Abstract

Oral-nasal mucosal immunity plays a crucial role in protecting the body against bacterial and viral invasion. Safe probiotic products have been used to enhance human immunity and oral health. In this study, we verified the beneficial effects of mixed viable probiotic tablets, consisting of Lactobacillus salivarius subsp. salicinius AP-32, Bifidobacterium animalis subsp. lactis CP-9, and Lactobacillus paracasei ET-66, and heat-killed probiotic tablets, consisting of L. salivarius subsp. salicinius AP-32 and L. paracasei ET-66, on oral immunity among 45 healthy participants. Participants were randomly divided into viable probiotic, heat-killed probiotic, and placebo groups. The administration of treatment lasted for 4 weeks. Saliva samples were collected at Weeks 0, 2, 4, and 6, and Lactobacillus, Bifidobacterium and Streptococcus mutans populations and IgA concentration were measured. IgA concentrations, levels of TGF-beta and IL-10 in PBMCs cells were quantified by ELISA method. Results showed that salivary IgA levels were significantly increased on administration of both the viable (119.30 ± 12.63%, ***P < 0.001) and heat-killed (116.78 ± 12.28%, ***P < 0.001) probiotics for 4 weeks. Among three probiotic strains, AP-32 would effectively increase the levels of TGF-beta and IL-10 in PBMCs. The oral pathogen Streptococcus mutans was significantly reduced on viable probiotic tablet administration (49.60 ± 31.01%, ***P < 0.001). The in vitro antibacterial test confirmed that viable probiotics effectively limited the survival rate of oral pathogens. Thus, this clinical pilot study demonstrated that oral probiotic tablets both in viable form or heat-killed form could exert beneficial effects on oral immunity via IL-10, TGB-beta mediated IgA secretion. The effective dosage of viable probiotic content in the oral tablet was 109 CFUs/g and the heat-killed oral tablet was 1 × 1010 cells/g.

Highlights

  • The oral-nasal mucosa, the gateway for contacting inhaled antigens, is the frontline defense of the human immune system [1, 2]

  • L. salivarius subsp. salicinius AP-32 was isolated from healthy human gut and deposited in Food Industry Research and Development Institute, Taiwan (ID: BCRC 910437) and in Wuhan university, China (ID: CCTCC-M2011127); B. animalis subsp. lactis CP-9 was isolated from healthy human breast milk and deposited in Food Industry Research and Development Institute, Taiwan (ID: BCRC 910645) and in Wuhan university (ID: CCTCC-M2014588); L. paracasei ET-66 was isolated from healthy human breast milk and deposited in Food Industry Research and Development Institute, Taiwan (ID: BCRC 910753) and in China General Microbiological Culture Collection Center, Beijing, China (ID: CGMCC-13514)

  • The Bifidobacterium population was stably elevated in the oral cavity after probiotic tablet administration

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Summary

Introduction

The oral-nasal mucosa, the gateway for contacting inhaled antigens, is the frontline defense of the human immune system [1, 2]. Pathogenic viruses or bacteria invade mucosal surfaces of the oral-nasal cavity by fighting against the local immune system and the healthy microbiota [3]. Inflammation and symptoms, including cough, sore throat, runny nose, and fever, develop due to the immune responses against the invasive pathogenic viruses and bacteria [4]. Previous studies demonstrated the effectiveness of probiotics on the elevating the IgA concentration in the oral mucosa [11]. Ericson et al demonstrated that chewing gum contained Lactobacillus reuteri participated in the adaptive immune response of healthy subjects by increasing the salivary IgA levels [12]. The immune cytokines TGF-beta and IL-10 are correlated to the production of IgA [13]

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