJ. Pathophysiology of irritable bowel syndrome. Lancet Gastroenterol Hepatol 2016;1:133-46.

Lacy BE, Pimentel M, Brenner DM, Chey WD, Keefer LA, Long MD, et al. Acg clinical guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021;116:17–44.

Radovanovic-Dinic B, Tesic-Rajkovic S, Grgov S, Petrovic G, Zivkovic V. Irritable bowel syndrome - from etiopathogenesis to therapy. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2018;162:1-9.

Rahman MM, Mahadeva S, Ghoshal UC. Epidemiological and clinical perspectives on irritable bowel syndrome in India, Bangladesh and Malaysia: a review. World J Gastroenterol 2017;23:6788-801.

Isaiah S, Loots DT, Solomons R, van der Kuip M, Tutu Van Furth AM, Mason S. Overview of brain-to-gut axis exposed to chronic cns bacterial infection(s) and a predictive urinary metabolic profile of a brain infected by mycobacterium tuberculosis. Front Neurosci 2020;14:296.

Kim KN, Yao Y, Ju SY. Heart rate variability and inflammatory bowel disease in humans: a systematic review and meta-analysis. Medicine (United States) 2020;99:E23430.

Trindade IA, Melchior C, Törnblom H, Simrén M. Quality of life in irritable bowel syndrome: exploring mediating factors through structural equation modelling. J Psychosom Res 2022;159.

Pinto-Sanchez MI, Hall GB, Ghajar K, Nardelli A, Bolino C, Lau JT, et al. Probiotic bifidobacterium longum ncc3001 reduces depression scores and alters brain activity: a pilot study in patients with irritable bowel syndrome. Gastroenterology 2017;153:448-59.

Thursby E, Juge N. Introduction to the human gut microbiota. Biochem J 2017;474:1823-36.

Al-Assal K, Martinez AC, Torrinhas RS, Cardinelli C, Waitzberg D. Gut microbiota and obesity. Clin Nutr Exp 2018;20:60–4.

Sirisinha S. The potential impact of gut microbiota on your health:Current status and future challenges. Asian Pac J Allergy Immunol 2016;34:249-64.

Lopetuso LR, Petito V, Graziani C, Schiavoni E, Paroni Sterbini F, Poscia A, et al. Gut microbiota in health, diverticular disease, irritable bowel syndrome, and inflammatory bowel diseases: time for microbial marker of gastrointestinal disorders. Dig Dis 2018;36:56-65.

Shaikh SD, Sun N, Canakis A, Park WY, Weber HC. Shaikh SD, et al. Irritable bowel syndrome and the gut microbiome: a comprehensive review. J Clin Med 2023;12:2558.

Akram N, Faisal Z, Irfan R, Shah YA, Batool SA, Zahid T, et al. Exploring the serotonin-probiotics-gut health axis: A review of current evidence and potential mechanisms. Food Sci Nutr 2023;12:694-706.

Principi N, Cozzali R, Farinelli E, Brusaferro A, Esposito S. Gut dysbiosis and irritable bowel syndrome: The potential role of probiotics. J Infect 2018;76:111-20.

Cao YN, Feng LJ, Wang BM, Jiang K, Li S, Xu X, et al. Lactobacillus acidophilus and Bifidobacterium longum supernatants upregulate the serotonin transporter expression in intestinal epithelial cells. Saudi J Gastroenterol 2018;24:59-66.

Ng QX, Peters C, Ho CYX, Lim DY, Yeo WS. A meta-analysis of the use of probiotics to alleviate depressive symptoms. J Affect Disord 2018;228:13-9.

Huang R, Wang K, Hu J. Effect of probiotics on depression: a systematic review and meta-analysis of randomized controlled trials. Nutrients 2016;8:483.

Groeger D, Murphy EF, Tan HTT, Larsen IS, O’Neill I, Quigley EMM. Interactions between symptoms and psychological status in irritable bowel syndrome: an exploratory study of the impact of a probiotic combination. Neurogastroenterol Motil 2023;35:e14477.

Begtrup LM, De Muckadell OBS, Kjeldsen J, Christensen RD, Jarbol DE. Long-term treatment with probiotics in primary care patients with irritable bowel syndrome- a randomised, double-blind, placebo controlled trial. Scand J Gastroenterol 2013;48:1127–35.

Lorenzo-Zúñiga V, Llop E, Suárez C, Álvarez B, Abreu L, Espadaler J, et al. I.31, a new combination of probiotics, improves irritable bowel syndrome-related quality of life. World J Gastroenterol 2014;:8709–16.

Sarkawi M, Raja Ali RA, Abdul Wahab N, Abdul Rathi ND, Mokhtar NM. A randomized, double-blinded, placebo-controlled clinical trial on Lactobacillus-containing cultured milk drink as adjuvant therapy for depression in irritable bowel syndrome. Sci Rep 2024;14:9478.

Barraza-Ortiz DA, Pérez-López N, Medina-López VM, Minero-Alfaro JI, Zamarripa-Dorsey F, Fernández-Martínez NDC, et al. Combination of a probiotic and an antispasmodic increases quality of life and reduces symptoms in patients with irritable bowel syndrome: a pilot study. Dig Dis 2021;39:294-300.

Cappello C, Tremolaterra F, Pascariello A, Ciacci C, Iovino P. A randomised clinical trial (RCT) of a symbiotic mixture in patients with irritable bowel syndrome (IBS): effects on symptoms, colonic transit and quality of life. Int J Colorectal Dis 2013;28:349–58.

Shavakhi A, Minakari M, Farzamnia S, Peykar M, Taghipour G, Tayebi A, et al. The effects of multi-strain probiotic compound on symptoms and quality-of-life in patients with irritable bowel syndrome: a randomized placebo-controlled trial. Adv Biomed Res 2014;3:140.

Mullish BH, Michael DR, Dabcheva M, Webberley TS, Coates N, John DA, et al. A double-blind, randomized, placebo-controlled study assessing the impact of probiotic supplementation on the symptoms of irritable bowel syndrome in females. Neurogastroenterol Motil 2024;36:e14751.

Lewis ED, Antony JM, Crowley DC, Piano A, Bhardwaj R, Tompkins TA. Efficacy of Lactobacillus paracasei HA-196 and Bifidobacterium longum R0175 in alleviating symptoms of irritable bowel syndrome (IBS): a randomized, placebo-controlled study. Nutrients 2020;12:1159.

Jaiswal G, Rana R, Nayak PK, Chouhan R, Gandhi SG, Patel HK, et al, A novel yellow-pigmented probiotic bacterium from rice seed microbiome. Curr Microbiol 2024;81:424.

DOI: http://dx.doi.org/10.31584/jhsmr.20251242

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About The Authors

Diana Erlita
Department of Psychosomatic and Palliative Medicine, Faculty of Medicine, University of Indonesia, Central Jakarta, Jakarta 10430,
Indonesia

Hamzah Shatri
Department of Psychosomatic and Palliative Medicine, Faculty of Medicine, University of Indonesia, Central Jakarta, Jakarta 10430,
Indonesia

Achmad Fauzi
Department of Gastroenterohepatology, Faculty of Medicine, University of Indonesia, Central Jakarta, Jakarta 10430,
Indonesia

Murdani Abdullah
Department of Gastroenterohepatology, Faculty of Medicine, University of Indonesia, Central Jakarta, Jakarta 10430,
Indonesia

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