Safety and Effect of a Low- and High-Dose Multi-Strain Probiotic Supplement on Microbiota in a General Adult Population: A Randomized, Double-Blind, Placebo-Controlled Study.

Few studies have focused on dose-response analyses of multi-strain probiotics in the general adult population. This study aimed at comparing how a low- and high-dose of a multi-strain probiotic supplement (containing Lactobacillus helveticus R0052, Lactobacillus rhamnosus R0011, Lactobacillus casei...

Full description

Bibliographic Details
Published in:Journal of Dietary Supplements Vol. 18; no. 3; pp. 227 - 248
Main Authors: Tremblay, Annie, Fatani, Asmaa, Ford, Amanda L., Piano, Amanda, Nagulesapillai, Varuni, Auger, Jeremie, MacPherson, Chad W., Christman, Mary C., Tompkins, Thomas A., Dahl, Wendy J.
Format: research tables/charts randomized controlled trial Journal Article
Published: Taylor & Francis Ltd 2021
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150061843&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 150061843
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        19390211
        2Y62
      jtl: Journal of Dietary Supplements
      issn: 19390211
      maglogo: N
    pubinfo:
      dt: 2021
      vid: 18
      iid: 3
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        150061843
        145559441
        150061843
        150061843
        10.1080/19390211.2020.1749751
        150061843
      ppf: 227
      ppct: 21
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Safety and Effect of a Low- and High-Dose Multi-Strain Probiotic Supplement on Microbiota in a General Adult Population: A Randomized, Double-Blind, Placebo-Controlled Study.
      aug:
        au:
          Tremblay, Annie
          Fatani, Asmaa
          Ford, Amanda L.
          Piano, Amanda
          Nagulesapillai, Varuni
          Auger, Jeremie
          MacPherson, Chad W.
          Christman, Mary C.
          Tompkins, Thomas A.
          Dahl, Wendy J.
        affil: Rosell Institute for Microbiome and Probiotics, Montreal, Quebec, Canada
      sug:
        subj:
          Population Health
          Probiotics Administration and Dosage
          Dietary Supplements
          Microbiota
          Human
          Randomized Controlled Trials
          Random Assignment
          Double-Blind Studies
          Feces Microbiology
          RNA
          Genes
          Sequence Analysis
          Lactobacillus
          Male
          Female
          Adult
          Descriptive Statistics
          Adult: 19-44 years
          Male
          Female
      ab: Few studies have focused on dose-response analyses of multi-strain probiotics in the general adult population. This study aimed at comparing how a low- and high-dose of a multi-strain probiotic supplement (containing Lactobacillus helveticus R0052, Lactobacillus rhamnosus R0011, Lactobacillus casei R0215, Pediococcus acidilactici R1001, Bifidobacterium breve R0070, Bifidobacterium longum ssp. longum BB536, Lactobacillus plantarum R1012, Lactococcus lactis ssp. lactis R1058) affected microbiota composition, transit persistence and safety in adults. After a 7-d baseline, participants were randomized to receive capsules containing 5 or 25 billion CFU, or placebo daily for 28 days, followed by a 7-d washout. Digestive health and general wellness were assessed. Fecal microbiota composition was analyzed using 16S rRNA gene amplicon sequencing and strain persistence, by qPCR. Participants' gastrointestinal and general wellbeing were unaffected. No adverse events were associated with either dose. Supplemented strains contributed to the Lactobacillus and Bifidobacterium genera detected in stool, with 0.40 ± 0.11% and 0.51 ± 0.26%, respectively, in the high-dose group. Strain-specific qPCR assays revealed variable levels of post-intervention persistence between strains. Sequencing and composition analyses using the 16S V4 region revealed a decrease in Holdemania and increase in Bacteroidales. The formulation was well tolerated in this sample of the general adult population, even at the higher dose. The strains appear to have influenced microbiota composition minimally, as expected in the absence of dysbiosis, and consistently with the dose administered. Overall, the results provide a rationale to study the effects this formulation on microbiota composition in individuals exhibiting dysbiosis associated with metabolic disorders or obesity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N