PMID- 37485388 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230725 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 10 DP - 2023 TI - Effects of Lactiplantibacillus plantarum and Lacticaseibacillus paracasei supplementation on the faecal metabolome in children with coeliac disease autoimmunity: a randomised, double-blinded placebo-controlled clinical trial. PG - 1183963 LID - 10.3389/fnut.2023.1183963 [doi] LID - 1183963 AB - INTRODUCTION: Coeliac disease is a lifelong immune-mediated enteropathy manifested as gluten intolerance in individuals carrying specific human leukocyte antigen (HLA) molecules. Other factors than genetics and gluten intake, however, may play a role in triggering the disease. The gut internal environment is thought to be one of these potential contributing factors, and it can be influenced throughout life. METHODS: We examine the impact of Lactiplantibacillus plantarum HEAL9 and Lacticaseibacillus paracasei 8700:2 supplementation on the faecal metabolome in genetically predisposed children having tissue transglutaminase autoantibodies, i.e., coeliac disease autoimmunity. Probiotic strains were selected based on their beneficial properties, including mucosal permeability and immune modulation effects. The intervention group (n = 40) and control group (n = 38) took the probiotics or placebo daily for 6 months in a double-blinded randomised trial. Faecal samples were collected at baseline and after 3 and 6 months and analysed using the 1H NMR for metabolome. The incorporation of 16S rRNA sequencing as a supportive dataset complemented the analysis of the metabolome data. RESULTS: During the 6 months of intervention, the stool concentrations of 4-hydroxyphenylacetate increased in the intervention group as compared to controls, whereas concentrations of threonine, valine, leucine, isoleucine, methionine, phenylalanine, aspartate, and fumarate decreased. Additionally, a noteworthy effect on the glycine, serine, and threonine metabolic pathway has been observed. CONCLUSION: The findings suggest a modest yet significant impact of the probiotics on the faecal metabolome, primarily influencing proteolytic processes in the gut. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT03176095. CI - Copyright (c) 2023 Jenickova, Andren Aronsson, Mascellani Bergo, Cinek, Havlik and Agardh. FAU - Jenickova, Eliska AU - Jenickova E AD - Department of Food Science, Czech University of Life Sciences Prague, Prague, Czechia. FAU - Andren Aronsson, Carin AU - Andren Aronsson C AD - Department of Clinical Sciences, Lund University, Malmo, Sweden. FAU - Mascellani Bergo, Anna AU - Mascellani Bergo A AD - Department of Food Science, Czech University of Life Sciences Prague, Prague, Czechia. FAU - Cinek, Ondrej AU - Cinek O AD - Department of Pediatrics and Department of Medical Microbiology, Charles University in Prague and University Hospital Motol, Prague, Czechia. FAU - Havlik, Jaroslav AU - Havlik J AD - Department of Food Science, Czech University of Life Sciences Prague, Prague, Czechia. FAU - Agardh, Daniel AU - Agardh D AD - Department of Clinical Sciences, Lund University, Malmo, Sweden. LA - eng SI - ClinicalTrials.gov/NCT03176095 PT - Journal Article DEP - 20230706 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC10359497 OTO - NOTNLM OT - Lacticaseibacillus paracasei OT - Lactiplantibacillus plantarum OT - NMR OT - coeliac disease OT - gut metabolome OT - probiotics COIS- DA was stated as an inventor in a patent application based on the results of the clinical trial but has signed over all legal rights to the patent to Probi AB. Probi AB has developed and supplied the study material (active and placebo products) for the trial as well as financially supported the trial with minor costs for analysing the material. None of the authors are employed by Probi AB and no salaries, consultancy fees, etc. have been paid by Probi AB to the authors in connexion with the trial. EDAT- 2023/07/24 06:42 MHDA- 2023/07/24 06:43 PMCR- 2023/01/01 CRDT- 2023/07/24 04:57 PHST- 2023/03/10 00:00 [received] PHST- 2023/06/08 00:00 [accepted] PHST- 2023/07/24 06:43 [medline] PHST- 2023/07/24 06:42 [pubmed] PHST- 2023/07/24 04:57 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2023.1183963 [doi] PST - epublish SO - Front Nutr. 2023 Jul 6;10:1183963. doi: 10.3389/fnut.2023.1183963. eCollection 2023.