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Immune system modulation via probiotic activity

Molecular classification
Other
01

Overview

Immune system modulation via probiotic activity is a complex physiological process rather than a single molecular target. It involves the interaction of beneficial live microorganisms with the host's innate and adaptive immune systems, primarily within the gut-associated lymphoid tissue (GALT) [1]. These interactions are mediated by microbial-associated molecular patterns (MAMPs) that bind to host receptors, promoting the maturation of dendritic cells and the differentiation of regulatory T cells to maintain immune homeostasis [2]. This process is clinically significant for treating inflammatory and allergic conditions, as it helps balance Th1/Th2 responses and suppresses excessive pro-inflammatory cytokine production [3]. While probiotics are generally recognized as safe, their immunomodulatory effects are highly strain-specific and depend on the host's existing microbiota and health status. Understanding these pathways is essential for the development of targeted microbial therapies for systemic inflammatory diseases [1][3]. Sources: [1] Yan, F., & Polk, D. B. (2011). Probiotics and immune health. Current Opinion in Gastroenterology. [2] Bermudez-Brito, M., et al. (2012). Probiotic Mechanisms of Action. Annals of Nutrition and Metabolism. [3] Mazziotta, C., et al. (2023). Probiotics in the Modulation of the Immune Response. Cells.

Other names
Probiotic-mediated immunomodulationMicrobiota-immune axis regulationProbiotic immune signalingImmunobiotics
02

Mechanism of action

Probiotics modulate the immune system by interacting with Pattern Recognition Receptors (PRRs), specifically Toll-like receptors (TLRs) and Nucleotide-binding oligomerization domain-like receptors (NLRs), on intestinal epithelial cells and resident immune cells like dendritic cells [1]. This interaction triggers signaling cascades that lead to the induction of regulatory T cells (Tregs) and the secretion of anti-inflammatory cytokines such as Interleukin-10 (IL-10) and Transforming Growth Factor-beta (TGF-beta) [2]. Furthermore, probiotics produce metabolites like short-chain fatty acids (SCFAs), which bind to G protein-coupled receptors (GPR41 and GPR43) to suppress pro-inflammatory NF-kappaB signaling and enhance the integrity of the intestinal mucosal barrier [3].

03

Biological functions

Immune responseSignal transductionCellular homeostasisCytokine productionEpithelial barrier enhancement
04

Disease associations

Inflammatory bowel diseaseIrritable bowel syndromeAllergyInfectionAtopic dermatitisAutoimmune disease
05

Safety considerations

Risk of systemic infection (bacteremia or fungemia) in immunocompromised or critically ill patientsPotential for horizontal transfer of antibiotic resistance genesD-lactic acidosis in patients with short bowel syndromeStrain-specific variability in clinical efficacy and safety profiles
06

Interacting drugs

Lactobacillus rhamnosus GG

4 more in the full profile.

07

Biomarkers

Interleukin-10 (IL-10) levelsFecal calprotectinRegulatory T cell (Treg) countSecretory IgA (sIgA)Tumor Necrosis Factor-alpha (TNF-alpha) reduction

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