The effects of a multispecies synbiotic on microbiome-related side effects of long-term proton pump inhibitor use: A pilot study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
17 02 2020
Historique:
received: 28 05 2019
accepted: 30 01 2020
entrez: 19 2 2020
pubmed: 19 2 2020
medline: 18 11 2020
Statut: epublish

Résumé

Side effects of proton pump inhibitors (PPI) can be linked to the changes in the intestinal microbiome that occur during therapy, especially in long-term users. Therefore, the microbiome might also be a key player in the reduction of PPI side effects. We tested the effects of a three-month intervention with a multispecies synbiotic on intestinal inflammation, gut barrier function, microbiome composition, routine laboratory parameters and quality of life in patients with long-term PPI therapy. Thirty-six patients received a daily dose of a multispecies synbiotic for three months and were clinically observed without intervention for another three months. After intervention 17% of patients reached normal calprotectin levels; the overall reduction did not reach statistical significance (-18.8 ng/mg; 95%CI: -50.5; 12.9, p = 0.2). Elevated zonulin levels could be significantly reduced (-46.3 ng/mg; 95%CI: -71.4; -21.2; p < 0.001). The abundance of Stomatobaculum in the microbiome was reduced and Bacillus increased during the intervention. Furthermore, albumin, alkaline phosphatase and thrombocyte count were significantly increased and aspartate transaminase was significantly decreased during intervention. Gastrointestinal quality of life showed significant improvements. In conclusion, microbiome-related side effects of long-term PPI use can be substantially reduced by synbiotic intervention. Further studies are warranted to optimize dosage and duration of the intervention.

Identifiants

pubmed: 32066847
doi: 10.1038/s41598-020-59550-x
pii: 10.1038/s41598-020-59550-x
pmc: PMC7026433
doi:

Substances chimiques

Anti-Ulcer Agents 0
Haptoglobins 0
Leukocyte L1 Antigen Complex 0
Prebiotics 0
Protein Precursors 0
Proton Pump Inhibitors 0
zonulin 0
Pantoprazole D8TST4O562
Aspartate Aminotransferases EC 2.6.1.1
Alkaline Phosphatase EC 3.1.3.1
Esomeprazole N3PA6559FT

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2723

Références

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Auteurs

Angela Horvath (A)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria. angela.horvath@medunigraz.at.
Center for Biomarker Research in Medicine (CBmed), Graz, Austria. angela.horvath@medunigraz.at.

Bettina Leber (B)

Division of Transplantation Surgery, Medical University of Graz, Graz, Austria.

Nicole Feldbacher (N)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.
Center for Biomarker Research in Medicine (CBmed), Graz, Austria.

Markus Steinwender (M)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

Irina Komarova (I)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

Florian Rainer (F)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

Andreas Blesl (A)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

Vanessa Stadlbauer (V)

Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, Austria.

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