SUMMARY
A vast and diverse array of microbial species displaying great phylogenic, genomic, and metabolic diversity have colonized the gastrointestinal tract. Resident microbes play a beneficial role by regulating the intestinal immune system, stimulating the maturation of host tissues, and playing a variety of roles in nutrition and in host resistance to gastric and enteric bacterial pathogens. The mechanisms by which the resident microbial species combat gastrointestinal pathogens are complex and include competitive metabolic interactions and the production of antimicrobial molecules. The human intestinal microbiota is a source from which
Lactobacillus
probiotic strains have often been isolated. Only six probiotic
Lactobacillus
strains isolated from human intestinal microbiota, i.e.,
L. rhamnosus
GG,
L. casei
Shirota YIT9029,
L. casei
DN-114 001,
L. johnsonii
NCC 533,
L. acidophilus
LB, and
L. reuteri
DSM 17938, have been well characterized with regard to their potential antimicrobial effects against the major gastric and enteric bacterial pathogens and rotavirus. In this review, we describe the current knowledge concerning the experimental antibacterial activities, including antibiotic-like and cell-regulating activities, and therapeutic effects demonstrated in well-conducted, placebo-controlled, randomized clinical trials of these probiotic
Lactobacillus
strains. What is known about the antimicrobial activities supported by the molecules secreted by such probiotic
Lactobacillus
strains suggests that they constitute a promising new source for the development of innovative anti-infectious agents that act luminally and intracellularly in the gastrointestinal tract.