It is generally accepted that the bacterial community resident in the human
intestinal tract has a major impact on gastrointestinal function and there
by on human health and well-being. Considerable efforts have been made to i
nfluence the intestinal microbiota by dietary means in such a way that the
health of the host is beneficially affected. Pro- and prebiotics are food p
roducts that are specially designed for this purpose. Parallel to the incre
ase in the acceptance of such products by the consumer, the scientific inte
rest in the mechanisms underlying their presumed effects, such as pathogen
inhibition, immune modulation or anti-carcinogenicity, has grown continuous
ly in recent years. Some of these effects have been established by several
independent studies, but others are still controversial. This review relate
s the health claims made for the pro- and prebiotic food products to the fa
cts established by in vivo and in vitro studies. The assessment of pro- and
prebiotic effects on the microbial gut ecosystem is highly improved and fa
cilitated by the application of molecular methods. Biotechnological aspects
of the production of pro- and prebiotics are discussed.