Randomized placebo-controlled trial of oral tannin supplementation on COVID-19 symptoms, gut dysbiosis and cytokine response.

AUC, area-under-curve COVID-19 COVID-19, Coronavirus disease 2019 Dysbiosis Gut microbiota HC, Non COVID-19 healthy controls LEFSe, Linear discriminant analysis effect size SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 Serum cytokines Tannins

Journal

Journal of functional foods
ISSN: 1756-4646
Titre abrégé: J Funct Foods
Pays: Netherlands
ID NLM: 101513493

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 27 08 2022
revised: 02 11 2022
accepted: 29 11 2022
pubmed: 6 12 2022
medline: 6 12 2022
entrez: 5 12 2022
Statut: ppublish

Résumé

The clinical study aim was to investigate whether a tannin-based dietary supplementation could improve the efficacy of standard-of-care treatment of hospitalized COVID-19 patients by restoring gut microbiota function. Adverse events and immunomodulation post-tannin supplementation were also investigated. A total of 124 patients receiving standard-of-care treatment were randomized to oral tannin-based supplement or placebo for a total of 14 days. Longitudinal blood and stool samples were collected for cytokine and 16S rDNA microbiome profiling, and results were compared with 53 healthy controls. Although oral tannin supplementation did not result in clinical improvement or significant gut microbiome shifts after 14-days, a reduction in the inflammatory state was evident and significantly correlated with microbiota modulation. Among cytokines measured, MIP-1α was significantly decreased with tannin treatment (p = 0.03) where it correlated positively with IL-1β and TNF- α, and negatively with stool

Identifiants

pubmed: 36467850
doi: 10.1016/j.jff.2022.105356
pii: S1756-4646(22)00426-1
pmc: PMC9708634
doi:

Types de publication

Journal Article

Langues

eng

Pagination

105356

Subventions

Organisme : NIAID NIH HHS
ID : K24 AI121296
Pays : United States
Organisme : NIAID NIH HHS
ID : P01 AI152999
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK056338
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI148342
Pays : United States

Informations de copyright

© 2022 The Authors. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Références

Nucleic Acids Res. 2013 Jan 7;41(1):e1
pubmed: 22933715
EMBO J. 2010 Dec 1;29(23):3952-66
pubmed: 20959807
Front Microbiol. 2021 Mar 16;12:625782
pubmed: 33796085
Nat Methods. 2016 Jul;13(7):581-3
pubmed: 27214047
Anim Nutr. 2021 Dec 29;8:350-360
pubmed: 35510031
Sci Rep. 2021 May 12;11(1):10103
pubmed: 33980943
J Dig Dis. 2020 Mar;21(3):125-126
pubmed: 32096611
Sci Rep. 2020 Dec 10;10(1):21697
pubmed: 33303843
Front Microbiol. 2021 Sep 17;12:732838
pubmed: 34603261
J Med Food. 2014 May;17(5):550-7
pubmed: 24325454
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Gut. 2021 Apr;70(4):698-706
pubmed: 33431578
Trials. 2021 Apr 28;22(1):310
pubmed: 33910614
J Exp Med. 2014 Nov 17;211(12):2397-410
pubmed: 25366965
Cytokine. 2018 Apr;104:8-13
pubmed: 29414327
Microbiome. 2018 Aug 9;6(1):140
pubmed: 30092815
Clin Infect Dis. 2020 Jul 28;71(15):762-768
pubmed: 32161940
Gastroenterology. 2020 Sep;159(3):944-955.e8
pubmed: 32442562
ACS Nano. 2020 May 26;14(5):5179-5182
pubmed: 32356654
Lancet. 2020 Feb 15;395(10223):507-513
pubmed: 32007143
Front Immunol. 2018 Feb 12;9:182
pubmed: 29483910
Exp Lung Res. 1994 Nov-Dec;20(6):473-90
pubmed: 7882902
Front Microbiol. 2022 Apr 27;13:848611
pubmed: 35572677
J Infect Dis. 2020 Aug 4;222(5):746-754
pubmed: 32563194
Clin Exp Immunol. 2004 Apr;136(1):95-103
pubmed: 15030519
Transl Res. 2020 Dec;226:57-69
pubmed: 32827705

Auteurs

Silvia Molino (S)

Departamento de Nutrición y Bromatología, Instituto de Nutrición y Tecnología de los Alimentos, Centro de Investigación Biomédica, Universidad de Granada, Granada, Spain.

Andrea Pisarevsky (A)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Departamento de Medicina Interna, Buenos Aires, Argentina.

Shyam Badu (S)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA.
Texas Children's Microbiome Center, Department of Pathology, Texas Children's Hospital, Houston, TX, USA.

Qinglong Wu (Q)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA.
Texas Children's Microbiome Center, Department of Pathology, Texas Children's Hospital, Houston, TX, USA.

Fabiana López Mingorance (FL)

Universidad de Buenos Aires/ IBIMOL, Hospital de Clínicas José de San Martin, Programa de Estudios Pancreáticos, Buenos Aires, Argentina.

Patricia Vega (P)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Departamento de Medicina Interna, Buenos Aires, Argentina.

Juan Pablo Stefanolo (JP)

Hospital de Gastroenterología Dr Carlos Bonorino Udaondo, Buenos Aires, Argentina.

Julieta Repetti (J)

Universidad de Buenos Aires/ IBIMOL, Hospital de Clínicas José de San Martin, Programa de Estudios Pancreáticos, Buenos Aires, Argentina.

Guillermina Ludueña (G)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Departamento de Medicina Interna, Buenos Aires, Argentina.

Pablo Pepa (P)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Servicio de Gastroenterología, Buenos Aires, Argentina.

Juan Ignacio Olmos (JI)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Servicio de Gastroenterología, Buenos Aires, Argentina.

Marcelo Rodriguez Fermepin (MR)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Facultad de Farmacia y Bioquímica, Departamento de Bioquímica Clínica, Buenos Aires, Argentina.

Tatiana Uehara (T)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Sector Neurogastroenterología del Servicio de Gastroenterología, Buenos Aires, Argentina.

Elisa Viciani (E)

Wellmicro Srl, Bologna, Italy.

Andrea Castagnetti (A)

Wellmicro Srl, Bologna, Italy.

Tor Savidge (T)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA.
Texas Children's Microbiome Center, Department of Pathology, Texas Children's Hospital, Houston, TX, USA.

María Marta Piskorz (MM)

Universidad de Buenos Aires, Hospital de Clínicas José de San Martin, Sector Neurogastroenterología del Servicio de Gastroenterología, Buenos Aires, Argentina.

Classifications MeSH