Effects of probiotic administration on immune responses of children and adolescents with type 1 diabetes to a quadrivalent inactivated influenza vaccine

This study was planned to evaluate whether a 3-month treatment with Lactobacillus rhamnosus GG (LGG) can modify immune system functions in children and adolescents with type 1 diabetes (T1D), leading to an increased immune response to an injectable quadrivalent inactivated influenza vaccine (QIV). A...

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Veröffentlicht in:Human vaccines & immunotherapeutics 2020-01, Vol.16 (1), p.86-94
Hauptverfasser: Bianchini, Sonia, Orabona, Ciriana, Camilloni, Barbara, Berioli, Maria Giulia, Argentiero, Alberto, Matino, Davide, Alunno, Anna, Albini, Elisa, Vacca, Carmine, Pallotta, Maria Teresa, Mancini, Giulia, Tascini, Giorgia, Toni, Giada, Mondanelli, Giada, Silvestri, Ettore, Grohmann, Ursula, Esposito, Susanna
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container_title Human vaccines & immunotherapeutics
container_volume 16
creator Bianchini, Sonia
Orabona, Ciriana
Camilloni, Barbara
Berioli, Maria Giulia
Argentiero, Alberto
Matino, Davide
Alunno, Anna
Albini, Elisa
Vacca, Carmine
Pallotta, Maria Teresa
Mancini, Giulia
Tascini, Giorgia
Toni, Giada
Mondanelli, Giada
Silvestri, Ettore
Grohmann, Ursula
Esposito, Susanna
description This study was planned to evaluate whether a 3-month treatment with Lactobacillus rhamnosus GG (LGG) can modify immune system functions in children and adolescents with type 1 diabetes (T1D), leading to an increased immune response to an injectable quadrivalent inactivated influenza vaccine (QIV). A total of 87 pediatric patients with T1D were screened, although 34 patients in the Probiotic group and 30 in the Control group accepted to be vaccinated with QIV and completed the study. Vaccine immunogenicity and safety and the inflammatory cytokine response were studied. Results showed that QIV was immunogenic and safe in T1D pediatric patients and pre-administration of LGG for three months did not substantially modify the QIV humoral immunity. The combination of QIV and LGG reduced inflammatory responses (i.e., IFN-γ, IL17A, IL-17F, IL-6, and TNF-α) from activated PBMCs of pediatric patients with T1D, without dampening the production of seroprotective antibodies. In conclusion, QIV is associated with an adequate immunogenicity in children and adolescents with T1D in presence of a good safety profile. Although a systematic administration of LGG did not result in an improvement of humoral responses to an influenza vaccine, the probiotic did induce important anti-inflammatory effects.
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A total of 87 pediatric patients with T1D were screened, although 34 patients in the Probiotic group and 30 in the Control group accepted to be vaccinated with QIV and completed the study. Vaccine immunogenicity and safety and the inflammatory cytokine response were studied. Results showed that QIV was immunogenic and safe in T1D pediatric patients and pre-administration of LGG for three months did not substantially modify the QIV humoral immunity. The combination of QIV and LGG reduced inflammatory responses (i.e., IFN-γ, IL17A, IL-17F, IL-6, and TNF-α) from activated PBMCs of pediatric patients with T1D, without dampening the production of seroprotective antibodies. In conclusion, QIV is associated with an adequate immunogenicity in children and adolescents with T1D in presence of a good safety profile. 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subjects Adolescent
Antibodies, Viral - blood
Child
Child, Preschool
Cytokines - immunology
Diabetes Mellitus, Type 1 - immunology
Female
Humans
Immunity, Humoral
Immunogenicity, Vaccine
Infant
Inflammation - prevention & control
influenza
influenza vaccine
Influenza Vaccines - administration & dosage
Influenza Vaccines - immunology
Influenza, Human - prevention & control
Lactobacillus GG
Lactobacillus rhamnosus - immunology
Male
probiotic
Probiotics - administration & dosage
proinflammatory cytokines
Prospective Studies
Research Paper
Single-Blind Method
type 1 diabetes (T1D)
Vaccines, Inactivated - administration & dosage
Vaccines, Inactivated - immunology
title Effects of probiotic administration on immune responses of children and adolescents with type 1 diabetes to a quadrivalent inactivated influenza vaccine
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