Consumption of cranberry polyphenols enhances human γδ-T cell proliferation and reduces the number of symptoms associated with colds and influenza: a randomized, placebo-controlled intervention study

Meri P Nantz, Cheryl A Rowe, Catherine Muller, Rebecca Creasy, James Colee, Christina Khoo, Susan S Percival, Meri P Nantz, Cheryl A Rowe, Catherine Muller, Rebecca Creasy, James Colee, Christina Khoo, Susan S Percival

Abstract

Background: Our main objective was to evaluate the ability of cranberry phytochemicals to modify immunity, specifically γδ-T cell proliferation, after daily consumption of a cranberry beverage, and its effect on health outcomes related to cold and influenza symptoms.

Methods: The study was a randomized, double-blind, placebo-controlled, parallel intervention. Subjects drank a low calorie cranberry beverage (450 ml) made with a juice-derived, powdered cranberry fraction (n = 22) or a placebo beverage (n = 23), daily, for 10 wk. PBMC were cultured for six days with autologous serum and PHA-L stimulation. Cold and influenza symptoms were self-reported.

Results: The proliferation index of γδ-T cells in culture was almost five times higher after 10 wk of cranberry beverage consumption (p <0.001). In the cranberry beverage group, the incidence of illness was not reduced, however significantly fewer symptoms of illness were reported (p = 0.031).

Conclusions: Consumption of the cranberry beverage modified the ex vivo proliferation of γδ-T cells. As these cells are located in the epithelium and serve as a first line of defense, improving their function may be related to reducing the number of symptoms associated with a cold and flu.

Trial registration: ClinicalTrials.gov NCT01398150.

Figures

Figure 1
Figure 1
Flow diagram: Study participant eligibility assessment, enrollment, group allocation and analysis. People recruited for the study were assessed and those deemed eligible were enrolled. Subjects were randomized into one of two beverage groups. Bottles of the two beverages, cranberry and placebo, were received from Ocean Spray Cranberries, Inc. and labeled either #638 or #246. Subjects and investigators were blinded regarding the treatment groups. Statistical analysis was performed on data from all subjects completing the study. Investigators were unblinded (cranberry beverage: #638; placebo beverage: #246) following completion of the data analysis.

References

    1. Jepson R. Cranberries for the prevention of urinary tract infections. Nephrology (Carlton) 2013;12:388–389.
    1. Jepson RG, Williams G, Craig JC. Cranberries for preventing urinary tract infections. Cochrane Database Syst Rev. 2012;12:CD001321.
    1. Yang X, Teng F, Zeng H, Liu Y. Impact of cranberry juice on initial adhesion of the EPS producing bacterium Burkholderia cepacia. Biofouling. 2012;12:417–431. doi: 10.1080/08927014.2012.682576.
    1. Feldman M, Grenier D. Cranberry proanthocyanidins act in synergy with licochalcone A to reduce Porphyromonas gingivalis growth and virulence properties, and to suppress cytokine secretion by macrophages. J Appl Microbiol. 2012;12:438–447. doi: 10.1111/j.1365-2672.2012.05329.x.
    1. Howell AB, Botto H, Combescure C, Blanc-Potard AB, Gausa L, Matsumoto T. et al.Dosage effect on uropathogenic Escherichia coli anti-adhesion activity in urine following consumption of cranberry powder standardized for proanthocyanidin content: a multicentric randomized double blind study. BMC Infect Dis. 2010;12:94. doi: 10.1186/1471-2334-10-94.
    1. Jass J, Reid G. Effect of cranberry drink on bacterial adhesion in vitro and vaginal microbiota in healthy females. Can J Urol. 2009;12:4901–4907.
    1. Han CH, Kim SH, Kang SH, Shin OR, Lee HK, Kim HJ. et al.Protective effects of cranberries on infection-induced oxidative renal damage in a rabbit model of vesico-ureteric reflux. BJU Int. 2007;12:1172–1175.
    1. Wing DA, Rumney PJ, Leu SY, Zaldivar F. Comparison of urinary cytokines after ingestion of cranberry juice cocktail in pregnant subjects: a pilot study. Am J Perinatol. 2009;12:137–142.
    1. Hochman N, Houri-Haddad Y, Koblinski J, Wahl L, Roniger M, Bar-Sinai A. et al.Cranberry juice constituents impair lymphoma growth and augment the generation of antilymphoma antibodies in syngeneic mice. Nutr Cancer. 2008;12:511–517. doi: 10.1080/01635580801956493.
    1. Takahashi S, Hamasuna R, Yasuda M, Arakawa S, Tanaka K, Ishikawa K. et al.A randomized clinical trial to evaluate the preventive effect of cranberry juice (UR65) for patients with recurrent urinary tract infection. J Infect Chemother. 2013;12:112–117. doi: 10.1007/s10156-012-0467-7.
    1. Salo J, Uhari M, Helminen M, Korppi M, Nieminen T, Pokka T. et al.Cranberry juice for the prevention of recurrences of urinary tract infections in children: a randomized placebo-controlled trial. Clin Infect Dis. 2012;12:340–346. doi: 10.1093/cid/cir801.
    1. Kontiokari T, Salo J, Eerola E, Uhari M. Cranberry juice and bacterial colonization in children–a placebo-controlled randomized trial. Clin Nutr. 2005;12:1065–1072. doi: 10.1016/j.clnu.2005.08.009.
    1. Bianco L, Perrelli E, Towle V, Van Ness PH, Juthani-Mehta M. Pilot randomized controlled dosing study of cranberry capsules for reduction of bacteriuria plus pyuria in female nursing home residents. J Am Geriatr Soc. 2012;12:1180–1181. doi: 10.1111/j.1532-5415.2012.03976.x.
    1. Stapleton AE, Dziura J, Hooton TM, Cox ME, Yarova-Yarovaya Y, Chen S. et al.Recurrent urinary tract infection and urinary Escherichia coli in women ingesting cranberry juice daily: a randomized controlled trial. Mayo Clin Proc. 2012;12:143–150. doi: 10.1016/j.mayocp.2011.10.006.
    1. Nantz MP, Rowe CA, Nieves C Jr, Percival SS. Immunity and antioxidant capacity in humans is enhanced by consumption of a dried, encapsulated fruit and vegetable juice concentrate. J Nutr. 2006;12:2606–2610.
    1. Rowe CA, Nantz MP, Bukowski JF, Percival SS. Specific formulation of Camellia sinensis prevents cold and flu symptoms and enhances γδ T cell function: a randomized, double-blind, placebo-controlled study. J Am Coll Nutr. 2007;12:445–452. doi: 10.1080/07315724.2007.10719634.
    1. Rowe CA, Nantz MP, Nieves C Jr, West RL, Percival SS. Regular consumption of concord grape juice benefits human immunity. J Med Food. 2011;12:69–78. doi: 10.1089/jmf.2010.0055.
    1. Graff JC, Jutila MA. Differential regulation of CD11b on gammadelta T cells and monocytes in response to unripe apple polyphenols. J Leukoc Biol. 2007;12:603–607. doi: 10.1189/jlb.0207125.
    1. Graff JC, Kimmel EM, Freedman B, Schepetkin IA, Holderness J, Quinn MT. et al.Polysaccharides derived from Yamoa (Funtumia elastica) prime gammadelta T cells in vitro and enhance innate immune responses in vivo. Int Immunopharmacol. 2009;12:1313–1322. doi: 10.1016/j.intimp.2009.07.015.
    1. Holderness J, Jackiw L, Kimmel E, Kerns H, Radke M, Hedges JF. et al.Select plant tannins induce IL-2Ralpha up-regulation and augment cell division in gammadelta T cells. J Immunol. 2007;12:6468–6478.
    1. Cao G, Prior RL. Comparison of different analytical methods for assessing total antioxidant capacity of human serum. Clin Chem. 1998;12:1309–1315.
    1. Ou B, Hampsch-Woodill M, Prior RL. Development and validation of an improved oxygen radical absorbance capacity assay using fluorescein as the fluorescent probe. J Agric Food Chem. 2001;12:4619–4626. doi: 10.1021/jf010586o.
    1. Hollman PC, Katan MB. Absorption, metabolism and health effects of dietary flavonoids in man. Biomed Pharmacother. 1997;12:305–310. doi: 10.1016/S0753-3322(97)88045-6.
    1. Manach C, Texier O, Morand C, Crespy V, Regerat F, Demigne C. et al.Comparison of the bioavailability of quercetin and catechin in rats. Free Radic Biol Med. 1999;12:1259–1266. doi: 10.1016/S0891-5849(99)00159-8.
    1. Frank T, Netzel M, Strass G, Bitsch R, Bitsch I. Bioavailability of anthocyanidin-3-glucosides following consumption of red wine and red grape juice. Can J Physiol Pharmacol. 2003;12:423–435. doi: 10.1139/y03-038.
    1. Yasuda M, Ogawa D, Nasu T, Yamaguchi T, Murakami T. Kinetics and distribution of bovine gammadelta T-lymphocyte in the intestine: gammadelta T cells accumulate in the dome region of Peyer’s patch during prenatal development. Dev Comp Immunol. 2005;12:555–564. doi: 10.1016/j.dci.2004.10.004.
    1. Salmi M, Adams D, Jalkanen S. Cell adhesion and migration: IV: lymphocyte trafficking in the intestine and liver. Am J Physiol. 1998;12:G1–G6.
    1. Watanabe C, Hokari R, Komoto S, Kurihara C, Okada Y, Matsunaga H. et al.Lemon grass (Cymbopogon citratus) ameliorates murine spontaneous ileitis by decreasing lymphocyte recruitment to the inflamed intestine. Microcirculation. 2010;12:321–332.
    1. Ishizuka S, Tanaka S. Modulation of CD8+ intraepithelial lymphocyte distribution by dietary fiber in the rat large intestine. Exp Biol Med (Maywood) 2002;12:1017–1021.
    1. McNicol L, Andersen LW, Liu G, Doolan L, Baek L. Markers of splanchnic perfusion and intestinal translocation of endotoxins during cardiopulmonary bypass: effects of dopamine and milrinone. J Cardiothorac Vasc Anesth. 1999;12:292–298. doi: 10.1016/S1053-0770(99)90266-5.
    1. Acheson DW, Moore R, De BS, Lincicome L, Jacewicz M, Skutelsky E. et al.Translocation of Shiga toxin across polarized intestinal cells in tissue culture. Infect Immun. 1996;12:3294–3300.
    1. Gardner ML. Gastrointestinal absorption of intact proteins. Annu Rev Nutr. 1988;12:329–350. doi: 10.1146/annurev.nu.08.070188.001553. 329–350.
    1. Castell JV, Friedrich G, Kuhn CS, Poppe GE. Intestinal absorption of undegraded proteins in men: presence of bromelain in plasma after oral intake. Am J Physiol. 1997;12:G139–G146.
    1. Spencer JP, Schroeter H, Shenoy B, Srai SK, Debnam ES, Rice-Evans C. Epicatechin is the primary bioavailable form of the procyanidin dimers B2 and B5 after transfer across the small intestine. Biochem Biophys Res Commun. 2001;12:588–593. doi: 10.1006/bbrc.2001.5211.
    1. Ou K, Percival SS, Zou T, Khoo C, Gu L. Transport of cranberry A-type procyanidin dimers, trimers, and tetramers across monolayers of human intestinal epithelial Caco-2 cells. J Agric Food Chem. 2012;12:1390–1396. doi: 10.1021/jf2040912.
    1. Jutila MA, Holderness J, Graff JC, Hedges JF. Antigen-independent priming: a transitional response of bovine gammadelta T-cells to infection. Anim Health Res Rev. 2008;12:47–57. doi: 10.1017/S1466252307001363.
    1. Macintyre S, Pritchard C. Comparisons between the self-assessed and observer-assessed presence and severity of colds. Soc Sci Med. 1989;12:1243–1248. doi: 10.1016/0277-9536(89)90063-4.
    1. Bodet C, Chandad F, Grenier D. Cranberry components inhibit interleukin-6, interleukin-8, and prostaglandin E production by lipopolysaccharide-activated gingival fibroblasts. Eur J Oral Sci. 2007;12:64–70. doi: 10.1111/j.1600-0722.2007.00415.x.
    1. Madrigal-Carballo S, Rodriguez G, Sibaja M, Reed JD, Vila AO, Molina F. Chitosomes loaded with cranberry proanthocyanidins attenuate the bacterial lipopolysaccharide-induced expression of iNOS and COX-2 in raw 264.7 macrophages. J Liposome Res. 2009;12:189–196. doi: 10.1080/08982100902729436.

Source: PubMed

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