The pros and cons of probiotic use in pediatric oncology patients following treatment for acute lymphoblastic leukemia.

Front Pediatr

Department of Biological and Medical Science, Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia.

Published: October 2024

AI Article Synopsis

  • - Acute lymphoblastic leukemia (ALL) treatments such as chemotherapy and radiotherapy negatively affect gut microbiota in children, leading to reduced microbial diversity and an increase in harmful bacteria.
  • - Probiotics may help restore gut health, alleviate side effects from treatment, and enhance quality of life for pediatric patients, but there are risks for immunocompromised individuals.
  • - More research is needed to understand the mechanisms of probiotics and their effects on overall pediatric health, with the potential for their integration into ALL treatment plans to improve outcomes and minimize complications.

Article Abstract

Acute lymphoblastic leukemia (ALL) treatment, involving chemotherapy, radiotherapy, and pharmacotherapy (antibiotics, antineoplastics) perturbs the gut microbiota in pediatric patients, with enduring effects post-treatment. ALL treatments diminish microbial richness and diversity, favoring pathogenic bacteria. Probiotics may offer promise in mitigating these disruptions and associated side effects. This mini-review explores the impact of ALL treatment on the gut microbiota and the potential benefits of probiotics in pediatric oncology. Probiotics have shown promise in restoring gut microbial balance, reducing treatment-associated side effects, and potentially improving quality of life. However, potential adverse effects, particularly in immunocompromised patients, warrant caution. Notably, there's emerging interest in probiotics' role in bone health and mineral bioaccessibility. Further research is needed to elucidate probiotics' mechanisms and their broader impact on pediatric health. Integration of probiotics into ALL treatment and post-treatment regimens offers significant potential for improving patient outcomes and reducing treatment-related complications and long-lasting disruptions, although careful monitoring is essential.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534854PMC
http://dx.doi.org/10.3389/fped.2024.1427185DOI Listing

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