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. 2021 Feb 24;12(5):1802–1820. doi: 10.1093/advances/nmab014

TABLE 1.

Transcriptomic and proteomic preclinical and clinical studies of the immunomodulatory activities of probiotics1

Type of study Treatment Sample Omics platform Molecular mechanisms Clinical outcome Reference
Animal study Lactobacillus rhamnosus CNCM I-3690 (5 × 109 CFU) Blood, MLN, spleen, colon, and ileum Transcriptomics (microarrays) Inhibition of ΝF-κB pathway ↓Systemic inflammation, restored colon and ileum permeability Martín et al. (15)
DNBS-induced chronic microinflammation (SPF male C57BL/6 mice) (n = 30) 10-d gavage regimen
Animal study Bifico >1.2 × 107 CFU/d (Bifidobacterium longum, L. acidophilus, Enterococcus faecalis) Colon Transcriptomics (microarrays) ↓Proinflammatory chemokines (Cxcl-1, -2, -3, and -5, Ccl-7) ↓Tumor formation Song et al. (16)
AOM/DSS C57BL/6J mice (n = 14) Gavage, daily, 3 cycles of DSS treatments ↓Colonic inflammation
Animal study B. bifidum PRL2010 (109 CFU) Colon Transcriptomics (microarrays) Upregulation of tight-junction genes and β-defensin, downregulation of immune modulators Modulation of innate immune responses Turroni et al. (17)
Female BALB/c mice (n = 5) 5-d oral inoculation
Animal study L. plantarum JDFM LP11 (2.5 × 107 CFU/ml) Ileum Transcriptomics (RNA-Seq) ↓Bpi, ↓Rsad2, Morphological changes in the epithelial layers of the intestines Shin et al. (18)
Female crossbred piglets (n = 6) Liquid and solid probiotics via drinking and feeds, daily for 4 wk ↓Slpi, ↓Lum
↓Olfm4, ↓Dmbt1
Animal study Saccharomyces boulardii (108 CFU) Draining mesenteric lymph nodes Transcriptomics (RNA-Seq) Modest transcriptional changes Induced systemic immune response Hudson et al. (19)
C57BL/6 mice (n = NS) Gavage the day of analysis (single dose)
Animal study L. paracasei K5 (5 × 108 CFU) Air pouch exudate Proteomics (microarrays) Modulation of chemokine expression ↑Leukocyte recruitment (induced by all strains) Chondrou et al. (20)
BALB/c mice (air pouch model) (n = 10) L. casei ATCC 393 (5 × 108 CFU)
LGG (5 × 108 CFU)
Subcutaneous injection in air pouch
Animal study L. pentosus 281 (5 × 108 CFU) Air pouch exudate Proteomics (microarrays) ↑sICAM ↑Leukocyte recruitment (induced by all strains) Saxami et al. (21)
BALB/c mice (air pouch model) (n = 10) L. plantarum 282 (5 × 108 CFU) ↑IL-16
L. casei ATCC 393 (5 × 108 CFU) ↓CXCL-13
LGG (5 × 108 CFU) ↓TIMP-1
Subcutaneous injection in air pouch ↓M-CSF
Animal study L. casei ATCC 393 (109 CFU) Tumor tissue Proteomics (microarrays) Modulation Th1 responses ↓Mean tumor volume Aindelis et al. (22)
Colon CT26 syngeneic tumor mice model (n = 10) Oral administration, daily for 13 d
Animal study L. acidophilus (6 × 108 CFU) Serum and colonic tissue Proteomics (microarrays) Elevation of TGF-β ↓Mean tumor number Mendes et al. (23)
AOM/DSS male C57BL/6 mice (n = 29) L. rhamnosus (6 × 108 CFU)
B. bifidum (6 × 108 CFU)
Oral gavage, daily for 3 cycles of DSS treatments
Randomized placebo-controlled, single-blind crossover study L. casei Shirota (1.3 × 1010 CFU) Venous blood, saliva Proteomics (microarrays) ↑NK cell activity Immunomodulation Dong et al. (24)
Healthy volunteers (55–80 y) (n = 16) Per os, daily for 4 wk followed by a 4-wk washout period and 4 wk crossover to the other treatment Increased
IL-10/IL-12 ratio
Randomized, placebo-controlled, crossover study L. acidophilus (5.2 × 1010 CFU) Duodenum tissue Transcriptomics (microarrays) Modulation of the IFN and IL signaling Species- and host-specific immunomodulation van Baarlen et al. (25)
Healthy volunteers (n = 7) L. casei (3.2 × 1010 CFU)
L. rhamnosus (1.68 × 1010 CFU)
Per os, daily for 6 wk
Phase I open-label study LGG (1010 CFU) Venous blood Transcriptomics (RNA-Seq) Modulation of the expression of immune cell trafficking and inflammatory response gene-sets Modulation of inflammation Solano-Aguilar et al. (26)
Elderly healthy volunteers (65–80 y) (n = 11) Per os, 2 capsules daily for 28 d
1

AOM, azoxymethane; Bpi, bactericidal permeability increasing protein; Ccl, chemokine (C-C motif) ligand; CFU, colony-forming units; Cxcl, chemokine (C-X-C motif) ligand; Dmbt1, deleted in malignant brain tumors 1; DNBS, dinitrobenzene sulfonic acid; DSS, dextran sodium sulfate; LGG, Lactobacillus rhamnosus GG; Lum, lumican; M-CSF, macrophage colony-stimulating factor; MLN, mesenteric lymph node; NS, not specified; Olfm4, olfactomedin 4; Rsad2, radical S-adenosyl methionine domain-containing 2; sICAM, soluble intercellular adhesion molecule; Slpi, secretory leukocyte peptidase inhibitor; SPF, specific pathogen free; Th1, T helper cell type 1; TIMP-1, metallopeptidase inhibitor 1; ↓, statistically significant downregulation; ↑, statistically significant upregulation.