Is there a role for probiotics in the prevention of preterm birth?

Preterm Birth (PTB) continues to be a global health challenge. An over-production of inflammatory cytokines and chemokines, as well as an altered maternal vaginal microbiome has been implicated in the pathogenesis of inflammation/infection associated PTB. Lactobacillus represents the dominant speci...

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Main Authors: Siwen eYang, Gregor eReid, John RG Challis, Sung O Kim, Gregory B Gloor, Alan Dixon Bocking
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00062/full
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author Siwen eYang
Gregor eReid
John RG Challis
Sung O Kim
Gregory B Gloor
Alan Dixon Bocking
Alan Dixon Bocking
author_facet Siwen eYang
Gregor eReid
John RG Challis
Sung O Kim
Gregory B Gloor
Alan Dixon Bocking
Alan Dixon Bocking
author_sort Siwen eYang
collection DOAJ
description Preterm Birth (PTB) continues to be a global health challenge. An over-production of inflammatory cytokines and chemokines, as well as an altered maternal vaginal microbiome has been implicated in the pathogenesis of inflammation/infection associated PTB. Lactobacillus represents the dominant species in the vagina of most healthy pregnant women. The depletion of Lactobacillus in women with bacterial vaginosis (BV) has been associated with an increased risk of PTB. It remains unknown at what point an aberrant vaginal microbiome composition specifically induces the cascade leading to PTB. The ability of oral or vaginal lactobacilli probiotics to reduce BV occurrence and/ or dampen inflammation is being considered as a means to prevent PTB. Certain anti-inflammatory properties of lactobacilli suggest potential mechanisms. To date, clinical studies have not been powered with sufficiently high rates of PTB, but overall there is merit in examining this promising area of clinical science.
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spelling doaj.art-ec6c97458daa4b50b917c0d4e20387222022-12-22T02:38:07ZengFrontiers Media S.A.Frontiers in Immunology1664-32242015-02-01610.3389/fimmu.2015.00062125700Is there a role for probiotics in the prevention of preterm birth?Siwen eYang0Gregor eReid1John RG Challis2Sung O Kim3Gregory B Gloor4Alan Dixon Bocking5Alan Dixon Bocking6University of TorontoWestern UniversityUniversity of Western AustraliaWestern UniversityWestern UniversityUniversity of TorontoMount Sinai HospitalPreterm Birth (PTB) continues to be a global health challenge. An over-production of inflammatory cytokines and chemokines, as well as an altered maternal vaginal microbiome has been implicated in the pathogenesis of inflammation/infection associated PTB. Lactobacillus represents the dominant species in the vagina of most healthy pregnant women. The depletion of Lactobacillus in women with bacterial vaginosis (BV) has been associated with an increased risk of PTB. It remains unknown at what point an aberrant vaginal microbiome composition specifically induces the cascade leading to PTB. The ability of oral or vaginal lactobacilli probiotics to reduce BV occurrence and/ or dampen inflammation is being considered as a means to prevent PTB. Certain anti-inflammatory properties of lactobacilli suggest potential mechanisms. To date, clinical studies have not been powered with sufficiently high rates of PTB, but overall there is merit in examining this promising area of clinical science.http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00062/fullCytokinesProbioticsPreterm Birthbacterial vaginosisvaginal microbiomeInfection and inflammation
spellingShingle Siwen eYang
Gregor eReid
John RG Challis
Sung O Kim
Gregory B Gloor
Alan Dixon Bocking
Alan Dixon Bocking
Is there a role for probiotics in the prevention of preterm birth?
Frontiers in Immunology
Cytokines
Probiotics
Preterm Birth
bacterial vaginosis
vaginal microbiome
Infection and inflammation
title Is there a role for probiotics in the prevention of preterm birth?
title_full Is there a role for probiotics in the prevention of preterm birth?
title_fullStr Is there a role for probiotics in the prevention of preterm birth?
title_full_unstemmed Is there a role for probiotics in the prevention of preterm birth?
title_short Is there a role for probiotics in the prevention of preterm birth?
title_sort is there a role for probiotics in the prevention of preterm birth
topic Cytokines
Probiotics
Preterm Birth
bacterial vaginosis
vaginal microbiome
Infection and inflammation
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00062/full
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