Commercial probiotic products in public health: current status and potential limitations

益生菌 保健品 业务 持续性 生物技术 健康福利 公共卫生 风险分析(工程) 医学 生物 食品科学 传统医学 生态学 遗传学 护理部 细菌
作者
Dingfa Liang,Fei Wu,De-Xi Zhou,Buzhen Tan,Tingtao Chen
出处
期刊:Critical Reviews in Food Science and Nutrition [Informa]
卷期号:: 1-22 被引量:21
标识
DOI:10.1080/10408398.2023.2169858
摘要

Consumption of commercial probiotics for health improvement and disease treatment has increased in popularity among the public in recent years. The local shops and pharmacies are brimming with various probiotic products such as probiotic food, dietary supplement and pharmaceuticals that herald a range of health benefits, from nutraceutical benefits to pharmaceutical effects. However, although the probiotic market is expanding rapidly, there is increasing evidence challenging it. Emerging insights from microbiome research and public health demonstrate several potential limitations of the natural properties, regulatory frameworks, and market consequences of commercial probiotics. In this review, we highlight the potential safety and performance issues of the natural properties of commercial probiotics, from the genetic level to trait characteristics and probiotic properties and further to the probiotic-host interaction. Besides, the diverse regulatory frameworks and confusing probiotic guidelines worldwide have led to product consequences such as pathogenic contamination, overstated claims, inaccurate labeling and counterfeit trademarks for probiotic products. Here, we propose a plethora of available methods and strategies related to strain selection and modification, safety and efficacy assessment, and some recommendations for regulatory agencies to address these limitations to guarantee sustainability and progress in the probiotic industry and improve long-term public health and development.
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