Effect of 25 weeks probiotic supplementation on immune function of HIV patients
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INTRODUCTION: Studies with a follow-up of < 8 weeks have indicated immune-preserving effects of yogurt probiotic supplementation among HIV patients. To evaluate the impact of 25 weeks use of probiotics, a randomized, double blind, controlled study was undertaken on 65 women who were naïve to anti-retroviral treatment. RESULTS: Ten participants were excluded post-randomization due to non-eligibility. Thirty participants were assigned placebo, of whom 25 completed the study versus 19 of 25 completing the study in the probiotics group (p = 0.5). From baseline to 10 weeks follow-up, the CD4 count declined on average 3 CD4 cells/μl (95% Confidence Interval: -97; 91) with placebo versus an increase of 50 cells/μl (95% CI: -61; 162) with probiotics (p = 0.5). From baseline to 25 weeks, the CD4 count increased with 19 cells/μl (95% CI: -90; 129) in the placebo group versus 46 cells/μl (95% CI: -100; 192) with probiotics (p = 0.8). No differences in immune markers, diarrhea incidence or adverse events were observed. DISCUSSION: Lactobacillus GR-1 and RC-14 may be safely consumed at 2 x 10(9) CFU/day by moderately immune compromised HIV patients but this did not universally preserve immune-function. PATIENTS AND METHODS: Women were randomized to receive oral capsules containing Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 (2 x 10(9) colony forming units) or placebo twice daily for 25 weeks. The CD4 count and immune markers (IgG, IgE, IFNγ and IL-10) were measured at baseline and during follow-up, the occurrence of diarrhea was reported daily.
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Probiotic interventions promote tolerogenicity, can replace pathogenic strains, and reduce inflammation, so T cell depletion and senescence could be reduced in HIV patients.
“Probiotic interventions have become an interesting therapeutic target for HIV patients because they promote tolerogenicity [169], can replace pathogenic strains, and reduce inflammation [170]; consequently, T cell depletion and senescence could be reduced.”
From The Potential Impact of Probiotics on Human Health: An Update on Their Health-Promoting Properties (2024) · cites this paper as [170]
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- Authors
- Hummelen, R., Changalucha, J., Butamanya, N. L., Koyama, T. E., Cook, A., Habbema, J. D. F., & Reid, G.
- Affiliations
- Lawson Health Research Institute (CA)
- Corresponding author
- Hummelen, Ruben
- Venue
- Gut Microbes
- Publisher
- Informa UK Limited
- Published
- 2011-03-28
- Volume
- 2
- Issue
- 2
- Pages
- 80-85
- ISSN
- 1949-0976 (ISSN-L)
- 1949-0984
- OpenAlex
- W2112914354
- Cited by
- 117
- References
- 31
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 5 · 2022: 5 · 2021: 7 · 2020: 9 · 2019: 9 · 2018: 11 · 2017: 11 · 2016: 7 · 2015: 8 · 2014: 10 · 2013: 12 · 2012: 9
- FWCI
- 16.35
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Gut Microbes (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Funders
- Advanced Foods and Materials Network
- Danone Institute of Canada
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Keywords
- probiotics, HIV, immune function, CD4 count, Lactobacillus rhamnosus GR-1, Lactobacillus reuteri RC-14, women, immunological markers, diarrhea, untreated HIV patients
- MeSH terms
- Administration, Oral, Adult, Diet Therapy, Female, Humans, Immunologic Factors, Placebos, HIV Infections, CD4 Lymphocyte Count, Probiotics, Lacticaseibacillus rhamnosus
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