PMID- 30400588 OWN - NLM STAT- MEDLINE DCOM- 20190219 LR - 20190320 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 10 IP - 11 DP - 2018 Nov 5 TI - Efficacy of Lactobacillus Administration in School-Age Children with Asthma: A Randomized, Placebo-Controlled Trial. LID - 10.3390/nu10111678 [doi] LID - 1678 AB - Probiotics may have immunomodulatory effects. However, these effects in asthma remain unclear and warrant clinical trials. Here, we evaluated the effects of Lactobacillus paracasei (LP), Lactobacillus fermentum (LF), and their combination (LP + LF) on the clinical severity, immune biomarkers, and quality of life in children with asthma. This double-blind, prospective, randomized, placebo-controlled trial included 160 children with asthma aged 6(-)18 years (trial number: NCT01635738), randomized to receive LP, LF, LP + LF, or a placebo for 3 months. Their Global Initiative for Asthma(-)based asthma severity, Childhood Asthma Control Test (C-ACT) scores, Pediatric Asthma Severity Scores, Pediatric Asthma Quality of Life Questionnaire scores, peak expiratory flow rates (PEFRs), medication use, the levels of immune biomarkers (immunoglobulin E (IgE), interferon gamma, interleukin 4, and tumor necrosis factor alpha) at different visits, and the associated changes were evaluated. Compared with the placebo group by generalized estimating equation model, children receiving LP, LF, and LP + LF had lower asthma severity (p = 0.024, 0.038, and 0.007, respectively) but higher C-ACT scores (p = 0.005, < 0.001, and < 0.001, respectively). The LP + LF group demonstrated increased PEFR (p < 0.01) and decreased IgE levels (p < 0.05). LP, LF, or their combination (LP + LF) can aid clinical improvement in children with asthma. FAU - Huang, Chian-Feng AU - Huang CF AD - Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei 10055, Taiwan. davidbee416@gmail.com. AD - Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan 33058, Taiwan. davidbee416@gmail.com. FAU - Chie, Wei-Chu AU - Chie WC AD - Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei 10055, Taiwan. weichu@ntu.edu.tw. FAU - Wang, I-Jen AU - Wang IJ AUID- ORCID: 0000-0003-0091-258X AD - Department of Pediatrics, Taipei Hospital, Ministry of Health and Welfare, No. 127, Su-Yuan Road, Hsin-Chuang Dist., Taipei 242, Taiwan. wij636@gmail.com. AD - College of Public Health, China Medical University, Taichung 40402, Taiwan. wij636@gmail.com. AD - School of Medicine, National Yang-Ming University, Taipei 112, Taiwan. wij636@gmail.com. LA - eng GR - NSC 97-2314-B-192-001-MY2/National Science Council/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20181105 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Tumor Necrosis Factor-alpha) RN - 207137-56-2 (Interleukin-4) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adolescent MH - Asthma/*therapy MH - Child MH - Double-Blind Method MH - Female MH - Humans MH - Immunoglobulin E/blood MH - Interferon-gamma/blood MH - Interleukin-4/blood MH - *Lactobacillus MH - Male MH - Probiotics/*administration & dosage MH - Prospective Studies MH - Quality of Life MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/blood PMC - PMC6265750 OTO - NOTNLM OT - Childhood Asthma Control Test OT - Lactobacillus OT - asthma OT - immunoglobulin E OT - peak expiratory flow rate OT - probiotics COIS- The Taipei Hospital, the Ministry of Health and Welfare Authority, has a contract with GenMont Biotec Inc. whereby GenMont Biotec Inc. provided the study costs for probiotics. The authors declare no conflict of interest. EDAT- 2018/11/08 06:00 MHDA- 2019/03/21 06:00 PMCR- 2018/11/01 CRDT- 2018/11/08 06:00 PHST- 2018/09/29 00:00 [received] PHST- 2018/10/26 00:00 [revised] PHST- 2018/10/29 00:00 [accepted] PHST- 2018/11/08 06:00 [entrez] PHST- 2018/11/08 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2018/11/01 00:00 [pmc-release] AID - nu10111678 [pii] AID - nutrients-10-01678 [pii] AID - 10.3390/nu10111678 [doi] PST - epublish SO - Nutrients. 2018 Nov 5;10(11):1678. doi: 10.3390/nu10111678.