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Published on: April 28, 2014
Probiotic effects in allergic disease
Intan H Ismail1, Paul V Licciardi, Mimi Lk Tang
1Allergy and Immune Disorders, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia; Department of Paediatrics, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Insights
Probiotics show promise for preventing eczema in early childhood, particularly when given pre-natally. More research is needed to confirm their effectiveness in treating existing allergic diseases.
Area of Science:
- Immunology and Microbiology
- Pediatric Allergy and Dermatology
Background:
- Rising rates of allergic diseases correlate with decreased early-life microbial exposure.
- Probiotics are increasingly considered for managing and preventing allergic conditions.
Purpose of the Study:
- To review recent clinical studies on the use of probiotics for allergic disease prevention and treatment.
- To assess the efficacy of probiotics, alone or with prebiotics, in managing allergic conditions.
Main Methods:
- Systematic review of recent publications focusing on clinical trials.
- Analysis of studies involving pre-natal and post-natal probiotic administration.
Main Results:
- Combined pre-natal and post-natal probiotic use shows potential for preventing childhood eczema.
- The pre-natal administration of probiotics appears crucial for beneficial effects.
- Insufficient evidence currently supports probiotic use for established allergic disease treatment, though new research is encouraging.
Conclusions:
- Probiotics are a promising strategy for the primary prevention of allergic diseases.
- Further well-designed intervention studies are essential to establish definitive efficacy.
- The role of probiotics in treating established allergic conditions requires further investigation.
Abstract:
The increasing prevalence of allergic disease has been linked to reduced microbial exposure in early life. Probiotics have recently been advocated for the prevention and treatment of allergic disease. This article summarises recent publications on probiotics in allergic disease, focusing on clinical studies of prevention or treatment of allergic disease. Studies employing the combined administration of pre-natal and post-natal probiotics suggest a role for certain probiotics (alone or with prebiotics) in the prevention of eczema in early childhood, with the pre-natal component of treatment appearing to be important for beneficial effects. On the other hand, current data are insufficient to support the use of probiotics for the treatment of established allergic disease, although recent studies have highlighted new hope in this area. Probiotic bacteria continue to represent the most promising intervention for primary prevention of allergic disease, and well-designed definitive intervention studies should now be a research priority.
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