2007
DOI: 10.1542/peds.2006-2930
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An Experimental Study and a Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Evaluate the Antisecretory Activity ofLactobacillus acidophilusStrain LB Against Nonrotavirus Diarrhea

Abstract: Heat-killed L. acidophilus LB plus its culture medium antagonizes the C1845-induced increase in paracellular permeability in intestinal Caco-2/TC7 cells and produces a clinically significant benefit in the management of children with nonrotavirus, well-established diarrhea.

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Cited by 71 publications
(48 citation statements)
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“…Consistent with the in vitro and in vivo antibacterial activities reported above for live and heat-treated L. acidophilus strain LB against enteroadherent and enteroinvasive bacteria (122,137,147,181,182), two RCTs have demonstrated the therapeutic efficacy of Lacteol in combination with ORS in decreasing the frequency and duration (reduced by at least half) of enterovirulent bacterium-associated acute watery diarrhea in children between the ages of 1 and 4 years (207,327). Moreover, in adults over 16 years of age with chronic bacterium-or parasite-associated diarrhea, a prospective, randomized, multicenter clinical trial has demonstrated that administering Lacteol led to the recovery of consistent stools in 81% of the treated patients (328).…”
Section: Therapeutic Effects Against Various Forms Of Acute Diarrheasupporting
confidence: 73%
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“…Consistent with the in vitro and in vivo antibacterial activities reported above for live and heat-treated L. acidophilus strain LB against enteroadherent and enteroinvasive bacteria (122,137,147,181,182), two RCTs have demonstrated the therapeutic efficacy of Lacteol in combination with ORS in decreasing the frequency and duration (reduced by at least half) of enterovirulent bacterium-associated acute watery diarrhea in children between the ages of 1 and 4 years (207,327). Moreover, in adults over 16 years of age with chronic bacterium-or parasite-associated diarrhea, a prospective, randomized, multicenter clinical trial has demonstrated that administering Lacteol led to the recovery of consistent stools in 81% of the treated patients (328).…”
Section: Therapeutic Effects Against Various Forms Of Acute Diarrheasupporting
confidence: 73%
“…The secreted autotransporter toxin, Sat, belonging to the subfamily of SPATE toxins (170), expressed by Afa/Dr DAEC strain C1845 (206) promotes an increase of fluid dome formation in Caco-2/TC7 cell monolayers by modifying the transcellular passage of fluids. L. acidophilus LB CFCS treatment of Caco-2 cell monolayers results in the disappearance of the Sat-induced fluid dome formation, indicating a regulatory effect on the intestinal transcellular pathway of fluids (207).…”
Section: Activities Against the Deleterious Effects Induced By Infectmentioning
confidence: 95%
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“…Others have shown that heat-killed L. acidophilus LB plus its culture medium antagonizes the C1845-induced increase in paracellular permeability in intestinal Caco-2/TC7 cells and produces a clinically significant benefit in the management of children with nonrotavirus diarrhea (33). Our study shows that LPS-induced inflammation can be modulated by the use of both live and heat killed LGG.…”
Section: Discussionsupporting
confidence: 50%
“…Combined supplementation of Lactobacillus and Bifidobacterium species may ameliorate symptoms of collagenous colitis 16 . Heat-killed Lactobacillus acidophilus also shortens the recovery time for non-rotavirus diarrhoea in children 17 , and prevents antibiotic-associated diarrhoea in hospitalized patients 18 . Allergies may also be prevented by oral supplementation of Lactobacillus and Bifidobacterium species 19 .…”
Section: Introductionmentioning
confidence: 99%