Diabetes prevention: healthy lifestyles and innovative remedies

NEWS / 08/04/2024

Probiotics are microorganisms that confer benefits on the host and, for this reason, have been proposed in various pathological states. Specifically, probiotic bacteria have been studied as a therapeutic option in patients with ulcerative colitis, but clinical results are mixed.

In particular, many probiotic species have been proposed with different therapeutic schemes, but no study has found probiotics in monotherapy in adequate trials for the induction of disease remission. Lactobacillus Rhamnosus GG (LGG) is a probiotic studied in depth and has ideal characteristics for use in patients with ulcerative colitis. The objective of the study was to investigate the clinical efficacy and safety of the administration of LGG in an open trial, administered as monotherapy at two different doses, in patients with mild-moderate severity ulcerative colitis.

Of the 76 patients included in the study, 75 started probiotic therapy (n = 38 and 37 per group). 55 (72%) patients completed treatment and were analysed in a pre-post administration analysis: 58% had a clinical response, 38% remained stable, and 4% had a slight worsening of their clinical condition (p < 0.0001). In total, 37% of patients achieved disease remission. No serious adverse events were recorded, and only one patient discontinued therapy due to stubborn constipation. There were no differences in clinical efficacy and safety between groups treated with different doses of LGG. The present prospective clinical trial demonstrates, for the first time, that LGG monotherapy is safe and effective for the induction of remission in patients with ulcerative colitis with mild-moderate disease activity. Safety and Potential Role of Lactobacillus rhamnosus GG Administration as Monotherapy in Ulcerative Colitis Patients with Mild-Moderate Clinical Activity Cristiano Pagnini, Maria Carla Di Paolo, Riccardo Urgesi, Lorella Pallotta, Gianfranco Fanello, Maria Giovanna Graziani, Gianfranco Delle Fave Microorganisms. 2023 May 24; 11(6):1381.

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