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β-葡聚糖与鼠李糖乳杆菌HerizI联合应用对乳腺癌化疗女性白细胞计数及血清白细胞介素-4和白细胞介素-12水平的影响:一项随机双盲安慰剂对照临床试验

Effect of combination of Beta Glucan and Lactobacillus rhamnosus HerizI on white blood cell counts and serum levels of IL-4 and IL-12 in women with breast cancer undergoing chemotherapy: A randomized double-blind placebo-controlled clinical trial.

作者信息

Ostadrahimi Alireza, Ahmadikhatir Shonaz, Amirazad Halimeh, EivaziZiaei Jamal, AsghariJafarabadi Mohammad, Barzeghari Abolfazl, Esfahani Ali, Farrin Nazila

机构信息

Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.

出版信息

Clin Nutr ESPEN. 2024 Jun;61:281-287. doi: 10.1016/j.clnesp.2024.03.035. Epub 2024 Apr 2.

DOI:10.1016/j.clnesp.2024.03.035
PMID:38777445
Abstract

BACKGROUND

Aim of this study was the isolation of native probiotic and determine the effect of combination of Beta Glucan and Lactobacillus rhamnosus Heriz I on White Blood Cell Counts and serum levels of IL-4and IL-12 in breast cancer women receiving Chemotherapy.

METHODS

This study was randomized double-blind placebo-controlled clinical trial in 30 women with breast cancer. Women in the intervention group received two 10-mg capsules of soluble 1-3,1-6, D-beta glucan and one capsule of Lactobacillus rhamnosus strain Heriz I (2 × 10 CFU) daily and placebo group received placebo during 21days, interval between two courses of chemotherapy. White blood cells, neuthrophil, lymphocyte and monocyte counts, serum levels of IL-4 and IL-12 were measured before and after the study.

RESULTS

We isolated Lactobacillus rhamnosus Heriz I from conventional yogurt of Heriz region and registered in NCBI GeneBank. After administration, in both groups white blood cells counts decreased. At the end of study, serum level of IL-4 was decreased in combination group compared to placebo (P = 0.005). Also, serum level of IL-12 in combination group increased non-significantly (P = 0.066).

CONCLUSION

The findings suggest that combination of Beta Glucan and Lactobacillus rhamnosus Heriz I may be useful as immunomodulary supplements in chemotherapy patients however further studies were needed.

摘要

背景

本研究的目的是分离天然益生菌,并确定β-葡聚糖与鼠李糖乳杆菌Heriz I联合使用对接受化疗的乳腺癌女性白细胞计数以及白细胞介素-4和白细胞介素-12血清水平的影响。

方法

本研究是一项针对30名乳腺癌女性的随机双盲安慰剂对照临床试验。干预组女性每天服用两粒10毫克的可溶性1-3,1-6,D-β-葡聚糖胶囊和一粒鼠李糖乳杆菌Heriz I菌株胶囊(2×10⁸CFU),安慰剂组在两个化疗疗程的间隔21天期间服用安慰剂。在研究前后测量白细胞、中性粒细胞、淋巴细胞和单核细胞计数以及白细胞介素-4和白细胞介素-12的血清水平。

结果

我们从Heriz地区的传统酸奶中分离出鼠李糖乳杆菌Heriz I,并在NCBI基因库中注册。给药后,两组的白细胞计数均下降。在研究结束时,联合组的白细胞介素-4血清水平与安慰剂组相比有所下降(P = 0.005)。此外,联合组的白细胞介素-12血清水平无显著升高(P = 0.066)。

结论

研究结果表明,β-葡聚糖与鼠李糖乳杆菌Heriz I联合使用可能作为化疗患者的免疫调节补充剂有用,然而还需要进一步研究。

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