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益生菌补充剂与日本女性人乳细胞因子谱:一项开放性先导研究的回顾性研究。

Probiotic Supplementation and Human Milk Cytokine Profiles in Japanese Women: A Retrospective Study from an Open-Label Pilot Study.

机构信息

Research and Development Department, Bean Stalk Snow Co., Ltd., Saitama 350-1165, Japan.

Department of Immunology, Faculty of Medicine, University of Yamanashi, Yamanashi 409-3898, Japan.

出版信息

Nutrients. 2021 Jun 30;13(7):2285. doi: 10.3390/nu13072285.

Abstract

The benefits of probiotic supplementation to lactating mothers on human milk cytokines are inconclusive. Thus, we performed a comprehensive open-label pilot trial analysis of 27 human milk cytokines in lactating women with allergies (one to three months postpartum) to determine the effect of supplementation with a mixture of new probiotic strains. Participants voluntarily joined the probiotic ( = 41) or no supplementation control ( = 19) groups. The probiotic group took three probiotic tablets ( LC5, BG7, and SANK70258) daily for one to three months postpartum. Milk samples were collected at one, two, and three months postpartum, and cytokine levels were measured using multiplex assays. The effects were analyzed using multivariate regression models. Eleven cytokines showed a positive rate of over 50% in the milk samples throughout testing in both groups. The positive rates of IL-1 receptor antagonist and IL-7 changed significantly with lactation progression in logistic regression models after adjusting for time and supplementation, whereas rates of other cytokines showed no significant differences. The lactational change patterns of IL-10 concentrations differed significantly between the two groups. A short-term supplementation of probiotics affects human milk cytokine levels in lactating women with a possible placebo effect still existing. Future placebo-controlled studies are needed to support these results, based on the estimated sample sizes in this study.

摘要

益生菌补充剂对哺乳期母亲母乳细胞因子的益处尚无定论。因此,我们对 27 种母乳细胞因子进行了一项综合的开放性、单盲试验分析,纳入了患有过敏的哺乳期妇女(产后一至三个月),以确定补充新益生菌菌株混合物的效果。参与者自愿加入益生菌(=41)或无补充对照组(=19)。益生菌组在产后一至三个月期间每天服用三片益生菌片(LC5、BG7 和 SANK70258)。在产后一个月、两个月和三个月收集奶样,并使用多重分析测定细胞因子水平。采用多变量回归模型分析效果。在两组的整个测试过程中,有 11 种细胞因子的阳性率超过 50%。在调整时间和补充因素后,IL-1 受体拮抗剂和 IL-7 的阳性率在逻辑回归模型中随泌乳进展而显著变化,而其他细胞因子的阳性率没有显著差异。IL-10 浓度的泌乳变化模式在两组之间存在显著差异。短期补充益生菌会影响哺乳期妇女母乳中的细胞因子水平,可能仍存在安慰剂效应。基于本研究的估计样本量,需要进行安慰剂对照研究来支持这些结果。

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