Lactobacillus fermentum

发酵乳杆菌
  • 文章类型: Journal Article
    L-阿拉伯糖异构酶(L-Al)是用于异构化D-半乳糖以产生D-塔格糖的功能性酶。在这项研究中,克隆了来自益生菌发酵乳杆菌C6的L-AI-C6编码基因,并在枯草芽孢杆菌WB600中表达,以研究酶学特性并通过全细胞催化对D-塔格糖进行生物转化。结果表明,工程枯草芽孢杆菌WB600-pMA5-LAI在28°C的LB培养基中培养40h时达到了L-AI-C6的最大比活性(232.65±15.54U/mg蛋白)。纯化重组L-AI-C6,和酶学特性测试显示其最适反应温度和pH分别为60°C和8.0。此外,L-Al-C6在5.5-9.0的pH范围内表现出良好的稳定性。通过使用枯草芽孢杆菌WB600-pMA5-LAI细胞作为全细胞催化剂,以D-半乳糖为底物的最高D-塔格糖产率达到42.91±0.28%,是发酵乳杆菌C6的2.41倍(17.79±0.11%)。这表明L-AI-C6的克隆和异源表达是通过全细胞催化改善D-塔格糖转化的有效策略。简而言之,本研究表明,反应温度,pH值,发酵乳杆菌C6中L-AI-C6的稳定性满足工业应用的要求,构建的枯草芽孢杆菌WB600-pMA5-LAI显示了D-塔格糖的全细胞生物转化的潜力。
    L-arabinose isomerase (L-AI) is a functional enzyme for the isomerizing of D-galactose to produce D-tagatose. In this study, L-AI-C6-encoding gene from the probiotic Lactobacillus fermentum C6 was cloned and expressed in Bacillus subtilis WB600 for investigating enzymatic characteristics and bioconverting D-tagatose by means of whole-cell catalysis. Results showed that the engineered B. subtilis WB600-pMA5-LAI achieved a maximum specific activity of L-AI-C6 (232.65 ± 15.54 U/mg protein) under cultivation in LB medium at 28 °C for 40 h. The recombinant L-AI-C6 was purified, and enzymatic characteristics test showed its optimum reaction temperature and pH at 60 °C and 8.0, respectively. In addition, L-AI-C6 exhibited good stability within the pH range of 5.5-9.0. By using B. subtilis WB600-pMA5-LAI cells as whole-cell catalyst, the highest D-tagatose yield reached 42.91 ± 0.28 % with D-galactose as substrate, which was 2.41 times that of L. fermentum C6 (17.79 ± 0.11 %). This suggested that the cloning and heterologous expression of L-AI-C6 was an effective strategy for improving D-tagatose conversion by whole-cell catalysis. In brief, the present study demonstrated that the reaction temperature, pH, and stability of L-AI-C6 from L. fermentum C6 meet the demands of industrial application, and the constructed B. subtilis WB600-pMA5-LAI shows promising potential for the whole-cell biotransformation of D-tagatose.
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  • 文章类型: Journal Article
    米糠是大米抛光过程中的重要副产品,营养丰富,但是它没有得到充分利用,经常用作饲料或丢弃,造成大量的浪费。在这项研究中,用发酵乳杆菌MF423对米糠进行发酵,得到具有较高抗氧化活性的产品。首先,采用高效液相色谱法(HPLC)建立了一种可靠、有效的发酵产物抗氧化能力评估方法,保证了分批发酵的一致性。发酵米糠产品(FLRB)在细胞中表现出显著的抗氧化活性,C.秀丽隐杆线虫,和高脂血症小鼠。小鼠肝脏的转录组分析显示plin5的表达在给予FLRB的糖尿病小鼠中上调,从而防止游离脂肪酸(FFA)的过量产生和随后产生大量的活性氧(ROS)。这些研究为米糠发酵产品的应用奠定了基础。
    Rice bran is an important byproduct of the rice polishing process, rich in nutrients, but it is underutilized and often used as feed or discarded, resulting in a huge amount of waste. In this study, rice bran was fermented by Lactobacillus fermentum MF423 to obtain a product with high antioxidant activity. First, a reliable and efficient method for assessing the antioxidant capacity of the fermentation products was established using high-performance liquid chromatography (HPLC), which ensured the consistency of the batch fermentation. The fermented rice bran product (FLRB) exhibited significant antioxidant activity in cells, C. elegans, and hyperlipidemic mice. Transcriptome analysis of mouse livers showed that the expression of plin5 was upregulated in diabetic mice administered FLRB, thereby preventing the excessive production of free fatty acids (FFAs) and the subsequent generation of large amounts of reactive oxygen species (ROS). These studies lay the foundation for the application of rice bran fermentation products.
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  • 文章类型: Journal Article
    背景:WCFA19(WeissellaconfusaWIKIM51),泡菜发酵过程中发现的,以其对体重和体内脂肪的抑制作用而闻名。这项研究观察了从蒲公英泡菜中分离出的WCFA19对超重和肥胖成年人体重减轻的影响,这些成年人本来是健康的。方法:本研究以多中心进行,双盲,随机化,对104名超重和肥胖受试者进行安慰剂对照研究。将受试者均匀随机分为测试组(WCFA19,500mg,n=40)或对照组(n=34),从2021年6月14日至2021年12月24日,为期12周。效果基于DEXA来测量体内脂肪质量和百分比的变化。结果:在分析的74名受试者中,WCFA19口服补充12周导致实验组超重和肥胖个体的体脂质量显著减少633.38±1396.17g(p=0.0066)。对照组增加59.10±1120.57g(p=0.7604),表明两组之间有统计学上的显著差异。体脂百分比的变化也有统计学上的显著差异(p=0.0448),实验组下降0.41±1.22%(p=0.0424),对照组上升0.17±1.21%(p=0.4078)。未报告显著不良事件。结论:口服500mgWCFA19持续12周与体重减轻有关,特别是身体脂肪量和百分比。
    Background: WCFA19 (Weissella confusa WIKIM51), found during the fermentation of kimchi, is known for its inhibitory effects on body weight and body fat. This study looked at the impact of WCFA19 isolated from dandelion kimchi on weight loss in overweight and obese adults that are otherwise healthy. Methods: This study was conducted as a multicenter, double-blind, randomized, placebo-controlled study with 104 overweight and obese subjects. Subjects were randomized evenly into the test group (WCFA19, 500 mg, n = 40) or control group (n = 34) for 12 weeks from 14 June 2021 to 24 December 2021. Effects were based on DEXA to measure changes in body fat mass and percentage. Results: Among the 74 subjects analyzed, WCFA19 oral supplementation for 12 weeks resulted in a significant decrease in body fat mass of 633.38 ± 1396.17 g (p = 0.0066) in overweight and obese individuals in the experimental group. The control group showed an increase of 59.10 ± 1120.57 g (p = 0.7604), indicating a statistically significant difference between the two groups. There was also a statistically significant difference (p = 0.0448) in the change in body fat percentage, with a decrease of 0.41 ± 1.22% (p = 0.0424) in the experimental group and an increase of 0.17 ± 1.21% (p = 0.4078) in the control group. No significant adverse events were reported. Conclusions: Oral supplementation of 500 mg of WCFA19 for 12 weeks is associated with a decrease in body weight, particularly in body fat mass and percentage.
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  • 文章类型: Journal Article
    发酵乳杆菌能发挥抗衰老作用,但是它们的作用是特定于菌株的,对某些菌株的分子机制知之甚少。本研究调查了从中国发酵泡菜中分离的发酵乳杆菌WC2020(WC2020)的抗衰老作用及其在秀丽隐杆线虫中的作用机制。WC2020将L1期和L4期蠕虫的平均寿命提高了22.67%和12.42%,分别,与大肠杆菌OP50(OP50)相比,秀丽隐杆线虫的标准食物来源.WC2020诱导的寿命伴随着体长和线粒体跨膜电位的增加以及脂质积累的减少以及活性氧和丙二醛的产生。此外,WC2020增加了谷胱甘肽的产量,超氧化物歧化酶,和过氧化氢酶,并改变了许多表型相关基因的转录本。此外,WC2020喂养的jnk-1而不是akt-2或pmk-1功能丧失突变体的寿命与OP50喂养的蠕虫相似。相应地,WC2020显著上调了jnk-1的表达,而不是胰岛素样基因,p38MAPK,bate-catenin,或TGF-β途径。此外,身体长度的增加,线粒体跨膜电位,在jnk-1突变体中未观察到WC2020诱导的抗氧化能力和脂质积累的减少。此外,WC2020增加了daf-16的表达和daf-16::GFP在细胞核中的比例,在WC2020喂养的daf-16功能丧失突变体中,寿命的增加消失了。总之,WC2020激活JNK/DAF-16通路以改善线粒体功能,减少氧化应激,然后延长线虫的寿命,这表明WC2020可能是一种潜在的益生菌,靶向JNK介导的抗氧化途径,用于食品补充剂和生物加工中的抗衰老作用。实际应用:老龄化对全球经济和人类健康具有深远的影响,并且可能因特定的饮食和营养资源而延迟。这项研究表明,发酵乳杆菌WC2020可能是一种潜在的益生菌菌株,用于食品中,通过JNK介导的抗氧化途径促进长寿和健康。
    Lactobacillus fermentum can exert antiaging effects, but their roles are strain-specific, and little is known about the molecular mechanisms in some strains. This study investigated the antiaging effects of L. fermentum WC2020 (WC2020) isolated from Chinese fermented pickles and the underlying mechanism of the action in Caenorhabditis elegans. WC2020 enhanced the mean lifespan of L1-stage and L4-stage worms by 22.67% and 12.42%, respectively, compared with Escherichia coli OP50 (OP50), a standard food source for C. elegans. WC2020-induced longevity was accompanied by an increase in body length and mitochondrial transmembrane potential and a reduction in lipid accumulation and the production of reactive oxygen species and malondialdehyde. Moreover, WC2020 increased the production of glutathione, superoxide dismutases, and catalases and altered the transcripts of many phenotype-related genes. Furthermore, WC2020-fed jnk-1 rather than akt-2 or pmk-1 loss-of-function mutants showed similar lifespans to OP50-fed worms. Correspondingly, WC2020 significantly upregulated the expression of jnk-1 rather than genes involved in insulin-like, p38 MAPK, bate-catenin, or TGF-beta pathway. Moreover, the increase in body length, mitochondrial transmembrane potential, and antioxidant capability and the decrease in lipid accumulation induced by WC2020 were not observed in jnk-1 mutants. Additionally, WC2020 increased the expression of daf-16 and the proportion of daf-16::GFP in the nucleus, and increased lifespan disappeared in WC2020-fed daf-16 loss-of-function mutants. In conclusion, WC2020 activated the JNK/DAF-16 pathway to improve mitochondria function, reduce oxidative stress, and then extend the longevity of nematodes, suggesting WC2020 could be a potential probiotic targeting JNK-mediated antioxidant pathway for antiaging in food supplements and bioprocessing. PRACTICAL APPLICATION: Aging has a profound impact on the global economy and human health and could be delayed by specific diets and nutrient resources. This study demonstrated that Lactobacillus fermentum WC2020 could be a potential probiotic strain used in food to promote longevity and health via the JNK-mediated antioxidant pathway.
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  • 文章类型: Journal Article
    背景:在寻找减轻与顺铂(CDDP)肿瘤治疗相关的毒性的替代品时,并考虑到乳酸菌产生的胞外多糖(EPS)的潜在健康有益特性,这项研究的目的是评估细胞毒性,基于CDDP和EPS的生物结合物的毒理学和抗肿瘤功效,关于肉瘤180的实验性肿瘤。
    方法:在合成顺式-[Pt(NH3)2(Cl)2]复合物和含有发酵乳杆菌胞外多糖的缀合物之后,在体外和体内测试用于评估急性毒性。
    结果:使用移植有肉瘤180的小鼠进行抗肿瘤研究。生物结合物对所测试的细胞系显示出低至中等的细胞毒性,以及适度的急性毒性。确定LD50后,建立以下实验组用于抗肿瘤测定:对照(NaCl,0.9%),CDDP(1mg/kg),EPS和生物缀合物组合物(200mg/kg)。与对照相比,生物缀合物促进肿瘤质量消退38%,与CDDP相比,下降了41%。肝脏组织病理学分析显示,当与对照相比时,用(CDDP+EPS)处理的动物中的离散改变。生物缀合物还使由肿瘤引起的肾实质的变化最小化。
    结论:我们的结果表明,当CDDP与EPS相关时,这种组合物更具生物相容性,显示自己是一种有效的化学治疗剂和较低的组织毒性。
    BACKGROUND: In the search for alternatives that attenuate the toxicity associated to oncologic treatment with cisplatin (CDDP) and considering the potential health-beneficial properties of exopolysaccharides (EPS) produced by lactic acid bacteria, it was aimed on this study to evaluate the cytotoxic, toxicologic and antitumoral efficacy of a bioconjugate based on CDDP and EPS, on the experimental tumor of sarcoma 180.
    METHODS: After the synthesis of the cis-[Pt(NH3)2(Cl)2] complex and of the conjugate containing Lactobacillus fermentum exopolysaccharide was tested both in vitro and in vivo for evaluating the acute toxicity.
    RESULTS: The antitumoral study was performed using mice transplanted with sarcoma 180. The bioconjugate showed low to medium cytotoxicity for the cell lines tested, as well moderated acute toxicity. After determining the LD50, the following experimental groups were established for the antitumor assay: Control (NaCl 0,9%), CDDP (1 mg/kg), EPS and bioconjugate composition (200 mg/kg). The bioconjugate promoted a 38% regression in tumor mass when compared to the control, and a regression of 41% when compared to CDDP. Liver histopathological analysis revealed discrete alterations in animals treated with (CDDP + EPS) when compared to control. The bioconjugate also minimized changes in the renal parenchyma resulting from the tumor.
    CONCLUSIONS: Our results indicate that when CDDP is associated with EPS, this composition was more biocompatible, showing itself as a potent chemotherapeutic agent and lower tissue toxicity.
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  • 文章类型: Journal Article
    UNASSIGNED: Breast milk is always the best choice for infant\'s nutrition due to its useful compounds such as immune cells and molecules, oligosaccharides, as well as bacteria and their metabolites. We identified and characterized the isolated strain from human breast milk in this study.
    UNASSIGNED: A total of 20 lactating mothers aged 25 to 34 years were enrolled in our study. We collected the breast milk samples in sterile microtubes. 100 μl of each sample was spread on de Man-Rogosa-Sharpe (MRS) agar plates and incubated aerobically at 37°C for 48 hr. After identifying the isolated strain, initial tests (hemolysis inactivity and L-arginine hydrolysis, catalase), the acid tolerance, bile tolerance, and antibiotics susceptibility of the isolated strain were estimated. Furthermore, the antiproliferative and proapoptotic activities of heat-killed cells) HKC) and cell-free supernatant (CFS) of the strain on the HT-29 cell line were evaluated using MTT assay and flow cytometry analysis, respectively.
    UNASSIGNED: The isolated strain was Gram-positive, bacilli in shape, catalase-negative, non-hemolytic, and negative for L-arginine hydrolysis. By 16S rRNA gene sequencing, the isolated strain was Lactobacillus fermentum. According to MTT assay and flow cytometry results, the HKC and CFS of the isolated strain reduced the viability of the HT-29 cells. The total apoptosis induced in HT-29 cells by HKC and CFS was 65.98% and 70.1%, respectively.
    UNASSIGNED: Our findings suggest that this strain, despite the properties of probiotic bacteria, has potential antiproliferative and proapoptotic capabilities.
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  • 文章类型: Journal Article
    益生菌是活的微生物,在食用时产生健康益处,通常通过改善或恢复肠道菌群(微生物群)作为肠道粘膜微生物层的一部分。在这项工作中,小鼠单独喂食乙醇或与益生菌发酵乳杆菌(L.发酵)持续12周。通过益生菌诱导Hsp60,Hsp90和IkB-α对NF-κB信号通路的调节发生在空肠中。发酵乳杆菌抑制IL-6表达并下调TNF-α转录。NF-κB失活与肠屏障的恢复一致,被乙醇损坏了,通过产生紧密连接蛋白,改善乙醇诱导的肠道通透性。小脑重复了益生菌对肠道的有益作用,其中在益生菌喂养的小鼠中观察到神经胶质炎症相关标志物的下调。数据显示,发酵乳杆菌在小肠和小脑均具有抗炎和细胞保护作用,通过抑制乙醇诱导的肠道通透性增加和抑制神经炎症。结果还表明发酵乳杆菌可能是有利的,以及其他可用的手段,用于治疗由与炎症和菌群失调相关的应激源引起的肠道疾病。
    Probiotics are live microorganisms that yield health benefits when consumed, generally by improving or restoring the intestinal flora (microbiota) as part of the muco-microbiotic layer of the bowel. In this work, mice were fed with ethanol alone or in combination with the probiotic Lactobacillus fermentum (L. fermentum) for 12 weeks. The modulation of the NF-κB signaling pathway with the induction of Hsp60, Hsp90, and IkB-α by the probiotic occurred in the jejunum. L. fermentum inhibited IL-6 expression and downregulated TNF-α transcription. NF-κB inactivation concurred with the restoration of the intestinal barrier, which had been damaged by ethanol, via the production of tight junction proteins, ameliorating the ethanol-induced intestinal permeability. The beneficial effect of the probiotic on the intestine was repeated for the cerebellum, in which downregulation of glial inflammation-related markers was observed in the probiotic-fed mice. The data show that L. fermentum exerted anti-inflammatory and cytoprotective effects in both the small intestine and the cerebellum, by suppressing ethanol-induced increased intestinal permeability and curbing neuroinflammation. The results also suggest that L. fermentum could be advantageous, along with the other available means, for treating intestinal diseases caused by stressors associated with inflammation and dysbiosis.
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  • 文章类型: Journal Article
    在这项研究中,通过牛津杯透明区法筛选产生阿魏酸酯酶的菌株,并评估其分解羟基肉桂酰基酯的能力。该菌株经16SrDNA分子生物学鉴定。膳食纤维的含量,还原糖,水提取阿拉伯木聚糖,植酸,总酚类物质,总黄酮,酚类化合物组成,研究了麸皮发酵前后的微观结构和抗氧化活性。筛选了8株产阿魏酸酯酶的菌株,其中菌株P1分解羟基肉桂酰基酯的能力最强。该菌株被鉴定并命名为发酵乳杆菌NB02。与未发酵的麸皮相比,发酵麸皮具有较高的可溶性膳食纤维含量,还原糖,水提取阿拉伯木聚糖,总酚类物质,总黄酮,和较低的不溶性膳食纤维和植酸含量。麸皮致密的表面结构被破坏,形成多孔结构。酚类化合物的释放显著增加。L.发酵菌NB02发酵提高了麸皮的抗氧化能力。
    In this study, strains producing feruloyl esterase were screened by Oxford Cup clear zones method and by evaluating the ability to decompose hydroxycinnamoyl esters. The strain was identified by 16S rDNA molecular biology. The contents of dietary fiber, reducing sugar, water-extractable arabinoxylans, phytic acid, total phenolics, total flavonoid, phenolic compounds composition, microstructure and antioxidant activity in bran before and after fermentation were studied. Eight strains producing feruloyl esterase were screened, among which strain P1 had the strongest ability to decompose hydroxycinnamoyl esters. The strain was identified and named L. fermentum NB02. Compared with unfermented bran, fermented bran exhibited higher contents of soluble dietary fiber, reducing sugar, water-extractable arabinoxylans, total phenolics, total flavonoid, and lower insoluble dietary fiber and phytic acid content. The dense surface structure of bran was destroyed, forming a porous structure. The release of phenolic compounds increased significantly. L. fermentum NB02 fermentation improved the antioxidant capacity of bran.
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  • 文章类型: Journal Article
    微囊藻毒素-LR(MC-LR)污染是一个世界性的环境问题,对水生态系统和公众健康构成严重威胁。暴露于MC-LR与肠道损伤的发展有关,但是对于MC-LR引起的肠道疾病尚无有效的治疗方法。益生菌是“以足够的量给药时对宿主健康有益的活微生物”。已经证明,益生菌可以预防或治疗多种人类疾病;然而,它们减轻MC-LR诱导的肠道损伤的能力尚未得到研究.这项研究的目的是确定益生菌是否可以减轻MC-LR诱导的肠道毒性及其潜在机制。我们首先使用亚慢性暴露于低剂量MC-LR的动物模型评估结直肠组织的病理变化,HE染色评估结直肠组织病理学变化,qPCR检测结直肠组织中炎症因子的表达水平,和WB检测结直肠组织中CSF1R信号通路蛋白的变化。微生物测序分析和粪便微生物与小鼠MC-LR治疗差异的筛选。探讨微生物在MC-LR诱导的结直肠损伤中的作用,建立了MC-LR与微生物共同治疗的体外模型。我们的研究结果表明,MC-LR治疗诱导小鼠结直肠组织的炎症反应,促进炎症因子的表达,激活CSF1R信号通路,并显著降低了乳酸菌的丰度。在与MC-LR和发酵乳杆菌共同处理的模型中(L.fermentum),发现发酵乳杆菌显著降低MC-LR诱导的结直肠炎症反应的发生率,抑制CSF1R信号通路的蛋白表达。这是第一个研究表明发酵乳杆菌抑制CSF1R信号通路以减少MC-LR诱导的结直肠炎症的发生率。本研究为制定MC-LR肠道疾病的防治策略提供了良好的实验基础。
    Microcystin-LR (MC-LR) contamination is a worldwide environmental problem that poses a grave threat to the water ecosystem and public health. Exposure to MC-LR has been associated with the development of intestinal injury, but there are no effective treatments for MC-LR-induced intestinal disease. Probiotics are \"live microorganisms that are beneficial to the health of the host when administered in sufficient quantities\". It has been demonstrated that probiotics can prevent or treat a variety of human diseases; however, their ability to mitigate MC-LR-induced intestinal harm has not yet been investigated. The objective of this study was to determine whether probiotics can mitigate MC-LR-induced intestinal toxicity and its underlying mechanisms. We first evaluated the pathological changes in colorectal tissues using an animal model with sub-chronic exposure to low-dose MC-LR, HE staining to assess colorectal histopathologic changes, qPCR to detect the expression levels of inflammatory factors in colorectal tissues, and WB to detect the alterations on CSF1R signaling pathway proteins in colorectal tissues. Microbial sequencing analysis and screening of fecal microorganisms differential to MC-LR treatment in mice. To investigate the role of microorganisms in MC-LR-induced colorectal injury, an in vitro model of MC-LR co-treatment with microorganisms was developed. Our findings demonstrated that MC-LR treatment induced an inflammatory response in mouse colorectal tissues, promoted the expression of inflammatory factors, activated the CSF1R signaling pathway, and significantly decreased the abundance of Lactobacillus. In a model of co-treatment with MC-LR and Lactobacillus fermentum (L. fermentum), it was discovered that L. fermentum substantially reduced the incidence of the colorectal inflammatory response induced by MC-LR and inhibited the protein expression of the CSF1R signaling pathway. This is the first study to suggest that L. fermentum inhibits the CSF1R signaling pathway to reduce the incidence of MC-LR-induced colorectal inflammation. This research may provide an excellent experimental foundation for the development of strategies for the prevention and treatment of intestinal diseases in MC-LR.
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  • 文章类型: Journal Article
    过敏性鼻炎继续在成人和儿科人群中构成全球负担,需要适当的药物治疗以避免长期并发症,这使其成为一个具有挑战性的问题。这提示需要找到针对这种情况的合适和适当的治疗方案。
    研究口服比拉斯汀和益生菌对过敏性鼻炎患者的临床疗效。比较比拉斯汀单药与口服比拉斯汀联合益生菌治疗变应性鼻炎的疗效。
    总共选择了100名患者,并随机分为两组-第1组和第2组,分别口服Bilastine20mgOD和口服Bilastine20mg口服益生菌OD(发酵乳杆菌和副干酪乳杆菌-40亿个细胞)以维持均匀性。基线评分和6周后的随访评分采用总症状评分,绝对嗜酸性粒细胞计数和鼻腔涂片嗜酸性粒细胞计数,并根据其对治疗的反应进行评估和记录。
    观察到症状尤其是鼻塞的严重程度显着降低,两组患者的喷嚏以及额外的鼻部症状,治疗前第1组的平均得分为7.72,降至3.66,第2组的平均得分为9.32至5.02。第2组的平均评分在治疗前和治疗后都更高,这是非常显著的。(p<0.001)。
    口服比拉斯汀的单一疗法已被证明可以缓解过敏症状。口服益生菌与Bilastine一起添加已显示在进一步改善过敏性鼻炎的整体症状方面具有协同作用。
    UNASSIGNED: Allergic rhinitis continues to pose a global burden in both adult and paediatric population and requires adequate medical therapy to avoid long term complications making it a challenging concern. This prompts the need to find a suitable and appropriate treatment regimen for this condition.
    UNASSIGNED: To study the clinical efficacy of Oral Bilastine and Probiotics in patients with allergic rhinitis. To compare the effectiveness of Bilastine monotherapy to Oral Bilastine combined with Probiotics in patients with allergic rhinitis.
    UNASSIGNED: Total of 100 patients were selected and randomized into two groups- Group 1 and Group 2 and were treated with Oral Bilastine 20 mg OD and Oral Bilastine 20 mg with Oral Probiotics OD (Lactobacillus fermentum & L. paracasei - 4 billion cells) respectively to maintain uniformity. Baseline scoring and follow up scoring after 6 weeks was done using the Total symptom score, Absolute eosinophil count and Nasal smear eosinophil count and were evaluated and documented as per their response to treatment.
    UNASSIGNED: A significant reduction was observed in the severity of symptoms especially nasal obstruction, sneezing in patients of both groups along with extra nasal symptoms, with average mean score in Group 1 being 7.72 before treatment that reduced to 3.66 and that of Group 2 from 9.32 to 5.02. The mean score of Group 2 was greater in both before and after treatment which is highly significant. (p < 0.001).
    UNASSIGNED: Monotherapy with Oral Bilastine has proven in relieving allergic symptoms. Addition of Oral Probiotics along with Bilastine has shown to have synergistic effect in further improving overall symptoms in allergic rhinitis.
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