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Lactobacillus acidophilus strain L-92, which has anti-allergy effects towards pollinosis and perennial allergic rhinitis, is also effective in the treatment of atopic dermatitis

-Presented at the Spring Meeting of the Japanese Society of Allergology (5/30)-
May 29, 2006

Calpis Co., Ltd. (Head office: Shibuya Tokyo, President: Souhei Ishiwata) Functional Food and Drink Development Laboratory reported at the spring meeting of the Japanese Society of Allergology that daily consumption of milk fermented with Lactobacillus acidophilus, strain L-92 (L-92), leads to symptom relief of atopic dermatitis.
Calpis has been researching the health benefits of strain L-92 towards allergies since 1997. Through a series of studies, the effect of strain L-92 towards pollinosis and perennial allergic rhinitis has been demonstrated in human trials.
The present study was collaborative research with Dr. Shinpei Torii of Aichi-gakusen University, using atopic dermatitis infants as subjects to confirm the effect of strain L-92 towards allergy.
Symptom relief was observed in 90% of subjects, and scores for symptom, medication, and skin itching were significantly decreased. On analysis of the intestinal microflora, a significant increase in the number of the genus Lactobacillus and a significant decrease in the number of the genus Bacteroides was observed.
Clinical study of atopic dermatitis : improvement of symptom-medication score, decrease in the number of blood leukocytes and changes in intestinal microflora
Twenty infants, aged from 4 to 15 years, with atopic dermatitis were orally administered a bottle of milk fermented with strain L-92, daily for 8 weeks. Skin symptom observations, blood test and fecal microflora analysis were then performed.
Most volunteers responded to the uptake of L-92 by an improvement in allergy symptoms (Fig. 1); scores for symptom-medication and skin itching were significantly decreased (Fig. 2) and a decrease in the number of white blood cells was observed, which may have led to the relief of skin inflammation.
These results suggest that daily oral intake of strain L-92 may be effective towards intractable atopic dermatitis.

Fig. 1 Distribution of cases with different effectiveness

Fig. 2 Changes in the symptom-medication score, symptom score and medication score

Fig. 3 Changes in the score of skin itching

* These results were scored with reference to the standards of the Japanese Society of Allergology. Decrement of score indicates relief of symptom.
Reference : Research done on Lactobacillus acidophilus L-92
1.
Animal model studies: "Decrease in Ovalbumin Specific IgE of Mice Serum after Oral Uptake of Lactic Acid Bacteria"
Many types of fermented milk prepared with different single species of lactobacilli (including strain L-92) and bifidobacteria were orally administrated to BALB/c mice (ovalbumin-specific IgE-elevated mice). Fermented milk cultured with strain L-92 showed the most significant effect on decreasing the serum ovalbumin-specific IgE levels, compared with the control group.

(Biosci. Biotechnol. Biochem., 67 (5), 951-957, 2003

2.
Animal cell experiments (Activation of Th1 cells)
Strain L-92 was added to spleen cells prepared from BALB/c mice. After incubation, an increase in IL-12 (interleukin), which induces Th1 cells, and IFN-γ (interferon released from Th1 cells) was observed, suggesting Th1 cells were activated. This suggests that strain L-92 has the ability to improve the status of severity of allergy, where immunological balance between Th1 and Th2 cell is inclined towards Th2-skewed conditions and IgE is produced in excess. L-92 is thought to improve allergic symptoms by activating Th1 cells through IL-12 production, thus improving the immunological balance.

(Japan Society for Bioscience, Biotechnolgy, and Agrochemistry annual meeting, 2003)

3.
Study on pollinosis patients
"Effect of Milk Fermented with Lactobacillus acidophilus Strain L-92 on Symptoms of Japanese Cedar Pollen Allergy: A Randomized Placebo-Controlled Trial"
A placebo-controlled, single-blind study was conducted to evaluate the effect of strain L-92 on the symptoms of Japanese cedar pollen allergy. 23 in-house volunteers took 100ml of milk fermented with strain L-92 or a placebo acidified milk, twice a day for 6 to 10 weeks during the 2002 and 2003 seasons of Japanese cedar pollination. A significant improvement in the ocular symptom-medication score and score of distress of life was observed in the active group.

(Biosci. Biotechnol. Biochem., 69 (9), 1652-1660, 2005)

4.
Study on perennial allergic rhinitis patients
"Clinical Effects of Lactobacillus acidophilus Strain L-92 on Perennial Allergic Rhinitis: A Double-Blind, Placebo-Controlled Study"
49 patients with perennial allergic rhinitis were randomized into two groups and received either 100ml of milk fermented with strain L-92 or a placebo acidified milk, once a day for 8 weeks. The ocular symptom-medication score showed a tendency towards a decrease, and scores in swelling and color of nasal mucosa showed significant decreases in the group taking active samples.

(Biosci. Biotechnol. Biochem., 67 (5), 951-957, 2003

5.
Animal cell experiments (Apoptosis of excess Th2 cells)
CD4-positive T cells from the spleen of transgenic mice with OVA-specific TCR and CD11c-positive dendric cells from the spleen of BALB/c mice were co-incubated. Addition of strain L-92 to this culture system induced apoptosis of primed T cells, suggesting strain L-92 inhibits the function of excess Th2 cells.

(Japan Society for Bioscience, Biotechnology, and Agrochemistry annual meeting, 2005,
and Society of Intestinal Microbiology annual meeting, 2005)


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