口服益生菌 GR-1 和 RC-14 对孕妇阴道微生物群、细胞因子和趋化因子的影响。

Effect of Oral Probiotic GR-1 and RC-14 on the Vaginal Microbiota, Cytokines and Chemokines in Pregnant Women.

机构信息

Departments of Physiology and Obstetrics and Gynecology, University of Toronto, Toronto, ON M5G 1E2, Canada.

Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON M5G 1X5, Canada.

出版信息

Nutrients. 2020 Jan 30;12(2):368. doi: 10.3390/nu12020368.

Abstract

Spontaneous preterm birth is associated with vaginal microbial dysbiosis. As certain strains of lactobacilli help restore homeostasis in non-pregnant women, the goal was to determine the effect of GR-1 and RC-14 administered orally, twice daily for 12 weeks on the vaginal microbiota, cytokines and chemokines of low-risk pregnant women. A double-blind, placebo-controlled, randomized trial comparing probiotic lactobacilli to placebo daily was performed in 86 asymptomatic pregnant women who had an Intermediate or Bacterial Vaginosis Nugent score at 13 weeks. After drop outs, 32 women receiving probiotics and 34 receiving placebo completed the study. The Nugent score returned to normal in 30% of the women in both groups at 28 weeks and was maintained until 35 weeks. The majority of subjects had normal pregnancy outcomes. Ninety-three bacterial species were detected at 13 weeks, with and being the most abundant across pregnancy. There was no difference in the Shannon diversity index between the probiotic and placebo groups at 13, 28 or 35 weeks. Almost all subjects consumed fermented foods and many of the organisms in the vagina are also known to be present in fermented foods. Interleukin-4 in the placebo group and Interleukin-10 in both probiotic and placebo groups increased slightly at 28 weeks but were not different at 35 weeks when compared to 13 weeks. In conclusion, this study showed no adverse issues resulting from 12 week use of probiotic strains GR-1 and RC-14 during pregnancy in women at low risk for premature birth. The vaginal microbiota demonstrated flux irrespective of this oral probiotic administration.

摘要

自发性早产与阴道微生物失调有关。由于某些乳杆菌菌株有助于恢复非孕妇的体内平衡,因此目标是确定口服 GR-1 和 RC-14(每天两次,持续 12 周)对低危孕妇的阴道微生物群、细胞因子和趋化因子的影响。在 86 名无症状孕妇中进行了一项双盲、安慰剂对照、随机试验,这些孕妇在 13 周时具有中等或细菌性阴道病 Nugent 评分。在脱落者之后,32 名接受益生菌治疗的女性和 34 名接受安慰剂的女性完成了研究。在 28 周时,两组中各有 30%的女性 Nugent 评分恢复正常,并一直维持到 35 周。大多数受试者的妊娠结局正常。在 13 周时检测到 93 种细菌物种,其中 和 在整个妊娠过程中最为丰富。在 13、28 和 35 周时,益生菌组和安慰剂组的 Shannon 多样性指数没有差异。几乎所有的受试者都食用了发酵食品,而且阴道中的许多微生物也存在于发酵食品中。在安慰剂组中,白细胞介素-4 增加,在益生菌组和安慰剂组中,白细胞介素-10 在 28 周时略有增加,但与 13 周相比,在 35 周时没有差异。总之,这项研究表明,在低早产风险的孕妇中,12 周使用益生菌 GR-1 和 RC-14 没有不良问题。无论这种口服益生菌的使用如何,阴道微生物群都显示出了变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ef/7071157/890ab95f7230/nutrients-12-00368-g001.jpg

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