RT Journal Article T1 Lactobacillus reuteri V3401 Reduces Inflammatory Biomarkers and Modifies the Gastrointestinal Microbiome in Adults with Metabolic Syndrome: The PROSIR Study. A1 Tenorio-Jiménez, Carmen A1 Martínez-Ramírez, María José A1 Del Castillo-Codes, Isabel A1 Arraiza-Irigoyen, Carmen A1 Tercero-Lozano, Mercedes A1 Camacho, José A1 Chueca, Natalia A1 García, Federico A1 Olza, Josune A1 Plaza-Díaz, Julio A1 Fontana, Luis A1 Olivares, Mónica A1 Gil, Ángel A1 Gómez-Llorente, Carolina K1 Lactobacillus reuteri V3401 K1 gastrointestinal microbiome K1 metabolic syndrome K1 obesity K1 probiotics AB Previous studies have reported that probiotics may improve clinical and inflammatory parameters in patients with obesity and metabolic syndrome (MetS). Lactobacillus (L.) reuteri V3401 has shown promising results on the components of MetS in animal studies. We aimed to evaluate the effects of L. reuteri V3401 together with healthy lifestyle recommendations on adult patients with MetS. We carried out a randomized, crossover, placebo-controlled, single-center trial in which we included 53 adult patients newly diagnosed with MetS. Patients were block randomly allocated by body mass index (BMI) and sex to receive a capsule containing either the probiotic L. reuteri V3401 (5 × 109 colony-forming units) or a placebo once daily for 12 weeks. Anthropometric variables, biochemical and inflammatory biomarkers, as well as the gastrointestinal microbiome composition were determined. There were no differences between groups in the clinical characteristics of MetS. However, we found that interleukin-6 (IL-6) and soluble vascular cell adhesion molecule 1 (sVCAM-1) diminished by effect of the treatment with L. reuteri V3401. Analysis of the gastrointestinal microbiome revealed a rise in the proportion of Verrucomicrobia. Consumption of L. reuteri V3401 improved selected inflammatory parameters and modified the gastrointestinal microbiome. Further studies are needed to ascertain additional beneficial effects of other probiotic strains in MetS as well as the mechanisms by which such effects are exerted. YR 2019 FD 2019-07-31 LK http://hdl.handle.net/10668/14352 UL http://hdl.handle.net/10668/14352 LA en DS RISalud RD Apr 9, 2025