Life Extension Magazine®
The impact of the gut microbiome influences our entire body.
Imbalances in microbiome composition have been linked to a host of common disorders including inflammation, autoimmunity, metabolic conditions, brain chemistry, and more.1-3
The good news is that the balance of the gut microbiome can be shifted towards one associated with better health.4-6
One way to do this employs the combined use of probiotics and bacteriophages or "phages."
Phages are tiny packages of DNA or RNA wrapped in protein.
Each type of phage naturally attacks only specific types of bacteria.7-9 By selecting specific phages, it is possible to target specific, potentially harmful bacteria in the digestive tract.
This allows a dual-approach strategy of using probiotics for their beneficial effects, while reducing competition from bacteria, of which we want less.
How Gut Health Impacts Overall Health
Gut bacteria affect almost all aspects of human health.
Researchers have estimated that a healthy adult individual's intestines host about 160 distinct bacterial species.5 The presence or absence of certain species can have dramatic consequences.10,11
An enormous range of gut bacteria is necessary for optimal health. One important health-promoting property of some bacteria in the gut is the ability to produce short-chain fatty acids, compounds that have shown anti-inflammatory, immune-supportive, and neuroprotective activity, among other benefits.12
Certain factors, including advancing age,13 poor diet,13 stress,13 antibiotic use,13 and lack of physical activity,10 can cause our microbiomes to become imbalanced, a state known as dysbiosis.14
This imbalance is associated with worse health.4 Scientists have linked dysbiosis to colon infections, antibiotic-associated diarrhea, irritable bowel syndrome, autoimmune disease, allergic conditions, and obesity.15,16
Other harmful microbes in the gut can cause infections, inflammation, and gastrointestinal discomfort, and appear to contribute to the risk for chronic disease.13,17
Even in otherwise healthy individuals, a gut bacteria imbalance can trigger the development of digestive symptoms like diarrhea, gas, bloating, and abdominal pain.18
Gut bacteria even appear to play a role in the metabolism of neurotransmitters such as serotonin, a mood-regulating hormone.19 That could help explain why people with certain gastrointestinal disorders have a higher risk of mental health conditions like depression and anxiety.1,20
Shifting the gut microbiota toward a healthy balance can ease digestive issues and improve overall health.
The Benefits of Probiotics and Phages
Research has established the many and varied benefits of taking oral probiotics. Lactobacillus and Bifidobacterium, two of the most common probiotics, help ease symptoms of certain gastrointestinal diseases.21
Bacteriophages are lesser-known tools that help promote gut and overall health.22
The term "bacteriophage" literally means "bacteria eater." Phages are selective killers, only targeting and destroying specific bacteria.7,9,23
The phages can allow beneficial bacteria to flourish and grow at a greater rate by removing competing harmful species.24
Phages were discovered almost a century ago and were recognized by the FDA as early as 1958 as safe to use to help protect foods against the growth of undesirable bacteria.25 Because they exclusively target bacteria and not animals or humans, and as suggested by their safety to use in the food supply, phages pose no health threat to humans.
However, research into phages as therapeutic agents in human infections fell out of favor with the discovery of antibiotics.26 Today, as the threat of antibiotic-resistant infections and superbugs has become more concerning, medical research is refocusing on the potential of phage therapy.
Phages have now been used in numerous human trials and therapeutic settings with no reports of adverse effects.27-32
Combining probiotics with phages holds great promise for gut health and other areas of health impacted by the gut microbiome.
What You Need To Know
Improve the Microbiome with a Phage-Probiotic Blend
- The mix of microbes in our gut has a huge impact on digestive and overall health.
- Taking beneficial bacteria called probiotics can improve the balance of the gut microbiome.
- Bacteriophages, called phages for short, are packages of DNA or RNA wrapped in protein. They can selectively kill harmful bacteria, allowing probiotic bacteria to flourish.
- Combining phages with probiotics may boost the beneficial impact of the probiotic.
Human Trials
Researchers developed a targeted four-phage blend that can help rapidly decrease intestinal populations of the unfavorable bacteria E. coli, while boosting growth of beneficial bacteria.33,34
In a clinical study, scientists tested the impact of these bacteriophages on the gut microbiome and gastrointestinal inflammation. Healthy adults received either the four-phage blend (LH01-Myoviridae, LL5-Siphoviridae, T4D-Myoviridae, and LL12-Myoviridae) or a placebo daily for 28 days.34
Compared to placebo, the phage blend was associated with:34
- Increases in beneficial bacteria in the gut,
- Decreases in Escherichia coli (E.coli) bacteria, a common cause of diarrhea and other digestive problems, and
- Decreases in interleukin-4, a marker of inflammation.
This shows that phages can beneficially modify gut bacteria.
In another clinical study, researchers tested whether adding the four-phage blend to a common probiotic bacterium, Bifidobacterium lactis, could enhance the effects of the probiotic.33
Healthy adults received either B. lactis or that probiotic with the four-phage blend for four weeks. Compared to the probiotic-only group, the group that consumed B. lactis plus the phage blend had:33
- Improvement in symptoms of gastrointestinal inflammation,
- Reduction in colon pain,
- A six-fold increase in beneficial Lactobacillus bacteria, and
- Decreases in the gastrointestinal tract in the amount of Citrobacter and Desulfovibrio, and a trend toward a decrease of E. coli, intestinal bacteria associated with inflammation, gastrointestinal dysfunction, infections, and other potentially serious health problems.
These observations suggest adding phages to probiotics could support probiotic benefits and aid in the shift toward a more favorable gut microbiome.
Summary
An unhealthy imbalance of bacteria in the gut can negatively affect gut and overall health.
Probiotics taken as supplements have helped balance intestinal flora.
Taking an oral combination of probiotics and bacteriophages may improve the health of the gut microbiome.
Phages show promise in relieving the functional changes caused by gut microbiome imbalance. This may be especially valuable for aging individuals.
If you have any questions on the scientific content of this article, please call a Life Extension Wellness Specialist at 1-866-864-3027.
References
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- Available at: https://www.nih.gov/news-events/nih-research-matters/gut-microbe-drives-autoimmunity . Accessed Septemebr 19, 2023.
- Inceu AI, Neag MA, Craciun AE, et al. Gut Molecules in Cardiometabolic Diseases: The Mechanisms behind the Story. Int J Mol Sci. 2023Feb 8;24(4):3385.
- Khanna S, Tosh PK. A clinician's primer on the role of the microbiome in human health and disease. Mayo Clin Proc.2014Jan;89(1):107-14.
- 5. Rinninella E, Raoul P, Cintoni M, et al. What is the Healthy Gut Microbiota Composition? A Changing Ecosystem across Age, Environment, Diet, and Diseases. Microorganisms.2019Jan 10;7(1).
- Khalesi S, Bellissimo N, Vandelanotte C, et al. A review of probiotic supplementation in healthy adults: helpful or hype? Eur J Clin Nutr. 2019Jan;73(1):24-37.
- Dabrowska K, Switala-Jelen K, Opolski A, et al. Bacteriophage penetration in vertebrates. J Appl Microbiol.2005;98(1):7-13.
- D'Accolti M, Soffritti I, Bini F, et al. Potential Use of a Combined Bacteriophage-Probiotic Sanitation System to Control Microbial Contamination and AMR in Healthcare Settings: A Pre-Post Intervention Study. Int J Mol Sci.2023Mar 31;24(7).
- Pelfrene E, Willebrand E, Cavaleiro Sanches A, et al. Bacteriophage therapy: a regulatory perspective. J Antimicrob Chemother. 2016Aug;71(8):2071-4.
- Bressa C, Bailen-Andrino M, Perez-Santiago J, et al. Differences in gut microbiota profile between women with active lifestyle and sedentary women. PLoS One.2017;12(2):e0171352.
- DeGruttola AK, Low D, Mizoguchi A, et al. Current Understanding of Dysbiosis in Disease in Human and Animal Models. Inflamm Bowel Dis. 2016May;22(5):1137-50.
- Xiong RG, Zhou DD, Wu SX, et al. Health Benefits and Side Effects of Short-Chain Fatty Acids. Foods.2022Sep 15;11(18).
- Wiertsema SP, van Bergenhenegouwen J, Garssen J, et al. The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies. Nutrients.2021Mar 9;13(3).
- Brown K, DeCoffe D, Molcan E, et al. Diet-induced dysbiosis of the intestinal microbiota and the effects on immunity and disease. Nutrients. 2012Aug;4(8):1095-119.
- Espirito Santo C, Caseiro C, Martins MJ, et al. Gut Microbiota, in the Halfway between Nutrition and Lung Function. Nutrients.2021May 19;13(5).
- Kesavelu D, Jog P. Current understanding of antibiotic-associated dysbiosis and approaches for its management. Ther Adv Infect Dis.2023Jan-Dec;10:20499361231154443.
- Zhang YJ, Li S, Gan RY, et al. Impacts of gut bacteria on human health and diseases. Int J Mol Sci.2015Apr 2;16(4):7493-519.
- Wei L, Singh R, Ro S, et al. Gut microbiota dysbiosis in functional gastrointestinal disorders: Underpinning the symptoms and pathophysiology. JGH Open.2021Sep;5(9):976-87.
- Strandwitz P. Neurotransmitter modulation by the gut microbiota. Brain Res.2018Aug 15;1693(Pt B):128-33.
- Clapp M, Aurora N, Herrera L, et al. Gut microbiota's effect on mental health: The gut-brain axis. Clin Pract.2017Sep 15;7(4):987.
- Azad MAK, Sarker M, Li T, et al. Probiotic Species in the Modulation of Gut Microbiota: An Overview. Biomed Res Int.2018;2018:9478630.
- Abedon ST, Kuhl SJ, Blasdel BG, et al. Phage treatment of human infections. Bacteriophage.2011Mar;1(2):66-85.
- Golkar Z, Bagasra O, Pace DG. Bacteriophage therapy: a potential solution for the antibiotic resistance crisis. J Infect Dev Ctries. 2014Feb 13;8(2):129-36.
- Mimee M, Citorik RJ, Lu TK. Microbiome therapeutics - Advances and challenges. Adv Drug Deliv Rev.2016Oct 1;105(Pt A):44-54.
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- Federici S, Kredo-Russo S, Valdes-Mas R, et al. Targeted suppression of human IBD-associated gut microbiota commensals by phage consortia for treatment of intestinal inflammation. Cell.2022Aug 4;185(16):2879-98 e24.
- Bruttin A, Brussow H. Human volunteers receiving Escherichia coli phage T4 orally: a safety test of phage therapy. Antimicrob Agents Chemother. 2005Jul;49(7):2874-8.
- Meader E, Mayer MJ, Gasson MJ, et al. Bacteriophage treatment significantly reduces viable Clostridium difficile and prevents toxin production in an in vitro model system. Anaerobe.2010Dec;16(6):549-54.
- Sarker SA, McCallin S, Barretto C, et al. Oral T4-like phage cocktail application to healthy adult volunteers from Bangladesh. Virology. 2012Dec 20;434(2):222-32.
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