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Lacticaseibacillus rhamnosus (formerly Lactobacillus rhamnosus) (L. rhamnosus)

Target
L. rhamnosus
Molecular classification
Probiotic bacterium, Gram-positive bacterium, lactic acid bacterium, non-spore-forming rod
01

Overview

Lacticaseibacillus rhamnosus is a Gram-positive, homofermentative, facultatively anaerobic, non-spore-forming rod-shaped bacterium frequently used as a probiotic[5][3]. It is well-studied for its capacity to survive gastric transit, adhere to intestinal epithelial surfaces via specific pili (such as SpaCBA), and modulate the host immune response and gut microbial community[1][2][3]. Commonly employed strains include GG (LGG) and GR-1, which have demonstrated efficacy in the prevention and treatment of infectious, inflammatory, and dysbiotic conditions in the gut and female urogenital tract[4][5]. Its functions encompass antimicrobial production (lactic acid, bacteriocins), adherence and biofilm formation, reduction of inflammatory cytokine production, and detoxification of xenobiotics such as aflatoxins[4][1][2]. Safety is well established, though rare systemic infections may occur in vulnerable populations[5].

Other names
Lactobacillus rhamnosus (older taxonomic name)Lacticaseibacillus rhamnosus GG ("LGG") and strain-specific abbreviations such as GR-1"Yoba 2012" (a commercial name for a re-isolated strain)
02

Mechanism of action

Colonization of mucosal surfaces (intestinal and urogenital) Competitive exclusion of pathogens (via adhesion molecules and biofilm formation) Production of antimicrobial compounds (lactic acid, possible bacteriocins) Immunomodulation through induction of anti-inflammatory cytokines and protection of epithelial cells

03

Biological functions

Modulation of gut microbiota composition and functionImmunomodulation (anti-inflammatory cytokine production, activation of macrophages and NK cells)Mucosal adhesion and biofilm formationPathogen inhibition (competitive exclusion, bacteriocin and lactic acid production)Degradation and binding of toxins in the gut (aflatoxin binding)
04

Disease associations

Infection (used to inhibit and prevent colonization by various pathogens, such as Salmonella, Shigella, and bacteria associated with bacterial vaginosis)Inflammation (especially inflammatory bowel diseases)Restoration of normal microbiota after dysbiosis, modulation of immune disorders such as colitisRare: Can cause endocarditis or other infections in immunocompromised individuals or infants
05

Safety considerations

Generally safe for most populations, included in QPS (Qualified Presumption of Safety) list in the EURare risk of infection (endocarditis or bacteremia) in immunocompromised individuals or neonatesPossible transfer of antibiotic resistance genes (general concern for probiotics, but rarely documented for L. rhamnosus)
06

Interacting drugs

No conventional drugs interact directly with L. rhamnosus as a molecular target

1 more in the full profile.

07

Biomarkers

Not used as a conventional biomarker for patient selection or efficacyLevels of anti-inflammatory cytokines (e.g. IL-10) and gut barrier function can be monitored in probiotic efficacy studiesPresence or abundance in the gut microbiota may be quantified in clinical or research settings

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