Beneficial effect of Lactobacillus plantarum IS-10506 supplementation in adults with atopic dermatitis: a randomized controlled trial

J Dermatolog Treat. 2022 May;33(3):1491-1498. doi: 10.1080/09546634.2020.1836310. Epub 2020 Nov 8.

Abstract

Introduction: Although the therapeutic effects of probiotics in atopic dermatitis (AD) are known, the limited findings in adults are inconsistent. Lactobacillus plantarum (LP) IS-10506 was found to improve AD symptoms due to its immunomodulatory effects.

Objective: To assess the Scoring Atopic Dermatitis Index (SCORAD), the serum immunoglobulin E (IgE), interleukin (IL)-4, interferon-gamma (IFN-γ), forkhead box P3 (Foxp3+), and IL-17 levels in adults with mild and moderate AD after LP IS-10506 supplementation.

Methods: A randomized double-blind placebo-controlled trial comparing the microencapsulated probiotic (2 × 1010 CFU/day) and placebo (skim milk-Avicel) was conducted at an outpatient clinic on 30 adults with mild and moderate AD. The patients were divided into 2 groups with 15 patients each: intervention and control.

Result: The SCORAD score was significantly lower in the probiotic than the placebo group on the 8th week. The IL-4 and IL-17 levels were significantly lower in the probiotic than the placebo group. The IFN-γ and Foxp3+ levels were significantly higher in the probiotic than the placebo group. However, the IgE levels remained significantly unchanged.

Conclusion: The administration of LP IS-10506 is effective for alleviating AD symptoms in adults owing to its immunomodulatory effects.

Keywords: Atopic dermatitis; Lactobacillus plantarum; adult; probiotic.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Dermatitis, Atopic* / drug therapy
  • Double-Blind Method
  • Forkhead Transcription Factors / therapeutic use
  • Humans
  • Immunoglobulin E
  • Interleukin-17
  • Lactobacillus plantarum*
  • Probiotics* / therapeutic use
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Forkhead Transcription Factors
  • Interleukin-17
  • Immunoglobulin E