Abstract

BackgroundHelicobacter pylori (H. pylori) is the causative agent of stomach diseases such as duodenal ulcer and gastric cancer, in this regard incomplete eradication of this bacterium has become to a serious concern. Probiotics are a group of the beneficial bacteria which increase the cure rate of H. pylori infections through various mechanisms such as competitive inhibition, co-aggregation ability, enhancing mucus production, production of bacteriocins, and modulating immune response.ResultIn this study, according to the received articles, the anti-H. pylori activities of probiotics were reviewed. Based on studies, administration of standard antibiotic therapy combined with probiotics plays an important role in the effective treatment of H. pylori infection. According to the literature, Lactobacillus casei, Lactobacillus reuteri, Lactobacillus rhamnosus GG, and Saccharomyces boulardii can effectively eradicate H. pylori infection. Our results showed that in addition to decrease gastrointestinal symptoms, probiotics can reduce the side effects of antibiotics (especially diarrhea) by altering the intestinal microbiome.ConclusionNevertheless, antagonist activities of probiotics are H. pylori strain-specific. In general, these bacteria can be used for therapeutic purposes such as adjuvant therapy, drug-delivery system, as well as enhancing immune system against H. pylori infection.

Highlights

  • Helicobacter pylori (H. pylori) is the causative agent of stomach diseases such as duodenal ulcer and gastric cancer, in this regard incomplete eradication of this bacterium has become to a serious concern

  • García et al found that co-existence of Lactobacillus and H. pylori in patients with severe gastrointestinal diseases was significantly lower than control subjects; colonization of Lactobacillus spp. in stomach leads to several events such as reducing gastritis, promoting mucin regeneration, as well as downregulating gene expression in cag pathogenicity island [25]

  • In recent, using data of 467 patients with treatment failure, we showed that Lactobacillus-containing bismuth quadruple therapy for 10 days, significantly increases the cure rate of H. pylori infection in patients with previous treatment failure

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Summary

Result

In this study, according to the received articles, the anti-H. pylori activities of probiotics were reviewed. Administration of standard antibiotic therapy combined with probiotics plays an important role in the effective treatment of H. pylori infection. Lactobacillus casei, Lactobacillus reuteri, Lactobacillus rhamnosus GG, and Saccharomyces boulardii can effectively eradicate H. pylori infection. Our results showed that in addition to decrease gastrointestinal symptoms, probiotics can reduce the side effects of antibiotics (especially diarrhea) by altering the intestinal microbiome

Conclusion
Background
Conclusion remarks
19 NCT02051348 2014
Findings
Conclusions and future perspectives
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