Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism

ObjectivesTo assess whether Lactobacillus rhamnosus AB-GG supplementation has a treatment effect on the neonatal jaundice of infants receiving phototherapy.MethodsIn this study, 11 and 10 neonates in experimental and control groups were recruited, respectively (upon the follow-up of experimental gro...

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Main Authors: Yanhan Yuan, Jiayi Chen, Tianyu Liu, Juanjuan Chen, Feng Zhang, Zhe Shi, Jinping Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1581242/full
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author Yanhan Yuan
Jiayi Chen
Tianyu Liu
Juanjuan Chen
Feng Zhang
Zhe Shi
Jinping Zhang
author_facet Yanhan Yuan
Jiayi Chen
Tianyu Liu
Juanjuan Chen
Feng Zhang
Zhe Shi
Jinping Zhang
author_sort Yanhan Yuan
collection DOAJ
description ObjectivesTo assess whether Lactobacillus rhamnosus AB-GG supplementation has a treatment effect on the neonatal jaundice of infants receiving phototherapy.MethodsIn this study, 11 and 10 neonates in experimental and control groups were recruited, respectively (upon the follow-up of experimental groups at 7–14 days after discharge, stool frequency was decreased commonly. Therefore, this study was prematurely terminated). After 12 h of phototherapy, researchers recorded clinical information and measured transcutaneous bilirubin (TCB). Fresh fecal samples were collected at seven specific time points: before phototherapy (A), after 12 (B), 24 (C) and 36 h (D) of phototherapy, as well as 10 (D10), 20 (D20) and 30 days (D30) after delivery.ResultsA tendency toward fewer blue light sessions and shorter time of hospitalization was shown in experimental groups, but this exhibited no statistical significance (p > 0.05). Compared with the experimental groups, phototherapy significantly reduced the alpha (α) diversity of intestinal flora in the control groups. However, phototherapy had no significant effect on beta (β) diversity between experimental and control groups. This study also observed that the metabolic composition structures of both groups underwent changes before and after phototherapy. However, no significantly differential metabolites were identified when the groups were compared at different time points.ConclusionLactobacillus rhamnosus supplementation was shown to mitigate intestinal dysbiosis in jaundiced neonates, which thereby facilitated a more rapid recovery of gut microbiota depleted by phototherapy.Clinical trial registerIt was registered with the Chinese Clinical Trial Registry (Registration No.: ChiCTR2000036013).
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spelling doaj-art-335f57dbad9d4f06a0c5e768e35d6baa2025-08-20T02:16:21ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-04-011210.3389/fnut.2025.15812421581242Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolismYanhan Yuan0Jiayi Chen1Tianyu Liu2Juanjuan Chen3Feng Zhang4Zhe Shi5Jinping Zhang6Department of Pediatrics, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Pediatrics, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCollege of Food Science and Technology, Shanghai Ocean University, Shanghai, ChinaDepartment of Pediatrics, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCollege of Food Science and Technology, Shanghai Ocean University, Shanghai, ChinaDepartment of Pediatrics, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Pediatrics, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaObjectivesTo assess whether Lactobacillus rhamnosus AB-GG supplementation has a treatment effect on the neonatal jaundice of infants receiving phototherapy.MethodsIn this study, 11 and 10 neonates in experimental and control groups were recruited, respectively (upon the follow-up of experimental groups at 7–14 days after discharge, stool frequency was decreased commonly. Therefore, this study was prematurely terminated). After 12 h of phototherapy, researchers recorded clinical information and measured transcutaneous bilirubin (TCB). Fresh fecal samples were collected at seven specific time points: before phototherapy (A), after 12 (B), 24 (C) and 36 h (D) of phototherapy, as well as 10 (D10), 20 (D20) and 30 days (D30) after delivery.ResultsA tendency toward fewer blue light sessions and shorter time of hospitalization was shown in experimental groups, but this exhibited no statistical significance (p > 0.05). Compared with the experimental groups, phototherapy significantly reduced the alpha (α) diversity of intestinal flora in the control groups. However, phototherapy had no significant effect on beta (β) diversity between experimental and control groups. This study also observed that the metabolic composition structures of both groups underwent changes before and after phototherapy. However, no significantly differential metabolites were identified when the groups were compared at different time points.ConclusionLactobacillus rhamnosus supplementation was shown to mitigate intestinal dysbiosis in jaundiced neonates, which thereby facilitated a more rapid recovery of gut microbiota depleted by phototherapy.Clinical trial registerIt was registered with the Chinese Clinical Trial Registry (Registration No.: ChiCTR2000036013).https://www.frontiersin.org/articles/10.3389/fnut.2025.1581242/fulljaundicephototherapygut microbiotaLactobacillus rhamnosusneonates
spellingShingle Yanhan Yuan
Jiayi Chen
Tianyu Liu
Juanjuan Chen
Feng Zhang
Zhe Shi
Jinping Zhang
Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism
Frontiers in Nutrition
jaundice
phototherapy
gut microbiota
Lactobacillus rhamnosus
neonates
title Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism
title_full Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism
title_fullStr Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism
title_full_unstemmed Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism
title_short Effect of Lactobacillus rhamnosus AB-GG combined with phototherapy on neonatal jaundice indicators, intestinal microbiota and metabolism
title_sort effect of lactobacillus rhamnosus ab gg combined with phototherapy on neonatal jaundice indicators intestinal microbiota and metabolism
topic jaundice
phototherapy
gut microbiota
Lactobacillus rhamnosus
neonates
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1581242/full
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