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《应变血浆摄入抑制健康马来西亚人登革热样症状的发生:一项随机、双盲、安慰剂对照试验》

Strain Plasma Intake Suppresses the Incidence of Dengue Fever-like Symptoms in Healthy Malaysians: A Randomized, Double-Blind, Placebo-Controlled Trial.

机构信息

Tropical Infectious Diseases Research & Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur 50603, Malaysia.

Kirin Central Research Institute, Kirin Holdings Co., Ltd., Yokohama 236-0004, Japan.

出版信息

Nutrients. 2021 Dec 16;13(12):4507. doi: 10.3390/nu13124507.

Abstract

Dengue fever (DF) is a mosquito-borne disease still with no effective treatment or vaccine available. A randomized, placebo-controlled, double-blinded, parallel-group trial was undertaken to evaluate the efficacy of oral intake of strain plasma (LC-Plasma) on the presentation and severity of DF-like symptoms among healthy volunteers. Study participants (320) were assigned into two groups, and consumed either placebo or LC-Plasma tablets (approximately 100 billion cells/day) for 8 weeks. The clinical symptoms of DF were self-recorded through questionnaires, and exposure to DENV was determined by serum antibody and/or DENV antigen tests. No significant differences between groups were observed for exposure to DENV, or the symptomatic ratio. Results obtained showed that participants from the LC-Plasma group reported a significant reduction in the cumulative incidence days of DF-like symptoms, which include fever ( < 0.001), muscle pain ( < 0.005), joint pain ( < 0.001), and pain behind the eyes ( < 0.001), compared to that of the placebo group. Subgroup analysis revealed a significantly ( < 0.05) reduced severity score in the LC-Plasma group when study sites were separately analyzed. Overall, our findings suggest that LC-Plasma supplementation reduces the cumulative days with DF-like symptoms, and the severity of the symptoms. Daily oral intake of LC-Plasma, hence, is shown to mitigate the DF-like symptoms.

摘要

登革热(DF)是一种由蚊子传播的疾病,目前尚无有效的治疗方法或疫苗。本研究开展了一项随机、安慰剂对照、双盲、平行组试验,旨在评估口服 LC-Plasma 对健康志愿者登革热样症状的表现和严重程度的疗效。将 320 名研究参与者分为两组,分别服用安慰剂或 LC-Plasma 片剂(每天约 1000 亿个细胞)8 周。通过问卷自行记录 DF 的临床症状,通过血清抗体和/或 DENV 抗原检测确定 DENV 的暴露情况。两组间 DENV 的暴露或症状比例无显著差异。结果显示,与安慰剂组相比,LC-Plasma 组报告的登革热样症状(包括发热、肌肉疼痛、关节疼痛和眼后疼痛)的累积发病天数显著减少(<0.001)。亚组分析显示,当分别分析研究地点时,LC-Plasma 组的严重程度评分显著降低(<0.05)。总体而言,我们的研究结果表明,LC-Plasma 补充剂可减少登革热样症状的累积天数和症状的严重程度。因此,每日口服 LC-Plasma 可减轻登革热样症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51fd/8707015/8f5cb7c0490e/nutrients-13-04507-g001.jpg

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