Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters

Probiotic supplements containing high β-galactosidase-producing bacteria may aid in the management of lactose intolerance. We previously isolated a strain of Bifidobacterium adolescentis, iVS-1, from the fecal sample of a human donor after consumption of galactooligosaccharides (GOS), a prebiotic de...

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Main Authors: Monica Ramakrishnan, Tzu-Wen L. Cross, Anna Clapp Organski, Sindusha Mysore Saiprasad, Abigayle M. R. Simpson, Daniel J. Tancredi, Mallory J. Van Haute, Chloe M. Christensen, Zachery T. Lewis, Thomas A. Auchtung, Jens Walter, Robert Hutkins, Dennis A. Savaiano
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Gut Microbes Reports
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Online Access:https://www.tandfonline.com/doi/10.1080/29933935.2025.2508199
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author Monica Ramakrishnan
Tzu-Wen L. Cross
Anna Clapp Organski
Sindusha Mysore Saiprasad
Abigayle M. R. Simpson
Daniel J. Tancredi
Mallory J. Van Haute
Chloe M. Christensen
Zachery T. Lewis
Thomas A. Auchtung
Jens Walter
Robert Hutkins
Dennis A. Savaiano
author_facet Monica Ramakrishnan
Tzu-Wen L. Cross
Anna Clapp Organski
Sindusha Mysore Saiprasad
Abigayle M. R. Simpson
Daniel J. Tancredi
Mallory J. Van Haute
Chloe M. Christensen
Zachery T. Lewis
Thomas A. Auchtung
Jens Walter
Robert Hutkins
Dennis A. Savaiano
author_sort Monica Ramakrishnan
collection DOAJ
description Probiotic supplements containing high β-galactosidase-producing bacteria may aid in the management of lactose intolerance. We previously isolated a strain of Bifidobacterium adolescentis, iVS-1, from the fecal sample of a human donor after consumption of galactooligosaccharides (GOS), a prebiotic derived from lactose. Therefore, it was hypothesized that iVS-1 might reduce symptoms associated with lactose maldigestion. Compared to other probiotic strains, iVS-1 had high β-galactosidase activity and reduced gas formation by fecal communities during in vitro fermentations of lactose or milk. A randomized placebo-controlled clinical trial was then conducted with 21 lactose maldigesters, randomized to receive either B. adolescentis iVS-1 (n = 11) or placebo (n = 10) daily for 2 weeks. Compared to the two-week run-in period, iVS-1 abundance was higher both at the end of the treatment period (p = 0.0005) and after the 2-week post-treatment period (p = 0.045). The iVS-1 group reported less overall daily symptoms during the treatment period when compared to placebo (p = 0.032) and had significant improvement for fecal urgency (p = 0.033) and diarrhea (p = 0.006). The metabolism of lactose, reduction of gas, and improvement of multiple gastrointestinal symptoms suggest that B. adolescentis iVS-1 may be an effective treatment for lactose intolerance.Trial Registration: The trial is registered at ClinicalTrials.gov (https://clinicaltrials.gov/study/NCT05668468).
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spelling doaj-art-355f474a67a042de9893a53b1ee9ee3d2025-08-20T02:39:28ZengTaylor & Francis GroupGut Microbes Reports2993-39352025-12-012110.1080/29933935.2025.2508199Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigestersMonica Ramakrishnan0Tzu-Wen L. Cross1Anna Clapp Organski2Sindusha Mysore Saiprasad3Abigayle M. R. Simpson4Daniel J. Tancredi5Mallory J. Van Haute6Chloe M. Christensen7Zachery T. Lewis8Thomas A. Auchtung9Jens Walter10Robert Hutkins11Dennis A. Savaiano12Department of Nutrition Science, Purdue University, West Lafayette, IN, USADepartment of Nutrition Science, Purdue University, West Lafayette, IN, USADepartment of Nutrition Science, Purdue University, West Lafayette, IN, USADepartment of Nutrition Science, Purdue University, West Lafayette, IN, USADepartment of Nutrition Science, Purdue University, West Lafayette, IN, USADepartment of Pediatrics, UC Davis, Sacramento, CA, USASynbiotic Health, Lincoln, NE, USASynbiotic Health, Lincoln, NE, USALewpine Consulting LLC, American Fork, UT, USASynbiotic Health, Lincoln, NE, USASchool of Microbiology, Department of Medicine, and APC Microbiome Ireland, University College Cork, Cork, IrelandDepartment of Food Science and Technology, Nebraska Food for Health Center, University of Nebraska, Lincoln, NE, USADepartment of Nutrition Science, Purdue University, West Lafayette, IN, USAProbiotic supplements containing high β-galactosidase-producing bacteria may aid in the management of lactose intolerance. We previously isolated a strain of Bifidobacterium adolescentis, iVS-1, from the fecal sample of a human donor after consumption of galactooligosaccharides (GOS), a prebiotic derived from lactose. Therefore, it was hypothesized that iVS-1 might reduce symptoms associated with lactose maldigestion. Compared to other probiotic strains, iVS-1 had high β-galactosidase activity and reduced gas formation by fecal communities during in vitro fermentations of lactose or milk. A randomized placebo-controlled clinical trial was then conducted with 21 lactose maldigesters, randomized to receive either B. adolescentis iVS-1 (n = 11) or placebo (n = 10) daily for 2 weeks. Compared to the two-week run-in period, iVS-1 abundance was higher both at the end of the treatment period (p = 0.0005) and after the 2-week post-treatment period (p = 0.045). The iVS-1 group reported less overall daily symptoms during the treatment period when compared to placebo (p = 0.032) and had significant improvement for fecal urgency (p = 0.033) and diarrhea (p = 0.006). The metabolism of lactose, reduction of gas, and improvement of multiple gastrointestinal symptoms suggest that B. adolescentis iVS-1 may be an effective treatment for lactose intolerance.Trial Registration: The trial is registered at ClinicalTrials.gov (https://clinicaltrials.gov/study/NCT05668468).https://www.tandfonline.com/doi/10.1080/29933935.2025.2508199BifidobacteriaBifidobacterium adolescentisgalactooligosaccharideslactose digestionlactose intolerancegut microbiome
spellingShingle Monica Ramakrishnan
Tzu-Wen L. Cross
Anna Clapp Organski
Sindusha Mysore Saiprasad
Abigayle M. R. Simpson
Daniel J. Tancredi
Mallory J. Van Haute
Chloe M. Christensen
Zachery T. Lewis
Thomas A. Auchtung
Jens Walter
Robert Hutkins
Dennis A. Savaiano
Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters
Gut Microbes Reports
Bifidobacteria
Bifidobacterium adolescentis
galactooligosaccharides
lactose digestion
lactose intolerance
gut microbiome
title Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters
title_full Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters
title_fullStr Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters
title_full_unstemmed Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters
title_short Two-week supplementation of Bifidobacterium adolescentis iVS-1 reduces symptoms associated with lactose intolerance in lactose maldigesters
title_sort two week supplementation of bifidobacterium adolescentis ivs 1 reduces symptoms associated with lactose intolerance in lactose maldigesters
topic Bifidobacteria
Bifidobacterium adolescentis
galactooligosaccharides
lactose digestion
lactose intolerance
gut microbiome
url https://www.tandfonline.com/doi/10.1080/29933935.2025.2508199
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