Probiotic, as defined by an expert committee, means "living microorganisms, which, when consumed in adequate amounts, confer a health effect on the host." Specific strains of probiotic lactic acid bacteria have been shown to beneficially influence the composition and/or metabolic activity of the endogenous microbiota. Certain probiotic strains or specific bacterial lysates or extracts exert their effects beyond the gut or topically applied directly to the skin and confer benefits at the skin level. There is indeed emerging evidence that such probiotics alive or in extract forms can contribute to the reinforcement of skin barrier function and modulate the skin immune system, leading to the preservation of skin homeostasis. Probiotics can be consumed in various forms of fermented or nonfermented food products. Probiotics can be used as a component of functional foods. The most often used probiotic genera in humans and animals are enterococci, lactobacilli, and bifidobacteria, which are natural residents of the intestinal tract. Different human trials suggest that probiotic supplementation might be useful in the management of atopic dermatitis. Ingested probiotic bacteria can accelerate the recovery of cutaneous immune homeostasis after UV exposure in humans and may therefore play a role in UV-induced skin damage prevention and photoprotection. Another indication for which the probiotics could be beneficial is to improve reactive skin symptoms.
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