In a search for new strategies to improve oral vaccination, the effect
of orally administered Lactobacillus casei strain GG (LGG) in conjunc
tion with DxRRV rhesus-human reassortant live oral rotavirus vaccine w
as tested in 2-5-month-old infants. Infants who received LGG showed an
increased response with regard to rotavirus-specific IgM secreting ce
lls, measured using an ELISPOT technique, on day 8 after vaccination.
In infants receiving LGG or placebo, respectively, a rotavirus IgM ser
oconversion was dectected in 26/27 (96%) versus 23/27 (85%) cases (p=0
.15) and rotavirus IgA seroconversion was detected in 26/28 (93%) vers
us 20/27 (74%) cases (p=0.05). These findings suggest that LGG has an
immunostimulating effect on oral rotavirus vaccination. The clinical s
ignificance of LGG-enhanced immune responses to oral vaccines should b
e further evaluated.