Lactobacillus Plantarum TWK-10 Single Strain Supplementation: Examining its Effects on Physical Performance, Physiological Metrics, and Fatigue-Related Parameters through a Systematic Review

Document Type : Review Article

Authors

1 Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Service of Clinical Nutrition and Dietitian, Emam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Physical activity has been observed to impact the diversity and composition of the microbiome. While existing research primarily concentrated on the influence of exercise on gut microorganisms and diversity, this systematic review seeks to explore the potential of TWK 10 probiotic supplementation on enhancing fatigue-related indicators among untrained individuals. Method: we conducted a comprehensive systematic review spanning the last decade (2013–2023), searching PubMed, Scopus, and Web of Science for both human and animal trials, with all searches completed by August 2023. Results: eight chosen clinical intervention studies got chosen that evaluated the impact of TWK-10 supplementation on diverse performance measurements and physiological parameters in both human and animals (totally consisting of 208 amateur athletes and 63 mice), interventions durations ranged from 6 to 18 weeks. Results from animal trials indicated that TWK-10 supplementation led to enhancements in grip strength and endurance swimming time. Conversely, human trials did not reveal significant effects of TWK-10 on grip strength, glucose levels, muscle strength, body weight, or body composition. Inconsistencies were observed across studies regarding the impact of TWK-10 on serum levels of lactate, ammonia, glucose, creatine kinase (CK), and blood urea nitrogen (BUN). Some studies reported increased muscle mass and decreased fat mass following TWK-10 supplementation. Furthermore, TWK-10 administration evoked alterations in gut microbiota and concentrations of short-chain fatty acids. Conclusions: Further meticulously designed research is imperative to comprehensively ascertain the influence of TWK-10 supplementation on performance assessments and physiological parameters. Discrepancies in study outcomes may be attributed to disparities in fiber intake,gut microbiota composition and duration of the trials.

Keywords

Main Subjects


  1. Peeling P, Binnie MJ, Goods PSR, Sim M, Burke LM. Evidence-Based Supplements for the Enhancement of Athletic Performance. Int J Sport Nutr Exerc Metab. 2018;28(2):178-87.
  2. Jang L-G, Choi G, Kim S-W, Kim B-Y, Lee S, Park H. The combination of sport and sport-specific diet is associated with characteristics of gut microbiota: an observational study. Journal of the International Society of Sports Nutrition. 2019;16(1):21.
  3. Clark A, Mach N. Exercise-induced stress behavior, gut-microbiota-brain axis and diet: a systematic review for athletes. Journal of the International Society of Sports Nutrition. 2016;13(1):43.
  4. Maughan RJ, Burke LM, Dvorak J, Larson-Meyer DE, Peeling P, Phillips SM, et al. IOC Consensus Statement: Dietary Supplements and the High-Performance Athlete. Int J Sport Nutr Exerc Metab. 2018;28(2):104-25.
  5. Sekirov I, Russell SL, Antunes LCM, Finlay BB. Gut microbiota in health and disease. Physiological reviews. 2010.
  6. Neish AS. Microbes in gastrointestinal health and disease. Gastroenterology. 2009;136(1):65-80.
  7. Chiller K, Selkin BA, Murakawa GJ. Skin microflora and bacterial infections of the skin. The journal of investigative dermatology Symposium proceedings. 2001;6(3):170-4.
  8. Ley RE, Peterson DA, Gordon JI. Ecological and evolutionary forces shaping microbial diversity in the human intestine. Cell. 2006;124(4):837-48.
  9. Monda V, Villano I, Messina A, Valenzano A, Esposito T, Moscatelli F, et al. Exercise Modifies the Gut Microbiota with Positive Health Effects. Oxidative Medicine and Cellular Longevity. 2017;2017:1-8.
  10. Marttinen M, Ala-Jaakkola R, Laitila A, Lehtinen MJ. Gut microbiota, probiotics and physical performance in athletes and physically active individuals. Nutrients. 2020;12(10):2936.
  11. Powers ME, Yarrow JF, McCoy SC, Borst SE. Growth hormone isoform responses to GABA ingestion at rest and after exercise. Med Sci Sports Exerc. 2008;40(1):104-10.
  12. Pugh JN, Wagenmakers AJ, Doran DA, Fleming SC, Fielding BA, Morton JP, et al. Probiotic supplementation increases carbohydrate metabolism in trained male cyclists: A randomized, double-blind, placebo-controlled crossover trial. American Journal of Physiology-Endocrinology and Metabolism. 2020;318(4):E504-E13.
  13. Kiela PR, Ghishan FK. Physiology of Intestinal Absorption and Secretion. Best practice & research Clinical gastroenterology. 2016;30(2):145-59.
  14. Holscher HD. Dietary fiber and prebiotics and the gastrointestinal microbiota. Gut microbes. 2017;8(2):172-84.
  15. Gauchard GC, Gangloff P, Vouriot A, Mallie J-P, Perrin PP. Effects of exercise-induced fatigue with and without hydration on static postural control in adult human subjects. International Journal of Neuroscience. 2002;112(10):1191-206.
  16. Lee CC, Liao YC, Lee MC, Cheng YC, Chiou SY, Lin JS, et al. Different Impacts of Heat-Killed and Viable Lactiplantibacillus plantarum TWK10 on Exercise Performance, Fatigue, Body Composition, and Gut Microbiota in Humans. Microorganisms. 2022;10(11).
  17. Li S, Zhao Y, Zhang L, Zhang X, Huang L, Li D, et al. Antioxidant activity of Lactobacillus plantarum strains isolated from traditional Chinese fermented foods. Food chemistry. 2012;135(3):1914-9.
  18. Kaushik JK, Kumar A, Duary RK, Mohanty AK, Grover S, Batish VK. Functional and probiotic attributes of an indigenous isolate of Lactobacillus plantarum. PloS one. 2009;4(12):e8099.
  19. Su K-Y, Yu CY, Chen Y-W, Huang Y-T, Chen C-T, Wu H-F, et al. Rutin, a flavonoid and principal component of Saussurea involucrata, attenuates physical fatigue in a forced swimming mouse model. International Journal of Medical Sciences. 2014;11(5):528.
  20. Wu R-E, Huang W-C, Liao C-C, Chang Y-K, Kan N-W, Huang C-C. Resveratrol protects against physical fatigue and improves exercise performance in mice. Molecules. 2013;18(4):4689-702.
  21. Cheng YC, Lee CC, Lee MC, Hsu HY, Lin JS, Huang CC, et al. Effects of heat-killed Lactiplantibacillus plantarum TWK10 on exercise performance, fatigue, and muscle growth in healthy male adults. Physiological reports. 2023;11(19):e15835.
  22. Chen YM, Wei L, Chiu YS, Hsu YJ, Tsai TY, Wang MF, et al. Lactobacillus plantarum TWK10 Supplementation Improves Exercise Performance and Increases Muscle Mass in Mice. Nutrients. 2016;8(4):205.
  23. Huang WC, Lee MC, Lee CC, Ng KS, Hsu YJ, Tsai TY, et al. Effect of Lactobacillus plantarum TWK10 on Exercise Physiological Adaptation, Performance, and Body Composition in Healthy Humans. Nutrients. 2019;11(11).
  24. Lee CC, Liao YC, Lee MC, Lin KJ, Hsu HY, Chiou SY, et al. Lactobacillus plantarum TWK10 Attenuates Aging-Associated Muscle Weakness, Bone Loss, and Cognitive Impairment by Modulating the Gut Microbiome in Mice. Frontiers in nutrition. 2021;8.
  25. Lee MC, Tu YT, Lee CC, Tsai SC, Hsu HY, Tsai TY, et al. Lactobacillus plantarum TWK10 Improves Muscle Mass and Functional Performance in Frail Older Adults: A Randomized, Double-Blind Clinical Trial. Microorganisms. 2021;9(7).
  26. Huang WC, Hsu YJ, Li H, Kan NW, Chen YM, Lin JS, et al. Effect of Lactobacillus Plantarum TWK10 on Improving Endurance Performance in Humans. The Chinese journal of physiology. 2018;61(3):163-70.
  27. Chen Y-M, Wei L, Chiu Y-S, Hsu Y-J, Tsai T-Y, Wang M-F, et al. Lactobacillus plantarum TWK10 supplementation improves exercise performance and increases muscle mass in mice. Nutrients. 2016;8(4):205.
  28. Huang W-C, Lee M-C, Lee C-C, Ng K-S, Hsu Y-J, Tsai T-Y, et al. Effect of Lactobacillus plantarum TWK10 on exercise physiological adaptation, performance, and body composition in healthy humans. Nutrients. 2019;11(11):2836.
  29. Liu TH, Chiou J, Tsai TY. Effects of Lactobacillus plantarum TWK10-fermented soymilk on deoxycorticosterone acetate-salt-induced hypertension and associated dementia in rats. Nutrients. 2016;8(5).
  30. Strojnik V, Komi PV. Fatigue after submaximal intensive stretch-shortening cycle exercise. Medicine and science in sports and exercise. 2000;32(7):1314-9.
  31. Izquierdo M, Gonzalez-Izal M, Navarro-Amezqueta I, Calbet JA, Ibanez J, Malanda A, et al. Effects of strength training on muscle fatigue mapping from surface EMG and blood metabolites. Medicine & Science in Sports & Exercise. 2011;43(2):303-11.
  32. Walzik D, Joisten N, Zacher J, Zimmer P. Transferring clinically established immune inflammation markers into exercise physiology: focus on neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and systemic immune-inflammation index. European journal of applied physiology. 2021;121(7):1803-14.
  33. Jones JM. CODEX-aligned dietary fiber definitions help to bridge the ‘fiber gap’. Nutrition journal. 2014;13(1):1-10.
  34. Tap J, Furet JP, Bensaada M, Philippe C, Roth H, Rabot S, et al. Gut microbiota richness promotes its stability upon increased dietary fibre intake in healthy adults. Environmental microbiology. 2015;17(12):4954-64.
  35. Den Besten G, Van Eunen K, Groen AK, Venema K, Reijngoud D-J, Bakker BM. The role of short-chain fatty acids in the interplay between diet, gut microbiota, and host energy metabolism. Journal of lipid research. 2013;54(9):2325-40.
  36. Clark A, Mach N. The crosstalk between the gut microbiota and mitochondria during exercise. Frontiers in physiology. 2017;8:319.
  37. Bindels LB, Beck R, Schakman O, Martin JC, De Backer F, Sohet FM, et al. Restoring specific lactobacilli levels decreases inflammation and muscle atrophy markers in an acute leukemia mouse model. PloS one. 2012;7(6):e37971.
  38. Bindels LB, Delzenne NM. Muscle wasting: the gut microbiota as a new therapeutic target? The international journal of biochemistry & cell biology. 2013;45(10):2186-90.
  39. White JP, Baynes JW, Welle SL, Kostek MC, Matesic LE, Sato S, et al. The regulation of skeletal muscle protein turnover during the progression of cancer cachexia in the ApcMin/+ mouse. PloS one. 2011;6(9):e24650.
  40. Cerqueira É, Marinho DA, Neiva HP, Lourenço O. Inflammatory effects of high and moderate intensity exercise—a systematic review. Frontiers in physiology. 2020;10:1550.
  41. Silveira LS, Antunes BdMM, Minari ALA, Dos Santos RVT, Neto JCR, Lira FS. Macrophage polarization: implications on metabolic diseases and the role of exercise. Critical Reviews™ in Eukaryotic Gene Expression. 2016;26(2).
  42. Suzuki K. Involvement of neutrophils in exercise-induced muscle damage and its modulation. Gen Intern Med Clin Innov. 2018;3:1-8.
  43. Suzuki K. Chronic inflammation as an immunological abnormality and effectiveness of exercise. Biomolecules. 2019;9(6):223.
  44. Evrard B, Coudeyras S, Dosgilbert A, Charbonnel N, Alamé J, Tridon A, et al. Dose-dependent immunomodulation of human dendritic cells by the probiotic Lactobacillus rhamnosus Lcr35. PLos one. 2011;6(4):e18735.
  45. Ren J, Zhao Y, Huang S, Lv D, Yang F, Lou L, et al. Immunomodulatory effect of Bifidobacterium breve on experimental allergic rhinitis in BALB/c mice. Experimental and therapeutic medicine. 2018;16(5):3996-4004.
  46. Sun Z, Li H, Li Y, Qiao J. Lactobacillus salivarius, a potential probiotic to improve the health of LPS-challenged piglet intestine by alleviating inflammation as well as oxidative stress in a dose-dependent manner during weaning transition. Frontiers in Veterinary Science. 2020;7:547425.
  47. Brooks GA. The science and translation of lactate shuttle theory. Cell metabolism. 2018;27(4):757-85.
  48. Banister E, Allen M, Mekjavic I, Singh A, Legge B, Mutch BJ. The time course of ammonia and lactate accumulation in blood during bicycle exercise. European Journal of Applied Physiology and Occupational Physiology. 1983;51(2):195-202.
  49. Donati Zeppa S, Agostini D, Gervasi M, Annibalini G, Amatori S, Ferrini F, et al. Mutual interactions among exercise, sport supplements and microbiota. Nutrients. 2019;12(1):17.
  50. de Sire A, Marotta N, Lippi L, Scaturro D, Farì G, Liccardi A, et al. Pharmacological treatment for acute traumatic musculoskeletal pain in athletes. Medicina. 2021;57(11):1208.
  51. Pyne DB, West NP, Cox AJ, Cripps AW. Probiotics supplementation for athletes–clinical and physiological effects. European journal of sport science. 2015;15(1):63-72.
  52. Huang WC, Chen YH, Chuang HL, Chiu CC, Huang CC. Investigation of the Effects of Microbiota on Exercise Physiological Adaption, Performance, and Energy Utilization Using a Gnotobiotic Animal Model. Frontiers in microbiology. 2019;10:1906.

Articles in Press, Accepted Manuscript
Available Online from 08 April 2025
  • Receive Date: 31 January 2025
  • Accept Date: 08 April 2025