INRA, UR1268, Unite´ de recherche sur les Biopolyme`res, leurs Interactions et Assemblages, Nantes, France.
J Leukoc Biol. 2011 May;89(5):685-95. doi: 10.1189/jlb.1109753. Epub 2011 Jan 13.
Probiotics and prebiotics, alone or together (synbiotics), can influence the intestinal microbiota and modulate the immune response. They may therefore be tools that can prevent or alleviate certain pathologies involving the gut immune system, such as allergies for which no treatment is yet available. This review focuses first on the definitions of probiotics, prebiotics, and synbiotics and key cells in the gut immune system. It then discusses their effects on mucosal immune stimulation. Experimental findings suggest that different probiotic species have similar effects on innate immunity by improving the mechanisms of pathogen destruction. On the contrary, their impacts seem to be variable on the adaptive immune system. Prebiotics can also exert an influence on the gut immune system via the stimulation of the autochthonous bacteria metabolism. Finally, this review focuses on the effects of food supplements on allergy. Different studies performed in humans or rodents have supported a potential role for selected probiotics and prebiotics in reducing some allergic parameters. Probiotic effects on allergy treatment are unclear, especially in human studies. However, they are potentially effective at short-term for prevention when they are administered in perinatal conditions. A clinical study performed with an infant cohort revealed a beneficial effect of prebiotics in preventing allergic manifestations at long-term. Further studies are nonetheless essential to confirm these findings. Food supplements offer potential tools for the prevention or treatment of allergy, but insufficient evidence is available at present to recommend their use in clinical practice.
益生菌和益生元,单独或联合使用(合生素),可以影响肠道微生物群并调节免疫反应。因此,它们可能是预防或缓解某些涉及肠道免疫系统的疾病的工具,例如目前尚无治疗方法的过敏症。这篇综述首先关注益生菌、益生元和合生素的定义以及肠道免疫系统中的关键细胞。然后讨论它们对黏膜免疫刺激的影响。实验结果表明,不同的益生菌种类通过改善病原体破坏的机制对先天免疫具有相似的影响。相反,它们对适应性免疫系统的影响似乎是可变的。益生元还可以通过刺激原籍细菌代谢对肠道免疫系统产生影响。最后,这篇综述关注食物补充剂对过敏的影响。在人类或啮齿动物中进行的不同研究支持了某些益生菌和益生元在减少一些过敏参数方面的潜在作用。益生菌对过敏治疗的影响尚不清楚,特别是在人类研究中。然而,当在围产期使用时,它们在短期内预防可能是有效的。一项对婴儿队列进行的临床研究表明,益生元在预防长期过敏表现方面具有有益作用。然而,仍需要进一步的研究来证实这些发现。食物补充剂为过敏的预防或治疗提供了潜在的工具,但目前尚无足够的证据推荐在临床实践中使用。
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