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in vitro adherence of lactobacillus strains isolated from the vaginas of healthy iranian women.the lactobacilli are a part of the bacterial flora of the human vagina. detection of normal lactobacillus species in the vaginas of healthy women in different geographical locations, and evaluation of their specific properties, can aid in the selection of the best species for preventing sexually transmitted diseases in the future. this study was performed to isolate and identify the lactobacillus species in the vaginas of healthy women and to evaluate the adherence of these lactobacilli to vero ...201627562422
lactobacillus rhamnosus gg spac pilin subunit binds to the carbohydrate moieties of intestinal glycoconjugates.lactobacillus rhamnosus gg (lgg) is a well-established probiotic strain. the beneficial properties of this strain are partially dependent on its prolonged residence in the gastrointestinal tract, and are likely influenced by its adhesion to the intestinal mucosa. the pilin spac subunit, located within the spa pili structure, is the most well studied lgg adhesion factor. however, the binding epitopes of spac remain largely unknown. the aim of this study was to evaluate the binding properties of s ...201626434750
are commercial probiotics and prebiotics effective in the treatment and prevention of honeybee nosemosis c?the study was conducted to investigate the effect of lactobacillus rhamnosus (a commercial probiotic) and inulin (a prebiotic) on the survival rates of honeybees infected and uninfected with nosema ceranae, the level of phenoloxidase (po) activity, the course of nosemosis, and the effect on the prevention of nosemosis development in bees. the cells of l. rhamnosus exhibited a high rate of survival in 56.56 % sugar syrup, which was used to feed the honeybees. surprisingly, honeybees fed with suga ...201626437644
restoring vaginal microbiota: biological control of bacterial vaginosis. a prospective case-control study using lactobacillus rhamnosus bmx 54 as adjuvant treatment against bacterial vaginosis.bacterial vaginosis (bv) is the most prevalent lower genital tract infection in reproductive-age women worldwide. bv is an ecological disorder of the vaginal microbiota characterized microbiologically by replacement of the lactobacilli, predominant vaginal microbiota. it is characterized by a high rate of relapse in sexual active women, and these patients show three or more relapses each year. a healthy vagina is characterized by hydrogen peroxide and acid-producing lactobacilli, which are cruci ...201626142892
lactobacillus rhamnosus gg-supplemented formula expands butyrate-producing bacterial strains in food allergic infants.dietary intervention with extensively hydrolyzed casein formula supplemented with lactobacillus rhamnosus gg (ehcf+lgg) accelerates tolerance acquisition in infants with cow's milk allergy (cma). we examined whether this effect is attributable, at least in part, to an influence on the gut microbiota. fecal samples from healthy controls (n=20) and from cma infants (n=19) before and after treatment with ehcf with (n=12) and without (n=7) supplementation with lgg were compared by 16s rrna-based ope ...201626394008
effects of immunomodulatory supplementation with lactobacillus rhamnosus on airway inflammation in a mouse asthma model.asthma is a common allergic disease. in previous studies, probiotics improved the balance of intestinal microbes, reduced inflammation, and promoted mucosal tolerance. this study investigated whether oral administrations of lactobacillus rhamnosus gg (lgg) inhibited allergen (ovalbumin or ova)-induced airway inflammation in a mouse asthma model.201625440975
lactobacillus rhamnosus gg supplementation during critical windows of gestation influences immune phenotype in swiss albino mice offspring.probiotic supplementation during critical windows of gestation might have a significant influence on the infant's immune phenotype. swiss albino mice (f0 generation) aged 31 days were supplemented orally with probiotic lactobacillus rhamnosus gg (lgg); and the supplementation was continued throughout mating, gestation and lactation. the pups (f1 generation) born to them were separated post weaning and received either the same probiotic supplementation as their mothers or were denied supplementat ...201626645351
oral intake of lactobacillus rhamnosus m21 enhances the survival rate of mice lethally infected with influenza virus.influenza viruses cause acute respiratory disease. because of the high genetic variability of viruses, effective vaccines and antiviral agents are limited. considering the fact that the site of influenza virus entry is the mucosa of the upper respiratory tract, probiotics that can enhance mucosal immunity as well as systemic immunity could be an important source of treatment against influenza infection.201625304268
characterization of a probiotic-derived soluble protein which reveals a mechanism of preventive and treatment effects of probiotics on intestinal inflammatory diseases.the beneficial effects of probiotics have been demonstrated in many diseases, such as inflammatory bowel disease. the known mechanisms for probiotic action include blocking pathogenic bacterial effects, enhancing the innate immunity and decreasing pathogen-induced inflammation, and promoting intestinal epithelial cell survival, barrier function, and protective responses. we purified and cloned a lactobacillus rhamnosus gg (lgg)-derived soluble protein, p40. this protein ameliorated cytokine-indu ...201622356855
screening of lactic acid bacteria for anti-fusarium activity and optimization of incubation conditions.anti-fusarium activities of lactic acid bacteria (lab) lactobacillus plantarum 299v, l. plantarum nrrl-4496, and lactobacillus rhamnosus vt1 were determined by a microdilution assay developed in this study against fusarium graminearum 08/rg/bf/51. a cell-free lactobacillus culture supernatant (cflcs) of l. rhamnosus vt1 had the highest anti-fusarium activity. response surface methodology was used to optimize the incubation conditions for production of cflcs. a box-behnken factorial design was us ...201728853625
correction: jang, s.-e.; et al. lactobacillus rhamnosus hn001 and lactobacillus acidophilus la-14 attenuate gardnerella vaginalis-infected bacterial vaginosis in mice. nutrients 2017, 9, 531.we would like to submit the following corrections to our recently published paper [1] due to the reported wrong name of probiotic mixture and the dose of some drugs. ...].201728686189
lactobacillus rhamnosus hn001 and lactobacillus acidophilus la-14 attenuate gardnerella vaginalis-infected bacterial vaginosis in mice.oral administration of a probiotic mixture (pm; respecta(®)) consisting of lactobacillus rhamnosus hn001 (l1), lactobacillus acidophilus la-14 (l2), and lactoferrin rcxtm results in colonization of these probiotics in the vagina of healthy women. therefore, we examined whether vaginal colonization of the pm ingredients l1 and l2 could attenuate bacterial vaginosis (bv). bv was induced in mice via β-estradiol-3-benzoate-induced immunosuppression and intravaginal inoculation with gardnerella vagin ...201728545241
immunomodulatory effects and anti-candida activity of lactobacilli in macrophages and in invertebrate model of galleria mellonella.due to the growing number of multi-resistant candida spp., adjuvant treatments that may help combat these fungal pathogens are relevant and useful. this study evaluated the immunomodulation and anti-candida activity of lactobacillus rhamnosus (lr), lactobacillus acidophilus and lactobacillus paracasei suspensions, either single- or multiple-strain, in mouse macrophages (raw 264.7) and galleria mellonella (gm). mouse macrophages were activated by different lactobacilli suspensions and challenged ...201728801270
effect of lactobacillus on body weight and body fat in overweight subjects: a systematic review of randomized controlled clinical trials.gut microbiota is important for maintaining body weight. modulation of gut microbiota by probiotics may result in weight loss and thus help in obesity treatment. the aim of this systematic review was to evaluate the effects of lactobacillus on weight loss and/or fat mass in overweight adults. a search was performed on the medline (pubmed) and scopus electronic databases using the search terms: 'probiotics', 'lactobacillus, 'obesity', 'body weight changes', 'weight loss', 'overweight', 'abdominal ...201728792488
effect of eudragit s100 nanoparticles and alginate chitosan encapsulation on the viability of lactobacillus acidophilus and lactobacillus rhamnosus.in this study, we examined a novel method of microencapsulation with calcium alginate-chitosan and eudragit s100 nanoparticles for the improving viability of probiotic bacteria, lactobacillus acidophilus and lactobacillus rhamnosus. extrusion technique was carried out in microencapsulation process. the viability of two probiotics in single coated beads (with only chitosan), double coated beads (with chitosan and eudragit nanoparticles), and as free cells (unencapsulated) were conducted in simula ...201728687035
the role of probiotics in children with autism spectrum disorder: a prospective, open-label study.there are limited data on the efficacy of probiotics in children with asd, therefore, this study aims to evaluate the efficacy and tolerability of probiotics in an egyptian cohort of children with asd.201728686541
effects of 4 probiotic strains in coculture with traditional starters on the flavor profile of yogurt.to study the influence of probiotics on the flavor profile of yogurt, 4 probiotics, including lactobacillus acidophilus, lactobacillus plantarum, lactobacillus rhamnosus, and lactobacillus casei, were cofermented with traditional starters. the changes of bacterial growth, acid contents and volatile compounds of yogurt were investigated during fermentation and refrigerated storage. the strains that exhibited a low growth rate in milk did not significantly affect the bacterial population dynamics, ...201728598540
aggregation and adhesion activity of lactobacilli isolated from fermented products in vitro and in vivo: a potential probiotic strain.approximately 25 strains of lactobacilli isolated from different dairy products and fermented vegetables were screened according to their possibility to show the high auto-aggregation and co-aggregation. the strains lactobacillus helveticus inra-2010-h11, lactobacillus rhamnosus ina-5.1, and lactobacillus acidophilus jm-2012 were determined to have the high auto-aggregation (approximately 73, 46, and 70.5% correspondingly). a high co-aggregation capacity (75.53%) for strains inra-2010-h11 and jm ...201728455689
probiotics to prevent necrotising enterocolitis and nosocomial infection in very low birth weight preterm infants.the aim of the study was to determine whether routine probiotic supplementation (rps) with lactobacillus rhamnosus gg (lgg) or lactobacillus acidophilus +lactobacillus bifidum is associated with reduced risk of necrotising enterocolitis (nec)≥stage ii in preterm neonates born at ≤32 weeks' gestation. we conducted a retrospective cohort study on the effect of probiotic supplementation in very low birth weight infants in our neonatal unit by comparing two periods: before and after supplementation. ...201728443531
metabolic gene-targeted monitoring of non-starter lactic acid bacteria during cheese ripening.long ripened cheeses, such as grana padano (gp), a protected designation of origin (pdo) italian cheese, harbor a viable microbiota mainly composed of non-starter lactic acid bacteria (nslab), which contribute to the final characteristics of cheese. the nslab species lactobacillus rhamnosus, lb. casei and lb. paracasei are frequently found in gp, and form a closely related taxonomic group (lb. casei group), making it difficult to distinguish the three species through 16s rrna sequencing. spxb, a ...201728735145
prophylactic effects of secretion metabolites of dairy lactobacilli through downregulation of erbb-2 and erbb-3 genes on colon cancer cells.colon cancer is one of the most prevalent cancers, and intestinal microbial community plays a pivotal role in colorectal tumor genesis. probiotics as live microorganisms may be able to exert an anticancer effect in colon cancer. the aim of this study was to isolate and identify lactobacillus spp. from traditional dairy products with probiotic properties and to investigate their anticancer effects through erbb-2 and erbb-3 gene expression in colon cancer cells. the isolated lactobacilli from yogu ...201728683007
in silico prediction, in vitro antibacterial spectrum, and physicochemical properties of a putative bacteriocin produced by lactobacillus rhamnosus strain l156.4.a bacteriocinogenic lactobacillus rhamnosus l156.4 strain isolated from the feces of nih mice was identified by 16s rrna gene sequencing and maldi-tof mass spectrometry. the entire genome was sequenced using illumina, annotated in the pgaap, and rast servers, and deposited. conserved genes associated with bacteriocin synthesis were predicted using bagel3, leading to the identification of an open reading frame (orf) that shows homology with the l. rhamnosus gg (atcc 53103) prebacteriocin gene. th ...201728579977
study on the chemical and microbial composition and probiotic characteristics of dominant lactic acid bacteria in fermented poultry slaughterhouse waste.this study aimed to evaluate the quality of fermented poultry slaughterhouse waste and isolate and identify the probiotic bacteria present in it. poultry slaughterhouse waste samples supplemented with 5% starter culture and 0.2% propionic acid received one of four experimental treatments, which consisted of further supplementation with: (1) 10% molasses (m10); (2) 15% molasses (m15); (3) 10% molasses with 200ppm butylated hydroxytoluene (mb10); and (4) 15% molasses with 200ppm butylated hydroxyt ...201728408278
supplementation of lactobacilli improves growth, regulates microbiota composition and suppresses skeletal anomalies in juvenile pike-perch (sander lucioperca) reared in recirculating aquaculture system (ras): a pilot study.this research aimed to test the effects of lactobacilli, applied to cultured pike-perch, either through hydrolyzed otohime fish diet, or through artemia nauplii, on fish growth, microbiota balance and skeletal development. on the 12th day post hatching (dph) fish were divided into following treatment groups: two groups received the combination of otohime and nauplii enriched either with lactobacillus paracasei bghn14+lactobacillus rhamnosus bgt10 or with lactobacillus reuteri bggo6-55+lactobacil ...201728777955
survival of potential probiotic lactobacilli used as adjunct cultures on pecorino siciliano cheese ripening and passage through the gastrointestinal tract of healthy volunteers.in the present study, two lactobacilli strains, lactobacillus rhamnosus h25 and lactobacillus paracasei n24, used as adjunct cultures, were evaluated for their heat resistance both with and without prior heat adaptation and for their survival, at industrial scale, during the production and ripening of the pecorino siciliano cheese. in addition, the viability and persistence of the lactobacilli strains after passage through the gastrointestinal tract of healthy volunteers were evaluated by using ...201728458191
dietary fibers and protective lactobacilli drive burrata cheese microbiome.this study aimed at improving the functional attributes and shelf-life of burrata cheese by using protective lactobacilli (lactobacillus plantarum lpal and lactobacillus rhamnosus lrb), fructoligosaccharides and inulin. six burrata cheeses were made by using: i) the traditional protocol (control); ii) addition of 0.5% fructoligosaccharides and inulin (df cheese); iii) protective lactobacilli in milk alone (pl cheese); iv) protective lactobacilli in milk and governing liquid (2pl cheese); v) prot ...201728842539
milk fermented by lactobacillus species from brazilian artisanal cheese protect germ-free-mice against salmonella typhimurium infection.ingestion of milks fermented by lactobacillus strains showing probiotic properties is an important tool to maintain gastrointestinal health. in this study, lactobacillus rhamnosus d1 and lactobacillus plantarum b7, isolated from brazilian artisanal cheese, were used as starters for the functional fermented milks to assess their probiotic properties in a gnotobiotic animal model. male germ-free swiss mice received a single oral dose of milk fermented by each sample, and were challenged with salmo ...201728789560
efficacy of lactobacillus reuteri dsm 17938 for the treatment of acute gastroenteritis in children: protocol of a randomized controlled trial.acute gastroenteritis (age) is one of the most common diseases among children. oral rehydration therapy is the key treatment. however, despite proven efficacy, it remains underused. this is because oral rehydration solution neither reduces the frequency of bowel movements and fluid loss nor shortens the duration of illness. hence, there is interest in adjunctive treatments. according to the 2014 guidelines developed by the european society for paediatric gastroenterology, hepatology and nutritio ...201728835355
aciduric strains of lactobacillus reuteri and lactobacillus rhamnosus, isolated from human feces, have strong adhesion and aggregation properties.human feces were streaked onto mrs agar adjusted to ph 2.5, 3.0, and 6.4, respectively, and medium supplemented with 1.0% (w/v) bile salts. two aciduric strains, identified as lactobacillus reuteri hfi-ld5 and lactobacillus rhamnosus hfi-k2 (based on 16s rdna and reca sequences), were non-hemolytic and did not hydrolyze mucin. the surface of lactobacillus reuteri hfi-ld5 cells has a weak negative charge, whereas lactobacillus rhamnosus hfi-k2 has acidic and basic properties, and produces exopoly ...201728756502
peptidoglycan from immunobiotic lactobacillus rhamnosus improves resistance of infant mice to respiratory syncytial viral infection and secondary pneumococcal pneumonia.several research works have demonstrated that beneficial microbes with the capacity to modulate the mucosal immune system (immunobiotics) are an interesting alternative to improve the outcome of bacterial and viral respiratory infections. among the immunobiotic strains with the capacity to beneficially modulate respiratory immunity, lactobacillus rhamnosus crl1505 has outstanding properties. although we have significantly advanced in demonstrating the capacity of l. rhamnosus crl1505 to improve ...201728848552
a comparative study of procedures for binding of aflatoxin m1 to lactobacillus rhamnosus gg.several strains of lactic acid bacteria (lab), frequently used in food fermentation and preservation, have been reported to bind different types of toxins in liquid media. this study was carried out to investigate the effect of different concentrations of lactobacillus rhamnosus gg (atcc 53103) to bind aflatoxin m1 (afm1) in liquid media. afm1 binding was tested following repetitive washes or filtration procedures in combination with additional treatments such as heating, pipetting, and centrifu ...201728843807
study of the effects of spray-drying in whey-starch on the probiotic capacity of lactobacillus rhamnosus 64 in the gut of mice.to evaluate the effects of spray-drying of lactobacillus rhamnosus 64 on its capacity to modulate the gut immune response and on the attenuation of tnbs-induced colitis in mice.201728815811
effect of fermented milk containing lactobacillus rhamnosus sd11 on oral microbiota of healthy volunteers: a randomized clinical trial.the aims of this study were to evaluate whether short-term consumption of fermented milk containing lactobacillus rhamnosus sd11 affected levels of oral microbiota in vivo and whether l. rhamnosus sd11 could colonize in the human mouth. we also monitored for potential side effects of the probiotic. the applicability of using l. rhamnosus sd11 compared with lactobacillus bulgaricus as a starter culture for fermented milk was evaluated. after informed consent, 43 healthy young adults were recruite ...201728803012
early probiotic supplementation for eczema and asthma prevention: a randomized controlled trial.to determine if probiotic administration during the first 6 months of life decreases childhood asthma and eczema.201728784701
interplay between lactobacillus rhamnosus gg and candida and the involvement of exopolysaccharides.a number of clinical studies have shown protective effects of lactobacilli against candida species in the gastrointestinal tract, the urogenital tract and the oral cavity, while others did not show clear effects. evidence on the mode of action of lactobacilli against candida is also still lacking. in this study, the anti-candida activity of the model probiotic strain lactobacillus rhamnosus gg was explored in different assays to determine molecular interactions. we found that l. rhamnosus gg was ...201728772020
oral administration of lactobacillus rhamnosus gg ameliorates salmonella infantis-induced inflammation in a pig model via activation of the il-22bp/il-22/stat3 pathway.the high rate of salmonella enterica serovar infantis (s. infantis) infection poses significant risk for the development of non-typhoidal salmonella gastroenteritis. however, efficient strategies to prevent or treat the infection remain elusive. here, we explored the effect of the probiotic lactobacillus rhamnosus gg (lgg) administration in preventing s. infantis infection in a pig model. probiotic lgg (1.0 × 10(10) cfu/day) was orally administered to newly weaned piglets for 1 week before s. in ...201728770173
systematic review: probiotics for functional constipation in children.we updated our 2010 systematic review on the efficacy of probiotics in the treatment of constipation in children. the medline, embase, and cochrane library databases; clinical trial registries; and reference lists of included studies were searched to february 2017 for randomized controlled trials (rcts) performed in children, with no language restriction. the primary outcome measure was treatment success, as defined by the investigators. we included seven rcts with a total of 515 participants. i ...201728762070
influence of commercial inactivated yeast derivatives on the survival of probiotic bacterium lactobacillus rhamnosus hn001 in an acidic environment.this study evaluated the influence of three inactivated yeast derivatives (iyds) used in wine production, namely optired(®), optiwhite(®) and noblesse(®), on the viability of the probiotic strain lactobacillus rhamnosus hn001 in an acidic environment. addition of the iyds at 3 g/l significantly enhanced the survival of the probiotic bacteria by 2.75-4.05 log cycles after 10-h exposure in a ph 3.0 buffer. acid stress assay with iyd components obtained after centrifugation and filtration revealed ...201728747041
novel molecular insights about lactobacillar sortase-dependent piliation.one of the more conspicuous structural features that punctuate the outer cell surface of certain bacterial gram-positive genera and species is the sortase-dependent pilus. as these adhesive and variable-length protrusions jut outward from the cell, they provide a physically expedient and useful means for the initial contact between a bacterium and its ecological milieu. the sortase-dependent pilus displays an elongated macromolecular architecture consisting of two to three types of monomeric pro ...201728718795
dietary lipid content reorganizes gut microbiota and probiotic l. rhamnosus attenuates obesity and enhances catabolic hormonal milieu in zebrafish.in the present study, we explored whether dietary lipid content influences the gut microbiome in adult zebrafish. diets containing three different lipid levels (high [hfd], medium [mfd], and low [lfd]) were administered with or without the supplementation of lactobacillus rhamnosus (p) to zebrafish in order to explore how the dietary lipid content may influence the gut microbiome. dietary lipid content shifted the gut microbiome structure. the addition of l. rhamnosus in the diets, induced trans ...201728717234
clinical and microbiological aspects of the use of lactobacillus rhamnosus pl1 strains in proctological patients with symptoms of chronic proctitis.recurrent proctitis and the symptoms associated therewith pose significant clinical problem in proctological patients. the objective of this study was to assess the impact of the probiotic lactobacillus rhamnosus pl1 strain on the clinical presentation and composition of intestinal microbiota in patients with symptoms of proctitis in the course of hemorrhoidal disease and diverticulosis. material consisted of 24 patients in whom no complete clinical improvement could be obtained after the treatm ...201728703111
correction: genotypic and phenotypic diversity of lactobacillus rhamnosus clinical isolates, their comparison with strain gg and their recognition by complement system.[this corrects the article doi: 10.1371/journal.pone.0176739.].201728700750
purification and fermentation characteristics of exopolysaccharide from fomitopsis castaneus imaz.short-chain fatty acids (scfas), which are the end products of carbohydrate fermentation in the gut, mainly contribute to energy metabolism in mammals. the amount of scfas produced during fermentation is an important parameter that characterizes the fermentation capacity of a system. this paper reports on the fermentation characteristics of exopolysaccharides (eps) isolated from fomitopsis castaneus imaz, a wood-rot fungal species. we isolated and purified the main eps fraction by freeze drying ...201728698079
lactobacillus rhamnosus endocarditis after upper endoscopy.lactobacillus rhamnosus is commonly found in gastrointestinal flora and used in probiotics but is a rare human pathogen. we report a case of l. rhamnosus endocarditis following upper endoscopy in a frequent consumer of yogurt containing the organism, who required aortic and mitral valve replacement for cure.201728695143
complete genome sequence of lactobacillus rhamnosus bfe5264, isolated from maasai traditional fermented milk.here, we report the complete genome of lactobacillus rhamnosus bfe5264, which was sequenced with the pacific biosciences rsii platform. the genome size is 3.01 mb and includes 3,077 annotated coding sequences, including genes associated with the promotion of intestinal epithelial homeostasis through specific signaling pathways.201728684572
a casein hydrolysate based formulation attenuates obesity and associated non-alcoholic fatty liver disease and atherosclerosis in ldlr-/-.leiden mice.obesity frequently associates with the development of non-alcoholic fatty liver disease (nafld) and atherosclerosis. chronic inflammation in white adipose tissue (wat) seems to be an important driver of these manifestations.201728678821
effects of lactobacillus rhamnosus gg on the maturation and differentiation of dendritic cells in rotavirus-infected mice.rotavirus-related diarrhoea is considered one of the most important diseases in field animal production. in addition to the classic vaccine strategy, a number of studies have utilised probiotics, such as lactobacillus rhamnosus gg (lgg), to prevent rotavirus-induced diarrhoea. although it has been partially revealed that toll-like receptors (tlrs) are involved in the lgg-mediated protection against rotavirus infection, the details of the underlying immunologic mechanisms remain largely unknown. ...201728670908
pre-cultivation with selected prebiotics enhances the survival and the stress response of lactobacillus rhamnosus strains in simulated gastrointestinal transit.in our study, we dwelled upon combinations of lactobacilli/prebiotics, considering four different strains belonging to the lactobacillus rhamnosus species, including lactobacillus rhamnosus gg (lgg), and different prebiotics often found in commercial synbiotic products, such as inulin, lactulose and polyols mannitol and sorbitol. in the first step of the research, the survival, the growth kinetic parameters and the protein expression of lb. rhamnosus strains cultivated in presence of the differe ...201728659890
the inhibitory impacts of lactobacillus rhamnosus gg-derived extracellular vesicles on the growth of hepatic cancer cells.bacterial extracellular vesicles (evs) have come forth into notice as possible important agent to mediate host-pathogen interactions. in this scientific research, the authors have tried to find out the effect of evs derived from lactobacillus rhamnosus gg (ldevs) on the apoptosis induction in hepg2 cell line. the evs were purified from the conditioned medium of lactobacillus rhamnosus gg using ultrafiltration and confirmed by transmission electron microscopy (tem). the hepg2 cells were treated w ...201728634130
lactobacillus rhamnosusgg reduces hepatic fibrosis in a model of chronic liver disease in ratsthe intestinal dysbiosis is common in chronic liver disease and can induce to inflammatory responses and mediate the collagen deposition in the liver.201728627210
zearalenone adsorption capacity of lactic acid bacteria isolated from pigs.the ability to adsorb zearalenone by five strain of lactic acid bacteria was evaluated: four strains of lactobacillus spp. isolated from pig rectal swabs and one commercial strain (lactobacillus rhamnosus). several factors affecting the adsorption capacity were evaluated in order to improve the adsorption of the mycotoxin by bacteria. the stability of the zearalenone-bacteria complex was analyzed. in every case, bacterial adsorption capacity was higher than 40.0%. the strain showing the highest ...201728623104
inorganic salts and intracellular polyphosphate inclusions play a role in the thermotolerance of the immunobiotic lactobacillus rhamnosus crl 1505.in this work, the thermotolerance of lactobacillus rhamnosus crl1505, an immunobiotic strain, was studied as a way to improve the tolerance of the strain to industrial processes involving heat stress. the strain displayed a high intrinsic thermotolerance (55°c, 20 min); however, after 5 min at 60°c in phosphate buffer a two log units decrease in cell viability was observed. different heat shock media were tested to improve the cell survival. best results were obtained in the mediumcontaining ino ...201728594955
effect of lactobacillus rhamnosus gr-1 supernatant on cytokine and chemokine output from human amnion cells treated with lipoteichoic acid and lipopolysaccharide.preterm birth occurs in 9% to 13% of all human pregnancies and accounts for 80% of all neonatal morbidities and mortalities. approximately 40% of all preterm births are idiopathic and about half are associated with infection and/or an activated inflammatory process. further to studies showing anti-inflammatory effects of supernatant from the probiotic lactobacillus rhamnosus gr-1 (gr-1), we tested its ability to modulate cytokine and chemokine production from amnion cells in response to stimulat ...201728587570
probiotics for the prevention of nosocomial diarrhea in children.this document provides recommendations developed by the espghan working group (wg) on probiotics and prebiotics on the role of probiotics in the prevention of nosocomial diarrhea in children based on a systematic review of previously completed systematic reviews and of subsequently published randomized controlled trials (rcts). the quality of evidence was assessed using the grading of recommendations assessment, development and evaluation (grade) guidelines. recommendations were given only if at ...201728574970
lactobacillus rhamnosus atcc 7469 exopolysaccharides synergizes with low level ionizing radiation to modulate signaling molecular targets in colorectal carcinogenesis in rats.combination therapy that targets cellular signaling pathway represents an alternative therapy for the treatment of colon cancer (crc). the present study was therefore aimed to investigate the probable interaction of lactobacillus rhamnosus atcc 7469 exopolysaccharides (eps) with low level ionizing γ radiation (γ-r) exposure against dimethylhydrazine (dmh)- induced colorectal carcinogenesis in rats. colon cancer was induced with 20mg dmh/kg bw. rats received daily by gastric gavage 100mg eps/kg b ...201728554134
the role of microbiota and immunobiotics in granulopoiesis of immunocompromised hosts.the number of granulocytes is maintained by a regulated balance between granulopoiesis in the bone marrow and clearance and destruction in peripheral tissues. granulopoiesis plays a fundamental role in the innate immune response. therefore, factors affecting the normal granulopoiesis lead to alterations in innate defenses and reduce the resistance against infections. in this study, we give a description on recent advances regarding the molecular and cellular events that regulate steady-state and ...201728533775
a novel millet-based probiotic fermented food for the developing world.probiotic yogurt, comprised of a fiti sachet containing lactobacillus rhamnosus gr-1 and streptococcus thermophilus c106, has been used in the developing world, notably africa, to alleviate malnutrition and disease. in sub-saharan african countries, fermentation of cereals such as millet, is culturally significant. the aim of this study was to investigate the fermentation capability of millet when one gram of the fiti sachet consortium was added. an increase of 1.8 and 1.4 log cfu/ml was observe ...201728531168
enhancement of antioxidative and intestinal anti-inflammatory activities of glycated milk casein after fermentation with lactobacillus rhamnosus 4b15.in this study, we investigated the glycoproteomics of glycated milk casein (gmc) and gmc fermented by lactobacillus rhamnosus 4b15 (fgmc) and determined their biological implications. there was a significant increase in the antioxidative and anti-inflammatory activities of gmc with galactose, which were higher than those of gmc with glucose (gmc-glc). furthermore, the fermentation of gmc by l. rhamnosus 4b15 synergistically enhanced the above activities compared to those of unfermented gmc. espe ...201728510450
lactobacillus rhamnosus crl1505 nasal administration improves recovery of t-cell mediated immunity against pneumococcal infection in malnourished mice.immunobiotic lactic acid bacteria have become an interesting alternative for the prevention of respiratory infections. previously, we demonstrated that the nasal administration of lactobacillus rhamnosus crl1505, during repletion of malnourished mice, resulted in diminished susceptibility to the challenge with the respiratory pathogen streptococcus pneumoniae. considering the known alterations induced by malnutrition on t lymphocytes and the importance of this cell population on the protection a ...201728504568
genotypic and phenotypic diversity of lactobacillus rhamnosus clinical isolates, their comparison with strain gg and their recognition by complement system.lactobacillus rhamnosus strains are ubiquitous in fermented foods, and in the human body where they are commensals naturally present in the normal microbiota composition of gut, vagina and skin. however, in some cases, lactobacillus spp. have been implicated in bacteremia. the aim of the study was to examine the genomic and immunological properties of 16 clinical blood isolates of l. rhamnosus and to compare them to the well-studied l. rhamnosus probiotic strain gg. blood cultures from bacteremi ...201728493885
fermentation of protopanaxadiol type ginsenosides (pd) with probiotic bifidobacterium lactis and lactobacillus rhamnosus.ginsenosides are believed to be the principal components behind the pharmacological actions of ginseng, and their bioactive properties are closely related to the type, position, and number of sugar moieties attached to the aglycone; thus, modification of the sugar chains may markedly change their biological activities. in this study, major protopanaxadiol type ginsenosides (pd) rb1, rc, and rb2 were isolated from panax ginseng and were transformed using two probiotic strains namely bifidobacteri ...201728478490
endocarditis due to lactobacillus rhamnosus in a patient with bicuspid aortic valve: potential role for the consumption of probiotics? 201728476455
alginate based nanocomposite for microencapsulation of probiotic: effect of cellulose nanocrystal (cnc) and lecithin.probiotic (lactobacillus rhamnosus atcc 9595) was encapsulated in alginate-cnc-lecithin microbeads to produce nutraceutical microcapsules. addition of cnc and lecithin in alginate microbeads (acl-1) improved the viability of l. rhamnosus during gastric passage and storage. the compression strength of the freeze-dried acl-1 microbeads improved 40% compared to alginate microbeads alone. swelling studies revealed that addition of cnc and lecithin in alginate microbeads decreased (around 47%) the ga ...201728457464
a survey of probiotic use practices among patients at a tertiary medical centre.probiotic use has skyrocketed in recent years. little is known, however, about patient knowledge and practices regarding probiotic use, especially in the context of antibiotic use. an invitation to complete a short, anonymous, electronic survey was sent by email to 965 patients at a tertiary medical centre in california who had agreed to be contacted for participation in research studies. questions were asked about both probiotic and antibiotic use in the prior three months. of 333 survey respon ...201728403649
control of lupus nephritis by changes of gut microbiota.systemic lupus erythematosus, characterized by persistent inflammation, is a complex autoimmune disorder with no known cure. immunosuppressants used in treatment put patients at a higher risk of infections. new knowledge of disease modulators, such as symbiotic bacteria, can enable fine-tuning of parts of the immune system, rather than suppressing it altogether.201728697806
probiotic lactobacillus species strengthen intestinal barrier function and tight junction integrity in experimental necrotizing enterocolitis.necrotizing enterocolitis (nec) is a serious intestinal disease that occurs in newborn infants. it is associated with major morbidity and affects 5% of all infants admitted to neonatal intensive care units. probiotics have variable efficacy in preventing necrotizing enterocolitis. tight junctions (tj) are protein complexes that maintain epithelial barrier integrity. we hypothesized that the probiotics lactobacillus rhamnosus and lactobacillus plantarum strengthen intestinal barrier function, pro ...201728638850
assessment of phenotypic and genotypic antibiotic susceptibility of vaginal lactobacillus sp.to assess antibiotic susceptibility of vaginal lactobacilli strains and provide the data required for assessing the potential of antibiotic resistance risk of new strains selected as probiotic.201728574626
in vitro characterization of lactobacillus plantarum strains with inhibitory activity on enteropathogens for use as potential animal probiotics.the present study evaluates the probiotic properties of three lactobacillus plantarum strains mjm60319, mjm60298, and mjm60399 possessing antimicrobial activity against animal enteric pathogens. the three strains did not show bioamine production, mucinolytic and hemolytic activity and were susceptible to common antibiotics. the l. plantarum strains survived well in the simulated orogastrointestinal transit condition and showed adherence to caco-2 cells in vitro. the l. plantarum strains showed s ...201728611498
consumption of apple-boysenberry beverage decreases salivary actinomyces naeslundii and their adhesion in a multi-species biofilm model.we hypothesised that consumption of beverage rich in both fibre and polyphenols, rather than each bioactive alone, will modulate populations of selected salivary bacteria, and their adhesion characteristics and that some of these effects may be due to the anti-microbial activity of the beverage bioactives. we investigated the effect of 4 weeks' consumption of beverages, rich in apple fibre, boysenberry polyphenols, or both on salivary bacteria in healthy subjects. in this placebo-controlled cros ...201728403648
effects of lactobacillus rhamnosus and lactobacillus acidophilus on bacterial vaginal pathogens.the human vagina is colonized by a variety of microbes. lactobacilli are the most common, mainly in healthy women; however, the microbiota composition can change rapidly, leading to infection or to a state in which potential pathogenic microorganisms co-exist with other commensals. in premenopausal women, urogenital infections, such as bacterial vaginosis and aerobic vaginitis, remain an important health problem. treatment of these infections involves different kind of antibiotics; however, the ...201728580872
administration of lactobacillus salivarius li01 or pediococcus pentosaceus li05 prevents ccl4-induced liver cirrhosis by protecting the intestinal barrier in rats.alterations in the gut microbiome have been reported in liver cirrhosis, and probiotic interventions are considered a potential treatment strategy. this study aimed to evaluate the effects and mechanisms of lactobacillus salivarius li01, pediococcus pentosaceus li05, lactobacillus rhamnosus gg, clostridium butyricum miyairi and bacillus licheniformis zhengchangsheng on ccl4-induced cirrhotic rats. only administration of li01 or li05 prevented liver fibrosis and down-regulated the hepatic express ...201728761060
mechanism of biofilm-mediated stress resistance and lifespan extension in c. elegans.bacteria naturally form communities of cells known as biofilms. however the physiological roles of biofilms produced by non-pathogenic microbiota remain largely unknown. to assess the impact of a biofilm on host physiology we explored the effect of several non-pathogenic biofilm-forming bacteria on caenorhabditis elegans. we show that biofilm formation by bacillus subtilis, lactobacillus rhamnosus and pseudomonas fluorescens induces c. elegans stress resistance. biofilm also protects against pat ...201728769037
effect of soy isoflavones on growth of representative bacterial species from the human gut.the present work aimed to assess the susceptibility of dominant and representative bacterial populations from the human gut to isoflavones and their metabolites. to do so, the minimum inhibitory concentration (mic) of isoflavone glycosides, isoflavone aglycones, and equol to 37 bacterial strains was determined by broth microdilution. additionally, for 10 representative strains, growth curves, growth rate (μ), and optical density (od600 nm) of the cultures at 24 h were also determined. mics of da ...201728698467
early gut mycobiota and mother-offspring transfer.the fungi in the gastrointestinal tract, the gut mycobiota, are now recognised as a significant part of the gut microbiota, and they may be important to human health. in contrast to the adult gut mycobiota, the establishment of the early gut mycobiota has never been described, and there is little knowledge about the fungal transfer from mother to offspring.201728837002
administration of two probiotic strains during early childhood does not affect the endogenous gut microbiota composition despite probiotic proliferation.probiotics are increasingly applied to prevent and treat a range of infectious, immune related and gastrointestinal diseases. despite this, the mechanisms behind the putative effects of probiotics are poorly understood. one of the suggested modes of probiotic action is modulation of the endogenous gut microbiota, however probiotic intervention studies in adults have failed to show significant effects on gut microbiota composition. the gut microbiota of young children is known to be unstable and ...201728818050
the impact of storage conditions on the stability of lactobacillus rhamnosus gg and bifidobacterium animalis subsp. lactis bb12 in human milk.human milk is the optimal source of complete nutrition for neonates and it also guides the development of infant gut microbiota. importantly, human milk can be supplemented with probiotics to complement the health benefits of breastfeeding. storage of human milk for limited periods of time is often unavoidable, but little is known about the effect of different storage conditions (temperature) on the viability of the added probiotics. therefore, in this study, we evaluated how different storage c ...201728753043
probiotics and child care absence due to infections: a randomized controlled trial.the risk of infections is higher in children attending child care compared with children cared for at home. this study examined the effect of a combination of probiotics on absence from child care because of respiratory and gastrointestinal infections in healthy infants aged 8 to 14 months at the time of enrollment in child care.201728674113
efficacy and safety of probiotic-supplemented triple therapy for eradication of helicobacter pylori in children: a systematic review and network meta-analysis.the aim of this study was to identify the best probiotic supplementation in triple therapy for pediatric population with helicobacter pylori infection.201728681177
the potential synergistic behaviour of inter- and intra-genus probiotic combinations in the pattern and rate of short chain fatty acids formation during fibre fermentation.this study compared the rate of short chain fatty acid (scfa) production by different probiotic combinations of lactobacillus and bifidobacterium to determine any synergistic effects. six different fibre fractions were fermented with nine combinations of lactobacillus rhamnosus (lr), lactobacillus acidophilus (la), bifidobacterium longum (bl) and bifidobacterium breve (bb) for 0, 6, 24 and 48 h. scfas were quantified by gas chromatography. inter-genus combinations of bacteria produced more scfa, ...201728659066
adamdec1, ednrb and ptgs1/cox1, inflammation genes upregulated in the intestinal mucosa of obese rats, are downregulated by three probiotic strains.we have previously reported that administration of lactobacillus paracasei cncm i-4034, bifidobacterium breve cncm i-4035 and lactobacillus rhamnosus cncm i-4036 to obese zucker-lepr (fa/fa) rats attenuates liver steatosis and exerts anti-inflammatory effects. the goal of the present work was to investigate the modulation of gene expression in intestinal mucosa samples of obese zucker-lepr (fa/fa) rats fed the probiotic strains using a dna microarray and postgenomic techniques. we also measured ...201728512356
to add or not to add probiotics to infant formulae? an updated systematic review.we updated evidence on the effects of the administration of probiotic-supplemented infant formulae (if) compared with unsupplemented if. five databases were searched up to september 2016 for randomised controlled trials. twenty publications were identified, including five new rcts. supplementation of if with bifidobacterium lactis bb12, either alone or with streptococcus thermophilus, had no effect on growth, respiratory illness, antibiotic use, stool frequency or consistency. however, there was ...201728856907
effect of lactobacillus rhamnosus hn001 and bifidobacterium longum bb536 on the healthy gut microbiota composition at phyla and species level: a preliminary study.to evaluate the ability of lactobacillus rhamnosus hn001 and bifidobacterium longum bb536 to colonize the intestinal environment of healthy subjects and modify the gut microbiota composition.201728487606
dual anti-metastatic and anti-proliferative activity assessment of two probiotics on hela and ht-29 cell lines.lactobacilli are a group of probiotics with beneficial effects on prevention of cancer. however, there is scant data in relation with the impacts of probiotics in late-stage cancer progration, especially metastasis. the present original work was aimed to evaluate the anti-metastatic and anti-proliferative activity of lactobacillus rhamnosus supernatant (lrs) and lactobacillus crispatus supernatant (lcs) on the human cervical and colon adenocarcinoma cell lines (hela and ht-29, respectively).201727551673
lactobacilli modulate hypoxia-inducible factor (hif)-1 regulatory pathway in triple negative breast cancer cell line.hypoxia-inducible factor (hif)-1 plays an essential role in the body's response to low oxygen concentrations and regulates expression of several genes implicated in homeostasis, vascularization, anaerobic metabolism as well as immunological responses. increased levels of hif-1α are associated with increased proliferation and more aggressive breast tumor development. lactobacilli have been shown to exert anti-cancer effects on several malignancies including breast cancer. however, the exact mecha ...201727540529
the lactobacillus rhamnosus and lactobacillus fermentum strains from human biotopes characterized with mlst and toxin-antitoxin gene polymorphism.the diversity of lb. rhamnosus and lb. fermentum strains isolated from feces, saliva, and the vaginal cavity of 18-22-year-old healthy women residing in central regions of the russian federation has been characterized. the results obtained using multilocus sequence typing were identical to those obtained with the analysis of genetic and genomic polymorphism in ta systems. different as well as identical lb. rhamnosus and lb. fermentum sequence types (st) were isolated from various parts of the bo ...201728213763
human milk and mucosal lacto- and galacto-n-biose synthesis by transgalactosylation and their prebiotic potential in lactobacillus species.lacto-n-biose (lnb) and galacto-n-biose (gnb) are major building blocks of free oligosaccharides and glycan moieties of glyco-complexes present in human milk and gastrointestinal mucosa. we have previously characterized the phospho-β-galactosidase gnbg from lactobacillus casei bl23 that is involved in the metabolism of lnb and gnb. gnbg has been used here in transglycosylation reactions, and it showed the production of lnb and gnb with n-acetylglucosamine and n-acetylgalactosamine as acceptors, ...201727714445
the use of date waste for lactic acid production by a fed-batch culture using lactobacillus casei subsp. rhamnosus.the production of lactic acid from date juice by lactobacillus caseisubsp. rhamnosus in batch and fed-batch cultures has been investigated. the fed-batch culture system gave better results for lactic acid production and volumetric productivity. the aim of this work is to determine the effects of the feeding rate and the concentration of the feeding medium containing date juice glucose on the cell growth, the consumption of glucose and the lactic acid production by lactobacillus casei subsp. rham ...201726413076
live and heat-killed lactobacillus spp. interfere with streptococcus mutans and streptococcus oralis during biofilm development on titanium surface.this research investigates the ability of live and heat-killed (hk) lactic acid bacteria (lab) to interfere with streptococcus mutans atcc 25175 and streptococcus oralis atcc 9811 during biofilm formation.201728193570
meta-analysis of effects of inoculation with homofermentative and facultative heterofermentative lactic acid bacteria on silage fermentation, aerobic stability, and the performance of dairy cows.forages are usually inoculated with homofermentative and facultative heterofermentative lactic acid bacteria (lab) to enhance lactic acid fermentation of forages, but effects of such inoculants on silage quality and the performance of dairy cows are unclear. therefore, we conducted a meta-analysis to examine the effects of lab inoculation on silage quality and preservation and the performance of dairy cows. a second objective was to examine the factors affecting the response to silage inoculatio ...201728342607
transcriptomic analysis of the innate antiviral immune response in porcine intestinal epithelial cells: influence of immunobiotic lactobacilli.lactobacillus rhamnosus crl1505 and lactobacillus plantarum crl1506 are immunobiotic strains able to increase protection against viral intestinal infections as demonstrated in animal models and humans. to gain insight into the host-immunobiotic interaction, the transcriptomic response of porcine intestinal epithelial (pie) cells to the challenge with viral molecular associated pattern poly(i:c) and the changes in the transcriptomic profile induced by the immunobiotics strains crl1505 and crl1506 ...201728210256
effects of bacterial direct-fed microbials on ruminal characteristics, methane emission, and milk fatty acid composition in cows fed high- or low-starch diets.this study investigated the effects of bacterial direct-fed microbials (dfm) on ruminal fermentation and microbial characteristics, methane (ch4) emission, diet digestibility, and milk fatty acid (fa) composition in dairy cows fed diets formulated to induce different ruminal volatile fatty acid (vfa) profiles. eight ruminally cannulated dairy cows were divided into 2 groups based on parity, days in milk, milk production, and body weight. cows in each group were fed either a high-starch (38%, hs) ...201728161181
lactobacillus plantarum hac01 regulates gut microbiota and adipose tissue accumulation in a diet-induced obesity murine model.the functional features of lactobacillus plantarum hac01 (hac01), isolated from fermented korean kimchi, were studied with regard to the fat mass, immunometabolic biomarkers and dysbiosis in a diet-induced obesity (dio) murine model. l. rhamnosus gg (lgg) served as reference strain and a pbs-treated group as control. the administration of l. plantarum hac01 resulted in reduction of the mesenteric adipose depot, the conjunctive tissue closely associated with the gastrointestinal tract, where lipi ...201727858139
effects of probiotic drop containing lactobacillus rhamnosus, bifidobacterium infantis, and lactobacillus reuteri on salivary streptococcus mutans and lactobacillus levels.the aim of the present study was to evaluate the effect of a probiotic drop containing lactobacillus rhamnosus, bifidobacterium infantis, and lactobacillus reuteri on salivary counts of streptococcus mutans (sm) and lactobacillus (lb) in children 3-6 years of age.201727994413
effects of a diet-based weight-reducing program with probiotic supplementation on satiety efficiency, eating behaviour traits, and psychosocial behaviours in obese individuals.this study evaluated the impact of probiotic supplementation (lactobacillus rhamnosus cgmcc1.3724 (lpr)) on appetite sensations and eating behaviors in the context of a weight-reducing program. obese men (n = 45) and women (n = 60) participated in a double-blind, randomized, placebo-controlled trial that included a 12-week weight loss period (phase 1) based on moderate energy restriction, followed by 12 weeks of weight maintenance (phase 2). during the two phases of the program, each subject con ...201728294985
use of imaging techniques to identify efficient controlled release systems of lactobacillus rhamnosus gg during in vitro digestion.matrix composition plays a crucial role in the controlled release of viable and functional bacteria in the intestine. imaging tools such as electronic and confocal microscopies were used in this work to investigate the influence of matrix composition on matrix integrity and porosity, bacterial spatial distribution and viability during simulated in vitro digestion. l. rhamnosus gg was encapsulated in matrices having different casein/whey protein ratios. the formulation with a casein/whey ratio of ...201728287654
spray dried formulation of 5-fluorouracil embedded with probiotic biomass: in vitro and in vivo studies.the present study is utilizing the targeted therapeutic approach and antioxidant potential of selected probiotic biomass in mitigating toxic side effects of chemotherapeutic agents. multicomponent carrier system consisting of 5-fluorouracil (5-fu) and selected probiotic strain with higher free radical scavenging activity was prepared using spray drying technique. prepared spray dried microparticles were characterized for various physical, pharmaceutical, and biopharmaceutical properties includin ...201728275899
lactobacillus rhamnosus gg probiotic enteric regimen does not appreciably alter the gut microbiome or provide protection against gvhd after allogeneic hematopoietic stem cell transplantation.graft-versus-host disease (gvhd) is a major adverse effect associated with allogeneic stem cell transplant. previous studies in mice indicated that administration of the probiotic lactobacillus rhamnosus gg can reduce the incidence of gvhd after hematopoietic stem cell transplant. here we report results from the first randomized probiotic enteric regimen trial in which allogenic hematopoietic stem cell patients were supplemented with lactobacillus rhamnosus gg. gut microbiome analysis confirmed ...201728256022
the effect of non-standard heat treatment of sheep's milk on physico-chemical properties, sensory characteristics, and the bacterial viability of classical and probiotic yogurt.classical and probiotic set yogurt were made using non-standard heat treatment of sheep's milk at 60°c/5min. physico-chemical properties, sensory characteristics, and the viability of bacteria that originated from cultures in classical and probiotic yogurt were analysed during 21days of storage at 4°c. for the production of yogurt, a standard yogurt culture and a probiotic strain lactobacillus rhamnosus gg were used. at the end of storage time of the classical and probiotic yogurt the totals of ...201728193434
polysaccharides l900/2 and l900/3 isolated from lactobacillus rhamnosus lock 0900 modulate allergic sensitization to ovalbumin in a mouse model.here, we compared the abilities of polysaccharides l900/2 and l900/3, which were previously isolated from lactobacillus rhamnosus lock 0900, to modulate the immune response to bystander antigens in a mouse model of ovalbumin (ova) sensitization. in vivo, both polysaccharides reduced the levels of ova-specific ige, ige-dependent basophil degranulation and igg2a antibodies, but had no effect on the levels of ova-specific iga or igg1. interestingly, both polysaccharides triggered recall cellular re ...201728165193
dietary therapy in patients with inflammatory arthritis.context • the exact etiology of rheumatoid disease is currently unknown. changes in the microbiota of the gastrointestinal (gi) tract, chronic bacterial infection of the upper urinary tract, increased permeability of the gi tract, and food sensitivities have been classified among the factors that may cause or aggravate the disease. dietary deficiencies also may render patients more susceptible to inflammatory conditions and disorders of the immunological system. objective • the study intended to ...201728160762
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