Table 3.
Studies of prebiotics in the management of UC.
Sr. No. | Prebiotic used | Outcome Results | Reference |
---|---|---|---|
1 | Plantago ovata seed | Maintain remission as effectively as mesalamine, Increased in fecal butyrate. | Fernandez-Banares, 1999. |
2 | Synergy 1 (inulin and oligofructose) 6 g/day and Bifidobacterium longum | Reduction of defensins 2, 3, and 4, TNF - α and IL- 1 | Furrie et al., 2005. |
3 | Germinated barley foodstuff (30 g/day) | Reduction of clinical activity index scores and increase in stool butyrate concentrations. | Mitsuyama et al., 1998. |
4 | Polysaccharide from Scutellaria baicalensis Georgi | Effective (attenuated body weight loss, reduced DAI, ameliorated colonic pathological damage, and decreased MPO activity) | Cui et al., 2021. |
5 | Synthetic glycans | Synthetic glycans increase survival, reduce weight loss, and improve clinical scores in mouse models of colitis | Tolonen et al., 2022. |
6 | GOS, FOS along with FMT | Treatment with FMT plus a prebiotic blend restores the structure of the intestinal flora and increased the levels of acetic acid, butyric acid, FFAR3, and ZO-1 | Qian et al., 2022. |
7 | Alpha D-glucan from marine fungus Phoma herbarum YS4108 | Effective (significantly increased butyrate, isovaleric acid levels, and prominent alterations on specific microbiota) | Liu et al., 2016. |
8 | Stachyose | Increased beneficial microbiota and bacterial diversity to alleviate acute colitis in mice | He et al., 2020. |
9 | Dictyophora indusiate polysaccharide | Effective (modulates gut microbiota) | Kanwal et al., 2020. |
10 | FMG or dealcoholised muscadine wine | Effective (reduced dysbiosis in the colon) | Li et al., 2020. |
11 | GFO | Effective (prevented and attenuated colitis symptoms and GI dysmotility, reducing populations of harmful bacteria and increasing SCFAs) | K-da et al., 2020. |
12 | β-fructans (oligofructose and inulin) | Did not prevent symptomatic relapses in UC patients but reduced the severity of biochemical relapse and increased anti-inflammatory metabolites | Valcheva et al., 2022. |
13 | Oral microencapsulated sodium butyrate (BLM) | BLM supplementation appears to be a valid add-on therapy to maintain remission in patients with UC | Vernero et al., 2020. |
14 | Oligofructose-enriched inulin | Less significant (scFOS on rectal sensitivity may require higher doses and may depend on the subgroup) | Valcheva et al., 2018. |