EFFECT OF CRANBERRY JUICE CONSUMPTION ON THE UROBIOME IN HEALTHY ADULTS: A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, CROSSOVER TRIAL

 

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https://storage.unitedwebnetwork.com/files/1099/7ed45c9bf99733b94e1c2807f5cfe608.pdf
EFFECT OF CRANBERRY JUICE CONSUMPTION ON THE UROBIOME IN HEALTHY ADULTS: A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, CROSSOVER TRIAL

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Shohei
Akagawa
Shohei Akagawa akagawa.sho@kmu.ac.jp Kansai Medical University Department of Pediatrics Hirakata Japan *
Yuko Akagawa yuko611203@gmail.com Kansai Medical University Department of Pediatrics Hirakata Japan -
Shoji Tsuji tsuji.sho@kmu.ac.jp Kansai Medical University Department of Pediatrics Hirakata Japan -
Shogo Kato aooni5828@gmail.com Kansai Medical University Department of Pediatrics Hirakata Japan -
Sohsaku Yamanouchi yamanous@hirakata.kmu.ac.jp Kansai Medical University Department of Pediatrics Hirakata Japan -
Kazunari Kaneko kaneko.kaz@kmu.ac.jp Kansai Medical University Department of Pediatrics Hirakata Japan -
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Cranberry juice is traditionally consumed for urinary health, and its efficacy is attributed to its components such as proanthocyanidins (PACs). Although recent research has highlighted the role of urinary microbiome (urobiome) in conditions such as urinary tract infections and overactive bladders, the effects of cranberries on the urobiome of healthy individuals remain largely unknown. We have hypothesized that continuous cranberry consumption might alter the urobiome and investigated this impact in a healthy adult population.

We conducted a randomized, double-blind, placebo-controlled, crossover trial at Kansai Medical University. Forty healthy adults (21 women and 19 men) aged 20–65 years participated. Participants consumed 80 mL of cranberry juice (containing 40 mg of PACs) or a matched placebo daily for a 4-week period, followed by a 4-week washout before crossing over to the alternate intervention. Midstream urine samples were collected, and the urobiome was analyzed by sequencing the V3–V4 hypervariable regions of the 16S rRNA gene. Alpha diversity (number of observed species, Shannon index) and beta diversity (Bray–Curtis dissimilarity) were assessed. Paired comparisons were performed using the Wilcoxon signed-rank test.

At baseline, urobiome composition differed significantly between men and women (PERMANOVA, p = 0.015). The female urobiome was dominated by Lactobacillus (26.8%) and Streptococcus (18.2%), whereas the male urobiome was dominated by Streptococcus (16.7%) and Bifidobacterium (11.3%). Women also exhibited a significantly lower alpha diversity than men (p<0.05). Following the intervention period, overall alpha and beta diversity did not change significantly in men or women in either group. However, in women, cranberry juice consumption was associated with a significant reduction in the relative abundance of Lactobacillus (median 28.4% to 18.4%, p = 0.025). This effect was not observed in women who consumed the placebo, and no significant changes were detected in men.

Continuous consumption of cranberry juice induced sex-specific changes in the urobiome of healthy adults, specifically by reducing the relative abundance of Lactobacillus in women. Given that higher abundance of Lactobacillus has been reported in women with overactive bladders, this finding may provide novel mechanistic insight into the beneficial effects of cranberries on female urinary health. To our knowledge, this is the first study to report the effects of cranberry juice on the urobiome in a healthy adult population, warranting further investigation of its clinical implications.

Kewords