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Updated: Jun 11, 2026

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Published on: January 27, 2019
Efficacy of probiotic Lactobacillus GG on allergic sensitization and asthma in infants at risk
M A Rose1, F Stieglitz, A Köksal
1Children's Hospital, Goethe University, Theodor Stern Kai 7, Frankfurt, Germany. markus.rose@kgu.de
Insights
Oral Lactobacillus rhamnosus (LGG) supplementation did not improve atopic dermatitis or asthma in young children with recurrent wheeze. However, LGG showed a mild, persistent reduction in allergic sensitization to airborne allergens.
Area of Science:
- Pediatric Allergy and Immunology
- Microbiome Research
- Clinical Nutrition
Background:
- Probiotics are widely believed to benefit allergic disease prevention and treatment.
- Existing research presents conflicting findings regarding probiotics' impact on allergic sensitization and asthma development.
Purpose of the Study:
- To investigate the clinical efficacy of Lactobacillus rhamnosus (LGG) in preventing atopic dermatitis and asthma in high-risk infants.
- To assess LGG's effect on allergic sensitization markers and clinical outcomes in children with recurrent wheeze and a family history of atopy.
Main Methods:
- A prospective, double-blind, placebo-controlled study involving 131 children aged 6-24 months with recurrent wheeze and atopic family history.
- Participants received 6 months of LGG or placebo, with outcomes including atopic dermatitis, asthma events, IgE levels, and specific IgE sensitization monitored during intervention and follow-up.
- Biomarkers such as eosinophils, eosinophilic cationic protein, and TGF-beta were assessed at baseline, end of intervention, and post-follow-up.
Main Results:
- No significant differences were observed in atopic dermatitis or asthma-related events between the LGG and placebo groups.
- A subgroup with pre-existing allergic sensitization experienced slightly worse asthma symptoms with LGG.
- LGG supplementation led to a significant reduction in aeroallergen sensitization at 6 months and this effect persisted post-supplementation.
Conclusions:
- Oral LGG supplementation demonstrated no clinical benefit for atopic dermatitis or asthma in high-risk infants with recurrent wheeze.
- A modest, sustained reduction in allergic sensitization to aeroallergens was observed, persisting for 6 months after LGG cessation.
- LGG was well-tolerated with no severe adverse events, suggesting a potential role in modulating immune responses to allergens.
Background:
Probiotics are perceived to exert beneficial effects in the prevention and treatment of allergic diseases.
Objective:
There are conflicting data from studies as to an impact on allergic sensitization and asthma.
Methods:
Our prospective double-blind study randomly assigned 131 children (6-24 months old) with at least two wheezing episodes and a first-degree family history of atopic disease to 6 months of Lactobacillus rhamnosus (LGG, 10(10) colony forming units) or placebo. Atopic dermatitis and asthma-related events (e.g. need of inhalation, symptom-free days) were documented throughout the intervention and 6-month follow-up. We determined IgE, a representative panel of specific IgE, eosinophils, eosinophilic cationic protein, and TGF-beta before, at the end of intervention, and after 6 months of follow-up.
Results:
There were no significant differences as to atopic dermatitis or asthma-related events. In a subgroup with antecedent allergic sensitizations, asthmatic complaints were even slightly worse. We found fewer sensitizations towards aeroallergens after 6 months of LGG (P=0.027) and after 6 months of follow-up (P=0.03). Supplementation was well-tolerated and no severe adverse events occurred.
Conclusions:
In young children with recurrent wheeze and an atopic family history, oral LGG had no clinical effect on atopic dermatitis or asthma-related events, and only mild effects on allergic sensitization. This effect persisted 6 months after the cessation of the supplementation.
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