Effect of Bacillus subtilis C-3102 on loose stools in healthy volunteers.

Beneficial microbes. 2018;9(3):357-365

Plain language summary

The cause of IBS has yet to be established, however the role of the gut microbiota in modulating symptoms is the subject of significant recent research. This randomised, double-blind, placebo controlled trial of 88 healthy subjects with chronic diarrhoea, aimed to assess the impact of ingestion of probiotic strain Bacillus subtilis C-3102 over an 8 week period on patient symptoms. Approximately 8.5 billion spores of Bacillus subtilis C-3102 were administered daily to the treatment group, once a day, immediately after breakfast. The results, after 8 weeks of ingestion, showed: an improved Bristol Stool Chart score; a reduction in stool frequency; significantly decreased abdominal sounds; and significantly altered relative abundance of Lachnospira, Actinomyces and SMB53. Intake of 4 weeks or more were required to achieve these results. Even though this was a small study, nutrition and lifestyle practitioners looking to support the digestive health of IBS patients may wish to consider adding this probiotic strain to their recommendations on the grounds of improved symptoms of diarrhoea.

Abstract

Ingestion of Bacillus subtilis C-3102 spores (C-3102) has relieved the symptoms of diarrhoea in piglets and changed the composition of gut microbiota in humans. Recently, it was suggested that the composition of the human gut microbiota affects stool consistency. In this study, a double-blind, randomised, placebo-controlled trial was conducted to assess the preventive effects of chronic diarrhoea in healthy volunteers with loose stools by ingestion of C-3102. The results showed that oral doses of C-3102 tablets significantly decreased the Bristol Stool Scale score and stool frequency, and also significantly improved abdominal sounds. With regard to gut microbiota, the relative abundance of Lachnospira, Actinomyces and SMB53 were significantly changed. This study shows that C-3102 could be effective for treating loose stools (Trial registration: UMIN000022583, http://tinyurl.com/ya4refqn ).

Lifestyle medicine

Fundamental Clinical Imbalances : Digestive, absorptive and microbiological
Patient Centred Factors : Mediators/Probiotics
Environmental Inputs : Microorganisms
Personal Lifestyle Factors : Not applicable
Functional Laboratory Testing : Stool
Bioactive Substances : Bacillussubtilis ; Lachnospira ; Actinomyces ; SMB53

Methodological quality

Allocation concealment : Yes

Metadata

Nutrition Evidence keywords : Probiotics ; Diarrhoea ; IBS ; Irritablebowelsyndrome ; Bacillussubtilis