PMID- 32383366 OWN - NLM STAT- MEDLINE DCOM- 20210120 LR - 20210120 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 35 IP - 18 DP - 2020 May 11 TI - Effects of Lactobacillus pentosus in Children with Allergen-Sensitized Atopic Dermatitis. PG - e128 LID - 10.3346/jkms.2020.35.e128 [doi] LID - e128 AB - BACKGROUND: Recent studies have shown that oral administration of probiotics may improve the immune imbalance caused by dysbiosis of the gut microbiome in atopic dermatitis (AD). This study aimed to investigate the clinical and immunological effects of Lactobacillus pentosus in children with mild to moderate AD. METHODS: Children aged 2-13 years with AD were randomized to receive either 1.0 x 10(10) colony-forming units of L. pentosus or placebo, daily, for 12 weeks. The clinical severity of AD and transepidermal water loss were evaluated. Blood eosinophil counts, serum total immunoglobulin E (IgE), and cytokine levels were measured. The diversity and composition of the gut microbiota were also analyzed. RESULTS: Eighty-two children were recruited, and 41 were assigned to the probiotics intervention group. The mean scoring of atopic dermatitis (SCORAD) indices at baseline were 30.4 and 34.3 for the probiotics and placebo groups, respectively. At week 12, the mean indices were 23.6 and 23.1 for the probiotics and placebo groups, respectively. Clinical severity decreased significantly over time in both groups, with no significant difference between the two groups. In both groups, there were no significant differences in cytokine levels, microbial diversity, or the relative abundance of the gut microbiota at week 12 compared with the corresponding baseline values. The mean subjective scores of SCORAD indices after intervention for the probiotics group were significantly lower than those for the placebo group in IgE sensitized AD (P = 0.019). CONCLUSION: Our results show improved symptoms in the probiotics and placebo groups, and we could not find additional effects of L. pentosus in AD. However, the mean subjective scores of SCORAD indices for the probiotics group are significantly improved compared with those for the placebo group in allergen-sensitized AD. CI - (c) 2020 The Korean Academy of Medical Sciences. FAU - Ahn, So Hyun AU - Ahn SH AUID- ORCID: 0000-0002-1323-5488 AD - Department of Pediatrics, Korea University College of Medicine, Seoul, Korea. FAU - Yoon, Wonsuck AU - Yoon W AUID- ORCID: 0000-0002-7665-7629 AD - Allergy Immunology Center, Korea University, Seoul, Korea. FAU - Lee, So Young AU - Lee SY AUID- ORCID: 0000-0002-5020-5982 AD - Research Division of Food Functionality, Korea Food Research Institute, Wanju, Korea. AD - KFRI School, Korea University of Science and Technology, Wanju, Korea. FAU - Shin, Hee Soon AU - Shin HS AUID- ORCID: 0000-0002-0942-7161 AD - Research Division of Food Functionality, Korea Food Research Institute, Wanju, Korea. AD - KFRI School, Korea University of Science and Technology, Wanju, Korea. FAU - Lim, Mi Young AU - Lim MY AUID- ORCID: 0000-0003-4881-1710 AD - Research Division of Food Functionality, Korea Food Research Institute, Wanju, Korea. FAU - Nam, Young Do AU - Nam YD AUID- ORCID: 0000-0002-2660-3569 AD - Research Division of Food Functionality, Korea Food Research Institute, Wanju, Korea. FAU - Yoo, Young AU - Yoo Y AUID- ORCID: 0000-0003-3354-6969 AD - Department of Pediatrics, Korea University College of Medicine, Seoul, Korea. AD - Allergy Immunology Center, Korea University, Seoul, Korea. yoolina@korea.ac.kr. LA - eng GR - E0170400-01/MOE/Ministry of Environment/Korea GR - NRF-2018R1A6A3A11049961/NRF/National Research Foundation of Korea/Korea GR - NRF-2019R1F1A1041169/NRF/National Research Foundation of Korea/Korea PT - Journal Article PT - Randomized Controlled Trial DEP - 20200511 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Allergens) RN - 0 (Cytokines) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Allergens/*immunology MH - Child MH - Child, Preschool MH - Cytokines/blood MH - Dermatitis, Atopic/immunology/pathology/*therapy MH - Double-Blind Method MH - Eosinophils/cytology/metabolism MH - Feces/microbiology MH - Female MH - Gastrointestinal Microbiome MH - Humans MH - Immunoglobulin E/blood MH - Lactobacillus pentosus/*immunology MH - Leukocyte Count MH - Male MH - Placebo Effect MH - Probiotics/administration & dosage MH - Severity of Illness Index PMC - PMC7211510 OTO - NOTNLM OT - Atopic Dermatitis OT - Lactobacillus pentosus OT - Microbiome OT - Probiotics COIS- The authors have no potential conflicts of interest to disclose. EDAT- 2020/05/10 06:00 MHDA- 2021/01/21 06:00 PMCR- 2020/05/11 CRDT- 2020/05/09 06:00 PHST- 2019/09/24 00:00 [received] PHST- 2020/03/05 00:00 [accepted] PHST- 2020/05/09 06:00 [entrez] PHST- 2020/05/10 06:00 [pubmed] PHST- 2021/01/21 06:00 [medline] PHST- 2020/05/11 00:00 [pmc-release] AID - 35.e128 [pii] AID - 10.3346/jkms.2020.35.e128 [doi] PST - epublish SO - J Korean Med Sci. 2020 May 11;35(18):e128. doi: 10.3346/jkms.2020.35.e128.