Fermentation 10 00522
Fermentation 10 00522
net/publication/384899976
fermentation Bacillus clausii: A Review into Story of Its Probiotic Success and
Potential Food Applications
CITATIONS READS
5 158
2 authors, including:
            Mahtab Sadrimovahed
            Near East University
            3 PUBLICATIONS 6 CITATIONS
SEE PROFILE
All content following this page was uploaded by Mahtab Sadrimovahed on 14 October 2024.
Review
Bacillus clausii: A Review into Story of Its Probiotic Success and
Potential Food Applications
Mahtab Sadrimovahed 1, *                 and Beyza H. Ulusoy 2
                                         1   Department of Food Hygiene and Technology, Faculty of Veterinary Medicine, Near East University,
                                             Nicosia 99100, Cyprus
                                         2   DESAM Institute, Near East University, North Cyprus Mersin 10, Nicosia 99138, Turkey
                                         *   Correspondence: mahtabsadri@gmail.com
                                         Abstract: Probiotics are live microbiota that can confer their hereditary health benefits upon the
                                         host. They can positively alter the diversity of the host’s gut microbiota population. Bacillus clausii is
                                         a spore-producing potential probiotic. Its application in the food industry has been highly recom-
                                         mended. Clausii spores are greatly resistant to harsh food processing treatment (heat and industrial
                                         pressure) and they can maintain their physiological traits (acid, bile salt) inside the human gut. The
                                         utilization of spores can enhance the nutritional viability of livestock, as well as the functionality
                                         of on-shelf products. This contemporary review covers the great attributes of B. clausii, including
                                         physiological characteristics, modes of action, probiotics benefits, a safety assessment, and the bacte-
                                         ria food industry applications for the purposes of producing enhanced functional foods known as
                                         probiotic foods. To our knowledge, although B. clausii has been widely applied in food industry, the
                                         amount of the literature that is dedicated to its role in sustainable food production and addresses
                                         its potential sporogenous probiotic behavior is fewer as compared to non-sporogenous lactic acid
                                         bacteria (Lactobacillus spp. and Bifidobacterium spp.). In our review, we also discovered a lack of
                                         empirical evidence on the synbiotic and synergistic behavior of clausii in combination with other
                                         active nutrients. Therefore, our review suggests that more studies should be conducted on the
                                         potential probiotic contribution of B. clausii in sustainable food production and its synergistic and
                                         synbiotic behavior in conjunction with other active nutrients.
Citation: Sadrimovahed, M.; Ulusoy,
B.H. Bacillus clausii: A Review into     Keywords: probiotics; Bacillus clausii; live microbiota; sporogenous; synergistic and synbiotic behavior
Story of Its Probiotic Success and
Potential Food Applications.
Fermentation 2024, 10, 522.
https://doi.org/10.3390/                 1. Introduction
fermentation10100522
                                               Even though for decades, some species of Bacillus probiotics have been used for the
Academic Editors: Ren-You Gan and        optimization of human diets or animal feeds, there have not been as many empirical studies
Katarzyna Pobiega                        on these species as compared to the lactic acid probiotics (LA). Within B. species, B. subtilis
Received: 18 June 2024
                                         (Bacillus natto), B. cereus (var toyoi), B. coagulants, B. licheniformis, and B. polyfermentans have
Revised: 5 October 2024                  been extensively examined, nonetheless, there has not been enough focus on their potential
Accepted: 7 October 2024                 probiotic behavior [1,2].
Published: 14 October 2024                     A quick look into the existing literature suggests that lactic acid bacteria (Lactobacillus,
                                         Enterococcus and, Streptococcus), alongside fungi species (Aspergillus and Saccharomyces) with
                                         probiotic qualities, have been largely covered, yet the potential behavior of genera Bacillus
                                         has been widely ignored [3,4]. Indeed, few studies in the literature, like Patron et al. [4],
Copyright: © 2024 by the authors.        Hoa et al. [5], and Sanders et al. [6], have discussed the safe incorporation of genera Bacillus
Licensee MDPI, Basel, Switzerland.
                                         into animal feeds or its harmless applications in the manufacturing of foods and medicines
This article is an open access article
                                         for human therapeutic purposes.
distributed under the terms and
                                               Most existing products in the market purport that their Bacillus probiotic content is as
conditions of the Creative Commons
                                         efficient as LAB probiotics due to the fact that they have overlapping properties including
Attribution (CC BY) license (https://
                                         hypo-allergenicity (arthritis treatment), and hyper-durability against salt and acidic envi-
creativecommons.org/licenses/by/
4.0/).
                                         ronment of the gut. Nevertheless, the number of empirical studies that has elaborated on
                             how or why the potential probiotic behavior of Bacillus could be just as efficient as—or even
                             superior—to the conventional LAB, is not significantly substantial [2,3,6]. There is also the
                             issue of public lack of trust due to the contradiction between insufficient scientific evidence
                             versus the appearance of overwhelming commercials that try to introduce different mar-
                             keted functional foods containing the genera of Bacillus. Such marketing without enough
                             support from empirical studies has raised concern over the probiotic versus pathogenic
                             behavior of the bacilli, resulting in consumer disorientation [2,6]. Our review posits that
                             the strain of B. clausii is among such concerns, and further studies must be conducted to
                             cover the gap, involving the strain’s potential probiotic benefits and how positively they
                             can benefit food manufacturing processing.
                                    The literature has also referred to Bacillus’ capabilities such as adequate spore pro-
                             duction, as well as sustainable spore shell life as great attributes which have qualified the
                             bacteria as a potential economic-based probiotic. Furthermore, other bacillus spores’ quali-
                             ties, like being highly resistant to harsh environmental treatment, including the harsh acidic
                             climate of the human gut, have made the sporegenous probiotic bacteria enjoy successful
                             germination and propagation inside the gut [3,6].
                                    The characteristics of spores’ enhanced tolerance and high survivability rate have
                             made the species sturdier during rough treatments in food processing as well as during
                             rough transportation and harsh storage conditions. Such characteristics have made the
                             Bacillus’ spores a better candidate for dry-frozen probiotic formulas as compared to other
                             health-promoting microorganisms [3,6]. The bio-therapeutic potential of Bacillus spp. is
                             reflected in its ability to have easy interactions with the internal environment of the host,
                             resulting in the production of a multitude of peptides with assorted antibacterial properties,
                             alongside various enzymatic behaviors. The produced peptides can also manufacture
                             much-needed vitamins, carotenoids, and some small extracellular immune enhancers. Such
                             an ability attests to the species’ possible probiotic characteristics, as well as their great
                             contribution to the sustainability of the food industry [3,6].
                                    Probiotic bacteria that naturally exist inside the human gut predominantly belong
                             to the genera of LAB. Yet, recent discoveries have focused on the isolated species of
                             B. clausii, and B. licheniformis from healthy human stool, and argued that Bacillus spp. that
                             survive in the gut harsh environment and temporarily colonize the gut lumen can also
                             demonstrate probiotic features [7,8]. Such probiotic features have made B. clausii spp. a
                             perfect candidate to be concurrently prescribed with antibiotics in order to alleviate the
                             antibiotic’s adverse effects on the gut system. Such a combination reinforces the argument
                             on the innate antibiotic resistance of clausii and its vibrant probiotic behavior [9,10].
                                    Our literature exploration posits that although the potential probiotic behavior of
                             B. clausii has been widely marketed, probiotics of LAB have been purchased more often
                             due to being less stereotypically pathogenic, better supported by empirical evidence, and
                             more scientifically circulated inside the databases. Therefore, our review aimed to assess
                             the scope of the existing information on B. clausii physiological characteristics, their generic
                             mode of action, their potential probiotics benefits, their safety assessment, and the extent of
                             their food industry applications for the purposes of producing enhanced functional foods.
                                    In this review, we also noticed that there is a lack of substantial literature, for instance,
                             on how the potential probiotic behavior of B. clausii strains can lead to sustainable food or
                             feed production. We noticed there is not enough information on which food manufacturing
                             stages is the best stage to add the spores in order to maintain their great probiotic poten-
                             tial_and their high productivity. These last two are underlying, as they can boost functional
                             food shelf life as well as food composition quality. There is also a lack of information on
                             the production of functional foods with synbiotic or synergistic properties under different
                             methodologies. Furthermore, we discerned that the probiotic safety consumption of the
                             B. clausii strains in contrast to the other Bacillus genera or LAB has not been well investigated.
                             The above-mentioned gaps in our review will provide guidelines for the development of
                             new studies in the near future.
Fermentation 2024, 10, 522                                                                                                    3 of 20
Table 2. B. clausii strains of O/C, SIN, N/R, and T-antibiotic resistance profiling [18].
                                  Few scholars have reported on the least risk transmission ability of B. clausii and
                             suggested that the bacteria cannot transfer its chloramphenicol resistance gene [cat Bd] that
                             features antibiotic resistance to other pathogens [42,43].
Fermentation 2024, 10, 522                                                                                                5 of 20
                                     The B. clausii strain of N/R with achromosomally encoded lactamase gene (blaBCL-1)
                               can transfer its resistance capability to penicillin antibiotic [44]. On the contrary, the passing
                               of gene_code transmission to pathogens such as E. faecalis JH202, E. faecium HM107, and
                               B. subtilis UCN19 proved to be a failure that sheds light further on the discriminatory gene
                               transferring behavior of B. clausii [45].
                                     Addressing the antibiotic resistance behavior of B. clausii strain T, the literature [46]
                               suggested that the strain has substantial effects in decontamination of tetracycline antibi-
                               otics (TCs) inside an aquatic environment. Furthermore, B. clausii strains T and O/C may
                               eliminate the traces of the following antibiotics: cefuroxime, cefotaxime, and cefpirome
                               from the medium culture, followed by the removal of tetracycline, oxytetracycline, and
                               chlortetracycline from an aquatic environment [46,47]. Such behavior simply demonstrates
                               strains’ contribution to sustainability [47].
                                     Some of the literature pointed at the unique property of B. clausii antibiotic resistance
                               and the fact that genetically cannot be mimicked by other pathogens due to its excep-
                               tional safety properties [48]. For instance, a study by Elshaghabee et al. [3] pointed at the
                               B. clausii strain _UBBC07 carries intrinsic non-transferrable genes inside its chromosomal
                               DNA, and features antibiotic-resistant properties against three antibiotics of clindamycin,
                               erythromycin, and chloramphenicol.
Table 3. Cont.
                                      Table 4. Summary on the antimicrobial behavior of B. clausii strains, modified from the existing
                                      literature.
                                             Due to the release of clausin peptide, the strains of B. clausii UBBCO7 and O/C
                                      display antimicrobial activities against certain Gram positive bacteria such as Clostridium
                                      difficile [29,63]. In the case of the O/C strain, the produced clausin has cytotoxic effects on
                                      pathogens ability to peptidoglycan [35,64].
                                             As [11] suggested, the clinical benefits of probiotic B. clausii are mostly associated
                                      with the species’ ability to release anti-microbial substances as well as its ability to sharpen
                                      the host immunity system. Such anti-microbial substances can strongly target the Gram
                                      positive bacteria, in particular, pathogens of Staphylococcus aureus, Enterococcus faecium, and
                                      C. difficile.
                                             Probiotics play a pivotal role in restoring the host’s immune system homeostasis [65].
                                      Regarding the potential immuno-modulatory capability of B. clausii, as is displayed in
                                      Table 5, the species bears some healing effects on mice with immune-induced asthma.
                                      Such effects ensue because of a decline in the numbers of pro-inflammatory eosinophils,
                                      neutrophils, and lymphocytes. Additionally, the application of B. clausii for athematic mice
                                      can also decrease the expression of hypoxia-related genes as well as the level of IL-4, and
                                      IL-5 interleukins [66].
Table 5. Summary on B. clausii immuno-regulatory properties, modified from the existing literature.
Table 5. Cont.
                             inflammatory properties have supported its administration for the purposes of symptom
                             alleviation or deterrence (particularly, diarrhea symptoms)that are prompted by the gut
                             infectious pathogens.
                             measures like, strict food and drug regulations in order to ensure probiotic safety concerns
                             of strains. Indeed, it has been clinically proven that some Bacillus strains are serious
                             enteropathogens and exhibit vigorous cytotoxic symptoms that have doomed them to be
                             used as probiotics [86]. Such concern, in particular, amplifies if the recommended probiotic
                             supplement is about to be ingested by the living subject (animal or human). For instance,
                             from the family of Bacillus genus, B. cereus is one of the most controversial food poisoning
                             enteropathogens with the ability to emanate heterogeneous heat-resistant toxins [87]. In
                             addition to B. cereus species, some other Bacillus species (B. subtilis, B. amyloliquefaciens,
                             and B. mojavensis) have also shown cytotoxic abilities that have condemned them to be
                             designated as probiotics [42,87].
                                    Very few members of Bacillus strains have been well investigated by clinical studies
                             and commercially approved as safe for consumption, by both animals and humans [83,87].
                             Recently, the use of probiotics in livestock manufacturing products has been on the rise
                             and there has been a significant interest in the Bacillus family due to their spore-forming
                             characteristics. These Bacillus strains have been adopted as alternatives to antibiotic growth
                             promotors (AGP) since consumers’ demands for the consumption of free AGP products
                             have been on the rise [88].
                                    Primarily, the commercial preparations of B. clausii probiotics happened because of
                             health reports on their benefits and zero reports on their hazardous or life-threatening
                             administrations [37–90]. Few clinical studies with randomized placebo-controlled design,
                             using meta and/or pooled analytical methods, have supported the species’ efficacy in the
                             cure of antibiotic-caused diarrhea in juveniles, adults and children [73,90]. There has also
                             been a specific case study on the efficacy of B. clausii in relation to the treatment of an acute
                             diarrhea in adults of a certain age [37,91] as well as juveniles [70,92,93].
                                    There are also reports of (>93%) that signify a high tolerance in children who are
                             undergoing treatment with probiotic bacteria. This testifies further that the probiotic
                             has a low hyper-sensitivity. The over-the-counter supplement Enterogermina® includes
                             spores belong to four strains of B. clausii [OC, NR, SIN and T] that withstand antibiotics of
                             chloramphenicol and tetracycline robustly [9,94]. Thus, the combination of these spores at
                             a ratio of (2 × 109 cfu/mL) with antibiotics consumption can empower the gut microbiota
                             population to fight stronger against infantile diarrhea [9,93].
                                    Results of acute toxicity by the UBBC07 strain on rat models [95] points to an oral
                             tolerance (LD50) of less than 5000 mg/kg (630 billion cfu/kg) that shows no adverse effect
                             level (NOAEL). In [95], the NOAEL is indeed established at 1000 (126 billion cfu) mg/kg
                             BW /day oral administration in a subacute toxicity. In the same study [95], no toxin genes
                             inside the UBBC07 strain were detected. Apparently, such a lack of toxic genes approved
                             the strain’s full safety consumption and agreed to its edibility as an oral probiotic for
                             humans. Furthermore, there was no significant discrepancy between the safe consumption
                             of OECD443 versus OECD407 strains considering both the control and target groups.
                                    B. clausii strains of (DSM 8716, ATCC 21536, and ATCC 21537) seem to be safe for
                             consumption purposes due to the fact that they are inept to transmit the gene with antibiotic
                             resistance attributes to other pathogenic microorganisms [40,95]. Such a quality has been
                             acquired thanks to the inheritance of a specific gene known as the ERM gene [40,95].
                                    Considering the fact that general safety, possible toxicity, and high quality of probiotics
                             are determined by the type of species in_use, as well as the number of viable cells/spores,
                             it is absolutely pivotal that commercially marketed probiotics precisely meet thesuggest-
                             ing informative claim on their labels [10]. Probiotic products that are manufactured in
                             different countries may bear inconsistent information in relation to the type of strain, the
                             number of seeds/spores, and the degree of viability. Therefore, such manipulations can
                             clearly influence the efficacy or toxicity of the product, particularly at the time of its ad-
                             ministration [10,96]. The compositional quality of Enterogermina® is highly approved
                             since the product represents the precise mentioned information on its label, contrary to
                             the other commercial probiotics that either have unmentioned bacterial strains or have a
Fermentation 2024, 10, 522                                                                                                  11 of 20
                             poor ratio between reported quantitative numbers on the label versus actual bacterial plate
                             counts [4,10,96].
                                   Among worldwide marketed formulations, products of Biogermin® and Enteroger-
                             mina also represent the precise content (quality and quantity) on their products’ labels. On
                             the contrary, other products either contain low viability or accommodate traces of unla-
                             beled bacterial species [10,96]. There have also been incidents in which probiotic products
                             claimed containment of pure B. clausii, yet inside the food quality control lab, traces of other
                             bacteria, some indeed with enteropathogenic behavior, have been detected. These bacteria
                             are: B. cereus, B. licheniformis, B. badius, Brevibacillus choshinensis, Lysinibacillus fusiformis, and
                             Acinetobacter baumannii [10,96].
                                   The bacteria strain type and dosage dependency can impact their probiotic quality
                             effects and their beneficial health outcomes; therefore, patients could benefit from such
                             formulations in case a rigorous quality control test/system has been put in place [97].
                             Different formulations of B. clausii O/C, N/R, SIN, and T strains in different forms and
                             shapes (solution-based, suspension-based, non-suspension-based, powder-based or orally
                             taken capsules) can have the same analogous effects as long as they are aligned with
                             their kinetic profiling claim. In most cases, kinetic profiling sheds light on spore_viability,
                             longevity, extent of efficacy and resistance inside the human gut [98].
                                   Normally, B. clausii has been administered as a typically safe consumable probiotic
                             formula, yet there have been few clinical studies reporting on a slight number of sepsis
                             cases under very specific conditions [99,100]. Even though few isolated cases have been
                             detected for signs of bacteremia or septicemia, mostly in immuno-sensitive individuals with
                             morbid diarrhea, no life-threatening infection has been reported concerning consumption
                             of commercialized B. clausii products [101]. However, work by Joshi et al. [99] reported on a
                             single-case occurrence in a 4-month-old toddler with congenital heart disease who also had
                             diarrhea, and later, her case was affirmed as an isolated case of B. clausii-induced septicemia.
                             This medical affirmation occurred as the lab results debunked the sepsis diagnosis in favor
                             of Klebsiella pneumonia.
                                   Consecutively, after administration of B. clausii in patients with active ulcers, signs
                             of bacteremia have also been reported. However, in this case, B. clausii was apparently
                             recommended to cease the infectious diarrhea [102]. It is obvious that in this instance, since
                             the administration of B. clausii has been recommended in the long term, the factor of a lack
                             of hygiene should have been taken into diagnostic consideration in order to tackle the real
                             cause of the bacteremia [102].
                                   Commercially available B. clausii products are sealed with lids to determine consumer
                             safety and to conserve the content solution [37,103]. Decades of prescribing numerous
                             Bacillus products without indication of life-threatening side effects can outweigh the small
                             number of cases that lead to infection. Nevertheless, the literature implies that certain
                             conditions or skewed diagnoses can lead to an opportunistic infection [39,103]. For example,
                             acute toxicity studies confirm that the B. clausii strain of UBBC07 is safe enough for human
                             utilization, yet signs of sepsis or bacteremia may be detected due to other influential factors
                             such as lack of hygiene [95,103].
                                   In accordance with the European Food Safety Authority (EFSA), ingestions of different
                             strains of clausii (O/C, N/R, SIN, and T) have been approved as safe, and as a result,
                             such probiotics are listed on the Qualified Presumption of Safety (QPS) [104]. https://
                             doi.org/10.2903/j.efsa.2014.3665 © European Food Safety Authority, 2014. EFSA Journal
                             2014;12(5):3665. (adopted on: 8 April 2014/accessed on: 5 May 2014).
                                   Furthermore, the USA Food and Drug Administration has separately approved
                             the safety of a different class of B. clausii (088AE) and enlisted the strain on the cat-
                             egory of generally regarded as safe (GRAS) (United States Food and Drug Adminis-
                             tration. GRN No. 971. Bacillus clausii Strain 088AE Spore Preparation. Available on-
                             line: https://www.cfsanappsexternal.fda.gov/scripts/fdcc/?set=GRASNotices&id=971&
                             sort=GRN_No&order=DESC&startrow=1&type=basic&search=clausii (accessed on 31 July
                             2020).
Fermentation 2024, 10, 522                                                                                                                        12 of 20
                                               Such a designation has indeed made the probiotic bacteria applicable for specific
                                          industrial or commercial usage [20,88,104].
                                               The following Table 6 demonstrates some elements concerning B. clausii’s safety
                                          assessment modified from https://doi.org/10.2903/j.efsa.2014.3665. © European Food
                                          Safety Authority, 2014. EFSA Journal 2014;12(5):3665. (adopted on: 8 April 2014/accessed
                                          on: 5 May 2014).
                             the life span of the chicken, causing greater net profit in business and higher poultry
                             economic output [112].
                             degradation. Furthermore, tofu cheese can carry the B. clausii spores throughout the gut as
                             swiftly as possible before spores convert into the active form of vegetative cells [119]. The
                             main purpose of engineering a probiotic tofu is either to have a functional food product
                             that can safeguard against the adverse effects of probiotic pills or to help a particular
                             sensitive demographic (vegan/lactose sensitive elderly) who like to have access to plant
                             based probiotic products [119].
                                   Yogurt is a fermented product in which its taste, texture, and culture can favorably
                             change by probiotic supplementations as well as by fruit flavors. Such supplementation
                             makes yogurt become more resonating with dairy-sensitive consumers [120]. For example,
                             yellow mombin yogurt is a functional dairy product thanks to its high probiotic content.
                             The product is also highly nutritional thanks to its enriched minerals and low-fat content.
                             During 150 days of storage, the product can sustain both its protein content (8.3/100 g)
                             _and fat content (2.6/100 g) [120]. Within the same time frame, its phenolic content, DPPH,
                             and FRAP do not change. Its pH is also acidic and, unlike non-probiotic yogurt, adjusts
                             after 60 days. Moreover, within 30 to 150 days, there can be a steady increase in the quantity
                             of its solid matters (22 to 27) and during this time, its probiotic cells continue to remain as
                             functional as possible with counts of 4.1 × 10 8 CFU/g [120].
                                   Spent coffee grounds are a by-product of coffee beverage preparation and the disposal
                             of the by-product has detrimental effects on the environment. Under the technique of
                             surface response, on one hand, B. clausii probiotic fermentation can amplify the phenolic and
                             flavonoid content (36–13%) of the by-product, while, on the other hand, it can elevate the
                             antioxidant (15%) and antimicrobial level of the by-product. Such development indicates
                             that the enhanced fermented spent coffee grounds can be applied as an antioxidant and
                             antimicrobial supplement_in addition to the fact that it can be used as a functional additive
                             in the food industry, enriching different sorts of food products [62,121]. There is also the
                             protein content of the spent coffee ground, which is highly increased by B. clausii’s good
                             fermentative behavior and its strong protein hydrolysis [62,121]. The peptides in the spent
                             coffee grounds feature profound regulatory/inhibitory attributes against chronic diseases
                             of diabetes, hypertension, and oxidative stress [62,121].
                                   The subject of functional food, using the technique of spray-drying and co-encapsulation
                             has also led to the imultaneous encapsulation of the probiotic B. clausii and quercetin. To
                             test the synergistic effects, three matrix compositions are hypothetically chosen. Two of
                             them are solo_carriers, composed of either inulin or just a single polymer of maltodextrin,
                             while the third carrier has a blended-micro encapsulated matrix. The blended matrix of
                             the dual carrier possesses greater efficiency than each mono-carrier alone. Indeed, the use
                             of maltodextrin enhances the viability of the B. clausii probiotic, while the use of inulin
                             rectifies the activity of the antioxidant, and the use of inulin and maltodextrin together
                             leads to a highly formed synergy [123].
                             Funding: This research received no external or internal funding. The authors did not receive any
                             financial support, grants, or similar allocations from any organization for the submitted work.
                             Institutional Review Board Statement: Not applicable.
Fermentation 2024, 10, 522                                                                                                              16 of 20
                                    Conflicts of Interest: The authors did not receive any financial support, grants, or similar from any
                                    organization for the submitted work. The authors have no relevant financial or non-financial interests
                                    to declare.
References
1.    Setlow, P. Germination of spores of Bacillus species: What we know and do not know. J. Bacteriol. 2014, 196, 1297–1305. [CrossRef]
      [PubMed]
2.    Soares, M.B.; Almada, C.N.; Almada, C.N.; Martinez, R.C.; Pereira, E.P.; Balthazar, C.F.; Cruz, A.G.; Ranadheera, C.S.; Sant’Ana,
      A.S. Behavior of different Bacillus strains with claimed probiotic properties throughout processed cheese (“requeijão cremoso”)
      manufacturing and storage. Int. J. Food Microbiol. 2019, 307, 108288. [CrossRef] [PubMed]
3.    Elshaghabee, F.M.; Rokana, N.; Gulhane, R.D.; Sharma, C.; Panwar, H. Bacillus as potential probiotics: Status, concerns, and future
      perspectives. Front. Microbiol. 2017, 8, 1490. [CrossRef] [PubMed]
4.    Patrone, V.; Molinari, P.; Morelli, L. Microbiological and molecular characterization of commercially available probiotics containing
      Bacillus clausii from India and Pakistan. Int. J. Food Microbiol. 2016, 237, 92–97. [CrossRef]
5.    Hoa, N.T.; Baccigalupi, L.; Huxham, A.; Smertenko, A.; Van, P.H.; Ammendola, S.; Ricca, E.; Cutting, S.M. Characterization of
      Bacillus species used for oral bacteriotherapy and bacterioprophylaxis of gastrointestinal disorders. Appl. Environ. Microbiol. 2000,
      66, 5241–5247. [CrossRef]
6.    Sanders, M.E.; Morelli, L.; Tompkins, T.A. Sporeformers as human probiotics: Bacillus, Sporolacto Bacillus, and Brevi Bacillus.
      Compr. Rev. Food Sci. Food Saf. 2003, 2, 101–110. [CrossRef]
7.    Hoyles, L.; Honda, H.; Logan, N.A.; Halket, G.; La Ragione, R.M.; McCartney, A.L. Recognition of greater diversity of Bacillus
      species and related bacteria in human feces. Res. Microbiol. 2012, 163, 3–13. [CrossRef]
8.    Lopetuso, L.R.; Scaldaferri, F.; Franceschi, F.; Gasbarrini, A. Bacillus clausii and gut homeostasis: State of the art and future
      perspectives. Expert Rev. Gastroenterol. Hepatol. 2016, 10, 943–948. [CrossRef]
9.    Senesi, S.; Celandroni, F.; Tavanti, A.; Ghelardi, E. Molecular characterization and identification of Bacillus clausii strains marketed
      for use in oral bacteriotherapy. Appl. Environ. Microbiol. 2001, 67, 834–839. [CrossRef]
10.   Celandroni, F.; Vecchione, A.; Cara, A.; Mazzantini, D.; Lupetti, A.; Ghelardi, E. Identification of Bacillus species: Implication on
      the quality of probiotic formulations. PLoS ONE 2019, 14, e0217021. [CrossRef]
11.   Urdaci, M.C.; Bressollier, P.; Pinchuk, I. Bacillus clausii probiotic strains: Antimicrobial and immunomodulatory activities. J. Clin.
      Gastroenterol. 2004, 38, S86–S90. [CrossRef] [PubMed]
12.   Ianiro, G.; Rizzatti, G.; Plomer, M.; Lopetuso, L.; Scaldaferri, F.; Franceschi, F.; Cammarota, G.; Gasbarrini, A. Bacillus clausii for
      the treatment of acute diarrhea in children: A systematic review and meta-analysis of randomized controlled trials. Nutrients
      2018, 10, 1074. [CrossRef] [PubMed]
13.   Nicholson, W.L. Roles of Bacillus endospores in the environment. Cell. Mol. Life Sci. CMLS 2002, 59, 410–416. [CrossRef] [PubMed]
14.   Jovanovic, J.; Ornelis, V.F.; Madder, A.; Rajkovic, A. Bacillus cereus food intoxication and toxic infection. Compr. Rev. Food Sci. Food
      Saf. 2021, 20, 3719–3761. [CrossRef] [PubMed]
15.   Hong, H.A.; Duc, L.H.; Cutting, S.M. The use of bacterial spore formers as probiotics. FEMS Microbiol. Rev. 2005, 29, 813–835.
      [CrossRef] [PubMed]
16.   Nielsen, P.; Fritze, D.; Priest, F.G. Phenetic diversity of alkaliphilic Bacillus strains: Proposal for nine new species. Microbiology
      1995, 141, 1745–1761. [CrossRef]
17.   Ghelardi, E.; Celandroni, F.; Salvetti, S.; Gueye, S.A.; Lupetti, A.; Senesi, S. Survival and persistence of Bacillus clausii in the human
      gastrointestinal tract following oral administration as spore-based probiotic formulation. J. Appl. Microbiol. 2015, 119, 552–559.
      [CrossRef]
18.   Abbrescia, A.; Palese, L.L.; Papa, S.; Gaballo, A.; Alifano, P.M.; Sardanelli, A. Antibiotic sensitivity of Bacillus clausii strains in
      commercial preparation. Clin. Immunol. Endocr. Metab. Drugs (Discontin.) 2014, 1, 102–110. [CrossRef]
19.   Guérout-Fleury, A.M.; Shazand, K.; Frandsen, N.; Stragier, P. Antibiotic-resistance cassettes for Bacillus subtilis. Gene 1995, 167,
      335–336. [CrossRef]
20.   Ghelardi, E.; Abreu y Abreu, A.T.; Marzet, C.B.; Álvarez Calatayud, G.; Perez, M., III; Moschione Castro, A.P. Current progress
      and future perspectives on the use of Bacillus clausii. Microorganisms 2022, 10, 1246. [CrossRef]
21.   Schallmey, M.; Singh, A.; Ward, O.P. Developments in the use of Bacillus species for industrial production. Can. J. Microbiol. 2004,
      50, 1–17. [CrossRef] [PubMed]
22.   Troeger, C.E.; Khalil, I.A.; Blacker, B.F.; Biehl, M.H.; Albertson, S.B.; Zimsen, S.R.; Rao, P.C.; Abate, D.; Ahmadi, A.; brahim
      Ahmed, M.L.C.; et al. Quantifying risks and interventions that have affected the burden of diarrhoea among children younger
      than 5 years: An analysis of the Global Burden of Disease Study 2017. Lancet Infect. Dis. 2020, 20, 37–59. [CrossRef] [PubMed]
23.   Cutting, S.M.; Ricca, E. Bacterial spore-formers: Friends and foes. FEMS Microbiol. Lett. 2014, 358, 107–109. [CrossRef] [PubMed]
24.   Caccamo, M.T.; Magazù, S. An FT-IR Based Investigation of Trehalose Mediated Thermal Stabilisation of Bacillus clausii. Curr.
      Nutr. Food Sci. 2021, 17, 566–571. [CrossRef]
Fermentation 2024, 10, 522                                                                                                                 17 of 20
25.   De Castro, J.A.; Kesavelu, D.; Lahiri, K.R.; Chaijitraruch, N.; Chongsrisawat, V.; Jog, P.P.; Liaw, Y.H.; Nguyen, G.K.; Nguyen,
      T.V.H.; Pai, U.A.; et al. Recommendations for the adjuvant use of the poly-antibiotic–resistant probiotic Bacillus clausii (O/C, SIN,
      N/R, T) in acute, chronic, and antibiotic-associated diarrhea in children: Consensus from Asian experts. Trop. Dis. Travel Med.
      Vaccines 2020, 6, 1–15. [CrossRef]
26.   Cenci, G.; Trotta, F.; Caldini, G. Tolerance to challenges miming gastrointestinal transit by spores and vegetative cells of Bacillus
      clausii. J. Appl. Microbiol. 2006, 101, 1208–1215. [CrossRef]
27.   Fakhry, S.; Sorrentini, I.; Ricca, E.; De Felice, M.; Baccigalupi, L. Characterization of spore forming Bacilli isolated from the human
      gastrointestinal tract. J. Appl. Microbiol. 2008, 105, 2178–2186. [CrossRef]
28.   Duc, L.H.; Hong, H.A.; Barbosa, T.M.; Henriques, A.O.; Cutting, S.M. Characterization of Bacillus probiotics available for human
      use. Appl. Environ. Microbiol. 2004, 70, 2161–2171. [CrossRef]
29.   Ahire, J.J.; Kashikar, M.S.; Madempudi, R.S. Survival and germination of Bacillus clausii UBBC07 spores in in vitro human
      gastrointestinal tract simulation model and evaluation of clausin production. Front. Microbiol. 2020, 11, 1010. [CrossRef]
30.   Bach, J.F. The effect of infections on susceptibility to autoimmune and allergic diseases. N. Engl. J. Med. 2002, 347, 911–920.
      [CrossRef]
31.   Levy, M.; Kolodziejczyk, A.A.; Thaiss, C.A.; Elinav, E. Dysbiosis and the immune system. Nat. Rev. Immunol. 2017, 17, 219–232.
      [CrossRef] [PubMed]
32.   Gagliardi, A.; Totino, V.; Cacciotti, F.; Iebba, V.; Neroni, B.; Bonfiglio, G.; Trancassini, M.; Passariello, C.; Pantanella, F.; Schippa, S.
      Rebuilding the gut microbiota ecosystem. Int. J. Environ. Res. Robinson 2018, 15, 1679. [CrossRef] [PubMed]
33.   Rivera-Espinoza, Y.; Gallardo-Navarro, Y. Non-dairy probiotic products. Food Microbiol. 2010, 27, 1–11. [CrossRef] [PubMed]
34.   Panghal, A.; Janghu, S.; Virkar, K.; Gat, Y.; Kumar, V.; Chhikara, N. Potential non-dairy probiotic products–A healthy approach.
      Food Biosci. 2018, 21, 80–89. [CrossRef]
35.   Crittenden, R.; Laitila, A.; Forssell, P.; Matto, J.; Saarela, M.; Mattila-Sandholm, T.; Myllarinen, P. Adhesion of bifidobacteria to
      granular starch and its implications in probiotic technologies. Appl. Environ. Microbiol. 2001, 67, 3469–3475. [CrossRef]
36.   Hill, C.; Guarner, F.; Reid, G.; Gibson, G.R.; Merenstein, D.J.; Pot, B.; Morelli, L.; Canani, R.B.; Flint, H.J.; Salminen, S.; et al. Expert
      consensus document: The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and
      appropriate use of the term probiotic. Nat. Rev. Gastroenterol. Hepatol. 2014, 11, 506–514. [CrossRef]
37.   Acosta-Rodríguez-Bueno, C.P.; Abreu y Abreu, A.T.; Guarner, F.; Guno, M.J.V.; Pehlivanoğlu, E.; Perez, M., III. Bacillus clausii for
      gastrointestinal disorders: A narrative literature review. Adv. Ther. 2022, 39, 4854–4874. [CrossRef]
38.   Mikawlrawng, K. Aspergillus in biomedical research. In New and Future Developments in Microbial Biotechnology and Bioengineering;
      Elsevier: Amsterdam, The Netherlands, 2016; pp. 229–242. [CrossRef]
39.   Nista, E.C.; Candelli, M.; Cremonini, F.; Cazzato, I.A.; Zocco, M.A.; Franceschi, F.; Cammarota, G.; Gasbarrini, G.; Gasbarrini, A.
      Bacillus clausii therapy to reduce side-effects of anti-Helicobacter pylori treatment: Randomized, double-blind, placebo-controlled
      trial. Aliment. Pharmacol. Ther. 2004, 20, 1181–1188. [CrossRef]
40.   Bozdogan, B.; Galopin, S.; Gerbaud, G.; Courvalin, P.; Leclercq, R. Chromosomal aadD2 encodes an aminoglycoside nucleotidyl-
      transferase in Bacillus clausii. Antimicrob. Agents Chemother. 2003, 47, 1343–1346. [CrossRef]
41.   Bozdogan, B.; Galopin, S.; Leclercq, R. Characterization of a new erm-related macrolide resistance gene present in probiotic
      strains of Bacillus clausii. Appl. Environ. Microbiol. 2004, 70, 280–284. [CrossRef]
42.   Bahaddad, S.A.; Almalki, M.H.; Alghamdi, O.A.; Sohrab, S.S.; Yasir, M.; Azhar, E.I.; Chouayekh, H. Bacillus Species as direct-fed
      microbial antibiotic alternatives for monogastric production. Probiotics Antimicrob. Proteins 2023, 15, 1–16. [CrossRef] [PubMed]
43.   Kalkan, S.; Erginkaya, Z.; Turhan, E.Ü.; Konuray, G. Assessment of the Risk of Probiotics in Terms of the Food Safety and Human
      Health. In Health and Safety Aspects of Food Processing Technologies; Springer: Berlin/Heidelberg, Germany, 2019; pp. 419–443.
      [CrossRef]
44.   Girlich, D.; Leclercq, R.; Naas, T.; Nordmann, P. Molecular and biochemical characterization of the chromosome-encoded class A
      β-lactamase BCL-1 from Bacillus clausii. Antimicrob. Agents Chemother. 2007, 51, 4009–4014. [CrossRef] [PubMed]
45.   Galopin, S.; Cattoir, V.; Leclercq, R. A chromosomal chloramphenicol acetyltransferase determinant from a probiotic strain of
      Bacillus clausii. FEMS Microbiol. Lett. 2009, 296, 185–189. [CrossRef] [PubMed]
46.   Liu, C.X.; Xu, Q.M.; Yu, S.C.; Cheng, J.S.; Yuan, Y.J. Bio-removal of tetracycline antibiotics under the consortium with probiotics
      Bacillus clausii T and Bacillus amyloliquefaciens producing biosurfactants. Sci. Total Environ. 2020, 710, 136329. [CrossRef] [PubMed]
47.   Kong, X.X.; Jiang, J.L.; Qiao, B.; Liu, H.; Cheng, J.S.; Yuan, Y.J. The biodegradation of cefuroxime, cefotaxime and cefpirome by
      the synthetic consortium with probiotic Bacillus clausii and investigation of their potential biodegradation pathways. Sci. Total
      Environ. 2019, 651, 271–280. [CrossRef]
48.   Fredua-Agyeman, M.; Parab, S.; Gaisford, S. Evaluation of commercial probiotic products. Br. J. Pharm. 2016, 1, 84–89. [CrossRef]
49.   Vecchione, A.; Celandroni, F.; Mazzantini, D.; Senesi, S.; Lupetti, A.; Ghelardi, E. Compositional quality and potential gastroin-
      testinal behavior of probiotic products commercialized in Italy. Front. Med. 2018, 5, 59. [CrossRef]
50.   Khatri, I.; Sharma, G.; Subramanian, S. Composite genome sequence of Bacillus clausii, a probiotic commercially available as
      Enterogermina® , and insights into its probiotic properties. BMC Microbiol. 2019, 19, 1–15. [CrossRef]
51.   Kapse, N.G.; Engineer, A.S.; Gowdaman, V.; Wagh, S.; Dhakephalkar, P.K. Genome profiling for health promoting and disease
      preventing traits unraveled probiotic potential of Bacillus clausii B106. Microbiol. Biotechnol. Lett. 2018, 46, 334–345. [CrossRef]
Fermentation 2024, 10, 522                                                                                                               18 of 20
52.   Salvetti, S.; Celandroni, F.; Ghelardi, E.M.I.L.I.A.; Baggiani, A.N.G.E.L.O.; Senesi, S.O.N.I.A. Rapid determination of vitamin B2
      secretion by bacteria growing on solid media. J. Appl. Microbiol. 2003, 95, 1255–1260. [CrossRef]
53.   Upadrasta, A.; Pitta, S.; Madempudi, R.S. Draft genome sequence of Bacillus clausii UBBC07, a spore-forming probiotic strain.
      Genome Announc. 2016, 4, 10–1128. [CrossRef] [PubMed]
54.   Higuchi, Y.; Mori, K.; Suyama, A.; Huang, Y.; Tashiro, K.; Kuhara, S.; Takegawa, K. Draft Genome Sequence of Bacillus clausii
      AKU0647, a Strain That Produces Endo-β-N-Acetylglucosaminidase A. Genome Announc. 2016, 4, 10–1128. [CrossRef] [PubMed]
55.   Paparo, L.; Tripodi, L.; Bruno, C.; Pisapia, L.; Damiano, C.; Pastore, L.; Berni Canani, R. Protective action of Bacillus clausii
      probiotic strains in an in vitro model of Rotavirus infection. Sci. Rep. 2020, 10, 12636. [CrossRef] [PubMed]
56.   Di Caro, S.; Tao, H.; Grillo, A.; Franceschi, F.; Elia, C.; Zocco, M.A.; Gasbarrini, G.; Sepulveda, A.R.; Gasbarrini, A. Bacillus clausii
      effect on gene expression pattern in small bowel mucosa using DNA microarray analysis. Eur. J. Gastroenterol. Hepatol. 2005, 17,
      951–960. [CrossRef] [PubMed]
57.   Riquelme, E.; Zhang, Y.; Zhang, L.; Montiel, M.; Zoltan, M.; Dong, W.; Quesada, P.; Sahin, I.; Chandra, V.; San Lucas, A.; et al.
      Tumor microbiome diversity and composition influence pancreatic cancer outcomes. Cell 2019, 178, 795–806. [CrossRef]
58.   Duysburgh, C.; Van den Abbeele, P.; Krishnan, K.; Bayne, T.F.; Marzorati, M. A synbiotic concept containing spore-forming
      Bacillus strains and a prebiotic fiber blend consistently enhanced metabolic activity by modulation of the gut microbiome in vitro.
      Int. J. Pharm. X 2019, 1, 100021. [CrossRef]
59.   Patel, C.; Patel, P.; Acharya, S. Therapeutic prospective of a spore-forming probiotic—Bacillus clausii UBBC07 against
      acetaminophen-induced uremia in rats. Probiotics Antimicrob. Proteins 2020, 12, 253–258. [CrossRef]
60.   Abriouel, H.; Franz, C.M.; Omar, N.B.; Gálvez, A. Diversity and applications of Bacillus bacteriocins. FEMS Microbiol. Rev. 2011,
      35, 201–232. [CrossRef]
61.   Alatriste, P.V.M.; Arronte, R.U.; Espinosa, C.O.G.; Cuevas, M.D.L.Á.E. Effect of probiotics on human blood urea levels in patients
      with chronic renal failure. Nutr. Hosp. 2014, 29, 582–590. [CrossRef]
62.   Rochín-Medina, J.J.; Ramírez-Medina, H.K.; Rangel-Peraza, J.G.; Pineda-Hidalgo, K.V.; Iribe-Arellano, P. Use of whey as a culture
      medium for Bacillus clausii for the production of protein hydrolysates with antimicrobial and antioxidant activity. Food Sci. Technol.
      Int. 2018, 24, 35–42. [CrossRef]
63.   Bouhss, A.; Al-Dabbagh, B.; Vincent, M.; Odaert, B.; Aumont-Nicaise, M.; Bressolier, P.; Desmadril, M.; Mengin-Lecreulx, D.;
      Urdaci, M.C.; Gallay, J. Specific interactions of clausin, a new lantibiotic, with lipid precursors of the bacterial cell wall. Biophys. J.
      2009, 97, 1390–1397. [CrossRef] [PubMed]
64.   Ripert, G.; Racedo, S.M.; Elie, A.M.; Jacquot, C.; Bressollier, P.; Urdaci, M.C. Secreted compounds of the probiotic Bacillus clausii
      strain O/C inhibit the cytotoxic effects induced by Clostridium difficile and Bacillus cereus toxins. Antimicrob. Agents Chemother.
      2016, 60, 3445–3454. [CrossRef] [PubMed]
65.   Holgate, S.T. Pathophysiology of asthma: What has our current understanding taught us about new therapeutic approaches? J.
      Allergy Clin. Immunol. 2011, 128, 495–505. [CrossRef] [PubMed]
66.   Park, H.; Jung, A.Y.; Chang, C.S.; Kim, Y.H. Bacillus clausii, a Foreshore-Derived Probiotic, Attenuates Allergic Airway Inflamma-
      tion Through Downregulation of Hypoxia Signaling. J. Rhinol. 2020, 27, 108–116. [CrossRef]
67.   Pradhan, B.; Guha, D.; Ray, P.; Das, D.; Aich, P. Comparative analysis of the effects of two probiotic bacterial strains on metabolism
      and innate immunity in the RAW 264.7 murine macrophage cell line. Probiotics Antimicrob. Proteins 2016, 8, 73–84. [CrossRef]
68.   Villéger, R.; Saad, N.; Grenier, K.; Falourd, X.; Foucat, L.; Urdaci, M.C.; Bressollier, P.; Ouk, T.S. Characterization of lipoteichoic
      acid structures from three probiotic Bacillus strains: Involvement of D-alanine in their biological activity. Antonie Van Leeuwenhoek
      2014, 106, 693–706. [CrossRef]
69.   Cruz, B.C.; Sarandy, M.M.; Messias, A.C.; Gonçalves, R.V.; Ferreira, C.L.; Peluzio, M.C. Preclinical and clinical relevance of
      probiotics and synbiotics in colorectal carcinogenesis: A systematic review. Nutr. Rev. 2020, 78, 667–687. [CrossRef]
70.   de Castro, J.A.A.; Guno, M.J.V.R.; Perez, M.O. Bacillus clausii as adjunctive treatment for acute community-acquired diarrhea
      among Filipino children: A large-scale, multicenter, open-label study (CODDLE). Trop. Dis. Travel Med. Vaccines 2019, 5, 1–9.
      [CrossRef]
71.   Kamiya, S.; Yonezawa, H.; Osaki, T. Role of probiotics in eradication therapy for Helicobacter pylori infection. Helicobacter pylori
      Hum. Dis. Adv. Microbiol. Infect. Dis. Public Health 2019, 11, 243–255. [CrossRef]
72.   Hungin, A.P.S.; Mulligan, C.; Pot, B.; Whorwell, P.; Agréus, L.; Fracasso, P.; Lionis, C.; Mendive, J.; Philippart de Foy, J.M.;
      Rubin, G.; et al. Systematic review: Probiotics in the management of lower gastrointestinal symptoms in clinical practice—An
      evidence-based international guide. Aliment. Pharmacol. Ther. 2013, 38, 864–886. [CrossRef]
73.   Plomer, M., III; Perez, M.; Greifenberg, D.M. Effect of Bacillus clausii capsules in reducing adverse effects associated with
      Helicobacter pylori eradication therapy: A randomized, double-blind, controlled trial. Infect. Dis. Ther. 2020, 9, 867–878.
      [CrossRef] [PubMed]
74.   Wilhelm, S.M.; Johnson, J.L.; Kale-Pradhan, P.B. Treating bugs with bugs: The role of probiotics as adjunctive therapy for
      Helicobacter pylori. Ann. Pharmacother. 2011, 45, 960–966. [CrossRef] [PubMed]
75.   Lu, Z.; Guo, W.; Liu, C. Isolation, identification and characterization of novel Bacillus subtilis. J. Vet. Med. Sci. 2018, 80, 427–433.
      [CrossRef] [PubMed]
76.   Zhang, P.; Yin, Y.; Wen, J. Fermentation Optimization and Metabolomic Analysis of a Bacillus subtilis Co-Culture System for
      Fengycin Production from Mixed Sugars. Biochem. Eng. J. 2024, 209, 109406. [CrossRef]
Fermentation 2024, 10, 522                                                                                                              19 of 20
77.  Devos, R.J.B.; Bender, L.E.; Lopes, S.T.; Cavanhi, V.A.F.; Colvero, G.L.; Rempel, A.; Harakava, R.; Alves, S.L., Jr.; Colla, L.M.
     Multienzyme production by Bacillus velezensis strains isolated from fruit residues in submerged fermentation using triticale and
     sugarcane bagasse in the cultivation media. Process Biochem. 2024, 141, 90–101. [CrossRef]
78. Wang, C.; Zhang, Y.; Wei, S.; Fu, L.; Wang, Y.; Jin, M. Bioconversion of soybean meal into gut microbiota-targeting polysaccharides
     via fermentation by Bacillus subtilis. J. Clean. Prod. 2024, 464, 142787. [CrossRef]
79. Kabir, M.E.; Borah, A.; Barman, H.; Sharmah, B.; Afzal, N.U.; Phukan, T.; Kalita, J.; Manna, P. Screening and Optimization of
     α-Glucosidase Inhibitor Production by Potent Strain of Bacillus subtilis Isolated from Peruyaan, Fermented Soy-Food of Northeast
     India. J. Food Biochem. 2024, 2024, 3199103. [CrossRef]
80. Fernández-Varela, R.; Hansen, A.H.; Svendsen, B.A.; Moghadam, E.G.; Bas, A.; Kračun, S.K.; Harlé, O.; Poulsen, V.K. Harnessing
     Fermentation by Bacillus and Lactic Acid Bacteria for Enhanced Texture, Flavor, and Nutritional Value in Plant-Based Matrices.
     Fermentation 2024, 10, 411. [CrossRef]
81. Tabandeh, F.; Hosseinian Moghaddam, H.R.; Yakhchali, B.; Shariati, P.; Hamed Mousavian, M.T.; Ghasemi, F. Fed-batch
     fermentation of Bacillus clausii for efficient production of alkaline protease using different feeding strategies. Chem. Eng. Commun.
     2011, 198, 1063–1074. [CrossRef]
82. Thakur, N.; Rokana, N.; Panwar, H. Probiotics, Selection criteria, safety and role in health and. J. Innov. Biol. January 2016, 3,
     259–270. Available online: https://www.researchgate.net/publication/298367380_Probiotics_Selection_criteria_safety_and_
     role_in_health_and_disease (accessed on 1 January 2020).
83. Ahasan, A.S.M.L.; Agazzi, A.; Invernizzi, G.; Bontempo, V.; Savoini, G. The beneficial role of probiotics in monogastric animal
     nutrition and health. J. Dairy Vet. Anim. Res. 2015, 2, 1–20. [CrossRef]
84. Pinto, M.G.V.; Franz, C.M.; Schillinger, U.; Holzapfel, W.H. LactoBacillus spp. with in vitro probiotic properties from human faeces
     and traditional fermented products. Int. J. Food Microbiol. 2006, 109, 205–214. [CrossRef] [PubMed]
85. Anadón, A.; Martínez-Larrañaga, M.R.; Martínez, M.A. Probiotics for animal nutrition in the European Union. Regulation and
     safety assessment. Regul. Toxicol. Pharmacol. 2006, 45, 91–95. [CrossRef] [PubMed]
86. Li, P.; Tian, W.; Jiang, Z.; Liang, Z.; Wu, X.; Du, B. Genomic characterization and probiotic potency of Bacillus sp. DU-106, a highly
     effective producer of L-lactic acid isolated from fermented yogurt. Front. Microbiol. 2018, 9, 2216. [CrossRef] [PubMed]
87. Gopal, N.; Hill, C.; Ross, P.R.; Beresford, T.P.; Fenelon, M.A.; Cotter, P.D. The prevalence and control of Bacillus and related
     spore-forming bacteria in the dairy industry. Front. Microbiol. 2015, 6, 1418. [CrossRef] [PubMed]
88. Ramlucken, U.; Lalloo, R.; Roets, Y.; Moonsamy, G.; van Rensburg, C.J.; Thantsha, M.S. Advantages of Bacillus-based probiotics in
     poultry production. Livest. Sci. 2020, 241, 104215. Available online: https://researchspace.csir.co.za/dspace/handle/10204/doi.
     org/10.1016/j.livsci.2020.104215 (accessed on 1 January 2020). [CrossRef]
89. Tewari, A.; Abdullah, S. Bacillus cereus food poisoning: International and Indian perspective. J. Food Sci. Technol. 2015, 52,
     2500–2511. [CrossRef]
90. Maity, C.; Gupta, A.K. Therapeutic efficacy of probiotic Alkalihalo Bacillus clausii 088AE in antibiotic-associated diarrhea: A
     randomized controlled trial. Heliyon 2021, 7, e07993. [CrossRef]
91. Sudha, M.R.; Bhonagiri, S.; Kumar, M.A. Efficacy of Bacillus clausii strain UBBC-07 in the treatment of patients suffering from
     acute diarrhoea. Benef. Microbes 2013, 4, 211–216. [CrossRef]
92. McFarland, L.V.; Srinivasan, R.; Setty, R.P.; Ganapathy, S.; Bavdekar, A.; Mitra, M.; Raju, B.; Mohan, N. Specific probiotics for the
     treatment of pediatric acute gastroenteritis in India: A systematic review and meta-analysis. JPGN Rep. 2021, 2, e079. [CrossRef]
93. Kahraman, B.; Korkmaz, K.; Daştan, D.; Toker, O.S.; Dertli, E.; Arici, M. Production and characterization of probiotic jelly candy
     containing Bacillus species. J. Food Meas. Charact. 2023, 17, 5864–5873. [CrossRef]
94. Lahiri, K.; Jadhav, K.; Gahlowt, P.; Najmuddin, F.; Padmashree, Y. Bacillus clausii as an adjuvant therapy in acute childhood
     diarrhoea. IOSR-JDMS 2015, 14, 74–76. [CrossRef]
95. Lakshmi, S.G.; Jayanthi, N.; Saravanan, M.; Ratna, M.S. Safety assessment of Bacillus clausii UBBC07, a spore forming probiotic.
     Toxicol. Rep. 2017, 4, 62–71. [CrossRef] [PubMed]
96. Mazzantini, D.; Calvigioni, M.; Celandroni, F.; Lupetti, A.; Ghelardi, E. Spotlight on the compositional quality of probiotic
     formulations marketed worldwide. Front. Microbiol. 2021, 12, 693973. [CrossRef] [PubMed]
97. Morelli, L.; Pellegrino, P. A critical evaluation of the factors affecting the survival and persistence of beneficial bacteria in healthy
     adults. Benef. Microbes 2021, 12, 321–331. [CrossRef]
98. Navarra, P.; Milleri, S.; Perez, M., III; Uboldi, M.C.; Pellegrino, P.; Bois De Fer, B.; Morelli, L. Kinetics of Intestinal Presence of
     Spores Following Oral Administration of Bacillus clausii Formulations: Three Single-Centre, Crossover, Randomised, Open-Label
     Studies. Eur. J. Drug Metab. Pharmacokinet. 2021, 46, 375–384. [CrossRef]
99. Joshi, S.; Udani, S.; Sen, S.; Kirolikar, S.; Shetty, A. Bacillus clausii septicemia in a pediatric patient after treatment with probiotics.
     Pediatr. Infect. Dis. J. 2019, 38, e228–e230. [CrossRef]
100. Princess, I.; Natarajan, T.; Ghosh, S. When good bacteria behave badly: A case report of Bacillus clausii sepsis in an immunocom-
     petant adult. Access Microbiol. 2020, 2, e000097. [CrossRef]
101. Khatri, A.M.; Rai, S.; Shank, C.; McInerney, A.; Kaplan, B.; Hagmann, S.H.; Kainth, M.K. A tale of caution: Prolonged Bacillus
     clausii bacteraemia after probiotic use in an immunocompetent child. Access Microbiol. 2021, 3, 000205. [CrossRef]
102. García, J.P.; Alzate, J.A.; Hoyos, J.A.; Cristancho, E. Bacteremia after Bacillus clausii administration for the treatment of acute
     diarrhea: A case report. Biomédica 2021, 41 (Suppl. 2), 13. [CrossRef]
Fermentation 2024, 10, 522                                                                                                           20 of 20
103. Cutting, S.M. Bacillus probiotics. Food Microbiol. 2011, 28, 214–220. [CrossRef] [PubMed]
104. Roe, A.L.; Boyte, M.E.; Elkins, C.A.; Goldman, V.S.; Heimbach, J.; Madden, E.; Oketch-Rabah, H.; Sanders, M.E.; Sirois, J.; Smith,
     A. Considerations for determining safety of probiotics: A USP perspective. Regul. Toxicol. Pharmacol. 2022, 136, 105266. [CrossRef]
     [PubMed]
105. Liao, S.F.; Nyachoti, M. Using probiotics to improve swine gut health and nutrient utilization. Anim. Nutr. 2017, 3, 331–343.
     [CrossRef] [PubMed]
106. EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP). Scientific Opinion on the safety and
     efficacy of Toyocerin® (Bacillus toyonensis) as a feed additive for chickens for fattening, weaned piglets, pigs for fattening, sows
     for reproduction, cattle for fattening and calves for rearing and for rabbits for fattening. EFSA J. 2014, 12, 3766. [CrossRef]
107. Svihus, B. Function of the digestive system. J. Appl. Poult. Res. 2014, 23, 306–314. [CrossRef]
108. Grant, A.Q.; Gay, C.G.; Lillehoj, H.S. Bacillus spp. as direct-fed microbial antibiotic alternatives to enhance growth, immunity, and
     gut health in poultry. Avian Pathol. 2018, 47, 339–351. [CrossRef]
109. Cartman, S.T.; La Ragione, R.M.; Woodward, M.J. Bacillus subtilis spores germinate in the chicken gastrointestinal tract. Appl.
     Environ. Microbiol. 2008, 74, 5254–5258. [CrossRef]
110. Chaiyawan, N.; Taveeteptaikul, P.; Wannissorn, B.; Ruengsomwong, S.; Klungsupya, P.; Buaban, W.; Itsaranuwat, P. Characteriza-
     tion and probiotic properties of Bacillus strains isolated from broiler. Thai J. Vet. Med. 2015, 40, 207–214. [CrossRef]
111. Wolfenden, R.E.; Pumford, N.R.; Morgan, M.J.; Shivaramaiah, S.; Wolfenden, A.D.; Tellez, G.; Hargis, B.M. Evaluation of a
     screening and selection method for Bacillus isolates for use as effective direct-fed microbials in commercial poultry. Int. J. Poult.
     Sci. 2010, 9, 317–323. [CrossRef]
112. Mushtaq, M.; Khan, I.U.; Shuaib, M.; Chand, N.; Sufyan, A.; Shah, M.; Islam, Z.; Uzair, M.S.; Khan, A.; Ullah, Q.; et al. Effect of
     Probiotic Bacillus clausii on Production Parameters and Intestinal Histomorphology of Meat-Type Chicken. Pak. J. Zool. 2023, 1–8.
     [CrossRef]
113. Barba-Vidal, E.; Martín-Orúe, S.M.; Castillejos, L. Practical aspects of the use of probiotics in pig production: A review. Livest. Sci.
     2019, 223, 84–96. [CrossRef]
114. Wang, Y.; Zhang, H.; Zhang, L.; Liu, W.; Zhang, Y.; Zhang, X.; Sun, T. In vitro assessment of probiotic properties of Bacillus isolated
     from naturally fermented congee from Inner Mongolia of China. World J. Microbiol. Biotechnol. 2010, 26, 1369–1377. [CrossRef]
115. Ragul, K.; Syiem, I.; Sundar, K.; Shetty, P.H. Characterization of probiotic potential of Bacillus species isolated from a traditional
     brine pickle. J. Food Sci. Technol. 2017, 54, 4473–4483. [CrossRef] [PubMed]
116. Shivangi, S.; Devi, P.B.; Ragul, K.; Shetty, P.H. Probiotic potential of Bacillus strains isolated from an acidic fermented food Idli.
     Probiotics Antimicrob. Proteins 2020, 12, 1502–1513. [CrossRef] [PubMed]
117. Horosheva, T.V.; Vodyanoy, V.; Sorokulova, I. Efficacy of Bacillus probiotics in prevention of antibiotic-associated diarrhoea: A
     randomized, double-blind, placebo-controlled clinical trial. JMM Case Rep. 2014, 1, e004036. [CrossRef]
118. Jubayer, M.F.; Uddin, M.B.; Faruque, M.O. Standardization parameters for production of tofu using WSD-Y-1 machine. J.
     Bangladesh Agric. Univ. 2013, 11, 307–312. [CrossRef]
119. Zeybekoğlu, N.; Özhan, H.; Boyacioğlu, O. Probiotic tofu with Bacillus clausii spores to support gastrointestinal microflora. Adnan
     Menderes Üniversitesi Sağlık Bilim. Fakültesi Derg. 2021, 5, 534–545. [CrossRef]
120. Ramos, G.D.; Dias, S.D.S.; Ferreira, I.M.; Oliveira e Silva, A.M.; de Carvalho, M.G. Cashew yogurt shelf life with Bacillus clausii:
     Chemical, physicochemical and microbiological evaluation. Rev. Bras. De Hig. E Sanidade Anim. 2019, 13, 424–439. [CrossRef]
121. Ramirez, K.; Pineda-Hidalgo, K.V.; Rochín-Medina, J.J. Fermentation of spent coffee grounds by Bacillus clausii induces release of
     potentially bioactive peptides. Lwt 2021, 138, 110685. [CrossRef]
122. Vázquez-Maldonado, D.; Espinosa-Solis, V.; Leyva-Porras, C.; Aguirre-Bañuelos, P.; Martinez-Gutierrez, F.; Román-Aguirre,
     M.; Saavedra-Leos, M.Z. Preparation of spray-dried functional food: Effect of adding Bacillus clausii bacteria as a co-
     microencapsulating agent on the conservation of resveratrol. Processes 2020, 8, 849. [CrossRef]
123. Saavedra-Leos, M.Z.; Román-Aguirre, M.; Toxqui-Terán, A.; Espinosa-Solís, V.; Franco-Vega, A.; Leyva-Porras, C. Blends of
     carbohydrate polymers for the co-microencapsulation of Bacillus clausii and quercetin as active ingredients of a functional food.
     Polymers 2022, 14, 236. [CrossRef] [PubMed]
124. Enciso-Huerta, H.A.; Ruiz-Cabrera, M.A.; Lopez-Martinez, L.A.; Gonzalez-Garcia, R.; Martinez-Gutierrez, F.; Saavedra-Leos, M.Z.
     Evaluation of Two Active System Encapsulant Matrices with Quercetin and Bacillus clausii for Functional Foods. Polymers 2022,
     14, 5225. [CrossRef] [PubMed]
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual
author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to
people or property resulting from any ideas, methods, instructions or products referred to in the content.