Review Article

Antioxidant, Immunomodulating, and Microbial-Modulating Activities of the Sustainable and Ecofriendly Spirulina

Table 3

Human intervention studies measuring markers of immune function or redox status after Spirulina supplementation.

Subjects ()Study design and treatmentMarkers of immune functionMarkers of redox statusRef.

Healthy (11)Longitudinal
Spirulina-derived Immulina 400 mg/day, 56 days
Proliferation
↓ CA-induced CD19+ (day 56)
↑ CA-induced CD19+ (3–8 days), CD4+ (3–56 days)
↑ TT-induced CD4+ (3–8 days)
Cytokines’ production
↓ TT- induced TNF-α, IFN-γ, IL-5 (day 56)
↓ CA and TT- induced IL-4 (day 3)
TT-induced IL-2, IL-12, IL-10
↑ CA-induced TNF-α (3–8 days), IL-2 (day 3 and 56),
 IFN-γ (day 3), IL-6 (3–14 days), IL-5 (3–8 days)
↑ TT-induced TNF-α (3–8 days), IFN-γ (3–14 days),
 IL-6 (3–8 days), IL-5 (3–8 days)
[93]

Healthy (12)Longitudinal
50 ml hot water extract of Spirulina platensis extract, 8 weeks
↑ NK cell cytotoxic activity
Cytokines’ production
Con A-induced IL-12
↑ BCG-CWS-induced IL-12,
↑ IL-12 and IL12/IL18-induced IFN-γ
[94]

Healthy (16)Parallel (versus soya proteins)
Spirulina platensis or soya 7.5 g/day, 3 weeks (after exercise)
↑ SOD, GPX
↓ MDA
[95]

Healthy (20)Crossover (placebo controlled)
Spirulina-derived Immulina 0.2 g and 0.4 g/day,
7 days
↑ NK cell cytotoxic activity
NK, NKT, T cells
[96]

Healthy (30)Parallel (placebo controlled)
Spirulina maxima 1 g/day, 30 days
MDA, TAS, vit. C, SOD
↓ GSH
[97]

Elderly
NW (45)
Obese (33)
Parallel (placebo controlled)
Spirulina 8 g/day, 12 weeks
↑ IL-2 (NW 54.1%, obese 33%)
↓ IL-6 (NW 20%, obese 14.6%)
TNF-α
↑ TAS (only NW)
↓ TBARS (only NW)
[98]

Elderly (78)Parallel (placebo controlled)
freeze-dried Spirulina 8 g/day, 16 weeks
↑ IL-2 (female)
↓ IL-6 (male)
↑ SOD (female), TAS (male)
GPX, TBARS
[99]

Runners (8)Longitudinal
Spirulina maxima capsules 4 g/day + 200 ml/day antioxidants , 2 weeks
↓ MDA[100]

HIV+ (84)Parallel (versus untreated)
Spirulina platensis 20 g/day, 8 weeks
↑ lymphocytes[29]

HIV+ (11)Parallel (uncontrolled)
Spirulina platensis capsules 6 g/day, 3 months
Undaria 5 g/day, 3 months
Spirulina capsules 3 g/day + Undaria 2.5 g/day, 3 months
↑ CD4 ()
↓ viral load ()
[101]

HIV+ (169)Parallel (placebo controlled)
Spirulina platensis powder 10 g/day, 12 months
↑ CD4
↓ viral load
[102]

HIV+ (52)Parallel (uncontrolled)
proteins 1.5 g/kg body weight (25% Spirulina platensis or soya)
↑ CD4 (both groups, ↑ versus soya)
↓viral load (both groups and ↓ versus soya)
[103]

HIV+ (160)Parallel (placebo controlled
Spirulina 10 g/day, 6 months
↑CD4 (both groups)[104]

HIV+ (73)Parallel (placebo controlled)
Spirulina platensis powder 5 g/day, 3 months
↓CD4 (both groups)
viral load, CD38 expression on the CD8
↑ TAS[105]

T2D (37)Parallel (placebo controlled)
freeze-dried Spirulina 8 g/day, 12 weeks
↓ IL-6 (only in patients with dyslipidemia)
TNF-α
↓ MDA[106]

Allergic rhinitis (36)Crossover (placebo controlled)
Spirulina capsules 1 g and 2 g/day, 12 weeks
Cytokines’ production
↓ PHA-induced IL-4 (only 2 g/day)
PHA-induced IFN-γ, IL-2
[107]

COPD (30)Parallel (uncontrolled: 2 doses)
Spirulina capsules 1 g and 2 g/day, 60 days
↑ CAT (only 2 g/day), SOD, GST, GSH, vit. C
↓ MDA, ROOH
[108]

= numbers; drink containing β Carotene 7600 mcg, vitamin A 400 IU, vitamin E 80 IU, vitamin C- 320 mg, zinc-2.7 mg, and selenium-40 mcg; groups received also dietary products supplied by the World Food Program (WFP); BCG-CWS: cell wall skeleton of Mycobacterium bovis Bacillus Calmette-Guérin; CA: Candidaalbicans; CAT: catalase; Con A: concanavalin A; COPD: chronic obstructive pulmonary disease; GSH: glutathione; IL-: interleukin; MDA: malondialdehyde; PHA: phytohemagglutinin; ROOH: lipid hydroperoxides; SOD: superoxide dismutase; T2D: type 2 diabetes; TAS: total antioxidant status; TT: tetanus toxoid.