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Oral Health


Immune Parameters in Saliva

Reference

Ericson D, 2013
Sweden

Study Objectives

To investigate whether ingestion of L. reuteri Prodentis could influ ence salivary IgA levels, specific anti-mutans streptococci IgA levels and specific antibodies towards the ingested probiotic bacterium.

Study Design*

R, DB, PC 12 weeks + follow-up 1 month there after

No. of Subjects (dose)

L. reuteri (2 gums/d): 11
(2×108 CFU)
Placebo (2 gums/d): 12

Results

The total level of salivary IgA increased significantly within the test group. Specific IgA towards the ingested L. reuteri ATCC PTA 5289, as well as against S. mutans and S. sobrinus, decreased in the test group and the levels tended to return to pre-treatment values after the 4-week washout period. No changes were seen in the control group during the trial.

Reference

Jørgensen MR, 2016
Denmark

Study Objectives

To evaluate the effect of daily inges tion of L. reuteri Prodentis on the levels of secretory IgA (sIgA) and the cytokines interleukin (IL)-1β, IL-6, IL-8 and IL-10 in whole saliva of healthy young adults, aged 18-32y.

Study Design*

R, DB, PC, crossover 3 weeks of intervention with 3 weeks of washout between, follow-up 3 weeks post intervention

No. of Subjects (dose)

41 subjects in total L. reuteri (2 tabl/d): 41 (4×108 CFU) Placebo (2 tabl/d): 41

Results

No significant differences in the concentrations of salivary sIgA or cytokines were recorded between the L. reuteri and placebo interventions or between baseline and 3 weeks post-intervention levels. No side- or adverse effects were reported.

Reference

Braathen G, 2017 Denmark (substudy of Jørgensen 2016)

Study Objectives

Saliva from the subjects of the Jørgensen 2016 trial, who ingested L. reuteri Prodentis, was further analysed for the presence of L. reuteri, the concentration of total protein, salivary IgA and selected cytokines. Results were compared between individuals who harbored L. reuteri after the probio-tic interven tion (PCR-positive) and those who displayed sub-detection levels (PCR-negative).

Study Design*

R, DB, PC, crossover 3 weeks of intervention with 3 weeks of washout between, follow-up 3 weeks post intervention

No. of Subjects (dose)

41 subjects in total L. reuteri (2 tabl/d): 41 (4×108 CFU) Placebo (2 tabl/d): 41

Results

At baseline, 27% of the individuals displayed presence of L. reuteri and 42% were positive immediately after the three-week probiotic intervention. Those with L. reuteri in saliva had significantly higher concentrations of salivary IgA and higher %IgA/protein ratio at the termination of the probiotic intake compared with subjects with non-presence of L. reuteri. No differences in the cytokine levels were observed.