e Food allergies can have significant effects on morbidity and on quality of life. Therefore, the development of efficient approaches to reduce the risk of developing food allergies is of considerable interest. The aim of this study was to identify and select probiotic strains with preventive properties against allergies using a combination of in vitro and in vivo approaches. To that end, 31 strains of bifidobacteria and lactic acid bacteria were screened for their immunomodulatory properties in two cellular models, namely, human peripheral blood mononuclear cells (PBMCs) and T helper 2 (Th2)-skewed murine splenocytes. Six strains inducing a high interleukin-10 (IL-10)/IL-12p70 ratio and a low secretion of IL-4 on the two cellular models were selected, and their protective impact was tested in vivo in a murine model of food allergy to -lactoglobulin. Three strains showed a protective impact on sensitization, with a decrease in allergen-specific IgE, and on allergy, with a decrease in mast cell degranulation. Analysis of the impact of these three strains on the T helper balance revealed different mechanisms of action. The Lactobacillus salivarius LA307 strain proved to block Th1 and Th2 responses, while the Bifidobacterium longum subsp. infantis LA308 strain induced a pro-Th1 profile and the Lactobacillus rhamnosus LA305 strain induced pro-Th1 and regulatory responses. These results demonstrate that a combination of in vitro and in vivo screening is effective in probiotic strain selection and allowed identification of three novel probiotic strains that are active against sensitization in mice.
Food allergies (FA) are an important public health problem that affects adults and children. They have dramatically and rapidly increased in prevalence in the last several decades, especially in areas with a westernized lifestyle. Despite the associated risk of severe allergic reactions and even death, there is currently no treatment for FA; thus, management of the disease continues to be based on patient education, ensuring strict allergen avoidance, and treatment of symptoms (1). Therefore, the development of new strategies for FA prevention appears to be essential to address this unmet medical need.The increase in the prevalence of allergic diseases over the past 20 to 30 years and the dichotomy in their rates between industrialized and developing countries are two lines of evidence suggesting that environmental changes are a major factor for the development of allergies. Intestinal commensal bacteria and their sequential establishment are known to play a crucial role in the maturation of the intestinal immune system, modulation of the T helper (Th) balance, acquisition of oral tolerance, and maintenance of gut wall epithelial integrity (2, 3). Yet, numerous clinical and experimental studies have reported intestinal dysbiosis in patients with allergic symptoms, with a low diversity and qualitative and/or quantitative differences in the composition of their intestinal microbiota compared to that of healthy individuals (4...