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Table 2 Summary of clinical studies on the effect of larch arabinogalactan on the immune system

From: Does larch arabinogalactan enhance immune function? A review of mechanistic and clinical trials

Article

Extract

Challenge (Vaccine)

Subjects

Day for the measures

Parameters measured

Results: effect of the extract on parameters

Udani et al. 2013 [32]

ResistAid™

Proprietary larch arabinogalactan

1.5 or 4.5 g/day

For 60 days

Tetanus & influenza vaccines

Vaccination at day 30

75 healthy adults

Day 0, 45 & 60

➢ Tetanus IgG

Group 1.5 g/day, day 60: significant rise in IgG levels compared to placebo (p = 0.008)

Group 4.5 g/day group, day 45 & 60: significant rise in IgG levels compared to baseline (p < 0.01) but not compared to placebo

➢ Influenza A & B IgG & IgM

No effect

Riede et al. 2013 [30]

ResistAid™

Proprietary larch arabinogalactan

4.5 g/day

For 84 days

None

199 healthy adults

 

Common cold episode

Reduce the incidence of common cold infection (p = 0.055)

Reduce the number of subject affected (p = 0.038)

Increase of the severity of symptoms (p = 0.028)

No effect on the duration of the common cold episodes

Udani et al. 2010 [31]

ResistAid™

Proprietary larch arabinogalactan

4.5 g/day

For 72 days

Streptococcus pneumonia

Vaccination at day 30

45 healthy adults

Day 0, 51 & 72

➢ Pneumococcal IgG (subtypes 4, 6B, 9 V, 14, 18C, 19 F & 23 F)

Significant rise in IgG levels compared to placebo in 2 antibodies subtypes (18C & 23 F) at day 51 (p = 0.006 and p = 0.002) and day 72 (p = 0.008 and p = 0.041)

➢ Pneumococcal salivary IgA

No effect

Day 0, 30, 31, 51 & 72

➢ WBCa count

No significant difference compared to placebo

At day 72, rise in WBC compared to baseline (p = 0.045)

No differences (clinically significant) in lymphocytes, neutrophils, monocytes or basophiles count

Significant rise of eosinophil count at day 30 (p = 0.006) and day 51 (p = 0.014)

➢ Inflammatory cytokinesa: ENA-78, eotaxin, GM-CSF, IFNγ, IL10, IL12P40, IL1RA, IL2, IL4, IL5, IL6, IL8, MCP-1, MCP-3, PDGF-BB & TNF-α

Significant rise in IL6 between day 30 and 31 compared to placebo (p = 0.046)

➢ Complement C3 & C4

No effect

Nantz et al. 2001 [28]

Arabinogalactan

4 g/day

For 42 days

None

51

healthy adults

Day 1, 21 & 42

➢ Haematology: WBCa, RBCa, haemoglobin, hematocrit, neutrophils, lymphocytes, monocytes, platelets

➢ Count of CD19 B lymphocytes, CD4 T helper lymphocyte, CD8 T cytotoxic lymphocytes & NK1.1 natural killer cells

➢ PBMCa (lymphocytes) proliferation after exposure to PMA

➢ PMNa for oxidative burst activity

➢ Natural killer cells activity

➢ IgaG

Significant increase of % CD8+ cells at 6 weeks after arabinogalactan compared to control group (p = 0.005)

Significant increase in lymphocyte proliferation at 6 weeks compared to baseline in the arabinogalactan group (p < 0.05) only

Significant effect of group detected on proportion of monocytes in the lymphocytes fraction (p = 0.0497), though no significant groupatime effect detected (p = 0.602).

No significant change in IgG levels, respiratory burst activity of neutrophils, NK cell number and B cell number.

Kim et al. 2002 [27]

Larch arabinogalactan (90 %)

1.5 g/day

For 28 days

None

48

healthy female adults

Day 0 & 28

➢ Vital signs: blood pressure, radial pulse, respiration rate, temperature

No effect

➢ Complete blood count: WBC, neutrophils, lymphocytes & monocytes

No effect

➢ NK cells quantitative

No effect

➢ Complement properdin

No effect

➢ TNF-α

Significant decrease (p = 0.044)

➢ EBV VCA IgG Ab

➢ CMV IgG Ab

No effect

No effect

Lactobacillus acidophilus stool culture

➢ Stool fungus culture for yeast

No effect

No effect

➢ Health related quality of life (SF-36)

Increase of the bowel movement (75 % of the subjects affected)

Kim et al. 2002 [12]

Larch arabinogalactan (90 %) – different concentration grades

1.5 & 4.5 g/day

For 28 days

None

21 healthy adults

Day 0 & 28

➢ Haematology: WBCa, RBCa, haemoglobin, hematocrit, monocytes

No effect

➢ TNF-α

➢ IFN-γ

➢ IL6

No effect

No effect

No effect

➢ Stool culture

No effect

➢ Health related quality of life (SF-36)

No effect

  1. a ENA epithelial neutrophil activating peptide-78, GM-CSF granulocyte monocytes colony stimulating factor, IFNγ interferon gamma, IL interleukin, MCP monocyte chemotactic protein-1, MCP-3, PDGF platelet-derived growth factor-BB or TNF tumour necrosis factor-alpha, PBMC peripheral blood mononuclear cells, PMN polymorphonuclear neutrophils, PMA phorbol 12-myristate 13-acetate, WBC White blood cells, RBC red blood cells, Ig immunoglobulin, EBV VCA IgG Ab Epstein-Barr Virus viral capsid antigen IgG antibody, CMV IgG Ab Cytomegalovirus IgG antibody, Ab antibody