Evidence map›Paper›PMID 34345965›Full record

Trial reportCurrent microbiology2021

Viable and Heat-Killed Probiotic Strains Improve Oral Immunity by Elevating the IgA Concentration in the Oral Mucosa.

Wen-Yang Lin, Yi-Wei Kuo, Ching-Wei Chen, Yu-Fen Huang, Chen-Hung Hsu, Jia-Hung Lin, Cheng-Ruei Liu, Jui-Fen Chen, Ko-Chiang Hsia, Hsieh-Hsun Ho

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Current microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 34 citations in OpenAlex.

  1. Effects of Heat-KilledNutrients · 2026
    Trial
  2. Trial
  3. Effect of Heat-TreatedNutrients · 2024
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Article
  12. Postbiotics Derived fromNutrients · 2025
    Article
  13. Article
  14. Review
  15. Emerging strategies for combatingExploration (Beijing, China) · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Effects ofIranian journal of veterinary research · 2023
    Article
  20. Review
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

10 authors at 1 institution in 1 country.

Wen-Yang LinDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.ORCID http://orcid.org/0000-0001-5631-9836
Yi-Wei KuoDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Ching-Wei ChenDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Yu-Fen HuangDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Chen-Hung HsuDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Jia-Hung LinDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Cheng-Ruei LiuDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Jui-Fen ChenDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Ko-Chiang HsiaDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan.
Hsieh-Hsun HoDepartment of Research and Design, Bioflag Biotech Co., Ltd., 4F.C2, No. 17, Guoji Rd, Xinshi Dist, Tainan City, 744, Taiwan. sam.ho@bioflag.com.tw.ORCID http://orcid.org/0000-0002-8814-9656
GenMont Biotech (Taiwan) · TW

Funding

Bio-flag Biotech Co., Ltd.
6 · The paper itself

Abstract

Oral-nasal mucosal immunity plays a crucial role in protecting the body against bacterial and viral invasion. Safe probiotic products have been used to enhance human immunity and oral health. In this study, we verified the beneficial effects of mixed viable probiotic tablets, consisting of Lactobacillus salivarius subsp. salicinius AP-32, Bifidobacterium animalis subsp. lactis CP-9, and Lactobacillus paracasei ET-66, and heat-killed probiotic tablets, consisting of L. salivarius subsp. salicinius AP-32 and L. paracasei ET-66, on oral immunity among 45 healthy participants. Participants were randomly divided into viable probiotic, heat-killed probiotic, and placebo groups. The administration of treatment lasted for 4 weeks. Saliva samples were collected at Weeks 0, 2, 4, and 6, and Lactobacillus, Bifidobacterium and Streptococcus mutans populations and IgA concentration were measured. IgA concentrations, levels of TGF-beta and IL-10 in PBMCs cells were quantified by ELISA method. Results showed that salivary IgA levels were significantly increased on administration of both the viable (119.30 ± 12.63%, ***P < 0.001) and heat-killed (116.78 ± 12.28%, ***P < 0.001) probiotics for 4 weeks. Among three probiotic strains, AP-32 would effectively increase the levels of TGF-beta and IL-10 in PBMCs. The oral pathogen Streptococcus mutans was significantly reduced on viable probiotic tablet administration (49.60 ± 31.01%, ***P < 0.001). The in vitro antibacterial test confirmed that viable probiotics effectively limited the survival rate of oral pathogens. Thus, this clinical pilot study demonstrated that oral probiotic tablets both in viable form or heat-killed form could exert beneficial effects on oral immunity via IL-10, TGB-beta mediated IgA secretion. The effective dosage of viable probiotic content in the oral tablet was 10

Indexed as

ProbioticsDouble-Blind MethodHot TemperatureHumansImmunoglobulin AMouth MucosaPilot ProjectsImmunoglobulin A

Identifiers

PMID34345965
PMCPMC8363536
OpenAlexW3189012046

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.