Potential Role of Probiotics for Inflammaging: A Narrative Review

Background and aims: Inflammaging, a chronic, low-grade inflammation (LGI), is one of the mechanisms of adaptation of an organism to aging. Alterations in the composition of gut microbiota and gut permeability are among the main sources of LGI. They may be modulated by supplementation with live micr...

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Main Authors: Nikolina Jukic Peladic, Giuseppina Dell’Aquila, Barbara Carrieri, Marcello Maggio, Antonio Cherubini, Paolo Orlandoni
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/9/2919
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author Nikolina Jukic Peladic
Giuseppina Dell’Aquila
Barbara Carrieri
Marcello Maggio
Antonio Cherubini
Paolo Orlandoni
author_facet Nikolina Jukic Peladic
Giuseppina Dell’Aquila
Barbara Carrieri
Marcello Maggio
Antonio Cherubini
Paolo Orlandoni
author_sort Nikolina Jukic Peladic
collection DOAJ
description Background and aims: Inflammaging, a chronic, low-grade inflammation (LGI), is one of the mechanisms of adaptation of an organism to aging. Alterations in the composition of gut microbiota and gut permeability are among the main sources of LGI. They may be modulated by supplementation with live microorganisms, i.e. probiotics. This narrative review was performed with the aim to critically examine the current evidence from randomized clinical trials (RCTs) on the effects of probiotics on pro-inflammatory and anti-inflammatory cytokines and C-reactive protein (CRP) in healthy older subjects. Methodology: RCTs on the effects of probiotics on inflammatory parameters in subjects older than 65 years published in English and Italian from 1990 to October 2020 were searched in PubMed. Studies that were not RCTs, those using probiotics together with prebiotics (synbiotics), and studies performed in subjects with acute or chronic diseases were excluded. The findings of RCTs were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: A total of nine RCTs met the eligibility criteria and were included in this narrative review. Four articles reported that probiotic supplementation significantly affected inflammatory parameters, respectively, by reducing TGF-β1 concentrations, IL-8, increasing IL-5 and Il-10, and IFN-γ and IL-12. Conclusions: Based on this narrative review, probiotic supplementation showed a limited effect on inflammatory markers in healthy individuals older than 65 years. Besides being few, the studies analyzed have methodological limitations, are heterogeneous, and provide results which are incomparable.
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spelling doaj.art-f602db5761574f5d858cd0da2740b1ab2023-11-22T14:34:27ZengMDPI AGNutrients2072-66432021-08-01139291910.3390/nu13092919Potential Role of Probiotics for Inflammaging: A Narrative ReviewNikolina Jukic Peladic0Giuseppina Dell’Aquila1Barbara Carrieri2Marcello Maggio3Antonio Cherubini4Paolo Orlandoni5Clinical Nutrition, IRCCS INRCA Ancona, 60127 Ancona, ItalyGeriatria, Accettazione Geriatrica e Centro di Ricerca per L’invecchiamento, IRCCS INRCA, 60127 Ancona, ItalyGeriatria, Accettazione Geriatrica e Centro di Ricerca per L’invecchiamento, IRCCS INRCA, 60127 Ancona, ItalyDepartment of Medicine and Surgery, University Medical School of Parma, 43121 Parma, ItalyGeriatria, Accettazione Geriatrica e Centro di Ricerca per L’invecchiamento, IRCCS INRCA, 60127 Ancona, ItalyClinical Nutrition, IRCCS INRCA Ancona, 60127 Ancona, ItalyBackground and aims: Inflammaging, a chronic, low-grade inflammation (LGI), is one of the mechanisms of adaptation of an organism to aging. Alterations in the composition of gut microbiota and gut permeability are among the main sources of LGI. They may be modulated by supplementation with live microorganisms, i.e. probiotics. This narrative review was performed with the aim to critically examine the current evidence from randomized clinical trials (RCTs) on the effects of probiotics on pro-inflammatory and anti-inflammatory cytokines and C-reactive protein (CRP) in healthy older subjects. Methodology: RCTs on the effects of probiotics on inflammatory parameters in subjects older than 65 years published in English and Italian from 1990 to October 2020 were searched in PubMed. Studies that were not RCTs, those using probiotics together with prebiotics (synbiotics), and studies performed in subjects with acute or chronic diseases were excluded. The findings of RCTs were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: A total of nine RCTs met the eligibility criteria and were included in this narrative review. Four articles reported that probiotic supplementation significantly affected inflammatory parameters, respectively, by reducing TGF-β1 concentrations, IL-8, increasing IL-5 and Il-10, and IFN-γ and IL-12. Conclusions: Based on this narrative review, probiotic supplementation showed a limited effect on inflammatory markers in healthy individuals older than 65 years. Besides being few, the studies analyzed have methodological limitations, are heterogeneous, and provide results which are incomparable.https://www.mdpi.com/2072-6643/13/9/2919inflammagingprobioticsaginghealthy older subjects
spellingShingle Nikolina Jukic Peladic
Giuseppina Dell’Aquila
Barbara Carrieri
Marcello Maggio
Antonio Cherubini
Paolo Orlandoni
Potential Role of Probiotics for Inflammaging: A Narrative Review
Nutrients
inflammaging
probiotics
aging
healthy older subjects
title Potential Role of Probiotics for Inflammaging: A Narrative Review
title_full Potential Role of Probiotics for Inflammaging: A Narrative Review
title_fullStr Potential Role of Probiotics for Inflammaging: A Narrative Review
title_full_unstemmed Potential Role of Probiotics for Inflammaging: A Narrative Review
title_short Potential Role of Probiotics for Inflammaging: A Narrative Review
title_sort potential role of probiotics for inflammaging a narrative review
topic inflammaging
probiotics
aging
healthy older subjects
url https://www.mdpi.com/2072-6643/13/9/2919
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