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Clinical use ofE. coliNissle 1917 in inflammatory bowel disease

Schultz, Michael MD, Dr habil (Germany), FRACP*

Inflammatory Bowel Diseases:
doi: 10.1002/ibd.20377
Clinical Review

Abstract:: The probiotic Escherichia coli strain Nissle 1917 is in addition to some Lactobacilli sp. one of the best‐studied probiotic strains. This particular E. coli strain was isolated in 1917 based on its potential to protect from presumably infectious gastroenteritis. Initial therapeutic success was noted in the management of gastrointestinal infectious disorders and infections affecting the urinary tract; the focus shifted later to chronic inflammatory conditions. The unique combination of fitness and survival factors to support intestinal survival, the lack of virulence, and obvious probiotic properties make this microorganism a safe and effective candidate in the treatment of chronic inflammatory bowel diseases. Three large clinical trials have assessed the potential in the maintenance of remission of ulcerative colitis and equivalence to standard 5‐ASA medication was documented. This review aims to discuss important mechanisms of E. coli Nissle 1917 and will review the available literature regarding treatment of inflammatory bowel diseases.

Author Information

* Department of Medical and Surgical Sciences, Medicine Section, University of Otago Medical School, Dunedin, New Zealand

Reprints: M. Schultz, MD, Department of Medical and Surgical Sciences, Medicine Section, University of Otago Medical School, PO Box 913, Dunedin, New Zealand (email:

Received for publication 23 November 2007; Accepted 27 November 2007

Published online 31 January 2008 in Wiley InterScience (

© Crohn's & Colitis Foundation of America, Inc.

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