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Table 3.6 Main randomized Controlled Clinical studies using Fructan Prebiotic For Effect In Patients With Colonic Polyps And/or
Cancer
Prebiotic Type,
Consumption
Method/end
Points
subjects
study Design
Main results
ref.
Colon cancer with
“curative resection” ( n =
34)
Polypectomized patients
( n = 40)
randomized
double-blind,
placebo-controlled
trial
encapsulated bacteria a
and 10 g of inulin
enriched with
oligofructose (syn group)
or placebo once daily
Modulation of
immune
functions
in the cancer group, syn resulted
roller et al.,
2007
in an increased capacity of PbMC
to produce interferon-gamma
( P < 0.05)
in the polyp group, iL-2 secretion
by activated PbMC b increased
( P < 0.05)
Colon cancer ( n = 37
Polypectomized ( n = 43)
randomized,
double-blind,
placebo-controlled
trial (phase 2
study)
synbiotic food composed
of the prebiotic syn1—a
mixture of short-chain
and long-chain inulin
(syn1)—and probiotics
Lgg and bb12 c vs.
placebo for 12 weeks
reduction in
cancer risk
biomarkers
in stools
and
intestinal
mucosa
in all patients:
increase of
rafter et al.,
2007
Biidobacterium and
Lactobacillus
decrease of
Clostridium
perfringens
reduction in colorectal
proliferation and the capacity of
fecal water to induce necrosis in
colonic cells
in polypectomized patients:
improvement of epithelial barrier
function
decreased exposure to
genotoxins
Prevention of an increased
secretion of iL-2 by peripheral
blood mononuclear cells
in cancer patients:
increase in interferon-gamma
production
 
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