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Article

Consumption of a Probiotic Blend with Vitamin D Improves Immunity, Redox, and Inflammatory State, Decreasing the Rate of Aging—A Pilot Study

by
Judith Félix
1,2,*,
Adriana Baca
1,
Luz Taboada
3,
Guillermo Álvarez-Calatayud
4,5 and
Mónica De la Fuente
1,2
1
Department of Genetics, Physiology and Microbiology (Animal Physiology Unit), Faculty of Biological Sciences, Complutense University of Madrid, José Antonio Novais, 12, 28040 Madrid, Spain
2
Institute of Investigation Hospital 12 Octubre (imas12), 28041 Madrid, Spain
3
General Medicine Area, Hospital HM Sanchinarro, 28040 Madrid, Spain
4
Gastroenterology and Child Nutrition Area, General University Hospital Gregorio Marañón, 28007 Madrid, Spain
5
Department of Medicine, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, 28040 Madrid, Spain
*
Author to whom correspondence should be addressed.
Biomolecules 2024, 14(11), 1360; https://doi.org/10.3390/biom14111360
Submission received: 20 September 2024 / Revised: 21 October 2024 / Accepted: 23 October 2024 / Published: 25 October 2024

Abstract

:
There is evidence of the effect of probiotic intake on the immune system. However, the effect probiotics may have on the rate of aging is unknown. The aim of this study is to determine the effect of a probiotic blend on immunity, redox state, inflammation, and the rate of aging or biological age. A group of 10 men and 14 women took, daily for 2 months, a sachet with three probiotics (Bifidobacterium animalis subsp. lactis BSO1, Lactobacillus reuteri LRE02, Lactobacillus plantarum LP14) and vitamin D. Before starting the treatment and after 2 months, peripheral blood was collected. Immune functions were assessed in isolated immune cells, and cytokine concentrations were also measured both in mononuclear cell cultures and plasma. Redox state parameters were also analyzed in whole blood cells. Finally, the Immunity Clock was applied to determine the biological age. Results show that the intake of this probiotic blend in general, in both men and women, improves immunity and decreases the oxidative and inflammatory state. In addition, it rejuvenates the biological age by 10 years on average. It can be concluded that this probiotic blend could be proposed as a good strategy to slow down the aging process, and to achieve healthy aging.

1. Introduction

Nowadays, the important role played by the intestinal microbiota in maintaining the health of individuals is becoming increasingly evident [1]. This is because this microbiota not only acts at the intestinal level as a protective barrier against pathogens or carries out metabolic functions but is also known to be closely connected with practically all the organs of the body, contributing in some way to their correct functioning [1,2,3,4,5,6]. However, one of the most important dialogues in which the intestinal microbiota intervenes is with the homeostatic systems (nervous, immune, and endocrine), which are responsible for the maintenance of health [1,7]. Therefore, an alteration of the microbiota, i.e., dysbiosis, could lead to multiple diseases at any level of the organism, such as an increase in infections, the appearance of inflammatory diseases, stress and anxiety disorders, heart, kidney, and skin diseases, etc. [1,2,3,4,5,6].
These alterations of the microbiota can appear due to multiple factors, such as an inadequate diet, stressful situations, after taking antibiotics, obesity, etc. [1,8,9,10,11,12,13,14]. Moreover, this dysbiosis also appears during the aging process (predominant microorganisms generating inflammation and oxidation), accompanied by a deterioration in the functionality of the homeostatic systems, which together generate a chronic oxidative and inflammatory state, thus increasing the morbidity and mortality of the individual [1,7,9,10,11,15]. This aging process is heterogeneous, indicating that each individual is aging at a different rate, that is, they have a different biological age despite possibly having the same chronological age [16]. Based on this, the immune system has been proposed as the best marker of health and as a good indicator of biological age [17]. Indeed, models for predicting biological age have been developed using immune parameters, such as the Immunity Clock [17,18]. Therefore, given the existing communication between microbiota and the immune system, maintaining an adequate microbiota would allow for regulating the correct functioning of the immune system, thus reducing the immunosenescence that occurs with aging, ultimately slowing down the rate of aging [19,20].
However, considering that the consumption of probiotics allows restoration of the altered microbiota, it is understandable that they are increasingly used in the daily life of people to maintain health [21,22]. Thus, it has been observed that the intake of probiotics reduces certain symptoms, not only intestinal, and there is increasing evidence of the beneficial effect that probiotics have on the immune system [22,23,24,25,26,27]. In fact, the term immunobiotic was coined to define those probiotic strains that have a positive effect on the functionality of the immune system [28]. In addition, some strains have also been observed to contribute to healthy aging, even increasing life expectancy in experimental animals. These probiotics that contribute positively to the aging process are known as gerobiotics [29], and their positive effects seem to be associated with their antioxidant and anti-inflammatory properties [30,31].
However, despite the many existing studies on the effects that probiotics can have on the immune system, there are few studies on how probiotics can modulate the rate of aging. Therefore, the aim of the present study was to evaluate the effects of a two-month daily intake of a probiotic blend (Bifidobacterium animalis subsp. lactis BSO1, Lactobacillus reuteri LRE02, Lactobacillus plantarum LP14) on immune function, redox state, inflammatory profile, and biological age.

2. Materials and Methods

2.1. Participants and Extraction of Blood Samples

The participants in this pilot study were initially 13 men and 14 women between 30 and 60 years of age. However, 3 men were excluded from the study due to low adherence to treatment. Therefore, the final experimental N was 10 men and 14 women.
The participants were healthy individuals, i.e., with the absence of pathology or findings of clinical significance in general laboratory parameters. Exclusion criteria were severe general pathology (autoimmune diseases, cancer, anemia, severe allergies, dementia or cognitive impairment, chronic respiratory disease, hypertension, and diabetes), excessive alcohol or drug consumption, hormone replacement therapy, intake of vitamins, antioxidants or any pharmaceutical drug that influences the immune system, as well as low adherence to treatment. In addition, all participants signed an informed consent for the use of their blood samples for research.
The participants took one sachet per day, for 2 months (April–June), of a probiotic supplement containing 3 strains of probiotics (microencapsulated): Bifidobacterium animalis subsp. lactis BSO1 (LMG P-21384) 2 × 109/sachet; Lactobacillus reuteri LRE02 (DSM23878) 0.5 × 109/sachet; Lactobacillus plantarum LP14 (DSM33401) 0.5 × 109/sachet and cholecalciferol (Vitamin D3) 1 µg (40 IU), patented without allergens.
Before starting the probiotic supplement and after 2 months of treatment, a survey on well-being was conducted, and blood samples were collected according to the Declaration of Helsinki. Blood samples (12 mL of peripheral blood drawn by vein puncture) were collected from 9:00 am to 10:00 am (in tubes with citrate; BD Vacutainer Systems) to avoid the effect of circadian variations on immune parameters.
This study was approved by the Ethical Committee of the Hospital Clínico San Carlos of Madrid (P.C. P21110b) on 1 March 2022.

2.2. Analysis of Immune Function Parameters

2.2.1. Isolation of Neutrophils and Lymphocytes

For the analysis of the chemotactic ability of neutrophils and lymphocytes, neutrophil phagocytosis, natural killer activity, and the lymphoproliferative response in basal and stimulated conditions, neutrophils and lymphocytes were isolated from blood samples following a previously described method [16]. For this, 1.119 and 1.077 density Hystopaque (Sigma-Aldrich, St. Louis, MO, USA) were used for neutrophil and lymphocyte separation, respectively. Collected cells (95% viability determined using trypan blue staining) were adjusted to 106 neutrophils or lymphocytes per mL of Hank’s solution or RPMI 1640 medium (Sigma-Aldrich, St. Louis, MO, USA).

2.2.2. Chemotaxis

The chemotactic ability of neutrophils and lymphocytes was determined according to the Boyden method, with modifications introduced by our group [16]. It is based on the ability of immune cells to migrate to an infectious focus. The cell suspensions were placed into the upper compartment of a Boyden chamber, and f-met-leu-phe (Sigma-Aldrich, St. Louis, MO, USA) was placed in the lower compartment. After a 3 h incubation, the filters were fixed and stained with Giemsa (GIEMSA, PANREAC, Barcelona, Spain). Finally, the chemotaxis index (C.I.) was determined by counting the total number of neutrophils or lymphocytes by optical microscopy (immersion objective) on one-third of the lower face of the filters.

2.2.3. Phagocytosis

For this, the technique described by De la Fuente [16] was used. Aliquots of 200μL neutrophil suspension were incubated on migration inhibition factor (MIF) plates for 30 min. The adherent monolayer was washed with Hank’s solution at 37 °C, and 20μL of latex beads (1.09 μm diluted 1% PBS, Sigma-Aldrich, St. Louis, MO, USA) were added. After 30 min incubation, the sample was fixed with 50% methanol and stained with Giemsa (Sigma-Aldrich, St. Louis, MO, USA). The number of particles per 100 neutrophils (phagocytic index) and the percentage of neutrophils that ingested at least one particle (phagocytic efficiency) were determined by optical microscopy (100×).

2.2.4. Natural Killer Activity

For the evaluation of NK activity, an enzymatic colorimetric kit (Cytotox 96 TM, Promega) based on the determination of lactate dehydrogenase (LDH) released by cytolysis of target cells using tetrazolium salts was performed. The suspension was added to 96-well U-bottom culture plates with target cells (human K-562 lymphoma cells) in a 10:1 ratio. After 4 h of incubation, LDH was measured by the addition of the enzyme substrate at an absorbance of 490 nm.
The formula to calculate this function is as follows:
L y s i s   % = P r o b l e m   l y s i s E f f e c t o r   c e l l s   s p o n t a n e o u s   l y s i s T u m o r   c e l l s   s p o n t a n e o u s   l y s i s T u m o r   c e l l s   t o t a l   l y s i s T u m o r   c e l l s   s p o n t a n e o u s   l y s i s × 100
The results were expressed as the percentage of tumor cells killed (% lysis), as previously described [16].

2.2.5. Lymphoproliferation

Lymphocyte proliferation both under basal conditions and in response to the mitogens Phytohemagglutinin (PHA) and Lipopolysaccharide (LPS) was assessed using a commercial kit: cell proliferation ELISA, BrdU (colorimetric) (Roche Applied Science). This kit assesses the incorporation of 5-bromo-2-deoxyuridine (BrdU), a thymidine analog, into the DNA of proliferating lymphocytes. For this purpose, 200 μL/well of lymphocyte suspensions adjusted to 106 lymphocytes/mL of RPMI supplemented with gentamicin (1 mg/mL) and 10% fetal bovine serum (Gibco) previously decomplementarized by heating for 30 min at 56 °C were added to sterile 96-well plates. To the wells, 20 μL of RPMI complete medium was added for the basal condition and 20 μL of PHA or LPS (1 μg/mL) to assess the response to these mitogens. After 48 h of incubation, 100 μL of each well was collected for cytokine measurement. The volume was recovered with fresh medium, and BrdU was added. After that, the kit protocol was started to assess its incorporation into DNA. The results are expressed in absorbance units (AU). In addition, the percentage of stimulation was assessed, that is, mitogen-stimulated lymphoproliferation divided by basal lymphoproliferation × 100.

2.3. Evaluation of Redox Parameters

To evaluate the redox parameters (glutathione reductase and peroxidase activities, oxidized and reduced glutathione concentrations, and thiobarbituric acid reactive substance concentration), whole blood cells (including erythrocytes and total leukocytes) were used. For this, blood samples were centrifuged at 1300× g for 20 min. Then, plasma and whole blood cells were separated, and the pellets were reconstituted with RPMI+ medium and frozen at −80 °C until use [32].

2.3.1. Glutathione Reductase Activity

Whole blood cells were resuspended in oxygen-free phosphate buffer (pH 7.4, 50 mM with 6.3 nM EDTA). Then, they were sonicated and centrifuged. Supernatants (1:5) were used for the reaction together with GSSG 80 mM as substrate, as previously described [32]. The oxidation of NADPH was measured at 340 nm for 4 min. The results were expressed as mU of glutathione reductase (GR)/mg protein.

2.3.2. Glutathione Peroxidase Activity

Whole blood cells were resuspended in oxygen-free phosphate buffer (pH 7.4 50 mM). Then, they were sonicated and centrifuged. Supernatants (1:30) were used for the enzymatic reaction together with cumene hydroperoxide as a substrate, as previously described [32]. Oxidation of NADPH was measured at 340 nm for 5 min. The results were expressed as mU of glutathione peroxidase (GPx)/mg protein.

2.3.3. Oxidized (GSSG) and Reduced (GSH) Glutathione Concentrations

Whole blood cells were resuspended in phosphate buffer (pH 8, 50 mM EDTA 0.1 M). Then, they were sonicated and centrifuged. Supernatants were used for the quantification of both oxidized (GSSG) and reduced (GSH) glutathione by the reaction capacity that they have with o-phthalaldehyde at pH 12 and pH 8, respectively, resulting in a fluorescent compound measured at 420 nm, as previously described [32]. Results were expressed as nmol of GSSG and GSH/mg protein. Moreover, the GSSG/GSH ratio was calculated.

2.3.4. Concentration of Thiobarbituric Acid Reactive Substances (TBARs)

Quantification of TBARs was performed using the commercial kit: Lipid Peroxidation Assay Kit (Biovision, San Francisco, CA, USA). Whole blood cells were resuspended in lysis buffer (containing BHT 0.1 mM), sonicated, and centrifuged. Supernatants were mixed with thiobarbituric acid (TBA) and incubated in a water bath at 95 °C for 60 min. Then, samples were centrifuged, supernatants collected, and absorbance was measured at 532 nm, as previously described [32]. Results were expressed as nmol TBARs/mg protein.

2.3.5. Protein Quantification

The protein content of each sample was evaluated to report all oxidative stress parameters in mg of protein. For this, protein assessment was carried out on the same supernatants collected from the analysis of the different redox parameters. Protein quantification was performed by the bicinchoninic acid (BCA) method, using the BCA kit, which is based on the reduction of Cu2+, generating Cu+ ions that bind to BCA and form a colored compound that absorbs light at 562 nm. The results were expressed in mg protein/mL [32].

2.4. Biological Age Determination

To estimate the biological age of each participant, the Immunity Clock model [16] and the redox signature were applied [32,33], which included some of the immune function and redox parameters evaluated in this study. The Immunity Clock formula is as follows: ImmunolAge = 93.943 − 0.230 × Natural Killer activity − 0.001 × lymphoproliferative response to PHA − 0.022 × neutrophil chemotaxis − 0.020 × phagocytic index − 0.019 × lymphocyte chemotaxis. The RedOx signature includes the following parameters: glutathione reductase and glutathione peroxidase activities, concentration of oxidized (GSSG) and reduced (GSH) glutathione, GSSG/GSH ratio and concentration of thiobarbituric acid reactive substances.

2.5. Cytokine Measurement

For cytokine measurement, plasma and lymphocyte culture samples in basal and stimulated conditions (PHA) were used. The concentration of TNF-α, IL-1β, IL-6, IL-10, and IL-2 were measured simultaneously in these samples by multiplex luminometry (Milliplex® (Darmstadt, Germany) MAP Human High Sensitivity T Cell Magnetic Bead Panel—HSTCMAG-28SK, Millipore), according to the manufacturer’s instructions. Results were expressed as pg/mL.

2.6. Statistical Analysis

Statistical analysis was performed in GraphPad Prism 10.1.1. Data were represented as mean ± standard deviation (SD). The normality of the samples and homogeneity of the variances were checked using the Kolmogorov-Smirnov test and Levene test, respectively. Comparisons between the initial and post-treatment conditions were made by the dependent-samples t-test, and comparisons between sexes were made by the independent-samples t-test according to the compatibility of the data with normal distribution. p < 0.05 was considered statistically significant.

3. Results

The results related to immune function are shown in Figure 1 and Table 1.
It can be observed that, after taking the probiotic blend, both men and women increased their natural killer activity (Figure 1B, p < 0.01) and the proliferative response of lymphocytes in response to PHA (Figure 1C, p < 0.01) with respect to the initial time. Moreover, after intake of the probiotic blend, women also increased their phagocytic capacity (Figure 1A, p < 0.05; Table 1, p < 0.01), while men increased their basal lymphoproliferation (Table 1, p < 0.01) with respect to the initial time. However, ingestion of the probiotic blend did not result in increased chemotactic capacity, either of neutrophils or lymphocytes or in increased lymphoproliferation in response to LPS in either men or women (Table 1). Moreover, the potentiation generated by the probiotic blend in these immune functions implies that both men and women decreased their biological age by an average of 11 years (11 ± 6) (Figure 1D, p < 0.01; p < 0.001, respectively) with respect to the initial time. It is important to mention that at the initial time, the participants showed a higher biological age (58 ± 7) than their chronological age (48 ± 8) (Figure 1D).
The results obtained from the assessment of cytokine concentration in mononuclear cell cultures in basal condition are shown in Figure 2 and Table 1.
In both men and women, an increase in TNF-α (Figure 2A, p < 0.001), IL-1β (Figure 2B, p < 0.01; p < 0.001, respectively), IL-10 (Figure 2C, p < 0.01; p < 0.001, respectively), IL-6 (Table 1, p < 0.05; p < 0.01, respectively) and IL-2 (Table 1, p < 0.001) concentrations, as well as a decrease in the TNF-α/IL-10 ratio (Figure 2D, p < 0.05; p < 0.001, respectively) after the probiotic blend intake were observed with respect to the initial time.
Moreover, the results obtained from the assessment of cytokine concentrations in mononuclear cell cultures after Phytohemagglutinin (PHA) stimulation are shown in Figure 3 and Table 1.
The results show that after intake of the probiotic blend, both men and women increased the concentrations of TNF-α (Figure 3A, p < 0.001), IL-1β (Figure 3B, p < 0.01; p < 0.001, respectively), IL-10 (Figure 3C, p < 0.01; p < 0.001, respectively) and IL-2 (Table 1, p < 0.001), together with a decrease in the TNF-α/IL-10 ratio (Figure 3D, p < 0.001) compared to the initial time. Women also increased the IL-6 concentration (Table 1, p < 0.001) after probiotic blend intake with respect to the initial time. It is worth mentioning that women at the initial time showed a lower concentration of TNF-α (Figure 3A, p < 0.001), IL-1β (Figure 3B, p < 0.01), IL-10 (Figure 3C, p < 0.05) and IL-6 (Table 1, p < 0.001) in mononuclear cell cultures after stimulation with PHA, compared to men at their initial time.
The results obtained from the redox state assessment are shown in Figure 4 and Table 2.
The intake of the probiotic blend allowed men and women to increase the enzymatic activity of glutathione peroxidase (Figure 4B, p < 0.05; p < 0.01, respectively) and the concentration of reduced glutathione (GSH) (Table 2, p < 0.05; 0.01, respectively), as well as decrease oxidized glutathione (GSSG) concentration (Figure 4C, p < 0.001; p<0.01, respectively) and GSSG/GSH ratio (Figure 4D, p < 0.001) with respect to the initial time. In addition, women increased glutathione reductase activity after probiotic blend intake (Figure 4A, p < 0.01) with respect to initial time. The probiotic blend intake did not affect lipid peroxidation (Table 2). Furthermore, women at the initial time showed a lower GSSG concentration (Figure 4C, p < 0.05), as well as a lower GSSG/GSH ratio (Figure 4D, p < 0.05) with respect to men at their initial time. Finally, it could be observed that the effects on the redox parameters after taking the probiotic blend implied that both men and women decreased their redox signatures (Table 2, p < 0.001).
Finally, the results obtained from the evaluation of cytokine concentration in plasma are shown in Figure 5 and Table 2.
It can be observed that in plasma, after the intake of the probiotic blend, both men and women decreased the concentration of TNF-α (Figure 5A, p < 0.05), IL-1β (Figure 5B, p < 0.05) and the TNF-α/IL-10 ratio (Figure 5D, p < 0.05; p < 0.01, respectively) and increased the concentration of IL-6 (Table 2, p < 0.05) with respect to the initial time. Furthermore, women also increased the IL-10 concentration (Figure 5C, p < 0.05) and decreased the concentration of IL-2 (Table 2, p < 0.05) after probiotic blend intake with respect to the initial time. In addition, women showed lower TNF-α (Figure 5A, p < 0.05) and higher IL-2 concentrations at the initial time, as well as a lower TNF-α/IL-10 ratio (Figure 5D, p < 0.05) after probiotic intake with respect to men in the same condition.

4. Discussion

This study is the first to demonstrate the effect that daily consumption of a probiotic blend for 2 months can have not only on the immunity of the participants, but also on the oxidative state, inflammatory profile, and rate of aging.
The results show that the intake of this compound composed of three probiotic strains: Bifidobacterium animalis subsp. lactis BSO1, Lactobacillus reuteri LRE02, Lactobacillus plantarum LP14, and vitamin D3 improves the immune function of both men and women. Thus, although it has no effect on the chemotactic capacity of neutrophils and lymphocytes, it increases the phagocytic capacity of female neutrophils and increases the natural killer activity and lymphoproliferative capacity of lymphocytes in response to PHA in both men and women. These results agree with previous studies where it has been observed that the consumption of Bifidobacterium lactis improves the phagocytic capacity of the cells [25,34]. In addition, it has also been previously described that the intake of Bifidobacterium animalis ssp. Lactis and Lactobacillus plantarum, both individually and together, also stimulates natural killer activity [34,35,36]. Regarding parameters more related to adaptive immunity, we found that consumption of the probiotic blend stimulates the lymphoproliferative response in the presence of the mitogen PHA, a function carried out mainly by T lymphocytes [37]. Based on this, it has been observed that the strain of the species Lactobacillus plantarum could be responsible for enhancing this function [38]. Furthermore, it can be observed that there is an increase in basal lymphoproliferation in men after taking the probiotic blend. This could also be due to the presence of Lactobacillus plantarum and Bifidobacterium lactis, as the intake of these probiotic strains has been described to stimulate the proliferation of mononuclear cells in culture, especially enhancing the expression of CD4(+) and CD8(+) T lymphocytes [39,40]. However, no improvement in proliferation in response to LPS, mediated mainly by B lymphocytes, was observed, as is the case with supplementation with other probiotic strains, such as Lactobacillus rhamnosus GG or Akkermansia mucciniphila [19,41].
The improvement of all these immune functions, which are included in the prediction model of biological age and Immunity Clock [16], could explain that the intake of this probiotic blend slows down the rate of aging of the participants. It was observed that the participants before the intake of the compound had a biological age higher than their chronological age, which could be due, among other things, to poor lifestyle habits or poor stress regulation. As these probiotics improved the functions of the studied immune cells, which are markers of biological age and modulate the rate of aging [17], the participants managed to slow down this process by reducing their biological age by an average of 10 years.
Furthermore, the intake of this probiotic blend also showed effects on cytokine release in mononuclear cell cultures. Thus, both in cultures under basal conditions and in those stimulated with PHA, an increase in pro-inflammatory TNF-α, IL-1β, and IL-6, and anti-inflammatory IL-10 and regulatory IL-2 cytokines [42,43,44] could be observed. However, despite all of these increases, participants reduced their inflammation, as shown by the TNF-α/IL-10 ratio, which has been proposed as a good marker of the degree of inflammatory stress in an individual [45]. It is noteworthy that, although the release of these cytokines increased in both conditions, the release was higher in response to PHA, as would be expected since it stimulates lymphocyte proliferation and, therefore, the release of cytokines among other metabolites [37]. Although it is true that under basal conditions, it would be expected that there would not be a significant increase in the release of these cytokines, it has been described that the intake of certain probiotic strains, such as Bifidobacterium animalis, Lactobacillus plantarum, and Lactobacillus reuteri, is capable of stimulating the release of cytokines favoring an anti-inflammatory profile [26,36,40,46,47,48,49].
Moreover, the overall inflammatory profile of the participants was studied in plasma, and a decrease in the pro-inflammatory cytokines TNF-α and IL-1β and an increase in the anti-inflammatory IL-10 was observed after the probiotic intake, thus decreasing the TNF-α/IL-10 ratio. Therefore, as happens in cell cultures, these probiotic strains exerted an anti-inflammatory effect [30,31,48,50]. Curiously, an increase in IL-6 was observed in plasma after taking the probiotic blend. This could be due to the fact that the body would be favoring the differentiation of B lymphocytes through the production of this cytokine in response to the presence of these probiotic strains [51].
In addition, it could be observed how the intake of this probiotic blend improved the redox state of the participants, decreasing the concentration of oxidative compounds and increasing the presence and activity of antioxidant compounds. Other studies have shown that Bifidobacterium animalis, Lactobacillus plantarum, and Lactobacillus reuteri are able to regulate the oxidative state of the organism by increasing the activities of glutathione reductase, glutathione peroxidase, superoxide dismutase, and catalase, and the concentration of reduced glutathione, as well as decreasing oxidative compounds such as oxidized glutathione, nitric oxide, malondialdehyde, and lipid peroxidation [30,31,52,53,54,55,56]. In our study, similar effects were observed except for the decrease in lipid peroxidation, in which we found no significant differences. Moreover, the effects observed on the components of the glutathione cycle would also be beneficial for promoting the maintenance and colonization of the probiotic strains in the organism, since it has been observed that certain probiotic strains, such as Lactobacillus reuteri, need glutathione as a nutrient for their survival [57]. Finally, when the redox signature of the participants was studied, it was observed that after the consumption of probiotics, it also decreased, indicating that the rate of aging was decreasing [32,33].
It is important to note that although the contribution of the three probiotic strains to the observed effects was evident, the compound also contains vitamin D3, which is capable of stimulating the immune system and has antioxidant and anti-inflammatory properties [58,59], thus contributing to the potentiation of the effects produced by the probiotics.
Finally, it is worth mentioning that in the present study, differences in the positive effects of probiotics were found according to sex, as the effects were more noticeable in women. The differences between men and women have been extensively studied in terms of microbiota and response to probiotics [60,61,62,63], as well as in the functioning of the homeostatic systems and the oxidative and inflammatory profile, which has been related to the higher life expectancy of women compared to men [64]. Therefore, an increase in the duration of probiotic intake in men could be suggested to achieve positive effects as significant as those observed in women.
However, although the results of the present study highlight the potential of these probiotic strains together with vitamin D3 to improve immunity, reduce the oxidative and inflammatory profile, and slow down the rate of aging, it should not be forgotten that this is a pilot study. Therefore, it would be convenient to carry out the study again with a larger sample size, as well as an increase in the duration of probiotic intake for men. It would also be interesting to assess the role of vitamin D3 in the results obtained.

Author Contributions

J.F., Methodology, Investigation, Writing—original draft, Data curation, Formal analysis. A.B., Methodology, Investigation. L.T., Resources. G.Á.-C., Resources. M.D.l.F., Conceptualization, Supervision, Writing—review and editing, Funding acquisition. All authors have read and agreed to the published version of the manuscript.

Funding

This research was funded by BOIRON S.I.H., S.A.

Institutional Review Board Statement

The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethical Committee of the Hospital Clínico San Carlos of Madrid (P.C. P21110b) on 1st March 2022.

Informed Consent Statement

Informed consent was obtained from all subjects involved in the study.

Data Availability Statement

Data will be available upon request to Judith Félix (jufelix@ucm.es).

Acknowledgments

We are grateful for the support of the volunteers who took part in this study, as well as to the Spanish Society of Microbiota, Probiotics, and Prebiotics (SemiPyP) for providing contact with the funder.

Conflicts of Interest

The authors have no conflicts of interest to declare.

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Figure 1. Immune function in peripheral blood leukocytes of participants before and after probiotic blend intakes. (A) Phagocytic capacity of neutrophils. (B) Natural killer activity. (C) Lymphoproliferative response to PHA. (D) Biological age. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition. PHA: Phytohemagglutinin; AU: Absorbance units.
Figure 1. Immune function in peripheral blood leukocytes of participants before and after probiotic blend intakes. (A) Phagocytic capacity of neutrophils. (B) Natural killer activity. (C) Lymphoproliferative response to PHA. (D) Biological age. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition. PHA: Phytohemagglutinin; AU: Absorbance units.
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Figure 2. Cytokine concentrations (pg/mL) in mononuclear cell culture supernatants at the basal condition of participants before and after probiotic blend intakes. (A) TNF-α concentration. (B) IL-1β concentration. (C) IL-10 concentration. (D) TNF-α/IL-10 ratio. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition.
Figure 2. Cytokine concentrations (pg/mL) in mononuclear cell culture supernatants at the basal condition of participants before and after probiotic blend intakes. (A) TNF-α concentration. (B) IL-1β concentration. (C) IL-10 concentration. (D) TNF-α/IL-10 ratio. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition.
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Figure 3. Cytokine concentrations (pg/mL) in mononuclear cell culture supernatants at the Phytohemagglutinin-stimulated condition of participants before and after probiotic blend intakes. (A) TNF-α concentration. (B) IL-1β concentration. (C) IL-10 concentration. (D) TNF-α/IL-10 ratio. *** p < 0.001 compared to the initial condition. + p < 0.05, ++ p < 0.01, +++ p < 0.001 compared to men at the same condition.
Figure 3. Cytokine concentrations (pg/mL) in mononuclear cell culture supernatants at the Phytohemagglutinin-stimulated condition of participants before and after probiotic blend intakes. (A) TNF-α concentration. (B) IL-1β concentration. (C) IL-10 concentration. (D) TNF-α/IL-10 ratio. *** p < 0.001 compared to the initial condition. + p < 0.05, ++ p < 0.01, +++ p < 0.001 compared to men at the same condition.
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Figure 4. Redox parameters in whole blood cells of participants before and after probiotic blend intakes. (A) Glutathione reductase activity. (B) Glutathione peroxidase activity. (C) Oxidized glutathione concentration. (D) GSSG/GSH ratio. GSH: reduced glutathione. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition. + p < 0.05 compared to men in the same condition. GR: glutathione reductase activity; GPx: glutathione peroxidase activity; GSSG: oxidized glutathione.
Figure 4. Redox parameters in whole blood cells of participants before and after probiotic blend intakes. (A) Glutathione reductase activity. (B) Glutathione peroxidase activity. (C) Oxidized glutathione concentration. (D) GSSG/GSH ratio. GSH: reduced glutathione. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition. + p < 0.05 compared to men in the same condition. GR: glutathione reductase activity; GPx: glutathione peroxidase activity; GSSG: oxidized glutathione.
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Figure 5. Cytokine concentrations (pg/mL) in plasma of participants before and after probiotic blend intakes. (A) TNF-α concentration. (B) IL-1β concentration. (C) IL-10 concentration. (D) TNF-α/IL-10 ratio. * p < 0.05, ** p < 0.01 compared to the initial condition. + p < 0.05 compared to men in the same condition.
Figure 5. Cytokine concentrations (pg/mL) in plasma of participants before and after probiotic blend intakes. (A) TNF-α concentration. (B) IL-1β concentration. (C) IL-10 concentration. (D) TNF-α/IL-10 ratio. * p < 0.05, ** p < 0.01 compared to the initial condition. + p < 0.05 compared to men in the same condition.
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Table 1. Immune function in peripheral blood leukocytes and cytokine release in monocyte cultures at basal and Phytohemagglutinin-stimulated conditions of participants before and after probiotic blend intakes.
Table 1. Immune function in peripheral blood leukocytes and cytokine release in monocyte cultures at basal and Phytohemagglutinin-stimulated conditions of participants before and after probiotic blend intakes.
MenWomen
InitialPost-TreatmentInitialPost-Treatment
Neutrophile functions
Chemotaxis index (C.I)471 ± 252549 ± 232453 ± 215518 ± 265
Phagocytic efficacy67 ± 1170 ± 466 ± 871 ± 6 **
Lymphocyte functions
Chemotaxis index (C.I)433 ± 240513 ± 177482 ± 181448 ± 181
Lymphoproliferation
Basal proliferative response (AU)203 ± 23240 ± 33 **201 ± 19218 ± 47
Proliferative response to LPS (AU)208 ± 44248 ± 61201 ± 28217 ± 36
% Stimulation with PHA115 ± 28127 ± 21122 ± 16134 ± 27
% Stimulation with LPS102 ± 16105 ± 27100 ± 14101 ± 16
Cytokine concentration in mononuclear cell cultures
Basal condition
IL-6 (pg/mL)1037 ± 7011744 ± 449 *900 ± 6951712 ± 947 **
IL-2 (pg/mL)0.72 ± 0.4241 ± 146 ***1.18 ± 1325 ± 176 ***
PHA-stimulated condition
IL-6 (pg/mL)1585 ± 3631557 ± 1471059 ± 361 +++1583 ± 127 ***
IL-2 (pg/mL)2.1 ± 1.4374 ± 268 ***1.1 ± 0.7644 ± 452 ***
Each value represents the mean ± standard deviation. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition. +++ p < 0.001 compared to men in the same condition. PHA: Phytohemagglutinin; LPS: Lipopolysaccharide. AU: Absorbance units.
Table 2. Redox parameters in whole blood cells and cytokine concentrations in plasma of participants before and after probiotic blend intakes.
Table 2. Redox parameters in whole blood cells and cytokine concentrations in plasma of participants before and after probiotic blend intakes.
MenWomen
InitialPost-TreatmentInitialPost-Treatment
Antioxidant compounds
Reduced glutathione concentration (nmol GSH/mg protein)0.0007 ± 0.00010.003 ± 0.002 *0.001 ± 0.00090.005 ± 0.003 **
Oxidant compounds
TBAR concentration (nmol TBARs/mg protein)0.06 ± 0.20.06 ± 0.020.05 ± 0.020.04 ± 0.02
RedOx signature (years)55 ± 0.851 ± 0.3 ***54 ± 0.650 ± 0.3 ***
Cytokine concentration (plasma)
IL-6 (pg/mL)0.4 ± 0.23.3 ± 2.5 *1.1 ± 0.92.8 ± 2.2 *
IL-2 (pg/mL)1.4 ± 0.61.3 ± 0.73.1 ± 0.7 +1.5 ± 0.9 *
Each value represents the mean ± standard deviation. * p < 0.05, ** p < 0.01, *** p < 0.001 compared to the initial condition. + p < 0.05 compared to men in the same condition. GSH: reduced glutathione; TBARs: thiobarbituric acid reactive substances.
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Félix, J.; Baca, A.; Taboada, L.; Álvarez-Calatayud, G.; De la Fuente, M. Consumption of a Probiotic Blend with Vitamin D Improves Immunity, Redox, and Inflammatory State, Decreasing the Rate of Aging—A Pilot Study. Biomolecules 2024, 14, 1360. https://doi.org/10.3390/biom14111360

AMA Style

Félix J, Baca A, Taboada L, Álvarez-Calatayud G, De la Fuente M. Consumption of a Probiotic Blend with Vitamin D Improves Immunity, Redox, and Inflammatory State, Decreasing the Rate of Aging—A Pilot Study. Biomolecules. 2024; 14(11):1360. https://doi.org/10.3390/biom14111360

Chicago/Turabian Style

Félix, Judith, Adriana Baca, Luz Taboada, Guillermo Álvarez-Calatayud, and Mónica De la Fuente. 2024. "Consumption of a Probiotic Blend with Vitamin D Improves Immunity, Redox, and Inflammatory State, Decreasing the Rate of Aging—A Pilot Study" Biomolecules 14, no. 11: 1360. https://doi.org/10.3390/biom14111360

APA Style

Félix, J., Baca, A., Taboada, L., Álvarez-Calatayud, G., & De la Fuente, M. (2024). Consumption of a Probiotic Blend with Vitamin D Improves Immunity, Redox, and Inflammatory State, Decreasing the Rate of Aging—A Pilot Study. Biomolecules, 14(11), 1360. https://doi.org/10.3390/biom14111360

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