Skip to main content

Immunological Effects of Probiotics and their Significance to Human Health

  • Reference work entry
Prebiotics and Probiotics Science and Technology

Abstract

Probiotics are defined as live microorganisms which when administered in adequate amounts confer a health benefit upon the host (FAO/WHO, 2001). Lactic acid bacteria, particularly Lactobacillus and Bifidobacterium species are commonly used as probiotics. Other less commonly used probiotics include the yeast Sacchromyces cerevisiae and some non-pathogenic Escherichia coli and Bacillus species. Studies over the past 20 years have demonstrated that probiotic intake is able to confer a range of health benefits including modulation of the immune system, protection against gastrointestinal and respiratory tract infections, lowering of blood cholesterol levels, attenuation of overt immuno-inflammatory disorders (such as inflammatory bowel disease, allergies) and anti-cancer effects. However, the strongest clinical evidence for probiotics relates to their effectiveness in improving gut health and modulating (via stimulation or regulation) the host immune system. This chapter provides an overview of the current status of our knowledge regarding the immunostimulatory and immunoregulatory effects of probiotics on the immune system and their significance to human health.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 649.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 649.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

AD :

atopic dermatitis

AEDS :

atopic eczema/dermatitis syndrome

APC :

antigen presenting cells

CD :

Crohn’s disease

CRC :

colorectal cancer

DCs :

dendritic cells

DM :

diabetes mellitus

GALT :

gut-associated lymphoid tissue

GIT :

gastrointestinal tract

IBD :

inflammatory bowel disease

IEC :

intraepithelial cells

ND :

not done

NK cells :

natural killer cells

ORC :

open-label controlled trial

ORPC :

open randomised placebo-controlled

PAMP :

pathogen-associated molecular patterns

PMN :

polymorphonuclear cells

RA :

rheumatoid arthritis

RDBPC :

randomised, double-blind, placebo-controlled

SCORAD :

SCOring atopic dermatitis

Tc :

T cytotoxic cells

Th :

T helper cells

TLRs :

Toll-like receptors

UC :

ulcerative colitis

References

  • Aattouri N, Lemonnier D (1997) Production of interferon induced by Streptococcus thermophilus: role of CD4 + and CD8 + lymphocytes. Nutr Biochem 8:25–31

    CAS  Google Scholar 

  • Abrahamsson T, Jakobsson T, Böttcher M, Fredrikson M, Jenmalm M, Björkstén B, Oldaeus G (2008) Probiotics in prevention of IgE-associated eczema: a double-blind, randomized, placebo-controlled trial. J Allery Clin Immunol 119:1174–1180

    Google Scholar 

  • Allen SJ, Okoko B, Martinez E, Gregorio G, Dans LF (2007) Probiotics for treating infectious diarrhoea. Cochrane Database Syst Rev 2:CD003048

    Google Scholar 

  • Araki T, Shinozaki T, Irie Y, Miyazawa Y (1999)Trial of oral administration of Bifidobacterium breve for the prevention of rotavirus infection. J Jpn Assn Infect Dis 73:305–310

    CAS  Google Scholar 

  • Arunachalam K, Gill HS, Chandra RK (2000) Enhancement of natural immune function by dietary consumption of Bifidobacterium lactis (HN019). Eur J Clin Nutr 54:263–267

    CAS  Google Scholar 

  • Aso Y, Akaza H, Kotake T (1992) Prophylactic effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer. Urol Int 49:125–129

    CAS  Google Scholar 

  • Aso Y, Akaza H, Kotake T, Tsukamoto T, Imai K, Naito S (1995) Preventive effect of a Lactobacillus casei preparation on the recurrence of superficial bladder cancer in a double-blind trial. Eur Urol 27:104–109

    CAS  Google Scholar 

  • Baharav E, Mor F, Halpern M, Weinberger A (2004) Lactobacillus GG bacteria ameliorate arthritis in Lewis rats. J Nutr 134:1964–1969

    CAS  Google Scholar 

  • Bakker-Zierikzee AM, Tol EA, Kroes H, Alles MS, Kok FJ, Bindels JG (2006) Faecal SIgA secretion in infants fed on pre- or probiotic infant formula. Pediatr Allergy Immunol 17:134–140

    CAS  Google Scholar 

  • Barrons R, Tassone D (2008) Use of Lactobacillus probiotics for bacterial genitourinary infections in women: a review. Clin Therap 30:453–468

    CAS  Google Scholar 

  • Bauer H, Paronetto F, Burns W, Einheber A (1965) The non-specific enhancement of the immune response by the bacterial flora. Studies in germfree mice. Fed Proc 24:371

    Google Scholar 

  • Bengmark S (2007) Bioecological control of inflammatory bowel disease. Clin Nutr 26:169–181

    Google Scholar 

  • Betsi GI, Papadavid E, Falagas ME (2008) Probiotics for the treatment or prevention of atopic dermatitis: a review of the evidence from randomized controlled trials. Am J Clin Dermatol 9:93–103

    Google Scholar 

  • Bjorksten B, Sepp E, Julge K, Voor T, Mikelsaar M (2001) Allergy development and the intestinal microflora during the first year of life. J Allergy Clin Immunol 108:516–520

    CAS  Google Scholar 

  • Butler DM, Anne-Marie Malfait A, Maini RN, Brennan FM, Feldmann M (2008) Anti-IL-12 and anti-TNF antibodies synergistically suppress the progression of murine collagen-induced arthritis. Eur J Immunol 29:2205–2212

    Google Scholar 

  • Calcinaro F, Dionisi S, Marinaro M, Candeloro M, Bonato V, Marzotti S, Corneli RB, Ferretti E, Gulino A, Grass F, De Simone C, Di Mario U, Falorni A, Boirivant M, Dotta F (2005) Oral probiotic administration induces interleukin-10 production and prevents spontaneous autoimmune diabetes in the non-obese diabetic mouse. Diabetologia 48:1565–1575

    CAS  Google Scholar 

  • Capurso G, Marignani M, Delle Fave G (2006) Probiotics and the incidence of colorectal cancer: when evidence is not evident. Dig Liver Dis 38(Suppl. 2):S277–S282

    Google Scholar 

  • Chapat L, Chemin K, Dubois B, Bourdet-Sicard R, Kaiserlian D (2004) Lactobacillus casei reduces CD8 + T cell-mediated skin inflammation. Eur J Immunol 34:2520–2528

    CAS  Google Scholar 

  • Chiang BL, Sheih YH, Wang LH, Liao CK, Gill HS (2000) Enhancing immunity by dietary consumption of a probiotic lactic acid bacterium (Bifidobacterium lactis HN019): optimization and definition of cellular immune responses. Eur J Clin Nutr 54:849–855

    CAS  Google Scholar 

  • Christensen HR, Frokiaer H, Pestka JJ (2002) Lactobacilli differentially modulate expression of cytokines and maturation surface markers in murine dendritic cells. J Immunol 168:171–178

    CAS  Google Scholar 

  • Christensen HR, Larsen CN, Kaestel P, Rosholm LB, Sternberg C, Michaelsen KF, Frøkiaer H (2006) Immunomodulating potential of supplementation with probiotics: a dose-response study in healthy young adults. FEMS Immunol Med Microbiol 47:380–390

    CAS  Google Scholar 

  • Ciprandi G, Tosca MA, Milanese M, Caligo G, Ricca V (2004) Cytokines evaluation in nasal lavage of allergic children after Bacillus clausii administration: a pilot study. Pediatr Allergy Immunol 15:148–151

    Google Scholar 

  • Ciprandi G, Vizzaccaro A, Cirillo I, Tosca MA (2005) Bacillus clausii exerts immuno-modulatory activity in allergic subjects: a pilot study. Eur Ann Allergy Clin Immunol 37:129–134

    Google Scholar 

  • Cobo Sanz JM, Mateos JA, Muñoz Conejo YA (2006) Efecto de Lactobacillus casei sobre la incidencia de procesos infecciosos en niños/as Effect of lactobacillus casei on the incidence of infectious conditions in children. Nutr Hosp 21:547–551

    CAS  Google Scholar 

  • Copenhaver CC, Gern JE, Li Z, Shult PA, Rosenthal LA, Mikus LD, Kirk CJ, Roberg KA, Anderson EL, Tisler CJ, DaSilva DF, Hiemke HJ, Gentile K, Gangnon RE, Lemanske RF Jr (2004) Cytokine response patterns, exposure to viruses, and respiratory infections in the first year of life. Am J Respir Crit Care Med 170:175–180

    Google Scholar 

  • Crabbe JC, Wahlsten D, Dudek BC (1999) Genetics of mouse behavior: interactions with laboratory environment. Science 284:1670–1672

    CAS  Google Scholar 

  • Crabbe PA (1968) The lymphoid tissue of human gastrointestinal mucous membrane. II. Its role. Presse Med 76:1875–1878

    CAS  Google Scholar 

  • Cross ML (2002) Microbes versus microbes: immune signals generated by probiotic lactobacilli and their role in protection against microbial pathogens. FEMS Immunol Med Microbiol 34:245–253

    CAS  Google Scholar 

  • Cui HH, Chen CL, Wang JD, Yang YJ, Cun Y, Wu JB, Liu YH, Dan HL, Jian YT, Chen XQ (2004) Effects of probiotic on intestinal mucosa of patients withulcerative colitis. World J Gastroenterol 10:1521–1525

    CAS  Google Scholar 

  • De Simone C, Rosati E, Moretti S et al. (1991) Probiotics and stimulation of the immune response. Eur J Clin Nutr 45:32–44

    Google Scholar 

  • De Simone C, Salvadori BB, Negri R, Ferrazzi M, Baldinelli L, Vesely R (1986) The adjuvant effect of yogurt on production of gamma interferon by ConA-stimulated human peripheral blood lymphocytes. Nutr Rep Int 33:419–433

    CAS  Google Scholar 

  • de Vrese M, Rautenberg P, Laue C, Koopmans M, Herremans T, Schrezenmeir J (2005) Probiotic bacteria stimulatevirus-specific neutralizing antibodies following a booster polio vaccination. Eur J Nutr 44:406–413

    CAS  Google Scholar 

  • de Vrese M, Winkler P, Rautenberg P, Harder T, Noah C, Laue C, Ott S, Hampe J, Schreiber S, Heller K, Schrezenmeir J (2006) Probiotic bacteria reduced duration and severity but not the incidence of common cold episodes in a double blind, randomized, controlled trial. Vaccine 24:6670–6674

    Google Scholar 

  • Di Giacinto C, Marinaro M, Sanchez M, Strober W, Boirivant M (2005) Probiotics ameliorate recurrent Th1-mediated murine colitis by inducing IL-10 and IL-10-dependent TGF-β-bearing regulatory cells. J Immunol 174:3237–3246

    CAS  Google Scholar 

  • Donnet-Hughes A, Rochat F, Serrant P et al. (1999) Modulation of nonspecific mechanisms of defense by lactic acid bacteria: effective dose. J Dairy Sci 82:863–869

    CAS  Google Scholar 

  • Drakes M, Blanchard T, Czinn S (2004) Bacterial probiotic modulation of dendritic cells. Infect Immunol 72:3299–3309

    CAS  Google Scholar 

  • Erickson KL, Hubbard NE (2000) Probiotic immunomodulation in health and disease. J Nutr 130:403S–409S

    CAS  Google Scholar 

  • Fang H, Elina T, Heikki A, Seppo S (2000) Modulation of humoral immune response through probiotic intake. FEMS Immunol Med Microbiol 29:47–52

    CAS  Google Scholar 

  • FAO/WHO (2001) Report of a joint FAO/WHO expert consultation on evaluation of health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria, Cordoba, Argentina, 1–4 October 2001 [on line] http://www.fao.org/es/esn/food/foodandfood_probio_en.stm#contacts

  • Feghali CA, Wright TM (1997) Cytokines in acute and chronic inflammation. Front Biosci 2:d12–d26

    CAS  Google Scholar 

  • Fölster-Holst R, Müller F, Schnopp N, Abeck D, Kreiselmaier I, Lenz T, von Rüden U, Schrezenmeir J, Christophers E, Weichenthal M (2006) Prospective, randomized controlled trial on Lactobacillus rhamnosus in infants with moderate to severe atopic dermatitis. Br J Dermatol 155:1256–1261

    Google Scholar 

  • Fukushima Y, Kawata Y, Hara H, Mitsuoka T et al. (1998) Effect of a probiotic formula on intestinal immunoglobulin A production in healthy children. Int J Food Microbiol 42:39–44

    CAS  Google Scholar 

  • Fukushima Y, Miyaguchi S, Yamano T, Kaburagi T, Iino H, Ushida K, Sato K (2007) Improvement of nutritional status and incidence of infection in hospitalised, enterally fed elderly by feeding of fermented milk containing probiotic Lactobacillus johnsonii La1 (NCC533). Br J Nutr 98:969–977

    CAS  Google Scholar 

  • Geier MS, Butler RN, Howarth GS (2007) Inflammatory bowel disease: current insights into pathogenesis and new therapeutic options; probiotics, prebiotics and synbiotics. Int J Food Microbiol 115:1–11

    CAS  Google Scholar 

  • Gill H (2003) Probiotics to enhance anti-infective defences in the gastrointestinal tract. Best Pract Res Clin Gastroenterol 17:755–773

    CAS  Google Scholar 

  • Gill H, Prasad J (2008) Probiotics, Immunomodulation and Health Benefits. Adv Exp Med Biol 606:423–454

    CAS  Google Scholar 

  • Gill HS (1998) Stimulation of the immune system by lactic cultures. Int Dairy J 8:535–544

    CAS  Google Scholar 

  • Gill HS, Cross ML, Rutherfurd KJ, Gopal PK (2001b) Dietary probiotic supplementation to enhance cellular immunity in the elderly. Br J Biomed Sci 58:94–96

    CAS  Google Scholar 

  • Gill HS, Guarner F (2004) Probiotics and human health: a clinical perspective. Postgrad Med J 80:516–526

    CAS  Google Scholar 

  • Gill HS Rutherfurd KJ, (2001a) Viability and dose–response studies on the effects of the immunoenhancing lactic acid bacterium Lactobacillus rhamnosus in mice. Br J Nutr 86:285–289

    CAS  Google Scholar 

  • Gill HS, Rutherfurd KJ (2001) Probiotic supplementation to enhance natural immunity in the elderly. Effect of a newly characterized immunostimulatory strain Lactobacillus rhamnosus HN001 (DR20TM) on leucocytes phagocytosis. Nutr Res 21: 183–189

    CAS  Google Scholar 

  • Gill HS, Rutherfurd KJ, Cross ML (2001a) Dietary probiotic supplementation enhances natural killer cell activity in the elderly: an investigation of age-related immunological changes. J Clin Immunol 21:264–271

    CAS  Google Scholar 

  • Gill HS, Rutherfurd KJ, Cross ML, Gopal PK (2001c) Enhancement of immunity in the elderly by dietary supplementation with the probiotic Bifidobacterium lactis HN019. Am J Clin Nutr 74(6):833–839

    CAS  Google Scholar 

  • Gill HS, Shu Q, Lin H, Rutherfurd KJ, Cross ML (2001d) Protection against translocating Salmonella typhimurium infection in mice by feeding the immuno-enhancing probiotic Lactobacillus rhamnosus strain HN001. Med Microbiol Immunol 190:97–104

    CAS  Google Scholar 

  • Glück U, Gebbers JO (2003) Ingested probiotics reduce nasal colonization with pathogenic bacteria (Staphylococcus aureus, Streptococcus pneumoniae, and beta-hemolytic streptococci). Am J Clin Nutr 77:517–520

    Google Scholar 

  • Gordon HA, Bruckner-Kardoss E (1961) Effect of the normal microbial flora on various tissue elements of the small intestine. Acta Anat (Basel) 44:210–225

    CAS  Google Scholar 

  • Gordon HA, Pesti L (1971) The gnotobiotic animal as a tool in the study of host microbial relationships. Bacteriol Rev 35:390–429

    CAS  Google Scholar 

  • Goudy K, Song S, Wasserfall C, Zhang YC et al. (2001) Adeno-associated virus vector-mediated IL-10 gene delivery prevents type 1 diabetes in NOD mice. Proc Natl Acad Sci USA 98:13913–13918

    CAS  Google Scholar 

  • Goudy KS, Burkhardt BR, Wasserfall C, Song S, Campbell-Thompson ML, Brusko T, Powers MA, Clare-Salzler MJ, Sobel ES, Ellis TM, Flotte TR, Atkinson MA (2003) Systemic overexpression of IL-10 induces CD4+CD25+ cell populations in vivo and ameliorates type 1 diabetes in nonobese diabetic mice in a dose-dependent fashion. J Immunol 171:2270–2278

    CAS  Google Scholar 

  • Gronlund MM, Arvilommi H, Kero P, Lehtonen OP, Isolauri E (2000) Importance of intestinal colonisation in the maturation of humoral immunity in early infancy: a prospective follow up study of healthy infants aged 0–6 months. Arch Dis Child Fetal Neonatal Ed 83:F186–F192

    CAS  Google Scholar 

  • Grüber C, Wendt M, Sulser C, Lau S, Kulig M, Wahn U, Werfel T, Niggemann B (2007) Randomized, placebo-controlled trial of Lactobacillus rhamnosus GG as treatment of atopic dermatitis in infancy. Allergy 62:1270–1276

    Google Scholar 

  • Guarner F, Bourdet-Sicard R, Brandtzaeg P, Gill HS, McGuirk P, van Eden W, Versalovic J, Weinstock JV, Rook GA (2006) Mechanisms of disease: the hygiene hypothesis revisited. Nat Clin Pract Gastroenterol Hepatol 3:275–284

    CAS  Google Scholar 

  • Habermann W, Zimmermann K, Skarabis H, Kunze R, Rusch V (2001) The effect of a bacterial immunostimulant (human Enterococcus faecalis bacteria)on the occurrence of relapse in patients with chronic recurrent bronchitis. Arzneimittelforschung 51:931–937

    CAS  Google Scholar 

  • Haddad PS, Azar GA, Groom S, Boivin M (2005) Natural health products, modulation of immune function and prevention of chronic diseases. Evid Based Complement Alternat Med 2:513–520

    Google Scholar 

  • Haller D, Bode C, Hammes WP, Pfeifer AM, Schiffrin EJ, Blum S (2000) Non-pathogenic bacteria elicit a differential cytokine response by intestinal epithelial cell/leucocyte co-cultures. Gut 47:79–87

    CAS  Google Scholar 

  • Halpern GM, Vruwink KG, Water J, Van De Keen CL, Gershwin ME (1991) Influence of long-term yoghurt consumption in young adults. Int J Immunotherp 7:205–210

    CAS  Google Scholar 

  • Hart AL, Lammers K, Brigidi P, Vitali B, Rizzello F, Gionchetti P, Campieri M, Kamm MA, Knight SC, Stagg AJ (2004) Modulation of human dendritic cell phenotype and function by probiotic bacteria. Gut 53:1602–1609

    CAS  Google Scholar 

  • Hatakka K, Martio J, Korpela M, Herranen M, Poussa T, Laasanen T, Saxelin M, Vapaatalo H, Moilanen E, Korpela R (2003) Effects of probiotic therapy on the activity and activation of mild rheumatoid arthritis-a pilot study. Scand J Rheumatol 32:211–215

    CAS  Google Scholar 

  • Hatakka K, Savilahti E, Ponka A, Meurman JH, Poussa T, Nase L, Saxelin M, Korpela R (2001) Effect of long term consumption of probiotic milk on infections in children attending day care centres: double blind, randomised trial. Br Med J 322:1327

    CAS  Google Scholar 

  • Helin T, Hahtela S, Haahtela T (2002) No effect of oral treatment with an intestinal bacterial strain Lactobacillus rhamnosus (ACTT 53103), on birch pollen allergy: a placebo controlled double blind study. Allergy 57:243–246

    CAS  Google Scholar 

  • Heyman M (2001) Symposium on ‘dietary influences on mucosal immunity’. How dietary antigens access the mucosal immune system. Proc Nutr Soc 60:419–426

    CAS  Google Scholar 

  • Hol J, van Leer EH, Elink Schuurman BE, de Ruiter LF, Samsom JN, Hop W, Neijens HJ, de Jongste JC, Nieuwenhuis EE (2008) The acquisition of tolerance toward cow’s milk through probiotic supplementation: a randomized, controlled trial. J Allergy Clin Immunol 21:1448–1454

    Google Scholar 

  • Ishida Y, Nakamura F, Kanzato H, Sawada D, Yamamoto N, Kagata H, Oh-Ida M, Takeuchi H, Fujiwara S (2005) Effect of milk fermented with Lactobacillus acidophilus strain L-92 on symptoms of Japanese cedar pollen allergy: a randomized placebo-controlled trial. Biosci Biotechnol Biochem 69:1652–1660

    CAS  Google Scholar 

  • Ishikawa H, Akedo I, Otani T, Suzuki T, Nakamura T, Takeyama I, Ishiguro S, Miyaoka E, Sobue T, Kakizoe T (2005) Randomized trial of dietary fiber and Lactobacillus casei administration for prevention of colorectal tumors. Int J Cancer 116:762–767

    CAS  Google Scholar 

  • Isolauri E, Arvola T, Sutas Y, Moilanen E, Salminen S (2000) Probiotics in the management of atopic eczema. Clin Exp Allergy 30:1604–1610

    CAS  Google Scholar 

  • Isolauri E, Joensus J, Suomalainen H, Luomala M, Vesikari T (1995) Improved immunogenicity of oral DxRRX reabsorbant rotavirus vaccine by Lactobacillus casei GG. Vaccine 13:310–312

    CAS  Google Scholar 

  • Jijon H, Backer J, Diaz H, Yeung H, Thiel D, McKaigney C, De Simone C, Madsen K (2004) DNA from probiotic bacteria modulates murine and human epithelial and immune function. Gastroenterology 126:1358–1373

    CAS  Google Scholar 

  • Johnston BC, Supina AL, Vohra S (2006) Probiotics for pediatric antibiotic-associated diarrhea: a meta-analysis of randomized placebo-controlled trials. Can Med Assoc J 175:377–383

    Google Scholar 

  • Kaila M, Isolauri E, Saxelin M et al. (1995) Viable versus inactivated Lactobacillus strain GG in acute rotavirus diarrhoea. Arch Dis Child 72:51–53

    CAS  Google Scholar 

  • Kaila M, Isolauri E, Soppi E, Virtanen E, Laine S, Arvilommi H (1992) Enhancement of the circulating antibody secreting cell response in human diarrhoea by a human Lactobacillus strain. Pediatr Res 32:141–144

    CAS  Google Scholar 

  • Kagnoff MF, Eckmann L (1997) Epithelial cells as sensors for microbial infection. J Clin Invest 100:6–10

    CAS  Google Scholar 

  • Kalliomaki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E (2001) Probiotics in primary prevention of atopic disease: a randomized placebo-controlled trial. Lancet 357:1076–1079

    CAS  Google Scholar 

  • Kalliomaki M, Salminen S, Poussa T, Arvilommi H, Isolauri E (2003) Probiotics and prevention of atopic disease: 4-year follow-up of a randomised placebo-controlled trial. Lancet 361:1869–1871

    Google Scholar 

  • Kapsenberg M (2003) Dendritic-cee control of pathogen driven T-cell polarization. Nat Rev Immunol 3:984–993

    CAS  Google Scholar 

  • Kato I, Endo-Tanaka K, Yokokura T (1998) Suppressive effects of the oral administration of Lactobacillus casei one type II collagen-inducedarthritis in DBA/1 mice. Life Sci 63:635–644

    CAS  Google Scholar 

  • Kishi A, Uno K, Matsubara Y, Okuda C, Kishida T (1996) Effect of the oral administration of Lactobacillus brevis subsp. coagulans on interferon-a producing capacity in humans. J Am Coll Nutr 15:408–412

    CAS  Google Scholar 

  • Kopp MV, Hennemuth I, Heinzmann A, Urbanek R (2008) Randomized, double-blind, placebo-controlled trial of probiotics for primary prevention: no clinical effects of Lactobacillus GG supplementation. Pediatrics 121:e850–e856

    Google Scholar 

  • Kukkonen K, Nieminen T, Poussa T, Savilahti E, Kuitunen M (2006) Effect of probiotics on vaccine antibody responses in infancy – a randomized placebo-controlled double-blind trial. Pediatr Allergy Immunol 17:416–421

    Google Scholar 

  • Kukkonen K, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T, Tuure T, Kuitunen M (2007) Probiotics and prebiotic galacto-oligosaccharides in the prevention of allergic diseases: a randomized, double-blind, placebo-controlled trial. J Allergy Clin Immunol 119:192–198

    CAS  Google Scholar 

  • Lammers KM, Brigidi P, Vitali B, Gionchetti P, Rizzello F, Caramelli E, Matteuzzi D, Campieri M (2003) Immunomodulatory effects of probiotic bacteria DNA: IL-1 and IL-10 response in human peripheral blood mononuclear cells. FEMS Immunol Med Microbiol 38:165–172

    CAS  Google Scholar 

  • Lammers KM, Vergopoulos A, Babel N, Gionchetti P, Rizzello F, Morselli C, Caramelli E, Fiorentino M, d’Errico A, Volk HD, Campieri M (2005) Probiotic therapy in the prevention of pouchitis onset: decreased interleukin-1b, interleukin-8, and interferon-g gene expression. Inflamm Bowel Dis 11:447–454

    Google Scholar 

  • Lee DK, Jang S, Kim MJ, Kim JH, Chung MJ, Kim KJ, Ha NJ (2008) Anti-proliferative effects of Bifidobacterium adolescentis SPM0212 extract on human colon cancer cell lines. BMC Cancer 8:310

    Google Scholar 

  • Lee JW, Shin JG, Kim EH, Kang HE, Yim IB, Kim JY, Joo HG, Woo HJ (2004) Immunomodulatory and antitumor effects in vivo by the cytoplasmic fraction of Lactobacillus casei and Bifidobacterium longum. J Vet Sci 5:41–48

    Google Scholar 

  • Lenoir-Wijnkoop I, Sanders ME, Cabana MD, Caglar E, Corthier G, Rayes N, Sherman PM, Timmerman HM, Vaneechoutte M, Van Loo J, Wolvers DA (2007) Probiotic and prebiotic influence beyond the intestinal tract. Nutr Rev 65:469–489

    Google Scholar 

  • Link-Amster H, Rochat F, Saudan KY, Mignot O, Aeschlimann JM (1994) Modulation of a specific humoral immune response and changes in intestinal flora mediated through fermented milk intake. FEMS Immunol Med Microbiol 10:55–63

    CAS  Google Scholar 

  • Ljungberg M, Korpela R, Ilonen J, Ludvigsson J, Vaarala O (2006) Probiotics for the prevention of beta cell autoimmunity in children at genetic risk of type 1. Ann N Y Acad Sci 1079:360–364

    Google Scholar 

  • Lykova EA, Vorob’ev AA, Bokovoi AG, Murashova AO (2001) Impaired interferon status in children with acute respiratory infection and its correction with bifidumbacterin-forte. Zh Mikrobiol Epidemiol Immunobiol 2:65–70

    Google Scholar 

  • Lykova EA, Vorob’ev AA, Bokovoi AG, Pobedinskaia IN, Gevondian VS, Gevondian NM, Mitrokhin SD, Minaev VI, Dzis NB, Makkaveeva LF, Kovalev IV, Murashova AO, Bondarenko VM (2000) Disruption of microbiocenosis of the large intestine and the immune and interferon status in children with bacterial complications of acute viral infections of the respiratory tract and their correction by high doses of bifidumbacterin forte. Antibiot Khimioter 45:22–27

    CAS  Google Scholar 

  • Majamaa H, Isolauri E, Saxelin M, Vesikari T (1995) Lactic acid bacteria in the treatment of acute rotavirus gastroenteritis. J Pediatr Gastroenterol Nutr 20:333–338

    CAS  Google Scholar 

  • Marcos A, Wärnberg J, Nova E, Gómez S, Alvarez A, Alvarez R, Mateos JA, Cobo JM (2004) The effect of milk fermented by yogurt cultures plus Lactobacillus casei DN-114001 on the immune response of subjects under academic examination stress. Eur J Nutr 43:381–389

    Google Scholar 

  • Matsuzaki T, Nagata Y, Kado S, Uchida K, Hasimoto S, Yokokura T (1997) Effect of oral administration of Lactobacillus casei on alloxan induced diabetes in mice. APMIS 105:637–642

    CAS  Google Scholar 

  • Matsuzaki T, Saito M, Usuku K et al. (2005) A prospective uncontrolled trial of fermented milk drink containing viable Lactobacillus casei strain Shirota in the treatment of HTLV-1 associated myelopathy/tropical spastic paraparesis. J Neurol Sci 237:75–81

    Google Scholar 

  • Matsuzaki T, Takagi A, Ikemura H, Matsuguchi T, Yokokura T (2007) Intestinal microflora, Probiotics and Autoimmunity. J Nutr 137:798S–802S

    CAS  Google Scholar 

  • Mazmanian SK, Liu CH, Tzianabos AO, Kasper DL (2005) An immunomodulatory molecule of symbiotic bacteria directs maturation of the host immune system. Cell 122:107–118

    CAS  Google Scholar 

  • McCarthy J, O’Mahony L, O’Callaghan L, Sheil B, Vaughan EE, Fitzsimons N, Fitzgibbon J, O’Sullivan GC, Kiely B, Collins JK, Shanahan F (2003) Double blind, placebo controlled trial of two probiotic strains in interleukin 10 knockout mice and mechanistic link with cytokine balance. Gut 52:975–980

    CAS  Google Scholar 

  • McFarland LV (2006) Meta-analysis of probiotics for the prevention of antibiotic associated diarrhea and the treatment of Clostridium difficile disease. Am J Gastroenterol 101:812–822

    Google Scholar 

  • McFarland LV (2007) Meta-analysis of probiotics for the prevention of traveler’s diarrhea. Travel Med Infect Dis 5:97–105

    Google Scholar 

  • McPherson AJ, Uhr T (2004) Induction of protective IgA by intestinal dendritic cells carrying commensal bacteria. Science 303:1662–1665

    Google Scholar 

  • Miettinen M, Matikainen S, Vuopio-Varkila J, Pirhonen J, Varkila K, Kurimoto M, Julkunen I (1998) Lactobacilli and streptococci induce interleukin-12 (IL-12), IL-18, and gamma interferon production in human peripheral blood mononuclear cells. Infect Immun 66:6058–6062

    CAS  Google Scholar 

  • Miettinen M, Vuopio-Varkila J, Varkila K (1996) Production of human tumour necrosis factor alpha, interleukin-6, and interleukin-10 is induced by lactic acid bacteria. Infect Immun 64:5403–5405

    CAS  Google Scholar 

  • Mikes Z, Ferenicik M, Jahnova E et al. (1995) Hypocholesterolemic and immunostimulatory effects of orally applied Enterococcus faecium M-74 in man. Folia Microbiologica 40:639–646

    CAS  Google Scholar 

  • Morimoto K, Takeshita T, Nanno M, Tokudome S, Nakayama K (2005) Modulation of natural killer cell activity by supplementation of fermented milk containing Lactobacillus casei in habitual smokers. Prev Med 40:589–594

    Google Scholar 

  • Morita H, He F, Kawase M, Kubota A, Hiramatsu M, Kurisaki J, Salminen S (2006) Preliminary human study for possible alteration of serum immunoglobulin E production in perennial allergic rhinitis with fermented milk prepared with Lactobacillus gasseri TMC0356. Microbiol Immunol 50:701–706

    CAS  Google Scholar 

  • Mullié C, Yazourh A, Thibault H, Odou MF, Singer E, Kalach N, Kremp O, Romond MB (2004) Increased poliovirus-specific intestinal antibody response coincides with promotion of Bifidobacterium longum-infantis and Bifidobacterium breve in infants: a randomized, double-blind, placebo-controlled trial. Pediatr Res 56:791–795

    Google Scholar 

  • Nagao F, Nakayama M, Muto T, Okumura K (2000) Effects of a fermented milk drink containing Lactobacillus casei strain Shirota on the immune system in healthy subjects. Biosci Biotechnol Biochem 64:2706–2708

    CAS  Google Scholar 

  • Niers LE, Timmerman HM, Rijkers GT, van Bleek GM, van Uden NO, Knol EF, Kapsenberg ML, Kimpen JL, Hoekstra MO (2005) Identification of strong interleukin-10 inducing lactic acid bacteria which down-regulate T helper type 2 cytokines. Clin Exp Allergy 35:1481–1489

    CAS  Google Scholar 

  • Nussler AK, Thomson AW (1992) Immunomodulatory agents in the laboratory and clinic. Parasit 105(Suppl.):S5–S23

    Google Scholar 

  • Ogata K, Yokose N, Tamura H, An E, Nakamura K, Dan K, Nomura T (1997) Natural killer cells in the late decades of human life. Clin Immunol Immunopathol 84:269–275

    CAS  Google Scholar 

  • Ohashi Y, Nakai S, Tsukamoto T, Masumori N et al. (2002) Habitual intake of lactic acid bacteria and risk reduction of bladder cancer. Urol Int 68:273–280

    CAS  Google Scholar 

  • Olivares M, Díaz-Ropero MP, Gómez N, Lara-Villoslada F, Sierra S, Maldonado JA, Martín R, Rodríguez JM, Xaus J (2006a) The consumption of two new probiotic strains, Lactobacillus gasseri CECT 5714 and Lactobacillus coryniformis CECT 5711, boosts the immune system of healthy humans. Int Microbiol 9:47–52

    CAS  Google Scholar 

  • Olivares M, Diaz-Ropero MP, Sierra S, Lara-Villoslada F, Fonolla J, Navas M et al. (2007) Oral intake of Lactobacillus fermentum CECT5716 enhances the effects of influenza vaccination. Nutrition 23:254–260

    CAS  Google Scholar 

  • Olivares M, Paz Diaz-Ropero M, Gomez N, Sierra S, Lara-Villoslada F, Martin R, Miguel Rodriguez J, Xaus J (2006b) Dietary deprivation of fermented foods causes a fall in innate immune response. Lactic acid bacteria can counteract the immunological effect of this deprivation. J Dairy Res 73:492–498

    CAS  Google Scholar 

  • Ortiz-Andrellucchi A, Sánchez-Villegas A, Rodríguez-Gallego C, Lemes A (2008) Immunomodulatory effects of the intake of fermented milk with Lactobacillus casei DN114001 in lactating mothers and their children. Br J Nutr 100:834–845

    CAS  Google Scholar 

  • Parra MD, Martinez de Morentin BE, Cobo JM, Mateos A, Martinez JA (2004) Daily ingestion of fermented milk containing Lactobacillus casei DN114001 improves innate-defense capacity in healthy middle-aged people. J Physiol Biochem 60:85–91

    CAS  Google Scholar 

  • Pelto L, Isolauri E, Lilius EM, Nuutila J, Salminen S (1998) Probiotic bacteria down-regulate the milk-induced inflammatory response in milk-hypersensitive subjects but have an immunostimulatory effect in healthy subjects. Clin Exp Allergy 28:1474–1479

    CAS  Google Scholar 

  • Pena JA, Rogers AB, Ge Z, Ng V, Li SY, Fox JG et al. (2005) Probiotic Lactobacillus spp. diminish Helicobacter hepaticus-induced inflammatory bowel disease in interleukin-10-deficient mice. Infect Immun 73:912–920

    CAS  Google Scholar 

  • Perdigon G, Valdez JC, Rachid M (1998) Antitumour activity of yogurt: study of possible immune mechanisms. J Dairy Res 65:129–138

    CAS  Google Scholar 

  • Pessi T, Sutas Y, Hurme M, Isolauri E (2000) Interleukin-10 generation in atopic children following oral Lactobacillus rhamnosus GG. Clin Exp Allergy 30:1804–1808

    CAS  Google Scholar 

  • Phuapradit P, Varavithya W, Vathanophas K, Sangchai R, Podhipak A, Suthutvoravut U, Nopchinda S, Chantraruksa V, Haschke F (1999) Reduction of rotavirus infection in children receiving bifidobacteria-supplemented formula. J Med Assoc Thai 82(Suppl. 1):S43–S48

    Google Scholar 

  • Pinto RA, Arredondo SM, Bono MR, Gaggero AA, Díaz PV (2006) T helper 1/T helper 2 cytokine imbalance in respiratory syncytial virus infection is associated with increased endogenous plasma cortisol. Pediatrics 117:e878–e886

    Google Scholar 

  • Pohjavuori E, Viljanen M, Korpela R et al. (2004) Lactobacillus GG effect in increasing IFN-gamma production in infants with cow’s milk allergy. J Allergy Clin Immunol 114:131–136

    CAS  Google Scholar 

  • Prescott SL, Dunstan JA, Hale J, Breckler L, Lehmann H, Weston S, Richmond P (2005) Clinical effects of probiotics are associated with increased interferon-gamma responses in very young children with atopic dermatitis. Clin Exp Allergy 35:1557–1564

    CAS  Google Scholar 

  • Prescott SL, Wickens K, Westcott L, Jung W, Currie H, Black PN, Stanley TV, Mitchell EA, Fitzharris P, Siebers R, Wu L, Crane J (2008) Supplementation with Lactobacillus rhamnosus or Bifidobacterium lactis probiotics in pregnancy increases cord blood interferon-γ and breast milk transforming growth factor-β and immunoglobin A detection. Clin Exp Allergy 38:1606–1614

    CAS  Google Scholar 

  • Pronio A, Montesani C, Butteroni C, Vecchione S, Mumolo G, Vestri A, Vitolo D, Boirivant M (2008) Probiotic administration in patients with ileal pouch-anal anastomosis for ulcerative colitis is associated with expansion of mucosal regulatory cells. Inflamm Bowel Dis 14:662–668

    Google Scholar 

  • Rabinovitch A, Suarez-Pinzon WA (1998) Cytokines and their roles in pancreatic islet β-cell destruction and insulin-dependent diabetes mellitus. Biochem Pharmacol 55:1139–1149

    CAS  Google Scholar 

  • Rachmilewitz D, Karmeli F, Takabayashi K, Hayashi T, Leider-Trejo L, Lee J, Leoni LM, Raz E (2002) Immunostimulatory DNA ameliorates experimental and spontaneous murine colitis. Gastroenterology 122:1428–1441

    CAS  Google Scholar 

  • Rachmilewitz D, Katakura K, Karmeli F, Hayashi T, Reinus C, Rudensky B, Akira S, Takeda K, Lee J, Takabayashi K, Raz E (2004) Toll like receptor 9 signaling mediates the anti-inflammatory effects of probiotics in murine experimental colitis. Gastroenterology 126:520–528

    CAS  Google Scholar 

  • Rafter J (2002) Lactic acid bacteria and cancer: mechanistic perspective. Br J Nutr 88(Suppl. 1):S89–S94

    CAS  Google Scholar 

  • Rafter J, Bennett M, Caderni G, Clune Y, Hughes R, Karlsson PC, Klinder A, O’Riordan M, O’Sullivan GC, Pool-Zobel B, Rechkemmer G, Roller M, Rowland I, Salvadori M, Thijs H, Van Loo J, Watzl B, Collins JK (2007) Dietary synbiotics reduce cancer risk factors in polypectomized and colon cancer patients. Am J Clin Nutr 85:488–496

    CAS  Google Scholar 

  • Rautava S, Kalliomaki M, Isolauri E (2002) Probiotics during pregnancy and breastfeeding might confer immunomodulatory protection against atopic disease in the infant. J Allergy Clin Immunol 109:119–121

    Google Scholar 

  • Reid G (2008) Probiotic Lactobacilli for urogenital health in women. J Clin Gastroenterol 42(Suppl. 3) Pt 2:S234–S236

    Google Scholar 

  • Rodríguez-Cabezas ME, Fisac F, Bailon E, Comalada M, Camuesco D, Xaus J, Concha A, Talavera P, Nieto A, Zarzuelo A, Galvez J (2008) Lactobacillus fermentum exerts a beneficial effect in an experimental model of rheumatoid arthritis in mice. Proc Nutr Soc 67:E66

    Google Scholar 

  • Roach S, Tannock GW (1980) Indigenous bacteria that influence the number of Salmonella typhimurium in the spleen of intravenously challenged mice. Can J Microbiol 26:408–411

    CAS  Google Scholar 

  • Roessler A, Friedrich U, Vogelsang H, Bauer A, Kaatz M, Hipler UC, Schmidt I, Jahreis G (2008) The immune system in healthy adults and patients with atopic dermatitis seems to be affected differently by a probiotic intervention. Clin Exp Allergy 368: 93–102

    Google Scholar 

  • Rook GAW, Brunet LR (2005) Microbes, immunoregulation, and the gut. Gut 54:317–320

    CAS  Google Scholar 

  • Rosenfeldt V, Benfeldt E, Nielsen SD, Michaelsen KF, Jeppesen DL, Valerius NH, Paerregaard A (2003) Effect of probiotic Lactobacillus strains in children with atopic dermatitis. J Allergy Clin Immunol 111:389–395

    Google Scholar 

  • Rovenský J, Svík K, Matha V, Istok R, Kamarád V, Ebringer L, Ferencík M, Stancíková M (2005) Combination treatment of rat adjuvant-induced arthritis with methotrexate, probiotic bacteria Enterococcus faecium, and selenium. Ann NY Acad Sci 1051:570–581

    Google Scholar 

  • Saikali J, Picard C, Freitas M, Holt P (2004) Fermented milks, probiotic cultures, and colon cancer. Nutr Cancer 49:14–24

    Google Scholar 

  • Sawamura A, Yamaguchi Y, Toge T et al. (1994) Enhancement of immuno-activities by oral administration of Lactobacillus casei in colorectal cancer patients. Biotherapy 8:1567–1572

    Google Scholar 

  • Sazawal S, Hiremath G, Dhingra U, Malik P, Dob S, Black R (2006) Efficacy of probiotics in prevention of acute diarrhoea: a meta-analysis of masked, randomised, placebo-controlled trials. Lancet Infect Dis 6:374–382

    Google Scholar 

  • Schiffrin EJ, Rochar F, Link-Amster H et al. (1995) Immunomodulation of human blood cells following the ingestion of lactic acid bacteria. J Dairy Sci 78:491–497

    CAS  Google Scholar 

  • Sheih YH, Chiang BL, Wang LH, Liao CK, Gill HS (2001) Systemic immunity-enhancing effects in healthy subjects following dietary consumption of the lactic acid bacterium Lactobacillus rhamnosus HN001. J Am Coll Nutr 20(Suppl. 2):149–156

    CAS  Google Scholar 

  • Sheil B, McCarthy J, O’Mahony L, Bennett MW, Ryan P, Fitzgibbon JJ, Kiely B, Collins JK, Shanahan F (2004) Is the mucosal route of administration essential for probiotic function? Subcutaneous administration is associated with attenuation of murine colitis and arthritis. Gut 53:694–700

    CAS  Google Scholar 

  • Shida K, Nanno M (2008) Probiotics and immunology: separating the wheat from the chaff. Trends Immunol 29:565–573

    CAS  Google Scholar 

  • Shu Q, Gill HS (2002) Immune protection mediated by the probiotic Lactobacillus rhamnosus HN001 (DR20) against Escherichia coli O157:H7 infection in mice. FEMS Immunol Med Microbiol 34:59–64

    CAS  Google Scholar 

  • Shu Q, Hai L, Rutherfurd KJ, Fenwick S, Prasad J, Gopal PK, Gill HS (2000) Dietary Bifidobacterium lactis (HN019) enhances resistance to oral Salmonella typhimurium infection in mice. Microbiol Immunol 44:213–222

    CAS  Google Scholar 

  • Sin JI, Kim JJ, Zhang D, Weiner DB (2001) Modulation of cellular responses by plasmid CD40L: CD40L plasmid vectors enhance antigen-specific helper T cell type 1 CD4 + T cell-mediated protective immunity against herpes simplex virus type 2 in vivo. Hum Gene Ther 12:1091–1102

    CAS  Google Scholar 

  • Sistek D, Kelly R, Wickens K, Stanley T, Fitzharris P, Crane J (2006) Is the effect of probiotics on atopic dermatitis confined to food sensitized children? Clin Exp Allergy 36:629–633

    CAS  Google Scholar 

  • Sekirov I, Finlay BB (2006) Human and microbe: united we stand. Nat Med 12:736–737

    CAS  Google Scholar 

  • Smits H, Engering A, van der D, Kleij de Jong E, Schipper K, van Capel D, Zaat B, Yazdanbakhsh M, Wierenga E, van Kooyk Y (2005) Selective probiotic bacteria induce IL-10 – producing regulatory T cells by modulating dendritic cell function through dendritic cell-specific intercellular adhesion molecule 3-grabbing nonintegrin. J Allergy Clin Immunol 115:1260–1267

    CAS  Google Scholar 

  • So JS, Kwon HK, Lee CG, Yi HJ, Park JA, Lim SY, Hwang KC, Jeon YH, Im SH (2008) Lactobacillus casei suppresses experimental arthritis by down-regulating T helper 1 effector functions. Mol Immunol 45:2690–2699

    CAS  Google Scholar 

  • Solis-Pereyra B, Aattouri N, Lemonnier D (1997) Role of food in the stimulation of cytokine production. Am J Clin Nutr 66:521S–525S

    CAS  Google Scholar 

  • Solis Pereyra B, Lemonnier D (1991) Induction of 2′-5′ A synthetase activity and interferon in humans by bacteria used in dairy products. Eur Cytokine Netw 2:137–140

    CAS  Google Scholar 

  • Solis Pereyra B, Lemonnier D (1993) Induction of human cytokines by bacteria in dairy foods. Nutr Res 13:1127–1140

    Google Scholar 

  • Spanhaak S, Havenaar R, Schaafsma G (1998) The effect of consumption of milk fermented by Lactobacillus casei strain Shirota on the intestinal microflora and immune parameters in humans. Eur J Clin Nutr 52:899–907

    CAS  Google Scholar 

  • Stadlbauer V, Mookerjee RP, Hodges S, Wright GA, Davies NA, Jalan R (2008) Effect of probiotic treatment on deranged neutrophil function and cytokine responses in patients with compensated alcoholic cirrhosis. J Hepatol 48:945–951

    CAS  Google Scholar 

  • Sudo N, Sawamura S, Tanaka K, Aiba Y, Kubo C, Koga Y (1997) The requirement of intestinal bacterial flora for the development of an IgE production system fully susceptible to oral tolerance induction. J Immunol 159:1739–1745

    CAS  Google Scholar 

  • Szajewska H, Mrukowicz JZ (2001) Probiotics in the treatment and prevention of acute infectious diarrhea in infants and children: a systematic review of published randomized, double-blind, placebo-controlled trials. J Pediatr Gastroenterol Nutr 33:S17–S25

    CAS  Google Scholar 

  • Takagi A, Matsuzaki T, Sato M, Nomoto K, Morotomi M, Yokokura T (2001) Enhancement of natural killer cytotoxicity delayed murine carcinogenesis by a probiotic microorganism. Carcinogenesis 22:599–605

    CAS  Google Scholar 

  • Takeda K, Okumura K (2007) Effects of a fermented milk drink containing Lactobacillus casei strain Shirota on the human NK-cell activity. J Nutr 137:791S–793S

    CAS  Google Scholar 

  • Takeda K, Suzuki T, Shimada S-I, Shida K, Nanno M, Okumura K (2006) Interleukin-12 is involved in the enhancement of human natural killer cell activity by Lactobacillus casei Shirota. Clin Exp Immunol 146:109–115

    CAS  Google Scholar 

  • Taylor AL, Dunstan J, Prescott SL (2006) Probiotic supplementation for the first 6 months of life fails to reduce the risk of atopic dermatitis and increases the risk of allergen sensitization in high-risk children: a randomized controlled trial. J Allergy Clin Immunol 119:184–191

    Google Scholar 

  • Tlaskalova-Hogenova H, Tuckova L, Mestecky J, Kolinska J, Rossmann P, Stepankova R, Kozakova H, Hudcovic T, Hrncir T, Frolova L, Kverka M (2005) Interaction of mucosal microbiota with the innate immune system. Scand J Immunol 62(Suppl. 1):106–113

    CAS  Google Scholar 

  • Tubelius P, Stan V, Zachrisson A (2005) Increasing work-place healthiness with the probiotic Lactobacillus reuteri: a randomised, double-blind placebo-controlled study. Environ Health 4:25–45

    Google Scholar 

  • Turchet P, Laurenzano M, Auboiron S, Antoine JM (2003) Effect of fermented milk containing the probiotic Lactobacillus casei DN-114001 on winter infections in free-living elderly subjects: A randomised, controlled pilot study. J Nutr Health Aging 7:75–77

    CAS  Google Scholar 

  • Van Niel CW, Feudtner C, Garrison MM, Christakis DA (2002) Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis. Pediatrics 109:678–684

    Google Scholar 

  • van Oosterhout M, Levarht EW, Sont JK, Huizinga TW, Toes RE, van Laar JM (2005) Clinical efficacy of infliximab plus methotrexate in DMARD naive and DMARD refractory rheumatoid arthritis is associated with decreased synovial expression of TNFα and IL18 but not CXCL12. Ann Rheum Dis 64:537–543

    CAS  Google Scholar 

  • Vanderpool C, Yan F, Polk DB (2008) Mechanisms of probiotic action: Implications for therapeutic applications in inflammatory bowel diseases. Inflamm Bowel Dis 14:1585–1596

    Google Scholar 

  • Viljanen M, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T,Tuure T, Kuitunen M (2005) Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants: a double-blind placebo-controlled trial. Allergy 60:494–500

    CAS  Google Scholar 

  • Wellen KE, Hotamisligil GS (2005) Inflammation, stress, and diabetes. J Clin Invest 115:1111–1119

    CAS  Google Scholar 

  • West CE, Gothefors L, Granström M, Käyhty H, Hammarström M-L, Hernell O (2008) Effects of feeding probiotics during weaning on infections and antibody responses to diphtheria, tetanus and Hib vaccines. Pediatr Allergy Immunol 19:53–60

    Google Scholar 

  • Weston S, Halbert A, Richmond P, Prescott SL (2005) Effects of probiotics on atopic dermatitis: a randomised controlled trial. Arch Dis Child 90:892–897

    CAS  Google Scholar 

  • Wheeler JG, Shema SJ, Bogle ML et al. (1997) Immune and clinical impact of Lactobacillus acidophilus on asthma. Ann Allergy Asthma Immunol 79:229–233

    CAS  Google Scholar 

  • Wickens K, Black PN, Stanley TV, Mitchell E, Fitzharris P, Tannock GW, Purdie G, Crane J (2008) Differential effect of 2 probiotics in the prevention of eczema and atopy: a double-blind, randomized, placebo-controlled trial. J Allergy Clin Immunol 122:788–794

    Google Scholar 

  • Williams AM, Probert CS, Stepankova R, Tlaskalova-Hogenova H, Phillips A, Bland PW (2006) Effects of microflora on the neonatal development of gut mucosal T cells and myeloid cells in the mouse. Immunology 119:470–478

    CAS  Google Scholar 

  • Winkler P, de Vrese M, Laue C, Schrezenmeir J (2005) Effect of a dietary supplement containing probiotic bacteria plus vitamins and minerals on common cold infections and cellular immune parameters. Int J Clin Pharmacol Ther 43:318–326

    CAS  Google Scholar 

  • Xiao JZ, Kondo S, Yanagisawa N, Takahashi N, Odamaki T, Iwabuchi N, Miyaji K, Iwatsuki K, Togashi H, Enomoto K, Enomoto T (2006) Probiotics in the treatment of Japanese cedar pollinosis: a double-blind placebo-controlled trial. Clin Exp Allergy 36:1425–1435

    CAS  Google Scholar 

  • Yamazaki S, Kamimura H, Momose H, Kawashima T, Ueda K (1982) Protective effect of bifidobacterium-monoassociation against lethal activity of Escherichia coli. Bifidobacteria Microflora 1:55

    Google Scholar 

  • Yang Z, Chen M, Wu R, Fialkow LB, Bromberg JS, McDuffie M, Naji A, Nadler JL (2002) Suppression of autoimmune diabetes by viral IL-10 gene transfer. Immunology 168:6479–6485

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Science+Business Media, LLC

About this entry

Cite this entry

Gill, H.S., Grover, S., Batish, V.K., Gill, P. (2009). Immunological Effects of Probiotics and their Significance to Human Health. In: Charalampopoulos, D., Rastall, R.A. (eds) Prebiotics and Probiotics Science and Technology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79058-9_23

Download citation

Publish with us

Policies and ethics