Evidence map›Paper›PMID 25369827›Full record

Trial reportEuropean journal of clinical nutrition2015

The effect of a multi-strain probiotic on the resistance toward Escherichia coli challenge in a randomized, placebo-controlled, double-blind intervention study.

S J M Ten Bruggencate, S A Girard, E G M Floris-Vollenbroek, R Bhardwaj, T A Tompkins

3 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01709266 nacompletednot on this map

A Randomized, Placebo-controlled, Double Blind Volunteer Study Into the Effect of Probiotics on Gastroenteritis Caused by an Attenuated E. Coli.

TypeinterventionalSponsorNIZO Food ResearchRan2012 to 2012Enrolled60ConditionsGastroenteritis, Bacterial Infection, DiarrheaArmsProbiotics, Placebo
NCT02541695 nacompletednot on this map

Characterization Of Resistance Against Live-attenuated Diarrhoeagenic E. Coli

TypeinterventionalSponsorNIZO Food ResearchRan2015 to 2017Enrolled44ConditionsDiarrhea, Gastroenteritis, Bacterial Infections, Escherichia Coli InfectionsArmsE. coli strain E1392-75-2A
NCT03596827 nacompletednot on this mapstarted 2018, after this paper: background citation

The Protective Immune Response to Attenuated Enterotoxigenic Escherichia Coli Infection in Healthy Human Subjects: A Pilot Study

TypeinterventionalSponsorNIZO Food ResearchRan2018 to 2019Enrolled30ConditionsDiarrheaArmsE. coli strain E1392-75-2A dose 1E10 CFU, E. coli strain E1392-75-2A dose 1E9 CFU, E. coli strain E1392-75-2A dose 1E8 CFU, E. coli strain E1392-75-2A dose 1E7 CFU, E. coli strain E1392-75-2A dose 1E6 CFU
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Current research in food science · 2025
    Article
  5. The Controlled Human Infection Model for Enterotoxigenic Escherichia coli.Current topics in microbiology and immunology · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

S J M Ten BruggencateDepartment of Nutrition and Health, NIZO Food Research, Ede, The Netherlands.
S A GirardLallemand Health Solutions, Montreal, Quebec, Canada.
E G M Floris-VollenbroekDepartment of Nutrition and Health, NIZO Food Research, Ede, The Netherlands.
R BhardwajConsultant for Lallemand Health Solutions, Montreal, Quebec, Canada.
T A TompkinsLallemand Health Solutions, Montreal, Quebec, Canada.
Lallemand (Canada) · CANederlands Instituut Voor Zuivel Oonderzoek · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral probiotic strains have been shown to enhance human resistance to infectious disease. It is speculated that these strains may impose this effect by excretion of anti-microbial components, by competing with pathogens for intestinal nutrients and/or mucosal adhesion sites or modulating the immune system.

objectiveA parallel, double-blind, placebo-controlled 4-week intervention was performed in healthy males, to study the effect of a blend of probiotic bacteria (Lactobacillus helveticus Rosell-52, Lactobacillus rhamnosus Rosell-11, Bifidobacterium longum ssp. longum Rosell-175) and a probiotic yeast (Saccharomyces cerevisiae var boulardii CNCM I-1079) on enterotoxigenic Escherichia coli (ETEC) challenge. Primary outcomes studied were fecal ETEC excretion and total fecal output per day. SUBJECTS/

methodsSubjects were randomized to the probiotic (5 × 10(9) colony-forming units (CFUs); twice daily; n=30) or placebo group (twice daily; n=30). After 2 weeks, subjects were orally challenged with a live attenuated ETEC (3 × 10(9) CFU), previously demonstrated to induce mild, short-lived symptoms of a foodborne infection. Before and after ETEC challenge, subjects collected 24 h fecal samples. Compliance to study guidelines, stool consistency (Bristol Stool Score), stool frequency, and frequency and severity of gastrointestinal (GI) complaints were recorded by the subjects on a Daily Record Questionnaire.

resultsETEC challenge induced a significant increase in fecal ETEC excretion in both groups. However, a statistically significant increase in fecal output was only observed in the probiotic group. ETEC challenge resulted in a decrease in the percentage of fecal dry weight, and an increase in reported Bristol Stool Score, stool frequency and GI complaints. Dietary probiotics significantly decreased the percentage of fecal dry weight. In addition, ETEC increased C-reactive protein, total secretory Immunoglobulin A (IgA) and Immunoglobulin G Colonization Factor Antigen II.

conclusionDietary probiotics did not increase resistance to oral attenuated ETEC challenge in human subjects.

Indexed as

BifidobacteriumDefecationEscherichia coliFecesLactobacillusProbioticsAdultDiarrheaDouble-Blind MethodEscherichia coli InfectionsHumansIntestinesLacticaseibacillus rhamnosusLactobacillus acidophilusLactobacillus helveticusMale

Identifiers

PMID25369827
OpenAlexW2020494261

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.