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通过在家中机械通风患者的长期乳酸酶ibacillus rhamnosus疗法进行免疫调节
Kamila Szyller1, Grazyna Mlynarczyk2, Beata Mlynarczyk-Bonikowska3
1NZOZ Marusza Clinic, Warsaw, Poland.
MicrobiologyOpen
|November 5, 2025
概括
在家用机械通风的患者中补充Lacticaseibacillus rhamnosus GG (LGG) 增加了关键的免疫标志物,如IL-2和IFN-γ. 这表明LGG可能会增强抗感染免疫力,并降低这一脆弱人群的感染风险.
科学领域:
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 益生菌调节免疫系统,但它们对家庭机械通风 (HMV) 患者的影响尚不清楚.
- 肝炎患者容易感染,因此需要采取加强免疫防御的策略.
研究的目的:
- 研究Lacticaseibacillus rhamnosus GG (LGG) 口服补充剂对HMV患者鼻腔微生物群和免疫参数的影响.
- 评估LGG在这个患者群体中的安全性和潜在的免疫调节作用.
主要方法:
- 31名HMV患者在3个月的益生菌洗后,接受了LGG (8 × 10^9 CFU/天) 6个月.
- 鼻和血液样本在基线,3个月和6个月收集.
- 评估鼻腔微生物群,Th1/Th2平衡,以及IL-2,IL-4,IL-5,IL-10,TNF-α和IFN-γ的水平.
主要成果:
- 观察到IL-2 (在3个月和6个月) 显著增加,IFN-γ (在3个月) 和IL-4 (在6个月) 暂时增加.
- IFN-γ/IL-10比率在3个月后增加,表明转向促炎反应.
- 没有检测到鼻腔细菌菌群或其他测量的细胞因子的显著变化;在研究期间不需要抗生素治疗.
结论:
- 在HMV患者中,LGG补充似乎是安全的,并且耐受良好.
- 升高的IL-2和IFN-γ表明增强了抗感染免疫力,而增加的IL-4可能会调节炎症.
- LGG可能是一种有价值的辅助疗法,可降低感染风险并改善HMV患者的治疗结果.
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