Benefits
Self-rated nasal, eye and head comfort
In a small trial of 60 adults with year-round allergy symptoms, a self-rated score of nose, eye and head symptoms, one of two main outcomes, improved more than on placebo over 12 weeks (p = 0.008), mainly sneezing, nose-blowing, watery eyes and head dullness. The other main outcome, a rating of difficulty in daily life, did not differ (p = 0.380). The trial stopped at 60 of 100 planned participants.
IgE antibody levels
In the same 60-person trial, total serum IgE, a secondary outcome, did not change differently from placebo (p = 0.361). Allergen-specific IgE was also planned as an outcome, but too few participants tested positive for any single allergen for the authors to analyze it.
Liver enzyme blood markers
In 80 adults with overweight, changes in the liver enzymes AST and ALT, secondary outcomes, did not differ significantly from placebo (p = 0.054). In the allergy trial, AST, ALT, ALP and cholinesterase fell more than on placebo, but these were safety checks rather than planned outcomes, and participants had not been selected for raised levels.
Visceral fat and body weight measures
In 80 adults with a BMI of 25 to 29.99, visceral fat area, the main outcome, fell similarly on the capsules and on placebo over 12 weeks (p = 0.830). BMI, body fat percentage, waist size, blood glucose and blood lipids also did not differ. The authors noted the human dose was far below the amount that reduced fat gain in mice.
Gut bacteria composition
In the overweight trial, the share of the butyrate-producing genus Anaerostipes in stool rose more than on placebo (p < 0.05), a secondary measure; no other genus discussed by the authors differed significantly. Whether this shift affects health was not tested.
Inflammation responses in mouse studies (lab and animal work)
In mice, the strain's exopolysaccharide given by mouth reduced ear swelling, IL-4 activity and IgE in a skin contact allergy model, and eased stool and colon changes in a chemically induced colon inflammation model. These are animal results from the developers' laboratory and have not been tested as outcomes in people.
Mechanism of action
Exopolysaccharides
IJH-SONE68 secretes an acidic exopolysaccharide made mainly of mannose and a neutral one made of α-1,6-linked N-acetylglucosamine chains, a structure its discoverers reported as new in bacteria. The developers report that these polysaccharides inhibit the enzyme hyaluronidase in laboratory tests and propose them as the active part of the heat-killed powder.
Th2 immune signaling in animal models
In mice, the exopolysaccharide lowered IL-4 activity and serum IgE in a contact allergy model, and in a colon inflammation model it lowered the inflammatory signal MIP-2 and raised IL-10. In the contact allergy model, heat-killed cells reduced swelling under conditions where living cells did not. Cytokines were not measured in the human trials.
Gut microbiota shift (proposed)
The developers propose that a rise in Anaerostipes, seen in the overweight trial, could explain the lower AST and ALT readings, which did not differ significantly from placebo (p = 0.054). This is a hypothesis from one trial's secondary data and has not been tested directly.
Clinical trials
Double-blind, randomized, placebo-controlled parallel trial at Hiroshima University (May 2019 to July 2021) of four capsules a day of heat-killed IJH-SONE68 grown in pineapple juice (1,040 mg of powder with about 5x10^5 cells) or dextrin placebo for 12 weeks; people with pineapple hypersensitivity or on regular medication were excluded; registered UMIN000036317 (Noda et al. 2021, Nutrients).
60 adults aged 21 to 70 with year-round allergy symptoms who met symptom-score and daily-life rating thresholds; 29 took IJH-SONE68 and 31 placebo, and 57 completed.
Self-assessed symptom scores, one of two primary outcomes, improved more than with placebo (p = 0.008; change of -3.6 versus -1.9 points), driven by head dullness, watery eyes and nose-blowing and sneezing. The visual analogue scale for difficulty in daily life, the other primary outcome, did not differ (p = 0.380), and total IgE did not change (p = 0.361). Adverse events did not differ between groups. The trial ended at 60 of the 100 participants planned, which the authors attributed to time, funding and COVID-19 limits. Funded by Sone Farm according to the paper, while the trial registry names Asahi Kohsan Co., Ltd. as the funding source; no author listed a Sone Farm affiliation.
Double-blind, randomized, placebo-controlled parallel trial at Hiroshima University (May 2019 to July 2021) of four capsules a day of heat-killed IJH-SONE68 with its pineapple-juice culture broth (about 1.3x10^5 cells per 260 mg capsule) or dextrin placebo for 12 weeks; registered UMIN000036318 (Danshiitsoodol et al. 2022, Nutrients).
80 adults aged 23 to 70 with a BMI of 25 to 29.99 (39 on the test capsules, 41 on placebo); 77 completed.
Visceral fat area, the primary outcome, fell similarly in both groups (p = 0.830), and BMI, body fat, waist size, blood glucose and blood lipids did not differ. Changes in AST and ALT, secondary outcomes, did not differ significantly (p = 0.054). The stool share of the genus Anaerostipes rose more than on placebo (p < 0.05). Adverse events did not differ. Enrollment stopped at 80 of the 100 planned. Funded by Sone Farm according to the paper, while the trial registry names Asahi Kohsan Co., Ltd.; co-author Tomoyuki Uchida, credited in the paper with funding acquisition and listed with a Sone Farm affiliation in the group's 2021 mouse study, is listed here with a Hiroshima University affiliation only.