Abstract
Background
Asthma prevalence has been increasing, particularly among children and in populations transitioning to Western lifestyle. According to the hygiene hypothesis, early-life exposure to microorganisms may protect against asthma and other allergic conditions. Previous studies demonstrated that Saccharomyces cerevisiae UFMG A-905 reduce bronchial hyperresponsiveness, airway and lung inflammation, and restore IL-10 and IFN-γ. However, the underlying mechanisms remain unclear.
Objective
To investigate the potential pathways by which S. cerevisiae UFMG A-905 modulates asthma.
Materials and methods
Wild-type and Il17a⁻/⁻ mice were treated daily with live yeast or its supernatant (postbiotic) by oral gavage, starting ten days before OVA sensitization and maintained during sensitization and challenge. Control groups received saline. Lung tissues were analyzed by flow cytometry to assess dendritic cells and regulatory T cells. Gene expression of TLR-9, NLRP3, Dectin-1, and Mincle was quantified by qPCR. Short-, medium-, and long-chain fatty acids were measured in feces using gas chromatography, while gut cytokine were evaluated by ELISA.
Results
Treatment with S. cerevisiae UFMG A-905 led to an increase in CD11c⁺MHCII⁺CD11b⁺CD103⁻ dendritic cells, regulatory T cells (CD4⁺CD25⁺FOXP3⁺), and NLRP3 gene expression in the lung, and the fecal levels of dihomo-γ-linolenic acid. Neither gut cytokines nor OVA specific IgE were affected, and the supernatant did not significantly alter cell counts. The beneficial effects were partially dependent on IL-17A.
Conclusion
The effects observed with S. cerevisiae UFMG A-905 correlated with modulation of Th17, dendritic-cell and regulatory T-cell responses, upregulation of NLRP3, and increased fatty acid production, suggesting gut–lung axis involvement.
Supplementary Information
The online version contains supplementary material available at 10.1186/s12866-025-04660-7.
Keywords: Probiotics, Asthma, Prevention, S. cerevisiae UFMG A-905
Introduction
Asthma is a chronic disease and a global health problem with significant impacts on quality of life and economic burden, particularly in countries that have adopted a Western lifestyle and became more urbanized [1, 2]. This heterogeneous disease affects both children and adults and is characterized by airway hyperresponsiveness (AHR) and inflammation, bronchial remodeling, and variable airflow limitation, which can be reversible spontaneously or with treatment [3].
Several factors contribute to asthma development and severity, including obesity, sex, immune dysregulation, genetic predisposition, environmental and occupational exposure, tobacco smoke, diet, infections, and limited exposure to beneficial microbes [3]. Additionally, some studies demonstrated the importance of the microbiome and the complex interactions between the gut and lung [4, 5]. The mechanisms involved in the gut-lung axis are not well understood, but dendritic cells (DCs), pattern recognition receptors (PRRs), and fatty acids play important roles [6, 7]. According to the hygiene hypothesis, exposure to innocuous microorganisms may lower the risk of allergic disease and supports gut-targeted approaches to lung disease, including probiotics [8–10]. Most probiotic research has focused on Lactobacillus and Bifidobacterium genera, but other microorganisms, including Saccharomyces yeasts, have also been investigated [11–14].
Probiotics act via multiple mechanisms, such as enhancement of the intestinal barrier, prevention of intestinal adhesion of enteropathogens, production of antimicrobial substances and of short-chain fatty acids (SCFAs), suppression of NLRP3, interaction of Toll-like and C-type lectin receptors, alteration of the intestinal microbiota, expansion of regulatory T lymphocytes, and modulation of the immune system [6, 7, 14, 15]. Oral treatment with live probiotics attenuated major features of asthma via a Toll-like receptor 9–dependent mechanism and was associated with increased regulatory T cells [13, 16, 17]. C-type lectin receptors (e.g., Mincle, Dectin-1) can directly interact with probiotics, modulating innate and adaptive immune responses [18]. Probiotic strains, especially from the genera Bifidobacterium and Lactobacillus, can directly produce SCFAs or promote the production of endogenous SCFA-producing bacteria [5, 19]. Probiotics may also alter medium- (e.g., caproic, caprylic, capric, and dodecanoic) and long-chain fatty acids (palmitic, stearic, oleic, linoleic, α-linolenic acid, dihomo-γ-linolenic, and arachidonic acid) [20, 21].
In addition, metabolic products of probiotics (known as postbiotic) may also exert beneficial effect [22, 23]. Previous studies have shown that postbiotics are safe, have anti-inflammatory effects, and can improve chronic diarrhea in young adults [24–26]. Conversely, their benefits have not yet been demonstrated for other diseases, such as allergy [24, 25]. Given that the effects of probiotics are strain- and disease-specific, it is crucial to evaluate their mechanisms of action within the context of each specific disease [27].
Saccharomyces cerevisiae UFMG A-905 was isolated from “cachaça”, a traditional Brazilian sugarcane-distilled alcoholic beverage. It has been shown to prevent bacterial infections, experimental colitis and mucositis, and food allergy [15, 28–30]. S. cerevisiae UFMG A-905 reduced inflammation and improved clinical signs in acute ulcerative colitis [15]. In mucositis models, it preserved mucosal barrier integrity and reduced oxidative stress [31, 32]. In a prior food-allergy study, S. cerevisiae UFMG A-905 significantly attenuated tissue inflammation and myeloperoxidase activity, and these effects were dependent on yeast viability [33]. In an animal model, S. cerevisiae UFMG A-905 prevented asthma development in a dose-dependent manner and, with perinatal administration, prevented asthma-like characteristics in the offspring [14, 33, 34]. Moreover, bread fermented with this strain with live S. cerevisiae UFMG A-905 in alginate microcapsules reduced allergic features of asthma in mice [35]. However, the underlying mechanisms remain unclear. In the present study, we describe the potential mechanisms by which S. cerevisiae UFMG A-905 prevents asthma, including the induction of regulatory T cells, activation of Th17 responses, and increased production of fatty acids.
Methods
Probiotic yeast and postbiotic
The yeast S. cerevisiae UFMG A-905 belongs to the culture collection of Prof. Dr. Carlos Augusto Rosa, Laboratory of Yeast Ecology and Biotechnology, Federal University of Minas Gerais (Belo Horizonte, MG, Brazil). The yeast was stored at − 80 °C in medium containing 20% glycerol, 2% peptone, and 1% yeast extract. For all experiments, it was cultured in yeast extract–peptone–dextrose (YPD; 1% yeast extract, 1% peptone, 2% dextrose) at 37 °C for 24 h. The culture was then concentrated by centrifugation to obtain 109 colony-forming units (CFU)/mL. To obtain material for experiments with postbiotic, culture aliquots were centrifuged at 5,000 rpm for 5 min and the supernatant collected and reserved to be administered to the mice.
Animals
Specific pathogen–free (SPF) male BALB/c mice (5–6 weeks old) were used to assess lung dendritic cells and regulatory T cells, pulmonary gene expression, fecal long-, medium-, and SCFAs, and intestinal cytokines. In complementary experiments, Il17a⁻/⁻ mice on a C57BL/6 background were used to determine the contribution of IL-17A to the yeast’s mechanism. Animals came from the breeding facility of the Ribeirão Preto Medical School (FMRP-USP), Ribeirão Preto, SP, Brazil, and maintained in individual autoclaved cages per the treatment protocol. Food and water were autoclaved weekly and supplied ad libitum. Euthanasia was performed by intraperitoneal overdose of a combination of ketamine (300 mg/kg) and xylazine (30 mg/kg) followed by exsanguination. The study was approved by the FMRP-USP Ethics Committee on Animal Use (protocol no. 022/2011).
Experimental asthma model and administration of probiotics and postbiotic
Mice received two intraperitoneal sensitizations, 7 days apart, each with 10 μg ovalbumin (OVA; Sigma grade V, Sigma-Aldrich) plus 1 mg aluminum hydroxide [Al(OH)₃]. After 1 week, they were challenged intranasally with 50 μL OVA (10 μg) under light anesthesia for three consecutive days. Yeast suspension was given via gavage daily, starting 10 days before the first sensitization and continuing throughout the sensitization and challenge protocol (total of 28 days). Mice received 100 μL per day of a suspension containing 109 CFU/mL of S. cerevisiae UFMG A-905. A separate group received 100 μL of the culture supernatant (postbiotic). Control groups received PBS on the same days (Supplementary information, Figure S1). Experimental design was identical for BALB/c mice and Il17a⁻/⁻ mice.
Yeast recovery
Bronchoalveolar lavage (BAL) samples were collected and cultured on Sabouraud dextrose agar (Difco, Sparks, NV, USA) supplemented with 100 mg/L of chloramphenicol and incubated at 37 °C during 48 h to detect the presence of the yeast.
Collection of bronchoalveolar lavage and cell counting
Bronchoalveolar lavage (BAL) was collected by instilling and subsequently withdrawing 1 mL of cold saline via the tracheal cannula, and total and differential cell counts (macrophages, eosinophils, neutrophils, and lymphocytes) were subsequently performed [14, 36]. Total cell counts were measured by trypan blue exclusion. Subsequently, BAL samples were centrifuged using a Cytospin (Cytospin IV, Thermo Scientific, Runcorn, Cheshire, CT, USA), stained with the Quick Panoptic kit (Laborclin, Pinhais, PR, Brazil), and differential counts were obtained by analyzing 300 inflammatory cells per slide.
Tissue preparation for flow cytometer
Following BAL collection, the mice were euthanized, and their lungs, spleen, and mesenteric lymph nodes were excised. Lung tissue was cut into small fragments and digested with a solution containing 0.5 µg/mL of liberase (Liberase Blendzyme, Roche, IN, USA), 25 U/mL of deoxyribonuclease I (Dnase, Sigma-Aldrich, MO, USA), and RPMI-1640 (Sigma-Aldrich). After, the tissue was incubated, centrifuged, and 10⁶ cells were obtained. Mesenteric lymph nodes were processed in RPMI medium supplemented with 10% fetal bovine serum, penicillin (Gibco, New York, NY, USA), and streptomycin (Gibco). The spleen was first fragmented and then processed in RPMI as described. After centrifugation, a cell suspension was obtained at a concentration of 10⁶ cells/mL.
Flow cytometer
Cell suspensions from the lungs, spleen, and mesenteric lymph nodes (1 × 106 cells) were incubated for 40 min at 4 °C with Fc Blocktm (BD Biosciences, Sao Jose, CA, USA) and for an additional 10 min at 4 °C with monoclonal antibodies. The following monoclonal antibodies were used: anti-CD11b (M1/70), anti-CD11c (HL3), anti-CD4 (H129.19), anti-CD25 (3C7), and anti-Foxp3 (FJK-16) from BD Biosciences (Sao Jose, CA, USA), and anti-MHCII (I-Ab/9/25/17), anti-CD103 (2E7) from Biolegend (San Diego, CA, USA). Antibody clones are listed in Table 1. Samples were acquired using a BD FACSCANTO II cytometer (BD Biosciences, Sao Jose, CA, USA). A total of 100,000 events per sample were collected and analyzed according to size, granularity, and fluorescence intensity using FlowJo software (Becton Dickinson and Company, Franklin Lakes, NJ, USA).
Table 1.
Antibodies used in flow cytometry assay
| Population | Antibodies | Clone | Manufacture |
|---|---|---|---|
| Lymphocytes | CD4 (FITC) | H129.19 | BD Bioscience, USA |
| CD25(PE) | 3C7 | BD Bioscience, USA | |
| FOXP3(APC) | FJK-16 | BD Bioscience, USA | |
| Dendritic Cells | CD11c APC | HL3 | BD Bioscience, USA |
| CD11b Pe Cy7 | M1/70 | BD Bioscience, USA | |
| CD103 Pe | 2E 7 | BioLegend, USA | |
| MHC Fitc | M5/114.152 | BioLegend, USA |
Cytokine analysis in the ileum and cecum
After thoroughly washing the ileum and cecum with cold PBS to remove luminal contents, the tissues were weighed and measured. Each sample was then homogenized in 1 mL of PBS containing a protease inhibitor cocktail (Complete Inhibitor, Roche Diagnostics, Laval, Canada). The resulting supernatant was collected and used for cytokine quantification. Levels of IL-10, IL-13, and IL-17A were quantified using the BD OptEIA™ set (BD Biosciences) according to the manufacturer's instructions.
Measurement of OVA-specific IgE levels
Serum was collected, and OVA-specific IgE levels were measured as previously described [14]. Briefly, plates were OVA-coated (overnight, 4 °C), washed (PBS/0.05% Tween-20), and blocked (PBS/10% FBS). Serum (1:1 with blocking buffer) was added, followed by biotinylated antibody (1:1000) and streptavidin-HRP (1:250). Color was developed with TMB, stopped with 16% H₂SO₄, and read at 450 nm; results were reported as optical density.
Fatty acids quantification
Short-, medium-, and long-chain fatty acids were measured in fecal samples using a gas chromatographic method (GC-2014, SHIMADZU, Columbia, MD, USA). Fatty acids were extracted in Milli-Q water, followed by direct injection into a flame ionization detector using a silica capillary column (6890N GC, Agilent, Folsom, CA, USA). Helium was used as the carrier gas at a flow rate of 1.0 mL/min. The procedures were adapted from Zhao, Nyman et al., and Lu, Fan et al. [37, 38]. The nomenclature of fatty acids analyzed is listed in Table S1 (Supplementary information).
Gene expression analysis by qPCR
Total RNA was extracted from the lung tissue using a commercial RNA extraction kit, and cDNA was synthesized using reverse transcriptase. Gene expression was quantified by qPCR using Power SYBR® Green PCR Master Mix (Applied Biosystems, Foster City, CA, USA). Real-time PCR was performed on the StepOnePlus Real Time PCR System (Applied Biosystems) as previously described [32]. Results were analyzed based on the cycle threshold (CT), and relative gene expression was calculated using the 2−ΔΔCT method, where ΔΔCT = ΔΔCt (sample)—ΔΔCt (control), and ΔCt = Ct (target gene) – Ct (HPRT, normalizer). Primers were used for the following genes: TLR-9, NLRP3, Mincle, Dectin-1, and HPRT. Primer sequences are listed in Table S2 (Supplementary information).
Statistical analysis
Categorical variables are reported as percentages, and continuous data are presented as box-and-whisker plots (median, IQR; Tukey whiskers). Between-group comparisons used one-way or two-way ANOVA, followed by Bonferroni or Tukey post hoc tests as appropriate. A two-sided p < 0.05 was considered statistically significant. GraphPad Prism 5 (GraphPad Software, Inc., San Diego, CA, USA) was used for data analysis.
Results
S. cerevisiae UFMG A-905 increased dendritic cells and regulatory T cells in lung tissue
First, we examined whether S. cerevisiae UFMG A-905 was associated with changes in dendritic cells and regulatory T cells. The number of CD11c⁺MHCII⁺CD11b⁺CD103⁻ DCs in lung tissue was significantly higher in OVA/PBS group compared to SAL/PBS group (p < 0.001). The administration of S. cerevisiae UFMG A-905 significantly increased the number of CD11c⁺MHCII⁺CD11b⁺CD103⁻ DCs in lung tissue compared to OVA/PBS group (p < 0.01; Fig. 1D). No significant difference was observed in the number of CD11c⁺MHCII⁺CD11b⁻CD103⁺ DCs in lung tissue among groups (p > 0.05; Fig. 1C). Additionally, the administration of S. cerevisiae UFMG A-905 significantly increased the percentage of regulatory T lymphocytes (CD4+CD25+FOXP3+) in the lungs compared to OVA/PBS group (p < 0.05; Fig. 1G). There were no significant differences in the percentage of regulatory T lymphocytes (CD4⁺CD25⁺FOXP3⁺) among groups in the mesenteric lymph nodes and spleen (Supplementary Information, Figure S2). The gating strategy with representative images for flow cytometry analysis is shown in Fig. 1 (panels A-B and E–F).
Fig. 1.
Saccharomyces cerevisiae UFMG A-905 administration increases the number of CD11c⁺MHCII⁺CD11b⁺CD103⁻ dendritic cells and the percentage of regulatory T cells in lung tissue. Dendritic and regulatory cells were analyzed by flow cytometer. (A-B) Gating strategy used to identify dendritic cells. (C-D) Quantitative analysis of dendritic cells. (E-F) Gating strategy used to identify regulatory T cells. (G) Quantitative analysis of regulatory T cells. Values are shown as box-and-whisker plots (n = 8). *p < 0.05; **p < 0.01; SAL/PBS: BALB/c mice sensitized and challenged with saline, received PBS; OVA/PBS: BALB/c mice sensitized and challenged with ovalbumin (OVA), received PBS; OVA/Sac: BALB/c mice sensitized and challenged with OVA, received S. cerevisiae UFMG A-905
S. cerevisiae UFMG A-905 increased NLRP3 expression in lung tissue
Next, we assessed the association between S. cerevisiae UFMG A-905 and the expression of key innate immune receptors: NLRP3 (inflammasome), TLR9 (TLR), and the C-type lectin receptors Dectin-1 and Mincle. The expression of TLR-9 and NLRP3 was significantly decreased in the OVA/PBS group compared to SAL/PBS group (p < 0.05). The administration of S. cerevisiae UFMG A-905 significantly increased NLRP3 expression compared to OVA/PBS group (p < 0.05). The expression of TLR-9, Dectin-1, and Mincle in lung tissue was not significantly altered by S. cerevisiae UFMG A-905 (Fig. 2).
Fig. 2.
Effect of Saccharomyces cerevisiae UFMG A-905 on TLR-9 (A), NLRP3 (B), Dectin-1 (C), and Mincle (D) expression in lung tissue. Gene expression was performed by real-time-PCR. Values are shown as box-and-whisker plots (n = 7) * p < 0.05; SAL/PBS: BALB/c mice sensitized and challenged with saline, received PBS; OVA/PBS: BALB/c mice sensitized and challenged with ovalbumin (OVA), received PBS; OVA/Sac: BALB/c mice sensitized and challenged with OVA, received S. cerevisiae UFMG A-905
Effect of S. cerevisiae UFMG A-905 on fecal fatty acid production
After assessing associations with dendritic cells (DCs), Tregs, and gene expression, we evaluated whether administration of S. cerevisiae UFMG A-905 alters short-, medium-, and long-chain fatty acids. The levels of fecal fatty acids are shown in Fig. 3. There were no significant differences in the percentages of SCFAs (acetate, propionate, and butyrate) among the groups (p > 0.05). In OVA/PBS group, the percentage of dodecanoic acid and dihomo-γ-linolenic acid was significantly reduced, while oleic acid was significantly increased compared to SAL/PBS group (p < 0.001). The administration of S. cerevisiae UFMG A-905 significantly increased the percentage of dihomo-γ-linolenic acid and significantly decreased the percentage of dodecanoic acid and oleic acid, compared to OVA/PBS group (p < 0.05). No significant differences were observed in the levels of arachidonic acid, stearic acid, and palmitic acid among the groups (p > 0.05).
Fig. 3.
Saccharomyces cerevisiae UFMG A-905 increased the fecal percentage of dihomo-γ-linolenic acid and decreased the percentage of dodecanoic acid and oleic acid. Fatty acids were measured in fecal samples using a gas chromatographic method. (A-C) Short-chain fatty acids. (D) Medium-chain fatty acid. (E-I) Long-chain fatty acids. Values are shown as box-and-whisker plots (n = 8). * p < 0.05; **p < 0.001; SAL/PBS: BALB/c mice sensitized and challenged with saline, received PBS; OVA/PBS: BALB/c mice sensitized and challenged with ovalbumin (OVA), received PBS; OVA/Sac: BALB/c mice sensitized and challenged with OVA, received S. cerevisiae UFMG A-905
The effects of S. cerevisiae UFMG A-905 were partially dependent on IL-17
Because S. cerevisiae UFMG A-905 raised IL-17A levels, we further tested dependency on IL-17A using Il17a⁻/⁻ mice. In wild-type mice, OVA challenge resulted in a significant increase in total cell counts, eosinophil and lymphocytes numbers compared to SAL/PBS group (p < 0.001; p < 0.0001; p < 0.05, respectively). In contrast, Il17a⁻/⁻ mice showed no significant differences in total cell counts, eosinophils, or lymphocytes compared to SAL/PBS group (p > 0.05). The administration of S. cerevisiae UFMG A-905 significantly reduced the number of eosinophils compared to the OVA challenge group in wild-type mice, but not in Il17a⁻/⁻ mice. No significant differences were observed in the numbers of macrophage, lymphocyte, and neutrophils in either wild-type or Il17a⁻/⁻ mice when compared to the OVA/PBS group (Fig. 4). Compared to OVA/PBS group, administration of S. cerevisiae UFMG A-905 led to a significant reduction in IL-13 levels in wild-type mice, but not in Il17a⁻/⁻ mice (Fig. 4).
Fig. 4.
Effects of Saccharomyces cerevisiae UFMG A-905 on airway total and differential cell counts and IL-13 levels in BALB/c wild-type and C57BL/6 Il17a⁻/⁻ mice. (A) Total cell counts. (B-E) Differential cell counts. (F) IL-13 levels. Values are shown as box-and-whisker plots (n = 8). *p < 0.05; **p < 0.01; ***p < 0.001; SAL/PBS: mice sensitized and challenged with saline, received PBS; OVA/PBS: mice sensitized and challenged with ovalbumin (OVA), received PBS; OVA/Sac: mice sensitized and challenged with OVA, received S. cerevisiae UFMG A-905
Serum levels of OVA-Specific IgE
OVA challenge resulted in a significant increase in OVA-specific IgE levels in both wild-type and Il17a⁻/⁻ mice compared to SAL/PBS group. Administration of S. cerevisiae UFMG A-905 did not significantly alter OVA-specific IgE levels in either group (Supplementary information, Figure S3).
Yeast recovery in the BAL and cytokine levels in the ileum and cecum
Next, considering the gut–lung axis, we evaluated whether S. cerevisiae UFMG A-905 altered cytokine levels in the gut and whether the yeast was present in the BAL. No yeast growth was detected in the BAL. The levels of IL-10, IL-13, and IL-17A in the ileum and cecum did not change significantly among groups (Supplementary information, Figure S4).
Postbiotic of S. cerevisiae UFMG A-905 supernatant did not change airway inflammation
Finally, to test whether the observed effects required live S. cerevisiae UFMG A-905 rather than yeast-derived products, we examined a postbiotic preparation. The numbers of total cells, eosinophils, and lymphocytes were significantly increased in the BAL of OVA/PBS group compared to SAL/PBS group (p < 0.01, p < 0.0001, and p < 0.05, respectively). The administration of S. cerevisiae UFMG A-905 supernatant did not significantly alter the numbers of total cells, eosinophils, macrophages, lymphocytes, and neutrophils in the BAL (Fig. 5; p > 0.05).
Fig. 5.
Postbiotic derived from Saccharomyces cerevisiae UFMG A-905 did not change the airway cellular response. (A) Total cell counts. (B-E) Differential cell counts. Values are shown as box-and-whisker plots (n = 8). * p < 0.05; **p < 0.01; ****p < 0.0001; SAL/PBS: BALB/c mice sensitized and challenged with saline, received PBS; OVA/PBS: BALB/c mice sensitized and challenged with ovalbumin (OVA), received PBS; OVA/Sac: BALB/c mice sensitized and challenged with OVA, received S. cerevisiae UFMG A-905
Discussion
S. cerevisiae UFMG A-905 attenuates asthma-like features, including bronchial hyperresponsiveness, airway and lung inflammation, and mucus production, in a dose-dependent manner, and also confers protection in offspring [14, 33, 34]. In this study, we demonstrate that S. cerevisiae UFMG A-905 exerts its effects through multiple mechanisms, including immune modulation, inflammasome activation, and enhanced anti-inflammatory fatty acid production.
The administration of S. cerevisiae UFMG A-905 increased regulatory T cells (CD4+CD25+FOXP3+) and dendritic cells (CD11c⁺MHCII⁺CD11b⁺CD103⁻) in the lungs. Regulatory T cells are a well-described hallmark response to several probiotics. Consistent with this, S. cerevisiae UFMG A-905 also enhanced the production of the anti-inflammatory cytokine IL-10 [30]. Since regulatory T cells are a major source of IL-10, this association may represent one mechanism of action. Although regulatory T cells increased in the lungs, no significant changes were detected in the mesenteric lymph nodes or spleen. Similarly, the levels of IL-10, IL-13, and IL-17 in the ileum and cecum remained unaltered. These findings suggest that the anti-inflammatory effect of S. cerevisiae UFMG A-905 was initiated in the gut but manifests locally in the lungs.
Regulatory T cells (Tregs) regulate both innate and adaptive immune responses. The major subpopulations relevant to asthma are natural (thymic; nTregs) and induced (peripheral; iTregs), which suppress type-2 and type-17 airway inflammation, promote tolerance and resolution, and limit airway hyperresponsiveness and remodeling. T follicular regulatory (Tfr) cells are another Treg subset that controls allergic responses. Additional populations include type 1 regulatory T cells (Th1‐like Tregs) involved in allergen tolerance and Th17-like Tregs implicated in Th17-driven inflammation [39, 40]. Further studies are needed to determine which Treg subpopulation(s) mediate the effects of S. cerevisiae UFMG A-905.
Dendritic cells (e.g., CD11c⁺CD11b⁺CD103⁻) have been associated with the stimulation of chemokines and cytokines, as well as the modulation of specific cell subsets. Under allergic inflammation, they contribute to the induction of Th2 and Treg response profiles [41]. A recent study characterized this cell population as CD11b⁺CD24⁺ and linked this phenotype to a Th17-type response upon challenge with Aspergillus fumigatus [41]. In our study, the administration of S. cerevisiae UFMG A-905 led to an increase in the phenotypic population of CD11c⁺MHCII⁺CD11b⁺CD103⁻ DC. The precise role of this DC phenotype in the lung remains unclear, and additional studies using an expanded panel (e.g., CD64, CD24, XCR1, Ly6C, Siglec-F) and functional assays (cytokine production; DC–T-cell co-culture) are needed to define and test this subset’s function. However, the increase of this population in the OVA/PBS group suggests that OVA stimulus, in conjunction with the pulmonary microenvironment, may have promoted DC activation and receptor engagement, leading to the induction of a Th2-type response. Interestingly, a further increase in this DC phenotype was observed following S. cerevisiae UFMG A-905 administration, which could reflect yeast-driven stimulation in the gut with downstream modulation via the gut–lung axis. We hypothesize that improvement in asthma characteristics may be mediated by the simultaneous induction of Treg and Th17 responses, leading to a decrease in the Th2 response [42].
While many studies link NLRP3 inflammasome upregulation to asthma severity [43], other reports diverge. A previous study evaluated four allergic asthma models (acute and chronic OVA and house dust mite) and observed only a modest and selected role for NLRP3 in one model, in the alum-free OVA model [44]. Another study reported that their model did not require NLRP3 activation or the interleukin-1 signaling axis [45]. In helminth infection models, classically type 2 immunity, the NLRP3 inflammasome exhibited differential roles during the innate and adaptive phases [46, 47]. Potential explanations include differences in antigen type and concentration, route and timing of administration, and host microbiome [43]. Of note, S. cerevisiae UFMG A-905 stimulated the expression of NLRP3, a cytoplasmic multiprotein complex activated by PAMPs and DAMPs. NLRP3 is involved in the cleavage of IL-1β, IL-18, and Caspase-1, triggering a pro-inflammatory response [48]. Gross et al. demonstrated that cells stimulated with Candida albicans and S. cerevisiae can induce NLRP3 expression via SYK signaling pathway [49]. Therefore, the presence of S. cerevisiae UFMG A-905 in the gut may have contributed to the activation of inflammasomes in our model.
Previous studies have demonstrated that the increased SCFAs production is one possible mechanism of action for probiotics. Schneider et al. demonstrated that Saccharomyces boulardii administration in patients receiving enteral nutrition presented increased levels of butyrate and total fatty acids in the feces [50]. In our study, oral administration of S. cerevisiae UFMG A-905 did not increase SCFAs levels in the feces. However, we cannot rule out the possibility that the levels were increased in the serum, but not detectable in the feces. Interestingly, S. cerevisiae UFMG A-905 increased the levels of the long-chain fatty acid dihomo-γ-linolenic acid, which serves as a substrate for cyclooxygenase (COX) enzymes and a precursor of prostaglandin E1, a molecule known for its anti-inflammatory effects [51, 52]. Consistent with our results, reduced dihomo-γ-linolenic acid levels have been observed in a house dust mite model of asthma [53]. Dihomo-γ-linolenic acid has been reported to be inversely associated with lung function and bronchial hyperresponsiveness [54, 55]. Potential mechanisms include changes in prostaglandin E1 production, relaxation of bronchial smooth muscle, and modulation of arachidonic acid–derived cysteinyl leukotrienes [52, 54, 56]. To establish a causal role for the potential beneficial effect of dihomo-γ-linolenic acid, further studies using exogenous administration are needed to determine whether it can mimic the yeast’s protective effects.
Subsequently, we used Il17a⁻/⁻ mice to evaluate its role in the mechanism of action of S. cerevisiae UFMG A-905. In wild-type C57BL/6 mice, administration of S. cerevisiae UFMG A-905 significantly reduced eosinophil counts and IL-13 levels. In contrast, in Il17a⁻/⁻ mice, S. cerevisiae UFMG A-905 did not reduce eosinophil numbers or IL-13 levels, suggesting that its effects are partially dependent on IL-17A. These findings support our hypothesis that the Th17 response stimulated by S. cerevisiae UFMG A-905 contributes to the reduction of key features of asthma. Finally, postbiotic administration did not alter airway inflammation, reinforcing the necessity of live yeast, rather than its metabolic products alone, to reduce airway cellular responses [57]. However, as the postbiotic was not evaluated in further experiments, we cannot rule out effects on other aspects of allergic responses.
Limitations of this study
This study has several limitations. First, most experiments used BALB/c mice, and to investigate the role of IL-17A, we used a C57BL/6 background, which introduces potential strain-specific immune differences. However, we do not directly compare BALB/c with C57BL/6, and the IL-17A effects are inferred within the C57BL/6 background. In addition, we did not evaluate other knockout models, nor did we measure SCFAs in mouse serum. Moreover, cytokine quantification and gene expression were performed only in one time point; ideally, measurements would have been conducted at multiple time points, prior to sensitization, during, and following the administration of S. cerevisiae UFMG A-905. Third, because gene expression was measured in whole-lung tissue, we cannot comprehensively determine which pathways are up- or down-regulated. Further experiments focusing on defined cell populations or signaling pathways are needed. Fourth, although dihomo-γ-linolenic acid has emerged as a potential anti-inflammatory fatty acid, we did not investigate its isolated effect either in vivo or in vitro studies. Fifth, we measured only NLRP3 gene expression, and assessment of upstream or downstream markers would also be important to corroborate inflammasome activation. Another important limitation is the inherent challenge of translating findings from animal models to human asthma, as differences in immune responses and disease complexity may limit direct clinical applicability. Additionally, although we previously showed that S. cerevisiae UFMG A-905 prevented asthma-like characteristics in both male and female offspring [34], the current experiments were conducted exclusively in male mice, which could introduce a sex bias. Finally, under the 3Rs principles, we did not include a saline-sensitized control group receiving S. cerevisiae UFMG A-905. However, preliminary results (data not shown) indicated no significant effect of the yeast in this control group.
Conclusion
The effects of S. cerevisiae UFMG A-905 in a murine asthma model correlated with multiple mechanisms. These include the stimulation of Th17, dendritic-cell and regulatory T-cell responses, upregulation of NLRP3 expression, and increased production of dihomo-γ-linolenic acid. Additionally, the absence of detectable local effects in the gut suggests the involvement of the gut–lung axis in these outcomes.
Supplementary Information
Acknowledgements
This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001 and by the National Council for Scientific and Technological Development (CNPq), Brazil. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Authors’ contributions
Conceptualization: Vanessa M. B. Fonseca, Alceu A. Jordão Junior, Jacques R. Nicoli, Flaviano S. Martins, and Marcos C. Borges; Methodology: Vanessa M. B. Fonseca, Camila M. Sandy, Camila C. Guimarães, Alceu A. Jordão Junior, and Marcos C. Borges; Data collection and analysis: Vanessa M. B. da Fonseca, Camila M. Sandy, Camila C. Guimarães, Alceu A. Jordão Junior, Jacques R. Nicoli, Flaviano S. Martins, and Marcos C. Borges; Writing original draft preparation: Vanessa M. B. Fonseca and Marcos C. Borges; Writing review and editing: Vanessa M. B. Fonseca, Camila M. Sandy, Camila C. Guimarães, Alceu A. Jordão Junior, Jacques R. Nicoli, Flaviano S. Martins, and Marcos C. Borges. All authors read and approved the final manuscript.
Data availability
The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Declarations
Ethics approval and consent to participate
The study was approved by the Ethics Committee on Animal Use of the Ribeirão Preto Medical School, University of São Paulo (FMRP-USP) (protocol no. 022/2011).
Consent to publication
Not applicable.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Brigham EP, Kolahdooz F, Hansel N, Breysse PN, Davis M, Sharma S, et al. Association between Western diet pattern and adult asthma: a focused review. Ann Allergy Asthma Immunol. 2015;114(4):273–80. 10.1016/j.anai.2014.11.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Zhang P. The role of diet and nutrition in allergic diseases. Nutrients. 2023. 10.3390/nu15173683. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Porsbjerg C, Melen E, Lehtimaki L, Shaw D. Asthma. Lancet. 2023;401(10379):858–73. 10.1016/S0140-6736(22)02125-0. [DOI] [PubMed] [Google Scholar]
- 4.Anand S, Mande SS. Diet, microbiota and gut-lung connection. Front Microbiol. 2018;9:2147. 10.3389/fmicb.2018.02147. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Wang Z, Yu J, Liu Y, Gong J, Hu Z, Liu Z. Role of the microbiota-gut-lung axis in the pathogenesis of pulmonary disease in children and novel therapeutic strategies. Front Immunol. 2025;16:1636876. 10.3389/fimmu.2025.1636876. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Liu Y, Zhou Y, Zhang H, Zhao K, Yang D. Gut-lung axis mediates asthma pathogenesis: roles of dietary patterns and their impact on the gut microbiota. Exp Mol Pathol. 2025;142:104964. 10.1016/j.yexmp.2025.104964. [DOI] [PubMed] [Google Scholar]
- 7.Halloran K, Underwood MA. Probiotic mechanisms of action. Early Hum Dev. 2019;135:58–65. 10.1016/j.earlhumdev.2019.05.010. [DOI] [PubMed] [Google Scholar]
- 8.Bach JF. The hygiene hypothesis in autoimmunity: the role of pathogens and commensals. Nat Rev Immunol. 2018;18(2):105–20. 10.1038/nri.2017.111. [DOI] [PubMed] [Google Scholar]
- 9.Budden KF, Gellatly SL, Wood DL, Cooper MA, Morrison M, Hugenholtz P, et al. Emerging pathogenic links between microbiota and the gut-lung axis. Nat Rev Microbiol. 2017;15(1):55–63. 10.1038/nrmicro.2016.142. [DOI] [PubMed] [Google Scholar]
- 10.Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, et al. Expert consensus document. The International Scientific Association for Probiotics and Prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nat Rev Gastroenterol Hepatol. 2014;11(8):506–14. 10.1038/nrgastro.2014.66. [DOI] [PubMed] [Google Scholar]
- 11.Lopez-Santamarina A, Gonzalez EG, Lamas A, Mondragon ADC, Regal P, Miranda JM. Probiotics as a possible strategy for the prevention and treatment of allergies. A narrative review. Foods. 2021. 10.3390/foods10040701. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Abid R, Waseem H, Ali J, Ghazanfar S, Muhammad Ali G, Elasbali AM, et al. Probiotic yeast saccharomyces: back to nature to improve human health. J Fungi. 2022. 10.3390/jof8050444. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.MacSharry J, O’Mahony C, Shalaby KH, Sheil B, Karmouty-Quintana H, Shanahan F, et al. Immunomodulatory effects of feeding with Bifidobacterium longum on allergen-induced lung inflammation in the mouse. Pulm Pharmacol Ther. 2012;25(4):325–34. 10.1016/j.pupt.2012.05.011. [DOI] [PubMed] [Google Scholar]
- 14.Fonseca VMB, Milani TMS, Prado R, Bonato VLD, Ramos SG, Martins FS, et al. Oral administration of Saccharomyces cerevisiae UFMG A-905 prevents allergic asthma in mice. Respirology. 2017;22(5):905–12. 10.1111/resp.12990. [DOI] [PubMed] [Google Scholar]
- 15.Tiago FC, Porto BA, Ribeiro NS, Moreira LM, Arantes RM, Vieira AT, et al. Effect of Saccharomyces cerevisiae strain UFMG A-905 in experimental model of inflammatory bowel disease. Benef Microbes. 2015;6(6):807–15. 10.3920/BM2015.0018. [DOI] [PubMed] [Google Scholar]
- 16.Karimi K, Inman MD, Bienenstock J, Forsythe P. Lactobacillus reuteri-induced regulatory T cells protect against an allergic airway response in mice. Am J Respir Crit Care Med. 2009;179(3):186–93. 10.1164/Rccm.200806-951oc. [DOI] [PubMed] [Google Scholar]
- 17.Forsythe P, Inman MD, Bienenstock J. Oral treatment with live Lactobacillus reuteri inhibits the allergic airway response in mice. Am J Respir Crit Care Med. 2007;175(6):561–9. 10.1164/Rccm.200606-821oc. [DOI] [PubMed] [Google Scholar]
- 18.Peters K, Peters M. The role of lectin receptors and their ligands in controlling allergic inflammation. Front Immunol. 2021;12:635411. 10.3389/fimmu.2021.635411. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Mann ER, Lam YK, Uhlig HH. Short-chain fatty acids: linking diet, the microbiome and immunity. Nat Rev Immunol. 2024;24(8):577–95. 10.1038/s41577-024-01014-8. [DOI] [PubMed] [Google Scholar]
- 20.Ling H, Liu R, Sam QH, Shen H, Chai LYA, Chang MW. Engineering of a probiotic yeast for the production and secretion of medium-chain fatty acids antagonistic to an opportunistic pathogen Candida albicans. Front Bioeng Biotechnol. 2023;11:1090501. 10.3389/fbioe.2023.1090501. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Pujo J, Petitfils C, Le Faouder P, Eeckhaut V, Payros G, Maurel S, et al. Bacteria-derived long chain fatty acid exhibits anti-inflammatory properties in colitis. Gut. 2021;70(6):1088–97. 10.1136/gutjnl-2020-321173. [DOI] [PubMed] [Google Scholar]
- 22.Isaac-Bamgboye FJ, Mgbechidinma CL, Onyeaka H, Isaac-Bamgboye IT, Chukwugozie DC. Exploring the potential of postbiotics for food safety and human health improvement. J Nutr Metab. 2024;2024:1868161. 10.1155/2024/1868161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Shi J, Wang Y, Cheng L, Wang J, Raghavan V. Gut microbiome modulation by probiotics, prebiotics, synbiotics and postbiotics: a novel strategy in food allergy prevention and treatment. Crit Rev Food Sci Nutr. 2024;64(17):5984–6000. 10.1080/10408398.2022.2160962. [DOI] [PubMed] [Google Scholar]
- 24.Zdybel K, Sliwka A, Polak-Berecka M, Polak P, Wasko A. Postbiotics formulation and therapeutic effect in inflammation: a systematic review. Nutrients. 2025;17(13). 10.3390/nu17132187. [DOI] [PMC free article] [PubMed]
- 25.Liang X, Li Y, Zhao Z, Ding R, Sun J, Chi C. Safety and efficacy of adding postbiotics in infant formula: a systematic review and meta-analysis. Pediatr Res. 2024;95(1):43–51. 10.1038/s41390-023-02813-w. [DOI] [PubMed] [Google Scholar]
- 26.Guo S, Ma T, Kwok LY, Quan K, Li B, Wang H, et al. Effects of postbiotics on chronic diarrhea in young adults: a randomized, double-blind, placebo-controlled crossover trial assessing clinical symptoms, gut microbiota, and metabolite profiles. Gut Microbes. 2024;16(1):2395092. 10.1080/19490976.2024.2395092. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.McFarland LV, Evans CT, Goldstein EJC. Strain-specificity and disease-specificity of probiotic efficacy: a systematic review and meta-analysis. Front Med. 2018;5:124. 10.3389/fmed.2018.00124. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Miranda VC, Santos SS, Assis HC, Faria AMC, Quintanilha MF, Morao RP, et al. Effect of Saccharomyces cerevisiae UFMG A-905 in a murine model of food allergy. Benef Microbes. 2020;11(3):255–68. 10.3920/BM2019.0113. [DOI] [PubMed] [Google Scholar]
- 29.Martins FS, Rodrigues ACP, Tiago FCP, Penna FJ, Rosa CA, Arantes RME, et al. Saccharomyces cerevisiae strain 905 reduces the translocation of Salmonella enterica serotype Typhimurium and stimulates the immune system in gnotobiotic and conventional mice. J Med Microbiol. 2007;56(3):352–9. 10.1099/jmm.0.46525-0. [DOI] [PubMed] [Google Scholar]
- 30.Generoso SV, Viana M, Santos R, Martins FS, Machado JA, Arantes RM, et al. Saccharomyces cerevisiae strain UFMG 905 protects against bacterial translocation, preserves gut barrier integrity and stimulates the immune system in a murine intestinal obstruction model. Arch Microbiol. 2010;192(6):477–84. 10.1007/s00203-010-0574-8. [DOI] [PubMed] [Google Scholar]
- 31.Bastos RW, Pedroso SH, Vieira AT, Moreira LM, França CS, Cartelle CT, et al. Saccharomyces cerevisiae UFMG A-905 treatment reduces intestinal damage in a murine model of irinotecan-induced mucositis. Benef Microbes. 2016;7(4):549–57. 10.3920/BM2015.0190. [DOI] [PubMed] [Google Scholar]
- 32.Porto BAA, Monteiro CF, Souza É, Leocádio PCL, Alvarez-Leite JI, Generoso SV, et al. Treatment with selenium-enriched Saccharomyces cerevisiae UFMG A-905 partially ameliorates mucositis induced by 5-fluorouracil in mice. Cancer Chemother Pharmacol. 2019;84(1):117–26. 10.1007/s00280-019-03865-8. [DOI] [PubMed] [Google Scholar]
- 33.Milani TMS, Sandy CM, Calazans A, Silva RQ, Fonseca VMB, Martins FS, et al. Dose-response effect of Saccharomyces cerevisiae UFMG A-905 on the prevention of asthma in an animal model. Probiotics Antimicrob Proteins. 2022. 10.1007/s12602-022-10014-w. [DOI] [PubMed] [Google Scholar]
- 34.Sandy CM, Guimaraes CC, Fonseca VMB, Nicoli JR, Martins FS, Borges MC. Perinatal administration of Saccharomyces cerevisiae UFMG A-905 prevents asthma development in the offspring of mice. Benef Microbes. 2024:1–10. 10.1163/18762891-bja00044. [DOI] [PubMed]
- 35.Calazans A, Milani TMS, Prata AS, Clerici M, Nicoli JR, Martins FS, et al. A functional bread fermented with Saccharomyces cerevisiae UFMG A-905 prevents allergic asthma in mice. Curr Dev Nutr. 2024;8(4):102142. 10.1016/j.cdnut.2024.102142. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Borges MC, Narayanan V, Iozzo RV, Ludwig MS. Deficiency of decorin induces expression of Foxp3 in CD4(+)CD25(+) T cells in a murine model of allergic asthma. Respirology. 2015;20(6):904–11. 10.1111/resp.12485. [DOI] [PubMed] [Google Scholar]
- 37.Zhao G, Nyman M, Jönsson JA. Rapid determination of short-chain fatty acids in colonic contents and faeces of humans and rats by acidified water-extraction and direct-injection gas chromatography. Biomed Chromatogr. 2006;20(8):674–82. 10.1002/bmc.580. [DOI] [PubMed] [Google Scholar]
- 38.Ney LM, Wipplinger M, Grossmann M, Engert N, Wegner VD, Mosig AS. Short chain fatty acids: key regulators of the local and systemic immune response in inflammatory diseases and infections. Open Biol. 2023;13(3):230014. 10.1098/rsob.230014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Harb H, Chatila TA. Regulatory t-cells in asthma. Curr Opin Allergy Clin Immunol. 2023;23(2):151–7. 10.1097/ACI.0000000000000887. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Conrad ML, Barrientos G, Cai X, Mukherjee S, Das M, Stephen-Victor E, et al. Regulatory T cells and their role in allergic disease. Allergy. 2025;80(1):77–93. 10.1111/all.16326. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Mildner A, Jung S. Development and function of dendritic cell subsets. Immunity. 2014;40(5):642–56. 10.1016/j.immuni.2014.04.016. [DOI] [PubMed] [Google Scholar]
- 42.Diller ML, Kudchadkar RR, Delman KA, Lawson DH, Ford ML. Balancing inflammation: the link between Th17 and regulatory T cells. Mediators Inflamm. 2016;2016:6309219. 10.1155/2016/6309219. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.De Nardo D, De Nardo CM, Latz E. New insights into mechanisms controlling the NLRP3 inflammasome and its role in lung disease. Am J Pathol. 2014;184(1):42–54. 10.1016/j.ajpath.2013.09.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Allen IC, Jania CM, Wilson JE, Tekeppe EM, Hua X, Brickey WJ, et al. Analysis of NLRP3 in the development of allergic airway disease in mice. J Immunol. 2012;188(6):2884–93. 10.4049/jimmunol.1102488. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Kool M, Willart MA, van Nimwegen M, Bergen I, Pouliot P, Virchow JC, et al. An unexpected role for uric acid as an inducer of T helper 2 cell immunity to inhaled antigens and inflammatory mediator of allergic asthma. Immunity. 2011;34(4):527–40. 10.1016/j.immuni.2011.03.015. [DOI] [PubMed] [Google Scholar]
- 46.Alhallaf R, Agha Z, Miller CM, Robertson AAB, Sotillo J, Croese J, et al. The NLRP3 inflammasome suppresses protective immunity to gastrointestinal helminth infection. Cell Rep. 2018;23(4):1085–98. 10.1016/j.celrep.2018.03.097. [DOI] [PubMed] [Google Scholar]
- 47.Chenery AL, Alhallaf R, Agha Z, Ajendra J, Parkinson JE, Cooper MM, et al. Inflammasome-independent role for NLRP3 in controlling innate antihelminth immunity and tissue repair in the lung. J Immunol. 2019;203(10):2724–34. 10.4049/jimmunol.1900640. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Barnett KC, Li S, Liang K, Ting JP. A 360 degrees view of the inflammasome: mechanisms of activation, cell death, and diseases. Cell. 2023;186(11):2288–312. 10.1016/j.cell.2023.04.025. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Gross O, Poeck H, Bscheider M, Dostert C, Hannesschlager N, Endres S, et al. Syk kinase signalling couples to the Nlrp3 inflammasome for anti-fungal host defence. Nature. 2009;459(7245):433–6. 10.1038/nature07965. [DOI] [PubMed] [Google Scholar]
- 50.Schneider SM, Girard-Pipau F, Filippi J, Hebuterne X, Moyse D, Hinojosa GC, et al. Effects of Saccharomyces boulardii on fecal short-chain fatty acids and microflora in patients on long-term total enteral nutrition. World J Gastroenterol. 2005;11(39):6165–9. 10.3748/wjg.v11.i39.6165. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Sergeant S, Rahbar E, Chilton FH. Gamma-linolenic acid, dihommo-gamma linolenic, eicosanoids and inflammatory processes. Eur J Pharmacol. 2016;785:77–86. 10.1016/j.ejphar.2016.04.020. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Wasserman MA, Griffin RL, Marsalisi FB. Inhibition of bronchoconstriction by aerosols of prostaglandins E1 and E2. J Pharmacol Exp Ther. 1980;214(1):68–73. [PubMed] [Google Scholar]
- 53.Fussbroich D, Zimmermann K, Gopel A, Eickmeier O, Trischler J, Zielen S, et al. A specific combined long-chain polyunsaturated fatty acid supplementation reverses fatty acid profile alterations in a mouse model of chronic asthma. Lipids Health Dis. 2019;18(1):16. 10.1186/s12944-018-0947-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Mustonen AM, Nieminen P. Dihomo-gamma-linolenic Acid (20:3n-6)-metabolism, derivatives, and potential significance in chronic inflammation. Int J Mol Sci. 2023;24(3). 10.3390/ijms24032116. [DOI] [PMC free article] [PubMed]
- 55.Kompauer I, Demmelmair H, Koletzko B, Bolte G, Linseisen J, Heinrich J. Association of fatty acids in serum phospholipids with lung function and bronchial hyperresponsiveness in adults. Eur J Epidemiol. 2008;23(3):175–90. 10.1007/s10654-007-9218-y. [DOI] [PubMed] [Google Scholar]
- 56.Sweatman WJ, Collier HO. Effects of prostaglandins on human bronchial muscle. Nature. 1968;217(5123):69. 10.1038/217069a0. [DOI] [PubMed] [Google Scholar]
- 57.Adams CA. The probiotic paradox: live and dead cells are biological response modifiers. Nutr Res Rev. 2010;23(1):37–46. 10.1017/S0954422410000090. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request.





