15th World Congress Clinical Nutrition

19th – 22nd September 2010  El Sokhna Resort -  Egypt

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Probiotics and immunoregulation

Elena Mengheri

National Research Institute for Food and Nutrition (INRAN), Rome, Italy

Probiotics are defined as “live microorganisms which when administered in adequate amounts confer a health benefit on the host”. These bacteria may prevent or ameliorate different diseases, such as allergy and intestinal inflammation, and reduce the changes associated with age. Although the exact mode of action of probiotics is still largely unknown, the immunoregulation plays a major role through enhancement of the innate and adaptive immune system, including modulation of cytokines and induction of regulatory T-cell suppressive effects.

Probiotics may provide protection against pathogen infection by maintaining the membrane barrier, and we showed that the protection against pathogen induced membrane damages was achieved through cytokine mediated preservation of correct organization of the tight junctions and cytoskeleton

proteins.Dysregulated intestinal immune responses towards commensal bacteria is a major cause of the pathogenesis of inflammatory bowel diseases (IBD), and probiotics have been shown to be protective against IBD, depending on the strain and/or mixture of such bacteria. In an animal model of colitis, we showed that a mixture of Lactobacillus acidophylus La5 and Bifidobacterium BB12 prevented intestinal inflammation through regulation of both innate and adaptive immune response. We found an inhibition of inflammatory cells infiltration into gut mucosa, expansion of Treg (CD4+CD25+Foxp3+) and Tr1 (CD4+IL-10+) cells in intraepithelial lymphocytes (IELs), inhibition of pro-inflammatory cytokines (TNF-, MCP-1, IL-12 and IFN-), induction of IL-10, and increased apoptosis of IELs.Probiotics may also improve the age-associated immune disorders. Changes in gut microbiota with a decrease of bifidobacteria and at less extent of lactobacilli, occur during aging, and therefore supplementation with probiotics has been suggested to counteract the immunosenescence process. Our studies indicated that probiotic administration induced a different immunoregulation of T cells in IELs and LPLs of old mice and a modulation of regulatory T cells in elderly.

Work partly supported by MiPAAF grant, project Alieta




   
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