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Deciphering the mechanisms of action underlying probiotic properties of Shouchella clausii by a functional genomics approach.
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2025-01-03 DOI: 10.1163/18762891-bja00050
A Lashermes, E Mathieu, L Marinelli, V Léjard, E Dervyn, C Martin-Gallausiaux, M Jules, N Lapaque, J Doré, M-C Multon, D M Greifenberg, M Plomer, Z Righetto, M Perez Iii, H M Blottière

Probiotics are widely used for their health promoting effects, though a lot remain to be discovered, particularly on their mechanisms of action at the molecular level. The functional genomic approach is an appropriate method to decipher how probiotics may influence human cell fate and therefore contribute to their health benefit. In the present work, we focused on Shouchella clausii (formerly named Bacillus then Alkalihalobacillus clausii), a spore-forming bacterium that is commercially available as a probiotic for the prevention and the treatment of intestinal dysbiosis and related gastrointestinal disorders, such as diarrhoea. Several studies have demonstrated that S. clausii treatment modulated inflammatory and immune responses, as well as gut barrier functions. A functional genomic strategy was implemented to decipher the mechanisms by which S. clausii exerts its probiotic effects on human intestinal epithelial cells. To do so, a large genomic DNA fragment library was constructed for each of the four strains: O/C, N/R, SIN and T. A high throughput in vitro screening in human epithelial cells was then conducted, using the reporter gene strategy, targeting the nuclear factor kappa B (NF-κB) pathway and interleukin-10 (IL-10) gene expression. After an exhaustive in vitro screening of approximately a thousand clones per library, several clones modulating the NF-κB pathway in the HT-29 reporter cell line were identified. Among clone lysates, 1.1% (O/C), 1.4% (N/R), 2.0% (SIN), and 1.2% (T) were identified as biologically active on immune reporter systems (NF-κB and IL-10 expression). After transposon mutagenesis and a new set of screening and sequencing, 23 coding sequences (CDS) were identified, including one encoding for the glutamine synthetase, associated with NF-κB modulation, and six CDS for IL-10 modulation. The functional genomic strategy that was applied to S. clausii was an original approach to identify gene candidates that may explain the mechanisms of action of probiotics. However, further work is needed to validate the identified leads.

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引用次数: 0
Bacillus subtilis DE111 partially reverses endothelial dysfunction in western-diet fed mice.
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-03 DOI: 10.1163/18762891-bja00052
B D Risk, E L Graham, M Zhang, Y Wei, G C Stark, G D Brown, C L Gentile, T L Weir

Imbalances in the gut microbiome have emerged as an important factor in endothelial dysfunction, a significant risk factor for cardiovascular disease. Thus, interventions targeting the microbiome may prove helpful in preventing or reversing this impairment. We previously reported that spore-forming Bacillus subtilis DE111 improved endothelial function in a cohort of healthy, non-obese humans after a four-week intervention. Building on these promising results, the present study sought to investigate whether administering B. subtilis DE111 could reverse endothelial dysfunction in mice with diet-induced obesity. Male C57BL/6J mice were fed a Western diet (WD; n = 24) or standard diet (SD; n = 24) for ten weeks to induce endothelial dysfunction, after which half of the animals in each group (n = 12) were allocated to receive B. subtilis DE111 (hereafter, PB) formulated into the diet for an additional eight weeks. Outcomes included endothelial-dependent arterial dilation, glucose tolerance, body weight changes, microbiota profiles, and assessments of intestinal permeability and mucosal immunity markers. Furthermore, a cell culture model of gut barrier function was used to assess the effects of PB on gut barrier integrity. PB treatment significantly attenuated WD-induced mesenteric endothelial-dependent arterial dilation, independent of changes in other cardiometabolic parameters or changes in gut barrier function. In vitro trans-epithelial electrical resistance of the Caco-2 cell culture confirmed that neither PB-conditioned media nor faecal waters from B. subtilis-treated human stool resulted in gut barrier improvements, nor did they protect against inflammation-associated barrier disruptions. Unsurprisingly, microbiota analysis revealed significant differences in Shannon's alpha diversity of WD-fed animals compared to SD. These data suggest that PB consumption significantly attenuated WD diet-induced endothelial dysfunction; however, the underlying mechanisms of this protection were not determined. Improvement in endothelial function was independent of PB-mediated changes to body weight or gut barrier function. Further studies should explore B. subtilis-mediated immune responses or metabolite production as mechanisms underlying these endothelial protective effects.

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引用次数: 0
Multifactorial effects of probiotic Parasutterella excrementihominis on gestational inflammation, offspring behaviour and prenatal-stress induced disruptions in tryptophan metabolism.
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-11-27 DOI: 10.1163/18762891-bja00047
J D Galley, T A Rajasekera, D J Bennouna, A Batabyal, B Verosky, S Woodke, J Stokes, A K Brown, S Murthy, R E Kopec, T L Gur

Prenatal stress (PNS) has widespread effects on offspring, including aberrant immune development and behavioural deficits. The microbiome is a mediator of the dissemination of stress effects to the offspring through immunomodulation and metabolite production. Metabolites derived from the mother and their gut microbiota pass to the foetus and can affect immune and nervous development. Stress affects the abundance of such metabolites, including the tryptophan (Trp) pathway, which are involved in immune and nervous system function. We hypothesized that the PNS is associated with dysregulation of Trp metabolism. We further posited that treatment with a Trp-metaboliser Parasutterella excrementihominis would abrogate PNS-associated deleterious effects on offspring development. To test this hypothesis, pregnant mice were exposed to restraint stress and administered P. excrementihominis (Dam n = 3-9; Offspring n = 5-10). PNS increased maternal gut Trp and both maternal and offspring inflammation. P. excrementihominis treatment reduced the PNS-induced excess pool of maternal gut Trp. Some PNS effects on foetal neuroinflammation were reduced in severity due to handling effects from bacterial gavage. However, P. excrementihominis was anti-inflammatory in dam and offspring and anxiolytic in offspring of Pe-treated dams. These data illustrate that elevated Trp levels are associated PNS and its downstream deleterious offspring inflammatory and behavioural outcomes while P. excrementihominis, a Trp-metabolizer, can ameliorate these effects and improve offspring outcomes.

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引用次数: 0
Deciphering the role of probiotics in mental health: a systematic literature review of psychobiotics.
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-11-27 DOI: 10.1163/18762891-bja00053
A Hussain, N Koser, S M Aun, M F Siddiqui, S Malik, S A Ali

Probiotics are live microorganisms that, when administered in adequate amounts, confer a health benefit to the host. The selection criteria for probiotics include strain safety, viability, tolerance, metabolite production and/or the ability to modulate the immune system. Probiotics are commonly used in industries, such as food, agriculture, medicine, biotechnology, pharmaceuticals, and aquaculture. Recently, the medicinal applications of probiotics have gained attention and are being explored for the prevention and treatment of various diseases. One emerging area of interest is their potential role in psychological disorders. Mental illnesses, characterised by disturbances in behaviour, mood, thinking, and emotions, affect over one billion people globally. While various preventive and treatment options for mental disorders exists, each is associated with certain limitations. A new avenue being explored is the gut-brain axis, a complex bi-directional communication between the gut and the brain, that is facilitated by hormonal, neuronal, humoral, and immunological pathways. This system plays an important role in mental health. Probiotics, as a key modulator of the gut microbiome, could play a vital role in this communication. However, the underlying mechanisms remain to be explored. Probiotics may act through the production of metabolites and neuroactive substances, as well as through immunomodulation and cytokine production. Current data shows promising effects on stress, mood, and depression, presenting probiotics as a potential natural treatment option for psychological disorders. Nevertheless, major limitations in the existing research include insufficient clinical outcomes, limited sample sizes, and variable dosing. Future advancements may be achieved through stratifications based on gut microbiota, the use of next-generation probiotic strains, and the conduct of comprehensive validation studies.

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引用次数: 0
Limosilactobacillus reuteri ameliorates maternal separation stress in newborn mice and alters subsequent adult behaviour. Limosilactobacillus reuteri能改善新生小鼠的母体分离压力,并改变其成年后的行为。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-11-20 DOI: 10.1163/18762891-bja00054
Z M Saleh, B Okeugo, V R Venna, F W Blixt, V A Quaicoe, E S Park, S Giorgberidze, M Luo, C M Taylor, J M Rhoads, Y Liu

Maternal separation (MS) in mice results in behavioral deficits and gut microbiota dysbiosis that all persist into adulthood. Limosilactobacillus reuteri DSM 17938 modulates gut microbiota, alters systemic metabolites, and facilitates immune regulation. To assess the effect of DSM 17938 on biochemical and behavioural stress-associated changes, newborn mice were exposed to unpredictable MS (MSU) daily from day 7 to day 20 of life, with intragastric administration of DSM 17938 or PBS as control. Body weight, brain levels of cholecystokinin (CCK), glial fibrillary acidic protein (GFAP), corticosterone, and stool microbiota were assessed at day 21. Behaviour tests including Y-maze (YMT), Tail Suspension (TST), and Open Field (OFT) were evaluated in adult mice. MSU resulted in a decrease in early postnatal growth, which improved with DSM 17938. Reduced CCK and increased corticosterone brain levels due to MSU were reversed by DSM 17938. GFAP levels increased with MSU, indicating that the decreased brain CCK was likely secondary to neuronal damage. DSM 17938 treated offspring demonstrated better cognitive function and less anxious behaviour in adult behaviour tests. DSM 17398 corrected stress related gut microbial dysbiosis. In conclusion, early life modulation of gut microbiota by DSM 17938 had beneficial effects on stress-associated physical and biochemical changes caused by MS in neonates and on subsequent adult behaviour.

小鼠的母体分离(MS)会导致行为缺陷和肠道微生物菌群失调,这些症状都会持续到成年期。低硅乳酸杆菌(Limosilactobacillus reuteri)DSM 17938能调节肠道微生物群、改变全身代谢物并促进免疫调节。为了评估 DSM 17938 对生化和行为应激相关变化的影响,从出生后第 7 天到第 20 天,每天将新生小鼠暴露于不可预知的 MS(MSU)中,并以 DSM 17938 或 PBS 作为胃内给药对照。在第 21 天评估体重、大脑中胆囊收缩素 (CCK)、神经胶质纤维酸性蛋白 (GFAP)、皮质酮和粪便微生物群的水平。对成年小鼠的行为测试进行了评估,包括Y-迷宫(YMT)、尾悬吊(TST)和开放场地(OFT)。MSU 导致小鼠出生后早期生长速度下降,而使用 DSM 17938 后生长速度有所改善。DSM 17938 可逆转 MSU 导致的 CCK 降低和脑皮质酮水平升高。GFAP水平随MSU的增加而升高,这表明脑CCK的降低可能是继发于神经元损伤。DSM 17938 治疗的后代在成年行为测试中表现出更好的认知功能和更少的焦虑行为。DSM 17398 纠正了与压力有关的肠道微生物菌群失调。总之,DSM 17938 对肠道微生物群的早期调节对新生儿因 MS 引起的应激相关生理和生化变化以及随后的成年行为都有好处。
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引用次数: 0
Aerobic bacterial group as an early-stage biomarker from faecal samples of patients with colorectal cancer without distant metastasis. 从无远处转移的结直肠癌患者粪便样本中提取需氧菌群作为早期生物标记物。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-11-14 DOI: 10.1163/18762891-bja00051
D Lee, K Ahn, K Yun, Y Oh, Y S Park, Y S Kim, J-A Gim, S Mun, J-W Mun, K Han, Y J Ahn

The current approaches for detecting most colorectal polyps and early neoplasms lack sufficient sensitivity and specificity, potentially hindering treatment and ultimately reducing survival rates. Here, we performed a metagenomic analysis to identify microbiome markers in stool samples from patients with early-stage colorectal cancer (CRC). We compared the composition of gut microbiota between patients with CRC and healthy individuals, specifically focusing on patients with early-stage CRC, defined as those without core mutations (KRAS, BRAF) for CRC diagnosis, stable microsatellite instability, and distant metastasis. The aim of our study is to identify potential biomarkers from gut microbiota at different cancer stages in colorectal cancer (CRC) patients through 16S rRNA amplicon sequencing, thereby proposing a novel non-invasive method for the early diagnosis of CRC. Specific microbes were detected from groups divided based on the TNM criteria, with one group classified by tumour size only (named the T group) and another group with lymph node metastasis (named the TN group). Aerobic bacteria, such as Delftia, Stenotrophomonas, Sphingobacterium, Rhodococcus, Devosia, Ensifer, and Psychrobacter were predominantly detected in patients with CRC without lymph node metastasis. The diagnostic prediction was evaluated using the CatBoost algorithm; these microbes presented high diagnostic accuracy with a receiver operating characteristics-area under curve of 0.8, which was validated using qPCR. In conclusion, this study identified specific aerobic microbial groups as non-invasive biomarkers for early diagnosis in patients with CRC without genetic or environmental factors.

目前检测大多数结直肠息肉和早期肿瘤的方法缺乏足够的灵敏度和特异性,可能会阻碍治疗并最终降低生存率。在此,我们进行了元基因组分析,以确定早期结直肠癌(CRC)患者粪便样本中的微生物组标记。我们比较了 CRC 患者和健康人之间的肠道微生物群组成,特别关注早期 CRC 患者,即没有诊断 CRC 的核心突变(KRAS、BRAF)、稳定的微卫星不稳定性和远处转移的患者。我们的研究旨在通过 16S rRNA 扩增子测序,从结直肠癌(CRC)患者不同癌症阶段的肠道微生物群中找出潜在的生物标记物,从而为早期诊断 CRC 提出一种新的无创方法。根据 TNM 标准分为两组,一组仅按肿瘤大小分类(命名为 T 组),另一组按淋巴结转移分类(命名为 TN 组)。在无淋巴结转移的 CRC 患者中主要检测到需氧菌,如 Delftia、Stenotrophomonas、Sphingobacterium、Rhodococcus、Devosia、Ensifer 和 Psychrobacter。使用 CatBoost 算法对诊断预测进行了评估;这些微生物具有很高的诊断准确性,其接收者操作特征曲线下面积为 0.8,并通过 qPCR 进行了验证。总之,这项研究确定了特定需氧微生物群作为非侵入性生物标志物,可用于无遗传或环境因素的 CRC 患者的早期诊断。
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引用次数: 0
Effects of Limosilactobacillus reuteri DSM 17938 in neonates exposed to antibiotics: a randomised controlled trial. 抗生素对新生儿的影响:随机对照试验。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-10-31 DOI: 10.1163/18762891-bja00049
J Lozar Krivec, P Bratina, A Valcl, K Lozar Manfreda, A Petrovčič, E Benedik, T Obermajer, B Bogovič Matijašić, U Šetina, M Rupnik, A Mahnič, D Paro-Panjan

Perinatal antibiotic exposure potentially leads to gut microbiota dysbiosis, which is associated with functional gastrointestinal disorders (FGIDs). We aimed to investigate the effects of Limosilactobacillus reuteri DSM 17938 supplementation on the development of FGIDs, crying and sleep duration, and the gut microbial composition in infants exposed to antibiotics during the neonatal period. In this randomised, double-blind, placebo-controlled study, we included 89 term neonates treated with antibiotics. Neonates received the study product for six weeks. FGIDs, assessed by the Infant Gastrointestinal Symptom Questionnaire, crying and sleep duration were assessed at four and eight weeks, and six months after enrolment. Faecal samples were collected six weeks and twelve months after enrolment. The gut microbial community composition was analysed using 16S amplicon sequencing and qPCR. The proportion of infants with FGIDs was greater in the control group, although the difference between the groups was significant only six months after enrolment. At all time points, the probiotic group presented a longer sleep duration and shorter crying time than the control group, but the difference was not statistically significant. Probiotic consumption had no significant effect on the gut microbiota composition except for increased L. reuteri DSM 17938 abundance in the probiotic group at six weeks after enrolment. At specific time points after supplementation with L. reuteri DSM 17938, a reduction in the prevalence of FGIDs was observed in the probiotic group. However, no observable effect on the gut microbiota was detected during the intervention. We believe that probiotic supplementation in neonates during and after antibiotic treatment to minimise the negative effects of antibiotics on gut function during this vulnerable period of human development warrants further investigation. The trial is registered at ClinicalTrials.gov (NCT02865564).

围产期抗生素暴露可能导致肠道微生物菌群失调,而肠道微生物菌群失调与功能性胃肠道疾病(FGIDs)有关。我们的目的是研究在新生儿期接触抗生素的婴儿中补充柠檬酸嗜酸乳杆菌(DSM 17938)对功能性胃肠失调症的发展、哭闹和睡眠时间以及肠道微生物组成的影响。在这项随机、双盲、安慰剂对照研究中,我们纳入了 89 名接受抗生素治疗的足月新生儿。新生儿接受了为期六周的研究产品治疗。入组后 4 周、8 周和 6 个月时,通过婴儿胃肠道症状问卷评估 FGID、哭闹和睡眠时间。入学后六周和十二个月收集粪便样本。采用 16S 扩增子测序和 qPCR 分析了肠道微生物群落的组成。对照组患 FGID 的婴儿比例更高,但两组间的差异仅在入学六个月后才显著。在所有时间点上,益生菌组都比对照组睡眠时间更长、哭闹时间更短,但差异在统计学上并不显著。服用益生菌对肠道微生物群的组成没有明显影响,只是在入学六周后,益生菌组中的 L. reuteri DSM 17938 丰度有所增加。在补充 L. reuteri DSM 17938 后的特定时间点,观察到益生菌组的 FGID 发病率有所下降。然而,在干预过程中并未发现对肠道微生物群有明显的影响。我们认为,在抗生素治疗期间和治疗后为新生儿补充益生菌,以尽量减少抗生素在人体发育的这一脆弱时期对肠道功能的负面影响,值得进一步研究。该试验已在 ClinicalTrials.gov 上注册(NCT02865564)。
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引用次数: 0
In vitro validation of colon delivery of vitamin B2 through a food grade multi-unit particle system. 通过食品级多单位颗粒系统向结肠输送维生素 B2 的体外验证。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-10-29 DOI: 10.1163/18762891-bja00045
R E Steinert, W Sybesma, R Duss, A Rehman, M Watson, T C van den Ende, E Funda

Colon target delivery of active ingredients is frequently applied in pharmaceutical products. However, in functional food and beverage applications, dietary supplements, and medical nutrition, formats targeting colonic delivery to improve human health are rare. Nevertheless, there is emerging evidence for beneficial effects of colonic delivered nutrients on gut microbiota and host health which increases the demand for sustainable food grade materials that are regulatory approved for application. In this paper, we describe a double layer coated multi-unit particle system (MUPS) with a diameter of approximately 730 microns consisting of food grade materials: shellac as outer layer, alginate as inner layer, cellulose as a core and riboflavin as active ingredient. The suitability of the MUPS for colonic delivery was tested in three well-established in vitro digestion and fermentation models: the USP Apparatus 3 and the TNO Intestinal Models 1 and 2 (TIM-1 and TIM-2). All systems confirmed the integrity of the MUPS under simulated upper gastrointestinal tract conditions with approximately 90% of the active ingredient being released under simulated ileal-colonic conditions. The TIM-2 model also showed the effects of riboflavin loaded MUPS on the microbiome composition with an increase in the production of short-chain fatty acids, acetate and butyrate. The results of these experiments provide a reliable basis for validation of this vitamin-loaded food grade MUPS in future human clinical trials. In addition, following the recent announcement of the European Commission to restrict intentionally added microplastics to products, the materials used in the described formulation offer an environmentally friendly alternative to often applied methyl acrylate based coatings.

活性成分的结肠靶向给药经常被应用于医药产品中。然而,在功能性食品和饮料应用、膳食补充剂和医疗营养品中,针对结肠给药以改善人体健康的形式却很少见。然而,有新的证据表明,通过结肠输送的营养物质对肠道微生物群和宿主健康有益,这就增加了对获得监管部门批准应用的可持续食品级材料的需求。在本文中,我们介绍了一种直径约为 730 微米的双层涂层多单元颗粒系统(MUPS),该系统由食品级材料组成:外层为虫胶,内层为海藻酸盐,核心为纤维素,活性成分为核黄素。在三种成熟的体外消化和发酵模型中测试了 MUPS 的结肠给药适用性:USP Apparatus 3 和 TNO Intestinal Models 1 和 2(TIM-1 和 TIM-2)。所有系统都证实了 MUPS 在模拟上消化道条件下的完整性,在模拟回肠结肠条件下,约 90% 的活性成分被释放出来。TIM-2 模型还显示了核黄素负载 MUPS 对微生物群组成的影响,短链脂肪酸、乙酸盐和丁酸盐的产量有所增加。这些实验结果为在未来的人体临床试验中验证这种富含维生素的食品级 MUPS 提供了可靠的依据。此外,在欧盟委员会最近宣布限制在产品中有意添加微塑料之后,所述配方中使用的材料为经常使用的丙烯酸甲酯涂层提供了一种环保型替代品。
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引用次数: 0
Oral supplementation of heat-killed Enterococcus faecalis strain EC-12 relieves gastrointestinal discomfort and alters the gut microecology in academically stressed students. 口服热处理杀死的粪肠球菌 EC-12 菌株可缓解学业紧张学生的肠胃不适并改变肠道微生态。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-10-29 DOI: 10.1163/18762891-bja00046
J Li, T Terajima, H Liu, S Miyata, J Kambe, Y Makioka-Itaya, R Inoue, Y Yamamoto, K Nagaoka

Stress significantly affects gastrointestinal and mental health, and the gut microbiota plays a pivotal role in this process. Enterococcus faecalis strain EC-12 (EC-12) is a lactic acid bacterium that has several health benefits. To investigate the impact of oral supplementation with heat-killed EC-12 on the discomfort caused by stress, a randomised, double-blind, placebo-controlled trial was conducted with students under academic stress taking EC-12 (n = 14) or a placebo (n = 13) daily for one week. Improvement in the students' symptoms was assessed using the visual analogue scale. Faecal microbiota was characterised by next-generation sequencing of 16S rRNA genes, and faecal metabolites and short-chain fatty acids were analysed using a GC-MS metabolomics approach. Significant improvements in abdominal pain and rumbling of the stomach were found in the EC-12 group compared to the placebo group, but no changes were observed in mental symptoms or salivary cortisol levels. The relative abundance of E. faecalis significantly increased in the EC-12 group after the trial; however, the composition and diversity of the gut microbiota did not change significantly. Functional analysis of the gut microbiota suggested that EC-12 intake alters specific metabolic pathways. Although the levels of faecal short-chain fatty acids did not change between the groups before and after the trial, EC-12 intake altered the composition of faecal metabolites, with a significant increase in tryptamine levels. The ratio of students with improved symptoms to those with increased tryptamine levels was calculated based on the number of students with elevated faecal tryptamine levels who showed symptomatic improvements. The ratio of improved rumbling stomach was higher than that of other types of digestive discomfort. These results suggest that oral supplementation with EC-12 has a potentially beneficial effect on stress-induced gastrointestinal discomfort, which may occur through alterations in gut microbiota composition and metabolism. This study was registered at the University Hospital Medical Information Network Center (UMIN) under the UMIN ID: UMIN000048184.

压力会严重影响肠胃和心理健康,而肠道微生物群在这一过程中发挥着关键作用。粪肠球菌菌株 EC-12 (EC-12)是一种乳酸菌,对健康有多种益处。为了研究口服热杀死的EC-12对压力引起的不适的影响,我们进行了一项随机、双盲、安慰剂对照试验,让学习压力大的学生每天服用EC-12(14人)或安慰剂(13人),持续一周。采用视觉模拟量表评估学生症状的改善情况。通过对 16S rRNA 基因进行下一代测序来确定粪便微生物群的特征,并采用 GC-MS 代谢组学方法分析粪便代谢物和短链脂肪酸。与安慰剂组相比,EC-12 组的腹痛和胃部咕噜声明显改善,但精神症状或唾液皮质醇水平未见变化。试验后,EC-12 组中粪肠球菌的相对丰度明显增加,但肠道微生物群的组成和多样性没有发生显著变化。肠道微生物群的功能分析表明,摄入EC-12会改变特定的代谢途径。虽然试验前后各组之间粪便短链脂肪酸的含量没有变化,但EC-12的摄入改变了粪便代谢物的组成,色胺含量显著增加。根据症状得到改善的粪便色胺水平升高的学生人数,计算出症状得到改善的学生人数与色胺水平升高的学生人数之比。胃部不适症状得到改善的比例高于其他类型的消化道不适症状。这些结果表明,口服EC-12对压力引起的胃肠道不适具有潜在的有益作用,这种作用可能是通过改变肠道微生物群的组成和代谢而产生的。本研究已在大学医院医学信息网络中心(UMIN)注册,注册号为 UMIN ID:UMIN000048184。
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引用次数: 0
Impact of two human milk oligosaccharides and lactose on the faecal microbiome of infants with probable cow's milk allergy. 两种人乳低聚糖和乳糖对可能对牛奶过敏的婴儿粪便微生物群的影响。
IF 3 4区 医学 Q2 MICROBIOLOGY Pub Date : 2024-10-25 DOI: 10.1163/18762891-bja00048
P Van den Abbeele, R G Heine, M Van de Vliet, L Favre, H L P Tytgat, N Sprenger, S Deyaert, A Baudot, S Nutten

Cow's milk protein allergy (CMPA) in infancy is associated with intestinal microbial dysbiosis, characterised by low Bifidobacteriaceae levels. The present study aimed to investigate the impact of two human milk oligosaccharides (HMO), lactose (L), and their combination on the faecal microbiome and metabolome of infants with CMPA. Stool samples of 12 term infants with probable CMPA (mean age 4.3 months) were analysed using a validated intestinal fermentation assay (SIFR® technology). For each substrate (i.e. HMO (2'-fucosyllactose [2'-FL] and lacto-N-neotetraose [LNnT]), L and HMO + L), taxonomic microbiome characterisation and untargeted metabolite profiling were performed at multiple timepoints. At baseline, the tested faecal microbiota overall displayed low abundances of Bifidobacteriaceae. Fermentation with either HMO or lactose significantly enriched Bifidobacterium breve, Bifidobacterium longum, Bifidobacterium pseudocatenulatum and, for HMO + L, also Bifidobacterium bifidum. The increase in HMO-utilising bifidobacteria was associated with a significant rise in levels of short-chain fatty acids, aromatic lactic acids and N-acetylated amino acids, with additive effects being observed for HMO + L. The above data suggest that the combination of 2'-FL, LNnT and lactose helps to alleviate the previously reported CMPA-associated intestinal bacterial dysbiosis and induces the production of several beneficial metabolites. The clinical significance of these findings for infants with CMPA requires further investigation.

婴儿期牛奶蛋白过敏(CMPA)与肠道微生物菌群失调有关,其特征是双歧杆菌含量低。本研究旨在探讨两种人乳低聚糖(HMO)、乳糖(L)及其组合对 CMPA 婴儿粪便微生物组和代谢组的影响。我们使用一种经过验证的肠道发酵测定法(SIFR® 技术)对 12 名可能患有 CMPA 的足月婴儿(平均年龄 4.3 个月)的粪便样本进行了分析。针对每种底物(即 HMO(2'-岩藻酰半乳糖 [2'-FL] 和乳-N-新四糖 [LNnT])、L 和 HMO + L),在多个时间点进行了微生物群分类特征描述和非靶向代谢物分析。在基线时,受测粪便微生物群总体上显示出双歧杆菌的低丰度。用 HMO 或乳糖发酵后,前列双歧杆菌、长双歧杆菌、假双歧杆菌明显增多,HMO + L 发酵时,双歧杆菌也明显增多。HMO 利用型双歧杆菌的增加与短链脂肪酸、芳香族乳酸和 N-乙酰化氨基酸水平的显著上升有关,而 HMO + L 则具有叠加效应。上述数据表明,2'-FL、LNnT 和乳糖的组合有助于缓解之前报道的与 CMPA 相关的肠道细菌失调,并诱导产生多种有益代谢物。这些发现对患有 CMPA 的婴儿的临床意义还需要进一步研究。
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Beneficial microbes
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