有益男性生殖道健康的益生菌的开发:体外实验和健康志愿者临床试验

IF 2.1 4区 医学 Q3 ANDROLOGY
Andrologia Pub Date : 2025-01-04 DOI:10.1155/and/7000428
Reet Mändar, Imbi Smidt, Tiiu Rööp, Dagmar Hoidmets, Kalle Kilk, Mihkel Zilmer, Kristo Ausmees, Andres Salumets
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引用次数: 0

摘要

背景:男性泌尿生殖道的健康与该解剖区域的微生物群落密切相关。受干扰的微生物群落可以在精心挑选的菌株的帮助下得到平衡,这些菌株中存在一般和特定的益生菌效应。目的:开发新型益生菌,促进男性生殖健康。材料与方法:从培养物中筛选出适合男性生殖道的乳酸菌菌株。临床试验包括10名自认为健康的男性志愿者。他们服用了含有四种乳酸菌菌株的肠溶口服胶囊。在消费期间记录血液指标和问卷数据。结果:所选乳酸菌(2株crispatus、1株gasseri、1株ruminis)对高pH值具有良好的耐受性,对前列腺炎相关条件菌具有拮抗活性。所选菌株的代谢谱显示了对生殖和一般健康有益的特性。益生菌胶囊在1周内表现出良好的耐受性。无严重不良事件发生,血流图无明显变化。结论:本研究证实了乳酸菌中益生菌的某些特性具有高度的菌株特异性,我们成功地选择了一组适合支持男性生殖健康的菌株。我们的研究表明,健康中年男性在1周内每日口服所选菌株,剂量水平为十亿CFU/剂。因此,这些菌株似乎是开发针对男性泌尿生殖道疾病的新型循证益生菌的有希望的候选者。它们的有效性必须在患病患者的临床试验中得到证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of Probiotics for Male Reproductive Tract Health: In Vitro Experiments and Clinical Trial on Healthy Volunteers

Development of Probiotics for Male Reproductive Tract Health: In Vitro Experiments and Clinical Trial on Healthy Volunteers

Background: Health of the male urogenital tract is closely related to the microbial communities in this anatomical area. Disturbed microbial communities can be balanced with the help of carefully selected strains in which the presence of both general and specific probiotic effects has been described.

Objectives: We aimed to develop novel probiotic that could be used to support male reproductive health.

Materials and Methods: Suitable lactobacilli strains were screened from culture collection in order to find the most suitable strains for male genital tract. Clinical trial included 10 volunteer men who considered themselves healthy. They consumed enteric-coated oral capsules containing four lactobacilli strains. Blood markers and questionnaire data were recorded during the consumption period.

Results: The selected lactobacilli strains (two L. crispatus, one L. gasseri, one L. ruminis) expressed good tolerance to high pH and antagonistic activity against prostatitis-associated opportunistic bacteria. Metabolic profiling of the selected strains revealed beneficial properties for both reproductive and general health. The probiotic capsules appeared to be generally well tolerated during 1-week period. No serious adverse events and no significant changes in haemogram were observed.

Conclusions: The study confirmed that certain probiotic properties in lactobacilli are highly strain-specific, and we succeeded to select a set of strains that can be suitable for supporting male reproductive health. Our study suggested that daily oral administration of the selected strains at the dose level of billion CFU/dose during 1 week is well tolerated by healthy middle-aged men. Therefore, these strains seem to be promising candidates for the development of novel evidence-based well-focused probiotics to target male urogenital tract disorders. Their effectiveness must be confirmed in clinical trials on diseased patients.

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来源期刊
Andrologia
Andrologia 医学-男科学
CiteScore
5.60
自引率
8.30%
发文量
292
审稿时长
6 months
期刊介绍: Andrologia provides an international forum for original papers on the current clinical, morphological, biochemical, and experimental status of organic male infertility and sexual disorders in men. The articles inform on the whole process of advances in andrology (including the aging male), from fundamental research to therapeutic developments worldwide. First published in 1969 and the first international journal of andrology, it is a well established journal in this expanding area of reproductive medicine.
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