PMID- 30574801 OWN - NLM STAT- MEDLINE DCOM- 20190620 LR - 20221207 IS - 1876-2891 (Electronic) IS - 1876-2883 (Linking) VI - 10 IP - 2 DP - 2019 Mar 13 TI - Effects of long-term administration of Lactobacillus reuteri DSM-17938 on circulating levels of 5-HT and BDNF in adults with functional constipation. PG - 137-147 LID - 10.3920/BM2018.0050 [doi] AB - Accumulated evidence shows that some probiotic strains ameliorate functional constipation (FC) via the modulation of specific gastrointestinal peptide pathways. The aims of this study were to investigate: (1) the effects of long-term administration of Lactobacillus reuteri (LR) DSM 17938 on the serum levels of serotonin (5-HT) and brain-derived neurotrophic factor (BDNF); (2) the possible link between 5-HT, BDNF, and specific constipation-related symptoms; (3) whether genetic variability at the 5-HTT gene-linked polymorphic region (5-HTTLPR) and BDNF Val66Met loci could be associated with serum 5-HT and BDNF variations. LR DSM 17938 was administered to 56 FC patients for 105 days in a randomised, double-blind manner. The fasting blood samples were collected during the randomisation visit (V(1)), at day 15 (induction period, V(2)), day 60 (intermediate evaluation, V(3)), and day 105 (V(4)) and the Constipaq questionnaire (the sum of Constipation Scoring System (CSS) and patient assessment constipation quality of life (PAC-QoL)) was administered. A group of healthy subjects was enrolled as controls (HC). At V1, the mean serum 5-HT level in the whole patient group was significantly higher (P=0.027) than in HC subjects, while serum BDNF did not. At the end of probiotic administration (V4), 5-HT and BDNF levels were significantly lower than the initial values (V1) (P=0.008 and P=0.015, respectively). 5-HT and BDNF serum concentration were significantly associated (r=0.355; P=0.007). Neither 5-HT nor BDNF serum levels correlated with the CSS item scores and with the PAC-QoL. Lastly, the regression analysis demonstrated that the presence of the S allele of the 5-HTTLPR accounted for the reduction in the 5-HT concentration at V4. In conclusion, the long-term administration of LR DSM 17938 demonstrated that such a probiotic strain could improve FC by affecting 5-HT and BDNF serum concentrations. FAU - Riezzo, G AU - Riezzo G AD - 1 Laboratory of Nutritional Pathophysiology, National Institute of Digestive Diseases I.R.C.C.S. 'Saverio de Bellis', Via Turi 27, 70013 Castellana Grotte, Bari, Italy. FAU - Chimienti, G AU - Chimienti G AD - 2 Department of Biosciences, Biotechnology and Biopharmaceutics, University of Bari, Via Orabona 4, 70100 Bari, Italy. FAU - Orlando, A AU - Orlando A AD - 1 Laboratory of Nutritional Pathophysiology, National Institute of Digestive Diseases I.R.C.C.S. 'Saverio de Bellis', Via Turi 27, 70013 Castellana Grotte, Bari, Italy. FAU - D'Attoma, B AU - D'Attoma B AD - 1 Laboratory of Nutritional Pathophysiology, National Institute of Digestive Diseases I.R.C.C.S. 'Saverio de Bellis', Via Turi 27, 70013 Castellana Grotte, Bari, Italy. FAU - Clemente, C AU - Clemente C AD - 1 Laboratory of Nutritional Pathophysiology, National Institute of Digestive Diseases I.R.C.C.S. 'Saverio de Bellis', Via Turi 27, 70013 Castellana Grotte, Bari, Italy. FAU - Russo, F AU - Russo F AD - 1 Laboratory of Nutritional Pathophysiology, National Institute of Digestive Diseases I.R.C.C.S. 'Saverio de Bellis', Via Turi 27, 70013 Castellana Grotte, Bari, Italy. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20181221 PL - Netherlands TA - Benef Microbes JT - Beneficial microbes JID - 101507616 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (SLC6A4 protein, human) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 0 (Serotonin Receptor Agonists) RN - 333DO1RDJY (Serotonin) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adult MH - Aged MH - Brain-Derived Neurotrophic Factor/*blood/genetics MH - Constipation/pathology/*therapy MH - Double-Blind Method MH - Female MH - Humans MH - Limosilactobacillus reuteri/*growth & development MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Probiotics/*administration & dosage MH - Quality of Life MH - Serotonin/*blood MH - Serotonin Plasma Membrane Transport Proteins/genetics MH - Serotonin Receptor Agonists/*blood MH - Surveys and Questionnaires MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - DSM 17938 OT - 5-HT OT - BDNF OT - constipation OT - probiotics EDAT- 2018/12/24 06:00 MHDA- 2019/06/21 06:00 CRDT- 2018/12/22 06:00 PHST- 2018/12/24 06:00 [pubmed] PHST- 2019/06/21 06:00 [medline] PHST- 2018/12/22 06:00 [entrez] AID - 10.3920/BM2018.0050 [doi] PST - ppublish SO - Benef Microbes. 2019 Mar 13;10(2):137-147. doi: 10.3920/BM2018.0050. Epub 2018 Dec 21.