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Author Topic: wow -- new study on probiotics
cottonbrain
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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


~~~~~~~~

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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
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>>>> 25 March 2008 <<<<
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Reference:
Individual probiotic bacteria -biggest immune
effects - Help ME Circle, 25 March 2008
http://listserv.nodak.edu/cgi-bin/wa.exe?A2=ind0803d&L=co-cure&T=0&P=2869


~jvr


``````````


From: Frank Twisk


PDF
http://www.wjgnet.com/1007-9327/14/1192.pdf
HTML
http://www.wjgnet.com/1007-9327/14/1192.asp
Abstract
http://www.ncbi.nlm.nih.gov/pubmed/18300344?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum


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.


� 2008 WJG. All rights reserved.


Key words:

Probiotics; Streptococcus; Lactobacillus;
Bifidobacterium; Lactococcus; Leuconostoc;
Propionibacterium; Immune response; Cytokines;
Mononuclear cells


Available from: URL:
http://www.wjgnet.com/1007-9327/14/1192.asp

DOI: http://dx.doi.org/10.3748/wjg.14.1192


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.


Probiotic bacteria-induced cytokine mRNA expression


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

6. Szabo SJ, Sullivan BM, Peng SL, Glimcher
LH. Molecular mechanisms regulating Th1 immune
responses. Annu Rev Immunol 2003; 21: 713-758
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

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ldfighter
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Very interesting, thanks for posting.

"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?

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sparkle7
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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...

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tickled1
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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?
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minoucat
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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.

J. Biol. Chem. 277 (52): 50959-50965
JBC

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.)



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cottonbrain
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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?

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treepatrol
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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.

Newbie Links

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ldfighter
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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.

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cottonbrain
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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!

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