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Nutrients  2010 

Short-Term Effect of Prebiotics Administration on Stool Characteristics and Serum Cytokines Dynamics in Very Young Children with Acute Diarrhea

DOI: 10.3390/nu2070683

Keywords: diarrhea, infants, prebiotics, galacto-oligosaccharides, fructo-oligosaccharides, galacturonic oligosaccharides, cytokines

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Abstract:

We investigated the effect of a mixture of long-chain fructo-oligosaccharides, galacto-oligosaccharides and acidic oligosaccharides on the number and consistency of stools and on immune system biomarkers in 104 supplemented and non-supplemented subjects (aged 9–24 months) with acute diarrhea. Interleukin-1 (IL-1), IL-1RA, IL-6, IL-8, IL-10, TNF-α and sIL-2R cytokine levels were determined. The significant decrease in number of stools and increase in stool consistency in the supplemented group was of little clinical relevance. The only significant change in pro- and anti-inflammatory cytokines was decreased TNF-α levels in the supplemented group. Prebiotic supplementation during acute diarrhea episodes did not influence the clinical course.

References

[1]  Guarner, F.; Malagelada, J.R. Gut flora in disease and health. Lancet?2003, 361, 512–519, doi:10.1016/S0140-6736(03)12489-0. 12583961
[2]  Harmsen, H.J.; Wildeboer-Veloo, A.C.; Raangs, G.C.; Wagendorp, A.A.; Klijn, N.; Bindels, J.; Welling, G.W. Analysis of intestinal flora development in breast fed and formula fed infants by using molecular identification and detection methods. J Pediatr Gastroenterol Nutr.?2000, 30, 61–67, doi:10.1097/00005176-200001000-00019. 10630441
[3]  Vos, A.P.; M’rabet, L.; Stahl, B.; Boehm, G.; Garssen, J. Immune modulatory effects and potential working mechanisms of orally applied non-digestible carbohydrates. Crit. Rev. Immunol.?2007, 27, 97–140, doi:10.1615/CritRevImmunol.v27.i2.10. 17725499
[4]  Boehm, G.; Stahl, B.; Garssen, J.; Bruzzese, E.; Moro, G.; Arslanoglu, S. Prebiotics in infant formulas: immune modulators during infancy. Nutrafoods?2005, 4, 51–57.
[5]  Field, C.J. The immunological components of human milk and their effect on immune development in infants. J. Nutr.?2005, 135, 1–4. 15623823
[6]  Steer, T.; Caroenter, T.K.; Gibson, G.R. Perspectives of the role of the human gut microbiota and its modulation by pro- and prebiotics. Nutr. Res. Rev.?2000, 13, 229–254, doi:10.1079/095442200108729089. 19087441
[7]  Gibson, G.R.; Roberforid, M.B. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J. Nutr.?1995, 125, 1401–1412. 7782892
[8]  Fang, Y.; Brent, P.D. Probiotics as functional food in the treatment of diarrhea. Curr. Opin. Clin. Nutr. Metab. Care.?2006, 9, 717–721, doi:10.1097/01.mco.0000247477.02650.51. 17053425
[9]  Michail, S.; Sylvester, F.; Fuchs, G.; Issenman, R. NASPGHAN Nutrition Report Committee. Clinical efficacy of probiotics: review of the evidence with focus on children. J. Pediatr. Gastroenterol Nutr.?2006, 45, 550–557.
[10]  Knol, J.; Scholtens, P.; Kafka, C.; Steenbakkers, J.; Gro, S.; Helm, K.; Klarczyk, M.; Sch?pfer, H.; B?ckler, H.M.; Wells, J. Colon microflora in infants fed formula with galacto- and fructo-oligosaccharides: more like breast fed infants. J. Pediatr. Gastroenterol Nutr.?2005, 40, 36–42, doi:10.1097/00005176-200501000-00007. 15625424
[11]  Oli, M.W.; Petschow, B.W.; Buddington, B.K. Evaluation of fructooligosaccharide supplementation of oral electrolyte solutions for treatment of diarrhea. Dig. Dis. Sci.?1998, 43, 138–147, doi:10.1023/A:1018892524790. 9508515
[12]  Brunser, O.; Gotteland, M.; Cruchet, S.; Figueroa, G.; Garrido, D.; Steenhout, P. Effect of a milk formula with prebiotics on the intestinal microbiota of infants after an antibiotic treatment. Pediatr. Res.?2006, 59, 451–456, doi:10.1203/01.pdr.0000198773.40937.61. 16492988
[13]  Boehm, G.; Fanaro, S.; Jelinek, J.; Stahl, B.; Marini, A. Prebiotic concept for infant nutrition. Acta Paediatr.?2003, 92, 64–67, doi:10.1111/j.1651-2227.2003.tb00648.x.
[14]  Guggenbichler, J.P.; De Bettignies-Dutz, A.; Meissner, P. Acidic oligosaccharides from natural sources block adherence of Escherichia coli on uroepithelial cells. Pharmacol. Lett.?1997, 7, 35–38.
[15]  Vos, A.P.; Haarman, M.; van Ginkel, J.W.; Knol, J.; Garssen, J.; Stahl, B.; Boehm, G.; M'Rabet, L. Dietary supplementation of neutral and acidic oligosaccharides enhances Th1 dependent vaccination responses in mice. Pediatr. Allergy Immunol.?2007, 18, 304–312, doi:10.1111/j.1399-3038.2007.00515.x. 17584310
[16]  Boehm, G.; Moro, G. Prebiotics in infant nutrition: structural and functional aspects. J. Nutr.?2008, 138, 1818s–1828s. 18716193
[17]  Vaisman, N.; Leibovitz, E.; Dagan, R.; Barak, V. The involvement of IL-6 and IL-8 in acute invasive gastroenteritis of children. Cytokine.?2003, 22, 194–197, doi:10.1016/S1043-4666(03)00177-7. 12890452
[18]  Raqib, R.; Wretlind, B.; Andersson, J.; Lindberg, A.A. Cytokine secretion in acute shigellosis is correlated to disease activity and directed more to stool than to plasma. J. Infect. Dis.?1995, 171, 376–384, doi:10.1093/infdis/171.2.376. 7531208
[19]  Hesse, D.G.; Tracey, K.J.; Fong, Y.; Manogue, K.R.; Palladino, M.A.; Cerami, A. Cytokine appearance in human endotoxemia and primate bacteremia. Surg. Gynecol. Obstet.?1988, 166, 147–153. 3122336
[20]  Van Niel, C.W.; Feudtner, C.; Garrison, M.M.; Christakis, D.A. Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis. Pediatrics?2002, 109, 678–684, doi:10.1542/peds.109.4.678. 11927715
[21]  Johnston, B.C.; Supina, A.L.; Ospina, M.; Vohra, S. Probiotics for the prevention of pediatric antibiotic-associated diarrhea. Cochrane Database Syst. Rev.?2007, 2, CD004827. 17443557
[22]  Costa-Ribeiro, H.; Riberio, T.C.M.; Mattos, A.P.; Valois, S.S.; Neri, D.A.; Almeida, P.; Cerqueira, C.M.; Ramos, E.; Young, R.J.; Vanderhoof, J.A. Limitations of probiotics therapy in acute, severe dehydration diarrhea. J. Pediatr. Gastrointest. Nutr.?2003, 36, 112–115, doi:10.1097/00005176-200301000-00021.
[23]  Sarker, S.A.; Sultana, S.; Fuchs, G.J.; Alam, N.H.; Azim, T.; Brüssow, H.; Hammarstr?m, L. Lactobacillus paracasei strain ST11 has no effect on rotavirus but ameliorates the outcome of nonrotavirus diarrhea in children from Bangladesh. Pediatrics?2005, 116, 212–218.
[24]  Szymznski, H.; Pejcz, J.; Jawien, M.; Chmielarczyk, A.; Strus, M.; Heczko, P.B. Treatment of acute infectious diarrhea in infants and children with a mixture of three lactobacillus rhamnosus strains- a randomized, double-blind, placebo-controlled trial. Aliment Pharmacol. Ther.?2006, 23, 247–253, doi:10.1111/j.1365-2036.2006.02740.x. 16393304
[25]  de Vrese, M.; Marteau, P.R. Probiotics and prebiotics: effect on diarrhea. J. Nutr.?2007, 137, 803s–811s. 17311979
[26]  Lewi, S.; Burmeistefr, S.; Brazier, J. Effect of the prebiotic oligofructose on relapse of Clostridium difficile-associated diarrhea: a randomized, controlled study. Clin. Gastroenterol.Hepatol.?2005, 3, 442–448, doi:10.1016/S1542-3565(04)00677-9. 15880313
[27]  Mizubuchi, H.; Yajima, T.; Aoi, N.; Tomita, T.; Yoshikai, Y. Isomalto-oligosaccharides polarize TH-1-like responses in intestinal and systemic immunity in mice. J. Nutr.?2005, 135, 2857–2861. 16317132
[28]  Moro, G.; Arslanoglu, S.; Stahl, B.M.; Jelinek, J.; Wahn, U.; Boehm, G. A mixture of prebiotic oligosaccharides reduces the incidence of atopic dermatitis during the first six months of age. Arch. Dis.Child.?2006, 91, 814–819, doi:10.1136/adc.2006.098251. 16873437
[29]  Eiwegger, T.; Stahl, B.; Schmitt, J.; Boehm, G.; Gerstmayr, M.; Pichler, J.; Dehlink, E.; Urbanek, R.; Szépfalusi, Z. Human milk derived oligosaccharides and plant derived oligosaccharides stimulate cytokine production of cord blood T-cells in vitro. Pediatr. Res.?2004, 56, 1–5, doi:10.1203/01.PDR.0000129184.87042.FC. 15152053

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