Effects of Probiotics on Peripheral Immunity in Parkinson's Disease
NCT05173701 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 88
Last updated 2022-06-10
Summary
Parkinson's Disease (PD) is a common neurodegenerative disease, with no disease-modifying treatment available, therapy is therefore only symptomatic. The pathophysiology of the disease is still unclear, but inflammatory mechanisms are reported to play a prominent role. An involvement of peripheral adaptive immunity, with an imbalance in T cell subpopulations and in the expression of transcriptional factors (TF) in Cluster of Differentiation (CD) 4 positive T cells has been reported. An initial aggregation of α-synuclein (α-syn) in the gut with subsequent propagation along the vagus nerve to the brain has also been hypothesised. Interestingly, in an α-syn overexpressing murine model, the absence of gut microbiota prevented both microglia activation and motor impairment, pointing to a fundamental role of the microbiota in the development of PD. It has been shown that in Peripheral Blood Mononuclear Cells (PBMC) of PD patients, probiotics modulate the in vitro production of cytokines toward an anti-inflammatory profile. The investigators developed a clinical trial protocol for the evaluation of probiotics' effects on the peripheral immune system profile in Parkinson's Disease patients. ROS, Lymphocyte subpopulations, TF levels in PBMC will be assessed at baseline and after treatment with a mixture of probiotics in PD patients to assess immunomodulatory effects of said treatment. Motor and non-motor symptoms of PD will also be monitored through the trial period.
Conditions
Interventions
- DIETARY_SUPPLEMENT
-
Probiotics
Selected probiotics mixture, in powder form, will be administered once daily for three months in the morning.
- DIETARY_SUPPLEMENT
-
Placebo
A placebo (2,7g maltodextrin) will be administered once daily for three months in the morning.
Sponsors & Collaborators
-
Università degli Studi del Piemonte Orientale Amedeo Avogadro
collaborator OTHER -
Università degli Studi dell'Insubria
collaborator OTHER -
Franca Marino
lead OTHER
Principal Investigators
-
Franca Marino, Prof. · Centre for Research in Medical Pharmacology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-11-22
- Primary Completion
- 2022-09-30
- Completion
- 2023-01-31
Countries
- Italy
Study Locations
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