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Synbiotics, probiotics mediate autoimmune conditions

Synbiotics, probiotics mediate autoimmune conditions.jpg
Supplementation of synbiotics—prebiotics plus probiotics—and probiotics alone influence levels of inflammatory and oxidative stress markers.

According to research published in Clinical Nutrition (DOI: https://doi.org/10.1016/j.clnu.2021.02.015), synbiotics and probiotics supplementation may offer desired benefits for consumers with autoimmune conditions. Researchers from Isfahan University of Medical Sciences conducted meta-analyses to understand how synbiotics and probiotics may affect inflammatory and oxidative stress markers in autoimmune disorders such as multiple sclerosis (MS), systemic lupus erythematosus (SLE), Type 1 diabetes mellitus (T1DM), and rheumatoid arthritis (RA), among others.

The gut microbiota has a big role to play when it comes to regulating consumers' immune systems. There is likely a role for probiotics in clinical practice, and synbiotic supplementation may be more efficient as it combines prebiotics and probiotics, contributing to a synergic benefit. The current research focused on analysing the effectiveness of these supplements used on autoimmune diseases (AD) trials, specifically, inflammatory and oxidative stress markers.

For the data analyses, researchers selected randomised clinical trials that “investigated the effect of oral administration of probiotics or synbiotics on inflammatory markers (hs-CRP, IL-6, IL-10, Tumor Necrosis Factor α [TNF- α], and Erythrocyte Sedimentation Rate [ESR]), oxidative stress (Malondialdehyde [MDA], Glutathione [GSH], and Total Antioxidant Capacity [TAC]), and The Homeostatic Model Assessment (HOMA: IR, Insulin Resistance, and β, β-cell function) for more than two weeks with concurrent control groups.” A total of 10 studies—from 2003 to 2019, including 440 participants—were included in the meta-analyses.

The results showed synbiotic and probiotic supplementations with Lactobacillus strains (>2 billion CFU) affected hs-CRP inflammatory marker levels on most participants younger than 50 years old. Interestingly, supplementation had a greater effect on those participants who had been diagnosed with conditions less than six years prior to intervention. Both Lactobacillus and Bifidobacterium strains caused a further reduction in hs-CRP levels. Moreover, supplementations also decreased IL-6. On the other hand, IL-10 levels remained constant with or without probiotic supplementation; however, trials longer than 12 weeks and dosage above 2 billion CFU reduced IL-10 levels. TNF- α increased following supplementation, and no major differences were noted on ESR levels.

When looking at oxidative stress, researchers found no correlation between probiotic supplementation and GSH levels. However, supplementation decreased MDA; the results were significant for adults older than 45 years old and with underlying conditions less than six years.

When looking at TAC, an “insignificant trend toward enhancement of TAC” was observed. Further, supplementation also led to lowered levels of HOMA-IR, and it did not improve HOMA- β.

The benefits linked to specific strains were also reported: “Prevotella histicola from human gut microbiota suppressed the development of RA”; “Induction of anti-inflammatory agents (IL-17, CD4+ CD25+ Treg) and inhibition of pro-inflammatory markers (IL-6, hs-CRP, etc.) were observed after administration L. casei, Lactobacillus  acidophilus, Lactobacillus  reuteni, Bifidobacterium bifidum, and Streptococcus thermophiles”; “T1DM increased counts of Bacteroides ovatus and decreased Bacteroides fragilis; the second one prevented Th17 expansion inT1DM”

Researchers concluded: “Currently, the evidence supported synbiotics and probiotics supplementation among ADs patients to reduce hs-CRP, IL-6, TNF-a, and MDA levels as well as HOMA- β and HOMA-IR.”

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