Is Probiotic and Synbiotic Supplementation Effective on Immune Cells? A Systematic Review and Meta-analysis of Clinical Trials

A. Kazemi,Sepideh Soltani,Sima Ghorabi,F. Nasri,Sivash Babajafari,S. Mazloomi

Published 2020 in Food Reviews International

ABSTRACT

ABSTRACT Effect of probiotics on various parameters of immune system including immune cells count levels has been demonstrated by clinical trials; however, as far as we know, no meta-analysis has been done. The aim of this systematic review and meta-analysis was to evaluate the effect of probiotic/synbiotic on immune cells in health and disease status. We searched PubMed, SCOPUS, and Web of Science. All clinical trials investigated the effects of oral intake of probiotic/synbiotic on the cellular count of white blood cell (WBC), T and B lymphocyte, monocyte, neutrophil, eosinophil, natural killer (NK) cell count and activity, CD4 and CD8 cell, CD4/CD8, T helper (Th)1 and 2, and Th1/Th2 with duration of more than 7 days with concurrent control were included. Analysis of 108 clinical trials indicated a small significant increase in WBC count, T cell percentage, NK cell count and activity, monocyte percentage. No significant effect of probiotic supplementation was seen on the other immune cells. In conclusion, only a small significant effect of probiotic/synbiotic was seen on some of the immunity markers.

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