Abstract
Whether knowingly or unknowingly, humans have been consuming probiotic microorganisms through traditionally fermented foods for generations. Bacteria, like lactic acid bacteria, are generally thought to be harmless and produce many metabolites that are beneficial for human health. Probiotics offer a wide range of health benefits; however, their therapeutic usage is limited because they are living organisms. As a result, the focus on the health advantages of microbes has recently shifted from viable live probiotics to non-viable microbes made from probiotics. These newly emerging non-viable microbes include paraprobiotics, postbiotics, psychobiotics, nutribiotics, and gerobiotics. Their metabolites can boost physiological health and reveal the therapeutic effects of probiotics. This new terminology in microbes, their traits, and their applications are summarized in the present review.
Similar content being viewed by others
References
Acurcio LB, Sandes SHC, Bastos RW, Sant’anna FM, Pedroso S, Reis DC, Nunes ÁC, Cassali GD, Souza MR, Nicoli JR. Milk fermented by Lactobacillus species from Brazilian artisanal cheese protect germ-free-mice against Salmonella Typhimurium infection. Beneficial Microbes. 8: 579-588 (2017)
Aguilar-Toalá J, Garcia-Varela R, Garcia H, Mata-Haro V, González-Córdova A, Vallejo-Cordoba B, Hernández-Mendoza A. Postbiotics: an evolving term within the functional foods field. Trends in Food Science and Technology. 75: 105-114 (2018)
Akkasheh G, Kashani-Poor Z, Tajabadi-Ebrahimi M, Jafari P, Akbari H, Taghizadeh M, Memarzadeh MR, Asemi Z, Esmaillzadeh A. Clinical and metabolic response to probiotic administration in patients with major depressive disorder: a randomized, double-blind, placebo-controlled trial. Nutrition. 32: 315-320 (2016)
Akter S, Park JH, Jung HK. Potential health-promoting benefits of paraprobiotics, inactivated probiotic cells. Journal of Microbiology and Biotechnology. 30: 477-481 (2020)
Araya M, Morelli L, Reid G, Sanders M, Stanton C, Pineiro M, Ben Embarek P. Joint FAO/WHO Working group report on drafting guidelines for the evaluation of probiotics in food. London, Canada: World Health Organization, Food and Agriculture Organization of the United Nations (2002)
Bana B, Cabreiro F. The microbiome and aging. Annual Review of Genetics. 53: 239-261 (2019)
Barrett E, Ross R, O’Toole PW, Fitzgerald GF, Stanton C. γ-Aminobutyric acid production by culturable bacteria from the human intestine. Journal of Applied Microbiology. 113: 411-417 (2012)
Benton D, Williams C, Brown A. Impact of consuming a milk drink containing a probiotic on mood and cognition. European Journal of Clinical Nutrition. 61: 355-361 (2007)
Brownawell AM, Caers W, Gibson GR, Kendall CW, Lewis KD, Ringel Y, Slavin JL. Prebiotics and the health benefits of fiber: current regulatory status, future research, and goals. The Journal of Nutrition. 142: 962-974 (2012)
Cecchini DA, Laville E, Laguerre S, Robe P, Leclerc M, Dore J, Henrissat B, Remaud-Siméon M, Monsan P, Potocki-Veronese G. Functional metagenomics reveals novel pathways of prebiotic breakdown by human gut bacteria. PloS ONE. 8: e72766 (2013)
Chaudhari A, Dwivedi MK. The concept of probiotics, prebiotics, postbiotics, synbiotics, nutribiotics, and pharmabiotics. In: Dwivedi MK, Amaresan N, Sankaranarayanan A, Kemp EH (eds). Probiotics in the prevention and management of human diseases. Academic Press (2022)
Cheng LH, Liu YW, Wu CC, Wang S, Tsai YC. Psychobiotics in mental health, neurodegenerative and neurodevelopmental disorders. Journal of Food and Drug Analysis. 27: 6321-11648 (2019)
Cicenia A, Scirocco A, Carabotti M, Pallotta L, Marignani M, Severi C. Postbiotic activities of lactobacilli-derived factors. Journal of Clinical Gastroenterology. 48: S18-S22 (2014)
Cortés-Martín A, Selma MV, Tomás‐Barberán FA, González‐Sarrías A, Espín JC. Where to look into the puzzle of polyphenols and health? The postbiotics and gut microbiota associated with human metabotypes. Molecular Nutrition & Food Research. 64: 1900952 (2020)
Costa RL, Moreira J, Lorenzo A, Lamas CC. Infectious complications following probiotic ingestion: a potentially underestimated problem? A systematic review of reports and case series. BMC Complement Alternative Medicine. 18: 329 (2018)
Davani-Davari D, Negahdaripour M, Karimzadeh I, Seifan M, Mohkam M, Masoumi SJ, Berenjian A, Ghasemi Y. Prebiotics: definition, types, sources, mechanisms, and clinical applications. Foods. 8: 92 (2019)
de Almada CN, Almada CN, Martinez RCR, Sant’Ana AS. Paraprobiotics: evidences on their ability to modify biological responses, inactivation methods and perspectives on their application in foods. Trends in Food Science & Technology. 58: 96-114 (2016)
Dinan TG, Stanton C, Cryan JF. Psychobiotics: a novel class of psychotropic. Biological Psychiatry. 74: 720-726 (2013)
Ducrotté P, Sawant P, Jayanthi V. Clinical trial: Lactobacillus plantarum 299v (DSM 9843) improves symptoms of irritable bowel syndrome. World Journal of Gastroenterology. 18: 4012-4018 (2012)
Fazelnia K, Fakhraei J, Yarahmadi HM, Amini K. Dietary supplementation of potential probiotics Bacillus subtilis, Bacillus licheniformis, and Saccharomyces cerevisiae and synbiotic improves growth performance and immune responses by modulation in intestinal system in broiler chicks challenged with Salmonella Typhimurium. Probiotics and Antimicrobial Proteins. 13: 1081-1092 (2021)
Fedorak RN, Feagan BG, Hotte N, Leddin D, Dieleman LA, Petrunia DM, Enns R, Bitton A, Chiba N, Paré P, Rostom A, Marshall J, Depew W, Bernstein CN, Panaccione R, Aumais G, Steinhart AH, Cockeram A, Bailey RJ, Gionchetti P, Wong C, Madsen K. The probiotic VSL#3 has anti-inflammatory effects and could reduce endoscopic recurrence after surgery for Crohn’s disease. Clinical Gastroenterology Hepatology. 13: 928-935.e2 (2015)
Flint HJ, Duncan SH, Scott KP, Louis P. Interactions and competition within the microbial community of the human colon: links between diet and health. Environmental Microbiology. 9:1101-1111 (2007)
Fujiki T, Hirose Y, Yamamoto Y, Murosaki S. Enhanced immunomodulatory activity and stability in simulated digestive juices of Lactobacillus plantarum L-137 by heat treatment. Bioscience, Biotechnology, and Biochemistry. 76: 918–922 (2012)
Gaggìa F, Mattarelli P, Biavati B. Probiotics and prebiotics in animal feeding for safe food production. International Journal of Food Microbiology. 141: S15-S28 (2010)
Gibson GR, Roberfroid MB. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. The Journal of Nutrition. 125: 1401-1412 (1995)
Gibson GR, Hutkins R, Sanders ME, Prescott SL, Reimer RA, Salminen SJ, Scott K, Stanton C, Swanson KS, Cani PD. Expert consensus document: the international scientific association for probiotics and prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nature Reviews Gastroenterology & Hepatology. 14: 491–502 (2017)
Grześkowiak Ł, Collado MC, Beasley S, Salminen S. Pathogen exclusion properties of canine probiotics are influenced by the growth media and physical treatments simulating industrial processes. Journal of Applied Microbiology. 116: 1308-1314 (2014)
Guimarães JT, Balthazar CF, Scudino H, Pimentel TC, Esmerino EA, Ashokkumar M, Freitas MQ, Cruz AG. High-intensity ultrasound: A novel technology for the development of probiotic and prebiotic dairy products. Ultrasonics Sonochemistry. 57: 12-21 (2019)
Gulewicz P, Ciesiołka D, Frias J, Vidal-Valverde C, Frejnagel S, Trojanowska K, Gulewicz K. Simple method of isolation and purification of α-galactosides from legumes. Journal of Agricultural and Food Chemistry. 48: 3120-3123 (2000)
Hill C. Probiotics and pharmabiotics: alternative medicine or an evidence-based alternative? Bioengineered Bugs. 1: 79-84 (2010)
Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, Morelli L, Canani RB, Flint HJ, Salminen S. Expert consensus document: The international scientific association for probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nature Reviews Gastroenterology & Hepatology. 11: 506-514 (2014)
Hoffman FA. Development of probiotics as biologic drugs. Clinical Infectious Diseases. 46 (Supplement 2): S125-S127 (2008)
Hsieh MC, Tsai WH, Jheng YP, Su SL, Wang SY, Lin CC, Chen YH, Chang WW. The beneficial effects of Lactobacillus reuteri ADR-1 or ADR-3 consumption on type 2 diabetes mellitus: a randomized, double-blinded, placebo-controlled trial. Scientific Reports. 8: 16791 (2018)
Kazemi A, Soltani S, Ghorabi S, Keshtkar A, Daneshzad E, Nasri F, Mazloomi SM. Effect of probiotic and synbiotic supplementation on inflammatory markers in health and disease status: A systematic review and meta-analysis of clinical trials. Clinical Nutrition. 39: 789–819 (2020)
Kim S, Jazwinski SM. The gut microbiota and healthy aging: a mini-review. Gerontology. 64: 513-520 (2018)
Kobyliak N, Conte C, Cammarota G, Haley AP, Styriak I, Gaspar L, Fusek J, Rodrigo L, Kruzliak P. Probiotics in prevention and treatment of obesity: a critical view. Nutrition & Metabolism. 13: 14 (2016)
Kolida S, Gibson GR. Synbiotics in health and disease. Annual Review of Food Science and Technology. 2: 373-393 (2011)
Kumar H, Salminen S, Verhagen H, Rowland I, Heimbach J, Bañares S, Young T, Nomoto K, Lalonde M. Novel probiotics and prebiotics: road to the market. Current Opinion in Biotechnology. 32: 99-103 (2015)
Kuo SM. The interplay between fiber and the intestinal microbiome in the inflammatory response. Advances in Nutrition. 4: 16-28 (2013)
LeBlanc JG, Milani C, de Giori GS, Sesma F, van Sinderen D, Ventura M. Bacteria as vitamin suppliers to their host: a gut microbiota perspective. Current Opinion in Biotechnology. 24: 160-8 (2013)
Lee ES, Song EJ, Nam YD, Lee SY. Probiotics in human health and disease: from nutribiotics to pharmabiotics. Journal of Microbiology. 56: 773-782 (2018)
Legesse Bedada T, Feto TK, Awoke KS, Garedew AD, Yifat FT, Birri DJ. Probiotics for cancer alternative prevention and treatment. Biomedicine & Pharmacotherapy. 129: 110409 (2020)
Li J, Zhang W, Wang C, Yu Q, Dai R, Pei X. Lactococcus lactis expressing food-grade β-galactosidase alleviates lactose intolerance symptoms in post-weaning Balb/c mice. Applied Microbiology and Biotechnology. 96: 1499-506 (2012)
Logan AC, Katzman M. Major depressive disorder: probiotics may be an adjuvant therapy. Medical Hypotheses. 64: 533-538 (2005)
Lyte M. Probiotics function mechanistically as delivery vehicles for neuroactive compounds: microbial endocrinology in the design and use of probiotics. BioEssays. 33: 574-581 (2011)
Mackowiak PA. Recycling Metchnikoff: probiotics, the intestinal microbiome and the quest for long life. Frontiers in Public Health. 1: 52 (2013)
Markowiak P, Śliżewska K. Effects of probiotics, prebiotics, and synbiotics on human health. Nutrients. 9: 1021 (2017)
Markowiak P, Śliżewska K. The role of probiotics, prebiotics and synbiotics in animal nutrition. Gut Pathogens. 10: 1-20 (2018)
Messaoudi M, Lalonde R, Violle N, Javelot H, Desor D, Nejdi A, Bisson JF, Rougeot C, Pichelin M, Cazaubiel M. Assessment of psychotropic-like properties of a probiotic formulation (Lactobacillus helveticus R0052 and Bifidobacterium longum R0175) in rats and human subjects. British Journal of Nutrition. 105: 755-764 (2011)
Misra S, Mohanty D. Psychobiotics: a new approach for treating mental illness? Critical Reviews in Food Science and Nutrition. 59: 1230-1236 (2019)
Mofid V, Izadi A, Mojtahedi SY, Khedmat L. Therapeutic and nutritional effects of synbiotic yogurts in children and adults: a clinical review. Probiotics and Antimicrobial Proteins. 12: 851-859 (2020)
Moradi M, Kousheh SA, Almasi H, Alizadeh A, Guimarães JT, Yılmaz N, Lotfi A. Postbiotics produced by lactic acid bacteria: The next frontier in food safety. Comprehensive Reviews in Food Science and Food Safety. 19: 3390–3415 (2020)
Neri-Numa IA, Arruda HS, Geraldi MV, Júnior MRM, Pastore GM. Natural prebiotic carbohydrates, carotenoids and flavonoids as ingredients in food systems. Current Opinion in Food Science. 33: 98–107 (2020)
Nguyen TT, Nguyen PT, Pham MN, Razafindralambo H, Hoang QK, Nguyen HT. Synbiotics: a new route of self-production and applications to human and animal health. Probiotics and Antimicrobial Proteins.14: 980–993 (2022)
Pandey K, Naik S, Vakil B. Probiotics, prebiotics and synbiotics-a review. Journal of Food Science and Technology. 52: 7577–7587 (2015)
Qin J, Li R, Raes J, Arumugam M, Burgdorf KS, Manichanh C, Nielsen T, Pons N, Levenez F, Yamada T. A human gut microbial gene catalogue established by metagenomic sequencing. Nature. 464: 59–65 (2010)
Rajakovich LJ, Balskus EP. Metabolic functions of the human gut microbiota: the role of metalloenzymes. Natural Product Reports. 36: 593–625 (2019)
Rather IA, Bajpai VK, Kumar S, Lim J, Paek WK, Park YH. Probiotics and atopic dermatitis: an overview. Frontiers in Microbiology. 7: 507 (2016)
Rijkers GT, Bengmark S, Enck P, Haller D, Herz U, Kalliomaki M, Kudo S, Lenoir-Wijnkoop I, Mercenier A, Myllyluoma E, Rabot S, Rafter J, Szajewska H, Watzl B, Wells J, Wolvers D, Antoine JM. Guidance for substantiating the evidence for beneficial effects of probiotics: Current status and recommendations for future research. The Journal of Nutrition. 140: 671S-676S (2010)
Rosa MC, Carmo MR, Balthazar CF, Guimarães JT, Esmerino EA, Freitas MQ, Silva MC, Pimentel TC, Cruz AG. Dairy products with prebiotics: an overview of the health benefits, technological and sensory properties. International Dairy Journal. 117: 105009 (2021)
Salazar N, Gueimonde M, De Los Reyes-Gavilán CG, Ruas-Madiedo P. Exopolysaccharides produced by lactic acid bacteria and bifidobacteria as fermentable substrates by the intestinal microbiota. Critical Reviews in Food Science and Nutrition. 56: 1440-1453 (2016)
Salminen S, Collado MC, Endo A, Hill C, Lebeer S, Quigley EM, Sanders ME, Shamir R, Swann JR, Szajewska H. The international scientific association of probiotics and prebiotics (ISAPP) consensus statement on the definition and scope of postbiotics. Nature Reviews Gastroenterology & Hepatology. 18: 649-667 (2021)
Sarkar A, Lehto SM, Harty S, Dinan TG, Cryan JF, Burnet PW. Psychobiotics and the manipulation of bacteria–gut–brain signals. Trends in Neurosciences. 39: 763-781 (2016)
Schönfeld P, Wojtczak L. Short-and medium-chain fatty acids in energy metabolism: the cellular perspective. Journal of Lipid Research. 57: 943-954 (2016)
Sekhon BS, Jairath S. Prebiotics, probiotics and synbiotics: an overview. Journal of Pharmaceutical Education & Research. 1: 13-36 (2010)
Selhub EM, Logan AC, Bested AC. Fermented foods, microbiota, and mental health: ancient practice meets nutritional psychiatry. Journal of Physiological Anthropology. 33: 1-12 (2014)
Shanahan F. Gut microbes: from bugs to drugs. Official Journal of the American College of Gastroenterology. 105: 275-279 (2010)
Sharma A, Viswanath B, Park Y-S. Role of probiotics in the management of lung cancer and related diseases: An update. Journal of Functional Foods. 40: 625-633 (2018)
Shin HS, Park SY, Lee DK, Kim SA, An HM, Kim JR, Kim MJ, Cha MG, Lee SW, Kim KJ, Lee KO, Ha NJ. Hypocholesterolemic effect of sonication-killed Bifidobacterium longum isolated from healthy adult Koreans in high cholesterol fed rats. Archives of Pharmacal Research. 33: 1425-31 (2010)
Siciliano RA, Reale A, Mazzeo MF, Morandi S, Silvetti T, Brasca M. Paraprobiotics: A new perspective for functional foods and nutraceuticals. Nutrients. 13: 1225 (2021)
Singh SP, Jadaun JS, Narnoliya LK, Pandey A. Prebiotic oligosaccharides: Special focus on fructooligosaccharides, its biosynthesis and bioactivity. Applied Biochemistry and Biotechnology. 183: 613-635 (2017)
Singh H, Torralba MG, Moncera KJ, DiLello L, Petrini J, Nelson KE, Pieper R. Gastro-intestinal and oral microbiome signatures associated with healthy aging. Geroscience. 41: 907-921 (2019)
Swanson KS, Gibson GR, Hutkins R, Reimer RA, Reid G, Verbeke K, Scott KP, Holscher HD, Azad MB, Delzenne NM. The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of synbiotics. Nature Reviews Gastroenterology & Hepatology. 17: 687-701 (2020)
Taverniti V, Guglielmetti S. The immunomodulatory properties of probiotic microorganisms beyond their viability (ghost probiotics: proposal of paraprobiotic concept). Genes & Nutrition. 6: 261-274 (2011)
Tillisch K, Labus J, Kilpatrick L, Jiang Z, Stains J, Ebrat B, Guyonnet D, Legrain-Raspaud S, Trotin B, Naliboff B, Mayer EA. Consumption of fermented milk product with probiotic modulates brain activity. Gastroenterology. 144:1394-1401.e4 (2013)
Tsai YC, Cheng LH, Liu YW, Jeng OJ, Lee YK. Gerobiotics: Probiotics targeting fundamental aging processes. Bioscience of Microbiota, Food and Health. 40: 1-11 (2021)
Vaillancourt J. Regulating pre-and probiotics: a US FDA perspective. Proceedings of ending the war metaphor: the changing agenda for unraveling the host-microbe relationship. in Institute of Medicine of the National Academies. Washington, DC: National Academies Press. pp. 229-237 (2006)
Vyas U, Ranganathan N. Probiotics, prebiotics, and synbiotics: gut and beyond. Gastroenterology Research and Practice. 2012: 872716 (2012)
Wallace CJK, Foster JA, Soares CN, Milev RV. The effects of probiotics on symptoms of depression: Protocol for a double-blind randomized placebo-controlled trial. Neuropsychobiology. 79: 108-116 (2020)
Wang G, Li X, Zhao J, Zhang H, Chen W. Lactobacillus casei CCFM419 attenuates type 2 diabetes via a gut microbiota dependent mechanism. Food & Function. 8: 3155-3164 (2017)
Wang Y, Qin S, Jia J, Huang L, Li F, Jin F, Ren Z, Wang Y. Intestinal microbiota-associated metabolites: crucial factors in the effectiveness of herbal medicines and diet therapies. Frontiers in Physiology. 10: 1343 (2019)
Wilcox H, Carr C, Seney S, Reid G, Burton JP. Expired probiotics: what is really in your cabinet? FEMS Microbes. 1: xtaa007 (2020)
Zhang MM, Cheng JQ, Lu YR, Yi ZH, Yang P, Wu XT. Use of pre-, pro-and synbiotics in patients with acute pancreatitis: a meta-analysis. World Journal of Gastroenterology: 16: 3970-3978 (2010)
Żółkiewicz J, Marzec A, Ruszczyński M, Feleszko W. Postbiotics - a step beyond pre-and probiotics. Nutrients. 12: 2189 (2020)
Acknowledgements
This work was supported by the Korea Institute of Planning and Evaluation for Technology in Food, Agriculture, Forestry and Fisheries (IPET) through the High Value-added Food Technology Development Program, funded by the Ministry of Agriculture, Food, and Rural Affairs (MAFRA; grant number:321035052HD020).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Sharma, N., Kang, DK., Paik, HD. et al. Beyond probiotics: a narrative review on an era of revolution. Food Sci Biotechnol 32, 413–421 (2023). https://doi.org/10.1007/s10068-022-01212-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10068-022-01212-x