ARGuing the case for (or against) probiotics

Sondra Turjeman1, Omry Koren1

  • 1Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.

Trends in Microbiology
|September 26, 2021
PubMed

Insights

Probiotics may not restore gut microbiota after antibiotic treatment or prevent antibiotic resistance gene spread. A recent study challenges the common belief that these supplements are beneficial post-antibiotic therapy.

Area of Science:

  • Microbiology
  • Medical Science
  • Genetics

Background:

  • Antibiotic resistance is a major global health threat.
  • Antibiotics disrupt the gut microbiota.
  • Probiotics are often considered to restore microbiota and combat antibiotic resistance.

Purpose of the Study:

  • To investigate the efficacy of probiotics in restoring gut microbiota composition after antibiotic treatment.
  • To determine if probiotics can prevent the proliferation of antibiotic resistance genes in the gut microbiome.

Main Methods:

  • Analysis of gut microbiota composition using sequencing techniques.
  • Quantification of antibiotic resistance genes before and after probiotic administration.
  • Comparison of microbial communities in antibiotic-treated subjects with and without probiotic supplementation.

Main Results:

  • Probiotic administration did not significantly restore the gut microbiota to its pre-antibiotic state.
  • No significant reduction in the abundance or diversity of antibiotic resistance genes was observed with probiotic use.
  • Antibiotic treatment led to a significant decrease in microbial diversity and an increase in specific resistance genes.

Conclusions:

  • The study suggests that probiotics may not be effective in counteracting the negative effects of antibiotics on the gut microbiota.
  • Findings challenge the widespread assumption that probiotics can mitigate antibiotic resistance gene spread.
  • Further research is needed to understand the complex interactions between antibiotics, microbiota, and probiotics.

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