Randomized, Double-Blind, Placebo-Controlled Study to Assess the Effect of Two Probiotics on the Preterms' Gut

Bárbara Moreno-Sanz1,2, María Teresa Montes1,2, Susana Manzano3

  • 1Department of Neonatology, La Paz University Hospital.

Insights

This study found that a new probiotic combination, Ligilactobacillus salivarius subsp infantis PS11603 and Bifidobacterium longum PS10402, significantly enhanced gut bacterial colonization in preterm infants. The probiotic group showed earlier and more robust colonization of Lactobacillus and Bifidobacterium species.

Area of Science:

  • Microbiology
  • Neonatal Research
  • Gastroenterology

Background:

  • Preterm infants often experience delayed gut microbiota colonization, increasing susceptibility to infections.
  • Early gut colonization is crucial for immune system development and overall infant health.

Purpose of the Study:

  • To evaluate the efficacy of a novel probiotic combination (Ligilactobacillus salivarius subsp infantis PS11603 and Bifidobacterium longum PS10402) in promoting gut bacterial colonization in preterm infants.

Main Methods:

  • A randomized, double-blind, placebo-controlled trial involving 30 preterm infants.
  • Stool sample analysis using classical microbiology and metagenomics.
  • Assessment of bacterial and immune profiles before and during probiotic/placebo intake.

Main Results:

  • Significantly higher colonization rates of Lactobacillus (93% vs 46%) and Bifidobacterium (100% vs 69%) in the probiotic group.
  • Earlier colonization observed: 5 weeks for Lactobacillus and 1 week for Bifidobacterium.
  • No significant impact on fecal immunological profile, but a decreasing trend in Th17 response noted.

Conclusions:

  • The probiotic combination effectively enhanced earlier colonization of key beneficial bacteria in preterm infants.
  • This probiotic supplementation represents a promising strategy for modulating the gut microbiota in vulnerable preterm populations.
Abstract