Prebiotics: Development & Application Prebiotics: Development & Application G.R. Gibson and R.A. Rastall Copyright#2006 JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester, WestSussexPO198SQ,England Telephone(þ44)1243779777 Email(forordersandcustomerserviceenquiries):[email protected] VisitourHomePageonwww.wileyeurope.comorwww.wiley.com AllRightsReserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystemortransmittedinanyformorby anymeans,electronic,mechanical,photocopying,recording,scanningorotherwise,exceptunderthetermsoftheCopyright, DesignsandPatentsAct1988orunderthetermsofalicenceissuedbytheCopyrightLicensingAgencyLtd,90Tottenham CourtRoad,LondonW1T4LP,UK,withoutthepermissioninwritingofthePublisher.RequeststothePublishershouldbe addressedtothePermissionsDepartment,JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,WestSussexPO19 8SQ,England,[email protected],orfaxedto(+44)1243770620. 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QP144.F85G532006 616.90201–dc22 2006000953 BritishLibraryCataloguinginPublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN-13978-0-470-02313-6(HB) ISBN-100-470-02313-9(HB) Typesetin10/12ptTimesbyThomsonPress(India)Ltd.,NewDelhi,India PrintedandboundinGreatBritainbyAntonyRoweLtd,Chippenham,Wiltshire Thisbookisprintedonacid-freepaperresponsiblymanufacturedfromsustainableforestry inwhichatleasttwotreesareplantedforeachoneusedforpaperproduction. Contents List of Contributors vii 1 Human Colonic Microbiology and the Role of Dietary Intervention: Introduction to Prebiotics 1 C.L. Vernazza, B.A. Rabiu and G.R. Gibson 2 Manufacture of Prebiotic Oligosaccharides 29 T. Casci and R.A. Rastall 3 Inulin-type Fructans as Prebiotics 57 J. Van Loo 4 Galacto-oligosaccharides as Prebiotics 101 R.A. Rastall 5 Emerging Prebiotic Carbohydrates 111 R. Crittenden 6 Molecular Microbial Ecology of the Human Gut 135 K.M. Tuohy and A.L. McCartney 7 Dietary Intervention for Improving Human Health: Acute Disorders 157 W. Bru¨ck 8 Dietary Intervention for Improving Human Health: Chronic Disorders 181 N.R. Bullock and M.R. Jones 9 Extra Intestinal Effects of Prebiotics and Probiotics 201 G. Reid 10 Prebiotic Impacts on Companion Animals 213 K.S. Swanson and G.C. Fahey Jr 11 Prebiotics: Past, Present and Future 237 J. Leach, R.A. Rastall and G.R. Gibson Index 249 Contributors Wolfram M. Bru¨ck Postdoctoral Fellow, Division of Biomedical Marine Research, HarborBranchOceangraphicInstitution,5600US1NorthforPierce,FL34946,USA Natalie R. Bullock University of Sheffield, Human Nutrition Unit, Divison of Clinical Sciences (North), Coleridge House, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK Tamara Casci School of Food Biosciences, University of Reading, Whiteknights, P O Box 226, Reading RG6 6AP, UK RossCrittendenFoodScienceAustralia,PrivateBag16,Werribee,Vic3030,Australia George C.FaheyJrProfessorofAnimalSciencesandNutritionalSciences,University ofIllinois,DepartmentofAnimalSciences,132AnimalSciencesLaboratory,1207 West Gregory Drive, Urbana, IL 61801, USA GlennR.GibsonFoodMicrobialSciencesUnit,SchoolofFoodBiosciences,University of Reading, Whiteknights, PO Box 226, Reading RG6 6AP, UK MarkJonesSchoolofFoodBiosciences,UniversityofReading,Whiteknights,POBox 226, Reading, RG6 6AP, UK Jeff Leach Paleobiotics Lab, 144 Arenas Valley, Silver City, NM 88061, USA Anne L. McCartney Food Microbial Sciences Unit, School of Food Biosciences, University of Reading, Whiteknights, PO Box 226, Reading RG6 6AP, UK BodunA.RabiuFoodMicrobialSciencesUnit,SchoolofFoodBiosciences,University of Reading, Whiteknights, PO Box 226, Reading RG6 6AP, UK Robert A. Rastall Professor of Biotechnology, School of Food Biosciences, University of Reading, Whiteknights, PO Box 226, Reading RG6 6AP, UK GregorReidCanadianResearchandDevelopmentCentreforProbiotics,LawsonHealth Research Institute, 268 Grosvenor Street, London, Ontario, Canada N6A 4V2 viii Contributors KellyS.SwansonProfessorofAnimalSciencesandNutritionalSciences,Universityof Illinois, Department of Animal Sciences, 132 Animal Sciences Laboratory, 1207 West Gregory Drive, Urbana, IL 61801, USA Kieran M. Tuohy Food Microbial Sciences Unit, School of Food Biosciences, University of Reading, Whiteknights, PO Box 226, Reading RG6 6AP, UK Jan Van Loo ORAFTI, Aandorenstraat 1, B-33000 Tienen, Belgium Claire L. Vernazza Food Microbial Sciences Unit, School of Food Biosciences, University of Reading, Whiteknights, PO Box 226, Reading RG6 6AP, UK 1 Human Colonic Microbiology and the Role of Dietary Intervention: Introduction to Prebiotics Claire L. Vernazza, Bodun A. Rabiu and Glenn R. Gibson 1.1 Acquisition and Development of the Human Gut Flora The human embryo is virtually sterile, but at birth microbial colonisation of the gastrointestinal tract occurs, with the neonate receiving an inoculum from the birth canal(Fuller,1991;Zetterstro¨metal.,1994).Themicrobialpatternthatensuesdepends on the method of delivery (Beritzoglou, 1997; Salminen et al., 1998a) and hygiene precautions associated with parturition (Lundequist et al., 1985). In addition to char- acteristic vaginal flora such as lactobacilli, yeast, streptococci, staphylococci and Escherichiacoli,theneonateisalsolikelytocomeintocontactwithfaecalmicroorgan- isms and skin bacteria during birth (Fuller, 1991). Furthermore, inoculation from the general environment and other external contacts may also be significant, especially during Caesarean delivery (Beritzoglou, 1997; Gronlund et al., 1999). During the acquisition period, some bacteria transiently colonise the gut whilst others survive and grow to form the indigenous microflora. Consequently, the neonatal gut experiences a rapid succession of microfloral components in the first days to months of development, selected for, initially, by luminal redox potential (Eh) but more frequently reported as being due to the feeding regime that follows birth (Zetterstro¨m et al., 1994). Initial colonisers utilise any available oxygen, usually by 48h, creating an environment sufficiently reduced to allow succession by obligate anaerobes, mainly those belonging to the bifidobacteria, bacteroides and clostridia groups. At this stage, it appears that Prebiotics:DevelopmentandApplication EditedbyG.R.GibsonandR.A.Rastall #2006JohnWiley&Sons,Ltd 2 Prebiotics: Developmentand Application feeding methods have a significant influence on the relative proportions of bacteria that establish in the infant gut. Historically, breast-fed infants are thought to have relatively higher proportions of bifidobacteria than formula-fed babies of the same age, who possess a more complex composition (Fuller, 1991). Such purported differences have been linked with a lower risk of gastrointestinal, respiratory and urinary tract infections in breast-fed infants (Kunz and Rudloff, 1993). However, as the nature of commercial feeds has altered in recent times, the bifidobacterial predominance seen during breast feeding islessdefinitive.Nevertheless,such observations demonstratethe abilityofdiet toinfluencethegutmicrobiotacompositionandthepossibilitiesforinfluencinghealthas aresult.Thishasformedthebasisfordietaryinterventionproceduresthatareextremely popular today (see later). By the end of weaning there is a drop in the frequency of bifidobacteria. With the introductionofsolidfoodsandbyabout2yearsafterbirth,infantsstarttoadoptmicroflora profiles in proportions that approximate to those seen in adults (Fuller, 1991). The populations then seem to be relatively stable (>99% anaerobic), aside for perturbations by diet and habit, until advanced ages when a significant decline in bifidobacteria, plus increases in clostridia and enterobacteriaceae are reported (Mitsuoka, 1990). 1.2 The Human Gastrointestinal Tract and its Microflora Microorganisms occur along the whole length of the human alimentary tract with population numbers and species distribution characteristic of particular regions of the gut (Macfarlane et al., 1997). After the mouth, colonisation is markedly influenced, in part by luminal pH, and by the progressively slower transit of food materials towards the colon. The movement of digesta through the stomach and small intestine is rapid (ca. 4–6 h), when compared with a typical colonic transit time of around 48–70 h for adults (Macfarlane and Gibson, 1994). This allows the establishment of a complex and relatively stable bacterial community in the large intestine (Table 1.1). The near neutral pH and the relatively low absorptive state of the colon further encourages extensive microbial colonisation and growth (Macfarlane et al., 1997; O’Sullivan, 1996). The human large intestine consists of the caecum, ascending colon, transverse colon, descending colon, sigmoid colon and rectum (Macfarlane and Macfarlane, 1997) (Figure 1.1). Through the microflora, the colon is capable of complex hydrolytic- digestive functions (Cummings and Macfarlane, 1991). This involves the breakdown of dietary components, principally complex carbohydrates, but also some proteins, that are not hydrolysed nor absorbed in the upper digestive tract (Macfarlane et al., 1992). Carbohydrate availability subsequently diminishes as dietary residues pass from the proximal colon to the transverse and distal bowel. For persons living on Western-style diets, the microbial biomass makes up over 50% of colonic contents. There are more than 500 different culturable species of indigenous bacteriapresentintheadultlargeintestinecomprisingaround1012bacteriapergramdry weight (Moore et al., 1978; Simon and Gorbach, 1984). A summary of the principal bacterial groups present is shown in Table 1.2. Invery general terms, intestinal bacteria can be divided on the basis of whether they canexerthealthpromoting,benignorpotentiallyharmfulactivitiesintheirhost(Gibson s alt s estinaltract olon 5.5–7.2Prolonged/retentiveMucus/food/crypts/epitheliumDigestion/fluidandreabsorption1210 nt C oi astr n g o uman aline bsorpti h k a onsofthe Ileum Neutral–alProlongedMucus Digestion/ 46–1010 gi e r s u invariomicrobiotaMcBain,1999) Duodenum Acidic–NeutralPropulsionsMucus Digestion/absorption10–1000 d ofn a s ationlevelMacfarlane mach 1.0–3.0PeriodicMucus Digestion 10–100 ul o pop990; St mineett,1 artial thatmaydeterwlandandMall Mouth AlkalinePeriodicTeeth/tongue Mastication/pdigestion810 orsRo ctm Table1.1Hostfa(Datasourcedfro Anatomicalregions pHStasisMicroenvironment Function Approximatenumberofcellspermlorgcontent 4 Prebiotics: Developmentand Application Figure1.1 Regionsofthehumanlargeintestinewithcorrespondingbacterialactivitiesand physiologicaldifferences(AdaptedfromCummingsandMacfarlane,1991).Modifiedwiththe permission of theauthors fromJournal ofApplied Bacteriology, Vol70, Cummings J.H.and Macfarlane,G.T.,Thecontrolandconsequencesofbacterialfermentationinthehumancolon: areview,pp.443–459,1991,bypermissionofBlackwellPublishing and Roberfroid,1995). Themostobviouspathogens are strainsof E.coli and clostridia. Pathogenic effects include diarrhoeal infections and putrefaction whereas beneficial aspects may be derived simply by improved the digestion/absorption of essential nutrients. This leads towards a consideration of factors that may influence the flora composition in a manner than can impact upon health. The multiplicity of substrates is probably the single most important determinant for dynamicsandstabilityofspeciesexistinginthelargebowel(GibsonandCollins,1999). Whilst these are mainly produced by dietary residues, there is appreciable contribution from host secretions like mucins. The colonic microflora derive substrates for growth from the diet (e.g. nondigestible oligosaccharides, dietary fibre, undigested protein reaching the colon) and from endogenoussources such asmucin,the main glycoprotein constituentofthemucuswhichlinesthewallsofthegastrointestinaltract(Rowlandand Wise, 1985). The vast majority of bacteria in the colon are strict anaerobes and thus derive energy from fermentation (Macfarlane and McBain, 1999). The two main fermentative substrates of dietary origin are nondigestible carbohydrates (e.g. resistant starch, nonstarch polysaccharides and fibres of plant origin and nondigestible oligosac- charides) and protein which escapes digestion in the small intestine. Of these, carbohy- drate fermentation is more energetically favourable, leading to a gradient of substrate utilisationspatiallythroughthecolon(Macfarlaneetal.,1992).Theproximalcolonisa saccharolytic environment with the majority of carbohydrate entering the colon being fermented in this region. As digesta moves through towards the distal colon, carbohy- drate availability decreases and protein and amino acids become a more dominant metabolicenergysourceforbacteriainthedistalcolon(Macfarlaneetal.,1992).Overall