Adhesion of probiotic micro-organisms to intestinal mucus
Introduction
Lactic acid bacteria and other probiotic micro-organisms have many documented health effects (Salminen, Isolauri & Salminen, 1996). When selecting probiotic micro-organisms with beneficial health effects for the host, many criteria have to be met. Among these criteria is the ability to adhere to host tissue (Ouwehand, Kirjavainen, Shortt & Salminen, 1999a). Adhesion to the intestinal mucosa is considered a prerequisite for successful colonisation (Finlay & Falkow, 1997; Doig & Trust, 1993) and is important for immune modulation by the probiotics (Ouwehand et al., 1999a; Famularo, Moretti, Marcellini & De Simone, 1997).
Adhesion of micro-organisms is generally tested with mono-layers of intestinal tissue culture cells. Although this is a valuable method for assessing the adhesive abilities of bacteria to the intestinal mucosa, it does not take into account possible adhesion to the mucus layer covering the epithelial cells in the intestine. The mucus layer has a dual role. It serves as a barrier for adhesion of certain micro-organisms to the underlying epithelium (Freter, 1984; Carlstedt-Duke, 1989), while at the same time it can provide a habitat for the adhesion of others (Nielsen, Schlundt, Gunvig & Jacobsen, 1994; van der Waaij, Limburg, Mesander & van der Waaij, 1996). In the present study, we describe the use of intestinal mucus as a substratum for adhesion studies. The mucus was isolated from subjects of different age to determine the effect of age on adhesion of probiotic bacteria.
It has been shown previously that the composition of the intestinal Lactobacillus population changes in time (Mitsuoka & Hayakawa, 1972; Kimura, McCartney, McConnell & Tanock, 1997). The age of the subject may therefore play a role in the ability of the probiotic strain to adhere and colonise the intestinal mucosa. This in turn can influence the efficacy of the probiotic preparation used. Knowledge about the adhesive properties of the probiotic organisms can therefore give information about its possibility to colonise and modulate the immune system.
The surface hydrophobicity of the tested micro-organisms has been determined in order to test for a possible correlation between this physico-chemical property and the ability to adhere to intestinal mucus as suggested by Wadström, Andersson, Sydow, Axelsson, Lindgren and Gullmar (1987). This would provide an easy and quick method to screen for potential adhesive probiotic strains.
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Micro-organisms and growth conditions
The micro-organisms used and their growth conditions are listed in Table 1. The bacteria were a generous gift from Dr. M. Saxelin (Valio Dairies Ltd, Helsinki, Finland). Saccharomyces boulardii was isolated from Precosa® (Astra, Södertälje, Sweden). All media (3 ml) contained 30 μl of methyl-1,2[]thymidine (6.7 Ci mmol−1; Nen products) to metabolically label the bacteria. Bacteria were harvested by centrifugation (1000×g), washed in HEPES (N-2-hydroxy-ethylpiperazine-N′-2-ethanesulfonic
Mucus characterisation
The results of the mucus characterisation are shown in Table 2. Mucus prepared from 6 month old and adult subjects did not contain detectable amounts of sulphate (<0.05%). The results show that in all mucus preparations little or no H-antigens were present. All mucus preparations show high A-antigen activity and, except for mucus isolated from 6 month old infants, also relatively high B-antigen activity.
The results of the adhesion of the tested probiotic bacteria to intestinal mucus are shown
Discussion
The ability of micro-organisms to adhere is often considered one of the main selection criteria for potential probiotics (Ouwehand et al., 1999a). Adhesion to the intestinal mucosa is thought to be an important property for colonisation by preventing wash-out (Wadström, 1988), especially in the small intestine where flow rates are relatively high (Sanford, 1992). Adhesion to the intestinal mucosa has also been suggested to enhance the ability to stimulate the immune system (Ouwehand et al.,
Acknowledgements
The authors wish to thank P. Gröndal (Finnish Red Cross, Turku) for providing erythrocytes for the blood-group antigen determination. Financial support was obtained from the Academy of Finland.
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