The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis

The significance of gut microbiota in human health is well recognized, yet its effects on pulmonary infectious diseases like tuberculosis (TB) are not thoroughly comprehended. While anti-TB drugs and preventive strategies are indispensable, the incorporation of adjunct therapies, including probiotic...

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Main Authors: Hamed Memariani, Mojtaba Memariani, Seyed Ebrahim Eskandari, Abdolmajid Ghasemian, Ali Nour Neamatollahi
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Journal of Infection and Public Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S1876034125001893
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author Hamed Memariani
Mojtaba Memariani
Seyed Ebrahim Eskandari
Abdolmajid Ghasemian
Ali Nour Neamatollahi
author_facet Hamed Memariani
Mojtaba Memariani
Seyed Ebrahim Eskandari
Abdolmajid Ghasemian
Ali Nour Neamatollahi
author_sort Hamed Memariani
collection DOAJ
description The significance of gut microbiota in human health is well recognized, yet its effects on pulmonary infectious diseases like tuberculosis (TB) are not thoroughly comprehended. While anti-TB drugs and preventive strategies are indispensable, the incorporation of adjunct therapies, including probiotics and their bioactive compounds, could provide potential biotherapeutic benefits. This review strives to collate the recent experimental and clinical investigations into the manipulation of the gut microbiome through probiotics, exploring their potential to sustain eubiosis, enhance recovery from TB, and mitigate the adverse effects of anti-TB therapies. The multi-pronged mechanisms by which probiotics act against M. tuberculosis include their immunomodulatory properties, the promotion of autophagy, direct inhibition of the pathogen growth via bacteriocin production, the reduction of adverse effects from anti-TB drugs, and a diminished risk of comorbidities. Future research should prioritize high-quality randomized controlled trials that integrate omics with personalized microbiome-based therapeutic approaches to combat TB.
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publishDate 2025-09-01
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series Journal of Infection and Public Health
spelling doaj-art-997bbcd8faa446afbf2ab33f6595e4952025-08-20T03:22:48ZengElsevierJournal of Infection and Public Health1876-03412025-09-0118910284010.1016/j.jiph.2025.102840The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosisHamed Memariani0Mojtaba Memariani1Seyed Ebrahim Eskandari2Abdolmajid Ghasemian3Ali Nour Neamatollahi4Biotechnology Research Center, Pasteur Institute of Iran, Tehran, IranDepartment of Mycobacteriology and Pulmonary Research, Pasteur Institute of Iran, Tehran, Iran; Microbiology Research Center (MRC), Pasteur Institute of Iran, Tehran, Iran; Corresponding author at: Department of Mycobacteriology and Pulmonary Research, Pasteur Institute of Iran, Tehran, Iran.Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, IranNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, IranDepartment of Mycobacteriology and Pulmonary Research, Pasteur Institute of Iran, Tehran, Iran; Microbiology Research Center (MRC), Pasteur Institute of Iran, Tehran, IranThe significance of gut microbiota in human health is well recognized, yet its effects on pulmonary infectious diseases like tuberculosis (TB) are not thoroughly comprehended. While anti-TB drugs and preventive strategies are indispensable, the incorporation of adjunct therapies, including probiotics and their bioactive compounds, could provide potential biotherapeutic benefits. This review strives to collate the recent experimental and clinical investigations into the manipulation of the gut microbiome through probiotics, exploring their potential to sustain eubiosis, enhance recovery from TB, and mitigate the adverse effects of anti-TB therapies. The multi-pronged mechanisms by which probiotics act against M. tuberculosis include their immunomodulatory properties, the promotion of autophagy, direct inhibition of the pathogen growth via bacteriocin production, the reduction of adverse effects from anti-TB drugs, and a diminished risk of comorbidities. Future research should prioritize high-quality randomized controlled trials that integrate omics with personalized microbiome-based therapeutic approaches to combat TB.http://www.sciencedirect.com/science/article/pii/S1876034125001893ProbioticsMycobacterium tuberculosisgut microbiomeimmune response
spellingShingle Hamed Memariani
Mojtaba Memariani
Seyed Ebrahim Eskandari
Abdolmajid Ghasemian
Ali Nour Neamatollahi
The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
Journal of Infection and Public Health
Probiotics
Mycobacterium tuberculosis
gut microbiome
immune response
title The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
title_full The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
title_fullStr The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
title_full_unstemmed The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
title_short The potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
title_sort potential role of probiotics and their bioactive compounds in the management of pulmonary tuberculosis
topic Probiotics
Mycobacterium tuberculosis
gut microbiome
immune response
url http://www.sciencedirect.com/science/article/pii/S1876034125001893
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