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Microbes & Immunity





                                        REVIEW ARTICLE
                                        Modulating the microbial landscape: A probiotic

                                        odyssey from ancient wisdom to modern
                                        medicine



                                        Edward Brell*

                                        Independent Researcher, Brisbane, Queensland, Australia



                                        Abstract

                                        The historical journey of probiotics is fascinating, from their ancient roots in fermented
                                        foods to their potential as personalized medicine. This paper honors the pioneers
                                        who paved the path to current advancements. Significant progress has been made in
                                        understanding probiotics, including their mechanisms of action, such as competitive
                                        exclusion and immune modulation. For example,  Lactobacillus  plantarum has
                                        been shown to improve eczema and the common cold, whereas  Bifidobacterium
                                        longum aids in nutrient absorption and fights off harmful organisms. In addition,
                                        Saccharomyces boulardii  has been  demonstrated  to be  effective  in preventing
                                        antibiotic-associated diarrhea. Probiotics are applied in various fields, including
                                        digestive health, immunity enhancement, and chronic condition management.
                                        This review discusses the applications of probiotics and addresses challenges such
                                        as strain specificity, safety considerations, and regulatory oversights. The future of
                                        probiotics lies in precision medicine, with personalized interventions combined with
            *Corresponding author:      prebiotics (food for probiotics) to unlock their full potential for enhancing human
            Edward Brell
            (drbrell@gmail.com)         health and well-being. The paper serves as a valuable resource and a gateway for
                                        further research.
            Citation: Brell E. Modulating the
            microbial landscape: A probiotic
            odyssey from ancient wisdom to   Keywords: Gut health; Microbiome; Microbiota; Flora; Digestion; Yoghurt; Sauerkraut;
            modern medicine. Microbes &
            Immunity. 2025;2(3):31-46.   Kimchi
            doi: 10.36922/mi.6424
            Received: November 21, 2024
            Revised: February 18, 2025  1. Introduction
            Accepted: March 7, 2025     The  growing  understanding  of  the  human  microbiome  and  its  profound  impact  on
            Published online: May 21, 2025  human health has led to a surge of interest in probiotics – live microorganisms that
            Copyright: © 2025 Author(s).   can confer health benefits when administered in adequate amounts, according to the
            This is an Open-Access article   International Scientific Association for Probiotics and Prebiotics.  The degree of interest
                                                                                           1
            distributed under the terms of the
            Creative Commons Attribution   can be gauged by the number of publications. Figure 1 illustrates the trend in the number
            License, permitting distribution,   of publications, based on a 5-year moving average of articles with “probiotic” in the
            and reproduction in any medium,   title, retrieved from PubMed (pubmed.ncbi.nlm.nih.gov). The number of publications
            provided the original work is
            properly cited.             nearly doubled in the last 5 years, highlighting the growing prominence and relevance
                                        of probiotic research.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Fermented foods have been a staple in human diets for millennia, with evidence of
            regard to jurisdictional claims in                                      2-4
            published maps and institutional   their consumption dating back to ancient civilizations.  These foods are a source of
            affiliations.               essential nutrients and are believed to possess health benefits. The scientific basis for


            Volume 2 Issue 3 (2025)                         31                               doi: 10.36922/mi.6424
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