Probiotics in Allergic Rhinitis Management: Is There a Positioning for Them?

Abstract

Allergic rhinitis (AR) is a widespread medical condition affecting up to 40% of the general population. Type 2 inflammation determines typical nasal symptoms. In addition, gut and respiratory dysbiosis are present in AR patients. Probiotics have several beneficial effects on immunity, inflammatory pathways, and anti-infective properties. Namely, probiotic supplementation could restore immune response, promote eubiosis, and switch off inflammation. Thus, probiotics have also been investigated in AR. In addition, there is accumulating evidence that some specific strains of probiotics may improve AR. Five meta-analyses on probiotics in AR management were consistently published in the first half of 2022. The conclusions, although not definitive, argue for the possible use of probiotics as part of an add-on strategy in managing patients with allergic rhinitis.

Gut microbiota and chronic diseases: Role of probiotics

“…There is proof that probiotics may help allergic people by resetting their immune systems and boosting their mucosal defences against infections. However, more methodologically sound research is required to confirm these probiotics' potential impacts (Ciprandi and Tosca, 2022).…”