4.7 Article

Administration of a Multi-Strain Probiotic Product to Women in the Perinatal Period Differentially Affects the Breast Milk Cytokine Profile and May Have Beneficial Effects on Neonatal Gastrointestinal Functional Symptoms. A Randomized Clinical Trial

期刊

NUTRIENTS
卷 8, 期 11, 页码 -

出版社

MDPI
DOI: 10.3390/nu8110677

关键词

pediatric gastroenterology; probiotics/prebiotics; immunology; functional GI diseases

资金

  1. NOPAIN ONLUS

向作者/读者索取更多资源

Background: Probiotic supplementation to women during pregnancy and lactation can modulate breast milk composition, with immune benefits being transferred to their infants. Aim: The aim of the study was to evaluate the effect of high-dose probiotic supplementation to women during late pregnancy and lactation on cytokine profile and secretory IgA (sIgA) in breast milk and thus to study if differences in breast milk composition can affect lactoferrin and sIgA levels in stool samples of newborns. The safety of maternal probiotic administration on neonatal growth pattern and gastrointestinal symptoms were also evaluated. Methods: In a double-blind, placebo-controlled, randomized trial, 66 women took either the probiotic (n = 33) or a placebo (n = 33) daily. Levels of interleukins (IL-6, IL-10 and IL-1 beta), transforming growth factor-beta 1 (TGF-beta 1), and sIgA in breast milk; and the level of sIgA and lactoferrin in newborn stool samples were analyzed at birth and then again at one month of life. Antropometrical evaluation and analysis of gastrointestinal events in newborns was also performed. Results: Probiotic maternal consumption had a significant impact on IL6 mean values in colostrum and on IL10 and TGF-beta 1 mean values in mature breast milk. Fecal sIgA mean values were higher in newborns whose mothers took the probiotic product than in the control group. Probiotic maternal supplementation seems to decrease incidence of infantile colic and regurgitation in infants. Conclusion: High-dose multi-strain probiotic administration to women during pregnancy influences breast milk cytokines pattern and sIgA production in newborns, and seems to improve gastrointestinal functional symptoms in infants.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Infectious Diseases

Self-reported olfactory and gustatory dysfunctions in COVID-19 patients: a 1-year follow-up study in Foggia district, Italy

Francesca Fortunato, Domenico Martinelli, Giuseppina Iannelli, Marica Milazzo, Umberto Farina, Gabriella Di Matteo, Rosella De Nittis, Leonardo Ascatigno, Michele Cassano, Pier Luigi Lopalco, Rosa Prato

Summary: This study found that approximately one third of patients with mild COVID-19 symptoms still experienced olfactory and gustatory dysfunctions up to 12 months after the onset of the disease. Further investigations are needed to understand the implications of these long-term effects on patients' quality of life and pathophysiology.

BMC INFECTIOUS DISEASES (2022)

Article Education & Educational Research

Sexuality education in Italy 2016-2020: a national survey investigating coverage, content and evaluation of school-based educational activities

Alice Chinelli, Maria Cristina Salfa, Andrea Cellini, Luca Ceccarelli, Massimo Farinella, Laura Rancilio, Rosario Galipo, Paolo Meli, Antonella Camposeragna, Ludovica Colaprico, Massimo Oldrini, Marco Ubbiali, Anna Caraglia, Domenico Martinelli, Luigina Mortari, Anna Teresa Palamara, Barbara Suligoi, Lara Tavoschi

Summary: Comprehensive sexuality education is crucial for promoting sexual well-being and preventing sexually transmitted infections among young people. However, it is currently not included in the formal curriculum in Italian schools. This study aimed to evaluate school-based sexuality education activities conducted by external providers in Italy from 2016 to 2020. The findings showed a lack of consistency and equal delivery of sexuality education across the country, highlighting the need for evidence-based, age-appropriate, and accurate education on sexual and reproductive health and wellbeing for young people.

SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING (2023)

Article Microbiology

Prevalence of Pneumococcal Serotypes in Community-Acquired Pneumonia among Older Adults in Italy: A Multicenter Cohort Study

Andrea Orsi, Alexander Domnich, Stefano Mosca, Matilde Ogliastro, Laura Sticchi, Rosa Prato, Francesca Fortunato, Domenico Martinelli, Fabio Tramuto, Claudio Costantino, Vincenzo Restivo, Vincenzo Baldo, Tatjana Baldovin, Elizabeth Begier, Christian Theilacker, Eva Agostina Montuori, Rohini Beavon, Bradford Gessner, Giancarlo Icardi

Summary: This study aimed to assess the serotype-specific epidemiology of pneumococci among hospitalized older adults in Italy. The prevalence of pneumococcal infection among hospitalized CAP cases was 13.1%, with serotypes 3, 8, 22F, and 11A being the most common. PCV20, which includes these serotypes, plays an important role in preventing pneumonia in older adults.

MICROORGANISMS (2023)

Article Multidisciplinary Sciences

Cohort profile: Celiac disease genomic, environmental, microbiome and metabolome study; a prospective longitudinal birth cohort study of children at-risk for celiac disease

Maureen Leonard, Victoria Kenyon, Francesco Valitutti, Rita Pennacchio-Harrington, Pasqua Piemontese, Ruggiero Francavilla, Lorenzo Norsa, Tiziana Passaro, Marco Crocco, Mariella Baldassarre, Chiara Maria Trovato, Alessio Fasano

Summary: The CDGEMM study is an international birth cohort study focusing on children at-risk of developing celiac disease (CD) and utilizing a multi-omic approach to predict CD onset. Participants are required to have a first-degree family member with biopsy diagnosed CD and be enrolled before solid food introduction. Longitudinal collection of blood, stool samples, and questionnaires related to participant, family, and environment has been ongoing since 2014. With a total of 554 participants and an average age of 56.4 months, the study has identified microbial strains, pathways, and metabolites associated with CD development. Ongoing analysis includes expanding metagenomic and metabolomic analyses, evaluating environmental risk factors, and investigating the role of microbiome and metabolites in CD development.

PLOS ONE (2023)

Article Biotechnology & Applied Microbiology

Safety of heterologous ChAdOx1-S/BNT162b2 primary schedule versus homologous BNT162b2 vaccination: Insights from an Italian post-marketing study, 2021

Francesca Fortunato, Rosa Prato, Giuseppina Iannelli, Leonardo Ascatigno, Daniela Loconsole, Pier Luigi Lopalco, Domenico Martinelli

Summary: In a prospective observational study, the safety of heterologous ChAdOx1-S/BNT162b2 vaccination was compared with homologous BNT162b2 vaccination. The study found that local reactions were common in both groups after 7 days, but systemic reactions were less common. Some short-term adverse events were more frequent with heterologous vaccination, including moderate or severe pain at the injection site, fatigue, headache, intake of antipyretics, and inability to perform daily activities and work. There was no significant difference in self-reported health status between the two vaccination regimens. Administering a second dose of mRNA vaccine to recipients of a previous dose of viral vector vaccine was deemed advantageous strategy for the vaccination campaign.

HUMAN VACCINES & IMMUNOTHERAPEUTICS (2023)

Article Public, Environmental & Occupational Health

Association of socio-economic deprivation with COVID-19 incidence and fatality during the first wave of the pandemic in Italy: lessons learned from a local register-based study

Francesca Fortunato, Roberto Lillini, Domenico Martinelli, Giuseppina Iannelli, Leonardo Ascatigno, Georgia Casanova, Pier Luigi Lopalco, Rosa Prato

Summary: This study aimed to assess the incidence and fatality rates of COVID-19 across different levels of socio-economic deprivation in the Italian Province of Foggia during the first wave of the pandemic. The findings suggest that socio-economic deprivation does not significantly impact the occurrence and mortality burden of COVID-19, indicating that the disease burden is influenced by multiple factors.

INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS (2023)

Article Medicine, General & Internal

Placental Angiodysplasia: A New Sign for Prediction of Fetal Outcome?

Andrea Marzullo, Emmanuela Vitelli, Gerardo Cazzato, Margherita Fanelli, Giuseppe Ingravallo, Antonella Vimercati, Roberta Rossi, Leonardo Resta

Summary: This study retrospectively analyzed 2063 placentas and identified 70 placentas affected by angiodysplasia. The analysis found a significant association between placental angiodysplasia and neonatal outcomes.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Microbiology

Lumbar Puncture and Meningitis in Infants with Proven Early- or Late-Onset Sepsis: An Italian Prospective Multicenter Observational Study

Luca Bedetti, Francesca Miselli, Chiara Minotti, Giuseppe Latorre, Sabrina Loprieno, Alessandra Foglianese, Nicola Laforgia, Barbara Perrone, Matilde Ciccia, Maria Grazia Capretti, Chiara Giugno, Vittoria Rizzo, Daniele Merazzi, Silvia Fanaro, Lucia Taurino, Rita Maria Pulvirenti, Silvia Orlandini, Cinzia Auriti, Cristina Haass, Laura Ligi, Giulia Vellani, Chryssoula Tzialla, Cristina Tuoni, Daniele Santori, Mariachiara China, Lorenza Baroni, Silvia Nider, Federica Visintini, Lidia Decembrino, Giangiacomo Nicolini, Roberta Creti, Elena Pellacani, Arianna Dondi, Marcello Lanari, Belinda Benenati, Giacomo Biasucci, Lucia Gambini, Licia Lugli, Alberto Berardi

Summary: This study evaluated the rates of lumbar puncture in infants with culture-proven sepsis. The results showed that lumbar puncture was infrequently performed after antibiotic initiation, leading to a reduced ability to identify the pathogen in cerebrospinal fluid culture. Polymerase chain reaction increased the probability of positive results compared to microbiological culture.

MICROORGANISMS (2023)

Article Microbiology

Timing of Symptoms of Early-Onset Sepsis after Intrapartum Antibiotic Prophylaxis: Can It Inform the Neonatal Management?

Alberto Berardi, Viola Trevisani, Antonella Di Caprio, Paola Caccamo, Giuseppe Latorre, Sabrina Loprieno, Alessandra Foglianese, Nicola Laforgia, Barbara Perrone, Giangiacomo Nicolini, Matilde Ciccia, Maria Grazia Capretti, Chiara Giugno, Vittoria Rizzo, Daniele Merazzi, Silvia Fanaro, Lucia Taurino, Rita Maria Pulvirenti, Silvia Orlandini, Cinzia Auriti, Cristina Haass, Laura Ligi, Giulia Vellani, Chryssoula Tzialla, Cristina Tuoni, Daniele Santori, Lorenza Baroni, Mariachiara China, Jenny Bua, Federica Visintini, Lidia Decembrino, Roberta Creti, Francesca Miselli, Luca Bedetti, Licia Lugli

Summary: The effectiveness of inadequate intrapartum antibiotic prophylaxis (IAP administered < 4 h prior to delivery) in preventing early-onset sepsis (EOS) is debated. Italian prospective surveillance cohort data (2003-2022) were used to study the type and duration of IAP according to the timing of symptoms onset of group B streptococcus (GBS) and E. coli culture-confirmed EOS cases. IAP-exposed neonates frequently develop symptoms of EOS after birth, up to 48 h of life and beyond.

PATHOGENS (2023)

Article Infectious Diseases

Role of the National Immunisation Technical Advisory Groups in 13 European countries in the decision-making process on vaccine recommendations

Domenico Martinelli, Filippo Quattrone, Francesca Fortunato, Elisa Di Maggio, Antonietta Filia, Maria Cristina Rota, Pier Luigi Lopalco, Rosa Prato

Summary: In Europe, the implementation of National Immunisation Technical Advisory Groups (NITAGs) has not been optimal, despite their establishment in most countries. A survey conducted within the European Joint Action on Vaccination (EU-JAV) collected information on decision-making processes regarding the introduction of new vaccines or changes to recommendations. Disease burden and availability of financial resources were identified as the most relevant criteria. Collaboration between NITAGs could lead to better workload optimization and resource utilization.

EUROSURVEILLANCE (2023)

Review Biochemistry & Molecular Biology

Pediatric Type 1 Diabetes: Mechanisms and Impact of Technologies on Comorbidities and Life Expectancy

Flavia Urbano, Ilaria Farella, Giacomina Brunetti, Maria Felicia Faienza

Summary: Type 1 diabetes is a common chronic disease in childhood with increasing incidence. The management of T1D requires lifelong insulin treatment and continuous healthcare support. Automated insulin delivery systems, such as continuous subcutaneous insulin infusion combined with continuous glucose monitoring, have improved metabolic control and quality of life for T1D patients.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Article Nutrition & Dietetics

SLAB51 Multi-Strain Probiotic Formula Increases Oxygenation in Oxygen-Treated Preterm Infants

Maria Elisabetta Baldassarre, Massimiliano Marazzato, Marta Pensa, Maria Teresa Loverro, Michele Quercia, Francesca Lombardi, Federico Schettini, Nicola Laforgia

Summary: This study aimed to evaluate the effectiveness of a single administration of the SLAB51 probiotic formula in improving oxygenation in premature babies with respiratory distress syndrome. The results showed that the SLAB51-treated group had significantly increased SaO2 levels and SaO2/FiO2 ratio, while the control group showed no changes. Additionally, the study found that SLAB51 can enhance antioxidant responses in intestinal epithelial cells. Therefore, SLAB51 represents a promising approach to manage preterm infants requiring oxygen supplementation.

NUTRIENTS (2023)

Article Medicine, General & Internal

Four-Component Recombinant Protein-Based Vaccine Effectiveness Against Serogroup B Meningococcal Disease in Italy

Lorenzo Lodi, Federica Barbati, Daniela Amicizia, Vincenzo Baldo, Anna Maria Barbui, Alessandro Bondi, Claudio Costantino, Liviana Da Dalt, Lorenza Ferrara, Francesca Fortunato, Valentina Guarnieri, Giancarlo Icardi, Giuseppe Indolfi, Domenico Martinelli, Marco Martini, Maria Moriondo, Francesco Nieddu, Diego G. Peroni, Rosa Prato, Silvia Ricci, Francesca Russo, Francesca Tirelli, Francesco Vitale, Shamez N. Ladhani, Chiara Azzari

Summary: This study assessed the effectiveness and reduction in incidence rate ratios (IRRs) associated with the 4CMenB vaccine in pediatric population in 6 regions in Italy. The results showed high effectiveness of the vaccine in preventing invasive serogroup B meningococcal disease. Starting vaccination at an earlier age resulted in greater reduction in IRR.

JAMA NETWORK OPEN (2023)

Article Health Care Sciences & Services

How Much Is an Abortion Worth? Was a Human Not Formed? An Italian Proposal

Maricla Marrone, Benedetta Pia De Luca, Fortunato Pititto, Ignazio Grattagliano, Nicola Laforgia, Antonella Vimercati, Alessandro Dell'Erba

Summary: Human capital is the integration of innate skills and knowledge acquired through investing in individual formation, which pays off in the long term. In the Italian legal system, a person is recognized from birth, determining the acquisition of personal rights. While a fetus does not possess these rights by law, it has the innate potential to acquire them after birth.

HEALTHCARE (2023)

Article Pediatrics

Incidence and prevalence of congenital clubfoot in Apulia: a regional model for future prospective national studies

Raffaella Panza, Federica Albano, Alberto Casto, Cosimo Del Vecchio, Nicola Laforgia, Daniela Dibello

Summary: This study aims to evaluate the incidence and prevalence of congenital clubfoot in Apulia, Italy from 2015 to 2018, and provides a review on genetic mutations leading to congenital clubfoot.

ITALIAN JOURNAL OF PEDIATRICS (2023)

暂无数据