Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial

Abstract Background Asthma is considered to be a chronic inflammatory disorder of the airways. Probiotics are living microorganisms that are found in the human gut and have protective effects against a wide range of diseases such as allergies. The aim of this study was to investigate the improvement...

Full description

Bibliographic Details
Main Authors: Sina Sadrifar, Tannaz Abbasi-Dokht, Sarvenaz Forouzandeh, Farhad Malek, Bahman Yousefi, Amir Salek Farrokhi, Jafar Karami, Rasoul Baharlou
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Allergy, Asthma & Clinical Immunology
Subjects:
Online Access:https://doi.org/10.1186/s13223-022-00753-4
_version_ 1797958643018104832
author Sina Sadrifar
Tannaz Abbasi-Dokht
Sarvenaz Forouzandeh
Farhad Malek
Bahman Yousefi
Amir Salek Farrokhi
Jafar Karami
Rasoul Baharlou
author_facet Sina Sadrifar
Tannaz Abbasi-Dokht
Sarvenaz Forouzandeh
Farhad Malek
Bahman Yousefi
Amir Salek Farrokhi
Jafar Karami
Rasoul Baharlou
author_sort Sina Sadrifar
collection DOAJ
description Abstract Background Asthma is considered to be a chronic inflammatory disorder of the airways. Probiotics are living microorganisms that are found in the human gut and have protective effects against a wide range of diseases such as allergies. The aim of this study was to investigate the improvement of clinical asthma symptoms and changes in the expression pattern of selective microRNAs in patients with asthma and the changes in IL-4 and IFN-γ plasma levels after receiving probiotics. Materials and methods The present study was a randomized, double-blind, placebo-controlled trial that enrolled 40 asthmatic patients. They were treated with probiotics or placebo: 1 capsule/day for 8 weeks. Pulmonary function tests, IL-4 and IFN-γ levels, and expression of microRNAs were assessed at baseline and after treatment. Results The results showed that the expression of miR-16, miR146-a and IL-4 levels in patients with asthma after receiving probiotic supplementation was significantly reduced and miR-133b expression was increased. In addition, pulmonary function tests showed a significant improvement in Forced Expiratory Volume in 1 s and Forced Vital Capacity after receiving probiotics. Conclusion In our study, 8-week treatment with probiotic supplementation led to reduced Th2 cells-associated IL-4 and improved Forced Expiratory Volume and Forced Vital Capacity. It appears probiotics can be used in addition to common asthma treatments.
first_indexed 2024-04-11T00:21:53Z
format Article
id doaj.art-6bceb6fe28e742f5b8c3ce9117d0907b
institution Directory Open Access Journal
issn 1710-1492
language English
last_indexed 2024-04-11T00:21:53Z
publishDate 2023-01-01
publisher BMC
record_format Article
series Allergy, Asthma & Clinical Immunology
spelling doaj.art-6bceb6fe28e742f5b8c3ce9117d0907b2023-01-08T12:14:37ZengBMCAllergy, Asthma & Clinical Immunology1710-14922023-01-0119111010.1186/s13223-022-00753-4Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trialSina Sadrifar0Tannaz Abbasi-Dokht1Sarvenaz Forouzandeh2Farhad Malek3Bahman Yousefi4Amir Salek Farrokhi5Jafar Karami6Rasoul Baharlou7Department of Immunology, School of Medicine, Semnan University of Medical SciencesDepartment of Immunology, School of Medicine, Semnan University of Medical SciencesDepartment of Internal medicine, Kosar Hospital, Semnan University of Medical SciencesDepartment of Internal medicine, Kosar Hospital, Semnan University of Medical SciencesDepartment of Immunology, School of Medicine, Semnan University of Medical SciencesDepartment of Immunology, Pasteur InstituteMolecular and Medicine Research Center, Khomein University of Medical SciencesDepartment of Immunology, School of Medicine, Semnan University of Medical SciencesAbstract Background Asthma is considered to be a chronic inflammatory disorder of the airways. Probiotics are living microorganisms that are found in the human gut and have protective effects against a wide range of diseases such as allergies. The aim of this study was to investigate the improvement of clinical asthma symptoms and changes in the expression pattern of selective microRNAs in patients with asthma and the changes in IL-4 and IFN-γ plasma levels after receiving probiotics. Materials and methods The present study was a randomized, double-blind, placebo-controlled trial that enrolled 40 asthmatic patients. They were treated with probiotics or placebo: 1 capsule/day for 8 weeks. Pulmonary function tests, IL-4 and IFN-γ levels, and expression of microRNAs were assessed at baseline and after treatment. Results The results showed that the expression of miR-16, miR146-a and IL-4 levels in patients with asthma after receiving probiotic supplementation was significantly reduced and miR-133b expression was increased. In addition, pulmonary function tests showed a significant improvement in Forced Expiratory Volume in 1 s and Forced Vital Capacity after receiving probiotics. Conclusion In our study, 8-week treatment with probiotic supplementation led to reduced Th2 cells-associated IL-4 and improved Forced Expiratory Volume and Forced Vital Capacity. It appears probiotics can be used in addition to common asthma treatments.https://doi.org/10.1186/s13223-022-00753-4AsthmaProbioticMicroRNAIL-4IFN-γ
spellingShingle Sina Sadrifar
Tannaz Abbasi-Dokht
Sarvenaz Forouzandeh
Farhad Malek
Bahman Yousefi
Amir Salek Farrokhi
Jafar Karami
Rasoul Baharlou
Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial
Allergy, Asthma & Clinical Immunology
Asthma
Probiotic
MicroRNA
IL-4
IFN-γ
title Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial
title_full Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial
title_fullStr Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial
title_full_unstemmed Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial
title_short Immunomodulatory effects of probiotic supplementation in patients with asthma: a randomized, double-blind, placebo-controlled trial
title_sort immunomodulatory effects of probiotic supplementation in patients with asthma a randomized double blind placebo controlled trial
topic Asthma
Probiotic
MicroRNA
IL-4
IFN-γ
url https://doi.org/10.1186/s13223-022-00753-4
work_keys_str_mv AT sinasadrifar immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT tannazabbasidokht immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT sarvenazforouzandeh immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT farhadmalek immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT bahmanyousefi immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT amirsalekfarrokhi immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT jafarkarami immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial
AT rasoulbaharlou immunomodulatoryeffectsofprobioticsupplementationinpatientswithasthmaarandomizeddoubleblindplacebocontrolledtrial