PMID- 32018252 OWN - NLM STAT- MEDLINE DCOM- 20200807 LR - 20200807 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 181 IP - 4 DP - 2020 TI - Perinatal Probiotic Mixture and Development of Allergic Sensitization up to 13 Years of Age. PG - 270-277 LID - 10.1159/000504915 [doi] AB - BACKGROUND: Probiotics have shown promising results in primary prevention of allergies in early years, but the long-term effects on allergic sensitization need more evaluation. OBJECTIVES: We conducted a randomized double-blind placebo-controlled study to determine whether the use of a mixture of pre- and probiotics perinatally affects the prevalence of immunoglobulin E (IgE) sensitization up to 13 years in high-risk children. METHODS: One thousand two hundred twenty-three pregnant women were randomized to receiving probiotics or placebo from 36 gestational weeks until delivery, and their infants received pre- and probiotics or placebo from birth until 6 months. At 2, 5, and 13 years, blood samples were taken to determine specific IgE levels against common foods, pollen, and animal antigens. RESULTS: The prevalence of IgE sensitization to any allergen was high and increased with age. No significant difference in the prevalence of IgE sensitization to any particular one of the tested allergens was found between the groups. At 2, 5, and 13 years these prevalence rates of IgE sensitization to any allergen were 31.1 and 34.1%, 50.1 and 45.6%, and 61.4 and 56.8% in the probiotic and placebo groups, respectively. At 13 years, IgE sensitization to cat/dog dander was more frequent in the probiotic group compared to the placebo group (40.2 vs. 31.0%, p = 0.03). CONCLUSIONS: In high-risk children, perinatal use of a mixture of probiotics did not affect the prevalence of sensitization to any one of the tested allergens, but it was associated with more frequent IgE sensitization to cat/dog dander at 13 years. CI - (c) 2020 S. Karger AG, Basel. FAU - Peldan, Paivi Susanna AU - Peldan PS AD - Pediatric Research Center, University of Helsinki and Helsinki University Hospital, New Children's Hospital, Helsinki, Finland, paivi.peldan@hus.fi. FAU - Kukkonen, Anna Kaarina AU - Kukkonen AK AD - Skin and Allergy Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. FAU - Savilahti, Erkki AU - Savilahti E AD - Pediatric Research Center, University of Helsinki and Helsinki University Hospital, New Children's Hospital, Helsinki, Finland. FAU - Kuitunen, Mikael AU - Kuitunen M AD - Pediatric Research Center, University of Helsinki and Helsinki University Hospital, New Children's Hospital, Helsinki, Finland. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20200204 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Allergens/*immunology MH - Animals MH - Cats MH - Child, Preschool MH - Dogs MH - Double-Blind Method MH - Female MH - Food Hypersensitivity/immunology MH - Humans MH - Hypersensitivity/*immunology MH - Immunoglobulin E/immunology MH - Male MH - Probiotics/*adverse effects OTO - NOTNLM OT - Allergy prevention OT - Clinical trial OT - Probiotics OT - Sensitization EDAT- 2020/02/06 06:00 MHDA- 2020/08/08 06:00 CRDT- 2020/02/05 06:00 PHST- 2018/11/09 00:00 [received] PHST- 2019/11/20 00:00 [accepted] PHST- 2020/02/06 06:00 [pubmed] PHST- 2020/08/08 06:00 [medline] PHST- 2020/02/05 06:00 [entrez] AID - 000504915 [pii] AID - 10.1159/000504915 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2020;181(4):270-277. doi: 10.1159/000504915. Epub 2020 Feb 4.