Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study

The role of neurotrophic factors, oxidative stress, and inflammation in the pathogenesis of Alzheimer’s disease (AD) has been explored. Animal studies have reported the positive effects of probiotics on these factors. Some clinical studies also support the potential role of probiotics in improving c...

Full description

Bibliographic Details
Main Authors: Yu-Chieh Hsu, Yen-Yu Huang, Shin-Yu Tsai, Yi-Wei Kuo, Jia-Hung Lin, Hsieh-Hsun Ho, Jui-Fen Chen, Ko-Chiang Hsia, Yu Sun
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/1/16
_version_ 1797358357751791616
author Yu-Chieh Hsu
Yen-Yu Huang
Shin-Yu Tsai
Yi-Wei Kuo
Jia-Hung Lin
Hsieh-Hsun Ho
Jui-Fen Chen
Ko-Chiang Hsia
Yu Sun
author_facet Yu-Chieh Hsu
Yen-Yu Huang
Shin-Yu Tsai
Yi-Wei Kuo
Jia-Hung Lin
Hsieh-Hsun Ho
Jui-Fen Chen
Ko-Chiang Hsia
Yu Sun
author_sort Yu-Chieh Hsu
collection DOAJ
description The role of neurotrophic factors, oxidative stress, and inflammation in the pathogenesis of Alzheimer’s disease (AD) has been explored. Animal studies have reported the positive effects of probiotics on these factors. Some clinical studies also support the potential role of probiotics in improving cognitive function via the gut–brain axis in older adults. However, clinical experimental studies evaluating the efficacy of probiotics targeting the neurotrophic factors and inflammatory biomarkers, particularly among AD patients, remain very limited. In this randomized, double-blinded, active-controlled trial, we used multi-strain probiotic supplements, including <i>Bifidobacterium longum</i> subsp. <i>infantis</i> BLI-02, <i>B. breve</i> Bv-889, <i>B. animalis</i> subsp. <i>lactis</i> CP-9, <i>B. bifidum</i> VDD088, and <i>Lactobacillus plantarum</i> PL-02 as the intervention. Participants were divided into an active control group (received probiotic supplements containing 5 × 10<sup>7</sup> colony-forming units per day, CFU/day) and a treatment group (1 × 10<sup>10</sup> CFU/day). Student’s <i>t</i> test was applied as the main method of statistical analysis. After 12 weeks of intervention, the treatment group demonstrated a 36% increase in serum brain-derived neurotrophic factor (BDNF) (* <i>p</i> = 0.005), a reduction in IL-1β (* <i>p</i> = 0.041), and an increase in antioxidant superoxide dismutase (SOD) (* <i>p</i> = 0.012). No significant change was found in the active control group. A trend toward less cognitive deterioration was observed, but not statistically significant. In conclusion, this study presents evidence supporting the benefits of multi-strain probiotics in enhancing BDNF, ameliorating inflammation and oxidative stress in AD patients.
first_indexed 2024-03-08T15:00:47Z
format Article
id doaj.art-e2ba354c4bb441c3b179576628f493b8
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-08T15:00:47Z
publishDate 2023-12-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-e2ba354c4bb441c3b179576628f493b82024-01-10T15:05:14ZengMDPI AGNutrients2072-66432023-12-011611610.3390/nu16010016Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled StudyYu-Chieh Hsu0Yen-Yu Huang1Shin-Yu Tsai2Yi-Wei Kuo3Jia-Hung Lin4Hsieh-Hsun Ho5Jui-Fen Chen6Ko-Chiang Hsia7Yu Sun8Department of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Research and Design, Glac Biotech Co., Ltd., Tainan 744, TaiwanDepartment of Neurology, En Chu Kong Hospital, New Taipei City 237, TaiwanThe role of neurotrophic factors, oxidative stress, and inflammation in the pathogenesis of Alzheimer’s disease (AD) has been explored. Animal studies have reported the positive effects of probiotics on these factors. Some clinical studies also support the potential role of probiotics in improving cognitive function via the gut–brain axis in older adults. However, clinical experimental studies evaluating the efficacy of probiotics targeting the neurotrophic factors and inflammatory biomarkers, particularly among AD patients, remain very limited. In this randomized, double-blinded, active-controlled trial, we used multi-strain probiotic supplements, including <i>Bifidobacterium longum</i> subsp. <i>infantis</i> BLI-02, <i>B. breve</i> Bv-889, <i>B. animalis</i> subsp. <i>lactis</i> CP-9, <i>B. bifidum</i> VDD088, and <i>Lactobacillus plantarum</i> PL-02 as the intervention. Participants were divided into an active control group (received probiotic supplements containing 5 × 10<sup>7</sup> colony-forming units per day, CFU/day) and a treatment group (1 × 10<sup>10</sup> CFU/day). Student’s <i>t</i> test was applied as the main method of statistical analysis. After 12 weeks of intervention, the treatment group demonstrated a 36% increase in serum brain-derived neurotrophic factor (BDNF) (* <i>p</i> = 0.005), a reduction in IL-1β (* <i>p</i> = 0.041), and an increase in antioxidant superoxide dismutase (SOD) (* <i>p</i> = 0.012). No significant change was found in the active control group. A trend toward less cognitive deterioration was observed, but not statistically significant. In conclusion, this study presents evidence supporting the benefits of multi-strain probiotics in enhancing BDNF, ameliorating inflammation and oxidative stress in AD patients.https://www.mdpi.com/2072-6643/16/1/16Alzheimer’s diseaseprobioticsbrain-derived neurotrophic factor (BDNF)cognitive functionoxidative stressanti-inflammation
spellingShingle Yu-Chieh Hsu
Yen-Yu Huang
Shin-Yu Tsai
Yi-Wei Kuo
Jia-Hung Lin
Hsieh-Hsun Ho
Jui-Fen Chen
Ko-Chiang Hsia
Yu Sun
Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study
Nutrients
Alzheimer’s disease
probiotics
brain-derived neurotrophic factor (BDNF)
cognitive function
oxidative stress
anti-inflammation
title Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study
title_full Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study
title_fullStr Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study
title_full_unstemmed Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study
title_short Efficacy of Probiotic Supplements on Brain-Derived Neurotrophic Factor, Inflammatory Biomarkers, Oxidative Stress and Cognitive Function in Patients with Alzheimer’s Dementia: A 12-Week Randomized, Double-Blind Active-Controlled Study
title_sort efficacy of probiotic supplements on brain derived neurotrophic factor inflammatory biomarkers oxidative stress and cognitive function in patients with alzheimer s dementia a 12 week randomized double blind active controlled study
topic Alzheimer’s disease
probiotics
brain-derived neurotrophic factor (BDNF)
cognitive function
oxidative stress
anti-inflammation
url https://www.mdpi.com/2072-6643/16/1/16
work_keys_str_mv AT yuchiehhsu efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT yenyuhuang efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT shinyutsai efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT yiweikuo efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT jiahunglin efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT hsiehhsunho efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT juifenchen efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT kochianghsia efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy
AT yusun efficacyofprobioticsupplementsonbrainderivedneurotrophicfactorinflammatorybiomarkersoxidativestressandcognitivefunctioninpatientswithalzheimersdementiaa12weekrandomizeddoubleblindactivecontrolledstudy