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