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Updated: Sep 5, 2025

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Published on: January 27, 2019
Biotics in pediatrics: a short overview
Simona Panelli1, Enza D'Auria2, Stella Papaleo3
1Department of Biomedical and Clinical Sciences, "Romeo ed Enrica Invernizzi" Pediatric Clinical Research Center, University of Milan, Milan, Italy - simona.panelli1@unimi.it.
Insights
This review defines biotics (probiotics, prebiotics, postbiotics, synbiotics) for gut flora modification, aiming to control inflammation in pediatric autoimmune diseases. Evaluating intervention results and microbiota changes is crucial for future research directions.
Area of Science:
- Microbiology
- Immunology
- Gastroenterology
Background:
- Biotics, including probiotics, prebiotics, postbiotics, and synbiotics, are key therapeutic agents targeting gut flora modification.
- These interventions aim to modulate the gut microbiota, often to control inflammatory phenomena.
- Their application is particularly relevant in pediatric autoimmune inflammatory diseases, where clinical trial results can be conflicting.
Approach:
- This review provides an overview of biotics and their roles in gut health.
- It analyzes critical points for evaluating intervention outcomes and microbiota shifts.
- The study examines the context of clinical trials for pediatric autoimmune inflammatory diseases.
Key Points:
- Defining and categorizing different types of biotics is essential.
- Assessing the impact of biotics on gut microbiota composition and function requires careful consideration.
- Interpreting clinical trial data in pediatric autoimmune diseases necessitates a nuanced approach due to variability.
Conclusions:
- A comprehensive understanding of biotics and their effects on gut microbiota is needed.
- Standardized evaluation methods for biotics interventions are important for consistent results.
- Future research should focus on refining therapeutic strategies and clarifying the role of biotics in managing inflammatory conditions.
Abstract:
The aim of this review was to provide a general overview to the topic of this special issue. In this study the available categories of biotics were defined (i.e., probiotics, prebiotics, postobiotics and synbiotics) as first actors of therapies that target the gut flora, with the aim to modify it in a specific direction, generally with the goal of controlling inflammatory phenomena. The points that must be considered when evaluating the results of these interventions, and, specifically, the changes in gut microbiota following the assumption of biotics were analyzed. This context typically represented the one of clinical trials aimed at inducing or maintaining remission in pediatric autoimmune inflammatory diseases, that often yield conflicting results. We finally attempted to draft possible research developments for the next years.
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