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Lacticaseibacillus casei AMBR2 is a specific strain of probiotic bacteria developed as a live biotherapeutic product (LBP) for upper respiratory tract (URT) health. Originally isolated from the human nasopharynx, it is being investigated for its ability to restore epithelial barrier integrity and provide antiviral protection. Its primary mechanism of action in the nasal mucosa is mediated through the activation of Toll-like receptor 2 (TLR2), which leads to the reorganization of tight junction proteins such as occludin and zonula occludens-1 (ZO-1), effectively repairing barrier defects caused by inflammatory cytokines like IL-4. Furthermore, AMBR2 has demonstrated the capacity to induce interferon regulatory pathways and provide broad-acting inhibition against respiratory viruses, including influenza A/B, respiratory syncytial virus (RSV), and coronaviruses (HCoV-229E). It is primarily developed for applications in chronic rhinosinusitis with nasal polyps (CRSwNP) and as a topical throat spray for preventing or treating respiratory viral infections.
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