cottonbrain
Frequent Contributor (1K+ posts)
Member # 13769
posted
this came across my email from CO-CURE. I will come back later and break it up for reading -- right now i'm too foggy.
-------------------
News - Candida & Gut Dysbiosis News Written by Matthew Hogg Thursday, 20 March 2008
Probiotics containing a single bacterial strain are more effective at increasong cytokine production than combination products according to Finnish researchers.
Researchers from Finland's National Public Health Institute, the University of Helsinki and Finnish dairy giant Valio's Research Centre tested 11 strains of bacteria from 6 genera. These included Lactobacillus and Bifidobacterium species which are currently the most common in probiotic products.
Each of the "potentially probiotic' strains of bacteria were used to stimulate a type of immune cell called human peripheral blood mononuclear cells (PBMC). Changes in the types and amounts of cytokines produced by the cells were then closely monitored.
Cytokines are chemical messengers that the immune system uses to coordinate the various immune cells to maintain defences against pathogens and keep things in balance to avoid allergies and autoimmune reactions.
The researchers found that all 11 strains tested induced a cytokine reaction when used alone but in combination they were found to have little or no effect on cytokine production. The most potent bacterial strains were found to be types of Streptococcus (especially S. thermophilus) and Leuconostoc. S. thermophilus is often included in combination probiotic products but rarely by itself.
These findings could be very important as at present a large proportion of probiotics on the market are in the form of combination products which may contain as many as 10 different bacteria.
The researchers said their results provide evidence that different bacterial straisn compete with each other and can cancel out the effects a single strain might have on immune responses.
They also said the results demonstrate that probiotic bacteria have the potential to direct immune responses in a "bacterial genera-specific manner" and explained that this potentially meant that probiotic products could be produced for the prevention and treatment of specific conditions, once further research specific to these conditions has been conducted.
The research represents a new area of investigation as the effects of combination probiotic products on cytokine production in the body is not well understood. The results do not mean however that combination products are not useful however as many clinical trials have used combination products for a range of conditions from digestive disorders to asthma and found them in many cases to be effective.
� 2003-2008 The Environmental Illness Resource
~~~~~~~~
--------------------------------------------- Send posts to [email protected]
Co-Cure's purpose is to provide information from across the spectrum of opinion concerning medical, research and political aspects of ME/CFS and/or FMS. We take no position on the validity of any specific scientific or political opinion expressed in Co-Cure posts, and we urge readers to research the various opinions available before assuming any one interpretation is definitive. The Co-Cure website has a link to our complete archive of posts as well as articles of central importance to the issues of our community. ---------------------------------------------
--------------------------------------------- This is a special digest of Co-Cure Research & Medical posts only
------------------------------
Date: Tue, 25 Mar 2008 19:58:58 +0100 From: Jan van Roijen Subject: res: Individual probiotic bacteria -biggest immune effects (full text)
~~~~~~~~~~~~~~~~~~~~~~~ Send an Email for free membership ~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~: >>>> Help ME Circle <<<< >>>> 25 March 2008 <<<< Editorship : [email protected] Outgoing mail scanned by AVG AV ~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:
Probiotic Leuconostoc mesenteroides ssp. cremoris and Streptococcus thermophilus induce IL-12 and IFN-y production
R World J Gastroenterol 2008 February 28; 14(8): 1192-1203. Kekkonen RA, Kajasto E, Miettinen M, Veckman V, Korpela R, Julkunen I.
Abstract
AIM:
To investigate the capacity of potentially probiotic strains from six bacterial genera to induce cytokine production alone or in combinations in order to identify potential enhancing or synergistic effects in order to select probiotic bacteria for in vivo purposes.
METHODS:
Cytokine production in human peripheral blood mononuclear cells (PBMC) in response to stimulation with eleven different potentially probiotic bacterial strains from Streptococcus, Lactobacillus, Bifidobacterium, Lactococcus, Leuconostoc and Propionibacterium genera was analysed. Production and mRNA expression of TNF-a, IL-12, IFN-g and IL-10 were determined by ELISA and Northern blotting, respectively.
RESULTS:
All tested bacteria induced TNF-a production. The best inducers of Th1 type cytokines IL-12 and IFN-g were Streptococcus and Leuconostoc strains. All Bifidobacterium and Propionibacterium strains induced higher IL-10 production than other studied bacteria. Stimulation of PBMC with any bacterial combinations did not result in enhanced cytokine production suggesting that different bacteria whether gram-positive or gram-negative compete with each other during host cell interactions.
CONCLUSION:
The probiotic S. thermophilus and Leuconostoc strains are more potent inducers of Th1 type cytokines IL-12 and IFN-g than the probiotic Lactobacillus strains. Bacterial combinations did not result in enhanced cytokine production.
Peer reviewer: Dr. Lynne V McFarland, Puget Sound VA, HSR&D, 1100 Olive Street, Suite #1400, Seattle, Washington, WA 98101, United States
INTRODUCTION
Probiotics are defined as living microorganisms that have beneficial effects on human health[1]. Documented health effects in human intervention trials include amelioration of acute diarrhoea in children, reduction of the risk of antibiotic-associated gastrointestinal symptoms, relief of milk allergy/atopic dermatitis in infants, reduction in the risk of atopic diseases and respiratory infections, relief of irritable bowel syndrome and rheumatoid arthritis symp�toms, suppression of H pylori and modulation of the immune response[2-4]. The ways in which probiotic bacteria affect the human immune system in vivo and in vitro are not fully understood. The immunomodulatory effects of probiotic bacteria could be due to the produced cytokines that further regulate innate and adaptive immune responses.
Different leukocyte types cooperate during the activation of innate and adaptive immune responses. In addition to direct cellular contacts the communication between immune cells depends on secreted mediators including cytokines. Bacteria-induced stress produces inflammatory cytokines promoting the activation of antimicrobial immune responses. TNF-a is a potent inducer of many inflammatory molecules including other cytokines[5]. IL-12 produced by activated antigen-presenting cells (APC) enhances the development of Th1 type immune responses and stimulates NK and T cell IFN-g production. All this further enhances cell-mediated Th1 type responses[6]. IL-10 downregulates the inflammatory response and induces an antibody-mediated immune response[7]. In previous studies it has been shown that individual probiotic bacteria can induce the production of TNF-a[8-10], IL-12[11-15], IFN-g[10,11,13,15] and IL-10[9,15-18] in human peripheral blood mononuclear cells (PBMC) in vitro. At present only a limited amount of comparative data is available on the ability of different probiotic strains to induce cytokine production within the same experimental system[9,14-17]. Also, the effect of probiotic bacterial combinations on cytokine production in vitro is not well documented.
Understanding of the cytokine patterns that probiotics elicit may help in designing probiotics for specific preventative or therapeutic purposes. In�formation on the cytokine production induced by different probiotic bacteria and their combinations would enable development and optimal clinical use of these microbes as health promoting substances. In the present study human PBMCs consisting of monocytes, T and B lymphocytes and NK cells, are used for in vitro screening for cytokine production. Cytokine production in response to stimulation with different potentially probiotic strains from six bacterial genera Streptococcus, Lactobacillus, Bifidobacterium, Lactococcus, Leuconostoc and Propionibacterium alone or in combinations is analysed in order to identify potential enhancing or synergistic effects.
MATERIALS AND METHODS
Bacterial strains
Streptococcus pyogenes serotype T1M1 (IH32030) and Escherichia coli (DH5a) were obtained from the collection of National Public Health Institute (Helsinki, Finland). Eleven potentially probiotic strains; Streptococcus thermophilus THS, Lactobacillus rhamnosus GG (ATCC 53103), Lactobacillus rhamnosus Lc705 (DSM 7061), Lactobacillus helveticus 1129, Lactobacillus helveticus Lb 161, Bifidobacterium longum 1/10, Bifidobacterium animalis ssp. lactis Bb12, Bifidobacterium breve Bb99 (DSM 13692), Lactococcus lactis ssp. cremoris ARH74 (DSM 18891), Leuconostoc mesenteroides ssp. cremoris PIA2 (DSM 18892) and Propionibacterium freudenreichii ssp. shermanii JS (DSM 7067), were obtained from Valio Research Centre (Helsinki, Finland). Bacteria were stored in skimmed milk at -70*C and passaged three times (except Bifibobacterium strains which were passaged four times) before they were used in stimulation experiments. S. pyogenes was grown at 37*C under aerobic conditions in sheep blood agar (Oxoid, Ogdensburg, NY, USA) and tryptone-yeast broth supplemented with 2 g/L glucose[19], E. coli at 37*C under aerobic conditions in Luria-medium (National Public Health Institute, Helsinki, Finland), Lactobacillus rhamnosus strains were grown at 37*C under aerobic conditions in de Man, Rogosa and Sharpe (MRS) medium (Lab M, Topley House, Lancashire, UK), Lactobacillus helveticus strains were grown at 42*C under aerobic conditions in MRS medium (Lab M, Topley House), L. mesenteroides was grown at 22*C under aerobic conditions in MRS medium (Lab M, Topley House), Bifidobacterium strains at 37*C under anaerobic conditions in MRS medium (Lab M, Topley House) with 5 g/L cysteine (Merck, Darmstadt, Germany), S. thermophilus at 37*C under aerobic conditions in M17-agar (Lab M, Topley House) with 20 g/L lactose (J.T. Baker B.V., Deventer, Holland) and M17-broth (Difco, Beckton Dickinson, MD, USA) with 20 g/L lactose (J.T. Baker B.V.), P. freudenreichii at 30*C under aerobic conditions in propioni-medium (Valio Ltd, Helsinki, Finland), L. lactis at 22*C under aerobic conditions in calcium citrate agar (Valio Ltd) and M17-broth (Difco) with 20 g/L lactose (J.T. Baker B.V.). For stimulation experiments bacteria were grown to logarithmic growth phase, and the number of bacteria was determined by counting in a Petroff-Hauser counting chamber.
Cell culture
Human PBMC were purified by density gradient centrifugation over a Ficoll-Paque gradient (Amersham-Pharmacia Biotech, Uppsala, Sweden) from freshly collected, leukocyte-rich buffy coats obtained from healthy blood donors (Finnish Red Cross Blood Transfusion Service, Helsinki, Finland)[20]. After washing, the cells were resuspended in RPMI 1640 medium (Sigma, St. Louis, Mo., USA) containing 10% heat-inactivated fetal calf serum (Integro, Zaandam, Holland) and supplemented with
2 mmol/L L-glutamine (Sigma), 100 U/mL penicillin and 100 mg/mL strepto�mycin (Gibco BRL, Paisley, Scotland). In stimulation experiments purified leukocytes (2 � 109 cells/mL) were incubated with bacteria in a final volume of 1 mL in 24-well plates (Nunc, Roskilde, Denmark) in 5% CO2 at 37*C.
Stimulation experiments
All experiments were performed with cells obtained from four different blood donors. During bacterial stimulations PBMCs were maintained in RPMI-1640 medium containing 100 mL/L FCS. Bacteria were added into the cell culture to obtain the required bacteria: host cell ratio. S. pyogenes was used as a positive control and RPMI 1640 containing 100 mL/L FCS as a negative con�trol. Bacterial doses and incubation times are as indicated for each experi�ment. When PBMC were stimulated with a combination of two bacteria or more, equal numbers of different bacteria were used, and the sum bacterial dose of the combinations was 10:1 of a bacteria: host cell ratio. Cell culture supernatants were collected from individual donor cell cultures and stored at -20*C before analysis. For RNA analysis cells from different donors were pooled.
Cytokine specific ELISA
Cell culture supernatants obtained from individual donors were analyzed for cytokine levels by using enzyme-linked immunosorbent assay (ELISA) essentially as previously described[8]. TNF-a and IL-10 were determined with antibody pairs and standards obtained from BD Pharmingen (San Diego, CA, USA). IFN-g and IL-12p70 were determined with Eli-pair kits (BioSite, Tنby, Sweden).
RNA isolation and Northern blotting
For isolation of total cellular RNA, stimulated cells from different donors were pooled, collected, washed with PBS, and lysed in guanidinium isothiocyanate[21], followed by a centrifugation through a CsCl cushion as previously described[22]. RNA was quantified photometrically and samples containing equal amounts (10 mg) of total cellular RNA were size-fractioned on 1% formaldehyde-agarose gels, transferred to Hybond-N nylon membranes (Amersham-Pharmacia-Biotech) and hybridized. To control equal loading, ethidium bromide staining was used. The cDNA probes were human TNF-a (ATCC), IL-12 p40 and p35[23], IFN-g[24] and IL-10 (DNAX, Palo Alto, USA). Hybridizations were performed in a solution containing 500 g/L formamide, 5 � Denhardt's solution, 5 � SSPE and 5 g/L SDS at 42*C. After hybridization membranes were washed three times with 1 � saline sodium citrate/g per L SDS at 42*C for 30 min and once at 65*C for 30 min. Membranes were exposed to Kodak X-Omat AR films (Eastman Kodak, Rochester, NY, USA) at -70*C with intensifying screens.
RESULTS
Bacterial dose-dependent induction of cytokine production in human PBMC
To determine the optimal bacterial dose that can induce cytokine production in human PBMC, cells were stimulated with different doses of live probiotic bacteria (2:1, 10:1 and 50:1 bacteria: cell ratio). Cell culture supernatants were collected at 24 h after stimulation and cytokine levels were determined by ELISA. As shown in Figure 1 all bacteria induced TNF-a production and L. mesenteroides was the most potent inducer. IL-12 and IFN-g were best induced by streptococci and L. mesenteroides. Bifidobacteria induced IL-10 production in a dose-dependent manner, while other probiotic species were weak inducers of IL-10 production (Figure 1). Bacteria: host cell ratio of 10:1 was chosen for more detailed analyses.
Kinetics of cytokine production in probiotic bacteria-stimulated PBMC
Next the kinetics of cytokine production in PBMC using a 10:1 bacterium: host cell ratio was analysed by ELISA. All probiotic bacteria induced TNF-a production by 6 h after stimulation (Figure 2). With S. thermophilus, Lactobacillus strains, B. longum and B. breve maximal TNF-a production levels were reached at 12 h after stimulation (Figure 2). Other measured cytokines were secreted later, and all tested probiotic bacteria induced maximal IL-12, IFN-g and IL-10 production at 24 h after stimulation (Figure 2). There were considerable differences in the ability of studied bacteria to induce cytokine production in PBMC. S. thermophilus and L. mesenteroides were the best inducers of proinflammatory cytokines TNF-a, IL-12 and IFN-g. Anti-inflammatory IL-10 production was induced by all Bifidobacterium strains and P. freudenreichii. All strains of Lactobacillus were weak inducers of IL-10 and Th1 type cytokines.
Those bacteria that were the best inducers of cytokines at the protein level (namely S. thermophilus, B. breve, L. mesenteroides and P. freudenreichii) were selected for more detailed analysis of cytokine mRNA expression as a�nalyzed by Northern blotting. In addition to our positive control S. pyoge�nes, also L. rhamnosus GG that has been extensively studied in vitro by our group and in many clinical trials[2-3] was added for the analysis. Consistent with the kinetics of TNF-a protein production, mRNA expression was fast and de�tectable at 3 h after bacterial stimulation (Figure 3). With all studied bac�te�ria, the kinetics of TNF-a mRNA expression was similar. IL-12 p40, IFN-g and IL-10 genes were induced later than TNF-a and their expression was detectable starting at 9 h after stimulation (Figure 3). S. thermophilus, B. breve and L. mesenteroides induced IL-12 p40 mRNA expression as well as S. pyogenes, a well-known inducer of IL-12 p40 in PBMCs (Figure 3)[11]. S. thermo�philus and L. mesenteroides induced IL-12 p40 mRNA expression at 9 h while P. freu�den�reichii induced the expression only weakly. IL-12 p35 mRNA ex�pres�sion remained under the detection limit (data not shown).
The kinetics of IFN-g mRNA expression differed from that of IL-12 p40. In probiotic bacteria-stimulated PBMCs IFN-g mRNA expression was observed at 9 h after stimulation, and its expression increased until the 24 h time point. L. mesenteroides, S. thermophilus and B. breve, in this rank order were able to induce IFN-g mRNA expression (Figure 3). IL-10 mRNA expression was highest at 9 h after bacterial stimulation persisting until the 24 h time point.
Interestingly, B. breve and P. freudenreichii were able to induce IL-10 mRNA expression already at 3 h after stimulation (Figure 3). The kinetics of probiotic bacteria-induced cytokine mRNA expression was in line with the cytokine secretion (Figures 2 and 3).
Combination effect of probiotic bacteria on cytokine production in human PBMC
The probiotic bacteria and their combinations which have been used in clinical trials, namely L. rhamnosus strains, P. freudenreichii and B. breve[25-28], L. rhamnosus strains, P. freudenreichii, and B. animalis[29,30] and L. rhamnosus strains and P. freudenreichii[31], were used to study whether the effect of probiotic combinations differs from an individual strain. All probiotic combinations induced TNF-a production at the same or lower level as compared to those responses induced by probiotic bacteria alone (Figure 4). IL-12 and IFN-g production induced by all probiotic bacterial combinations was weak (Figure 4). Also the IL-10 production by the probiotic combinations was lower than by individual Bifidobacterium strains (Figure 4) In general; the responses induced by the combinations of probiotic bacteria were an average of responses induced by each bacterium alone (Figure 4). In addition the representatives of the best cytokine inducers in this study, namely S. thermo�philus, Bifidobacterium strains, L. mesenteroides and P. freudenreichii and our controls S. pyogenes and L. rhamnosus GG were analysed for their pos�sible additive and synergistic effects on cytokine production in PBMCs. Two different probiotic bacteria were used simultaneously to stimulate PBMCs for 24 h with a bacteria: host cell ratio of 10:1 and cell culture supernatants were collected for ELISA analysis. None of these probiotic bacterial combinations induced additive or synergistic cytokine production in PBMCs. On the contrary, the responses induced by the combinations were closer to an average of responses induced by the individual bacteria (Figure 5).
Effect of probiotic bacteria together with E. coli on cytokine production in human PBMC
All studied probiotic bacteria are gram-positive and thus likely to use Toll-like receptor (TLR)2-mediated signal transduction pathways in host cells while a gram-negative bacterium E. coli uses TLR4[32]. We did not observe any addi�tive effects on cytokine production induced by the combinations of our gram-positive probiotic bacteria (Figure 5). Since this could be due to our probiotic bacteria engaging the same receptor, we wanted to analyse whether indivi�dual probiotic bacteria combined with E. coli would have an effect on cytoki�ne production.
Probiotic S. thermophilus, Lactobacillus, Bifidobacte�rium, Lac�tococcus, Leu�co�nostoc or Propionibacterium strain and E. coli were combined and cell culture supernatants were collected at 24 h after bacterial stimulation followed by determination of cytokine production by ELISA. E. coli induced TNF-a, IFN-g and IL-10 production, but not that of IL-12 (Figure 6). Stimulation of PBMCs with different combinations of probiotic bacteria together with E. coli lead to the induction of TNF-a production, but the response was an average of re�spon�ses with individual bacteria (Figure 6). E. coli-induced IFN-g production was reduced when it was combined with Lactobacillus strains, P. freuden�rei�chii and B. longum (Figure 6). No enhancement of IL-10 production was seen in cells stimulated with the combinations of E. coli and probiotic bacteria.
DISCUSSION
In this study we have systematically analysed the ability of potentially probio�tic bacterial strains from six different genera; Streptococcus, Lactobacillus, Bifidobacterium, Lactococcus, Leuconostoc and Propionibacterium, to induce cytokine expression in vitro in human PBMC. We show that eleven probiotic strains induce cytokine expression differently and the expression pattern seems to be dependent on the bacterial genera. In addition, stimulation of PBMC with any bacterial combinations, whether gram-positive or gram-negative, does not lead to enhanced cytokine production. Also we report for the first time that novel probiotic S. thermophilus and Leuconostoc strains are more potent inducers of Th1 type cytokines IL-12 and IFN-g than the probiotic Lactobacillus strains presently in clinical use.
Human PBMC offer a model for studying the potential of different probiotic strains to induce cytokine production. In vivo, probiotics are not in direct contact with PBMC. Instead, probiotics interact with the epithelial cells of the gut, and probiotics may be taken up by macrophages, dendritic cells or M-cells at Peyer's patches and this can lead to the activation of lymphocytes such as monocytes residing in Peyer's patches[33]. Since PBMC are a source for monocytes among other immune cells, they provide an adequate model to study the immunological properties of probiotic bacteria. Therefore, in vi�tro bacteria-host cell studies aid in selecting novel probiotic strains for clinical trials.
Our data is consistent with previous studies showing that probiotic bacte�ria are able to induce TNF-a secretion in human PBMC[8,10,11,17]. However, there were considerable differences in the ability of different probiotic bacte�ria to induce IL-12 and IFN-g. Interestingly, Lactobacillus and Bifidobacterium strains which have previously been shown to stimulate IL-12 and IFN-g pro�duction in human PBMC[11-14,17], were in the present study found to be re�la�tively poor inducers of these cytokines. Instead, we found that novel pro�bio�tic S. thermophilus and Leuconostoc strains were extremely good inducers of these Th1 type cytokines. One of the approaches in treating allergy could be tipping the Th1/Th2 balance from Th2 predominance to Th1 type respon�se. In clinical trials L. rhamnosus GG[27,34,35] or a combination of two dif�ferent L. rhamnosus strains, Bifidobacterium and Propionibacterium[28] have been used successfully to prevent atopic diseases.
A strong Th1 type cyto�kine response is also an important factor in the fight against viral infections such as that caused by influenza A virus. Indeed, Lactobacillus strains have been shown to prevent and ameliorate the symp�toms of respiratory infections[36-40]. It is of interest that for example L. rhamnosus GG has been effective in immune mediated diseases even though in the present study we observed that LGG induced very low cytokine pro�duction. This may be due to the fact that cytokine induction is only one of the proposed mechanisms of action for probiotics. Other as important fac�tors may for example be the ability to adhere to the gut epithelium and the promotion of non-immunological gut defence barrier by normalising per�meab�ility and disturbed gut microecology. Since S. thermophilus and Leuconostoc strains used in the present study were extremely potent indu�cers of IL-12 and IFN-g, these strains may show better clinical efficiency in enhancing Th1 response in allergy and in the prevention of respiratory infections than the presently used probiotic Lactobacillus strains.
IL-10 was induced by Bifidobacterium and Propionibacterium strains, whe�reas IL-10 production induced by Streptococcus, Lactobacillus, Lacto�coccus and Leuconostoc strains remained at a low level. Our data is consistent with previous studies in which bifidobacteria were shown to induce higher IL-10 production as compared to lactobacilli[9,16]. The anti-inflammatory actions of IL-10 could be helpful in the treatment of inflammatory conditions or diseases. There is preliminary evidence that probiotics could be used in the treatment of inflammatory diseases like ulcerative colitis, pouchitis and rheumatoid arthritis[2,41]. The amelioration of these inflammatory diseases could be due to the induction of IL-10. Recent studies indicate a possible role of low-grade mucosal inflammation also in the pathogenesis of irritable bowel syndrome[42,43]. Preliminary evidence exists that a combination of probiotics, which included anti-inflammatory Bifidobacterium and Propio�nibacterium strains in addition to two different L. rhamnosus strains, relieves the symptoms of irritable bowel syndrome[25]. Bifidobacterium and Propioni�bacterium which in this study were able to induce anti-inflammatory IL-10 production could thus be used to treat different types of inflammatory diseases.
The use of probiotic bacterial combinations in clinical trials has shown great promise making it important to understand the immunological proper�ties of a single strain versus different bacterial combinations. However, there is only limited amount of comparative data on the immunomodulatory pro�perties of several different probiotic bacterial strains within the same expe�rimental system. Published data is mainly limited to the analysis of the ef�fects of Lactobacillus and Bifidobacterium genera[9,11-13,44]. In the present study combinations of different gram-positive probiotic bacteria did not in�duce any additive or synergistic cytokine production in PBMCs. This could be due to the fact that all gram-positive bacteria are likely to use the same or similar intracellular signal transduction mechanisms to induce cytokine gene expression. Interestingly, no additive or synergistic induction of cytokine pro�duction was seen even when gram-positive probiotic bacterial strains were combined with a gram-negative bacteria, E. coli.
On the contrary, E. coli-indu�ced IFN-g production was reduced when different probiotics were present du�ring the stimulation experiments. Gram-positive and gram-negative bacteria have been shown to induce quite different cytokine production patterns.
In human PBMCs gram-positive bacteria induce TNF-a[8-10], IL-12[11-15] and IFN-g[10,11,13,15] while gram-negative bacteria have preferentially been suggested to induce IL-10 production[14]. Gram-positive bacteria or their structural components activate cells via TLR2, whereas gram-negative bacteria and their major structural component lipopolysaccharide activate host cell via TLR4[32]. It is, however, likely that other receptor systems apart from TLRs take part in host cell responses to different microbes[45]. Our data suggests that different bacteria whether they are gram-positive or gram-negative compete with each other during bacteria-host cell interactions. Therefore, combining gram-positive and gram-negative bacteria to activate the respective TLR2 and TLR4-dependent signalling pathways does not further enhance human PBMC responses. Initial analyses with TLR2 and TLR4 ligand combinations also fail to demonstrate any synergistic enhancement in cytokine production (data not shown).
Our results suggest that probiotic bacteria in a genera-specific way direct immune responses to either the Th1 type or the anti-inflammatory side. Besides providing possible explanations for phenomena observed in clinical trials, this finding might enable pinning down the probiotic bacterial (genera) specific factors contributing to the type of immune response elicited. Understanding of the immunological properties of probiotic bacteria is needed in the development of probiotic bacteria for targeted treatment of different disease conditions.
ACKNOWLEDGMENTS
Professor Heikki Vapaatalo is greatly appreciated for his critical comments on the manuscript, Hannu Kautiainen, BA for helping to create the figures, and Juha Laukonmaa and Tuula Vنhنsِyrinki for their technical assistance in the growth of the bacteria.
COMMENTS
Background and research frontiers
Probiotic bacteria have been used for the prevention and treatment of a diverse range of disorders. However, the ways in which probiotic bacteria elicit their health effects are not fully understood. One of the action mechanisms could be the ability to induce cytokines that further regulate innate and adaptive immune responses.
Innovations and breakthroughs
At present there is only a limited amount of comparative data available on the ability of different probiotic strains to induce cytokine responses within the same experimental system. Also, the effect of probiotic bacterial combinations on cytokine production in vitro is not well documented although bacterial combinations have been used in many clinical trials. In the present study we have analysed the cytokine production of eleven different potentially probiotic strains from six bacterial genera alone or in combinations in human peripheral blood mononuclear cells in order to indentify potential enhancing or synergistic effects.
Applications
We found that probiotic bacteria direct immune responses to either Th1 type or anti-inflammatory way in a bacterial genera-specific manner. The probiotic S. thermophilus and Leuconostoc strains are more potent inducers of Th1 type cytokines IL-12 and IFN-g than the probiotic Lactobacillus strains. Bacterial combinations did not result in enhanced cytokine production. More detailed information on the cytokine patterns that probiotic bacteria elicit may help in designing probiotics for specific preventative or therapeutic purposes.
Terminology
Probiotic bacteria are defined as living microorganisms that have beneficial effects on human health.
Peer review
This paper explores a mechanism of action of probiotics, namely the induction of cytokines by different strains of probiotics. The authors have designed a clear, logical study of different strains, dose-response, time of response and interactions of different probiotic strains. The paper includes an excellent exploration of probiotic mixtures.
REFERENCES
1. FAO/WHO. Guidelines for the evaluation of probiotics in food. Report of a joint FAO/WHO working group on drafting guidelines for the evaluation of probiotics in food. World Health Organization, London Ontario, Canada, 2002: 8. Available from: ftp://ftp.fao.org/es/esn/food/wgreport2.pdf
2. Saxelin M, Tynkkynen S, Mattila-Sandholm T, de Vos WM. Probiotic and other functional microbes: from markets to mechanisms. Curr Opin Biotechnol 2005; 16: 204-211 PubMed
3. Vaarala O. Immunological effects of probiotics with special reference to lactobacilli. Clin Exp Allergy 2003; 33: 1634-1640 PubMed
4. Ezendam J, van Loveren H. Probiotics: immunomodulation and evaluation of safety and efficacy. Nutr Rev 2006; 64: 1-14 PubMed
5. Hehlgans T, Pfeffer K. The intriguing biology of the tumour necrosis factor/tumour necrosis factor receptor superfamily: players, rules and the games. Immunology 2005; 115: 1-20 PubMed
7. Taylor A, Verhagen J, Blaser K, Akdis M, Akdis CA. Mechanisms of immune suppression by interleukin-10 and transforming growth factor-beta: the role of T regulatory cells. Immunology 2006; 117: 433-442 PubMed
8. Miettinen M, Vuopio-Varkila J, Varkila K. Production of human tumor necrosis factor alpha, interleukin-6, and interleukin-10 is induced by lactic acid bacteria. Infect Immun 1996; 64: 5403-5405 PubMed
9. Helwig U, Lammers KM, Rizzello F, Brigidi P, Rohleder V, Caramelli E, Gionchetti P, Schrezenmeir J, Foelsch UR, Schreiber S, Campieri M. Lactobacilli, bifidobacteria and E. coli nissle induce pro- and anti-inflammatory cytokines in peripheral blood mononuclear cells. World J Gastroenterol 2006; 12: 5978-5986 PubMed
10. Shida K, Suzuki T, Kiyoshima-Shibata J, Shimada S, Nanno M. Essential roles of monocytes in stimulating human peripheral blood mononuclear cells with Lactobacillus casei to produce cytokines and augment natural killer cell activity. Clin Vaccine Immunol 2006; 13: 997-1003 PubMed
11. Miettinen M, Matikainen S, Vuopio-Varkila J, Pirhonen J, Varkila K, Kurimoto M, Julkunen I. Lactobacilli and streptococci induce interleukin-12 (IL-12), IL-18, and gamma interferon production in human peripheral blood mononuclear cells. Infect Immun 1998; 66: 6058-6062 PubMed
12. Hessle C, Hanson LA, Wold AE. Lactobacilli from human gastrointestinal mucosa are strong stimulators of IL-12 production. Clin Exp Immunol 1999; 116: 276-282 PubMed
13. Haller D, Blum S, Bode C, Hammes WP, Schiffrin EJ. Activation of human peripheral blood mononuclear cells by nonpathogenic bacteria in vitro: evidence of NK cells as primary targets. Infect Immun 2000; 68: 752-759 PubMed
14. Hessle C, Andersson B, Wold AE. Gram-positive bacteria are potent inducers of monocytic interleukin-12 (IL-12) while gram-negative bacteria preferentially stimulate IL-10 production. Infect Immun 2000; 68: 3581-3586 PubMed
15. Foligne B, Nutten S, Grangette C, Dennin V, Goudercourt D, Poiret S, Dewulf J, Brassart D, Mercenier A, Pot B. Correlation between in vitro and in vivo immunomodulatory properties of lactic acid bacteria. World J Gastroenterol 2007; 13: 236-243 PubMed
16. Lammers KM, Brigidi P, Vitali B, Gionchetti P, Rizzello F, Caramelli E, Matteuzzi D, Campieri M. Immunomodulatory effects of probiotic bacteria DNA: IL-1 and IL-10 response in human peripheral blood mononuclear cells. FEMS Immunol Med Microbiol 2003; 38: 165-172 PubMed
17. Niers LE, Timmerman HM, Rijkers GT, van Bleek GM, van Uden NO, Knol EF, Kapsenberg ML, Kimpen JL, Hoekstra MO. Identification of strong interleukin-10 inducing lactic acid bacteria which down-regulate T helper type 2 cytokines. Clin Exp Allergy 2005; 35: 1481-1489 PubMed
18. Drouault-Holowacz S, Foligne B, Dennin V, Goudercourt D, Terpend K, Burckel A, Pot B. Anti-inflammatory potential of the probiotic dietary supplement Lactibiane Tolerance: in vitro and in vivo considerations. Clin Nutr 2006; 25: 994-1003 PubMed
19. Holm SE, Falsen E. An antigen free medium for cultivation of beta-hemolytic streptococci. Acta Pathol Microbiol Scand 1967; 69: 264-267
20. Pirhonen J, Sareneva T, Kurimoto M, Julkunen I, Matikainen S. Virus infection activates IL-1 beta and IL-18 production in human macrophages by a caspase-1-dependent pathway. J Immunol 1999; 162: 7322-7329 PubMed
21. Chirgwin JM, Przybyla AE, MacDonald RJ, Rutter WJ. Isolation of biologically active ribonucleic acid from sources enriched in ribonuclease. Biochemistry 1979; 18: 5294-5299 PubMed
22. Glisin V, Crkvenjakov R, Byus C. Ribonucleic acid isolated by cesium chloride centrifugation. Biochemistry 1974; 13: 2633-2637 PubMed
23. Gubler U, Chua AO, Schoenhaut DS, Dwyer CM, McComas W, Motyka R, Nabavi N, Wolitzky AG, Quinn PM, Familletti PC. Coexpression of two distinct genes is required to generate secreted bioactive cytotoxic lymphocyte maturation factor. Proc Natl Acad Sci USA 1991; 88: 4143-4147 PubMed
24. Sareneva T, Pirhonen J, Cantell K, Kalkkinen N, Julkunen I. Role of N-glycosylation in the synthesis, dimerization and secretion of human interferon-gamma. Biochem J 1994; 303 (Pt 3): 831-840 PubMed
25. Kajander K, Hatakka K, Poussa T, Farkkila M, Korpela R. A probiotic mixture alleviates symptoms in irritable bowel syndrome patients: a controlled 6-month intervention. Aliment Pharmacol Ther 2005; 22: 387-394 PubMed
26. Myllyluoma E, Veijola L, Ahlroos T, Tynkkynen S, Kankuri E, Vapaatalo H, Rautelin H, Korpela R. Probiotic supplementation improves tolerance to Helicobacter pylori eradication therapy--a placebo-controlled, double-blind randomized pilot study. Aliment Pharmacol Ther 2005; 21: 1263-1272 PubMed
27. Viljanen M, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T, Tuure T, Kuitunen M. Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants: a double-blind placebo-controlled trial. Allergy 2005; 60: 494-500 PubMed
28. Kukkonen K, Savilahti E, Haahtela T, Juntunen-Backman K, Korpela R, Poussa T, Tuure T, Kuitunen M. Probiotics and prebiotic galacto-oligosaccharides in the prevention of allergic diseases: a randomized, double-blind, placebo-controlled trial. J Allergy Clin Immunol 2007; 119: 192-198 PubMed
29. Kajander K, Myllyluoma E, Rajilic-Stojanovic M, Kyronpalo S, Rasmussen M, Jarvenpaa S, Zoetendal EG, de Vos WM, Vapaatalo H, Korpela R. Clinical trial: multispecies probiotic supplementation alleviates the symptoms of irritable bowel syndrome and stabilizes intestinal microbiota. Aliment Pharmacol Ther 2008; 27: 48-57 PubMed
30. Myllyluoma E, Kajander K, Mikkola H, Kyronpalo S, Rasmussen M, Kankuri E, Sipponen P, Vapaatalo H, Korpela R. Probiotic intervention decreases serum gastrin-17 in Helicobacter pylori infection. Dig Liver Dis 2007; 39: 516-523 PubMed
31 Hatakka K, Ahola AJ, Yli-Knuuttila H, Richardson M, Poussa T, Meurman JH, Korpela R. Probiotics reduce the prevalence of oral candida in the elderly--a randomized controlled trial. J Dent Res 2007; 86: 125-130 PubMed
32 Akira S, Uematsu S, Takeuchi O. Pathogen recognition and innate immunity. Cell 2006; 124: 783-801 PubMed
33 McCracken VJ, Lorenz RG. The gastrointestinal ecosystem: a precarious alliance among epithelium, immunity and microbiota. Cell Microbiol 2001; 3: 1-11 PubMed
34 Isolauri E, Arvola T, Sutas Y, Moilanen E, Salminen S. Probiotics in the management of atopic eczema. Clin Exp Allergy 2000; 30: 1604-1610 PubMed
35 Kalliomaki M, Salminen S, Arvilommi H, Kero P, Koskinen P, Isolauri E. Probiotics in primary prevention of atopic disease: a randomised placebo-controlled trial. Lancet 2001; 357: 1076-1079 PubMed
36 Hatakka K, Savilahti E, Pِnkن A, Meurman JH, Poussa T, Nنse L, Saxelin M, Korpela R. Effect of long term consumption of probiotic milk on infections in children attending day care centres: double blind, randomised trial. BMJ 2001; 322: 1-5 PubMed
37 de Vrese M, Winkler P, Rautenberg P, Harder T, Noah C, Laue C, Ott S, Hampe J, Schreiber S, Heller K, Schrezenmeir J. Effect of Lactobacillus gasseri PA 16/8, Bifidobacterium longum SP 07/3, B. bifidum MF 20/5 on common cold episodes: a double blind, randomized, controlled trial. Clin Nutr 2005; 24: 481-491 PubMed
38 Winkler P, de Vrese M, Laue Ch, Schrezenmeir J. Effect of a dietary supplement containing probiotic bacteria plus vitamins and minerals on common cold infections and cellular immune parameters. Int J Clin Pharmacol Ther 2005; 43: 318-326 PubMed
39 Turchet P, Laurenzano M, Auboiron S, Antoine JM. Effect of fermented milk containing the probiotic Lactobacillus casei DN-114001 on winter infections in free-living elderly subjects: a randomised, controlled pilot study. J Nutr Health Aging 2003; 7: 75-77 PubMed
40 Tubelius P, Stan V, Zachrisson A. Increasing work-place healthiness with the probiotic Lactobacillus reuteri: a randomised, double-blind placebo-controlled study. Environ Health 2005; 4: 25 PubMed
41 Jones JL, Foxx-Orenstein AE. The role of probiotics in inflammatory bowel disease. Dig Dis Sci 2007; 52: 607-611 PubMed
42 Chadwick VS, Chen W, Shu D, Paulus B, Bethwaite P, Tie A, Wilson I. Activation of the mucosal immune system in irritable bowel syndrome. Gastroenterology 2002; 122: 1778-1783 PubMed
43 O'Mahony L, McCarthy J, Kelly P, Hurley G, Luo F, Chen K, O'Sullivan GC, Kiely B, Collins JK, Shanahan F, Quigley EM. Lactobacillus and bifidobacterium in irritable bowel syndrome: symptom responses and relationship to cytokine profiles. Gastroenterology 2005; 128: 541-551 PubMed
44 O'Mahony L, O'Callaghan L, McCarthy J, Shilling D, Scully P, Sibartie S, Kavanagh E, Kirwan WO, Redmond HP, Collins JK, Shanahan F. Differential cytokine response from dendritic cells to commensal and pathogenic bacteria in different lymphoid compartments in humans. Am J Physiol Gastrointest Liver Physiol 2006; 290: G839-G845 PubMed
45 Robinson MJ, Sancho D, Slack EC, LeibundGut-Landmann S, Reis e Sousa C. Myeloid C-type lectins in innate immunity. Nat Immunol 2006; 7: 1258-1265 PubMed
Riina A Kekkonen, Riitta Korpela, University of Helsinki, Institute of Biomedicine, Pharmacology, PO Box 63, Helsinki 00014, Finland
Riina A Kekkonen, Riitta Korpela, Valio Ltd, Research Centre,
Meijeritie 4, 00370 Helsinki, Finland
Riina A Kekkonen, Elina Kajasto, Minja Miettinen, Ville Veckman, Ilkka Julkunen,
National Public Health Institute, Department of Viral Diseases and Immunology,
Mannerheimintie 166, Helsinki 00300, Finland
Riitta Korpela,
Foundation for Nutrition Research,
PO Box 30, Valio 00039, Finland
Author contributions: Kekkonen R, Kajasto E, Miettinen M, Korpela R and Julkunen I designed research; Kekkonen R, Kajasto E, Miettinen M and Veckman V performed the experiments; Kekkonen R and Kajasto E analysed data; Kekkonen R, Miettinen M, Korpela R and Julkunen I wrote the paper.
Supported by
The Research Council for Health of the Academy of Finland, the Sigrid Juselius Foundation and Valio Research Centre
Correspondence to: Riina Kekkonen,
Valio Research Centre, Meijeritie 4, Helsinki 00370, Finland. [email protected] Telephone: +358-50-3842571 Fax: +358-10-3813019
Posts: 1173 | From USA | Registered: Nov 2007
| IP: Logged |
"The researchers said their results provide evidence that different bacterial strains compete with each other and can cancel out the effects a single strain might have on immune responses."
This is something I've wondered for a long time. Despite the common wisdom of taking multiple strains I do very well with just 1 strain - anyone else?
Posts: 621 | From US | Registered: Jun 2006
| IP: Logged |
sparkle7
Frequent Contributor (5K+ posts)
Member # 10397
posted
Really interesting! I guess more isn't always better.
I'll this in mind next time I spend a chunk of change on pro-biotics.
I was wondering how some companies that sell yogurt products were able to have claims about their products that the regulate the digestive system or increase immunity, etc...
Posts: 7772 | From Northeast, again... | Registered: Oct 2006
| IP: Logged |
tickled1
Frequent Contributor (1K+ posts)
Member # 14257
posted
Interesting! I only had the brain power to read about 1/3 of that. Did anyone come to a conclusion about which strain would be most beneficial to us Lymies?
Posts: 2541 | From Northeast | Registered: Jan 2008
| IP: Logged |
minoucat
Frequent Contributor (1K+ posts)
Member # 5175
posted
Boosting cytokine production is not necessarily a good thing -- some cytokines are highly pro-inflammatory, and it appears that many lymies have an over-reactive immune system with too much of a cytokine cascade going on, resulting in massive inflammatory response. **************
Here are two more interesting articles about probiotics.
Probiotic Bacterium Prevents Cytokine-induced Apoptosis in Intestinal Epithelial Cells
...The purpose of this paper is to investigate the mechanisms of probiotic beneficial effects on intestinal cell homeostasis. We now report that one such probiotic, Lactobacillus rhamnosus GG (LGG), prevents cytokine-induced apoptosis in two different intestinal epithelial cell models.
(Translation: the probiotic stops cytokines from telling epithelial cells lining the gut to kill themselves)
These observations suggest a novel mechanism of communication between probiotic microorganisms and epithelia that increases survival of intestinal cells normally found in an environment of pro-apoptotic cytokines.
******************* Science Daily ScienceDaily (Feb. 20, 2008) -- The probiotic Lactobacillus substantially cuts the rate and length of respiratory illness in professional long distance runners, reveals a small study. Intensive exercise can subdue the normal immune response, and as a result, some athletes are vulnerable to respiratory viruses, such as colds and flu...
Respiratory symptoms while taking Lactobacillus lasted 30 days compared with 72 days while taking the placebo. Symptoms also tended to be less severe. The probiotic treatment doubled levels of interferon gamma, an important component of the body's immune response.
Probiotics seem to increase systemic immunity, possibly by boosting the activity of T cells, say the researchers.
-------------------- ********************* RECIDITE, PLEBES! Gero rem imperialem! (Stand aside plebians! I am on imperial business.)
cottonbrain
Frequent Contributor (1K+ posts)
Member # 13769
posted
minou, thanks for the article! I wonder if we should be taking only the lactobacillus, then?
fighter, which is the strain that you take? how much do you take? how long have you been taking it?
Posts: 1173 | From USA | Registered: Nov 2007
| IP: Logged |
treepatrol
Honored Contributor (10K+ posts)
Member # 4117
posted
lactobacillus
Acidophilis that explains why everyone around me has colds or had colds and all i have had was a few sniffels.
-------------------- Do unto others as you would have them do unto you. Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.
posted
cottonbrain, I take Lactobacillus GG which is mentioned in one of the articles minoucat posted above. The product is Culturelle (I have no financial interest), each capsule has at least 10 billion cells, and I take 2/day. Sometimes 1.
Whenever I've tried to switch to something cheaper it doesn't work as well. I once tried switching to Theralac and that was about the same for me, though cost more.
I know everyone's different, this is just what works for me even after lots of abx. I suspect the key is to find something good and stick with it so it colonizes well.
Posts: 621 | From US | Registered: Jun 2006
| IP: Logged |
cottonbrain
Frequent Contributor (1K+ posts)
Member # 13769
posted
tree and fighter -- thanks so much for the info. taking just 2 pills a day sounds pretty good.
I aim to find those GGs by culturelle!
Posts: 1173 | From USA | Registered: Nov 2007
| IP: Logged |
The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please send your donations to:
The
Lyme Disease Network of New Jersey 907 Pebble Creek Court,
Pennington,
NJ08534USA http://www.lymenet.org/