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JSM Biotechnology and Biomedical Engineering

Kefir and Intestinal Health

Mini Review | Open Access

  • 1. Department of Microbiology, Vila Velha University, Brazil
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Corresponding Authors
Arpini Clarisse M, Department of Microbiology, Vila Velha University. Vila Velha., ES, Brazil
Abstract

Probiotics food products contain live microorganisms, which contribute to its preservation, taste, texture and aroma, as well as providing the balance of the natural microbiota of those who consume it, often improving the absorption of nutrients.

Citation

Costa Elton C, Ghizi Angela C, Maia June F, Arpini Clarisse M (2016) Kefir and Intestinal Health. JSM Biotechnol Bioeng 3(2): 1052.

Keywords

• Kefir and health; Intestine microbiota; Kefir probiotic

INTRODUCTION

The human intestine is responsible for much of the digestive function, and only in this portion of the gastrointestinal tract that occurs absorption of all nutrients ingested in food. Furthermore, the microbiological composition of the intestine has been investigating about its influence on the immune system, energy metabolism and chronic degenerative diseases as diabetes, obesity and cardiovascular diseases [1,2]. Tremaroli & Bäckhed [3] suggested that a reduction in the consumption of fat and carbohydrates with a reduction of body weight increase bacterial intestinal colonization by Bacteroidetes instead of Firmicutes.

The lining of the colon is different from the small intestine in that there exists a large number of bacteria, such as Bacteroides, Clostridia and Lactobacilli, besides Bifidobacteria, Eubacteria and Streptococci. Several studies have shown that colonic bacterial composition is dependent of some factors as food intake, medications used, among others. This microbial dependence can generate beneficial or harmful effects to theupon the health of the host [3].

Probiotics are livemicroorganisms which upon ingestion in adequate quantities confer a health benefit to the host [4]. They are usually found in fermented dairy products [5,6].

Kefir is a fermented milk derivative, originatedfrom the Caucasus region. The origin of the name is Turkish, meaning “good feeling”, due to the sense of well-being that was described after ingestion. [7].

Traditionally kefir is produced by milk inoculation with kefir grains, which have color ranging from white to yellow, comprising an inert matrix (polysaccharides and proteins) associated with a large population of lactic acidbacteria, acetic acid bacteria and yeasts [8]; generally distributed in a proportion of 60% of lactic acid bacteria (species of Lactobacillus, Lactococcus and Leuconostoc), 30% yeast (species of Saccharomyces, Kluyveromyces) and 10% acetic acid bacteria (Acetobacter species) approximately [9-13].

BENEFICIAL EFFECTS ON GASTROINTESTINAL TRACT

Countless research has demonstrated the immunomodulatory effects of Kefir, especially on certain types of diarrhea [4,14]. Thoreux and Schmucker [15] demonstrated, in rats, that orally administered kefir affects the intestinal mucosa and systemic immune response. The modulatory effect on the intestinal microbiota is due to the direct action of acid and bacteriocins, as well as competition with pathogenic microorganisms [7].

Rosa et al. [16], performed histological analyses on the ileum, caecum and colon of Wistar rats and concluded that the administration of milk kefir improved the intestinal mucosa. Four weeks of kefir consumption increased villous weight and width. This effect would increase nutrients absorption process since many carbohydrate and protein digestive enzymes are located in absorptive cells from the crypt base differentiated. Take together these events may reduce the development of diarrheas. Also, the animals presented reduced total cholesterol levels. Such beneficial effect was attributed to the production of short chain fatty acids and by the deconjugation of bile acids by microorganisms, forming secondary biliary acids, which are partially lost in the feces.

Recently studies conducted by Rodrigues et al. [17], indicate that beer produced with kefir, as a single fermenter present anti-inflammatory and antiulcer activity. Furthermore, this another study showed that L.plantarum MA2 increases the fecal population of lactic acid bacteria and Bifidobacterium, but has not been reported interference with the population of Eschericha coli [18]. Similar to this study, Liu et al. [19], also describe the significant increase in fecal microbiota, particularly Lactobacillus and Bifibacterium, and the decrease in Clostridium perfringens population, while Zacconi et al. [20], reported the prevention of colonization by Campylobacter jejuni.

Studies performed by Santos et al. [21], demonstrated the inhibitory effect of Lactobacillus, isolated from kefir, against Escherichia coli, Listeria monocytogenes, Salmonella typhimurium, Salmonella enteritidis, Shigella flexneri and Yersinia enterocolitica. Furthermore, it was observed by Silva et al. [22], the inhibition of Candida albicans, Salmonella typhi, Shigella sonnei and Staphylococcus aureus in addition to Escherichia coli. Chifiriuc et al. [23], did not observe inhibition of Candida albicans and Pseudomonas aeruginosa, but has reported the action against Bacillus subtilis, Staphylococcus aureus, Enterococcus faecalis, besides Escherichia coli and Salmonella enteritidis.

Miao et al. [24], reported identification of a new antimicrobial peptide isolated from kefir, capable of inhibiting Escherichia coli. This peptide is capable of increasing the permeability of the bacterial membranes inner and outer addition to being able to bind to genetic material of Escherichia coli.

It has also been described cicatrization and anti-inflammatory activities of kefir [25,26].

Another intestinal benefit promoted by Kefir is the improved lactose digestion, mainly by microbial β-galactosidase of kefir [7,27,28].

CONSIDERATIONS

Kefir is a microbial association of bacteria and yeast, which clearly characterizes a symbiotic relationship that reflects directly on the health of those who consume it. Many studies are still being carried out, not only about the beneficial effects intestinal as wellas the benefits in other systems and organic parameters. All studies ever conducted on the intestinal benefits indicate that this is the main gateway to enjoy the benefits of this food.

REFERENCES

1. Fukuda S, Ohno H. Gut microbiome and metabolic diseases. Semin Immunopathol. 2014; 36: 103-114.

2. Kovatcheva-Datchary P, Arora T. Nutrition, the gut microbiome and the metabolic syndrome. Best Pract Res Clin Gastroenterol. 2013; 27: 59-72.

3. Tremaroli V, Bäckhed F. Functional interactions between the gut microbiota and host metabolism. Nature. 2013; 489: 242-249.

4. Sanders ME. Effect of consumption of lactic acid cultures on human health. Adv Food Nutr Res. 1993; 37: 67-130.

5. Sánchez B, Reyes-Gavilán CGDL, Margolles A, Gueimonde M. Probiotic fermented milks: Present and future. Int J Dairy Technol. 2009; 62: 472-483.

6. SoccolCR, Vandenberghe LPS, Spier MR, Medeiros ABP, Yamaguishi CT, Lindner JDD, et al. The Potential of Probiotics: A Review. Food Technol Biotechnol. 2010; 48: 413-434.

7. de Oliveira Leite AM, Miguel MA, Peixoto RS, Rosado AS, Silva JT, Paschoalin VM. Microbiological, technological and therapeutic properties of kefir: a natural probiotic beverage. Braz J Microbiol. 2013; 44: 341-349.

8. Leite AM, Miguel MA, Peixoto RS, Ruas-Madiedo P, Paschoalin VM, Mayo B, et al. Probiotic potential of selected lactic acid bacteria strains isolated from Brazilian kefir grains. J Dairy Sci. 2015; 98: 3622-3632.

9. Latorre-García L, Castillo-Agudo L, Polaina J. Taxonomical classification of yeasts isolated from kefir based on the sequence of their ribosomal RNA genes. World J Microbiol Biotechnol. 2007; 23:785-791.

10. Bergmann RSO, Pereira MA, Veiga SMOM, Schneedorf JM, Oliveira NMS, Fiorini JE. Microbial profile of a kefir sample preparations – grains in natura and lyophilized and fermented suspension. Ciênc Tecnol Aliment. 2010; 30: 1022-1026.

11. Gulitz A, Stadie J, Wenning M, Ehrmann MA, Vogel RF. The microbial diversity of water kefir. Int J Food Microbiol. 2011; 151: 284-288.

12. Magalhães KT, de Melo Pereira GV, Campos CR, Dragone G, Schwan RF. Brazilian kefir: structure, microbial communities and chemical composition. Braz J Microbiol. 2011; 42: 693-702.

13. Leite AM, Mayo B, Rachid CT, Peixoto RS, Silva JT, Paschoalin VM, et al. Assessment of the microbial diversity of Brazilian kefir grains by PCR-DGGE and pyrosequencing analysis. Food Microbiol. 2012; 31: 215-221.

14. Paucean A, Socaciu C. Probiotic activity of mixed cultures of kefir’s Lacobacilliand non-lactose fermenting yeasts. Bulletin UASVM, Agriculture. 2008; 65: 329.

15. Thoreux K, Schmucker DL. Kefir milk enhances intestinal immunity in young but not old rats. J Nutr. 2001; 131: 807-812.

16. Diniz Rosa D, Gouveia Peluzio Mdo C, Pérez Bueno T, Vega Cañizares E, Sánchez Miranda L, Mancebo Dorbignyi B, et al. Evaluation of the subchronic toxicity of kefir by oral administration in Wistar rats. Nutr Hosp. 2014; 29: 1352-1359.

17. Rodrigues KL, Araújo TH, Schneedorf JM, Ferreira CS, Moraes GOI, Coimbra RS, et al. A novel beer fermented by kefir enhances antiinflammatory and anti-ulcerogenic activities found isolated in its constituents. J Functional Food. 2016; 21: 58-69.

18. Wang Y, Xu N, Xi A, Ahmed Z, Zhang B, Bai X. Effects of Lactobacillus plantarum MA2 isolated from Tibet kefir on lipid metabolism and intestinal microflora of rats fed on high-cholesterol diet. Appl Microbiol Biotechnol. 2009; 84: 341-347.

19. Je Ruei Liu, Sheng Yao Wang, MingJu Chen, Pei Ying Yueh, Chin Wen Lin. The anti-allergenic properties of milk kefir and soymilk kefir and their beneficial effects on the intestinal microflora. J Sci Food Agric. 2006; 86: 2527-2533.

20. Zacconi C, Scolari G, Vescovo M, Sarra PG. Competitive exclusion of Campylobacter jejuni by kefir fermented milk. Ann Microbiol. 2003; 53: 179-187.

21. Santos A, San Mauro M, Sanchez A, Torres JM, Marquina D. The antimicrobial properties of different strains of Lactobacillus spp. isolated from kefir. Syst Appl Microbiol. 2003; 26: 434-437.

22. Silva KR, Rodrigues SA, Filho LX, Lima AS. Antimicrobial activity of broth fermented with kefir grains. Appl Biochem Biotechnol. 2009; 152: 316-325.

23. Chifiriuc MC, Cioaca AB, Lazar V. In vitro assay of the antimicrobial activity of kefir against bacterial and fungal strains. Anaerobe. 2011; 17: 433-435.

24. Miao J, Liu G, KeC K, Fan W, Li C, Chen Y, et al. Inhibitory effects of a novel antimicrobial peptide from kefir against Escherichia coli. Food Control. 2016; 65: 63-72.

25. Diniz RO, Perazzo FF, Carvalho JCT, Schneenedorf JM. Atividade antiinflamatória de quefir, um probiótico da medicina popular. RevBras Farmacogn. 2003; 13: 19-21.

26. Rodrigues KL, Caputo LR, Carvalho JC, Evangelista J, Schneedorf JM. Antimicrobial and healing activity of kefir and kefiran extract. Int J Antimicrob Agents. 2005; 25: 404-408.

27. de Vrese M, Keller B, Barth CA. Enhancement of intestinal hydrolysis of lactose by microbial beta-galactosidase (EC 3.2.1.23) of kefir. Br J Nutr. 1992; 67: 67-75.

28. Sarkar S. Potential of kefir as a dietetic beverage - a review. Br Food J. 2007; 109: 280-290.

Received : 25 May 2016
Accepted : 20 Jun 2016
Published : 24 Jun 2016
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