Review article: anti-inflammatory mechanisms of action of Saccharomyces boulardii.

Abstract:

BACKGROUND:Saccharomyces boulardii, a well-studied probiotic, can be effective in inflammatory gastrointestinal diseases with diverse pathophysiology, such as inflammatory bowel disease (IBD), and bacterially mediated or enterotoxin-mediated diarrhoea and inflammation. AIM:To discuss the mechanisms of action involved in the intestinal anti-inflammatory action of S. boulardii. METHODS:Review of the literature related to the anti-inflammatory effects of this probiotic. RESULTS:Several mechanisms of action have been identified directed against the host and pathogenic microorganisms. S. boulardii and S. boulardii secreted-protein(s) inhibit production of proinflammatory cytokines by interfering with the global mediator of inflammation nuclear factor kappaB, and modulating the activity of the mitogen-activated protein kinases ERK1/2 and p38. S. boulardii activates expression of peroxisome proliferator-activated receptor-gamma (PPAR-gamma) that protects from gut inflammation and IBD. S. boulardii also suppresses 'bacteria overgrowth' and host cell adherence, releases a protease that cleaves C. difficile toxin A and its intestinal receptor and stimulates antibody production against toxin A. Recent results indicate that S. boulardii may interfere with IBD pathogenesis by trapping T cells in mesenteric lymph nodes. CONCLUSIONS:The multiple anti-inflammatory mechanisms exerted by S. boulardii provide molecular explanations supporting its effectiveness in intestinal inflammatory states.

journal_name

Aliment Pharmacol Ther

authors

Pothoulakis C

doi

10.1111/j.1365-2036.2009.04102.x

subject

Has Abstract

pub_date

2009-10-15 00:00:00

pages

826-33

issue

8

eissn

0269-2813

issn

1365-2036

pii

APT4102

journal_volume

30

pub_type

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