Non-digestible long chain beta-glucans as novel prebiotics

Non-digestible long chain beta-glucans as novel prebiotics

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Author's Accepted Manuscript

Non-digestible long chain beta-glucans as novel prebiotics (Review) Ka-Lung Lam, Peter Chi-Keung Cheung

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S2212-6198(13)00032-6 http://dx.doi.org/10.1016/j.bcdf.2013.09.001 BCDF24

To appear in: Bioactive Carbohydrates and Dietary Fibre

Received date:10 July 2013 Revised date: 3 September 2013 Accepted date: 4 September 2013 Cite this article as: Ka-Lung Lam, Peter Chi-Keung Cheung, Nondigestible long chain beta-glucans as novel prebiotics (Review), Bioactive Carbohydrates and Dietary Fibre, http://dx.doi.org/10.1016/j.bcdf.2013.09.001 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

ͳ

Non-digestible long chain beta-glucans as novel prebiotics (Review)

ʹ ͵

Ka-Lung Lam and Peter Chi-Keung Cheung*

Ͷ

Food and Nutritional Sciences, School of Life Sciences, The Chinese University of Hong

ͷ

Kong, Shatin, Hong Kong SAR, China

͸ ͹

*Corresponding author:

ͺ

Peter C.K. Cheung, University Science Centre, School of Life Sciences, The Chinese

ͻ

University of Hong Kong, Shatin, New Territory, HKSAR, China

ͳͲ ͳͳ

Email: [email protected]

ͳʹ

Tel.: 852-3943 6272

ͳ͵

Fax: 852-2603 5745



ͳ

ͳͶ

Abstract

ͳͷ

As our understanding of host gut microbiome increases, research interests in the fields of

ͳ͸

prebiotics, probiotics and synbiotics are growing rapidly. Currently, the majority of

ͳ͹

prebiotics in the markets are derived from non-digestible oligosaccharides. Very few

ͳͺ

investigations have been focused on non-digestible long chain complex

ͳͻ

carbohydrates/polysaccharides for their potential as novel prebiotics. One of the reasons

ʹͲ

behind this is the unavailability of non-digestible polysaccharides that can fulfil the

ʹͳ

criteria as prebiotics. Beta-glucans that exist as non-digestible polysaccharides derived

ʹʹ

from different food sources have demonstrated not only health promoting effects, but also

ʹ͵

the potential as a novel source of prebiotics. This review commences with the current

ʹͶ

trends in the research fields of prebiotics, probiotics and synbiotics. This is followed by a

ʹͷ

discussion of the potential of long chain beta-glucans to serve as novel prebiotics based

ʹ͸

on current knowledge on their sources, preparation, fermentation characteristics, and the

ʹ͹

plausible mechanisms involved in their utilization. Some future research directions with

ʹͺ

emphasis on new approaches using molecular biology, genetics and genomics are also

ʹͻ

discussed.

͵Ͳ ͵ͳ ͵ʹ ͵͵ ͵Ͷ

Keywords: Beta-glucans, complex carbohydrates, non-digestiblity, polysaccharides,

͵ͷ

prebiotics, probiotics, synbiotics



ʹ

͵͸

Abbreviations

͵͹

ABC

ATP-binding cassette

͵ͺ

CAZymes

carbohydrate-active enzymes

͵ͻ

CBM

carbohydrate-binding module

ͶͲ

DB

degree of branching

Ͷͳ

DP

degree of polymerization

Ͷʹ

EPS

exo-polysaccharides

Ͷ͵

EI

enzyme E I

ͶͶ

EIIA

enzyme E II A

Ͷͷ

EIIBC

enzyme E II B & C

Ͷ͸

FOS

fructo-oligosaccharides

Ͷ͹

GOS

galacto-oligosaccharide

Ͷͺ

GH

glycosyl hydrolases

Ͷͻ

HITS

high-throughput insertion tracking by deep sequencing

ͷͲ

HPr

histidine protein/heat-stable protein

ͷͳ

IMO

isomaltooligosaccharides

ͷʹ

INSeq

insertion sequencing

ͷ͵

MW

molecular weight

ͷͶ

P

a phosphate group

ͷͷ

PEP

phosphoenolpyruvate

ͷ͸

PI

prebiotic index

ͷ͹

PTS

phosphotransferase system

ͷͺ

RT-PCR

reverse transcription polymerase chain reaction



͵

ͷͻ

SCFAs

short chain fatty acids

͸Ͳ

Tnಣseq

transposon sequencing

͸ͳ

TraDIS

transposonಣdirected insertion site sequencing

͸ʹ

XOS

xylooligosaccharides



Ͷ

͸͵

1. Introduction

͸Ͷ

Gut microbiome and host interaction is getting more attention nowadays and it is

͸ͷ

estimated that each individual harbors at least 160 microbial species from a consortium of

͸͸

1000 to 1150 prevalent bacterial species (Ley et al., 2006; Qin et al., 2010; Marchesi,

͸͹

2011). Moreover, it is accepted that this “small world within” provides important

͸ͺ

metabolic functions that cannot be performed by our human metabolic processes (Jia et

͸ͻ

al., 2008). In 2011, a review coined the term “MicrObesity” (Microbes and Obesity),

͹Ͳ

demonstrating the importance of gut microbiome to humans (Cani & Delzenne, 2011). In

͹ͳ

order to reestablish the bacterial homeostasis, one common approach is to employ the use

͹ʹ

of prebiotics, probiotics, and synbiotics (Vyas & Ranganathan, 2012). There have been a

͹͵

number of recent reviews on the effects of pre- and pro-biotics on human and animal

͹Ͷ

health (Ogueke et al., 2010; Ohimain & Ofongo, 2012; Chauhan and Chorawala, 2012;

͹ͷ

Licht et al., 2012: Ganguly et al, 2013; Saad et al., 2013).

͹͸ ͹͹

Nowadays, the majority of prebiotics sold in the market are non-digestible

͹ͺ

oligosaccharides. Inulin, fructooligosaccharides (FOS), galactooligosaccharides (GOS),

͹ͻ

lactulose and polydextrose are recognized as the well established prebiotics, whereas

ͺͲ

isomaltooligosaccharides (IMO), xylooligosaccahrides (XOS), and lactitol are

ͺͳ

categorized as emerging prebiotics (Sabater-Molina et al., 2009; Femia et al., 2010; Xu et

ͺʹ

al., 2009). Other non-digestible oligosaccharides and sugar alcohols such as mannitol,

ͺ͵

maltodextrin, raffinose, and sorbitol have also demonstrated prebiotic properties and

ͺͶ

health benefits (Yeo and Liong, 2010; Vamanu and Vamanu, 2010; Mandal et al., 2009).

ͺͷ

However, there are few investigations on non-digestible long chain complex



ͷ

ͺ͸

carbohydrates as potential prebiotics. Resistant starch-rich whole grains can be

ͺ͹

considered as having prebiotic action since they are not absorbed in the small intestine of

ͺͺ

healthy individuals but are later fermented by gut microflora to produce short chain fatty

ͺͻ

acids (SCFAs) (Vaidya and Sheth, 2010). However, resistant starch is more regarded as a

ͻͲ

colonic food instead of a typical prebiotics because of its non-selective fermentation by

ͻͳ

all colonic bacteria and not just by probiotic bacteria (Ogueke et al., 2010). Colonic foods

ͻʹ

are defined as foods that are capable to reach the large intestine and also serve as

ͻ͵

substrate for the endogenous microorganisms (Gibson and Roberfroid, 1995).

ͻͶ

Nevertheless, there are still some non-digestible long chain complex carbohydrates that

ͻͷ

are candidates as potential prebiotics. Longer chain prebiotics can sometimes be referred

ͻ͸

as “slowly fermentable” substrates. Previous studies on potential slow fermentable

ͻ͹

substrates include long chain inulin (Van de Wiele et al., 2007), psyllium (Morita et al.,

ͻͺ

1999), arabinoxylan, an alkali-soluble polymeric fraction of corn bran (Rose et al., 2010),

ͻͻ

and long chain beta-glucan (Hughes et al., 2008). Fermentation studies of beta-glucans

ͳͲͲ

can indeed shed light on the possible use of beta-glucans as a novel source of long chain

ͳͲͳ

prebiotics. For example, the fermentability of oat beta-glucan to produce SCFAs points to

ͳͲʹ

their potential application as a prebiotic in promoting human health (Lin et al., 2011).

ͳͲ͵ ͳͲͶ

Therefore, the aims of this review were to summarize the latest findings on prebiotic

ͳͲͷ

research; to explore the potential of non-digestible long chain beta-glucans as a new

ͳͲ͸

source of prebiotics, to unravel the mechanism of their utilization by probiotic bacteria;

ͳͲ͹

and to suggest some future research directions.

ͳͲͺ



͸

ͳͲͻ

2. Current research on probiotics, prebiotics and synbiotics

ͳͳͲ

2.1 Probiotics

ͳͳͳ

Probiotics are defined as “preparations of or products containing viable, defined

ͳͳʹ

microorganisms in sufficient numbers, which alter the microflora (by implantation or

ͳͳ͵

colonization) in a compartment of the host and by that exert beneficial health effects in

ͳͳͶ

this host” (Schrezenmeir & De Vrese, 2001). A microorganism to be qualified as a

ͳͳͷ

probiotic, a number of selection criteria have to be met. Firstly, it has to be safe for

ͳͳ͸

human consumption, not conferring any pathogenic or toxic effects; secondly, it would be

ͳͳ͹

better to be originated from the intestinal tract of healthy persons so that such

ͳͳͺ

microorganisms are regarded safe for humans and best adapted to the ecology of the gut;

ͳͳͻ

thirdly, it has to be tolerant to gastric and bile acids as well as sufficiently resistant to

ͳʹͲ

digestive enzymes to enable its survival after passing the intestinal tract; and lastly,

ͳʹͳ

allowing the detection of parameters confirming a positive influence on the intestinal

ͳʹʹ

flora such as viability, adhesion to intestinal epithelial cells, and capability of

ͳʹ͵

reproduction in the human intestine (De Vrese & Schrezenmeir, 2008). A permanent

ͳʹͶ

colonization of probiotic bacteria in the large bowel is not required for attaining their

ͳʹͷ

probiotic effects, as far as there is a daily or regular bacteria supplementation (De Vrese

ͳʹ͸

& Schrezenmeir, 2008). Several microorganisms have been considered or used as

ͳʹ͹

probiotics including fungi (particularly mushroom), yeast, bacteria or mixed

ͳʹͺ

combinations. Two genera of bacteria that are mostly reported as probiotics include lactic

ͳʹͻ

acid bacteria of the genus Lactobacllus and Bifodobacterium (Ohimain & Ofongo, 2012).

ͳ͵Ͳ



͹

ͳ͵ͳ

Generally, probiotic cultures must be consumed at a level of at least 107 CFU/mL to

ͳ͵ʹ

provide the therapeutic benefits mentioned above (Lourens-Hattingh and Viljoen, 2001).

ͳ͵͵

The beneficial effects of regular consumption of probiotics include disease fighting and

ͳ͵Ͷ

prevention, nutrients absorption enhancement and other health promoting consequences

ͳ͵ͷ

(De Vrese & Schrezenmeir, 2008), with validity of scientific proofs being summarized.

ͳ͵͸

Sekhon and Jairath updated a list of all common probiotics and proven probiotic strains

ͳ͵͹

with brand name and producer in their recent review (Sekhon & Jairath, 2010).

ͳ͵ͺ

Moreover, there is an increasing diversity of probiotics being investigated in different

ͳ͵ͻ

fields. For instance, Vyas and Ranganathan presented an emerging field of probiotic

ͳͶͲ

investigation on myocardial infarction, the influence of gut microbiota alternation on

ͳͶͳ

brain and behavior, genetic disorders such as Familial Mediterranean Fever, and in

ͳͶʹ

psychological studies such as autism (Vyas & Ranganathan, 2012).

ͳͶ͵ ͳͶͶ

2.2 Prebiotics

ͳͶͷ

Prebiotics are defined as “non-digestible food ingredients that beneficially affect the host

ͳͶ͸

by selectively stimulating the growth and/or activity of one or a limited number of

ͳͶ͹

bacteria in the colon” (Gibson and Roberfroid, 1995). Recently, bioactive long chain

ͳͶͺ

complex carbohydrates (polysaccharides) from various plant materials, such as cereal,

ͳͶͻ

mushrooms, herbs, chicory root, citrus, soybeans, and potatoes, are gaining attention as

ͳͷͲ

new prebiotic alternatives (Chou et al., 2013; Gullón et al, 2013). Apart from plant origin,

ͳͷͳ

prebiotics can be synthesized by some microorganisms, mainly the exo-polysaccharides

ͳͷʹ

(EPS) from probiotic strains (Patterson & Burkholder, 2003; Patel et al., 2010; Stack et

ͳͷ͵

al., 2010). Furthermore, many research studies have indicated that polysaccharides



ͺ

ͳͷͶ

obtained from mushrooms such as Pleurotus sp. (Synytsya et al, 2009), Lentinus edodes,

ͳͷͷ

Tremella fuciformis (Guo et al, 2004), and Agaricus bisporus (Giannenas et al., 2011)

ͳͷ͸

have prebiotic activity. The active component is believed to be the long chain beta-

ͳͷ͹

glucans, including homo- and hetero-glucans with Ǫ (1ψ3), Ǫ (1ψ4), and Ǫ (1ψ6)

ͳͷͺ

glucosidic linkages (Manzi & Pizzoferrato, 2000).

ͳͷͻ ͳ͸Ͳ

Current research on prebiotics has demonstrated their diverse health implications

ͳ͸ͳ

including gut health maintenance, colitis prevention, cancer inhibition, immune-

ͳ͸ʹ

potentiation, cholesterol removal, reduction of cardiovascular disease, prevention of

ͳ͸͵

obesity and constipation, restoration of vaginal ecosystem, bacteriocin production as well

ͳ͸Ͷ

as food applications including starter culture formulations as well as in pet food and fish,

ͳ͸ͷ

poultry, pig, and cattle feed (Patel & Goyal, 2012). Nakamura and Omaye reviewed the

ͳ͸͸

potential of the involvement of intestinal bacteria in host metabolism and the preventative

ͳ͸͹

and therapeutic potentials of probiotic and prebiotic interventions for metabolic diseases

ͳ͸ͺ

such as obesity and Type II diabetes (Nakamura & Omaye, 2012). Shen and others

ͳ͸ͻ

recently have reviewed the potential of prebiotic intervention in gestational diabetes

ͳ͹Ͳ

(Shen et al., 2013). Macfarlane and others focused on the prebiotic effects on human gut

ͳ͹ͳ

functions and concluded that oligofructose, galacto-oligosaccharides and lactulose could

ͳ͹ʹ

significantly alter the large bowel microbiota by increasing the population of

ͳ͹͵

Bifidobacterium sp. and Lactobacillus sp. (Macfarlane et al, 2006). A most recent review

ͳ͹Ͷ

on the effects of the intake of prebiotics on human health with evidence-based clinical

ͳ͹ͷ

studies and the mechanisms behind their beneficial effects has been published (Slavin,

ͳ͹͸

2013). More importantly, all these authors have pointed out that research on prebiotics is



ͻ

ͳ͹͹

still at its infancy and the potential for them to modify the gut microbial balance in such a

ͳ͹ͺ

way as to bring health benefits inexpensively and safely to humans is emerging.

ͳ͹ͻ ͳͺͲ

The conventional methodologies for the production of non-digestible oligosaccharides by

ͳͺͳ

extraction and purification procedures are summarized in a review by Mussatto and

ͳͺʹ

Manciha (Mussatto & Mancilha, 2007). In addition to these traditional methods, some

ͳͺ͵

novel biotechnological approaches using recombinant enzymes, enzyme/cell

ͳͺͶ

immobilization or recombinant bacterial strains for the production of different prebiotics

ͳͺͷ

have been reviewed recently (Panesar et al., 2012). When probiotics are incorporated into

ͳͺ͸

food products, culture viability often decreases as a result of pH reduction, temperature

ͳͺ͹

lowering, nutrients inadequacy, and oxidative stress. These challenges could be

ͳͺͺ

ameliorated by the addition of prebiotics into the food matrix (Bruno et al., 2002;

ͳͺͻ

Corcoran et al., 2004; Capela et al., 2006). Further details of the technological application

ͳͻͲ

of prebiotics in this respect can be referred to a recent review by Mohammadi &

ͳͻͳ

Mortazavian (2011). Using probiotic-fermented milks as example, issues on the effects of

ͳͻʹ

the viability of probiotics, sensory attributes, physicochemical and rheological

ͳͻ͵

characteristics of the fermented milks have been addressed (Mohammadi & Mortazavian

ͳͻͶ

2011).

ͳͻͷ ͳͻ͸

The recommended doses of fifteen different prebiotics for healthy individuals and

ͳͻ͹

patients, ranging from 1-15g/day, have been suggested recently (Singh et al., 2012). To

ͳͻͺ

further evaluate the prebiotic effect, a ‘‘prebiotic index’’ (PI = E/A), which is defined as

ͳͻͻ

‘‘The increase in bifidobacteria expressed as the absolute number of “new” cfu/g of feces



ͳͲ

ʹͲͲ

(E) divided by the daily dose (g) of prebiotic ingested (A)” has been proposed

ʹͲͳ

(Roberfroid, 2007). PI is commonly used as a standard for the comparison of different

ʹͲʹ

prebiotic effects among different prebiotic carbohydrates.

ʹͲ͵ ʹͲͶ

2.3 Synbiotics

ʹͲͷ

The term synbiotics refers to products containing both probiotics and prebiotics. This

ʹͲ͸

term should be reserved for products in which the prebiotic substances are selectively

ʹͲ͹

utilized by the probiotic bacteria (Schrezenmeir & De Vrese, 2001). It has been pointed

ʹͲͺ

out in a recent review that the health effects, including modulation of intestinal flora,

ʹͲͻ

cancer prevention, immunomodulation, prevention of sepsis and bacterial translocation of

ʹͳͲ

certain potential synbiotics on animals and humans did show that the combinations of

ʹͳͳ

prebiotics and probiotics were more effective than placebo products (De Vrese &

ʹͳʹ

Schrezenmeir, 2008).

ʹͳ͵ ʹͳͶ

Based on previous clinical investigations, the applications of synbiotics in integrative

ʹͳͷ

medicine and human health include the restoration of the immune function, reduction in

ʹͳ͸

systemic inflammation, alleviation in irritable bowel disease and acute pancreatitis, etc.

ʹͳ͹

(Bengmark, 2012). A recent new concept derived from synbiotics is known as

ʹͳͺ

metabiotics, which refers to the “structural components of probiotic microorganisms

ʹͳͻ

and/or formulation of and/or signaling molecules with a determined (known) chemical

ʹʹͲ

structure that can optimize host-specific physiological functions and regulate metabolic

ʹʹͳ

and/or behavior reactions connected with the activity of host indigenous microbiota”

ʹʹʹ

(Shenderov, 2012). It is thus observed that new concepts are being proposed in the area of



ͳͳ

ʹʹ͵

pre-, pro- and synbiotics, and these products are of great potential as functional food

ʹʹͶ

ingredients (Bigliardi & Galati, 2013).

ʹʹͷ ʹʹ͸

3. Long chain beta-glucans as potential prebiotics

ʹʹ͹

3.1 Background

ʹʹͺ

Beta-glucans are polysaccharides of D-glucose monomers linked by beta-glycosidic

ʹʹͻ

linkages. It is one source of valuable dietary fiber found in cereals, yeast, mushrooms,

ʹ͵Ͳ

seaweeds and some bacteria. Chemically, beta-glucans are non-starch polysaccharides

ʹ͵ͳ

with repeating glucose residues in either linear chains or multiply branched structures

ʹ͵ʹ

with the glucose units being branched in several ways depending upon the source of

ʹ͵͵

origin. For cereal beta-glucans the chains are completely linear, consisting of

ʹ͵Ͷ

consecutively linked (via beta 1-3 linkages) of cellulosic oligomers; i.e. segments of beta

ʹ͵ͷ

1-4 linked glucose residues (Lazaridou & Biliaderis, 2007). Instead, for microbial beta-

ʹ͵͸

glucans, the beta-D-glucopyranose units are linked together through beta -(1,3) linkages

ʹ͵͹

to form a long backbone, whereas side chains mostly arise through beta -(1,6) linkages

ʹ͵ͺ

(Ahmad et al., 2012a). Beta-D-glucans can form large cylindrical molecules containing

ʹ͵ͻ

up to 250,000 glucose units (Vannucci et al., 2013).

ʹͶͲ ʹͶͳ

In 1941, there was the first discovery of a pharmaceutical insoluble yeast crude product

ʹͶʹ

called ‘Zymosan,’ which is composed of 50% glucan and other polysaccharides (Pillemer

ʹͶ͵

& Ecker, 1941). Beta-glucans are major structural components of the cell walls of

ʹͶͶ

brewers’ yeast Saccharomyces cerevisiae, fungi and some bacteria. Depending on the

ʹͶͷ

source, there are clear differences between beta-glucans in their solubility, molecular



ͳʹ

ʹͶ͸

mass, tertiary structure, degree of branching, polymer charge and solution conformation,

ʹͶ͹

all of which in turn alter their immune modulating effects (Bohn & BeMiller, 1995;

ʹͶͺ

Eccles, 2005). Accordingly, beta-glucans having a beta-(1, 3) chain with beta-(1, 6)

ʹͶͻ

branching are more effective than beta-(1, 3) linear chain alone (Bohn & BeMiller, 1995).

ʹͷͲ ʹͷͳ

The macromolecular structure of beta-glucans depends on both their sources and isolation

ʹͷʹ

methods, affecting mainly the distribution and the length of side chains, forming complex

ʹͷ͵

tertiary structures stabilized by inter-chain hydrogen bonds (Mantovani et al., 2008).

ʹͷͶ

Parameters such as primary structure, solubility, degree of branching (DB), molecular

ʹͷͷ

weight (MW), polymer charge and conformation in aqueous media are involved in

ʹͷ͸

biological activity that beta-glucan exhibits (Zekovic et al., 2005). Beta-glucans with 0.2

ʹͷ͹

 DB  0.33, 100  MW  200 kDa, and a triple-helix structure have greater biological

ʹͷͺ

activities than linear beta-glucan molecules (Zekovic et al., 2005). The solubility of beta-

ʹͷͻ

glucans is associated with the degree of polymerization (DP). Beta-glucans are

ʹ͸Ͳ

completely insoluble in water when DP > 100.

ʹ͸ͳ ʹ͸ʹ

Cereal beta-glucans have been demonstrated to have prebiotic properties owing to their

ʹ͸͵

ability to pass undigested through the gastro-intestinal tract (GIT), where they act as a

ʹ͸Ͷ

substrate for microbial fermentation and selectively stimulate the growth and activity of a

ʹ͸ͷ

small number of beneficial bacteria (Gibson, 2004). The use of beta-glucans derived from

ʹ͸͸

cereals as a source of fermentable substrates for the growth of probiotic microorganisms

ʹ͸͹

has been reviewed recently (Bigliardi & Galati, 2013). The beta-glucans extracted from

ʹ͸ͺ

the fruiting body of Pleurotus mushrooms. (pleuran) have also been used as food



ͳ͵

ʹ͸ͻ

supplements due to their immunosuppressive activity and stimulation of probiotics (Patel

ʹ͹Ͳ

& Goyal, 2012). Similar beta-glucan extracts from Pleurotus species including P.

ʹ͹ͳ

ostreatus and P. eryngii, have been explored for their effects on human health (Synytsya

ʹ͹ʹ

et al. 2009). The use of beta-glucans from different mushroom species as a potential

ʹ͹͵

source of prebiotics was firstly published 5 years ago (Aida et al., 2009).

ʹ͹Ͷ ʹ͹ͷ

Furthermore, beta-glucans have been well investigated in other fields. Recently, the

ʹ͹͸

applications of beta-glucans in cosmetics (Du et al., 2013) and food industries (Ahmad et

ʹ͹͹

al., 2012b) have been reviewed. Some beta-glucan products such as Ceapro from oat

ʹ͹ͺ

(Morgan & Ofman, 1998; Tomasik & Tomasik, 2003), Glucagel from barley (Morgan &

ʹ͹ͻ

Ofman, 1998), and Betamune from Yeast (Vetvicka et al., 2008) have been

ʹͺͲ

commercialized. More recently, the application of beta-glucans as an immune-stimulant

ʹͺͳ

in aquaculture to enhance productivity has been published (Meena et al., 2013).

ʹͺʹ ʹͺ͵

3.2 Health benefits of beta-glucans

ʹͺͶ

Cumulative evidence obtained from animal models and human intervention studies

ʹͺͷ

strongly suggest the immunostimulatory effect of beta-glucans and the relevant

ʹͺ͸

knowledge has been summarized in several recent reviews (Volman et al, 2008; Ramberg

ʹͺ͹

et al., 2010; Di Bartolomeo et al., 2012; Licht et al., 2012; Daou & Zhang, 2012). Most

ʹͺͺ

recently, the effect of consumption of brewers’ yeast beta-(1, 3)-(1, 6)- D-glucan on the

ʹͺͻ

number of common cold episodes in healthy subjects was investigated using a placebo-

ʹͻͲ

controlled, double-blind, randomized, multicentric clinical trial which demonstrated that



ͳͶ

ʹͻͳ

yeast beta-glucan preparation increased the human potential to defend against invading

ʹͻʹ

pathogens (Auinger et al, 2013).

ʹͻ͵ ʹͻͶ

Structure-function relationships have been studied among different beta-glucans, which

ʹͻͷ

offer plausible explanations of their different potency in health promoting effects as they

ʹͻ͸

relate to molecular structure of the polysaccharides. A recent review has summarized the

ʹͻ͹

beneficial influence of beta-glucans with different structures and the related potency in

ʹͻͺ

different biological functions (Zhang et al., 2007; Ahmad et al., 2012b; Du et al., 2013).

ʹͻͻ

For example, glucans with beta-(1, 3) (1, 6) linkages are found to have stronger anti-

͵ͲͲ

tumor property (Chan et al, 2009) and both beta-glucans with beta-(1, 3) (1, 4) and beta-

͵Ͳͳ

(1, 3) (1, 6) linkages are found to have greater immune-modulating potency (Rieder &

͵Ͳʹ

Samuelsen, 2012) and blood cholesterol lowering capacity (Chen & Seviour, 2007). Both

͵Ͳ͵

barley and oat kernel derived beta-glucans were found in vitro to inhibit cytokine-induced

͵ͲͶ

protein expression of adhesion molecules in human aortic endothelial cells in a

͵Ͳͷ

concentration- and molecular structure-dependent manner (Lazaridou et al., 2011); i.e.

͵Ͳ͸

the experimental data suggested that soluble cereal beta-glucans could act beneficially in

͵Ͳ͹

inhibiting the early stages of atherosclerosis, with the barley polysaccharides showing

͵Ͳͺ

greater physiological potency than the respective oat beta-glucans of similar molecular

͵Ͳͻ

weight. Anti-tumor property is another light-spotting field of interests on beta-glucans

͵ͳͲ

research. Recent scientific research in Japan and China has been focused more on the

͵ͳͳ

anti-tumor potentials and showed the effects of these specific beta-glucans to be

͵ͳʹ

comparable to chemotherapy and radiation, but without the side effects of the latter

͵ͳ͵

treatments (Tzianabos, 2000; Chung et al., 2010). The characteristics of beta-glucans



ͳͷ

͵ͳͶ

from fungal mycelial walls as modulators of the immunity and their possible use as

͵ͳͷ

antitumor agents have been summarized most recently (Vannucci et al., 2013). The

͵ͳ͸

beneficial effects of beta-glucans are not only limited in immunomodulation and

͵ͳ͹

anticancer activities. The effects of pleuran (a type of beta-glucans from Pleurotus

͵ͳͺ

ostreatus) supplementation on cellular immune response and respiratory tract infections

͵ͳͻ

in athletes have been reported (Bergendiova et al., 2011), depicting the possible

͵ʹͲ

association between beta-glucan consumption and enhanced performance in sports.

͵ʹͳ ͵ʹʹ

Beta-glucans activity was studied mainly in human cell culture and animal models with

͵ʹ͵

comparatively fewer human studies (Wasser, 2011). It was revealed that stronger anti-

͵ʹͶ

tumor activity was observed with beta-glucans linked with proteins compared to pure

͵ʹͷ

beta-glucans in clinical trials (Jeurink et al., 2008). However, the molecular mechanism

͵ʹ͸

behind this is still not yet understood in spite of increasing evidence from phenotypic

͵ʹ͹

studies. Results from human studies are accumulating rapidly. The applications of beta-

͵ʹͺ

glucans in cancer therapy, based on clinical trials and epidemiological data assessing the

͵ʹͻ

efficacy and safety of mushroom-derived beta-glucans in cancer treatment and

͵͵Ͳ

prevention, have been recently reviewed (Aleem, 2013).

͵͵ͳ ͵͵ʹ

Apart from exerting the health-related benefits mentioned above, beta-glucans may also

͵͵͵

provide their health promoting effects by their action as potential prebiotics. Details of

͵͵Ͷ

the recent studies in this aspect will be discussed later. However, it is worth mentioning

͵͵ͷ

that since beta-glucans are fermented in the colon by the gut microbiome, it is certain that

͵͵͸

their consumption could cause flatulence, bloating, and abdominal cramps if their dietary



ͳ͸

͵͵͹

intake is suddenly increased. Based on some human intervention studies, it has been

͵͵ͺ

concluded that the consumption of a daily dose of up to 10 g of beta-glucans by humans

͵͵ͻ

is well tolerated and even a higher consumption level of beta-glucans might not be

͵ͶͲ

harmful for human health (Cloetens et al, 2012). It should be also emphasized that a dose

͵Ͷͳ

higher than 10 g/day is uncommon in a single meal (Cloetens et al, 2012). Due to its

͵Ͷʹ

health promoting effects, there is an increasing trend of consumption of beta-glucans as

͵Ͷ͵

dietary supplements in the functional food markets.

͵ͶͶ ͵Ͷͷ

3.3 Sources and preparations of beta-glucans

͵Ͷ͸

3.3.1 Sources

͵Ͷ͹

Sources for beta-glucans are quite diversified (Ahmad et al, 2012a). The major sources

͵Ͷͺ

for beta-glucans are from cereals, especially oat and barley, which have very high beta-

͵Ͷͻ

glucan content (Lazaridou & Biliaderis, 2007). Beta-glucans can also be extracted from

͵ͷͲ

rye and rice, with the latter being marketed in the name of ‘NutrimXe’ (Inglett et al.,

͵ͷͳ

2004). Among these sources, the content of beta-glucans differs from cultivar to cultivar

͵ͷʹ

(Zhang et al., 2002) and varies in different parts of the plant such as the kernels and bran

͵ͷ͵

in barley (Wirkijowska et al., 2012).

͵ͷͶ ͵ͷͷ

During the extraction of beta-glucans, the extraction yield varies and depends upon on the

͵ͷ͸

botanical sources, temperature, and pH (Zhang et al., 2002; Temelli, 1997). Extraction

͵ͷ͹

yield of beta-glucans from oat can be 50 to 80%, while that of barley ranges from 70 to

͵ͷͺ

80% (Freimund et al., 2003). Extraction of beta-glucans from Saccharomyces cerevisiae

͵ͷͻ

could give up to 87% -glucans (Freimund et al., 2003).



ͳ͹

͵͸Ͳ ͵͸ͳ

Recently, beta-glucans obtained from edible mushrooms (or edible fungi) have attracted

͵͸ʹ

much research interest because mushrooms are a good source of beta-glucans. The most

͵͸͵

renowned edible mushroom sources include Agaricus brasiliensis (Kodama et al, 2003),

͵͸Ͷ

Pleurotus tuberregium (Zhang et al, 2004), Grifola frondosa (Kodama et al., 2003),

͵͸ͷ

Lentinus edodes (Chihara, 1993), Pleurotus eryngii (Synytsya et al., 2009) and Pleurotus

͵͸͸

ostreatus (Carbonero et al., 2006; Yoshioka et al., 1985; Synytsya et al., 2009; Tong et

͵͸͹

al., 2009). A review on the beta-glucans content of these mushrooms has been published

͵͸ͺ

recently (Aida et al., 2009). The pharmacological effects of beta-glucans including

͵͸ͻ

antimicrobial, antiviral, antitumor, antiallergic, immunomodulating, anti-inflammatory,

͵͹Ͳ

antiatherogenic, hypoglycemic, and hepatoprotective have also been reported (Lindequist

͵͹ͳ

et al., 2005). A few fungal sources that are not used for edible purpose can also be used

͵͹ʹ

for extraction of beta-glucans including Termitomyces eurhizus (Chakraborty et al.,

͵͹͵

2006), Penicillium chrysongenum (Wang et al, 2002). Table 1 summarizes the source and

͵͹Ͷ

chemical structure of some native and modified beta-glucans available in the current

͵͹ͷ

market.

͵͹͸ ͵͹͹

3.3.2 Preparations

͵͹ͺ

The most direct method to obtain beta-glucans is to extract them from natural sources.

͵͹ͻ

However, isolation and purification of beta-glucans are complicated involving different

͵ͺͲ

extraction procedures using acids, alkalis and enzymes. Generally, extraction of beta-

͵ͺͳ

glucans relies on the solubility of beta-glucans in hot water or in alkaline solutions and

͵ͺʹ

the removal of non-targeted contaminants such as proteins. For example, dissolved



ͳͺ

͵ͺ͵

proteins can be removed by isoelectric precipitation, and then beta-glucans can be

͵ͺͶ

precipitated by ammonium sulphate, 2-propanol, or ethanol (Wood et al., 1978).

͵ͺͷ

Repeated precipitations and enzymatic hydrolysis of residual starch and proteins have

͵ͺ͸

been demonstrated to yield beta-glucans isolates with purity greater than 90% (Wood et

͵ͺ͹

al., 1991; Westerlund et al., 1993; Lazaridou & Biliaderis, 2007).

͵ͺͺ ͵ͺͻ

Alkaline extraction of beta-glucans has also been widely employed. Extraction with

͵ͻͲ

distilled water, by adjusting the pH to 10 with 20% sodium carbonate, was used to extract

͵ͻͳ

beta-glucans from oat bran, with a yield of 61% of crude beta-glucans. A beta-glucan

͵ͻʹ

isolate with a 84% purity was obtained by centrifugation, termamyl addition and alcohol

͵ͻ͵

precipitation after acidification using 2M hydrochloric acid to pH 4.5 (Bhatty, 1993).

͵ͻͶ

Similar methodologies have been further developed to improve the yield of beta-glucans

͵ͻͷ

extraction by alcohol precipitation (Beer et al., 1996). Another method to extract beta-

͵ͻ͸

glucans from the fruiting bodies of Pleurotus sajorcaju using cell wall-degrading

͵ͻ͹

enzymes (xylanase and cellulose) was developed to produce beta-glucans with a purity of

͵ͻͺ

up to 90.2% with enhanced immunostimulatory activity in a macrophage cell culture

͵ͻͻ

model (Satitmanwiwat et al., 2012). When comparing extraction methods using acids,

ͶͲͲ

alkalis, or enzymes, it was reported that enzymatic extraction was the best because it did

ͶͲͳ

not only give the highest yield but also removed most residual starch, fat, and pentosans

ͶͲʹ

during the extraction process (Ahmad et al., 2010). In a recent review, a comprehensive

ͶͲ͵

list of all recent extraction and purification processes of beta-glucans with their sources,

ͶͲͶ

salient features of the extraction process has been given (Ahmad et al., 2012b). This



ͳͻ

ͶͲͷ

review also summarizes the differences in the molecular weight of beta-glucans obtained

ͶͲ͸

by the different methods and from different sources (Ahmad et al., 2012b).

ͶͲ͹ ͶͲͺ

In addition to the conventional production of beta-glucans by extraction from natural

ͶͲͻ

sources, beta-glucans can also be synthesized from microorganisms. The synthesis of

ͶͳͲ

beta-(1, 3)-D-glucans by lactic acid bacteria using a recombinant probiotic strain

Ͷͳͳ

Lactobacillus paracasei NFBC 338, which contains the Pediococcus parvulus

Ͷͳʹ

glycosyltransferase gene responsible for beta-glucans production was reported recently

Ͷͳ͵

(Kearney et al., 2011). Such synthesized beta-glucan could increase the viability of

ͶͳͶ

probiotic bacteria and did not alter the functional properties of the food products

Ͷͳͷ

(Kearney et al., 2011).

Ͷͳ͸ Ͷͳ͹

3.4 Recent studies on the beta-glucans as prebiotics

Ͷͳͺ

Beta-glucans can show prebiotic characteristics when incorporated into food products.

Ͷͳͻ

There is growing market for food products having probiotics and prebiotics in their

ͶʹͲ

formulations. Such products are available in large food stores across the world in the

Ͷʹͳ

form of fresh and fermented milk products (e.g., yoghurts, kefir), fruit juices and so on

Ͷʹʹ

(Tomasik & Tomasik, 2003).

Ͷʹ͵ ͶʹͶ

In the 1990s, many studies have pointed out the phenotypic response of beta-glucans as

Ͷʹͷ

fermentation substrate. Lichenase hydrolysates of oat beta-glucans and xylans were also

Ͷʹ͸

studied as selective substrates for Bifidobacterium sp. and Lactobacillus sp. strains

Ͷʹ͹

(Jaskari et al, 1998). In this study, low molecular weight oat beta-glucooligomers and



ʹͲ

Ͷʹͺ

xylooligomers both enhanced the growth of probiotic strains, but not to a significant level

Ͷʹͻ

compared to raffinose and fructooligomers (Jaskari et al, 1998). In another study, glucans

Ͷ͵Ͳ

with beta-(1, 4) linkages were shown to be cleaved more slowly by beta-galactosidase of

Ͷ͵ͳ

B. bifidum compared to beta-(1, 3) and beta-(1, 6) linkages (Dumortier et al, 1994). The

Ͷ͵ʹ

beta-(1, 3) and beta-(1, 6) linkages have also been described as being more selectively

Ͷ͵͵

hydrolyzed by the enzymic systems of Bifidobacterium sp. (Rowland & Tanaka, 1993).

Ͷ͵Ͷ Ͷ͵ͷ

In the late 1990s and early 2000s, beta-glucans have been reported as a potential

Ͷ͵͸

prebiotic, selectively promoting the growth of beneficial intestinal microorganisms such

Ͷ͵͹

as lactobacilli and bifidobacteria according to some in vitro studies (Jaskari et al., 1998;

Ͷ͵ͺ

Kontula et al., 1998b) and animal experiments (Dongowski et al., 2002; Drzikova et al.,

Ͷ͵ͻ

2005; Snart et al., 2006). Beta-glucans (Su et al., 2007), and especially their oligomeric

ͶͶͲ

fragments (Grootaert et al., 2007; Kontula et al., 1998a; Lee et al., 2002; Manderson et

ͶͶͳ

al., 2005; Olano-Martin et al., 2002) have been also proposed as prebiotics. In 2009,

ͶͶʹ

Synytsya and others (2009) have used different extraction methods to obtain beta-glucans

ͶͶ͵

from Pleurotus sp. (pleuran) and demonstrated their prebiotic effects using nine probiotic

ͶͶͶ

strains of Lactobacillus, Bifidobacterium and Enterococcus, showing different substrate

ͶͶͷ

dependency of their growth and strain specificity.

ͶͶ͸ ͶͶ͹

At present, active research on beta-glucans as potential source of prebiotics is still going

ͶͶͺ

on. The most updated research studies have been summarized in Table 2, involving both

ͶͶͻ

basic research and clinical studies. Currently, research on beta-glucans as a potential

ͶͷͲ

source of prebiotics is shifting from basic studies towards human clinical work. For basic



ʹͳ

Ͷͷͳ

research studies, there is also an increasing effort to unravel the molecular mechanism

Ͷͷʹ

behind the selective fermentation of beta-glucans by different probiotic bacterial strains.

Ͷͷ͵ ͶͷͶ

4. Structure–function relationships

Ͷͷͷ

4.1 Pathways for bacterial fermentation of beta-glucans

Ͷͷ͸

There is detailed structural information on beta-glucans from different sources obtained

Ͷͷ͹

by modern analytical techniques (Satitmanwiwat et al., 2012). For example, enzymic

Ͷͷͺ

digestion (lichenase) combined with high performance liquid chromatography (HPLC)

Ͷͷͻ

analysis of the oligosaccharides in the hydrolyzate as well as nuclear magnetic resonance

Ͷ͸Ͳ

(NMR) analysis of beta-glucans from oat and other cereal grains revealed that cello-

Ͷ͸ͳ

oligosaccharides are joined by beta-(1,3) linkages and that the main components of cereal

Ͷ͸ʹ

beta-glucans are cellotri- and cellotetrasaccharides (95% of the whole beta-glucan)

Ͷ͸͵

(Wood et al., 1991; Johansson et al., 2000; Lazaridous & Biliaderis, 2007). Although

Ͷ͸Ͷ

there has been some research interest in the structure-function relationships of prebiotics

Ͷ͸ͷ

such as FOS and GOS in terms of specific enzymes or transporters that are present in the

Ͷ͸͸

bacteria for their utilization (Rastall & Maitin, 2002; Van den Broek et al., 2008a; Van

Ͷ͸͹

Den Broek & Voragen, 2008b), it is clear that more work is needed to fully elucidate the

Ͷ͸ͺ

roles of cell-associated enzymes and prebiotic transport systems. Besides the differences

Ͷ͸ͻ

in fermentation selectivity among the various strains of probiotic microorganisms, there

Ͷ͹Ͳ

are some key studies on oligosaccharides, comparing the structural characteristics with

Ͷ͹ͳ

their fermentation selectivity, primarily in relation to the monosaccharide composition,

Ͷ͹ʹ

glycosidic linkage, and molecular mass of the prebiotics (Sarbini & Rastall, 2011).

Ͷ͹͵



ʹʹ

Ͷ͹Ͷ

Our current understanding of prebiotic substances is that low-molecular-mass

Ͷ͹ͷ

oligosaccharides are more rapidly and more selectively fermented by bifidobacteria and

Ͷ͹͸

lactobacilli than their high-molecular-weight counterparts. This property may be due to

Ͷ͹͹

the fact that the low molecular mass substrates have more non-reducing ends per unit

Ͷ͹ͺ

mass, which favors a more rapid attack by the exo-acting enzymes produced by probiotic

Ͷ͹ͻ

organisms (Gibson, 2004). However, the detailed mechanism on bacterial selective

ͶͺͲ

fermentation of beta-glucans remains unclear and there are many research challenges for

Ͷͺͳ

further study in this area.

Ͷͺʹ Ͷͺ͵

In our laboratory, beta-glucans obtained from barley, seaweed, bacteria, and mushroom

ͶͺͶ

sclerotia were incubated with pure cultures of Bifidobacterium infantis, Bifidobacterium

Ͷͺͷ

longum, and Bifidobacterium adolescentis for a 24-hour batch fermentation in order to

Ͷͺ͸

evaluate their bifidogenic effect with inulin as the positive control (Zhao & Cheung,

Ͷͺ͹

2011). The results showed that the utilization of all the beta-glucans isolated from

Ͷͺͺ

different sources regardless of their differences in glycosidic linkages and molecular

Ͷͺͻ

weight by all three bifidobacteria was comparable to that of inulin (Zhao & Cheung,

ͶͻͲ

2011). A plausible explanation for these observations might be the similarity of enzymic

Ͷͻͳ

and transporter systems of the different bifidobacterial species investigated.

Ͷͻʹ Ͷͻ͵

In the last decade, “omics approaches” have inuenced tremendously the way of studying

ͶͻͶ

the biology of microorganisms including probiotics. The “omics approach” is a powerful

Ͷͻͷ

tool to reveal the molecular mechanism behind (Mozzi et al, 2012). A recent review

Ͷͻ͸

summarized different “omics approaches” in the microbiological field and suggested the



ʹ͵

Ͷͻ͹

requirement of systematic omic measurements at different areas and at different time-

Ͷͻͺ

points can help resolved different omics profiles (genomics, transcriptomics, proteomics

Ͷͻͻ

and metabolomics) of samples, employing a discovery-driven approach instead of

ͷͲͲ

traditional targeted investigation (Muller et al., 2013). Recently, Van de Guchte and

ͷͲͳ

others reviewed different proteomics-based methods to gain understanding of the

ͷͲʹ

mechanisms underlying the characteristics of probiotic bacteria, such as gel

ͷͲ͵

electrophoresis, mass spectrometry based proteomics, stable isotope labeling with amino

ͷͲͶ

acids in cell culture, shaving (the use of bead-anchored trypsin to digest cell surface

ͷͲͷ

proteins, followed by mass spectrometry analysis and comparison with computer

ͷͲ͸

stimulated trypsin digestion of selected proteins in database), proteome fractionation and

ͷͲ͹

in silico proteomics (Van de Guchte et al, 2012). Siciliano & Mazzeo (2012) also

ͷͲͺ

summarized the different microbial proteomics strategies that can be possibly employed

ͷͲͻ

to investigate molecular mechanisms underlying the probiotic effects. These proteomic

ͷͳͲ

approaches allow us to better understand how probiotic bacteria can adapt to the harsh

ͷͳͳ

physical–chemical environment of the gastro-intestinal tract, adhere to host epithelial

ͷͳʹ

cells and intestinal mucosa and exert immunomodulatory properties (Siciliano & Mazzeo,

ͷͳ͵

2012).

ͷͳͶ ͷͳͷ

Most recently, our group elucidated the metabolic pathway of beta-glucan catabolism in

ͷͳ͸

the widely used probiotic B. longum subsp. infantis using a comparative proteomic

ͷͳ͹

analysis along with two-dimensional gel electrophoresis, real-time reverse transcription-

ͷͳͺ

polymerase chain reaction (real-time RT-PCR) for validation, and enzyme activity assay

ͷͳͻ

on samples obtained from cultures grown on beta-glucans derived from barley, seaweed,



ʹͶ

ͷʹͲ

and mushroom (Zhao & Cheung, 2013). On the basis of the above results, a model for

ͷʹͳ

catabolism of beta-glucans in B. infantis is proposed as follows (Figure 1): beta-glucan

ͷʹʹ

molecules in the medium are transported into the cell through the ABC (ATP-binding

ͷʹ͵

cassette) transport system and PTS (phosphotransferase system) proteins followed by

ͷʹͶ

hydrolysis through the action of intracellular glucanase to glucose, which is subsequently

ͷʹͷ

incorporated into the central fermentative pathway ‘bifid shunt’. This study for the first

ͷʹ͸

time reveals the possible degradation pathway of beta-glucans by B. infantis, which has

ͷʹ͹

implications for potential use of these beta-glucans as novel prebiotics in development of

ͷʹͺ

synbiotic formulations (Zhao & Cheung, 2013).

ͷʹͻ ͷ͵Ͳ

The proposal of biochemical pathways with relevant enzymes and transporters

ͷ͵ͳ

participating in beta-glucans catabolism can be regarded as the first step to elucidate the

ͷ͵ʹ

mechanism. However, validation of pathways by employing genetic manipulation of

ͷ͵͵

probiotic organisms must be performed. In addition, the use of novel meta-omics

ͷ͵Ͷ

approaches (Sánchez et al., 2013) including metagenomics, metaproteomics and

ͷ͵ͷ

metatranscriptomics, as well as focus on the analysis of the biological molecules in

ͷ͵͸

complex microbial communities, are worth mentioning (Del Chierico et al., 2012;

ͷ͵͹

McNulty et al., 2011; Wu, et al., 2011) Although these approaches are still nascent

ͷ͵ͺ

disciplines, they are expected to gain a deeper insight into the role of probiotics and their

ͷ͵ͻ

relationships with our bacterial community and human physiology.

ͷͶͲ ͷͶͳ

4.2 New approaches for pathways validations



ʹͷ

ͷͶʹ

The carbohydrates uptake, transport, and substrate utilization capability of a probiotic

ͷͶ͵

bacterium is considered as a competitive edge in the host gut for microbial adaptation.

ͷͶͶ

For example, more than 10% of bifidobacterial genome encodes related enzymes and

ͷͶͷ

transporters (Schell et al. 2002). Different probiotic bacteria show capabilities of

ͷͶ͸

utilization of different sources of carbohydrates. For instance, Lactobacillus plantarum

ͷͶ͹

adapts to many different environments and thus it encodes a large number of enzymes for

ͷͶͺ

utilization of many different carbohydrates (Kleerebezem et al. 2003). Furthermore, most

ͷͶͻ

carbohydrate-digesting genes are present as gene clusters or as operons. The L.

ͷͷͲ

acidophilus msm operon is an example for FOS metabolism (Barrangou et al. 2003).

ͷͷͳ

Similar response might take place for probiotic organisms fermenting beta-glucans.

ͷͷʹ ͷͷ͵

The “omics approach” is a powerful tool to construct possible pathways from the

ͷͷͶ

knowledge of relative expression of particular biomolecules of interests. Omics

ͷͷͷ

methodologies comprise high-throughput techniques directed to understand the cell

ͷͷ͸

metabolism as one integrated system, rather than merely a collection of independent

ͷͷ͹

parts, by using information about the relationships between different molecules (Zhang et

ͷͷͺ

al., 2010). However, validation of any proposed metabolic pathways for prebiotic

ͷͷͻ

fermentation is the direct evidence and it is essential to confirm the function of all the

ͷ͸Ͳ

participating biomolecules involved in the proposed pathways.

ͷ͸ͳ ͷ͸ʹ

In molecular biology, the golden standard method to determine the function of predicted

ͷ͸͵

genes and establish which genes are essential under specific environmental conditions is

ͷ͸Ͷ

to disrupt the candidate genes and determine the phenotypic changes. However, in order



ʹ͸

ͷ͸ͷ

to perform such functional genomic investigations, it will be necessary to develop

ͷ͸͸

effective genetic tools such as highly efficient transformation protocols and to implement

ͷ͸͹

effective gene knockout methodologies for probiotics (Law et al., 1995; Serafini et al.,

ͷ͸ͺ

2012). Such reverse genetic approach can be exemplified by a recent review on lactic

ͷ͸ͻ

acid bacteria engineering (Bron & Kleerebezem, 2011).

ͷ͹Ͳ ͷ͹ͳ

Recently, there is an increasing number of studies on the forward genetics investigation

ͷ͹ʹ

of probiotic bacteria, especially bifidobacteria by bacterial conjugation (Dominguez &

ͷ͹͵

O’Sullivan, 2013) with the machinery composed of an oriT sequence and tra genes

ͷ͹Ͷ

(Smillie et al., 2010). There is also an earlier review on bacterial conjugation for Gram-

ͷ͹ͷ

positive bacteria (Schröder & Lanka, 2005). Other approaches including transformation,

ͷ͹͸

reporter systems, heterologous gene expression and mutagenesis, using bifidobacteria as

ͷ͹͹

an example, have been reviewed (Cronin et al., 2011). Most recently, a group of scientists

ͷ͹ͺ

described the generation of transposon insertion mutants in two bifidobacterial strains, B.

ͷ͹ͻ

breve UCC2003 and B. breve NCFB2258 and reported the creation of the first transposon

ͷͺͲ

mutant library in a bifidobacterial strain, using the B. breve UCC2003 and a Tn5- based

ͷͺͳ

transposome strategy (Ruiz et al., 2013). The usefulness of this library to perform

ͷͺʹ

phenotypic screenings was confirmed through identification and analysis of mutants

ͷͺ͵

defective in D-galactose, D-lactose or pullulan utilization abilities (Ruiz et al., 2013). The

ͷͺͶ

same group of scientists have also developed an efficient and reproducible conjugation-

ͷͺͷ

based gene transfer system for bifidobacteria based on the RP4 conjugative machinery in

ͷͺ͸

the Escherichia coli strain WM3064 (pBB109) and this novel conjugative gene transfer

ͷͺ͹

protocol can be used for the introduction of genetic material into Bifidobacterium species



ʹ͹

ͷͺͺ

and is particularly useful for strains that are recalcitrant to electroporation (Dominguez &

ͷͺͻ

O’Sullivan, 2013). With so many genetic tools being developed by different scientists,

ͷͻͲ

the function of particular genes or proteins can be elucidated with ease.

ͷͻͳ ͷͻʹ

In addition, massively parallel sequencing has been combined with traditional transposon

ͷͻ͵

mutagenesis (Van Opijnen & Camilli, 2013). These techniques can be referred to as

ͷͻͶ

transposon sequencing (Tnಣseq), highಣthroughput insertion tracking by deep sequencing

ͷͻͷ

(HITS), insertion sequencing (INSeq) and transposonಣdirected insertion site sequencing

ͷͻ͸

(TraDIS), making it possible to identify putative gene functions in a highಣthroughput

ͷͻ͹

manner (Van Opijnen & Camilli, 2013).

ͷͻͺ ͷͻͻ

4.3 Molecular mechanism of beta-glucan fermentation at protein level

͸ͲͲ

Carbohydrates are biomolecules involved in many life processes such as metabolism,

͸Ͳͳ

structural support, energy storage, antibiosis, immunological recognition, targeting,

͸Ͳʹ

attachment, etc. To exert these multiple cellular functions, several carbohydrate-active

͸Ͳ͵

proteins have acquired non-catalytic modules that interact very specifically with mono-,

͸ͲͶ

oligo-, and polysaccharides. In general, these carbohydrate-binding modules (CBM) are

͸Ͳͷ

auxiliary domains with autonomous folding and skilled recognition of the heterogeneous

͸Ͳ͸

and complex carbohydrate arrangement (Boraston et al. 2004).

͸Ͳ͹ ͸Ͳͺ

In carbohydrate-active enzymes (CAZymes) like glycoside hydrolases or glycosyl

͸Ͳͻ

transferases, CBMs can be localized at the N- or C-terminal end of these proteins (Abe et



ʹͺ

͸ͳͲ

al. 2004; Juge et al. 2002). Certainly, the main function of CBMs is to recognize and bind

͸ͳͳ

specifically to carbohydrates. The biological consequences of this event result in different

͸ͳʹ

functions, such as increased hydrolysis of insoluble substrates, bringing the catalytic

͸ͳ͵

domain in close proximity to the substrate, substrate structure disruption, and so on

͸ͳͶ

(Guillén et al., 2010). Relevant information on CBM, focusing on the biological

͸ͳͷ

importance of CBMs–ligand interactions, including the basis of modern classification and

͸ͳ͸

the function of these versatile proteins, can be found in a comprehensive review (Guillén

͸ͳ͹

et al., 2010). Enzymes that are believed to function against beta-glucans include

͸ͳͺ

endoglucanases and exoglucanases (Boraston et al. 2002; Cosgrove 2005; Barral et al.

͸ͳͻ

2005). CBMs have been classified based on amino acid similarity. In the latest update of

͸ʹͲ

the CAZY database (July 3rd, 2013), a total of 30,581 CBMs were grouped into 67

͸ʹͳ

families (http://www.cazy.org). The information in this database is continuously updated

͸ʹʹ

so that new families are frequently added (Cantarel et al. 2009). Among all the different

͸ʹ͵

types of CBMs, Type B CBMs is responsible for the recognition of substrates like beta-

͸ʹͶ

(1, 3)- glucans, mixed beta-(1,3)(1,4)-glucans, beta-1,4-mannan, glucomannan, and

͸ʹͷ

galactomannan (Boraston et al, 2002; Guillén et al., 2010).

͸ʹ͸ ͸ʹ͹

A very good example of beta-glucan catabolic enzymes is the Family 3 of glycosyl

͸ʹͺ

hydrolases (GH3), which consists of nearly 44 beta-glucosidases and hexosaminidases

͸ʹͻ

from bacteria, molds, and yeasts. Most of the fungal beta-glucosidases studied belong to

͸͵Ͳ

GH3. Structural data on representatives of GH3 are still scarce, since only three of their

͸͵ͳ

structures are known and only one of them has been thoroughly characterized, which is

͸͵ʹ

the beta-D-glucan-(exo1-3, 1-4)-glucanase (Exo 1) from Hordeum vulgare, which



ʹͻ

͸͵͵

catalyzes the hydrolysis of cell-wall polysaccharides (Bhatia et al., 2002). The enzyme

͸͵Ͷ

consists of N-terminal (alpha/beta) 8 trans-membrane barrel domain and a C-terminal

͸͵ͷ

domain of six stranded beta sandwich. The non-homologous region, a helix-like strand of

͸͵͸

16 amino acid residues, connects the two domains (Bhatia et al., 2002). The catalytic

͸͵͹

center is located in the pocket at the interface of the two domains with Asp285 in the N-

͸͵ͺ

terminal domain acting as a catalytic nucleophile, while Glu491 in the C-terminal domain

͸͵ͻ

acting as a proton donor (Varghese et al., 1999). A more detailed discussion on glycosyl

͸ͶͲ

hydrolases (GH) such as classification, different structure isoforms and cloning

͸Ͷͳ

approaches, can be found in a recent review by Singhania and others (Singhania et al,

͸Ͷʹ

2013). Moreover, an earlier review on the carbohydrate-binding module (CBM) for

͸Ͷ͵

alpha-glucans might shed light on the future studies on beta-glucans CBM using similar

͸ͶͶ

approaches such as in silico prediction (such as the prediction of the CBMs from the

͸Ͷͷ

amino acid sequence of proteins, based on homology of conserved sequences),

͸Ͷ͸

evolutionary analysis, three-dimensional structure analysis, docking, determination of the

͸Ͷ͹

binding constants, stoichiometry, and thermodynamics (Christiansen et al, 2009).

͸Ͷͺ ͸Ͷͻ

Further studies on the roles played by particular enzymes or transporters in probiotics

͸ͷͲ

especially at a protein level during fermentation of beta-glucans are required.

͸ͷͳ ͸ͷʹ

5. Conclusion and future perspectives

͸ͷ͵

The introduction of functional compounds like prebiotics in the diet seems to be an

͸ͷͶ

attractive alternative to ameliorate the quality of life ridden with obesity, cancer,

͸ͷͷ

hypersensitivity, vascular diseases and degenerative ailments. For example, beta-glucans



͵Ͳ

͸ͷ͸

have demonstrated beneficial effects to human health especially due to their immune-

͸ͷ͹

stimulatory effects. There is also an accumulating evidence suggesting beta-glucans as

͸ͷͺ

potential source of prebiotics. However, the molecular mechanism behind how the beta-

͸ͷͻ

glucans are being utilized by specific probiotics is still not fully understood. The

͸͸Ͳ

employment of the “omics approach”, forward or reverse genetic approach and deeper

͸͸ͳ

understanding of the mechanism at a protein level may shed light to the detailed function

͸͸ʹ

of the beta-glucans as prebiotics.

͸͸͵ ͸͸Ͷ

Also, modification of the chemical structure of prebiotics might alter their bioactivities.

͸͸ͷ

Modification of beta-glucans has not yet received much attention in the field of prebiotic

͸͸͸

research. Physical (reduction in molecular mass, branching), chemical (addition of

͸͸͹

functional groups), and biochemical (enzymatic treatment) modifications might enhance

͸͸ͺ

the probiogenic property of beta-glucans. It is anticipated that the potential use of beta-

͸͸ͻ

glucans as prebiotics will continue to draw much attention in the near future.

͸͹Ͳ



͵ͳ

͸͹ͳ

Figure captions

͸͹ʹ

Figure 1: Schematic representation of the proposed catabolic pathway of beta-glucans

͸͹͵

by B. infantis. Enzymes involved in the carbohydrate catabolism are denoted by numbers:

͸͹Ͷ

1, glucokinase; 2, glucose-6-phosphate isomerase; 3, fructose-6-phosphate

͸͹ͷ

phosphoketolase; 4, transaldolase; 5, transketolase; 6, ribose 5-phosphate isomerase; 7,

͸͹͸

ribulose 5-phosphate epimerase; 8, xylulose-5-phosphate phosphoketolase; 9, acetate

͸͹͹

kinase; 10, glyceraldehyde-3-phosphate dehydrogenase; 11, phosphoglycerate kinase; 12,

͸͹ͺ

phosphoglycerate mutase; 13, enolase; 14, pyruvate kinase; 15, lactate dehydrogenase,

͸͹ͻ

16, pyruvate formate lyase. Numbers circled in red denote the proteins identified in this

͸ͺͲ

study with different abundances among treatments (adapted from Zhao & Cheung, 2013).

͸ͺͳ

EPS: exo-polysaccharides; E I: enzyme E I; EIIA: enzyme E II A; EIIBC: enzyme E II B

͸ͺʹ

& C; HPr: histidine protein/heat-stable protein; P: a phosphate group; PEP:

͸ͺ͵

phosphoenolpyruvate.



͵ʹ

͸ͺͶ

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͹ͷ

ͳ͸͵Ͷ

Figures and Tables

ͳ͸͵ͷ ͳ͸͵͸

Figure 1



͹͸

ͳ͸͵͹ Source

Genetically engineered,

beta-(1, 3)-D-glucan with beta-(1, 6) branching, at

Yeast, Saccharomyces cerevisiae

Seaweed: Laminaria species

PGG (betafectin),

pharmaceutical grade

Laminarin



Betafectin is a soluble

20-25 glucose units

zymocel

little beta-(1, 6) branching

cerevisiae

zymosan

Crude beta-glucan extract

high beta-(1, 6) branching

beta-(1, 3)-D-glucan with

Yeast, Saccharomyces

Zymocel, purified

& Fiore, 1958;

non-uniform branches

͹͹

Read et al., 1996;

Kuda et al., 1992 ;

al., 1998

1998; Michalek et

Kernodle et al.,

2008;

Volman et. al

Suzuki et al, 1996;

Miura et al., 1999

1941; Di Carlo

Pillemer & Ecker,

Reference

beta-glucan and mannan

hydrolysis product from

little beta-(1, 6) branching

cerevisiae

Crude extract with

Remarks

beta-(1, 3)-D-glucan with

beta-(1, 3)-D-glucan with

Zymosan

Yeast, Saccharomyces

Structure

Source and chemical structure of some native and modified beta-glucans

Beta-glucans from plant and yeast/fungi

Beta-glucans

Table 1

cerevisiae

zymosan, OX-ZYM



Yeast, Saccharomyces

(1, 6-)-linked glucan

beta-(1, 3)-linked and beta-

glucan

Gram negative bacteria, Alcaligenes faecalis

Unbranched beta-(1, 3)-D-

beta-(1, 3)-D-glucan

Exopolysaccharide of

(a Basidiomycetes sp.)

sclerotia of Poria cocos

Hypochlorite oxidized

Modified beta-glucans

Curdlan

Pachyman

the 3:1 ratio

moiety about 10–50,

DP of beta-(1, 6)-glucan

͹ͺ

Ohno et al., 2001

Miura et al., 1996;

Zhan et al., 2012

& Cheung, 2011;

et. al 2008; Zhao

al., 2001; Volman

1968; Shimizu et

Harada et al.,

Bian et al., 2010

Wong et al., 2005;

Ding et al., 1998;

Cheung, 2011

1974; Zhao &

Nelson & Lewis,

DS about 0.28-0.54 using

Sclerotia of Pleurotus tuber-regium

Same as pachyman

Sulphated beta-glucans

(pleuran)

Carboxymethylated



curdlan

Carboxymethylated

pachyman

Same as curdlan

(1, 3)-D-glucan

cerevisiae

al., 1995; Volman

(C6H10O5)7·PO3H2

1979; Sasaki et al., 1978; Na et

chloroacetic acid for carboxymethylation

Sasaki et al.,

Stone, 1969

carboxymethylation DS about 0.4 to 0.65 using

1962; Barras &

͹ͻ

Clarke & Stone,

Zhao et al., 2006

et. al 2008

1991; Müller et

William et al.,

formula is

Repeating-unit empirical

chloroacetic acid for

DS about 0.2 to 0.4 using

pyridine complex

with chlorosulfonic acid –

Synthetic modified, beta-

Yeast, Saccharomyces

Glucan phosphate, GluP

oxidation

solubility increased after



residues, every 4th being substituted with single Dglucopyranosyl groups

P. tuberregium, and P. pulmonarius

600,000 and 700,000 Da

ostreatus or genus Pleurotus, linked D-glucopyranosyl

name: Imunoglukan) P. eryngii, P. ostreatoroseus,

Molecular mass between

Backbone of beta-(1, 3)-

Oyster mushroom Pleurotus

Pleuran (commercial

combination of these

al., 2010;

2006; Baggio et

ͺͲ

Carbonero et al.,

Zhang et al., 2003;

Kuniak, 1994;

Karácsonyi &

& Miller, 1994

glycerol, succinic acid, methylmalonic acid, or a

1996; Breedveld

with sn-1-phospho-

Gonzalez et al.,

Roset et al., 2006;

Brucella sp.

and cyclic beta-(1, 2)-

Cogez et al., 2002;

backbones substituted

cyclic beta-(1, 2)-glucan

Rhizobium,

17–25 glucose residues;

Sinorhizobium, and

Heterogeneously sized

Agrobacterium,

Beta-glucans from macrofungi/mushrooms

Cyclic beta-(1, 2)-glucans

al., 2000

frondosa

name: GRN)



Maitake mushroom Grifola

stranded helix form bears

beta-(1, 3) linkages, triple

Mao et al., 2007;

ͺͳ

approximately 450,000 Da Tada et al., 2009

Molecular mass of

2013

structure

Grifolan, (common

2007; Zhang et al.,

Van & Teramoto,

residue, triple helical

450,000 Da

Van et al., 1984;

1982; Kony et al.,

beta-(1, 6) branching at

commune

sizofiran, SPG

Molecular mass of about

approximately every third

Beta-(1, 3)-D-glucan with

Fungus, Schizophyllum

linkages

linked by beta-(1, 6)

al., 2011

2000; Brauer et

to 2 molecules of glucose

molecular mass

Ooi and Liu,

al., 2010; Zhang et

backbone linked by beta-

Lentinula edodes

Have great divergence in

(1, 3) linkages connected

5 molecules of glucose in

Shiitake mushroom

Schizophyllan,

Lentinan, LNT

2011

Bergendiov et al.,



20K, PSG, Gl-1)

Ganoderan, (MW

beta-(1, 3)-glucan

al., 2008; Rop et al., 2009

immunomodulatory proteins) and GPP

ͺʹ

2007; Volman et

(fungal

(Ganoderma

2000; Zhou et al.,

Ooi and Liu,

al., 2007

2000; Moradali et

Ooi and Liu,

proteins, known as FIMs

Consists of 4% of

Da

molecular mass is 100,000

Ganoderma lucidum

Proteoglucan that contains

K)

beta-(1, 3)-D-glucan

2008

beta-(1, 6) branches

25–38% of proteins,

Coriolus versicolor

Crestin, (common

Volman et. al

beta-(1, 3)-D-glucan with

name: polysaccharide

Glomerella cingulata

Glomerellan

curdlan

(1, 3)-glucans such as

resemblance to other beta-

ͳ͸͵ͻ

ͳ͸͵ͺ



Chaga extract beta-(1, 6) branches

polysaccharide of Inonotu obliquus

beta-(1, 3)-D-glucans with

Mycelial endoWater soluble

polysaccharides peptide)

ͺ͵

Rhee et al., 2008

Chen et al., 2007;

Zjawiony, 2004;

ͳ͸Ͷͳ

ͳ͸ͶͲ

Recent studies of beta-glucans as prebiotics in the last 4 years.

elucidated, including ABC transporter for sugars, enolase, and phosphotransferase

different beta-glucans with pure culture of Bifidobacterium infantis (JCM 1222) for a 24 h followed by 2 dimensional gel electrophoresis and MALDI-TOF analysis, validated by real-time RT-PCR & enzyme activity assay

(Laminarin), barley

beta-glucan,

mushroom beta-

glucan prepared from

the sclerotia of

Pleurotus tuber-

native liquid form of the extract, not the

liquid/spray-dried fucoidan and laminarin extract, studied the effects on

Laminaria digitata



were higher in the ileum of pigs fed the

Supplementing animal feed with a

Counts of lactobacilli and bifidobacteria

beta-glucans in B. infantis is proposed

Laminarin from

regium

Enzymes and transporters participated are

in vitro batch fermentation of the 3

Seaweed beta-glucan

system protein; a model for catabolism of

Major findings

Method

Source

Basic research studies

Table 2

2013

Murphya et al,

2013

Zhao & Cheung,

Reference

ͺͶ

Low concentration (0.1% to 0.5%) of polysaccharides enhance the survival rate of

Mushroom polysaccharides with different concentration incubated with probiotics bacteria and check vability after cold storage of 28 days

Mixture of

polysaccharides from

Lentinula edodes,

Pleurotus eryngii, and

significant decrease of number of Enterobacteriaceae decreased, both in a dose-dependent manner

groups of 40 rats each, control group fed with saline, and 4 groups fed with oat & barley derived beta-glucans intragastric gavaged at a dose of 0.35 g/

commercial oat bran

or naked barley

based animal feed with endogenous

based diets vs. oats



Supplementing barley based & oat-

Formulated barley-

for 6 weeks

kg of body weight and 0.70 g/kg daily

Significant increase of population of

200 male rats were divided into 5

Oat & barley from

populations of lactobacilli, higher counts of

Oat based diet gave most diverse

Lactobacillus and Bifidobacterium &

longum during cold storage

Flammulina velutipes

casei, and Bifidobacterium longum subsp.

Lactobacillus acidophilus, Lactobacillus

spray-dried one

the porcine gastrointestinal microbiota

ͺͷ

Murphy et al., 2012

Shen et al., 2012

Chou et al., 2013

diets

beta-glucanase and endo-1, 4-beta-

Bifidobacterium genus with 0.3- 0.7 log10 cells/ml increase & Lactobacillus 0.7 to 1 log10 cells/ml increase

carbon sources in the 1L batch fermentation with Bifidobacterium pseudocatenulatum G4, B. longum BB536 and B. breve ATCC 15700 for 24h in 37oC with glucose used as

Ganoderma lucidum

(including beta-D-

glucans,

heteropolysaccharides

and glycoproteins)

glucans of bacterial origin & all the

WCFS1, L. acidophilus strain NCFM,

(EPS), mainly beta-



Demonstrated prebiotic action of a beta-

Growth kinetics of L. plantarum strain

Exo-polysaccharides

control

growth of probiotics with population of

Crude polysaccharides were used as

Polysaccharides from

explored Polysaccharide mixtures supported the

caecum and colon than the barley-based

enzyme supplementation (endo-1, 3-

xylanase) in both diets was also

Bifidobacterium counts in the ileum,

gastrointestinal microbiota, effect of

intrinsic beta-glucans

Lactobacillus in the caecum and colon and

beta-glucans on the 28 porcine

based diets with

ͺ͸

Russo et al., 2012

Yamin et al., 2012



Bifidobacterium longum, and

a relatively larger increase in populations

Bifidobacterium infantis,

mushroom sclerotia

2011

three bifidobacteria with B. infantis, having

were incubated with pure cultures of

bacteria, and

storage.

Bulgaricus)

All beta-glucans supported the growth of the Zhao & Cheung,

high viability (>108 cfu/mL) during 28 days

and Lactobacillus delbrueckii ssp.

strain

Beta-glucans from different sources

recombinant probiotic strain maintaining

cultures (Streptococcus thermophilus

paracasei NFBC 338

ͺ͹

Kearney et al., 2011

Barley, seaweed,

yoghurt cultures were found, with the

synergistic effect

glucose, EPS or both

Lactobacillus strain and 2 other yoghurt

into stationary phase, suggesting a

supplementing the same medium with

Lactobacillus

EPS as carbon sources delayed the entry

absence of carbon source or

No effect on growth and viability of the

simultaneous availability of D-glucose and

WCFS1-gal) were evaluated either in

Yoghurt with beta-glucan producing

consume beta-glucans for growth;

the -galactosidase gene (L. plantarum

Pediococcus parvulus

Recombinant

investigated bacterial strains were able to

recombinant strain that overexpresses

glucan, produced by

but later fermented rapidly with little remaining in the final half of the fermentation period

dietary fibers, including long-chain inulin, psyllium, the alkali-soluble fraction of corn bran arabinoxylan and



Barley & oat

Oat fiber

gas and short chain fatty acid production,

various purported slowly fermentable

beta-glucan type & exogenous enzyme

Endogenous beta-glucans had higher

of probiotic bacteria

starch and probiotics (B. breve & B. longum)

Addition beta-glucan improve the survival

Yogurt with beta-glucan, modified corn

long-chain beta-glucan

slower fermenting with comparatively low

of starch-entrapped microspheres, with

flour

Long-chain beta-glucan initially appeared

Comparison of fermentation properties

Corn bran and barley

positive control

bifidogenic effect with inulin as the

batch fermentation to evaluate their

Bifidobacterium adolescentis for a 24 h

Reilly et al, 2010

ͺͺ

Rosburg et al, 2010

Kaur et al., 2011

intervention but no significant increase in Bifidobacteria and Lactobacilli

(placebo group), for 3 months to determine the effect of barley-derived beta-glucans in the gut microbiota of



Barley

concentration on the 90th day of the

beta-glucans (3 g/d), or without

Zurich, Switzerland

Daily intake of food containing barley betaglucan is well-tolerated and barley beta-

in vivo prebiotic efficacy of barley betaglucans in human fecal microbiota

polypectomized patients

decrease of Clostridium perfringens

consume 125 g of bread per day with

Switzerland Ltd.,

on the 30th day of the trial & significant

20 subjects were randomly assigned to

and mineral metabolism in pigs

Significant decrease in total coliform counts

commercial purified beta-glucans

concentrations, nutrient digestibility,

Barley, DKSH

Clinical studies

pigs offered diets supplemented with

populations, volatile fatty acid

indole and skatole levels in the digesta

populations of Bifidobacterium compared to

supplementation on microbial

ͺͻ

Mitsou et al., 2010

Turunen et al., 2011

ͳ͸Ͷ͵

ͳ͸Ͷʹ



volunteers

clinical trial in 52 human healthy

double-blinded, placebo-controlled

specimen by conducting a randomized,

glucan induced a strong bifidogenic effect

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