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ScopeDiarrhea is a common health issue that contributes to a significant annual death rate among children and the elderly worldwide. The anti‐diarrheal activity of Lactobacillus rhamnosus GG (LGG) and tannic acid (TA), alone or combined, is examined, in addition to their effect on intestinal barrier integrity.Methods and resultsFifty‐six adult male Wistar rats are randomly assigned into seven groups: control, LGG alone, TA alone, diarrhea model, diarrhea+LGG, diarrhea+TA, and diarrhea+LGG+TA‐treated groups. Diarrhea is induced by high‐lactose diet (HLD) consumption. LGG (1x109 CFU/rat) and TA (100 mg Kg−1 d−1) were given orally 4 days after HLD feeding and continued for 10 days. Ileum specimens are processed for biochemical analysis of the local intestinal cytokines, polymerase chain reaction (PCR), and histological study. Also, immunohistochemistry‐based identification of Proliferating Cell Nuclear Antigen (PCNA) and zonula occludens 1 (ZO‐1) is performed. Compared to the diarrhea model group, both treatments maintain the intestinal mucosal structure and proliferative activity and preserve ZO‐1 expression, with the combination group showing the maximal effect. However, LGG‐treated diarrheic rats show a remarkable decrease in the intestinal tissue concentrations of tumor necrosis factor‐alpha (TNF‐α) and nuclear factor Kappa beta (NF‐κB); meanwhile, TA treatment leads to a selective decrease of interferon‐gamma (INF‐γ) and transforming growth factor‐beta (TGF‐β1).ConclusionIndividual LGG and TA treatments significantly alleviate diarrhea, probably through a selective immunomodulatory cytokine‐dependent mechanism, while the combination of both synergistically maintains the intestinal mucosa by keeping the intestinal epithelial barrier function and regenerative capability.
ScopeDiarrhea is a common health issue that contributes to a significant annual death rate among children and the elderly worldwide. The anti‐diarrheal activity of Lactobacillus rhamnosus GG (LGG) and tannic acid (TA), alone or combined, is examined, in addition to their effect on intestinal barrier integrity.Methods and resultsFifty‐six adult male Wistar rats are randomly assigned into seven groups: control, LGG alone, TA alone, diarrhea model, diarrhea+LGG, diarrhea+TA, and diarrhea+LGG+TA‐treated groups. Diarrhea is induced by high‐lactose diet (HLD) consumption. LGG (1x109 CFU/rat) and TA (100 mg Kg−1 d−1) were given orally 4 days after HLD feeding and continued for 10 days. Ileum specimens are processed for biochemical analysis of the local intestinal cytokines, polymerase chain reaction (PCR), and histological study. Also, immunohistochemistry‐based identification of Proliferating Cell Nuclear Antigen (PCNA) and zonula occludens 1 (ZO‐1) is performed. Compared to the diarrhea model group, both treatments maintain the intestinal mucosal structure and proliferative activity and preserve ZO‐1 expression, with the combination group showing the maximal effect. However, LGG‐treated diarrheic rats show a remarkable decrease in the intestinal tissue concentrations of tumor necrosis factor‐alpha (TNF‐α) and nuclear factor Kappa beta (NF‐κB); meanwhile, TA treatment leads to a selective decrease of interferon‐gamma (INF‐γ) and transforming growth factor‐beta (TGF‐β1).ConclusionIndividual LGG and TA treatments significantly alleviate diarrhea, probably through a selective immunomodulatory cytokine‐dependent mechanism, while the combination of both synergistically maintains the intestinal mucosa by keeping the intestinal epithelial barrier function and regenerative capability.
Background: Infectious diarrhea (ID) is a highly prevalent disease worldwide that poses a substantial risk to human well-being. In China, numerous clinical studies have investigated the efficacy of Gegen Qinlian Decoction (GGQLD) in treating ID. However, there is a need for additional rigorous and evidence-based medical research to enhance physicians' confidence in their prescribing practices. Methods: Seven Chinese and English databases were systematically searched. The Cochrane Risk of Bias tool was used to assess the quality of the included studies. Meta-analysis was conducted using RevMan 5.3, and Stata 16.0 was used for the sensitivity analysis. Trial sequential analysis was performed using TSA v0.9, and GRADEprofiler was utilized to evaluate the quality of evidence. Results: A total of 12 randomized controlled trials (RCTs) involving 1240 patients were included. The meta-analysis demonstrated that the combination of GGQLD with conventional Western medicine had better effects on clinical efficacy (RR=1.15, 95% CI [1.10, 1.20]), duration of diarrhea symptoms (WMD=-10.96, 95% CI [-11.97, -9.96]), duration of abdominal pain symptoms (WMD=-12.01, 95% CI [-14.12, -9.90]), duration of fever symptoms (WMD=-11.91, 95% CI [-13.39, -10.43]), interleukin-6 (IL-6) levels (WMD=-113.59, 95% CI [-113.03, -108.14]), and tumor necrosis factor-α (TNF-α) levels (WMD=-62.18, 95% CI[-65.25, -59.11]) and that no significant adverse reactions occurred (RR = 0.45, 95% CI [0.10, 1.97]). The sample size of the included studies reached the expected size. The quality of evidence for outcome indicators was rated as low or very low. Conclusions: The combination of GGQLD with conventional Western medicine demonstrates promising efficacy and safety in treating ID. Nonetheless, more high-quality RCTs are required to confirm this conclusion.
: Infectious diarrhoea result from a wide range of bacteria, viruses and parasites. This condition is also identified as gastroenteritis, is a well-known as one of most common bacterial pathogens causing gastroenteritis. This study aims to estimate the incidence and identifying both the phenotypic and genotypic characterization of causing gastroenteritis in children under the age of five in al-Ramadi Maternity and Children Teaching Hospital.: Stool samples were collected for 106 children suffering from gastroenteritis, Cultural and microscopical approaches were used for selection, its characteristic features were confirmed using the Vitek2 compact system, anti-microbial sensitivity test, and biofilm production test. furthermore, DNA extracted, purification and Polymerase chain reaction (PCR) were accomplished for genotypic confirmation. In the presented research, stool samples were collected for 106 children suffering from gastroenteritis, and 100 samples were identified as source for bacterial gastroenteritis. The bacterium under consideration () has a percentage of 30%. This isolate revealed resistance to Ceftazidime (80%), nalidixic acid (33%), amikacin (36%), Azithromycin (20%), vancomycin (10%), and Imipenem (6%). Likewise, four genes in isolate were studied via PCR and the results indicates htrA, iss, Mrka and rmpA were 15 (50%), 9 (30%), 6 (20%), 0 (0%) respectively. The results of biofilm production for exposed that 3 (10%) were strong, 10 (33%) moderate, 7 (24%) weak, and 10 (33%) non-producers. : The presented research displayed the bacterium under consideration () has a higher resistance rate to the commonly antibiotics used for bacterial gastroenteritis. In addition, (under consideration) with high resistance to antibiotics showed resistance genes in PCR, in addition to strong biofilm production.
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