PMID- 27080343 OWN - NLM STAT- MEDLINE DCOM- 20171120 LR - 20171202 IS - 2042-6984 (Electronic) IS - 2042-6976 (Linking) VI - 6 IP - 9 DP - 2016 Sep TI - Effects of a honeybee lactic acid bacterial microbiome on human nasal symptoms, commensals, and biomarkers. PG - 956-63 LID - 10.1002/alr.21762 [doi] AB - BACKGROUND: Lactic acid bacteria (LAB) can restore commensal microbiomes and prevent infections. Arguably, nasal administrations of LAB may therefore be beneficial in chronic rhinosinusitis (CRS). Previous studies have examined effects of topical/nasal LAB in children with secretory otitis media, but little is as yet known about their effects on the human nasal airway. The aim of this pilot study was to examine effects on nasal symptoms and commensal bacteria in healthy subjects of nasal administration of a honeybee LAB microbiome; ie, a mixture of 9 Lactobacillus spp. and 4 Bifidobacterium spp. obtained from the honeybee Apis mellifera. Furthermore, we aimed to assess whether or not the honeybee LAB produced a local inflammatory response. METHODS: Twenty-two healthy subjects received a single administration of honeybee LAB in a sham-controlled, double-blinded, and crossover design. Using questionnaires, microbiological methods, and nasal lavages, they were assessed regarding symptoms, changes to commensal bacteria, and inflammatory products in nasal lavage fluids. RESULTS: The honeybee LAB did not produce any symptoms or other untoward effects. No changes were observed of commensal bacteria by the honeybee LAB, and no inflammatory response was detected (compared to sham); ie, unaffected nasal lavage fluid levels of monocyte chemoattractant protein-1 (MCP-1), interleukin-8 (IL-8), monokine induced by interferon-gamma (MIG), interleukin-15 (IL-15), epidermal growth factor (EGF), eotaxin, interferon gamma-induced protein-10 (IP-10), and interleukin-1 receptor antagonist (IL-1RA). CONCLUSION: A single human nasal administration of a honeybee LAB microbiome is well tolerated. Specifically, it does not affect commensal bacteria and does not produce an inflammatory response. CI - (c) 2016 ARS-AAOA, LLC. FAU - Martensson, Anders AU - Martensson A AD - Department of Otorhinolaryngology (ORL), Helsingborg Hospital, Helsingborg, Sweden. FAU - Greiff, Lennart AU - Greiff L AD - Department of ORL-Head and Neck Surgery, Skane University Hospital, Lund, Sweden. lennart.greiff@skane.se. FAU - Lamei, Sepideh S AU - Lamei SS AD - Department of Laboratory Medicine, Lund, Section of Medical Microbiology, Lund University, Lund, Sweden. FAU - Lindstedt, Malin AU - Lindstedt M AD - Department of Immunotechnology, Lund University, Lund, Sweden. FAU - Olofsson, Tobias C AU - Olofsson TC AD - Department of Laboratory Medicine, Lund, Section of Medical Microbiology, Lund University, Lund, Sweden. FAU - Vasquez, Alejandra AU - Vasquez A AD - Department of Laboratory Medicine, Lund, Section of Medical Microbiology, Lund University, Lund, Sweden. FAU - Cervin, Anders AU - Cervin A AD - Department of ORL-Head and Neck Surgery, Royal Brisbane and Women's Hospital, School of Medicine, University of Queensland, Brisbane, Australia. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20160415 PL - United States TA - Int Forum Allergy Rhinol JT - International forum of allergy & rhinology JID - 101550261 RN - 0 (Biomarkers) RN - 0 (Cytokines) SB - IM MH - Administration, Intranasal MH - Adult MH - Animals MH - *Bacteria/isolation & purification MH - Bees/*microbiology MH - Biomarkers MH - Cross-Over Studies MH - Cytokines/immunology MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - *Microbiota MH - Nasal Lavage Fluid/immunology/microbiology MH - Young Adult OTO - NOTNLM OT - SNOT-22 OT - bacterial interference OT - bacteriology OT - bifidobacteria OT - lactobacillus OT - paranasal sinuses OT - probiotics OT - therapeutics EDAT- 2016/04/16 06:00 MHDA- 2017/11/29 06:00 CRDT- 2016/04/16 06:00 PHST- 2015/09/22 00:00 [received] PHST- 2016/01/05 00:00 [revised] PHST- 2016/02/04 00:00 [accepted] PHST- 2016/04/16 06:00 [entrez] PHST- 2016/04/16 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] AID - 10.1002/alr.21762 [doi] PST - ppublish SO - Int Forum Allergy Rhinol. 2016 Sep;6(9):956-63. doi: 10.1002/alr.21762. Epub 2016 Apr 15.