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The impact of prebiotics on cat food: a review PAMPLONA 1¶ , M. P.; PRINCIPE 1 , L.; MARCHI 1 , P. H., V.; R. A.; BRUNETTO 1* , M. A. 1 Center for Research in Dog and Cat Nutrology, University of São Paulo, São Paulo, SP, Brazil. *Corresponding author E-mail: mabrunetto@usp.br ¶These authors contributed equally to this work. &These authors also contributed equally to this work. Abstract The intake of functional foods has been increased recently to improve metabolism, body composition, and gut microbiota. Prebiotics stand out among functional foods due to their functionality in animal metabolism such as the proliferation of beneficial bacteria and the production of fecal fermentative products that aid in the health and integrity of the body. Prebiotics can be defined as dietary carbohydrates that resist digestive enzymes in cats and are fermentable by bacteria in the large intestine. However, due to the diversity of fermentable fiber types used in the catfood market, there are discussions about which prebiotic to use and in which concentrations. Thus, the aim of this review was to demonstrate the effects of different prebiotics in healthy cat food. Platforms such as Scopus, Embase, Pubmed, and Mendeley were accessed to trace all in vivo scientific articles that reported prebiotics for feeding adult cats or senior cats. After excluding duplicate articles and those without the evaluated criteria, we obtained a total of 14 articles. Our results demonstrated the diversity and concentrations of prebiotics in feeding healthy adult and senior cats. This is a review that brings out the importance and modulating effects of prebiotics in the diet of healthy cats. These effects help the gastrointestinal tract and modulation of the microbiota. This will support future studies in analyzing concentrations and sources of prebiotics with the timing of prebiotic intake in relation to their effects. In conclusion, prebiotic diversity stimulates beneficial bacteria in the gut microbiota, which reduces the proliferation of harmful bacteria. In addition, these substrates promote important modulations in the gastrointestinal tract that advantageously affect the health of cats. Key-words: Fibers, Feline, Fermentative products, Functional foods, intestinals promoters, intestinal health. Introduction The intake of functional foods has been increased recently to improve metabolism, body composition, and gut microbiota in animals. Prebiotics stand out among functional foods as they are a substrate used by selective beneficial microorganisms to promote health (REGALADO-RENTERÍA et al., 2020), and modulate gut fermentative, fecal, and immunological parameters (NEDAEI et al., 2019). The definition expands the concept of prebiotics to include non-carbohydrate substances, applications at sites in the body other than the gastrointestinal tract, and various categories other than food. Beneficial health effects must be documented for a substance to be considered a prebiotic. The consensus definition also applies to prebiotics for use by animals, in which strategies focused on the microbiota to maintain health and prevent disease are as relevant as for humans (GIBSON et al., 2017). Prebiotics can be defined as dietary carbohydrates that resist digestive enzymes in animals and pass into the large intestine where they are fermented by bacteria. In other words, prebiotics are indigestible and are considered fermentable carbohydrates. Most plant ingredients in cat foods carry varying types and amounts of prebiotics. Wet foods may contain thickening agents with prebiotic properties, such as guar gum. The focus is on high purity prebiotics that are added to cat foods to support a claim of gut health. Cat foods that promise gut health primarily contain fructooligosaccharides (FOS), mannan oligosaccharides (MOS), xylo-oligosaccharides (XOS), inulin, and lactosucrose. These foods are generally intended to stimulate the growth of gut bacteria toward a healthier community and to aid in the cat's digestion. The action of the intestinal microbiota in the decomposition process of complex carbohydrates is a response to the diverse genetic set of active enzyme encoders present in the genome of these bacteria, with infinite enzymes capable of breaking down, biosynthesizing, and altering complex carbohydrates. The variety of carbohydrates that make up the diet and reach the colon triggers numerous stages of bacterial breakdown for efficient use of these macromolecules (BEDU-FERRARI et al., 2022). Studies show that prebiotics have the potential to alter nitrogen metabolism, with possible benefits to animal health and long-term clinical nutrition, as a result of the potential reduction of intestinal pH, ammonia production and urea concentration (DOS SANTOS FELSSNER et al., 2016). The literature provides limited information on the effects of prebiotics in cats, so more studies comparing their concentrations and accomplishments should be developed (BEYNEN, 2019). Currently, there is a great attention for the use of prebiotics as alternative strategies in cat feeding (CALABRÒ et al., 2020), due to their beneficial effects on diseases and health. Prebiotics Saccharomyces cerevisiae yeast (YAM) Yeasts of the genus Saccharomyces are classified as ascomycetous fungi belonging to the order Saccharomycetales and the family Saccharomycetaceae (KURTZMAN, 2011). Yeasts and their cell extracts have been recognized as safe supplements for human and animal diets by the Food and Drug Administration (MOON et al., 2020). These products contain about 14.0% in dry matter (DM) of mannan-oligosaccharides (MOS), 24.0% in DM of β-glucans, lipids, chitin, vitamins, and 30.77% to 56.9% of proteins (COSTA, 2004) which are often linked to mannan. β-glucans and MOS are beneficial to the gut microbiota due to their ability to ferment in the large intestine and their ability to limit the proliferation of pathogenic bacteria. Studies have proven that β-glucans protect the body against viral, fungal and bacterial infections (LIU, 2011; BORCHANI et al. 2016). Glucans and β- glucans have the ability to remain intact in the digestive tract and, due to their specific properties of water-holding capacity and emulsion stability, are frequently used in the food industry (MUSCO et al., 2018). There are several ways of producing and drying yeast, which guarantee its preservation and composition. Most of the distilleries use the spray dryer drying method, because the maximum temperature reached is high and the contact time during the drying is shorter when compared to the rotary roller drying, in which the product obtained can present a better nutritional quality (SCAPINELLO et al.,1997). In spray drying the quick exposure of the material and the high temperature of operation guarantee the preservation of all its properties, especially the amino acids (ZANUTTO, et al. 1999). YAM is a single-celled eukaryosis, which converts carbohydrates into carbon dioxide and alcohols by fermentation. Yeasts are obtained from the production of bread and beer, or after the production of alcoholic beverages. Yeast extracts are obtained mechanically after autolysis by acid or alkaline hydrolysis and by enzymatic treatment (FREIMUND et al., 2003; MUSCO et al., 2018). As pointed out by Shurson (2018), animals have been fed yeast-containing products for over 100 years. However, in recent years, due to the need to limit the use of antibiotics, increasing interest has been directed towards the use of yeast and its products in animal nutrition, particularly in the pet food industry, which produces a wide range of diets and supplementscontaining yeast, as well as yeast cell wall, for both dogs and cats. Different species of Saccharomyces, in particular S. cerevisiae, are widely adopted as prebiotics in animal nutrition (MEDINA et al., 2002; ARIF et al., 2020; DE OLIVEIRA MATHEUS et al., 2021; SANTOS et al., 2022). Furthermore, in dogs with inflammatory bowel disease, yeast has been considered an important marker in the detection of this disease (ALLENSPACH et al., 2004). Some studies demonstrate the effects of the use of CS on the increase of animal growth, decrease of intestinal pH, avoiding the proliferation of bacteria with pathogenic potential (FERKET, 2004), increase in immune resistance (HUNTER et al., 2002; MANTOVANI et al, 2007; NUNES et al., 2008), and improves the intestinal integrity (CARVER & WALKER, 1995), as well as balancing the microbiota of the gastrointestinal tract (OYOFO et al., 1989; SWANSON et al., 2002), resulting in better digestion and absorption of nutrients. Yeast Cell Wall (YCW) Numerous yeast products and feed ingredients are commercially produced and used extensively in animal feeds. Considerable research has been conducted to evaluate the animal growth potential and health benefits of adding yeast and its derivatives to feed. Yeast cell walls are concentrated sources of mannan-oligosaccharides (MOS), and various commercial feed additives (SHURSON, 2018). Studies show that yeast extract is composed of approximately 34-38% protein with levels of lysine 3.61%, methionine 0.78% and tryptophan 0.68% (WU et al, 2018), 5.0% glutamic acid (OLIVEIRA et al., 2016), 5.5% nucleotides (SOUZA et al., 2011), B vitamins, enzymes, short-chain fatty acids (CHFA) and chelated minerals (BUTOLO et al., 2010). The inclusion of yeast extract in dog and cat foods can assist in intestinal maintenance and performance (BILL KAELLE et al., 2022). Mannanoligosaccharides (MOS) Originating from compounds isolated from the cell wall of yeast, mamanoligosaccharides (MOS) are derived from the non-starch hemicellulose polysaccharide called mannan (JANA et al., 2021) and have lower intestinal fermentation compared to FOS. MOS reduce the presence of pathogenic bacteria in the gut by being integrated into specific epithelial cell sites in the intestinal mucosa, and assist in modulating the immune system (SWANSON et al., 2002). Fructooligosaccharides (FOS) Fructologossacharides (FOS) consist of an organic fructose molecule with β (2-1)-glycosidic bonds attached to a d-glucose terminal unit (DOS SANTOS FELSSNER et al., 2016). Among the pathways, it is possible that FOS is synthesized by the partial hydrolysis of long-chain inulin through the action of endo-inulinases enzymes or by the work of β-fructosidase in the transfructosylation of sucrose (CHEN et al., 2020). Dogs and cats do not have digestive enzymes capable of digesting certain vegetable fibers. Fructooligosaccharides are non-digestible fibers in the small intestine, and their degradation occurs in the colon of these animals (SCOTT et al., 2015). Bacteria components of the microbiota of animals is responsible for synthesizing short chain fatty acids (SCFA) and lactate, from the fermentation of these components in the large intestine. Furthermore, they can be a source of energy for the host, lower the intestinal pH and control the multiplication of pathogenic microorganisms (ROBERFROID et al., 2010). Galactoigosaccharides (GOS) Galactooligosaccharide (GOS) is a prebiotic, produced through enzymatic conversion of lactose and consists mainly of galactose and glucose molecules (GOSLING et al. 2010). GOSs are usually composed of 2-10 galactose molecules and 1 glucose molecule. They are usually synthesized from the transgalactosidase activity of β-galactosidases. Naturally occurring GOSs can be present in some plant products (Table 1), mainly in legumes and cereals (FIORI et al., 2022). Table 1. Food sources and their compositions of FOS and GOS (g/100g). Source FOS kestose (g/100g) GOS raffinose (g/110g) Apple 0.009 0.0034 Banana 0.168 - Carrot 0.022 - Chicory raw 0.0039 0.0025 Garlic raw 0.306 - Lentils - 0.032 Orange 0.012 0.011 Peach 0.015 0.005 Peas 0.010 0.052 Source: Adapted from Fiori et al. (2022). For more than 70 years, these oligosaccharides have been studied due to their prebiotic and bifidogenic potential identified in the microbiota of children breastfed with human milk (MARTINS & BURKERT, 2009). After the identification of their biological effects in infant child, galactooligosaccharides began to be produced commercially. Its synthesis occurs through the transgalactosylation activity of the enzyme β-galactosidase on high concentrations of lactose (GOSLING et al., 2010) and its molecular structure was developed based on the human milk oligosaccharides (SELA & MILLS, 2010). By resisting the metabolic processes of fermentation, GOS serve as an energy source for the proliferation of anaerobic bacteria in the colon (ROBERFROID et al., 2010). In particular, they are considered bifidogenic, as they serve as a substrate for bifidobacteria and stimulate their cellular metabolism and proliferation (ROBERFROID, 2007). Therefore, its prebiotic effect is considered to be of high biologic value and recent studies attribute a number of potential health benefits to GOS (FAI et al., 2015). Among the beneficial effects, there is this increase in the population of Bifidobacteria in the colon and, by antagonistic effect, the suppression of the activity of putrefactive bacteria, which reduces the formation of toxic metabolites (NERI et al., 2009; MONTILLA et al., 2015). Xyloligosaccharides (XOS) Xyloligosaccharides (XOS) are oligosaccharides composed of non-caloric, non-digestible xylose units, which appear naturally in bamboo shoots, fruits, vegetables, milk, and honey. They are high value co-products for biofuel generation from cellulosic biomass. XOSs are present in low concentrations in most plants and are produced by hydrolysis of hemicelluloses. Due to hydrolysis of sugarcane bagasse, XOSs constitute up to 50.35% of the starting biomass. There is a growing interest in the production of XOS due to their ability to stimulate the growth of intestinal microorganisms in humans, such as species of the genera Lactobacillus and Bifidobacterium (ZHANG et al., 2021). Its industrial-scale production is carried out from lignocellulosic materials (LCMs). The LCMs for XO production come from various raw materials (from forestry, agriculture, industry or municipal solid waste) that present similarities in composition (VÁZQUEZ et al., 2000). In fish, XOS has demonstrated beneficial effects such as increased antioxidant capacity, anti- inflammatory and antimicrobial functions (ABASUBONG et al., 2018). In humans, 4g/day of XOS for 8 weeks resulted in reduced glucose, frutosamine, cholesterol and low-density lipoprotein (LDL) in patients with diabetes mellitus (SHEU et al., 2008). Inulin and Oligofructose Inulin is present in more than 36,000 plant species. Most commercially available inulin is extracted from chicory roots (contains 150 to 200 mg/g inulin and 80 to 120 mg/ g oligofructose). Chemically, inulin is a polydisperse β-(2,1) fructan. Oligofructose contains 2 to 8 monosaccharide residues connected by glycosidic bonds and can be obtained by partial enzymatic hydrolysis of chicory inulin, which contains both β-(2-1) fructose chains and β-(2,1) fructose chains with glucose terminal units. Synthesized oligofructose contains only β-(2,1) fructose with glucose end units. These structures prevent oligofructose or inulin from being digested in the upper intestinal tract of monogastric animals, making them available for fermentation by intestinal bacteria (FLICKINGER et al., 2003). Oligofructose, a natural food ingredient, is the product of partial enzymatic hydrolysis of inulin.This non-digestible oligosaccharide is fermented by colonic bacteria to produce mainly short-chain fatty acids, L-lactate and CO, and the energy needed for bacterial growth, as well as increasing fecal mass. Compared to starch, cellulose, or any dietary fiber, oligosaccharides have only a low (2-20) degree of polymerization (DP), and consequently have low molecular weight (up to 3500). Among the subproducts, mainly short-chain fatty acids (SCFA) act beneficially in maintaining eubiosis and can also act as growth promoters (SUKOR et al., 2016; NG & KOH, 2016). Therefore, some known nutritional effects of inulin and FOS are their ability to modify the composition of the intestinal microbiome e.g., by stimulating the proliferation of Bifidobacteria, and their metabolic activity in the colon (ROBERFROID et al., 1998; VAN LOO et al., 1999). Oligosaccharides are readily soluble in water and structurally, are fructose polymers linked by 61-2 osidic bonds, of which one end is occupied by either a fructose pD, or a glucose aD. Oligofructose is completely resistant to digestion in the upper GI tract and is fermented in the colon, where it serves as substrates for selective growth of bifidobacteria (ROBERFROID et al., 2009). Table 2. Sources and percentages of inulin and oligofructose in the main foods used in the cat food market. Source Inulin (%) Oligofructose (%) Banana 0.3-0.7 0.3-0.7 Rye 0.5-1 0.5-1 Leek 3-10 2.5-8 Wheat 1-4 1-4 Garlic 9-16 3.5-6.5 Chicory roots 15-20 8-11 Onions 1.1-7.5 1.1-7.5 Source: Adapted from Roberfroid et al. (2009). The use of drugs with prebiotics can alter their effect. In rats, the combination of oligofructose and ampicillin reduced adiposity, and ampicillin prevented the prebiotic-induced increase in bifidobacteria and lactobacilli (BOMHOF et al., 2016). Prebiotics in cat food Prebiotics are widely used in cat foods as modulators in intestinal and immunological parameters. However, there are few published studies that have evaluated different prebiotics in cat diets. Some studies, use only the fecal inoculum of the animals, due to the practicality of experimental design. In the study by Calabrò et al. (2020), they compared the fermentability of six cell walls of Saccharomyces cerevisiae obtained through three production processes (alcoholic, brewery, and baker) in cat fecal inoculum. As results, the alcoholic substrate demonstrated higher fermentation rate. The baker's substrate, on the other hand, showed the lowest fermentation rate, which corresponded to the highest production of iso-butyrate and iso-valerate. The brewer's substrate showed the highest production of acetate and butyrate, suggesting that the alcoholic and brewer's substrates are more suitable for inclusion in the cat diet. An in vittro study evaluated the prebiotic potential of three oligosaccharides: FOS, GOS and lactosucrose in cat fecal inocula and, demonstrated that lactosucrose porduced 14.0% more gas, 61.0% more lactate compared to the other prebiotics. This study suggests that lactosucrose has a positive impact on the lactate-producing bacteria in the feline colon (KELLY et al., 2006). Some prebiotics may also help reduce stress in cats. A blend containing L-tryptophan, lemon balm, fish peptides and oligofructose resulted in a 24-hour reduction in cortisol and urinary creatinine in healthy adult cats (JEUSETTE et al., 2021). In obese cats, on the other hand, supplementation of 2.5% oligofructose and inulin for 4 weeks resulted in higher propionylcarnitine concentrations, suggesting fermentation in the colon and propionate absorption. In addition, they observed that prebiotic supplementation reduced methylmalonylcarnitine and aspartate aminotransferase concentrations, indicating reduced amino acid gluconeogenesis (VERBRUGGHE et al., 2009). Studies in cats with inflammatory bowel disease observed no effect on modulation of the gut microbiota with a GOS supplementation. However, the study did not evaluate other important parameters for comorbidity such as fermentation products and immunological parameters (ABECIA et al., 2010). However, do all prebiotics promote positive effects on metabolism in cats? And can the time of modulation affect their effects? Or the type and concentration of prebiotic? Given the above, the aim of the study was to demonstrate the potential effects of different prebiotics on the diet of healthy cats. Material and Methods The articles were searched for by the Embase and Pubmed platforms, based on the keywords described in table 1. After the research, the articles were plotted in the Mendeley® program in order to exclude duplicates and articles that do not involve the ingestion of prebiotics in healthy cats. The results considered by the authors were of p<0.05, and tendencies were not considered as significant. Table 1. Search terms, databases and number of results found about health studies with prebiotics supplementation. Database/date covered/number of results Search terms Embase Data covered: not specified, all years were searched Number of results: 55.228 ('cat'/exp OR 'cat cat' OR 'cat domesticus' OR 'cats' OR 'felis catus' OR 'felis') AND ('prebiotic agent'/exp OR 'prebiotic' OR 'prebiotic agent' OR 'prebiotics' OR 'fructose oligosaccharide'/exp OR 'fructo oligosaccharide' OR 'fructooligosaccharide' OR 'fructose oligosaccharide' OR 'neosugar' OR 'oligofructose' OR 'mannanoligosaccharide'/exp OR 'galactose oligosaccharide'/exp OR 'galacto oligosaccharide' OR 'galactooligosaccharide' OR 'galactose oligomer' OR 'galactose oligosaccharide' OR 'oligogalactose' OR 'inulin'/exp OR 'alant starch' OR 'alantin' OR 'alantin starch' OR 'dahlin' OR 'inulin' OR 'inulin and sodium chloride' OR 'inulin t' OR 'inuline' OR 'synanthrin' OR 'beta glucan'/exp OR 'beta dextroglucan' OR 'beta glucan' OR 'beta glucans' OR 'beta-glucans' OR 'macrogard' OR 'polydextrose'/exp OR 'lactulose'/exp OR 'arabinogalactan'/exp) Pubmed Data covered: not specified, all years were searched Number of results: 11.116 ('cat'/exp OR 'cat cat' OR 'cat domesticus' OR 'cats' OR 'felis catus' OR 'felis') AND ('prebiotic agent'/exp OR 'prebiotic' OR 'prebiotic agent' OR 'prebiotics' OR 'fructose oligosaccharide'/exp OR 'fructo oligosaccharide' OR ‘microbiota’ OR 'fructooligosaccharide' OR 'fructose oligosaccharide' OR 'neosugar' OR 'oligofructose' OR 'mannanoligosaccharide'/exp OR 'galactose oligosaccharide'/exp OR 'galacto oligosaccharide' OR 'galactooligosaccharide' OR 'galactose oligomer' OR 'galactose oligosaccharide' OR 'oligogalactose' OR 'inulin'/exp OR 'alant starch' OR 'alantin' OR 'alantin starch' OR 'dahlin' OR 'inulin' OR 'inulin and sodium chloride' OR 'inulin t' OR 'inuline' OR 'synanthrin' OR 'beta glucan'/exp OR 'beta dextroglucan' OR 'beta glucan' OR 'beta glucans' OR 'beta-glucans' OR 'macrogard' OR 'polydextrose'/exp OR 'lactulose'/exp OR 'arabinogalactan'/exp) Results All the articles regarding prebiotics in healthy cats were obtained and then exported to Mendeley® citation manager. After duplicates were removed, a total of 2128 remained. The authors decided to consider only those with in vivo utilization of prebiotics in healthy cats to conduct a more detailed analysis on the subject. After removing articles regarding in vitro use, and studies that used medication during prebiotic intake, 14 articles were used for the state-of-the-art analysis (Table 3). The results of the articles were discussed afterward. Table 3. The state-of-the-art analysis of studies conducted with healthy cats with prebiotic supplementation obtained after systematic research. 1. Terada, A. et al. (1993) Population: Healthy adult cats Sample size: Eight cats Intervention details: Each animal received a control treatment + 175 mg of lactosucrose perday for 2 weeks. Study design: Completely Randomized Design. Outcome studied: To determine the effects of lactosucrose on the flora, fecal concentrations of putrefactive products, pH, and water content of cats, wich are related to the offensive odor of feces. Main findings: (relevant to PICO question): During lactosucrose administration, the lactobacilli increased, whereas Clostridium perfringens and Enterobacteriaceace decreased. The fusobacteria and staphylococci were decreased on day 7 of supplementation, while bacteroides were increased on day 14. Bifidobacteria increased during lactosucrose supplementation, while Spirochaetaceae and lecithinase- negative clostridia decreased on day 14 of supplementation. Fecal concentrations of ammonia, índole, ethylphenol, and urinary ammonia were reduced on day 14 of supplementation. The water contente, pH and weight of the feces increased during lactosucrose administration. The environmental ammonia and the fecal odor also decreased. Limitations: The study wasn’t limitations. 2. Sparkes, A.H. et al. (1998a) Population: Healthy adult cats Sample size: Twelve cats Intervention details: The animals were fed a basal diet and a diet with 0.75% FOS. Duodenal juice for bacteriological examination was collected via oral endoscopy 5 times from each cat over a period of 32 weeks. Duration of study: 32 weeks. Study design: Completely Randomized Design. Outcome studied: To investigate changes in the duodenal microbiota of healthy cats over time and to evaluate the effect of dietary supplementation with FOS. Main findings: (relevant to PICO question): The mean aerobic, anaerobic, and total bacterial counts did not differ significantly between sample collection times. However, the individual counts for each animal showed considerable variations. The bacterial flora varied qualitatively: only Enterococcus faecalis, Clostridium perfringens, Bacteroides, Pasteurella, and Streptococcus spp, and unidentified gram- negative (aerobic) rods were present in > 50.0% of the samples. Limitations: The study wasn’t limitations. 3. Sparkes, A.H. et al. (1998b) Population: Healthy adult cats Sample size: Twelve cats Intervention details: The animals first received a basal diet for 8 weeks. Afterwards, they received a diet supplemented with 0.75% FOS. Study design: Completely Randomized Design. Outcome studied: Investigate changes in the fecal flora of healthy cats after dietary supplementation with FOS. Main findings: (relevant to PICO question): Members of the genus Bacteroides, Clostridium perfringens, Escherichia coli, lactobacilli, and Plesiomonas shigeloides were the most prevalent bacteria isolated. Compared with samples from cats fed a control diet, there was an increase in the mean count of lactobacilli (P = 0.02) and Bacteroides spp (P = 0.05) after FOS supplementation, and reduced mean numbers of Escherichia coli. Limitations: The study wasn’t limitations. 4. Hesta, M. et al. (2001) Population: Healthy adult cats Sample size: Eight cats Intervention details: Four treatments were used in first experiment: 0, 3.0%, 6.0% and 9.0% of oligofructoseof DM. The second experiment was used three inulin diets: 0%, 3.0% and 6.0% and one oligofructose (3.0%). The duration of study was 160 days (48 days in first experiment and 112 days in the second experiment). The diet was supplemented with the different amounts of oligofructose or inulin and mixed thoroughly. Study design: Latin square design. Outcome studied: In the first experiment, different concentrations of oligofructose were tested for their impact on faecal characteristics. The aim of the second experiment was to examine the effects of inulin and oligofructose on digestibility parameters and faecal bacterial nitrogen in healthy cats. Main findings: (relevant to PICO question): In the first experimente there was no significant differences regarding the macroscopical and chemical aspects of the faeces between the control and the 3.0% supplemented group. The amount of fresh faeces produced per day were higher in the 9.0% supplemented FOS group compared with the control or the 3.0% FOS group. In the 9% FOS group the faeces was formless and the code (fecal score) for consistency was lowest. In the 6.0% FOS group the code for consistency was also signi®cantly lower than the 3.0% FOS group and the control. There was a trend for a lower pH of the faeces in the 3% supplemented group. In a second experiment, the supplemented groups the apparent protein digestibility was lower but this was due to a higher bacterial nitrogen content of the faeces. There were no significant differences between 3.0% inulin and oligofructose. Urine production was lower in all supplemented groups. The total amount of SCFA excreted was increased in the 6% inulin group compared with the control group. In the 6% inulin group decreased acetic acid and increased valeric acid compared from the control. The 6.0% inulin group increased excretion of propionic and butyric acid. Limitations: The study wasn’t limitations. 5. Hesta, M. et al. (2005) Population: Healthy adult cats Sample size: Four cats Intervention details: Two treatments were used: control diet and 3.11% of FOS on DM. The duration of study was 26 days. The prebiotic was included in the mass of the food. Study design: Crossover study Outcome studied: To evaluate the addition of oligofructose on urea metabolism in cats by the use of 15N-labelled urea and on faecal odour components. Main findings: (relevant to PICO question): There were no significant differences between the injected amounts of labelled 15N and the excreted amount of 15N in urine and faeces after subtraction of the basal faecal and urinary 15N excretion. Twenty-seven different S-containing odour components were detected in the incubated fresh faecal samples. Only 11 odour components could be identified. There was no difference between the control and the FOS group for parameters. The authors observed tendences. Limitations: The study wasn’t limitations. 6. Aquino, A.A. et al. (2010) Population: Healthy adult cats Sample size: Twenty cats Intervention details: Four diets were used: wet commercial diet (control) and control plus 0.2, 0.4, or 0.6% of YCW in dry matter. The duration of study was 30 days. The additive was incorporated into the comercial diet. Study design: Completely Randomized Design. Outcome studied: To evaluate the effect of increasing levels of YCW, 0%, 0.2%, 0.4% and 0.6%, in the dry matter of the diet for adult cats on the nutrient and energy digestibility of nutrients and energy in commercial wet and dry diets, as well as the effect of including 0.4% YCW on the palatability of wet and dry wet diet. Main findings: (relevant to PICO question): No differences among treatments for dry matter, crude protein, ether extract, organic matter, gross energy digestibility, and faecal score were observed. Positive linear effect on dry matter digestibility was observed. Negative effect of 0.4% YCW inclusion on palatability of diet was observed. Limitations: The study wasn’t limitations. 7. Barry, K. A. et al. (2010) Population: Healthy young adult cats Sample size: Twelve domestic shorthair males Intervention details: Three diets were used: 4.0% of cellulose/kg, 4.0% of fructooligosaccharides (FOS)/kg and 4.0% of pectin/kg. The duration of study was 90 days. Cellulose, FOS, or pectin was incorporated into the diets. Study design: 3 x 3 latin square design Outcome studied: To determine nutrient digestibility, fecal protein catabolite concentrations, and fecal microbiota concentrations in adult cats fed diets containing fiber sources selected for differences in fermentability, solubility, and prebiotic potential. Main findings: (relevantto PICO question): No differences were observed in intake of DM, OM, CP, or acid-hydrolyzed fat; DM or OM digestibility; or fecal pH, DM%, output on an as-is or DM basis, or concentrations of histamine or phenylalanine. Crude protein and fat digestibility decreased in response to supplementation with pectin compared with cellulose. FOS and pectin supplementation resulted in increased fecal scores and concentrations of ammonia and 4- methyl phenol. Fecal indole concentrations increased when cats were supplemented with FOS. Fecal acetate, propionate, and total short-chain fatty acid concentrations increased in pectin- supplemented cats. Fecal butyrate, isobutyrate, isovalerate, valerate, and total branched-chain fatty acids + valerate concentrations increased with supplementation of FOS and pectin. Fecal cadaverine and tryptamine concentrations increased with supplementation of FOS and pectin. Fecal tyramine concentrations decreased in FOS supplemented cats, whereas spermidine concentrations increased in pectin- supplemented cats. Fecal concentrations of putrescine and total biogenic amines increased with FOS and pectin, the concentrations of these compounds were increased in cats supplemented with pectin. Fecal Bifidobacterium spp. concentrations increased and Escherichia coli concentrations decreased in FOS-supplemented cats. Limitations: Two cats were removed from the pectin treatment due to poor dietary intake. As a result, 10 cats compared with 12 for the other treatments were used for the pectin treatment mean calculations. 8. Kanakupt, K. et al. (2011) Population: Healthy adult cats Sample size: Eight domestic shorthair cats Intervention details: Four treatments were used: control diet without prebiotic, 0.5% short-chain fructooligosaccharides (scFOS), 0.5% GOS or 0.5% scFOS plus 0.5% GOS in DM. The duration of study was 84 days. The prebiotics were included in the diet before extrusion. Study design: Replicated 4 x 4 latin square design Outcome studied: To determine the effects of low level prebiotic inclusion [0.5% scFOS, 0.5% galactooligosaccharides (GOS), and 0.5% scFOS + 0.5% GOS] on nutrient digestibility, fermentative metabolite concentrations, and large bowel microbial ecology of healthy adult cats. Main findings: (relevant to PICO question): Apparent total tract CP digestibility was decreased when cats were fed a diet containing scFOS + GOS compared with the other treatments. Dry matter, OM, acid hydrolyzed fat, and GE digestibilities were not different among treatments. Cats fed scFOS-, GOS- , and scFOS + GOS-supplemented diets increased fecal Bifidobacterium spp. populations compared with cats fed the control diet. Fecal pH decreased for cats fed the scFOS + GOS-supplemented diet compared with the control. Butyrate and valerate concentrations increased when cats consumed the scFOS + GOS diet. Limitations: The study wasn’t limitation. 9. Barry, K. A. et al. (2014) Population: Healthy senior cats Sample size: Eighteen cats Intervention details: Three dietary treatments were utilized in this study: a control treatment that consisted of a commercially available canned cat diet without supplemental fructan (control), a control diet with 1.0% oligofructose added on a dry weight basis (OF) and a control diet with 1.0% of na experimental chicory fructan (OF+IN). The duration of study was 28 days. Study design: Completely Randomized Design. Outcome studied: To determine the effects of supplementing senior cats with two prebiotic fructans on N partitioning, nutrient digestibility, fecal odor components, and fecal microbiota concentrations Main findings: (relevant to PICO question): The OF+IN supplement decreased fecal indole (P < 0.05), tyramine (P < 0.05), and Escherichia coli (P < 0.05) concentrations. Both fructan supplement treatments decreased (P < 0.05) fecal histamine concentrations. Limitations: The study wasn’t limitation. Garcia-Mazcorro, J. F. et al. (2017) Population: Healthy adul cats Sample size: Twelve cats Intervention details: The owners offered orally 225 mg of FOS and inulin once per day for 16 days. Fecal samples were collected at two time points before n (8 days and 1 day before initiation of prebiotic administration) and at two time points during prebiotic administration (days 8 and 16). Study design: Questionare and Completely Randomized Design. Outcome studied: To evaluated the effect of a commercially available nutraceutical containing fructo-oligosaccharides (FOS) and inulin on the fecal microbiota of healthy cats and dogs when administered for 16 days. Main findings: (relevant to PICO question): Prebiotic administration was associated with a good acceptance and no side effects were reported by the owners. The fecal microbiota of cats was dominated by Firmicutes followed by smaller proportions of Bacteroidetes. cat number 2 (C2) and cat number 5 (C5) showed high increases in the relative abundance of Lactobacillales during prebiotic administration. Veillonellaceae (order Clostridiales within Firmicutes) was significantly increased during prebiotic administration, and also that an unknown member of Gammaproteobacteria was decreased during prebiotic administration. Limitations: One cat had lose or pulpy feces throughout the whole study period (i.e., before and during prebiotic) and two cats refused to consume the product and were therefore excluded from the study. Santos, J. P. et al. (2018) Population: Healthy adult cats Sample size: Fourteen cats Intervention details: Four treatments were used: control (0% YCW), 0.2% YCW, 0.4% YCW and 0.6% YCW. The duration of study was 94 days. The inclusion of the prebiotic was in the dough. Study design: Randomized block design Outcome studied: To evaluated the effects of increasing concentrations of spray- dried yeast cell wall (YCW) in diets for healthy adult cats on apparent nutrient digestibility and on bacterial composition and fermentation products in the stool. Main findings: (relevant to PICO question): YCW did not affect body weight, nutrient and food intake, faecal production, faecal score, faecal pH or urine output. Observed a linear reduction in Clostridium perfringens, a quadratic reduction in Escherichia coli, and linear increases in Bifidobacterium spp. and Lactobacillus spp. with the inclusion of YCW. Butyrate, valerate, total biogenic amines, putrescine, cadaverine and histamine increased linearly with the inclusion of YCW. Limitations: The study wasn’t limitations. Lyu, Y. et al. (2020) Population: Healthy cats Sample size: Twenty-four domestic shorthair Intervention details: Three dietas were used: Control without xylooligosaccharides (XOS) with 1.0% cellulose/kg, 0.04% XOS and 0.96% celulose/kg (LXOS) and 0.40% XOS and 0.60% celulose/kg (HXOS). All cats were initially adapted to the control diet (1% cellulose) for three week. The duration of study was 4 weeks. Study design: Completely Randomized Design Outcome studied: To evaluate the effects of two XOS supplementation levels in cats Main findings: (relevant to PICO question): XOS groups increased blood 3-hydroxybutyryl carnitine levels and decreased hexadecanedioyl carnitine levels. XOS treatments displayed an increased bacterial abundance of Blautia, Clostridium XI, and Collinsella and a decreased abundance of Megasphaera and Bifidobacterium. LXOS groups increased fecal pH and bacterial abundance of Streptococcus and Lactobacillus, decreased blood glutaryl carnitine concentration, and Catenibacterium abundance. HXOS group showed a more distinct microbiome profile and higher species richness, and an increased bacterial abundance of Subdoligranulum, Ruminococcaceae genus (unassigned genus), Erysipelotrichaceae genus, and Lachnospiraceae. Limitations: The studywasn’t limitations. Shinohara, M. et al. (2020) Population: Healthy cats Sample size: Six adult cats Intervention details: The cats were administrated 1g/day of 1-kestose for 8 weeks followed by a 2-week wash-out period. Study design: Completely Randomized Design Outcome studied: To investigated the influence of 1-kestose on the feline intestinal microbiota. Main findings: (relevant to PICO question): The results suggested that the intestinal bacterial community structure in feline assigned to this study was divided into 2 types: one group mainly composed of the genus Lactobacillus (GA) and the other mainly composed of the genus Blautia with very few bacteria of Lactobacillus (GB). Furthermore, the number of Bifidobacterium slightly increased after the administration of 1-kestose (at 4 and 8 weeks) (P<0.1). The administration of 1-kestose also increased the abundance of Megasphaera, the butyric acid-producing bacteria, at 4 and 8 weeks (P<0.1). Furthermore, an increase in butyric acid levels was observed after the administration of 1-kestose for 4 weeks (P<0.1). Limitations: The study wasn’t limitations. Matheus, L. et al. (2021) Population: Healthy cats Sample size: Twenty-fouseven cats Intervention details: Three diets were used: CD (control diet without YAM), YAM 0.3 (control diet with 0.3% YAM) and YAM 0.6 (control diet with 0.6% YAM). The duration of study was 37 days. Study design: Block Design. Outcome studied: To evaluate the effects of increasing dosages of a comercial product composed by Saccharomyces cerevisiae yeast (YAM). Main findings: (relevant to PICO question): The additive increased the apparent digestibility of crude fber and ash (YAM 0.6) without interfering feed consumption, fecal production and fecal characteristics. In the treatment YAM 0.3 increased lactic acid concentration while reducing isovaleric acid. No diferences were noticed on biogenic amines (BA), fecal pH, ammonia concentration, total and individuals short- chain fatty acids (SCFA) and total and individuals branched- chain fatty acids (BCFA). As regards to fecal microbiota, prebiotic inclusion has resulted in the reduction of Clostridium perfringens. No diferences were found in the immunological parameters evaluated. Limitations: The study wasn’t limitations. Discussion Studies that used prebiotics and did not demonstrate their effects were not considered. According to Table 4, most of the studies included prebiotics in the diet of healthy cats, aiming to demonstrate its gastrointestinal effects as well as the modulation of the immune system and intestinal microbiota. The main difference between studies is in type and concentration of prebiotic used. According to the methodology used, 14 studies were found that used prebiotics in the feeding of healthy cats. Of these studies, the prebiotic most often used was FOS, for an average experimental duration of 82 days. It is known that the time of inclusion of prebiotics can influence their effects (PERINI et al., 2020; SHINOHARA et al., 2020), so the duration of the experiment should be studied in advance to avoid the absence of effects. According to Table 4, FOS can assist in gastrointestinal metabolism. Also according to the table, fecal pH was within the ideal range of 6.2 to 6.8 (ALLEN & KRUGER, 2000) and fecal score was between 2.5 to 2.8, a range 0.3 above the ideal score (Moxham, 2001). These data demonstrate that this type of prebiotic can improve fecal quality in animals with chronic gastrointestinal disorders such as diarrhea, gastroenteritis, and others. In addition, increasing the concentrations of short chain fatty acids (acetate, propionate, and butyrate) may assist in the absorption of fluids, calcium, magnesium, and other cations in the colon (TOPPING, 1996). Cats fed fermentable fiber showed a reduced acetate:propionate ratio compared to animals fed without fermentable fiber. This rate and change in SCFA concentrations may demonstrate a change in the composition of the gut microbiota (SUNVOLD et al., 1995). In addition, the source of fermentable fiber can alter SCFA production, since each fiber has a type of fermentable substrate and a type of fermentation, which leads to the proliferation of different bacteria that can produce different fecal fermentative products (EHLE et al., 1982). A study using cat fecal inoculum showed that SCFA production with FOS was high compared to other fibrous substrates (peanut shells, soybean hulls, psyllium gum, citrus fruits, sugar cane pulp and residue) (SUNVOLD et al., 1995). Another in vittro study has shown that SCFA production stimulates longitudinal contractions of colonic smooth muscle in kittens and adult cats and these involve activation of calcium influx (RONDEAU et al., 2003). Acetate, propionate and butyrate represent the majority of the SCFA produced in the feline colon and are found in individual concentrations up to 150 mM (BROSEY et al., 2000). SCFA are readily absorbed and rapidly metabolized by colonicepithelial cells (BERGMAN, 1990). They promote colonocyte differentiation and proliferation (LEDUC et al., 1994), stimulate sodium and water reabsorption (HERSCHEL et al., 1981) and inhibit the growth of pathogenic bacteria (IZAT et al., 1990). Butyrate is an energy source for the colonocytes, and higher concentrations of this variable are thought to be important in intestinal health and colonocyte proliferation (BLOTTIÉRE et al., 2003). In other words, if FOS is one of the fibers that increases SCFA concentrations, we can report its importance in cat food. In humans, a study showed that both FOS and GOS (16g/day) reduced the concentrations of butyrate in feces after a short intake period of 14 days, in addition to an increase in the relative abundance of Bifidobacterium in both the FOS and GOS groups, while butyrate-producing bacteria such as Phascolarctobacterium in the FOS group and Ruminococcus in the GOS group were reduced (LIU et al., 2017). However, already in cats, FOS increased the concentration of butyrate and propionate according to Barry et al. (2010) and Kanakupt et al. (2011). Another in vittro study evaluated 6 non-digestible oligosaccharides (gluconic acid, carrot fiber, FOS, GOS, lactitol, and citrus fruit pectins) in cat feces and demonstrated that after 24 hours, all treatments reduced pH, but putrescine concentrations in the FOS, GOS, and lactitol treatments were higher compared to the control diet (PINNA et al., 2014). In addition to FOS, one of its structural components, 1-kestose, has shown beneficial effects in cat food, which promoted increased proliferation of lactobacilli, bifidobacteria and megasphaera, lactic acid-producing bacteria, and increased concentrations of butyric acid (SHINOHARA et al., 2020). Table 4. Means and standard error of the effects of FOS on fecal variables and consumption in cats. Reference FOS concentration Feed intake (g/day) Fecal output (g/ as-is basis) Fecal DM (%) Fecal score Fecal pH Ammonia (µmol/g of DM) Acetate (µmol/g of DM) Propionate (µmol/g of DM) Butyrate (µmol/g of DM) Hesta et al. (2005) 3.11% of DM 146.5 3.95* 79.0 2.68 - -- - - - Barry et al. (2010) 4.0% 68.7 30.1 34.0 2.8 6.4 0.2 217.9 61.1 97.3 Kanakupt et al. 2011 0.5% 58.3 168.0 44.4 2.7 6.4 125.7 173.8 53.1 31.4 *g DM/day; DM: dry matter. During colonic fermentation of endogenous and undigested amino acids, several putrefactive compounds are produced that are responsible for the foul odor of feces. These compounds include ammonia, aliphatic amines (agmatine, cadaverine, phenylethylamine, putrescine, and tyramine), branched-chain fatty acids (isobutyrate and isovalinate), indoles (indole, 3-methylindole [skatole], 2- methylindole, 2,3-methylindole, and 2,5-methylindole), phenols (phenol, p-cresol, and 4-ethylphenol),and with volatile sulfur (dimethyl disulfide, diethyl disulfide, di-n-propyl disulfide, and di-n-butyl). These compounds are produced from amino acids by deamination (ammonia), deamination- decarboxylation (short-chain fatty acids), or decarboxylation processes (aliphatic amines). Many of these putrefactive compounds have adverse colon health effect processes. Santos et al. (2018) demonstrated that inclusion of YCW increased putrescine and cadaverine concentrations. However, Barry et al. (2014) demonstrated that the inclusion of 1.0% oligofructose in cat feed reduced the concentrations of indole and histamine, putrefactive substances. Barry et a. (2010), on the other hand, reported that the inclusion of 4.0% FOS and pectin increased the concentrations of indole, isobutyrate, isovalerate, valerate, and cadaverine. In other words, depending on the concentration and type of prebiotic used in cat food, the concentrations of putrefactive compounds may change, which may interfere with intestinal health. The organisms that make up the gut microbiota have an important influence on mammalian health, modulating the immune system and providing resistance to pathogens. Oba et al. (2020) demonstrated in their study that milk oligosaccharides (GNU100) in cat fecal inocula increased GCFA, with acetate being the highest proportion, increased lactate and ammonia. In addition, they observed that these oligosaccharides reduced populations of Escherichia/Shigella and Salmonella and, increased populations of Bifidobacteria and Lactobacilli, beneficial bacteria in the feline gut microbiota (GARCIA-MAZCORRO et al., 2017). Oba et al. (2021), meanwhile, demonstrated that 1.5% GNU100 in the diet of 32 cats increased butyrate concentration and reduced indole, and reduced Campylobacter populations. The authors stated that this oligosaccharide can be used in cat foods safely and suggest potential benefits on gastrointestinal health. Terada et al. (1993) reported in dog and cat fed lactosucrose increased bifidobacteria while decreasing pathogenic organisms such as C. perfringens. Bifidobacteria constitute up to 25.0% of the saccharolytic bacteria in the total bacterial population in the gut of adult humans and animals, and their positive biological activities have received much attention (HUSSEIN et al., 1999). In other words, most of the different prebiotics positively modulate the gut microbiota in healthy cats, which intensifies and encourages their use in animals with gastrointestinal disorders (GUARINO et al., 2020). Cats require higher concentrations of dietary protein in part to meet their unique amino acid requirements. This leads to an active population of clostridial species throughout the GI tract that are the primary species that utilize amino acids as fermentative substrates. Consequently, various putrefactive compounds, including ammonia, biogenic amines, branched-chain fatty acids (BCFA), indole, and phenol, can be produced (KANAKUPT et al., 2011). The composition of the diet, such as protein content, can influence the effects of prebiotics on the gut microbiota in cats. According to Pinna et al. (2014) it was found that the higher the protein the greater the negative effect on the gut microbiota of cats, as high protein concentrations increased Clostridium perfringens populations and reduced Lactobacillus spp. Lubbs et al. (2009) observed that a diet with about 52.88% protein reduced bifidobacteria compared to a diet with 32.0% protein and that, Clostridium perfringens populations were higher in the high protein treatment. Clostridium perfringens contributes to the production of various toxins and in the causes of intestinal diseases such as enteritis (ALLAART et al., 2013). However, when carbohydrates are limited, BCFA are produced, compounds that are considered putrefactive and harmful to the host's health. According to the studies noted above, prebiotics have a potential benefit of reducing these BCFA in cats, which may prevent the development of metabolic changes (KANAKUPT et al., 2011). In order to use the best prebiotic, studies have shown the importance of knowing the fermentation characteristics of these substrates before their use in diet formulation, in order to obtain the best effects (CALABRÒ et al., 2020). Besides fermentation, the type of prebiotic (BARRY et al., 2014), the inclusion of prebiotic (AQUINO et al., 2010), the process of inclusion in the feed, and the time (PERINI et al., 2020, TERADA et al., 1993) of use of these substrates should be taken into consideration in the experimental design, due to the modulation of effects according to these parameters. Terada et al. (1993) demonstrated positive effects when administering 175 mg of lactosucrose to 8 cats for 14 days. Lyu et al. (2020) and Matheus et al. (2021), on the other hand, evaluated the positive effects of XOS, cellulose, and Saccharomyces cerevisiae yeast for 4 weeks. One of the most important effects of prebiotics on animals is the modulation of the gut microbiota. This modulation can be affected by diet type (BUTOWSKI et al., 2021), guardian (DU et al., 2021), ingredients (DE GODOY et al., 2013), age (BERMINGHAM et al., 2018), breed and environment (OLDER et al., 2019), diseases (MONDO et al., 2019), and temperature (TAL et al., 2017). Most studies listed in Table 3 reported that all prebiotics used in cat diets increased bifidobacteria and lactobacilli populations and reduced Clostridium perfringens and Eschericia coli (TERADA et al., 1993; SPARKER et al., 1998a;1998b; BARRY et al., 2010; BARRY et al., 2014; GARCIA-MAZCORRO et al., 2017; SANTOS et al., 2018; MATHEUS et al., 2021). Bifidobacteria and lactobacilli are microorganisms beneficial to the host as they ferment carbohydrates, which results in the production of butyrate. Another metabolite derived from these bacteria is GABA and its precursor gamma-hydroxybutyric acid (GHB) (PILLA & SUCHODOLSKI, 2021). Other research has suggested that enterococci, rather than the traditional bifidobacterium and lactobacilli species, may be important components of feline gut health due to their production of lactic acid (MASUOKA et al., 2017). Bacteria can be biomarkers for changes such as dysbiosis, which is caused by the reduction of enteric bacteria, staphylococci, streptococci, pseudomonas, cytrobacteria, and enterobacteria (BUGROV et al., 2022). In humans, the reduction of Faecalibacterium prausnitzii in inflammatory bowel disease (IBD) was found to be a determining factor to be considered a biomarker (SOKOL et al., 2009). In other words, the determination of bacteria in the inclusion of prebiotics is crucial for the development of a possible biomarker for this functional additive. According to Bergmingham et al. (2018), unclassified members of bacteroidetes, bacteroidales, and bacteroidaceae were associated with isovalerate and isobutyrate concentrations, total food intake, fecal gross energy concentrations, and metabolizable energy content of the diet. A reduction in C. perfringens may imply a reduction in butyrate concentrations, since this bacterium produces it (PILLA & SUCHODOLSKI, 2021), data that corroborate with Kanakupt et al. (2011). C. perfringens is a normal commensal of the feline gut, with reported isolation rates of up to 63.0% from healthy cats. This bacterium is a gram-positive anaerobic bacillus, a common inhabitant of the intestinal tract, and an important pathogen responsible for a broad spectrum of human and veterinary diseases. The main virulence factor associated with C. perfringens-associated diarrhea is an enterotoxin (CPE Clostridium perfringens enterotoxin) encoded by the cpe gene. CPE induces its toxicity by interacting with intestinal tight junctions, affecting transmembrane pores and leading to changes in epithelial permeability (MINAMOTO et al., 2012). In other words, modulation ofthe gut microbiota by prebiotics is beneficial to the host. No studies have been found demonstrating the inclusion of b-glucans in the diet of healthy cats. However, this prebiotic is known to contribute to the immune system in humans (NIEMAN et al., 2008) and animals (KIM et al., 2009; MALEWSKA et al., 2011). One study demonstrated that 0.5% betaine, 0.58% oat beta glucan and 0.40% short chain fructooligosaccharides (scFOS) reduced uremic phenolic toxin concentrations (HALL et al., 2020). In a case report, a senior cat with a fully exposed (no skin and hair) and necrotic left anterior paw was treated with oral administration of 2 ml of beta glucan and application of gel composed of beta glucan, chlorhexidine digluconate, and pure bee honey to the wound once daily. After 10 weeks of treatment, the animal showed significant improvement, which its paw already showed advanced healing and a deposition of hair (MICHÁĽOVÁ & FIALKOVIČOVÁ, 2019). Already in a study in dogs, oral administration of 150 mg of beta glucan for 4 weeks reduced the total immunoglobulin A level and increased immunoglobulin M (STUYVEN et al., 2010). Despite being an unexplored prebiotic in healthy animals, beta glucans have important functionality in the healing and immune system of cats. Conclusion After carefully reviewing all data included in the present study, it can be concluded that prebiotics are beneficial components to healthy adult cats. As the effects of prebiotics differ according to source, concentration, and length of the supplementation period, more research is necessary to evaluate their short and long-term effects on gut microbiota and health in general. 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