Intraoral administration of probiotics and postbiotics

An overview of microorganisms and formulation strategies

Authors

  • Mihajlo Bogdanović Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia
  • Dragana Mladenović Innovation Center of Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia
  • Ljiljana Mojović Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia
  • Jelena Djuriš Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia
  • Aleksandra Djukić-Vuković Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia https://orcid.org/0000-0002-0750-2754

DOI:

https://doi.org/10.1590/

Keywords:

Probiotics, Oral dosage forms, Oral microbiota, Ligilactobacillus salivarius, Postbiotics

Abstract

The last decade provided significant advances in the understanding of microbiota and its role in human health. Probiotics are live microorganisms with proven benefits for the host and were mostly studied in the context of gut health, but they can also confer significant benefits for oral health, mainly in the treatment of gingivitis. Postbiotics are cell-free extracts and metabolites of microorganisms which can provide additional preventive and therapeutic value for human health. This opens opportunities for new preventive or therapeutic formulations for oral administration. The microorganisms that colonize the oral cavity, their role in oral health and disease, as well as the probiotics and postbiotics which could have beneficial effects in this complex environment were discussed. The aim of this study was to review, analyse and discuss novel probiotic and postbiotic formulations intended for oral administration that could be of great preventive and therapeutic importance. A special attention has been put on the formulation of the pharmaceutical dosage forms that are expected to provide new benefits for the patients and technological advantages relevant for industry. An adequate dosage form could significantly enhance the efficiency of these products.

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References

Aas JA, Paster BJ, Stokes LN, Olsen I, Dewhirst FE. Defining the normal bacterial flora of the oral cavity. J Clin Microbiol. 2005;43(11):5721-5732.

Abdalla AK, Ayyash MM, Olaimat AN, Osaili TM, Al-Nabulsi AA, Shah NP, et al. Exopolysaccharides as antimicrobial agents: mechanism and spectrum of activity. Front Microbiol. 2021;12:664395.

Abruzzo A, Vitali B, Lombardi F, Guerrini L, Cinque B, Parolin C, et al. Mucoadhesive buccal films for local delivery of Lactobacillus brevis. Pharmaceutics. 2020;12(3):241.

Almeida VDSM, Azevedo J, Leal HF, Queiroz ATLD, da Silva Filho HP, Reis J N, et al. Bacterial diversity and prevalence of antibiotic resistance genes in the oral microbiome. PLoS One 2020;15(9):e0239664.

Allaker RP, Stephen AS. Use of probiotics and oral health. Curr Oral Heal Reports. 2017;4(4):309-318.

Arranz-Otaegui A, Carretero LG, Ramsey MN, Fuller DQ, Richter T. Archaeobotanical evidence reveals the origins of bread 14,400 years ago in northeastern Jordan. Proc Natl Acad Sci U S A. 2018;115(31):7925-7930.

Baral KC, Bajracharya R, Lee SH, Han HK. Advancements in the pharmaceutical applications of probiotics: dosage forms and formulation technology. Int J Nanomedicine. 2021;16:7535-7556.

Benfreha H, Pereira ECV, Rolim LA, Chelli N, Almeida JRGD. S, et al. Additive effect of the probiotics Lactobacillus exopolysaccharides and the Satureja calamintha extracts on enteropathogenic Escherichia coli adhesion. Braz J Pharm Sci. 2022;58:1-15.

Berger D, Rakhamimova A, Pollack A, Loewy Z. Oral biofilms: development, control, and analysis. High-throughput. 2018;7(3):24.

Bik EM, Long CD, Armitage GC, Loomer P, Emerson J, Mongodin EF, et al. Bacterial diversity in the oral cavity of 10 healthy individuals. ISME J. 2010;962-974.

Bowen WH, Burne RA, Wu H, Koo H. Oral biofilms: pathogens, matrix, and polymicrobial interactions in microenvironments. Trends Microbiol. 2018;26(3):229-242.

Burton JP, Chilcott CN, Moore CJ, Speiser G TJ. A preliminary oral, study of the effect of probiotic Streptococcus salivarius K12. Jurn Appl Microbiol. 2006;754-764.

Burton JP, Drummond BK, Chilcott CN, Tagg JR, Thomson WM, Hale JDF, et al. Influence of the probiotic Streptococcus salivarius strain M18 on indices of dental health in children: a randomized double-blind, placebo-controlled trial. J Med Microbiol. 2013;62(6):875-884.

Chalas R, Janczarek M, Bachanek T, Mazur E, Cieszko-Buk M, Szymanska J. Characteristics of oral probiotics - a review. Curr Issues Pharm Med Sci. 2016;29(1):8-10.

Ciandrini E, Campana R, Casettari L, Perinelli DR, Fagioli L, Manti A, et al. Characterization of biosurfactants produced by Lactobacillus spp. and their activity against oral Streptococci biofilm. Appl Microbiol Biotechnol. 2016;100(15):6767-6777.

Collins JK, Thornton G, Sullivan GO. Selection of probiotic strains for human applications. Int Dairy J. 1998;8(5-6):487-490.

Cornejo Ulloa P, Van der Veen MH, Krom BP. Review: modulation of the oral microbiome by the host to promote ecological balance. Odontology. 2019;107(4):437-448.

Corr SC, Li Y, Riedel CU, O’Toole PW, Hill C, Gahan CG. Bacteriocin production as a mechanism for the antiinfective activity of Lactobacillus salivarius UCC118. Proc Natl Acad Sci. 2014;104(18);7617-7621.

Djukić-Vuković AP, Mojović LjV, Semenčenko VV, Radosavljević MM, Pejin JD, Kocić-Tanackov SD. Effective valorisation of distillery stillage by integrated production of lactic acid and high quality feed. Food Res Int. 2015;73:75-80.

Dodoo CC, Stapleton P, Basit AW, Gaisford S. The potential of Streptococcus salivarius oral films in the management of dental caries: an inkjet printing approach. Int J Pharm. 2020;591:119962.

Dridi B, Raoult D, Drancourt M. Archaea as emerging organisms in complex human microbiomes. Anaerobe. 2011;17(2):56-63.

Elham N, Naheed M, Elahe M, Hossein MM, Majid T. Selective cytotoxic effect of probiotic, paraprobiotic and postbiotics of L. casei strains against colorectal cancer cells : invitro studies. Braz J Pharm Sci . 2022;58:1-11.

George Kerry R, Patra JK, Gouda S, Park Y, Shin HS, Das G. Benefaction of probiotics for human health: a review. J Food Drug Anal. 2018;26(3):927-939.

Hajishengallis G. Periodontitis: from microbial immune subversion to systemic inflammation. Nat Rev Immunol. 2015;15(1):30-44.

Heinemann RJ, Carvalho RA, Favaro-Trindade CS. Orally disintegrating film (ODF) for delivery of probiotics in the oral cavity - development of a novel product for oral health. Innov Food Sci Emerg Technol. 2013;19:227-232.

Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, et al. Expert consensus document: the international scientific association for probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11(8):506-514.

Hoffmann A, Fischer JT, Daniels R. Development of probiotic orodispersible tablets using mucoadhesive polymers for buccal mucoadhesion. Drug Dev Ind Pharm. 2020;46(11):1753-1762.

Huang S, Vignolles ML, Chen XD, Le Loir Y, Jan G, Schuck P, et al. Spray drying of probiotics and other food-grade bacteria: a review. Trends Food Sci Technol. 2017;63:1-17.

Irfan M, Delgado RZR, Frias-Lopez J. The oral microbiome and cancer. Front Immunol. 2020;11:591088.

Jin BY, Li Z, Xia YN, Li LX, Zhao ZX, Li XY, et al. Probiotic interventions alleviate food allergy symptoms correlated with cesarean section: a murine model. Front Immunol . 2021;12:741371.

Kaźmierczyk-Winciorek M, Nędzi-Góra M, Słotwińska SM. The immunomodulating role of probiotics in the prevention and treatment of oral diseases. Cent Eur J Immunol. 2021;46(1):99-104.

Kazor CE, Mitchell PM, Lee AM, Stokes LN, Loesche WJ, Dewhirst FE, et al. Diversity of bacterial populations on the tongue dorsa of patients with halitosis and healthy patients. J Clin Microbiol . 2003;41(2):558-563.

Kim BH, Gadd GM. Introduction to prokaryotic metabolism and physiology. Prokaryotic metabolism and physiology. Cambridge University Pres. 2019.

Kim HS, Chae HS, Jeong SG, Ham JS, Im SK, Ahn CN, et al. In vitro antioxidative properties of Lactobacilli. Asia J Anim Sci. 2006;19(2)262-265.

Kumar M, Nagpal R, Kumar R, Hemalatha R, Verma V, Kumar A, et al. Cholesterol-lowering probiotics as potential biotherapeutics for metabolic diseases. Exp Diabetes Res. 2012;902917.

Kurćubić I, Vajić UJ, Cvijić S, Crevar-Sakač M, Bogavac-Stanojević N, Miloradović Z, et al. Mucoadhesive buccal tablets with propranolol hydrochloride: formulation development and in vivo performances in experimental essential hypertension. Int J Pharm . 2021;610:121266.

Lebeer S, Claes IJ, Verhoeven TL, Vanderleyden J, De Keersmaecker SC. Exopolysaccharides of Lactobacillus rhamnosus GG form a protective shield against innate immune factors in the intestine. Microb Biotechnol. 2011;4(3):368-374.

Lilly DM, Stillwell RH. Probiotics: growth-promoting factors produced by microorganisms. Science. 1965;147(3659):747-748.

López-Moreno A, Aguilera M. Vaginal probiotics for reproductive health and related dysbiosis: Systematic review and meta-analysis. J Clin Med. 2021;10(7):1460.

Lordello VB, Meneguin AB, de Annunzio SR, Taranto MP, Chorilli M, Fontana CR, et al. Orodispersible film loaded with Enterococcus faecium CRL183 presents anti-Candida albicans biofilm activity in vitro. Pharmaceutics . 2021;13(7):998.

Lu M, Xuan S, Wang Z. Oral microbiota: a new view of body health. Food Sci Hum Wellness. 2019;8(1):8-15.

Ly M, Abeles SR, Boehm TK, Robles-Sikisaka R, Naidu M, Santiago-Rodriguez T, et al. Altered oral viral ecology in association with periodontal disease. MBio. 2014;5(3):e01133-14.

Marco ML, Sanders ME, Gänzle M, Arrieta MC, Cotter PD, De Vuyst L, et al. The international scientific association for probiotics and prebiotics (ISAPP) consensus statement on fermented foods. Nat Rev Gastroenterol Hepatol . 2021;18(3):196-208.

De Marco S, Sichetti M, Muradyan D, Piccioni M, Traina G, Pagiotti R, et al. Probiotic cell-free supernatants exhibited anti-inflammatory and antioxidant activity on human gut epithelial cells and macrophages stimulated with LPS. Evidence based Complement Altern Med. 2018;1756308.

Marsh PD. Role of the oral microflora in health. Microb Ecol Health Dis. 2000;12(3):130-137.

Fakruddin Md. Biosurfactant: production and application. J Pet Environ Biotechnol. 2012;3(04):124.

Mishra S, Rath S, Mohanty N. Probiotics-a complete oral healthcare package. J Integr Med. 2020;18(6):462-469.

Moreno-Arribas MV, Polo MC. Wine chemistry and biochemistry. Wine Chem Biochem. 2009.

Le Morvan de Sequeira C, Hengstberger C, Enck P, Mack I. Effect of probiotics on psychiatric symptoms and central nervous system functions in human health and disease: a systematic review and meta-analysis. Nutrients. 2022;14(3):621.

Mundula T, Ricci F, Barbetta B, Baccini M, Amedei A. Effect of probiotics on oral candidiasis : a systematic review and meta-analysis. Nutrients . 2019;11(10):2449.

Nagarjuna P, Kumar K, Maheswarappa S, Gomasan S. Probiotics in prevention of dental caries - a literature review. Biosci Biotechnol Res Commun. 2020;13(8):517-526.

Nataraj BH, Ali SA, Behare PV, Yadav H. Postbiotics-parabiotics: the new horizons in microbial biotherapy and functional foods. Microb Cell Fact. 2020;19(1):1-22.

Nishihara T, Suzuki N, Yoneda M, Hirofuji T. Effects of Lactobacillus salivarius-containing tablets on caries risk factors: a randomized open-label clinical trial. BMC Oral Health. 2014;14(1):1-7.

Oak SJ, Jha R. The effects of probiotics in lactose intolerance: a systematic review. Crit Rev Food Sci Nutr. 2019;59(11):1675-1683.

Pangsomboon K, Kaewnopparat S, Pitakpornpreecha T, Srichana T. Antibacterial activity of a bacteriocin from Lactobacillus paracasei HL32 against Porphyromonas gingivalis. Arch Oral Biol. 2006;51(9):784-793.

Paster BJ, Olsen I, Aas JA, Dewhirst FE. The breadth of bacterial diversity in the human periodontal pocket and other oral sites. Periodontology 2000. 2006;42(1):80-87.

Peacock T, Hassan HM. Role of the Mn-catalase in aerobic growth of Lactobacillus plantarum ATCC 14431. Periodontology 2000 . 2021;1(3)615-625.

Pérez-Brocal V, Moya A. The analysis of the oral DNA virome reveals which viruses are widespread and rare among healthy young adults in Valencia (Spain). PLoS One . 2018;13(2):1-11.

Postbiotics market. [cited 2023 Feb 25] Available from: Available from: https://www.meticulousresearch.com/product/postbiotics-market-5380

» https://www.meticulousresearch.com/product/postbiotics-market-5380

Probiotics global market report 2023. [cited 2023 Feb 25] Available from: Available from: https://www.thebusinessresearchcompany.com/report/probiotics-global-market-report

» https://www.thebusinessresearchcompany.com/report/probiotics-global-market-report

Radaic A, De Jesus MB, Kapila YL. Bacterial anti-microbial peptides and nano-sized drug delivery systems: the state of the art toward improved bacteriocins. J Control Release. 2020;321:100-118.

Radaic A, Kapila YL. The oralome and its dysbiosis: new insights into oral microbiome-host interactions. Comput Struct Biotechnol J. 2021;19:1335-1360.

Rajoka MSR, Wu Y, Mehwish HM, Bansal M, Zhao L. Lactobacillus exopolysaccharides: new perspectives on engineering strategies, physiochemical functions, and immunomodulatory effects on host health. Trends Food Sci Technol . 2020a; 103:36-48.

Rajoka MSR, Mehwish HM, Zhang H, Ashraf M, Fang H, Zeng X, et al. Antibacterial and antioxidant activity of exopolysaccharide mediated silver nanoparticle synthesized by Lactobacillus brevis isolated from Chinese koumiss. Colloids Surfaces B Biointerfaces. 2020b; 186:110734.

Ranadheera CS, Vidanarachchi JK, Rocha RS, Cruz AG, Ajlouni S. Probiotic delivery through fermentation: dairy vs. non-dairy beverages. Fermentation. 2017;3(4):67.

Ranjha MMAN, Shafique B, Batool M, Kowalczewski PŁ, Shehzad Q, Usman M, et al. Nutritional and health potential of probiotics: a review. Appl Sci. 2021;11(23):11204.

Russell DA, Ross RP, Fitzgerald GF, Stanton C. Metabolic activities and probiotic potential of bifidobacteria. Int J Food Microbiol. 2011;149(1):88-105.

Saïz P, Taveira N, Alves R. Probiotics in oral health and disease: a systematic review. Appl Sci . 2021;11(17):8070.

Sajedinejad N, Paknejad M, Houshmand B, Sharafi H, Jelodar R, Shahbani Zahiri H, et al. Lactobacillus salivarius NK02: a potent probiotic for clinical application in mouthwash. Probiotics Antimicrob Proteins. 2018;10(3):485-495.

Salminen S, Collado MC, Endo A, Hill C, Lebeer S, Quigley EMM, et al. The international scientific association of probiotics and prebiotics (ISAPP) consensus statement on the definition and scope of postbiotics. Nat Rev Gastroenterol Hepatol . 2021;18(9):649-667.

Samot J, Badet C. Antibacterial activity of probiotic candidates for oral health. Anaerobe . 2013;19(1):34-38.

Santonocito S, Giudice A, Polizzi A, Troiano G, Merlo EM, Sclafani R, et al. A cross-talk between diet and the oral microbiome: balance of nutrition on inflammation and immune system’s response during periodontitis. Nutrients . 2022;14(12):2426.

Scannapieco FA. The oral microbiome: Its role in health and in oral and systemic infections. Clin Microbiol Newsl. 2013;35(20):163-169.

Scopus. [cited 2023 Feb 25] Available from: Available from: https://www.scopus.com/

» https://www.scopus.com/

Shah MP, Gujjari SK, Chandrasekhar VS. Long-term effect of Lactobacillus brevis CD2 (Inersan®) and/or doxycycline in aggressive periodontitis. J Indian Soc Periodontol. 2017;21(4):341.

Sharma N, Bhatia S, Sodhi AS, Batra N. Oral microbiome and health. AIMS Microbiol. 2018;4(1):42-66.

Shimauchi H, Mayanagi G, Nakaya S, Minamibuchi M, Ito Y, Yamaki K, et al. Improvement of periodontal condition by probiotics with Lactobacillus salivarius WB21: a randomized, double-blind, placebo-controlled study. J Clin Periodontol. 2008;35(10):897-905.

Soccol CR, de Souza Vandenberghe LP, Spier MR, Medeiros AP, Yamaguishi CT, De Dea Lindner J, et al. The potential of probiotics: a review. Food Technol Biotechnol. 2010;48(4):413-434.

De Souza Ferreira SB, Fukase GO, Gomes RG, Bruschi ML. Mucoadhesive wafers for buccal delivery of probiotic bacteria: mechanical properties and enumeration. J Drug Deliv Sci Technol. 2021;61:102201.

Villavicencio J,Villegas LM, Arango MC, Arias S, Triana F. Effects of a food enriched with probiotics on Streptococcus mutans and Lactobacillus spp. salivary counts in preschool children: a cluster randomized trial Judy. J Appl Oral Cience. 2018;26:1-9.

De Vrese M, Marteau P. Probiotics and prebiotics: effects on diarrhea. Bioact Foods Promot Heal. 2010;137(3):205-227.

Wang J, Zhao X, Yang Y, Zhao A YZ. Characterization and bioactivities of an exopolysaccharide produced by Lactobacillus plantarum YW32. Int J Biol Macromol. 2015;74:119-126.

Wang Y, Wu J, Lv M, Shao Z, Hungwe M, Wang J, et al. Metabolism characteristics of lactic acid bacteria and the expanding applications in food industry. Front Bioeng Biotechnol. 2021;9:612285.

Willis JR, Gabaldón T. The human oral microbiome in health and disease: from sequences to ecosystems. Microorganisms. 2020;8(2):1-28.

Zheng J, Wittouck S, Salvetti E, Franz CM, Harris HM, Mattarelli P, et al. A taxonomic note on the genus Lactobacillus: description of 23 novel genera, emended description of the genus Lactobacillus beijerinck 1901, and union of Lactobacillaceae and Leuconostocaceae. Int J Syst Evol Microbiol. 2020;70(4):2782-2858.

Żółkiewicz J, Marzec A, Ruszczyński M, Feleszko W. Postbiotics-a step beyond pre-and probiotics. Nutrients . 2020;12(8):2189.

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2024-11-05

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Intraoral administration of probiotics and postbiotics: An overview of microorganisms and formulation strategies. (2024). Brazilian Journal of Pharmaceutical Sciences, 60. https://doi.org/10.1590/