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Evaluation of the Potential Protective Effects of Strains Against Infection: A Randomized, Double-Blinded, Placebo-Controlled Trial

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Publisher Wiley
Date 2022 Oct 4
PMID 36193094
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Abstract

Background: The beneficial effects of probiotic supplementation standard antibiotic therapies for infection have been verified, but the ability of probiotic monotherapy to eradicate remains unclear.

Aim: To evaluate the accuracy and efficacy of specific strains against infection.

Methods: Seventy-eight patients with infection were treated with strain G14-5M ( CCFM1118) or M2-09-R02-S146 ( CCFM1121) or CCFM8610 at a dose of 2 g twice daily for one month. C-urea breath test, the gastrointestinal symptom rating scale, serum pepsinogen concentrations, and serum cytokine concentrations of patients were measured at baseline and end-of-trial to analyze the effect of the strains in eradicating infection and reducing gastrointestinal discomfort in patients. In addition, the composition and abundance of the intestinal microbiota of patients were also measured at end-of-trial.

Results: The C-urea breath test value of the three treatment groups had decreased significantly, and the eradication rate of had increased by the end of the trial. In particular, the eradication rate in the G14-5M treatment group was significantly higher than the placebo group (70.59% vs. 15.38%, =0.0039), indicating that one-month administration of the G14-5M regimen was sufficient to eradicate infection. The ingestion of strains also ameliorated the gastrointestinal symptom rating scale scores, and the serum interleukin-8 concentrations of -infected patients appeared to modulate the gut microbiota of patients. However, none of the strains had a significant effect on general blood physiological characteristics, serum tumor necrosis factor concentrations, or serum pepsinogen concentrations in the patients.

Conclusion: Three strains significantly alleviate the gastrointestinal discomfort and the gastric inflammatory response of -infected patients. The activity of probiotics in eradicating infection may be species/strain specific.

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