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ORIGINAL RESEARCH article

Front. Microbiol.

Sec. Microorganisms in Vertebrate Digestive Systems

This article is part of the Research TopicNew and advanced mechanistic insights into the influences of the infant gut microbiota on human health and disease, Volume IIView all 19 articles

The enhancing therapeutic effect of neonatal jaundice by bifidobacterium through regulating inflammation and gut microbiota in combination with phototherapy:A randomized controlled trail

Provisionally accepted
Feng  ZhangFeng Zhang1Jiayi  ChenJiayi Chen2Yanhan  YuanYanhan Yuan2Juanjuan  ChenJuanjuan Chen2Wei  JiangWei Jiang3Weiwei  XiangWeiwei Xiang3Na  WangNa Wang2Zhimin  WuZhimin Wu2Sainan  FanSainan Fan2Kun  ZhangKun Zhang2Yanan  MaYanan Ma2Tianyu  LIUTianyu LIU1Jiahui  ZhangJiahui Zhang2Qinghua  YuQinghua Yu3Jinping  ZhangJinping Zhang2*
  • 1College of Food Science & Technology, Shanghai Ocean University, Shanghai, China
  • 2Shanghai 6th Peoples Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China
  • 3Laboratory of Microbiology, Immunology, and Metabolism, Diprobio (Shanghai) Co, Limited, Shanghai, China

The final, formatted version of the article will be published soon.

Hyperbilirubinemia is one of the most common diseases in neonates, and phototherapy is currently the most commonly used treatment in medicine, but previous studies have found that phototherapy can lead to changes in the intestinal flora of jaundice neonates, especially bifidobacteria. The focus of this study is whether the precise addition of bifidobacteria can alleviate the intestinal microbiota disorder caused by phototherapy and improve the clinical outcomes of jaundice neonates. In this study, two strains of Bifidobacterium derived from healthy infants were added to jaundice neonates receiving phototherapy, and the effects of probiotics on the improvement of clinical symptoms, intestinal microbiota structure and metabolic indexes, and intestinal inflammatory factors in jaundice neonates during phototherapy were investigated. For neonates receiving phototherapy, the addition of M-16V+Bb-12 probiotics can improve the diversity of microflora, reduce the fixed value of harmful bacteria in the intestine, and enhance the excretion of bilirubin from the intestine, so as to improve the inflammatory damage and microbiota disorder caused by phototherapy, and achieve the effect of clinically improving jaundice, reducing bilirubin, shortening the length of hospitalization, and promoting neurodevelopment. It provides a safer and more effective treatment for neonatal jaundice.

Keywords: Bilirubin metabolism, Gut Microbiota, neonatal jaundice, Probiotics, Repairof inflammatory injury

Received: 05 Dec 2025; Accepted: 03 Feb 2026.

Copyright: © 2026 Zhang, Chen, Yuan, Chen, Jiang, Xiang, Wang, Wu, Fan, Zhang, Ma, LIU, Zhang, Yu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jinping Zhang

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