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Taslim NA, Yusuf M, Ambari AM, Del Rosario Puling IM, Ibrahim FZ, Hardinsyah H, Kurniawan R, Gunawan WB, Mayulu N, Joseph VFF, Sabrina N, Rizal M, Tallei TE, Kim B, Tsopmo A, Nurkolis F. Anti-Inflammatory, Antioxidant, Metabolic and Gut Microbiota Modulation Activities of Probiotic in Cardiac Remodeling Condition: Evidence from Systematic Study and Meta-Analysis of Randomized Controlled Trials. Probiotics Antimicrob Proteins 2023; 15:1049-1061. [PMID: 37349622 PMCID: PMC10393865 DOI: 10.1007/s12602-023-10105-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2023] [Indexed: 06/24/2023]
Abstract
Heart failure (HF) is a global pandemic with increasing prevalence and mortality rates annually. Its main cause is myocardial infarction (MI), followed by rapid cardiac remodeling. Several clinical studies have shown that probiotics can improve the quality of life and reduce cardiovascular risk factors. This systematic review and meta-analysis aimed to investigate the effectiveness of probiotics in preventing HF caused by a MI according to a prospectively registered protocol (PROSPERO: CRD42023388870). Four independent evaluators independently extracted the data using predefined extraction forms and evaluated the eligibility and accuracy of the studies. A total of six studies consisting of 366 participants were included in the systematic review. Probiotics are not significant in intervening left ventricular ejection fraction (LVEF) and high-sensitivity C-reactive protein (hs-CRP) when compared between the intervention group and the control group due to inadequate studies supporting its efficacy. Among sarcopenia indexes, hand grip strength (HGS) showed robust correlations with the Wnt biomarkers (p < 0.05), improved short physical performance battery (SPPB) scores were also strongly correlated with Dickkopf-related protein (Dkk)-3, followed by Dkk-1, and sterol regulatory element-binding protein 1 (SREBP-1) (p < 0.05). The probiotic group showed improvement in total cholesterol (p = 0.01) and uric acid (p = 0.014) compared to the baseline. Finally, probiotic supplements may be an anti-inflammatory, antioxidant, metabolic, and intestinal microbiota modulator in cardiac remodeling conditions. Probiotics have great potential to attenuate cardiac remodeling in HF or post-MI patients while also enhancing the Wnt signaling pathway which can improve sarcopenia under such conditions.
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Affiliation(s)
- Nurpudji Astuti Taslim
- Clinical Nutrition, Faculty of Medicine, Hasanuddin University, Makassar, 90245, Indonesia.
| | - Muhammad Yusuf
- Medical School Department, Faculty of Medicine, Brawijaya University, Malang, 65145, Indonesia
| | - Ade Meidian Ambari
- Department of Cardiovascular Prevention and Rehabilitation, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia
- Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, Depok, Indonesia
| | | | - Filzatuz Zahro Ibrahim
- Medical School Department, Faculty of Medicine, Brawijaya University, Malang, 65145, Indonesia
| | - Hardinsyah Hardinsyah
- Division of Applied Nutrition, Department of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, West Java, 16680, Indonesia
| | - Rudy Kurniawan
- Alumnus of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - William Ben Gunawan
- Alumnus of Department of Nutrition Science, Faculty of Medicine, Diponegoro University, Semarang, 50275, Indonesia
| | - Nelly Mayulu
- Department of Nutrition, Universitas Muhammadiyah Manado, Manado, 95249, Indonesia
| | - Victor F F Joseph
- Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sam Ratulangi University, Manado, 95115, Indonesia
| | - Nindy Sabrina
- Nutrition Program, Faculty of Food Technology and Health, Sahid University of Jakarta, South Jakarta, Indonesia
| | - Mochammad Rizal
- Division of Nutritional Sciences, Cornell University, Ithaca, NY, 14850, USA
| | - Trina Ekawati Tallei
- Department of Biology, Faculty of Mathematics and Natural Sciences, Universitas Sam Ratulangi, Manado, 95115, Indonesia
| | - Bonglee Kim
- Department of Pathology, College of Korean Medicine, Kyung Hee University, Kyungheedae-Ro 26, Dongdaemun-Gu, Seoul, 05254, South Korea
- Korean Medicine-Based Drug Repositioning Cancer Research Center, College of Korean Medicine, Kyung Hee University, Seoul, 02447, Korea
| | - Apollinaire Tsopmo
- Department of Chemistry, Carleton University, 1125 Colonel By Drive, Ottawa, K1S5B6, Canada
| | - Fahrul Nurkolis
- Biological Sciences, State Islamic University of Sunan Kalijaga, UIN Sunan Kalijaga Yogyakarta, 55281, Yogyakarta, Indonesia.
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