[Intestinal microbiota, nutrients and probiotics viewed from the «gut-lung» axis]

Vopr Pitan. 2019;88(3):13-22. doi: 10.24411/0042-8833-2019-10025. Epub 2019 May 20.
[Article in Russian]


Disturbance of the bronchopulmonary system are among the most common and socially significant diseases, so, the prevention and treatment of these disorders are the priority tasks of practical health care. Being based on the accumulated literature data on the interaction of the intestinal microflora and respiratory tract, the role of symbiotic bacteria of the intestinal biotope has been discussed in the respiratory diseases' pathogenesis. The aim of the work was to analyze the results of experimental and clinical studies confirming the effect of intestinal microflora on the development and progression of respiratory diseases. The analysis of the available data on the risk reducing of occurrence, duration and severity of symptoms of bronchial asthma when taking probiotics, both in childhood and in the adult population, has been carried out. The effectiveness of the probiotic microorganisms' intake for the treatment of chronic obstructive pulmonary disease, pneumonia, viral infection, cystic fibrosis, and lung cancer has been analyzed. The main possible molecular mechanisms of the symbiotic bacteria prevention of the bronchopulmonary diseases development have been discussed in the article. Conclusion. The probiotics usage in the complex treatment of bronchopulmonary diseases demonstrates encouraging results. Its potential may be useful in the treatment of various lung diseases. However, a number of questions have been related to the individual selection of specific strains, the dosage and duration of use to achieve sustained remission for a patient.

Keywords: gut–lung axis; immunomodulation; microbiota; probiotics.

Publication types

  • Review

MeSH terms

  • Asthma* / microbiology
  • Asthma* / physiopathology
  • Asthma* / therapy
  • Bacteria / growth & development
  • Gastrointestinal Microbiome*
  • Humans
  • Intestines* / microbiology
  • Intestines* / physiopathology
  • Lung / microbiology
  • Lung / physiopathology
  • Nutrients*
  • Probiotics / therapeutic use*
  • Pulmonary Disease, Chronic Obstructive* / microbiology
  • Pulmonary Disease, Chronic Obstructive* / physiopathology
  • Pulmonary Disease, Chronic Obstructive* / therapy