PMID- 34515452 OWN - NLM STAT- MEDLINE DCOM- 20220119 LR - 20220119 IS - 2724-5365 (Electronic) IS - 2724-5985 (Linking) VI - 67 IP - 4 DP - 2021 Dec TI - Microbiota and the irritable bowel syndrome. PG - 377-384 LID - 10.23736/S2724-5985.21.02923-5 [doi] AB - Gut microbiota plays a vital role in human health. The number of microorganisms inhabiting the gastrointestinal (GI) tract has been estimated to exceed 10(13). The dominant genera in the human intestine are Firmicutes (more than 180 species of Lactobacillus), Actinobacteria (among others the Bifidobacteriae), Bacteroidetes (the most important is B. fragilis) and Proteobacteria (E. coli, Salmonella, Yersinia, Shigella, Vibrio, Haemophilus, etc.), but the composition of the flora varies individually, as well as in relation to factors such as host genetics, stress, diet, antibiotics and early childhood experiences. Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders (FGIDs), which has now been renamed disorders of gut-brain interaction, which affect a large number of people worldwide. It is characterized by abdominal pain and altered bowel habits in the absence of obvious anatomic or physiologic abnormalities. It poses a negative economic impact to the global health care system in addition to reducing the quality of life in patients. The pathophysiology of IBS is not fully understood. In IBS subjects gut microbiota relative to healthy controls was observed with an increase in Enterobacteriaceae, Ruminococcus, Clostridium, Dorea species and a decrease of Lactobacillus, Bifidobacterium, and Faecalibacterium species. IBS with diarrhea predominance (IBS-D) IBS with mixed bowel habits (IBS-M) share similarities in the microbial profile. Recent studies suggest that perturbations within "brain-gut-microbiota" axis may lead to IBS development. The aim of this review was to highlight the potential role of gut microbiota on pathophysiological mechanisms underlying IBS. FAU - Sabo, Cristina M AU - Sabo CM AD - Second Department of Internal Medicine, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania - Marica.Cristina@umfcluj.ro. FAU - Dumitrascu, Dan L AU - Dumitrascu DL AD - Second Department of Internal Medicine, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Cluj-Napoca, Romania. LA - eng PT - Journal Article PT - Review DEP - 20210913 PL - Italy TA - Minerva Gastroenterol (Torino) JT - Minerva gastroenterology JID - 101777280 SB - IM MH - Child, Preschool MH - Diarrhea MH - Escherichia coli MH - *Gastrointestinal Microbiome MH - Humans MH - *Irritable Bowel Syndrome MH - Quality of Life EDAT- 2021/09/14 06:00 MHDA- 2022/01/20 06:00 CRDT- 2021/09/13 10:54 PHST- 2021/09/14 06:00 [pubmed] PHST- 2022/01/20 06:00 [medline] PHST- 2021/09/13 10:54 [entrez] AID - S2724-5985.21.02923-5 [pii] AID - 10.23736/S2724-5985.21.02923-5 [doi] PST - ppublish SO - Minerva Gastroenterol (Torino). 2021 Dec;67(4):377-384. doi: 10.23736/S2724-5985.21.02923-5. Epub 2021 Sep 13.