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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5445_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Contents
- •Editors and Contributors
- •About the Editors
- •Contributors
- •Abstract
- •1.1 Introduction
- •1.1.1 Historical Background
- •1.3.2 Pulmonary Drug Delivery
- •1.3.3 Parenteral Drug Delivery
- •1.4 Inulin Health Benefits
- •1.4.1 Prebiotic Effects
- •1.5 Inulin Industrial Applications
- •1.5.2 Pharmaceutical Uses
- •1.6.2 Regulatory Status Worldwide
- •1.7.1 Emerging Health Benefits
- •1.8 Conclusion
- •References
- •1.3 Inulin Drug Delivery Routes
- •1.3.1 Oral Drug Delivery
- •Abstract
- •2.1 Introduction
- •2.4 Physicochemical Characteristics
- •2.4.1 Chain Length
- •2.4.2 Solubility
- •2.4.3 Viscosity
- •2.4.4 Melting Temperature
- •2.4.5 Gelling
- •2.5.1 Extraction Through Hot Water
- •2.5.2 Extraction Using Ultrasound
- •2.5.3 Extraction Directed Through Microwave
- •2.7.1 Therapeutic Benefits
- •2.7.1.2 As Laxative
- •2.7.1.3 In Lipid Metabolism
- •2.7.1.5 Absorption Enhancer
- •2.8 Pharmaceutical Benefits
- •2.8.3 In PEGylation
- •2.8.5 As Gel
- •2.9 Diagnostic Benefits
- •2.10.2 Yield Variability
- •2.10.3 Purity Challenges
- •2.11 Future Scope
- •2.12 Conclusion
- •References
- •Abstract
- •3.1 Introduction
- •3.2 Inulin-Based Drug Formulations
- •3.3.1 Inulin-Based Hydrogels
- •3.3.2 Inulin-Based Micelles
- •3.3.3 Inulin-Based Liposomes
- •3.3.4 Inulin-Based Prodrugs
- •3.3.5 Inulin-Based Chelating Agents
- •3.3.6 Inulin-Based Microparticles
- •3.3.7 Inulin-Based Nanoparticles
- •3.6 Conclusions
- •References
- •Abstract
- •4.1 Introduction
- •4.3.1 Emulsifying Properties
- •4.3.3 Particle Stabilization
- •4.5.1 Solid Dosage Forms
- •4.5.3 Parenteral Formulations
- •4.5.4 Drug Delivery Systems
- •4.6.1 Skin Care Products
- •4.6.2 Hair Care Products
- •4.6.3 Personal Hygiene Products
- •4.7.2 Blood Sugar Regulation
- •4.9 Conclusion
- •References
- •Abstract
- •5.1 Introduction
- •5.5 Inulin-Based Drug Delivery Systems
- •5.5.1 Inulin Film Coating Agents
- •5.5.2 Biodegradable Inulin Coatings
- •5.5.3 Multipulse Delivery
- •5.5.4 Functional Inulin Coating Materials
- •5.5.5 Inulin Enteric Coatings/Colon Targeting
- •5.5.6 Tumor Targeting
- •5.5.7 Inulin Sustained Release Coatings
- •5.5.8 Hybrid Inulin-Based Coating Materials
- •5.5.9 Inulin Taste-Masking Coatings
- •5.5.10 Nanotechnology Using Inulin
- •5.7.1 Agriculture
- •5.7.2 Diagnosis
- •5.7.3 MRI Diagnosis
- •5.7.4 Medicine
- •5.7.5 Bioremediation
- •References
- •Abstract
- •Abbreviations
- •6.1 Introduction
- •6.1.1 Background
- •6.2 Understanding Prebiotics
- •6.4.2 Fermentation by Gut Microbiota
- •6.6.1 Bidirectional Communication
- •6.8 Future Perspective
- •6.9 Conclusion
- •References
- •7.2.2 Anti-Inflammatory Effects
- •7.3.1 Skin Whiteners
- •7.3.2 Hair Care
- •7.4 Regulatory Status
- •7.5 Conclusion
- •References
- •Abstract
- •7.1 Introduction
- •Abstract
- •8.1 Introduction
- •8.2.3 Anatomical Characteristics
- •8.2.4 Thermodynamic Stability
- •8.4.2 Formulation Strategies
- •8.5.3 Regulatory Considerations
- •8.9 Regulatory Considerations
- •8.11 Conclusion
- •References
- •Abstract
- •9.1 Introduction
- •9.2 Inulin-Based Pharmaceutical Applications
- •9.3.1.1 GIT
- •9.3.1.2 CNS
- •9.3.1.3 CVS
- •9.3.1.4 Hypersensitivity Reactions
- •9.3.1.5 Other Reported Adverse Effects
- •9.3.2 Inulin Interactions
- •9.4.1 Acceptable Daily Intake
- •9.4.3.2 Adults
- •9.4.3.3 Elderly Individuals
- •9.4.3.4 Pregnant or Lactating Women
- •9.5.1 Clinical Trial Outcome
- •9.5.2 Animal Studies
- •9.5.3 In Vitro Studies
- •9.6 Future Prospects
- •9.7 Conclusion
- •References
- •Abstract
- •Abbreviations
- •10.1 Introduction
- •10.2.2.1 Prebiotic Activity
- •10.2.2.2 Improved Gut Health
- •10.2.2.3 Anti-Inflammatory Effects
- •10.2.2.5 Enhanced Mineral Absorption
- •10.6.1 Potential Side Effects
- •10.6.2 Dosage Recommendations
- •10.7 Future Perspective
- •10.8 Conclusion
- •References
- •Abstract
- •11.19.1 Tolerance
- •11.20 Conclusion
- •References
- •Abstract
- •12.1 Introduction
- •12.5.1 Hydrogels
- •12.5.2 Microparticles
- •12.5.3 Nanoparticles
- •12.5.4 Inulin Conjugates
- •12.5.5 Miscellaneous
- •12.7 Conclusion
- •References
- •Abstract
- •13.5.1 Pharmaceutical Quality Assurance Framework
- •References
- •Abstract
- •14.1 Introduction
- •14.2.1 Prebiotic Nature
- •14.8 Immune-Modulatory Effects
- •14.9.3 Addressing Bone-Related Disorders
- •14.12 Cognitive Implications
- •14.13 Future Directions
- •14.14 Conclusion
- •References
- •Abstract
- •15.1 Introduction
- •15.3 Extraction Techniques
- •15.7.1 In Pharmaceutical Sector
- •15.7.1.4 As Vaccine Adjuvant
- •15.7.2 In Food Sector
- •References
- •Abstract
- •16.1 Introduction
- •16.1.3 Innovative Drug Delivery Systems
- •16.2 Functional Properties
- •16.2.1 Liquidity
- •16.2.2 Prebiotic Characteristics
- •16.2.3 Low Energy Density
- •16.2.5 Potential Health Benefits
- •16.3.3 Mucosal Delivery Systems
- •16.3.4 Liposomes
- •16.5 Future Perspectives
- •References

116
6.1.2 Rationale forStudying Inulin asaPrebiotic
The potential benets of inulin as a prebiotic on human health, especially in terms
of gut microbiota modication, are a topic of research. There are several reasons to
look into inulin as a prebiotic, all of which stem from its special qualities. Firstly,
inulin enters the colon undigested because of its resistance to digestion in the upper
gastrointestinal system. There, it serves as a substrate for the development of advan-
tageous bacteria (Mitchell etal. 2015). Gaining knowledge of the precise processes
by which inulin promotes the growth of lactobacilli and bidobacteria, these two
types of benecial bacteria help to explain its prebiotic properties. Second, these
helpful bacteria convert inulin to produce short-chain fatty acids (SCFAs), which
have been linked to a number of health advantages. Understanding the wider physi-
ological ramications requires looking at how inulin affects the production of SCFA
and how that affects gut health. Furthermore, inulin’s importance for preserving
intestinal homeostasis is highlighted by its capacity to enhance the function of the
gut barrier, lessen inammation, and suppress harmful bacteria (Dewulf etal. 2013).
Deciphering the physiological and molecular processes behind these impacts can
provide insight into the complex interactions among gut bacteria, dietary compo-
nents, and general health. Furthermore, knowing how each person responds differ-
ently to inulin as a prebiotic is crucial as researchers in the eld of personalised
nutrition go further. To sum up, research on inulin as a prebiotic is crucial to under-
standing its modes of action, examining its inuence on the makeup of the gut
microbiota, and discovering its wider health implications. The ndings of this study
may contribute to the development of personalised nutrition plans, therapeutic inter-
ventions, and dietary guidelines, ultimately advancing the development of preven-
tive and curative measures for a range of illnesses (Hutkins etal. 2016).
6.2 Understanding Prebiotics
Prebiotics are indigestible materials, typically bres, that especially encourage the
growth and proper operation of benecial bacteria in the digestive tract. Prebiotics
function as a feeding substrate for helpful bacteria that are already present. Prebiotics
that pass through the digestive system, like inulin, promote the development of spe-
cic microbial strains that maintain a balanced and healthy gut microbiota. Short-
chain fatty acids, which are critical for maintaining gut health and have broader
impacts on immune response and overall health, are synthesised with the help of
this symbiotic interaction (Hutkins etal. 2016). Prebiotics have important technical
properties as well as interesting nutritional properties. A large number of them can
be produced industrially with sustainable resources and are found in fruits and veg-
etables. They improve mouthfeel and aroma and have a signicant effect on organo-
leptic qualities in food formulations. For prebiotics to be employed as benecial
food additives, they must be chemically resistant to heat, low pH, and Maillard
reaction conditions (Ajuwon 2016). It was feasible to determine how processing
parameters affected the prebiotic activity of commercial prebiotics using a prebiotic
A. Anand et al.

117
activity assay. The results showed that the least stable fructooligosaccharide product
was produced when heating at a low pH, which was the only way to considerably
lower the quantity of prebiotic action (Douglas and Sanders 2008). Prebiotics have
applications in both technology and nutrition; however, they are most commonly
used to improve organoleptic quality and give a more nutritionally balanced compo-
sition (Valcheva and Dieleman 2016). Nondigestible oligosaccharides and inulin are
easy to use as bre components, and they often improve texture and avour. These
specic types of dietary bre are easily fermented by some species of lactobacilli
and bidobacteria in the colon, which boosts their cell population and simultane-
ously creates short-chain fatty acids (Douglas and Sanders 2008).
6.2.1 Definition andCharacteristics
Prebiotics are indigestible materials, mostly dietary bres, that specically promote
the development and activity of benecial bacteria in the gastrointestinal tract to
benet the host. The main characteristic of prebiotics is their resistance to upper
gastrointestinal tract digestion, which allows them to pass into the colon undigested
and serve as a substrate for microbial fermentation (Valcheva and Dieleman 2016).
Prebiotics like inulin, a soluble bre found in many different plants, are widely
studied. What sets it apart is the arrangement of fructose units linked by β-2,1-
glycosidic connections, which confers resistance against enzymatic breakdown in
the stomach and small intestine (Gibson etal. 2010). Due to its unique structure,
inulin is particularly effective in fostering the growth of two types of benecial
bacteria: lactobacilli and bidobacteria. Due to its unique structure, inulin is par-
ticularly effective in fostering the growth of two types of benecial bacteria: lacto-
bacilli and bidobacteria (Gibson etal. 2017). To sum up, prebiotics are indigestible
substances, mostly dietary bres, that have unique properties that help them interact
with the gut bacteria. Prebiotics are essential for preserving gut health and affecting
more general elements of host physiology because of their resistance to digestion,
capacity to specically activate benecial bacteria, and consequent effects on SCFA
production (Sarbini and Rastall 2011).
6.2.2 Distinction Between Prebiotics andProbiotics
Although the phrases “prebiotics” and “probiotics” are frequently used in relation
to gut health promotion, they actually refer to separate elements of the gastrointes-
tinal ecosystem that play different roles. Prebiotics, like inulin, are indigestible sub-
stances, typically bres, that specically promote the development and function of
good bacteria in the colon. Their main purpose is to act as a substrate for the current
microbial community, encouraging the growth of particular advantageous strains
(Steer etal. 2000). Prebiotics are benecial bacteria that help other bacteria develop,
especially lactobacilli and bidobacteria. They are not live microorganisms.
Probiotics, on the other hand, are live microorganisms that, when taken in sufcient
6 Inulin asaPrebiotic andIts Eect onGut Microbiota

118
proportions, usually provide health advantages to the host (bacteria or yeast).
Different strains of Lactobacillus and Bidobacterium are common probiotics.
Prebiotics are described as indigestible materials that selectively stimulate the
growth or bioactivity of advantageous bacteria that are either naturally occurring in
the gut or have been therapeutically introduced (Hardy etal. 2013). Prebiotics are
fermented in the large intestine by advantageous microorganisms. The microbiota
gets its energy from prebiotics. Many non-starchy polysaccharides, including guar
gum, oat gum, pectins, oligosaccharides, sugar alcohols, and endogenic carbohy-
drates like chondroitinsulphate and mucus, typically do not pass through the stom-
ach and into the intestine, nor are they broken down by the microorganisms in the
intestine. They cannot, therefore, be regarded as prebiotics. Polyols including lacti-
tol, mannitol, sorbitol, and xylitol have recently been added to the prebiotic cate-
gory. In order to maintain or restore a healthy microbial balance, probiotics can
naturally occur in the gut through fermented meals or as supplements that deliver
live helpful microorganisms. Probiotics and prebiotics both support gut health, but
they do so in distinct ways (Serban 2014). Prebiotics give benecial bacteria a sub-
strate to develop on, creating an environment that is conducive to their activity and
growth. Probiotics, on the other hand, enhance the natural microbial community in
the stomach by introducing live, helpful microorganisms directly. Prebiotics are
originally described as “substances secreted by one microorganism which stimulate
(in contrast to antibiotics) the growth of another,” despite the fact that they have
likely been around for generations. “A preparation of, or a product containing via-
ble, dened microorganisms in sufcient numbers, which alter the microora (by
implantation or colonisation) in a compartment of the host and by that exert bene-
cial health effects on the host” is the expanded denition of a probiotic that followed
(Cremon et al. 2018). A more straightforward denition of a probiotic is “live
microorganisms which when administered in adequate amounts confer a health ben-
et on the host,” as provided by the Food and Agricultural Organisation of the World
Health Organisation. After re-examining the term probiotic, a different International
Scientic Association for Probiotics and Prebiotics (ISAPP) panel expressed sup-
port for keeping the World Health Organisation’s and the Food and Agricultural
Organisation’s denition (Quigley 2010).
6.2.3 Importance ofPrebiotics forGut Healths
Because prebiotics have an impact on the composition and activity of the gut micro-
biota, which is benecial to numerous physiological aspects of health as well as
overall wellness, they are signicant for gut health. First of all, lactobacilli and
bidobacteria, the two kinds of benecial bacteria, have a specic substrate that is
provided by prebiotics such as inulin. This specic stimulation fosters the growth of
these benecial microbes, improving the microbial ecology associated with
improved gut health. Second, these benecial bacteria ferment prebiotics to create
acetate, propionate, and butyrate, which are examples of short-chain fatty acids
(SCFAs) (Slavin 2013). The preservation of intestinal epithelial health,
A. Anand et al.

119
improvement of gut barrier function, and control of immunological response are all
dependent on SCFAs. More specically, colonocytes use butyrate as their primary
energy source, which aids in preserving the integrity of the intestinal lining.
Prebiotics may also help inhibit the growth of pathogenic bacteria by creating an
environment in the gut where resources are competed for. This can make the micro-
bial community more resilient and balanced, which can reduce the risk of dysbiosis
and associated health issues (Khangwal and Shukla 2019). Studies have shown a
number of health benets associated with diets high in prebiotics. Improved intesti-
nal regularity, improved mineral absorption (particularly calcium and magnesium),
and potential management of metabolic issues are some of these advantages.
Prebiotics have also been researched for their role in improving satiety and support-
ing weight control (Adhikari and Kim 2017). The complexity of the metabolic pro-
cesses and diversity of species found in the human gut microbiome have been
conrmed by recent investigations employing genomic approaches. Furthermore,
the importance of the human gut microbiota to host health is becoming increasingly
clear. It maintains gut function, acts as a barrier against disease, and serves as a
conduit for shocks and infections from the environment. Though little is known
about the health consequences of the primary species of gut bacteria, it is widely
accepted that lactobacilli and bidobacteria are important members of what could
be called the benecial gut microbiota (Gibson 1998). The last several decades have
seen the development and commercialisation of probiotics, prebiotics, and synbiot-
ics as microbiota management techniques with the expressed purpose of increasing
the quantity of lactobacilli and/or bidobacteria in the gastrointestinal tract. The
interest in managing gut ora has been shown to increase human health and reduce
the chance of illness onset. New molecular technologies that allow precise assess-
ment of the ora’s composition have led to the development of more effective strate-
gies for supporting mechanisms of impact (Gallego and Salminen 2016).
6.3 Inulin: ANatural Prebiotic
Plants such as chicory roots, garlic, onions, and bananas contain soluble dietary
bre called inulin, which is a naturally occurring prebiotic. Due to its special com-
position, it does not break down in the upper gastrointestinal tract and enters the
colon undamaged. Benecial bacteria in the gut, such as lactobacilli and bidobac-
teria, are specically encouraged to ourish by inulin. Short-chain fatty acids are
produced as a consequence of this fermentation process, which improves the gut
barrier, lowers inammation, and affects immunological function to enhance gut
health (Teferra 2021). Inulin is a commonly available, naturally occurring prebiotic
that supports digestive health and is an important part of a diet that promotes health.
Many plants naturally produce the polysaccharide inulin as a storage carbohydrate.
Inulin mostly contains fructose as monomeric units and a glucose terminus, in con-
trast to starch, which is the most prevalent glucose storage polymer. More than
30,000 species contain inulin; the primary commercial sources are the roots of chic-
ory (Cichorium intybus) and yacon (Polymnia sonchifolia) and the tubers of
6 Inulin asaPrebiotic andIts Eect onGut Microbiota

120
Jerusalem artichokes (Helianthus tuberosus) and dahlias (Dahlia pinnata) (Barclay
etal. 2016). Inulin is found in plants in their natural state as a mixture of fructose
and oligo- and polysaccharides that can range from 2 to 100units, depending on the
type of plant, age, and extraction method. Prebiotic inulin is a naturally occurring,
nondigestible carbohydrate found in a typical human diet. After passing through the
gastrointestinal tract, inulin is eventually converted to fructose by colonic bacteria,
particularly the advantageous species, whose proliferation is also encouraged at the
expense of the detrimental ones. Inulin and prebiotics have garnered signicant
attention from both industry and the general public recently, particularly with regard
to the marketing of their derived/supplemented goods, which encompass the Central
and East European (CEE) region (Wilson and Whelan 2017). Major health benets
have been reported in a variety of ways all over the world. These benets primarily
include preserving a healthy microbial balance in the gut, lowering inammation
and infection in the gut, preventing colon cancer, increasing mineral absorption,
lowering cholesterol, improving bowel habits, helping treat diabetes, and boosting
immunity. Thus, inulin has a signicant deal of potential to improve public health,
both physiologically and in terms of aiding in weight loss through the replacement
of fat and easily digested carbohydrates in dietary products. It is imperative to
acknowledge the potential risks associated with inulin, which primarily stem from
fructose intolerance and infrequent instances of allergy. Furthermore, it is plausible
that specic medical circumstances could promote the establishment of other detri-
mental gut bacterial species, which may have an unestablished but conceivable con-
nection to autoimmune diseases (Flores etal. 2016).
6.3.1 Overview ofInulin
Because it may be found in more than 3000 veggies, inulin is thought to be widely
dispersed among different types of plants. It has been a staple of our diet for millen-
nia, adding nutritious value and offering noteworthy technological advantages.
Inulin was rst identied in the early 1800s by a German scientist by the name of
Valentine Rose from the roots of Elecampane; Thomson ofcially called it in 1817.
Julius Sachs discovered inulin spherocrystals in dahlia, Jerusalem artichokes, and
elecampane in 1864. Chicory roots, Jerusalem artichokes, dahlia tubers, asparagus,
leek, onion, banana, wheat, and garlic are natural sources of inulin. Fructans of the
inulin type are articially made from sucrose. Inulin provides just 25–35% of the
energy provided by digestible carbs, yet it is extensively utilised in processed foods
as a fat or sugar substitute or to add desirable qualities (Mensink etal. 2015). Inulin
has a sweetness content of roughly 10% that of sucrose. Because of its many health
benets, namely, improved mineral absorption, and because it belongs to the class
of carbohydrates known as fermentable oligo-, di-, and monosaccharides and poly-
ols (FODMAPs), which are easily digested in the colon by drawing water into the
colon to treat constipation and related conditions, it is a versatile ingredient.
Additionally, it encourages the development of benecial bacteria in the digestive
system and is regarded as a suitable element for low-calorie meals that help
A. Anand et al.

121
Table 6.1 Sources of inulin in the diet
Food source
Inulin content Form of inulin
Reference
Chicory root High Extract or ground Skwarczynski (2017)
Jerusalem
artichoke
High Whole or extract Kosaric etal. (1984)
Garlic Moderate to high Whole Lara etal. (2021)
Onions Moderate Whole Vijn etal. (1997)
Leeks Moderate Whole Van etal. (1995)
Asparagus Moderate Whole Sun etal. (2020)
Bananas Low to moderate Whole Cherbut (2002)
Wheat Low Whole or our Karolini-Skaradzinska etal.
(2007)
Barley Low Whole or our Drakos etal. (2021)
Rye Low Whole or our Karppinen etal. (2000)
diabetics control their blood sugar levels (Cooper etal. 2015). Plants contain a sol-
uble bre called inulin. It is resistant to digestion and promotes gut balance and
health by promoting benecial bacteria in the gut microbiome. Table6.1 illustrates
the list of foods that have been the sources of inulin.
A fructose-based polysaccharide found in nature, inulin is made up of linear
chains of β-2,1-linked fructose units that are terminated by a glucose molecule. The
β-conguration and glycosidic bonding between fructose units dene the chemical
structure of inulin (Leyva-Porras etal. 2017). There might be variations in the chain
length depending on the quantity of fructose units. Longer-chain inulin polymers
and short-chain inulin oligomers are two types of inulin variations (de Gennaro
et al. 2000). Fructooligosaccharides (FOS) are short-chain inulin oligomers that
contain 2–10 fructose units. Inulin is a naturally occurring fructose-based polysac-
charide composed of linear chains of β-2,1-linked fructose units ended by a glucose
molecule (de Gennaro etal. 2000). The chemical structure of inulin is determined
by the glycosidic bonding between fructose units and the β-conguration. Chain
lengths may vary based on the amount of fructose units present. There are two kinds
of inulin variations, short-chain inulin oligomers and longer-chain inulin polymers.
Short-chain inulin oligomers called fructooligosaccharides (FOS) include 2–10
fructose units in them (Barclay etal. 2010).
6.4 Metabolism ofInulin intheGut
The indigenous gut microbiota ferments this prebiotic bre as part of the intricate
process of inulin metabolism in the gut. Because inulin is an indigestible substance,
it enters the colon mostly undigested and acts as a substrate for good bacteria.
Anaerobic fermentation occurs when some bacteria, especially lactobacilli and bi-
dobacteria, ferment inulin once it reaches the colon. These bacteria convert inulin
into a variety of metabolites during fermentation, with short-chain fatty acids
(SCFAs) being the main output. Short-chain fatty acids are essential for preserving
6 Inulin asaPrebiotic andIts Eect onGut Microbiota

122
intestinal health. Specically, butyrate acts as the main source of energy for colono-
cytes, maintaining the integrity of the intestinal lining and the integrity of the
colonic epithelium. Furthermore, SCFAs support the preservation of gut barrier
function, inuence inammation, and control immunological responses. Inulin
metabolism not only yields SCFAs but also fosters an environment that inhibits the
growth of potentially hazardous germs and encourages the growth of good bacteria.
This targeted stimulation further improves the general health of the gastrointestinal
tract by supporting a diversied and well-balanced gut bacterium (Rowland etal.
1998). The gut microbiota ferments inulin in the colon, producing a number of
metabolites in the process. Among these metabolites, short-chain fatty acids help
control the development of immune cells and give intestinal epithelial cells energy
(Coudray etal. 2005). The intestinal metabolites of inulin support the immune sys-
tem of the host. The distinct β-conguration present in fructose’s monomeric isomer
C
2
impedes the hydrolysis of fructose of the inulin type by digestive enzymes such
as sucrase, maltosidase, and α-glucosidase. Lactate and short-chain fatty acids
(SCFAs), such as acetate, butyrate, and propionate, are produced when intestinal
bacteria ferment inulin. These products are eventually expelled from the body (Song
etal. 2019).
6.4.1 Digestion andAbsorption
Inulin is a prebiotic bre that undergoes minimal absorption and digestion in the
upper gastrointestinal tract. The human digestive system lacks the enzymes neces-
sary to break down the β-2,1-glycosidic linkages present in the fructose chains of
inulin. Consequently, inulin enters the colon largely intact. The bacteria that live in
the colon, particularly lactobacilli and bidobacteria, play a major role in the fer-
mentation of inulin (Franck 2006). Through anaerobic fermentation, these bacteria
transform inulin into a range of metabolites; the primary byproducts are short-chain
fatty acids (SCFAs), which include butyrate, acetate, and propionate. Unlike many
other food components that are absorbed in the small intestine, the SCFAs produced
by inulin fermentation are absorbed in the colon. Colocytes prefer butyrate above
other energy sources, which helps to maintain the general health of the gut and the
integrity of the colonic epithelium. Although inulin is not absorbed to a signicant
extent on its own, some smaller inulin oligomers, such as fructooligosaccharides
(FOS), may be partially absorbed in the small intestine. However, the majority of
inulin’s advantages for gut health are attributed to colonic bacteria’s fermentation of
the bre, highlighting the bre’s role as a nutrient-selective substrate for benecial
bacteria (Coudray etal. 2005).
6.4.2 Fermentation by Gut Microbiota
One important activity that takes place in the colon is the fermentation of inulin by
the gut microbiota. This process affects the generation of metabolites that have a
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123
Fig. 6.1 Short-chain fatty acid (SCFA) formation via inulin fermentation and its anti-inamma-
tory properties
signicant impact on gut health as well as the makeup of the gut microbiota. Certain
bacteria, particularly lactobacilli and bidobacteria, use inulin as a substrate because
it is resistant to digestion in the upper gastrointestinal system (Aguirre etal. 2016).
These bacteria move to the colon and start the inulin’s anaerobic fermentation. This
mechanism breaks down the fructose chains in inulin to produce different metabo-
lites, with a focus on producing short-chain fatty acids (SCFAs). Acetate, propio-
nate, and butyrate are the main SCFAs produced. Butyrate in particular, a short-chain
fatty acid, is essential for preserving intestinal health. Furthermore, SCFAs modu-
late inammation, affect immunological responses, and support the integrity of the
intestinal barrier (Hayashi etal. 2017). Inulin fermentation results in the production
of healthy SCFAs as well as an environment that promotes the development of help-
ful bacteria while preventing the formation of potentially dangerous microorgan-
isms. This targeted stimulation supports the diversity and balance of the gut
microbiota and the general health of the gastrointestinal system. Figure6.1 shows
the anaerobic fermentation of inulin results in the production of SFCAs that have
anti-inammatory response (Carlson etal. 2017).
6.4.3 Production ofShort-Chain Fatty Acids
One important way that inulin, a prebiotic, improves gut health is through the fer-
mentation of inulin by the gut microbiota, which produces short-chain fatty acids,
or SCFAs. Because inulin is resistant to digestion in the upper gastrointestinal sys-
tem, it enters the colon intact and is fermented anaerobically by certain bacteria,
6 Inulin asaPrebiotic andIts Eect onGut Microbiota

124
including lactobacilli and bidobacteria. These bacteria convert the fructose chains
of inulin into a variety of metabolites during fermentation, with SCFAs being the
main product (Macfarlane and Macfarlane 2003). Propionate, butyrate, and acetate
are the main SCFAs produced during this process. These SCFAs has a unique func-
tion in preserving intestinal health. Acetate is engaged in energy metabolism and
acts as a precursor for the creation of cholesterol. Propionate may have an impact on
lipid metabolism and has been linked to gluconeogenesis in the liver. Butyrate, on
the other hand, frequently draws a lot of attention due to its advantageous properties
(Markowiak-Kopeć and Śliżewska 2020). For colonocytes, butyrate is the preferred
energy source because it maintains the integrity of the colonic epithelium and helps
to maintain a healthy intestinal lining. Furthermore, butyrate maintains the integrity
of the intestinal barrier, has anti-inammatory qualities, and aids in the regulation
of immunological responses (Deleu etal. 2021).
6.5 Impact ofInulin onGut Microbiota Composition
Inulin has a major impact on the makeup of the gut microbiota, which in turn
impacts the types and numbers of bacterial communities in the digestive tract. As a
prebiotic, inulin specically promotes the growth of lactobacilli and bidobacteria,
two types of good bacteria. Butyrate, propionate, and acetate are among the SCFAs
that are produced when this good bacteria ferment inulin (Zhu etal. 2017). While
preventing the growth of potentially hazardous bacteria, these SCFAs foster the
development of benecial microorganisms. Research has indicated that the admin-
istration of inulin supplements may result in a rise in the quantity of bidobacteria,
which are recognised for their capacity to promote health (Kiewiet etal. 2021). The
fermentation of inulin by bidobacteria results in the production of butyrate, which
is essential for gut health. Additionally, a more resilient and balanced gut microbi-
ota is facilitated by the general increase in benecial bacteria, which also increases
the microbial diversity in the gut. Moreover, the inuence of inulin on the composi-
tion of the gut microbiota goes beyond its fermentation process. Inulin indirectly
affects the entire microbial community by promoting a favourable habitat for ben-
ecial bacteria, which in turn promotes a more robust and healthy ecology
(Hutchinson etal. 2023).
6.5.1 Changes inMicrobial Diversity
As a prebiotic, inulin signicantly alters the diversity of microbes in the gut, pro-
moting a more stable and well-balanced microbial community. The key to changing
the microbial composition is the specic stimulation of good bacteria, such as lac-
tobacilli and bidobacteria, through inulin fermentation. Research has repeatedly
demonstrated that supplementing with inulin is linked to an increase in these bene-
cial bacterial communities’ abundance. Specically, bidobacteria ourish on the
inulin substrate, which increases overall microbial diversity. As inulin ferments,
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more benecial bacteria are present, which aids in the generation of SCFAs such
butyrate, propionate, and acetate (Biruete etal. 2021). In addition to providing colo-
nocytes with energy, while inhibiting the growth of potentially harmful bacteria,
SCFAs promote the growth of benecial bacteria. Increases in microbial diversity
caused by inulin are associated with improved gut health. A varied gut ora is fre-
quently regarded as a sign of a robust digestive system. It increases the microbial
community’s overall resilience, increasing its capacity to adjust to changes and dis-
ruptions (Metzler-Zebeli etal. 2017).
6.5.2 Modulation ofSpecific Microbial Species
As a prebiotic, inulin is essential for regulating particular microbial species in the
gut microbiota, which in turn affects the quantity and activity of good bacteria.
Notably, lactobacilli and bidobacteria are two important species for gut health that
grow more readily when inulin is present. Bidobacteria ourish on the substrates
supplied by inulin, especially Bidobacterium longum, Bidobacterium breve, and
other species (Choque Delgado etal. 2011). Bidobacteria digest inulin, producing
short-chain fatty acids (SCFAs), particularly butyrate, which support gut health in
general. Further improving the microbial balance is the fermentation of inulin,
which also favours lactobacilli like Lactobacillus acidophilus. Research has indi-
cated that the presence of inulin supplements enhances the quantity of these advan-
tageous bacteria, hence generating a conducive atmosphere that surpasses the
limitations of these particular species (Badri etal. 2013). Inulin-induced regulation
not only increases the relative abundance of helpful bacteria but also helps to inhibit
microorganisms that could be detrimental. Many health advantages are linked to
inulin’s selective stimulation of particular bacteria species. It modulates immuno-
logical responses, lowers inammation, and strengthens the function of the intesti-
nal barrier. These helpful bacteria also support a balanced microbial ecosystem and
increase metabolic activity in the gut, which affects nutrition absorption (Umu
etal. 2017).
6.5.3 Influence onGut Microbiota Metabolism
The metabolism of the gut microbiota is greatly inuenced by inulin, which also
affects other metabolic pathways and promotes the general health of the digestive
system. The colon’s benecial bacteria ferment inulin to produce short-chain fatty
acids (SCFAs), of which butyrate, propionate, and acetate are the main byproducts.
SCFAs, especially butyrate, are released during inulin fermentation. Butyrate is an
essential metabolite that has several advantages for gut health. It supports the integ-
rity of the colonic epithelium by acting as the colonocytes’ main source of energy.
Furthermore, through controlling lipid metabolism and energy homeostasis, SCFAs
affect host metabolism (Vrieze etal. 2010). Nutrient absorption can be improved by
the gut microbiota’s metabolic activity, which is affected by inulin. The synthesis of
6 Inulin asaPrebiotic andIts Eect onGut Microbiota
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