Lactobacillus acidophilus strain L.B (probiotic): benefits, dosage, contraindications

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The L.B strain is a natural strain of Lactobacillus acidophilus, belonging to the normal resident microflora. It has unique specificities, demonstrated by numerous studies that justify the development of a new generation of active agents for the digestive ecosystem: Acti-biotics or LB actives. Actibiotics do not introduce external live microbes, like probiotic replacement flora, but are a set of natural ingredients that act directly, by reinforcing the mucous membranes and reactivating the intestinal flora specific to each person. The goal is to restore the autonomy of the ecosystem while respecting the individual's condition. LB actives are composed of a thermostable complex, obtained by the fermentation of a natural strain of Lactobacillus acidophilus (strain L.B). This strain was selected for its beneficial properties on the digestive ecosystem (strong ability to adhere to the digestive mucosa and antimicrobial activity against germs potentially harmful in the digestive tract) and especially because its properties persist when the strain is stabilized by heat (thermostabilization).
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Scientific name(s)

Lactobacillus acidophilus

Family or group: 

Probiotics


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Helicobacter pylori infection
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The antimicrobial effect of L.B. actives observed on enteropathogens has been demonstrated against Helicobacter pylori, a pathogenic microorganism involved in stomach disorders. Indeed, in the presence of L.B. actives, "urease" activity, which is an essential pathogenicity factor for Helicobacter motility and its ability to colonize the mucosa, is strongly reduced.

Posologie

posologieOrally


Bacterial infections
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The L.B actives exert an antibacterial effect against Salmonella typhi by degrading membrane polysaccharides and increasing the permeability of the bacteria's outer membrane. The activity of the L.B actives is greater than or equal to that of the reference antibiotic (polymyxin) and cannot be attributed to lactic acid. Furthermore, the L.B actives have antimicrobial activity against many other potentially pathogenic organisms: Staphylococcus aureus, Listeria, Shigella, Escherichia coli, Klebsiella, Bacillus cereus, Pseudomonas aeruginosa, and Candida albicans.

Posologie

posologieOrally


Intestinal permeability
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Following injury from an infectious agent, stress, or repeated use of medications, the cells of the intestinal mucosa can be damaged. L.B. active ingredients accelerate the repair of the cellular skeleton (the actin protein network), and thus cell function, thereby helping to reduce intestinal hyperpermeability. This action is observed both in the intestine and in the stomach, to repair cellular lesions caused by Helicobacter pylori on the gastric mucosa.

Posologie

posologieOral administration


Candidiasis
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Vulvovaginal candidiasis are very common fungal infections that affect a large proportion of women of childbearing age. The pathogen is generally Candida albicans, an opportunistic yeast that grows when the vaginal balance and local immune mechanisms are disrupted. Vaginal recolonization through the use of Lactobacillus acidophilus may restore vaginal pH and promote normal growth of the bacterial flora. In preventing recurrences, the benefit of using probiotics is debated. In vitro studies have shown that lactobacilli can inhibit the growth of Candida albicans and/or its adherence to the vaginal epithelium. Results from some clinical trials support the effectiveness of certain lactobacilli strains such as Lactobacillus acidophilus, Lactobacillus rhamnosus, and Lactobacillus fermentum, administered either orally or vaginally. A recent study further supports these conclusions by showing that adding lactobacilli would strengthen standard treatment with fluconazole.

Posologie

posologieOrally


Properties


Antimicrobial

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The L.B. strain has a strong ability to inhibit adhesion of enteropathogenic organisms. Indeed, it has antimicrobial activity against many organisms with pathogenic potential: Staphylococcus aureus, Listeria, Salmonella, Shigella, Escherichia coli, Klebsiella, Bacillus cereus, Pseudomonas aeruginosa and Candida albicans. rnrnThe antimicrobial effect of L.B. actives observed on enteropathogens has also been demonstrated against Helicobacter pylori, a pathogenic organism involved in stomach disorders. Indeed, in the presence of L.B. active compounds, the "urease" activity, which is an essential pathogenicity factor for Helicobacter motility and its ability to colonize the mucosa, is strongly reduced. rnrn

Usages associés

Bacterial infections, Candidiasis, Helicobacter pylori infection

Gastroprotective

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L.B. active compounds exert a protective effect on enterocyte junctions against alterations caused by certain medications. They reduce cell death and restore the natural barrier function of the mucosa. In addition, L.B. active compounds optimize the functionality of the digestive mucosa through an antisecretory activity. rnrn

Usages associés

Diarrhea

Digestive effect

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Following an assault by an infectious agent, stress, or repeated use of medications, the cells of the intestinal mucosa can be damaged. L.B. active compounds accelerate the repair of the cellular scaffold (the actin protein network), and thus cell functionality, contributing to the reduction of intestinal hyperpermeability. This action is observed both in the intestine and in the stomach, to repair the cellular lesions caused by Helicobacter pylori on the gastric mucosa. rnrn

Usages associés

Diarrhea, Intestinal permeability


Safe dosage

Child :

An analysis of 57 clinical trials showed that administration of probiotics and/or symbiotic organisms in immunocompromised adults (human immunodeficiency virus infection, patients with serious, surgical, or autoimmune disease) is safe. In particular, the safety of L. acidophilus LB has been demonstrated in two controlled clinical trials and no adverse effects were reported.

Adult :

A review of 57 clinical trials showed that the administration of probiotics and/or synbiotic organisms in immunocompromised adults (human immunodeficiency virus infection, patients with severe, surgical, or autoimmune disease) is safe. In particular, the safety of L. acidophilus LB was demonstrated in two controlled clinical trials and no adverse effects were reported.