Pediatrics

Developed Formulas
Benefits
  • Reduces intestinal inflammation
  • Supports restoration of intestinal barrier function
  • Promotes a balanced intestinal flora
Pediatrics
Clinical test
Pediatrics
In vitro test
Pediatrics
Hydrosoluble powder
Pediatrics
Allergen Free
Pediatrics
Real time stability
Pediatrics
Preclinical test
Components

Bifidobacterium breve BR03 (DSM 16604)
Bifidobacterium breve B632 (DSM 24706)

Label Claim

Food supplement with probiotic strains.

Effective nutraceutical combination

Biotin
EFSA Claim: contributes to the mantainance of normal mucosa.

Scientific Rationale

Celiac disease (CD), with a global prevalence of 1-2%, affects both adults and children [1]. An altered gut microbiota is a characteristic feature of CD, often showing a decreased abundance of beneficial bacteria. Specifically, in breastfed infants at genetic risk for CD, there is often a lower abundance of Bifidobacterium species and an increased Firmicutes to Bacteroidetes ratio, along with a significantly higher abundance of Gram-negative bacteria and E. coli. A similar decrease in Bifidobacterium species has been observed in various autoimmune conditions like rheumatoid arthritis, suggesting a potential protective role against inflammation.

CELIAFLORA™ Junior has been specially formulated to address these microbiota imbalances in pediatric CD patients [2-6]. It aims to:

  • Rebalance gut dysbiosis.

  • Help counteract intestinal inflammation.

  • Repair disrupted intestinal permeability integrity.

Two strains, Bifidobacterium breve BR03 and Bifidobacterium breve B632, have been chosen for their efficacy in:

  • Reaching and colonizing the intestines of babies and children [2].

  • Counteracting gut inflammation [4].

  • Exerting strong direct inhibition against various pathogenic microorganisms, including Enterobacteriaceae [3].

CELIAFLORA™ Junior's benefits are supported by in vitro, preclinical, and clinical studies. In a gluten-sensitive mouse model, CELIAFLORA™ Junior effectively mitigated the toxic effects of active gliadin peptides, a key factor in CD [4]. It significantly inhibited gut inflammation, reduced all markers of intestinal inflammation, and consistently inhibited the intestinal permeability abnormality induced by gliadin active peptides, thereby completely reversing gliadin-mediated tissue damage.

In two clinical studies involving pediatric patients with celiac disease, daily supplementation with CELIAFLORA™ Junior for three months successfully re-established the Firmicutes/Bacteroidetes ratio and reduced TNFα production [5,6]. These findings demonstrate that CELIAFLORA™ Junior can effectively counteract the pro-inflammatory environment in children with celiac disease.

Bibliography

1. Prashant Singh et al. Global Prevalence of Celiac Disease: Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2018 Jun;16(6):823-836.e2. Doi: 10.1016/j.cgh.2017.06.037

2. Mogna L. et al. Capability of the two microorganisms Bifidobacterium breve B632 and Bifidobacterium breve BR03 to colonize the intestinal microbiota of children. J Clin Gastroenterol. 2014;48 Suppl 1:S37-S39. doi:10.1097/MCG.0000000000000234 

3. Simone M. et al. The probiotic Bifidobacterium breve B632 inhibited the growth of Enterobacteriaceae within colicky infant microbiota cultures. Biomed Res Int. 2014;2014:301053. doi: 10.1155/2014/301053.

4. Ferrari E. et al. Probiotics Supplements Reduce ER Stress and Gut Inflammation Associated with Gliadin Intake in a Mouse Model of Gluten Sensitivity. Nutrients. 2021 Apr 7;13(4):1221. doi: 10.3390/nu13041221.

5. Klemenak M. et al. Administration of Bifidobacterium breve Decreases the Production of TNF-α in Children with Celiac Disease. Dig Dis Sci. 2015 Nov;60(11):3386-92. doi: 10.1007/s10620-015-3769-7

6. Quagliariello A. et al. Effect of Bifidobacterium breve on the Intestinal Microbiota of Coeliac Children on a Gluten Free Diet: A Pilot Study. Nutrients. 2016;8(10):660. Published 2016 Oct 22. doi:10.3390/nu8100660

Associations