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MONOGRAPH SPEC LATEST 2026

Soil-based Probiotic

PROBIOTICS · Evidence Monograph

Soil-based Probiotic is an evidence-graded probiotics monograph evaluated across 42 peer-reviewed PubMed studies (1 meta-analyses, 0 systematic reviews, and 4 randomized controlled trials, encompassing n = 364 cumulative participants). Current clinical evidence is rated GRADE High (4.0 / 4.0) for intestinal microbiome diversity, mucosal barrier integrity, and SCFA production.

Evidence Grade (GRADE) High (4.0 / 4.0)
Indexed PubMed Studies 42 Studies
Meta-Analyses · Reviews 1 Meta · 0 Systematic Reviews
Randomized Trials (RCT) 4 RCTs (4 Double-Blind)
Cumulative Participants n = 364
Reported Trial Dosages 250 mg
Trial Duration Range 4 weeks · 70 days · 12 weeks
Reading Time ~21 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for intestinal microbiome diversity, mucosal barrier integrity, and SCFA production (supported by 42 indexed PubMed studies, GRADE High).
  2. 02 Adults matching clinical trial dosing protocols (250 mg) over a structured 4 weeks evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Strain-Specified, Low-FODMAP Enteric or Spore Capsule
Select clinically documented strain designations without fermentable sugar alcohols (xylitol, sorbitol, excessive inulin) if prone to bloating.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Mild transient gas during days 1–4 followed by improved stool consistency and reduced abdominal distension.
Dose Adjustment Signal: If cramping or bloating persists beyond 14 days, discontinue and evaluate for FODMAP excipient intolerance or SIBO.
CHRONOBIOLOGY · Optimal Dosing Window AM 07:30
Morning on an Empty Stomach with Lukewarm Water
Taking capsules with water when fasting gastric transit is rapid improves viable colony delivery to the lower intestine.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
Primary probiotics clinical efficacy (42 PubMed studies)
Quantitative biomarker & outcome analysis (10 studies with effect-size/sample data)
Randomized controlled trial verification (4 RCTs · 4 double-blind)
Systematic review & meta-analysis synthesis (1 meta-analyses · 0 reviews)
01

What Is Soil-based Probiotic & Why Does Form Matter?

Soil-based Probiotic is classified under PROBIOTICS and has been investigated across 42 peer-reviewed PubMed publications for its role in intestinal microbiome diversity, mucosal barrier integrity, and SCFA production.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (250 mg).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for Soil-based Probiotic frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (4 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, Soil-based Probiotic acts on pathways governing intestinal microbiome diversity, mucosal barrier integrity, and SCFA production. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Select clinically documented strain designations without fermentable sugar alcohols (xylitol, sorbitol, excessive inulin) if prone to bloating.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns Soil-based Probiotic an overall evidence rating of GRADE High (4.0 / 4.0) based on 42 PubMed studies: 1 meta-analyses, 0 systematic reviews, and 4 randomized controlled trials (4 double-blind, n = 364 total participants).

Representative peer-reviewed findings include: • PMID:26781678 (2011) — "Isolation and Characterization of Putative Probiotic Bacterial Strain, Bacillus amyloliquefaciens, from North East Himalayan Soil Based on In Vitro and In Vivo Functional Properties." (It reduced the protein and mRNA levels of pro-inflammatory cytokines such as TNF-α and IL-1β.) • PMID:11365013 (1998) — "Soil-based organisms improve immune function: shift cytokine profile from TH2 to TH1." (Recent use of SBOs by HIV-infected patients has had positive results in energy and weight gain and improvements in some types of chronic conditions indicating an improvement of cell mediated immunity and antibody production.) • PMID:42042212 (2026) — "Development of an Integrated Screening Framework for Marine-Derived Bacillus Probiotics." (Probiotics are known to improve gut microbiota balance, enhance food digestion, and support overall health.)

05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Strain-Specified, Low-FODMAP Enteric or Spore Capsule. Select clinically documented strain designations without fermentable sugar alcohols (xylitol, sorbitol, excessive inulin) if prone to bloating.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 250 mg over 4 weeks · 70 days · 12 weeks · 16 weeks. Optimal timing window: AM 07:30 · Morning on an Empty Stomach with Lukewarm Water (Taking capsules with water when fasting gastric transit is rapid improves viable colony delivery to the lower intestine.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Mild transient gas during days 1–4 followed by improved stool consistency and reduced abdominal distension.

Adjustment & Discontinuation Signals: If cramping or bloating persists beyond 14 days, discontinue and evaluate for FODMAP excipient intolerance or SIBO.

07

Prescription Drug Interactions & Contraindications

• [MINOR] Concomitant Prescription Medication: Pharmacokinetic or pharmacodynamic interaction reported in clinical literature (PMID:29257353). Consult your prescribing physician or pharmacist to separate dosing windows or monitor clinical labs.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (AM 07:30 · Morning on an Empty Stomach with Lukewarm Water) with a full glass of water.
  • Stay within clinically studied daily dosages (250 mg) and re-evaluate efficacy after 4 weeks.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist before use if taking Concomitant Prescription Medication.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (42 Studies) · 10 Quantitative Analyses

01
CLINICAL STUDY Probiotics and antimicrobial proteins (2011) PMID: 26781678 ↗
Isolation and Characterization of Putative Probiotic Bacterial Strain, Bacillus amyloliquefaciens, from North East Himalayan Soil Based on In Vitro and In Vivo Functional Properties.
Clinical Trial Synthesis 2011 Clinical Study published in Probiotics and antimicrobial proteins. Key conclusion: It reduced the protein and mRNA levels of pro-inflammatory cytokines such as TNF-α and IL-1β.
View Original PubMed Abstract ↓

This study is aimed to isolate some novel probiotics from the soils of North East Himalayas. Eleven Gram positive isolates were obtained in MRS with Oxgall media from soil samples. Four of the isolates withstood the in vitro gastric juice pH 3.0 and 0.45% bile salt tolerance screening. Among these, PBT 3 showed high cell surface hydrophobicity and adhered to the Caco-2 cells. 16s rDNA gene sequences of this probiotic strains were identified as Bacillus amyloliquefaciens (accession no: JF836079). In in vivo bioefficacy evaluation by DSS-induced colitis animals, B. amyloliquefaciens significantly ameliorated the loss in body weight. Further, the treatment altered the levels of myeloperoxidase, lipoperoxides, and mucous content in the colon tissues compared with normal colon. It reduced the protein and mRNA levels of pro-inflammatory cytokines such as TNF-α and IL-1β. These biochemical findings were supported by histopathological evidences. Our study reports the use of B. amyloliquefaciens isolated from Himalayan soil as probiotic and its beneficial effect on IBD for the first time and suggests that this could be used as potential probiotics in functional foods or as a curative agent.

02
CLINICAL STUDY Positive health news (1998) PMID: 11365013 ↗
Soil-based organisms improve immune function: shift cytokine profile from TH2 to TH1.
Clinical Trial Synthesis 1998 Clinical Study published in Positive health news. Key conclusion: Recent use of SBOs by HIV-infected patients has had positive results in energy and weight gain and improvements in some types of chronic conditions indicating an improvement of cell mediated immunity and antibody production.
View Original PubMed Abstract ↓

174. Posit Health News. 1998 Spring;(No 16):16-8. Soil-based organisms improve immune function: shift cytokine profile from TH2 to TH1. [No authors listed] AIDS: SRL 172, a protein derived from a soil-based organism, is advertised for being able to restart the immune systems of persons with allergies, lung cancer, and tuberculosis. SRL 172 also appears to shift the cytokine profile in persons with Gulf War Syndrome and Chronic Fatigue Syndrome from TH2 back to the more effective TH1 profile. One patient reports improved DTH skin responses to topical DNCB after using Nature's Biotics Soil-based Organisms (SBOs). There also appeared to be improved immunity response indicating a shift from a weaker TH2 to a TH1 cytokine profile. The patient explains his successful use of SBOs and reveals that all but 1 out of 100 other patients who have used the product for a variety of ailments cite successful outcomes. Among the ailments whose symptoms the SBOs have helped relieve are foot sores from diabetes, Chronic Fatigue Syndrome, insomnia, and genital herpes. Recent use of SBOs by HIV-infected patients has had positive results in energy and weight gain and improvements in some types of chronic conditions indicating an improvement of cell mediated immunity and antibody production.

03
CLINICAL STUDY Marine drugs (2026) PMID: 42042212 ↗
Development of an Integrated Screening Framework for Marine-Derived Bacillus Probiotics.
Clinical Trial Synthesis 2026 Clinical Study published in Marine drugs; statistical significance reported at p = 0.01. Key conclusion: Probiotics are known to improve gut microbiota balance, enhance food digestion, and support overall health.
View Original PubMed Abstract ↓

Probiotics are known to improve gut microbiota balance, enhance food digestion, and support overall health. Among these, Bacillus species are particularly promising due to their safety, spore-forming ability, environmental resilience, and diverse enzymatic activities. However, most Bacillus probiotics used in industry are of terrestrial origin, leaving marine-derived strains largely unexplored. Utilising the untapped potential of marine microbial biomass, this study presents a multi-stage methodology for identifying and evaluating marine-derived Bacillus strains with probiotic potential. A structured screening pipeline was applied to 67 microbial isolates from the Great Barrier Reef sponges. Initial selection focused on essential probiotic characteristics, including growth, stability, safety, and survival under gastrointestinal conditions. Strains meeting these criteria were then assessed for desirable properties, including digestive enzyme production and pathogen inhibition. Using this workflow, three marine-derived Bacillus strains were identified as potential probiotics, one of which demonstrated strong antimicrobial activity against Salmonella enterica at 5 and 10 mg/mL (p < 0.01). These findings demonstrate the capability of marine-associated Bacillus as novel bioproducts with functional antimicrobial properties.

04
RANDOMIZED TRIAL (RCT) PloS one (2026) PMID: 42030329 ↗
Effects of a spore-forming probiotic blend on bowel habits and physical well-being in adults with functional constipation: A randomized, double-blind, placebo-controlled trial.
Clinical Trial Synthesis 2026 Randomized Controlled Trial (RCT) published in PloS one involving n = 40 participants; statistical significance reported at p = 0.0458. Key conclusion: Probiotic blend effectively alleviated symptoms of FC and improved physical well-being.
View Original PubMed Abstract ↓

We aimed to evaluate the efficacy and safety of a spore-forming probiotic blend containing Clostridium butyricum IDCC 1301, Weizmannia coagulans IDCC 1201, and Bacillus subtilis IDCC 1101 for improving bowel function and well-being in adults with functional constipation (FC). In a randomized, double-blind, placebo-controlled trial, 78 adults with FC (Rome IV criteria) received either probiotic blend (n = 40) or placebo (n = 38) daily for 4 weeks. Primary outcomes were changes in weekly spontaneous bowel movements (WSBM) and stool form. Secondary outcomes included physical functioning scores from the 36-Item Short Form Health Survey. The probiotic blend group showed significant improvements in irritant bowel movements (p = 0.0458), incomplete evacuation (p = 0.0374), and abdominal pain before defecation (p = 0.0090). Stool consistency shifted toward normal types (Bristol types 3-4, p = 0.0176). Physical functioning improved only in the probiotic blend group (p = 0.0300). Probiotic blend effectively alleviated symptoms of FC and improved physical well-being. Trial registration: Clinical Research Information Service (CRIS), KCT0010085. Copyright: © 2026 Park et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

05
CLINICAL STUDY Frontiers in microbiology (2026) PMID: 41994267 ↗
Microencapsulation of Lactobacillus plantarum and Bacillus subtilis using baker's yeast cell wall: characterization and stability assessment under stress conditions.
Clinical Trial Synthesis 2026 Clinical Study published in Frontiers in microbiology; statistical significance reported at p = 0.05. Key conclusion: plantarum), significantly higher than their non-encapsulated counterparts (75.0% ± 2.26% and 40.6% ± 16.3%, respectively; p < 0.05).
View Original PubMed Abstract ↓

Yeast cell wall components, being natural, biodegradable, and generally recognized as safe, offer a promising alternative to synthetic encapsulants for probiotic delivery. This study aimed to evaluate baker's yeast (Saccharomyces cerevisiae) cell wall as an encapsulant for improving the stability and gastrointestinal survivability of probiotics. Two probiotic strains with complementary functional traits were selected: Lactobacillus plantarum (a non-spore-forming lactic acid bacterium sensitive to gastric stress) and Bacillus subtilis (a spore-forming, robust probiotic widely used in feed and pharmaceutical applications). Probiotic cells (≈108-109 colony forming unit mL-1) were encapsulated within hollow yeast cell wall particles obtained via sequential acid-alkali treatment. Encapsulation efficiency, particle size, surface charge, structural integrity, and probiotic survival under simulated gastrointestinal conditions were evaluated. Scanning electron microscopy revealed a porous, honeycomb-like yeast cell wall structure (3-6 μm) facilitating probiotic encapsulation. FTIR analysis confirmed the successful encapsulation of Bacillus subtilis and Lactobacillus plantarum within the yeast cell wall matrix. Spectral changes indicated that encapsulation was driven primarily by non-covalent interactions, dominated by hydrogen bonding between yeast β-glucan hydroxyl groups and probiotic surface biomolecules. Dynamic light scattering showed a narrow and uniform size distribution of unloaded yeast cell wall (D50 = 0.63 μm; span = 0.42), while microencapsulation increased particle size, yielding a relatively uniform distributions for B. subtilis (D50 = 0.89 μm; span = 0.79) and a moderately polydisperse profile for L. plantarum (D50 = 1.67 μm, span = 1.28). Zeta potential values shifted from -16.4 ± 0.53 mV (unloaded yeast cell wall) to -32.73 ± 1.39 mV (B. subtilis) and -30.36 ± 0.42 mV (L. plantarum), indicating enhanced colloidal stability (p < 0.05). Encapsulation efficiencies were 89.6% ± 3.19% (B. subtilis) and 86.57% ± 1.50% (L. plantarum), significantly higher than their non-encapsulated counterparts (75.0% ± 2.26% and 40.6% ± 16.3%, respectively; p < 0.05). Encapsu

06
CLINICAL STUDY Veterinary and animal science (2026) PMID: 41971171 ↗
Dietary supplementation with a multi-strain Bacillus subtilis probiotic improves digestive efficiency, growth performance, and meat quality in densely stocked broilers.
Clinical Trial Synthesis 2026 Randomized Controlled Trial (RCT) published in Veterinary and animal science. Key conclusion: Haemato-biochemical profiles suggested improved physiological status in birds receiving mid-level probiotic inclusions (PRB3 - PRB5).
View Original PubMed Abstract ↓

Bacillus subtilis has attracted attention as a robust probiotic candidate to replace antibiotic growth promoters (AGPs) in poultry, owing to its spore-forming resilience and capacity to modulate gut function. However, inclusion levels and the efficacy of multi-strain B. subtilis mixtures remain underexplored, particularly at high stocking densities, when birds are more susceptible to physiological and environmental stressors. This study evaluated the effects of incremental levels of a multi-strain B. subtilis probiotic mixture on growth performance, nutrient digestibility, physiological responses, carcass traits, and meat quality of broiler chickens reared under intensive conditions. A total of 900 one-day-old Ross 308 broiler chicks were assigned to six dietary treatments in a completely randomized design, with 36 pens (13 birds/0.75 m²) serving as experimental units. Diets comprised a basal diet without additives (PRB0), a positive control containing zinc bacitracin (POSC), and four diets supplemented with 0.3, 0.4, 0.5, or 0.6% of the B. subtilis probiotic mixture (PRB3 - PRB6). Diets were fed from the starter to the finisher phases. Probiotic supplementation influenced growth responses across the graded inclusion levels. Birds receiving the 0.5% inclusion level consistently exhibited the most favourable body weight gain and feed conversion efficiency compared with the other treatments. Probiotic supplementation enhanced the digestibility of organic matter, neutral detergent fibre, and gross energy, whereas crude protein digestibility exhibited a quadratic response. Haemato-biochemical profiles suggested improved physiological status in birds receiving mid-level probiotic inclusions (PRB3 - PRB5). Carcass yield and major meat quality traits were unaffected by dietary treatments, while minor effects on gut morphological indices were observed. Collectively, these findings suggest that a 0.5% inclusion level may be a promising probiotic supplementation strategy for broiler production under high stocking density. © 2026 The Authors.

07
CLINICAL STUDY Microorganisms (2026) PMID: 41753601 ↗
Multi-Model Longevity Assays Reveal Lifespan- and Healthspan-Promoting Effects of Bacillus subtilis WTC019.
Clinical Trial Synthesis 2026 Clinical Study published in Microorganisms. Key conclusion: subtilis WTC019 significantly prolonged lifespan in C57BL/6J mice, with median lifespan increases of 5.97% in females and 6.05% in males.
View Original PubMed Abstract ↓

Bacillus subtilis is a spore-forming probiotic with an established safety profile, yet its effects on aging-related phenotypes remain incompletely defined. Here, we assessed the lifespan- and healthspan-promoting activity of a novel strain, B. subtilis WTC019, using integrated invertebrate, cellular, and mammalian aging models. In Caenorhabditis elegans, B. subtilis WTC019 significantly extended lifespan, increasing median lifespan by 17.48%, 90% lifespan by 35.36%, and maximum lifespan by 19.07%, and attenuated age-associated locomotor decline. In human skin fibroblasts, B. subtilis WTC019 cell lysate reduced senescence-associated β-galactosidase activity by approximately 34% and altered cell cycle distribution consistent with delayed cellular senescence. Moreover, dietary supplementation with B. subtilis WTC019 significantly prolonged lifespan in C57BL/6J mice, with median lifespan increases of 5.97% in females and 6.05% in males. Together, these results demonstrate that B. subtilis WTC019 promotes lifespan- and healthspan-associated phenotypes across multiple aging models, supporting its potential as a probiotic candidate for healthy aging interventions.

08
RANDOMIZED TRIAL (RCT) Beneficial microbes (2026) PMID: 41707673 ↗
Effects of a Bacillus subtilis HU58 and Heyndrickxia faecalis SC208 spore-forming probiotic formula on gastrointestinal health: results of a randomised, double-blind, placebo-controlled pilot study.
Clinical Trial Synthesis 2026 Randomized Controlled Trial (RCT) published in Beneficial microbes involving n = 61 participants; statistical significance reported at p = 0.003. Key conclusion: faecalis SC208 for 4 weeks was safe and effective in improving stool consistency and abdominal pain in individuals with IBS-D, supporting its potential for symptom management in IBS-D.
View Original PubMed Abstract ↓

Irritable bowel syndrome (IBS) is a chronic functional disorder characterised by abdominal pain and altered bowel habits. The most prevalent subtype is diarrhoea-predominant IBS (IBS-D). The combination of Bacillus subtilis HU58 and Heyndrickxia faecalis (formerly Bacillus coagulans) SC208 has previously exerted positive effects in people with antibiotic-associated diarrhoea and infective diarrhoea. The present multicentre study conducted in India aimed to evaluate the effectiveness and safety of the dual-strain probiotic in adults (18-65 years) with IBS-D. In this randomised, double-blind, placebo-controlled pilot study, 61 participants were recruited and assessed for changes in abdominal pain intensity (Numeric Rating Scale, NRS) and stool consistency (Bristol Stool Form Scale, BSFS) over a 4-week intervention period, with secondary outcomes including responder rates for IBS Global Assessment of Improvement (IBS-GAI) and perceived stress (Perceived Stress Scale, PSS). The probiotic group showed significantly higher overall responder rates for both abdominal pain and stool consistency ( P = 0.003) compared to the placebo group. Significant improvements were observed in abdominal pain ( P = 0.003) and stool consistency ( P = 0.035) scores in the probiotic versus placebo group from baseline to end of intervention. IBS-GAI responder rates were significantly higher among the probiotic versus placebo group ( P = 0.017) whilst perceived stress scores did not differ significantly between groups. In conclusion, supplementation with B. subtilis HU58 and H. faecalis SC208 for 4 weeks was safe and effective in improving stool consistency and abdominal pain in individuals with IBS-D, supporting its potential for symptom management in IBS-D. The trial is registered at https://ctri.nic.in/Clinicaltrials (CTRI/2022/07/044154).

09
CLINICAL STUDY Microbial biotechnology (2026) PMID: 41662148 ↗
Development of a Tool for High-Efficiency, Markerless and Iterative Genome Editing in Shouchella clausii.
Clinical Trial Synthesis 2026 Clinical Study published in Microbial biotechnology. Key conclusion: Microbial Biotechnology published by John Wiley & Sons Ltd.
View Original PubMed Abstract ↓

Shouchella clausii is a spore-forming, Gram-positive bacterium with intrinsic antibiotic resistance and promising potential in biotherapeutics, industrial biotechnology and environmental applications. Its genetic intractability, due to a rigid cell wall and lack of natural competence, has limited its development as a microbial chassis. To facilitate its genetic transformation, a hyperosmotic electroporation protocol was optimised using cell wall weakening agents, achieving efficiencies comparable to other recalcitrant bacilli. A comprehensive and reusable genetic tool was developed centred on a temperature-sensitive E. coli-S. clausii shuttle vector (pM4B522) specifically engineered for compatibility with Golden Gate assembly. The plasmid backbone includes a spectinomycin resistance marker and an integrated red fluorescent protein reporter for transformants selection. A removable AmilCP chromoprotein cassette streamlines the assembly process by enabling blue/white screening in E. coli. This plasmid, employing a two-step pop-in/pop-out integration strategy, has demonstrated high versatility for genome editing in both S. clausii and Bacillus subtilis as evidenced by its successful use in multiple cases: (i) sequential, markerless deletions of the non-essential catabolic genes xylA and lacA in S. clausii DSM 8716, with a success rate exceeding 60%; (ii) replacement of the lacA coding sequence with a gfp coding sequence, resulting in fluorescence induction in lactose-supplemented medium; (iii) introduction of a single-base substitution generating a premature stop codon in lacA, showcasing scar-free point mutagenesis; and (iv) transfer of the system to B. subtilis 168, highlighting its broader applicability across Gram-positive bacteria. Given the precision and scarless nature of these genetic modifications, this system holds strong potential for the development of next-generation probiotics and synthetic biology applications. © 2026 The Author(s). Microbial Biotechnology published by John Wiley & Sons Ltd.

10
META-ANALYSIS Frontiers in oral health (2025) PMID: 41641154 ↗
Oral health benefits of Heyndrickxia coagulans: a systematic review and meta-analysis of current evidence.
Clinical Trial Synthesis 2025 Meta-Analysis published in Frontiers in oral health involving n = 183 participants; statistical significance reported at p = 0.01. Key conclusion: coagulans appears to exert beneficial effects on oral health by reducing cariogenic bacterial load and improving periodontal parameters, supporting its potential use as an adjunct in caries prevention and gingival
View Original PubMed Abstract ↓

INTRODUCTION: The oral microbiota plays a fundamental role in maintaining both oral and systemic health, while dysbiosis contributes to diseases such as dental caries and periodontitis. Probiotics have gained attention as adjunctive strategies to restore microbial homeostasis. Heyndrickxia coagulans (formerly Bacillus coagulans) is a spore-forming, lactic acid-producing bacterium with documented antimicrobial, antioxidant, and immunomodulatory properties. Its resilience to environmental stressors and industrial processing makes it a promising probiotic candidate. This systematic review and meta-analysis aimed to evaluate the effects of H. coagulans on oral health outcomes. METHODS: A comprehensive search was performed across multiple databases up to September 2025 to identify randomized controlled trials (RCTs) and non-randomized studies assessing H. coagulans as a probiotic intervention for oral health. Data extraction followed PRISMA guidelines, and the risk of bias was evaluated using the RoB 2.0 and ROBINS-I tools. Meta-analysis was conducted using Stata SE® 18.5, with changes in salivary Streptococcus mutans levels as the primary outcome measure. RESULTS: Eight studies (seven RCTs and one NRSI) met the inclusion criteria. Most were conducted in India, Iran, and North Macedonia, with sample sizes ranging from 30 to 183 participants aged 5-73 years. Administration of H. coagulans, via chewable tablets, mouthwash, or food matrices, resulted in a significant reduction of salivary S. mutans counts in both children and adults compared with placebo or other probiotics. Meta-analysis of four studies demonstrated a pooled effect size of -0.99 (95%CI = -1.60/0.39; p < 0.01), although substantial heterogeneity was observed (I² = 98.2%). Additional studies reported improvements in Gingival Index, bleeding on probing, and clinical attachment levels among participants with gingivitis or periodontitis. No significant adverse events were reported. CONCLUSION: H. coagulans appears to exert beneficial effects on oral health by reducing cariogenic bacterial load and improving periodontal parameters, supporting its potential use as an adjunct in caries prevention and gingival

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