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.
Abstract

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