Safety and functional enrichment of gut microbiome in healthy subjects consuming a multi-strain fermented milk product: a randomised controlled trial - Archive ouverte HAL Access content directly
Journal Articles Scientific Reports Year : 2020

Safety and functional enrichment of gut microbiome in healthy subjects consuming a multi-strain fermented milk product: a randomised controlled trial

Anne-Sophie Alvarez
  • Function : relator_co_first_author
Julien Tap
Isabelle Chambaud
  • Function : Author
Stéphanie Cools-Portier
  • Function : Author
Laurent Quinquis
  • Function : Author
Pierre Bourlioux
  • Function : Author
Philippe Marteau
  • Function : Author
Eric Guillemard
  • Function : Author
Juergen Schrezenmeir
  • Function : Author
Muriel Derrien
  • Function : Author

Abstract

Abstract Many clinical studies have evaluated the effect of probiotics, but only a few have assessed their dose effects on gut microbiota and host. We conducted a randomized, double-blind, controlled intervention clinical trial to assess the safety (primary endpoint) of and gut microbiota response (secondary endpoint) to the daily ingestion for 4 weeks of two doses (1 or 3 bottles/day) of a fermented milk product (Test) in 96 healthy adults. The Test product is a multi-strain fermented milk product, combining yogurt strains and probiotic candidate strains Lactobacillus paracasei subsp. paracasei CNCM I-1518 and CNCM I-3689 and Lactobacillus rhamnosus CNCM I-3690. We assessed the safety of the Test product on the following parameters: adverse events, vital signs, hematological and metabolic profile, hepatic, kidney or thyroid function, inflammatory markers, bowel habits and digestive symptoms. We explored the longitudinal gut microbiota response to product consumption and dose, by 16S rRNA gene sequencing and functional contribution by shotgun metagenomics. Safety results did not show any significant difference between the Test and Control products whatever the parameters assessed, at the two doses ingested daily over a 4-week-period. Probiotic candidate strains were detected only during consumption period, and at a significantly higher level for the three strains in subjects who consumed 3 products bottles/day. The global structure of the gut microbiota as assessed by alpha and beta-diversity, was not altered by consumption of the product for four weeks. A zero-inflated beta regression model with random effects (ZIBR) identified a few bacterial genera with differential responses to test product consumption dose compared to control. Shotgun metagenomics analysis revealed a functional contribution to the gut microbiome of probiotic candidates.

Dates and versions

hal-03842707 , version 1 (07-11-2022)

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Anne-Sophie Alvarez, Julien Tap, Isabelle Chambaud, Stéphanie Cools-Portier, Laurent Quinquis, et al.. Safety and functional enrichment of gut microbiome in healthy subjects consuming a multi-strain fermented milk product: a randomised controlled trial. Scientific Reports, 2020, 10 (1), pp.15974. ⟨10.1038/s41598-020-72161-w⟩. ⟨hal-03842707⟩
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