Wageningen Academic
P u b l i s h e r s
Beneficial Microbes, 2015; 6(6): 807-815
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Effect of Saccharomyces cerevisiae strain UFMG A-905 in experimental model of
inflammatory bowel disease
F.C.P. Tiago1 , B.A.A. Porto1, N.S. Ribeiro1, L.M.C. Moreira1, R.M.E. Arantes2, A.T. Vieira3, M.M. Teixeira3,
S.V. Generoso4, V.N. Nascimento4, F.S. Martins1 and J.R. Nicoli1*
1Department
of Microbiology, Institute of Biological Sciences, Federal University of Minas Gerais, Avenida Presidente
Antônio Carlos 6627, C.P. 486, Pampulha – Campus UFMG, 31270-901, Belo Horizonte, MG, Brazil; 2Department of
General Pathology, Institute of Biological Sciences, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos
6627, C.P. 486, Pampulha – Campus UFMG, 31270-901, Belo Horizonte, MG, Brazil; 3Department of Biochemistry and
Immunology, Institute of Biological Sciences, Federal University of Minas Gerais, Avenida Presidente Antônio Carlos 6627,
C.P. 486, Pampulha – Campus UFMG, 31270-901, Belo Horizonte, MG, Brazil; 4School of Pharmacy, Federal University of
Minas Gerais, Avenida Presidente Antônio Carlos 6627, C.P. 486, Pampulha – Campus UFMG, 31270-901, Belo Horizonte,
MG, Brazil; jnicoli@icb.ufmg.br
Received: 12 February 2015 / Accepted: 17 June 2015
© 2015 Wageningen Academic Publishers
RESEARCH ARTICLE
Abstract
In the present study, the protective potential of Saccharomyces cerevisiae strain UFMG A-905 was evaluated in a
murine model of acute ulcerative colitis (UC). Six groups of Balb/c mice were used: not treated with yeast and not
challenged with dextran sulphate sodium (DSS) (control); treated with S. cerevisiae UFMG A-905 (905); treated
with the non-probiotic S. cerevisiae W303 (W303); challenged with DSS (DSS); treated with S. cerevisiae UFMG
A-905 and challenged with DSS (905 + DSS); and treated with S. cerevisiae W303 and challenged with DSS (W303
+ DSS). Seven days after induction of UC, mice were euthanised to remove colon for enzymatic, immunological,
and histopathological analysis. In vivo intestinal permeability was also evaluated. An improvement of clinical
manifestations of experimental UC was observed only in mice of the 905 + DSS group when compared to animals
from DSS and W303 + DSS groups. This observation was confirmed by histological and morphometrical data
and determination of myeloperoxidase and eosinophil peroxidase activities, intestinal permeability and some proinflammatory cytokines. S. cerevisiae UFMG A-905 showed to be a potential alternative treatment for UC when
used in an experimental animal model of the disease.
Keywords: Saccharomyces cerevisiae, ulcerative colitis, dextran sulphate sodium, inflammatory bowel disease, probiotic
1. Introduction
In recent decades, much attention has been given to the
normal intestinal microbiota modulation by live microbial
adjuvants called probiotics. Probiotics are defined as live
microorganisms which when administered in adequate
amounts confer health benefits to the host (FAO/WHO,
2002). It is known that a major concern of the World Health
Organization is the search for new therapies that do not
act as strong selective pressure favouring the selection of
pathogens increasingly aggressive and resistant. There
is now a wide variety of bacteria used as probiotics such
as bifidobacteria and lactobacilli. The only commercially
available yeast for worldwide probiotic use in humans is
Saccharomyces cerevisiae var. boulardii, which protects
the intestinal ecosystem against various infectious and
inflammatory disorders (McFarland, 2010; Pothoulakis,
2009), whereas some other S. cerevisiae strains are most
used in animal production.
Studies carried out by Martins et al. (2005, 2007, 2011)
and Generoso et al. (2010) showed that S. cerevisiae
strain UFMG A-905, isolated from ‘cachaça’ production
(local sugar cane spirit), was able to survive and colonise
ISSN 1876-2833 print, ISSN 1876-2891 online, DOI 10.3920/BM2015.0018807
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F.C.P. Tiago et al.
the gastrointestinal tract of conventional and germ-free
mice, respectively, and to protect these animals against
experimental infection by Salmonella enterica subsp.
enterica serovar Typhimurium and Clostridium difficile,
as well as against the consequences of an experimental
intestinal obstruction. The results obtained by Martins
et al. (2010, 2011) and Generoso et al. (2010) suggest
that many of the beneficial effects may be due to an antiinflammatory capacity through the ability of the yeast to
bind the pathogenic bacteria onto its cell surface (Tiago et
al., 2012), but also by the production of soluble extracellular
compound with anti-inflammatory properties. Similar
capacity has been previously described in Saccharomyces
boulardii by Pothoulakis (2009).
Inflammatory bowel disease (IBD) forms a group of
inflammatory conditions of the small and large intestine,
and the major types of IBD are Crohn’s disease (CD)
and ulcerative colitis (UC) (Xavier and Podolsky, 2007).
Although the exact cause of IBD is unknown, an abnormal
inflammatory response and a disrupted mechanism of host
tolerance to the non-pathogenic resident microbiota in a
genetically susceptible host have been proposed (Fiocchi,
2003; Ogura et al., 2001; Sartor, 2006). The fundamental
role of intestinal microbiota in IBD is demonstrated by the
fact that experimental animals remain healthy when raised
in germ-free conditions and only develop the disease after
colonisation with a commensal pathogen-free microbiota
(Kawada et al., 2007). Mesalazine is mainly used for the
treatment of UC but suffers from the drawback of having
poor bioavailability. Faecal microbiota transplantation is
an alternative option with promising results in therapy
for Clostridium difficile infection, but questions remain
regarding its efficacy and safety in IBD patients. On the
other hand, the indication of probiotics in cases of IBD is
based on a series of studies in humans and animals which
also suggest that the intestinal microbiota plays a central
role in the pathogenesis of CD and UC (Damaskos and
Kolios, 2008; Do et al., 2010; Hedin et al., 2007; Sang et al.,
2010). Probiotics, such Escherichia coli Nissle and VSL#3
(Bibiloni et al., 2005) have been suggested as substitute to
mesalazine for maintenance of remission in patients with
UC (Kruis et al., 2004). On the other hand, bacterial genera
frequently used as probiotics, such as Bifidobacterium and
Lactobacillus were increased in active IBD patients and,
for this reason, should be used more cautiously during the
active phase of IBD. Additionally, Sartor (2006) reports that
bacterial probiotics induced an inflammation increase in
the duodenum and colon of animals with colitis, suggesting
that yeasts might be more adequate candidates to be
administrated in these situations as probiotics (Guslandi
et al., 2000, 2003; Steinhart et al., 1996). In relation to the
possible mechanisms of action, probiotics were likely to play
a key role in protecting UC by reducing the inflammatory
factor TNF-α expression through inhibiting the TLR4
expression in the colon tissue (Segain et al., 2000).
808
In the present study, the protective potential of S. cerevisiae
strain UFMG-905 was evaluated in a murine model of acute
UC induced by dextran sulphate sodium (DSS), based on
clinical signals, as well as on enzymatic, immunological,
and histopathological analysis.
2. Materials and methods
Yeasts
S. cerevisiae strain UFMG A-905 belongs to the collection of
Dr. Carlos Augusto Rosa (Departamento de Microbiologia,
Universidade Federal de Minas Gerais, Belo Horizonte,
Brazil). S. cerevisiae W303 was provided by Dr. Ieso Miranda
Castro and Dr. Rogelio Lopes Brandão (Universidade Federal
de Ouro Preto, Ouro Preto, Brazil), and was used as a
negative control for probiotic properties. The yeasts were
grown in YPD (yeast extract 1%, peptone 2% and dextrose
2%) broth during 24 h at 37 °C on a shaker adjusted to 150
rpm. Afterward, the culture was concentrated tenfold by
centrifugation to obtain 9.0 log10 cfu/ml.
Mice
Ten weeks old conventional Balb/c mice of both sexes were
used. Water and commercial autoclavable diet (Nuvital,
Curitiba, Brazil) were sterilised by steam and offered ad
libitum to animals which were maintained in a ventilated
animal caging system (Alesco Ltda., Campinas, Brazil) with
controlled lighting (12 h light, 12 h dark) and temperature
(22.0±0.5 °C). All experimental procedures were carried
out according to the standards set forth by the Brazilian
College for Animal Experimentation (COBEA, 2006). The
study was approved by the Ethics Committee in Animal
Experimentation of the Federal University of Minas Gerais
(CETEA/UFMG).
Experimental design
Sixty conventional animals were divided into the following
six groups (10 mice in each group): (1) not treated with
yeast and not challenged with DSS (control); (2) treated
with S. cerevisiae UFMG-905 (905); (3) treated with S.
cerevisiae W303 (W303); (4) challenged with DSS (DSS);
(5) treated preventively with S. cerevisiae UFMG-905
and challenged with DSS (905 + DSS); and (6) treated
preventively with S. cerevisiae W303 and challenged with
DSS (W303 + DSS). These animals were used for clinical,
enzymatic, immunologic, and histopathological analysis.
For permeability analysis, a second set of the following
groups was used (6 mice per group): control, 905, DSS
and 905 + DSS.
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Treatments
For preventive probiotic treatment, conventional mice
received by oral gavage a daily dose of 0.1 ml containing 9.0
log10 cfu/ml 10 days before challenge, and treatment was
continued during all the remaining experimental infection.
For induction of colitis, mice treated or not with the
yeasts received DSS 3-4% (w/v) (36,000 to 50,000 kDA;
MP Biomedicals, Santa Ana, CA, USA) diluted in water
(filtered and autoclaved) during seven days ad libitum,
and control animals only water before sacrifice. Seven days
post-challenge with DSS, animals of each group were killed
by cervical displacement.
At sacrifice, the colon was removed and analysed for
histological scoring, measurement of myeloperoxidase
(MPO, as indicator of the extent of neutrophil infiltration),
eosinophil peroxidase (EPO, as indicator of the extent
of eosinophil infiltration), as well as for determinations
of some chemokines and cytokines. Samples from colon
were also used for histological and morphometric analysis.
Disease activity index
The daily disease activity index (DAI) assessment was
carried out according to the classic scoring system described
by Cooper et al. (1993) with some modifications. DAI was
based on the cumulative scores (0-10) from three different
parameters: faeces consistency (0 = normal, 1 = soft but
still formed, 2 = very soft, 3 = diarrhoea), presence of blood
in faeces (0 = negative hemoccult, 1 = positive hemoccult,
2 = blood traces visible in faeces, 3 = rectal bleeding) and
weight loss (0 = negative weight loss, 1 = loss from 1 to 5%
of body weight, 2 = 5-10%, 3 = 10-15%, 4 = 15-20%)
Cytokines, chemokines, myeloperoxidase and eosinophil
peroxidase determinations
The concentrations of interferon-gamma (IFN-γ), tumour
necrosis factor alpha (TNF-α), chemokine (C-X-C motif )
ligand 1 (CXCL1/KC) and eotaxin-1 (CCL11) in colon of
mice were measured by ELISA, using commercially available
antibodies and according to the procedures supplied by the
manufacturer (R&D Systems, Minneapolis, MN, USA). The
colon tissue (100 mg) was homogenised in PBS (0.4 M NaCl
and 10 mM NaPO4) containing anti-proteases (0.1 mM
phenylmethylsulphonyl fluoride, 0.1 mM benzethonium
chloride, 10 mM EDTA and 20 kallikrein inhibitor units
of aprotinin A) and 0.05% Tween-20 (100 mg of tissue/
ml of solution). The samples were then centrifuged for 10
min at 3,000×g and the supernatant immediately used for
ELISA assays.
A segment of colon was removed upon dissection, weighed
and immediately flash-frozen. Samples were kept at -70 °C
Beneficial Microbes 6(6)
Effect of yeast probiotic on experimental UC
until determination of MPO concentrations using an ELISA
kit (Cell Sciences, Canton, USA), as described by Arrieta
et al. (2009).
EPO assay was performed as previously described (Strath
et al., 1985). Briefly, 100 mg of colon tissue was weighed,
homogenised in 1.9 ml of phosphate buffered saline (PBS),
and centrifuged at 12,000×g for 10 min. The supernatant
was discarded, and the erythrocytes were lysed. The samples
were then centrifuged, the supernatant discarded, and
the pellet suspended in 1.9 ml of 0.5% hexadecyltrimethyl
ammonium bromide in PBS saline. The samples were frozen
three times in liquid nitrogen and centrifuged at 4 °C at
12,000×g for 10 min. The supernatant was used in the
enzymatic assay. Briefly, o-phenylenediamine (OPD) (10
mg) was dissolved in 5.5 ml distilled water, and then 1.5
ml of OPD solution added to 8.5 ml of Tris buffer (pH 8.0),
followed by the addition of 7.5 µl of H2O2. Using a 96-well
plate, 100 µl of substrate solution was added to 50 µl of
each sample. After 30 min, the reaction was stopped with
50 µl of 1 M H2SO4 and the absorbance read at 492 nm.
Histologic and morphometric analysis
Samples of colon were taken for histological analysis, fixed
in a 4% buffered formalin solution, dehydrated, cleared,
embedded in paraffin, cut into sections of 4-5 µm thick,
stained by hematoxylin and eosin (H&E), and coded and
analysed by optical microscopy by a single pathologist who
was unaware of the experimental conditions for each group.
For morphometric analysis, the images were obtained by a
JVC TK-1270/RGB microcamera (JVC, Wayne, NJ, USA)
and the KS 300 Software built into a Kontron Elektronick/
Carl Zeiss image analyser (Oberkohen, Germany). Lesion
extents in the different groups were determined as the
percentage of colonic lesion length (μm) in relation to the
entire length of the colon. Similarly, oedema area were
determined as the percentage of areas affected by oedema
(μm2) in relation to the total area of the colon.
Permeability assay
To evaluate in vivo intestinal permeability, all mice received
0.1 ml of diethylenetriamine pentaacetic acid (DTPA)
solution labelled with 18.5 MBq of 99mTc by gavage. After 90
min, the animals were anesthetised and 500 µl of blood was
collected and placed in appropriate tubes for radioactivity
determination (Viana et al., 2009). Data were expressed
as % of administrated dose, using the following equation:
% of administrated dose found in blood =
cpm found in blood
× 100
cpm of administrated dose
Where cpm is counts per minute.
809
F.C.P. Tiago et al.
a high percentage of lesions was also observed in the W303
group, but without oedema.
The results were expressed as the average of at least two
independent experiments. Results are shown as mean
± standard error of the mean. Normalised data were
compared by using analysis of variance (ANOVA) followed
by a Student Newmann Keuls post hoc analysis. Results
were considered significant at P<0.05.
Figure 2 shows one of the representative histopathological
aspects of colon of control, DSS, 905 + DSS, W303 and
W303 + DSS groups. Epithelial tissues were clearly
preserved in the colon of mice from control, 905 and 905
+ DSS groups when compared to animals from DSS and
W303 + DSS groups which presented numerous lesions
and degeneration of microvilli. The high percentage of
lesions without oedema, shown in Figures 1B and 1C for
the W303 group, was confirmed in the histopathological
aspects of the colon mucosa of these mice.
3. Results
Figure 1A (and Supplementary Figure S1 for details) shows
that probiotic treatment reduced the daily DAI by day seven
only in the 905 + DSS group (P<0.05). When colitis activity
was assessed as a percentage of colon with lesions (Figure
1B) and oedema area (Figure 1C), a difference was again
observed between mice from the 905 + DSS group and
animals from the DSS and W303 + DSS groups. Curiously,
Daily disease activity index score
10
8
c
6
b
4
2
a
0
1
2
3
4
15
b
a
5
b
a
a
Control
DSS
5
6
7
C
b
b
10
0
Days
B
15
Control
DSS
905
W303
905 + DSS
W303 + DSS
d
905
905 +
DSS
W303
W303 +
DSS
Oedema area
% perimeter of the colon
20
Colonic MPO and EPO activities were measured as
indicators of the extent of neutrophil and eosinophil
infiltration into the mucosa, respectively. After a 7-day
period of induced colitis, MPO and EPO activity was
A
0
Lesion
% perimeter of the colon
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Statistical analysis
10
c
5
a
a
a
0
Control
DSS
905
905 +
DSS
W303
W303 +
DSS
Figure 1. (A) Disease activity index, (B) percentage of lesions and (C) oedema area in the colon of mice not treated with yeast and
not challenged with DSS (control); treated with Saccharomyces cerevisiae UFMG A-905 (905); treated with S. cerevisiae W303
(W303); challenged with DSS (DSS); treated preventively with 905 and challenged with DSS (905 + DSS); and treated with W303
and challenged with DSS (W303 + DSS). a, b, c and d statistically significant difference (P<0.05).
810
Beneficial Microbes 6(6)
Effect of yeast probiotic on experimental UC
Control
DSS
905
DSS + 905
W303
W 303 + DSS
Figure 2. Histopathological aspects of the colon from mice not treated with yeast and not challenged with DSS (control); treated
with Saccharomyces cerevisiae UFMG A-905 (905); treated with S. cerevisiae W303 (W303); challenged with DSS (DSS); treated
preventively with 905 and challenged with DSS (905 + DSS); and treated with W303 and challenged with DSS (W303 + DSS).
Hematoxilin and eosin, 10:100.
higher and similar in all groups challenged with DSS
when compared to the control, except in the 905 + DSS
group (Figures 3A and 3B). However, only the difference
in MPO activities between the DSS and 905 + DSS group
was statistically significant (P<0.0001) (Figure 3A).
To complete the evaluation of the recruitment of neutrophils
and eosinophils to the inflammatory site, levels of CCL11
and CXCL1/KC were determined in the colon (Figures
A
0.6
b
EPO colon D.O. (492 nm)
b
200
a
100
4A and 4B respectively). A significant increase in CXCL1/
KC concentration was observed in the DSS group when
compared to the control and 905 + DSS groups (Figure
4B). Figure 4A shows a significant increase in CCL11 for
all the groups treated with DSS as well as for the W303
group. Figure 4D shows an increase in IFN-γ levels in the
colon of DSS and W303 + 303 animals, which was reduced
to basal level in the 905 + DSS group.
a
a
a
B
0.4
0.2
DS
S
30
3+
DS
S
W
S
DS
90
5+
30
3
W
90
5
ntr
S
DS
S
3+
DS
5+
90
W
30
S
DS
3
W
30
5
90
ntr
ol
Co
ol
0.0
0
Co
300
MPO colon D.O. (450 nm)
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Figure 3. (A) Myeloperoxidase (MPO) and (B) eosinophil peroxidase (EPO) activity levels in the colon of mice not treated with
yeast and not challenged with DSS (control); treated with Saccharomyces cerevisiae UFMG A-905 (905); treated with S. cerevisiae
W303 (W303); challenged with DSS (DSS); treated preventively with 905 and challenged with DSS (905 + DSS); and treated with
W303 and challenged with DSS (W303 + DSS). a and b statistically significant difference (P<0.05).
Beneficial Microbes 6(6)
811
CXCL1/KC pg/100 mg of colon
1.5
1.5
1.0
0.5
b
b
1.0
0.5
a
a
a
0.4
0.2
DS
S
30
3+
DS
S
90
5+
DS
S
30
3
W
D
W
0.8
90
5
Co
ntr
ol
DS
S
W
30
3+
DS
S
90
5+
DS
S
30
3
W
90
5
C
INF-γ pg/100 mg of colon
0.6
0.4
0.2
S
30
3+
DS
S
DS
W
90
5+
S
DS
3
30
W
5
90
ntr
S
W
30
3+
DS
S
90
5+
DS
S
30
W
DS
3
5
90
ol
ntr
Co
ol
0.0
0.0
Co
TNF-α pg/100 mg of colon
B
0.0
0.0
Co
ntr
ol
Eotaxin-1 (CCL 11) pg/100 mg of colon
A
2.0
0.6
Figure 4. (A) CCL11, (B) CXCL1/KC, (C) TNF-α and (D) INF-γ levels in colon of mice not treated with yeast and not challenged with
DSS (control); treated with Saccharomyces cerevisiae UFMG A-905 (905); treated with S. cerevisiae W303 (W303); challenged
with DSS (DSS); treated preventively with 905 and challenged with DSS (905 + DSS); and treated with W303 and challenged with
DSS (W303 + DSS). a and b statistically significant difference (P<0.05).
15
Permeability
(counts per minute/g of blood)
Analysis of in vivo intestinal permeability was performed by
evaluating radioactivity in blood after oral administration
of 99mTc-DTPA. Figure 5 shows an increase in intestinal
permeability in DSS group when compared to the control
group, and a reduction to basal value in the 905 + DSS
group (P<0.05).
b
10
a
5
a
a
S
90
5+
DS
5
90
S
DS
tro
l
0
Co
n
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F.C.P. Tiago et al.
Figure 5. In vivo intestinal permeability of mice not treated
with yeast and not challenged with DSS (control); treated with
Saccharomyces cerevisiae UFMG A-905 (905); challenged with
DSS (DSS); treated preventively 905 and challenged with DSS
(905 + DSS). a and b statistically significant difference (P<0.05).
812
4. Discussion
One of the conventional treatments of patients with IBD is
the use of antibiotics to manipulate the enteric microbiota
and reduce damage to the epithelium. However, the use
of antibiotics has limited value in cases of IBD, except
in special situations, such as fistulae, abscesses, bacterial
overgrowth and pouchitis. Moreover, prolonged use of
antibiotics can cause serious side effects and dramatically
alter the microbiota with undesirable consequences, such
as antibiotic-associated diarrhoea, pseudomembranous
colitis and induction of antimicrobial resistance. Hence, the
use of probiotics would be a more appropriate alternative
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option and the evaluation of candidate microorganisms
for this objective can be done in an experimental animal
model simulating IBD, such as mice challenged with DSS
for UC. The clinical manifestations of UC induced by DSS
include weight loss, diarrhoea, faecal blood (Perse and
Cerar, 2012), acute inflammation of the colon (Vieira et.
Al, 2009), and eventually death (Perse and Cerar, 2012).
Some of these clinical signals were scored and used to
build the daily DAI allowing a determination of the disease
evolution. The yeast UFMG A-905 presents interesting
characteristics to be applied for a probiotic use, promoting
improvement in the clinical manifestations of experimental
UC in a murine model. However, this protective effect was
obtained in a preventive form and this fact reduces the
possible use of viable yeast cells to prophylactic situation,
such as maintenance of remission after a conventional
treatment. Treatment with the yeast S. cerevisiae W303 did
not show any improvement in clinical signs of the disease,
confirming the importance of such negative control, rarely
used in probiotic studies.
Clinical results must be reinforced by histopathological and
morphometric data, such as lesion and oedema extension as
determined in the present work. Our histopathology results
confirmed the data obtained in DAI determination, since
in animals submitted to a DSS-induced colitis a protection
was observed in mice previously treated with the yeast
UFMG A-905 when compared to the DSS group. In these
histopathological images, normal aspect of epithelial tissues
of the colon was observed in control group, whereas animals
from DSS group showed tissues with numerous injuries
and degenerations of microvilli. Treatment with 905 yeast
before DSS challenge led to a significant improvement in
intestinal lesions, and this was confirmed by morphometric
analysis of lesion size and oedema area in the colon which
shows significant reduction between DSS group and 905
+ DSS group. The absence of protection observed in the
DAI evolution of W303 + DSS group was confirmed by
the extense lesions in the colon epithelium of mice treated
with this yeast. Treatment with 905 alone did not cause
damage to the tissue of animals, but some morphometric
data showed lesions in the W303 group (lesion perimeter
in the colon).
It is well known that histopathological changes caused
by DSS-induced colitis, such as those described above,
are accompanied by an infiltration of neutrophils in the
lamina propria and crypt abscesses, providing an intense
inflammation in intestinal mucosa and submucosa
(Kobayashi, 2008; Perse and Cerar, 2012). The results of the
present study showed a higher MPO activity in DSS animals
when compared to the control group. Also a significant
decrease was observed in this MPO activity in the 905 +
DSS group in comparison to the DSS group, suggesting that
the lower neutrophil recruitment caused less damage to
the tissue. Clinical and experimental evidence suggest that
Beneficial Microbes 6(6)
Effect of yeast probiotic on experimental UC
eosinophils play an important role in the interrelationship
between the intestinal microbiota and IBD. Eosinophils
express several pattern recognition receptors (e.g. Toll-like
receptors), allowing them to recognise bacterial antigens
and to produce pro-inflammatory cytokines and EPO,
which have antibacterial properties (Hogan et al., 2012). The
migration of eosinophils to the site of action is conducted
by mechanisms involving chemoattractants, such as CCL11,
which acts by recruiting eosinophils to target sites (Vieira
et al, 2009). In this study, higher levels of EPO and CCL11
in animals with DSS-induced colitis were observed.
Clinical and experimental studies indicate that eosinophils
contribute to the pathogenesis of IBD, however it is
not known how the eosinophilic host response reacts
directly against infection and how this is related to tissue
lesions or repair (Hogan et al., 2013). As expected from
the analysis of MPO activity, the results obtained with
the determination of CXCL1/KC levels in the colon
showed higher values in the group treated with DSS
compared to controls, and the previous treatment with
the 905 yeast reduced this concentration, leading to a
lower recruitment of neutrophils, and preserving the
tissue. Neutrophil recruitment is generally accompanied
by changes in the cytokine concentrations and in colon
characteristics, modifying the permeability of the intestinal
barrier and increased susceptibility to colitis (Danese,
2011; Turner, 2009). In this way, Matricon et al. (2010)
and Perse and Cerar (2012) observed a significant increase
in the expression of TNF-α and IFN-γ in the colon, one
day after treatment with DSS. Probiotics may affect the
mucosal immune system by reducing the production of
intestinal inflammatory cytokines, such as TNF-α and
IFN-γ, by modulating the nuclear factor κB pathway and by
influencing the cross-talk between natural killer cells and
dendritic cells. In the present study, such results were noted
in mice challenged with DSS, which presented an increase
in inflammatory cytokines, whereas in animals treated
with the yeast 905 the concentration in IFN-γ was reduced,
suggesting a probable link with a better preservation of
the epithelial barrier integrity.
The first line of defence against injuries from the intestinal
lumen is the epithelial barrier. Due to its extreme
toxicity, DSS, when used to induce experimental colitis,
damages the integrity of the intestinal epithelial barrier
and increases the permeability, even for large molecules.
Here, the determination of intestinal permeability in
vivo was performed using blood radioactivity measure
after oral administration of 99mTc-DTPA. As expected,
intestinal permeability was increased in the DSS group
when compared to the control group, and physiological
values were obtained back when mice were previously
treated with 905 yeast before the challenge with DSS. The
improvement of intestinal permeability by probiotics has
been documented in several studies, and this effect was
813
http://www.wageningenacademic.com/doi/pdf/10.3920/BM2015.0018 - Monday, November 13, 2017 5:06:58 AM - Göteborgs Universitet IP Address:130.241.16.16
F.C.P. Tiago et al.
apparently linked with an increased expression of ZO-1
in epithelial cells (Zyrek et al., 2007). Vilela et al. (2008)
evaluated the role of S. boulardii ingestion on intestinal
permeability in patients with Crohn’s disease, and results
showed that patients treated with yeast obtained beneficial
results, showing a reversion of the increased intestinal
permeability associated with the pathology. In the present
study, a similar effect was obtained in a murine model when
the treatment with the 905 yeast was performed before the
challenge with DSS.
5. Conclusions
The data obtained with S. cerevisiae UFMG A-905 were
promising for a potential alternative treatment of IBD,
as demonstrated when used preventively in the present
animal experimental model of UC, which showed an
improvement of clinical manifestations (DAI), confirmed by
histological and morphometrical data, as well as by results
from determinations of MPO and EPO activities, intestinal
permeability and some pro-inflammatory cytokines. Studies
on the exact mechanisms responsible for these beneficial
effects are needed for a better use of the yeast and this is
currently carried out in our laboratory.
Supplementary material
Supplementary material can be found online at http://
dx.doi.org/10.3920/BM2015.0018.
Figure S1. Score evolution of three parameters used for
disease activity index calculation: presence of blood in
faeces, faeces consistency and weight loss.
Acknowledgments
The authors are grateful to Clélia N. Silva for valuable
technical help. This work was supported by grants from
Conselho Nacional de Desenvolvimento Científico e
Tecnológico (CNPq) and Fundacão de Amparo à Pesquisa
do Estado de Minas Gerais (FAPEMIG). FCPT was the
recipient of a post-doctoral fellowship from CNPq.
References
Arrieta, M.C., Madsen, K., Doyle, J. and Meddings, J., 2009. Reducing
small intestinal permeability attenuates colitis in the IL10 genedeficient mouse. Gut 58: 41-48.
Bibiloni, R., Fedorak, R.N., Tannock, G.W., Madsen, K.L., Gionchetti, P.,
Campieri, M., De Simone, C. and Sartor, R.B., 2005. VSL#3 probioticmixture induces remission in patients with active ulcerative colitis.
American Journal of Gastroenterology 100: 1539-1546.
COBEA, 2006. Colégio Brasileiro de Experimentação Animal,
Legislação e Ética. Available at: http://www.cobea.org.br/.
814
Cooper, H.S., Murthy, S.N., Shah, R.S. and Sedergran, D.J., 1993.
Clinico-pathologic study of dextran sulfate sodium experimental
murine colitis. Laboratory Investigation 6: 238-249.
Damaskos, D. and Kolios, G., 2008. Probiotics and prebiotics in
inflammatory bowel disease: microflora ‘on the scope’. Bristish
Journal of Clinical Pharmacology 64: 453-467.
Danese, S., 2011. New therapies for inflammatory bowel disease: from
the bench to the bedside. Gut 23: 1-15.
Do, V.T., Baird, B.G. and Kockler, D.R., 2010 Probiotics for maintaining
remission of ulcerative colitis in adults. Annals of Pharmacotherapy
44: 565-571.
Food and Agriculture Organization of the United Nations/World
Health Organization (FAO/WHO), 2002. 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. Available at: http://tinyurl.com/ou88oa2.
Fiocchi, C.,2003. Microbial factors in the pathogenesis of IBD.
Bioscience Microflora 22: 5-14.
Generoso, S.V., Viana, M., Santos, R., Martins, F.S., Machado, J.A.N.,
Arantes, R.M.E., Nicoli, J.R., Correia, M.I.T.D. and Cardoso, V.N.,
2010. Saccharomyces cerevisiae strain UFMG 905 protects against
bacterial translocation, preserves gut barrier integrity and stimulates
the immune system in a murine intestinal obstruction model.
Archives of Microbiology 192: 477-484.
Guslandi, M., Giollo, P. and Testoni, P.A., 2003. A pilot trial of
Saccharomyces boulardii in ulcerative colitis. European Journal of
Gastroenterology and Hepatology 15: 697-698.
Guslandi, M., Mezzi, G., Sorghi, M. and Testoni, P.A., 2000.
Saccharomyces boulardii in maintenance treatment of Crohn’s
disease. Digestive Disease Sciences 45: 1462-1464.
Hedin, C., Whelan, K. and Lindsay, J.O., 2007. Evidence for the use of
probiotics and prebiotics in inflammatory bowel disease: a review
of clinical trials. Proceedings of the Nutrition Society 66: 307-315.
Hogan, S.P., Waddell, A. and Fulkerson P.C., 2013. Eosinophils
in infection and intestinal immunity. Current Opinion in
Gastroenterology 29: 7-14.
Kawada, M., Arihiro, A. and Mizoguchi, E., 2007. Insights from
advances in research of chemically induced experimental
models of human inflammatory bowel disease. World Journal of
Gastroenterology 13: 5581-5593.
Kobayashi, Y., 2008. The role of chemokines in neutrophil biology.
Frontiers in Bioscience 13: 2400-2407.
Kruis, W., Fric, P., Pokrotnieks, J., Lukás, M., Fixa, B., Kascák, M.,
Kamm, M.A., Weismueller, J., Beglinger, C., Stolte, M., Wolff, C.
and Schulze J., 2004. Maintaining remission of ulcerative colitis
with the probiotic Escherichia coli Nissle 1917 is as effective as
with standard mesalazine. Gut 53: 1617-1623.
Martins, F.S., Dalmasso, G., Arantes, R.M.E., Doye, A., Lemichez,
E., Lagadec, P., Imbert, V., Peyron, J.F., Rampal, P., Nicoli, J.R. and
Czerucka, D., 2010. Interaction of Saccharomyces boulardii with
Salmonella enterica serovar Typhimurium protects mice and
modifies T84 cell response to infection. PLoS One 5: 1-12.
Beneficial Microbes 6(6)
http://www.wageningenacademic.com/doi/pdf/10.3920/BM2015.0018 - Monday, November 13, 2017 5:06:58 AM - Göteborgs Universitet IP Address:130.241.16.16
Effect of yeast probiotic on experimental UC
Martins, F.S., Elian, S.D., Vieira, A.T., Tiago, F.C., Martins, A.K., Silva,
F.C., Souza, E.L., Sousa, L.P., Araújo, H.R., Pimenta, P.F., Bonjardim,
C.A., Arantes, R.M., Teixeira, M.M. and Nicoli, J.R., 2011. Oral
treatment with Saccharomyces cerevisiae strain UFMG 905
modulates immune responses and interferes with signal pathways
involved in the activation of inflammation in a murine model of
typhoid fever. International Journal of Medical Microbiology 4:
359-364, 2011.
Martins, F.S., Neves, M.J., Rosa, C.A., Nardi, R.M.D., Penna, F.J.
and Nicoli, J.R., 2005. Comparação de seis produtos probióticos
contendo Saccharomyces boulardii. Revista Brasileira de Medicina
62: 151-155.
Martins, F.S., Rodrigues, A.C.P., Tiago, F.C.P., Penna, F.J., Rosa,
C.A., Arantes, R.M.E., Nardi, R.M.D., Penna, F.J., Neves, M.J. and
Nicoli, J.R., 2007. Saccharomyces cerevisiae strain 905 reduces the
translocation of Salmonella enterica serotype Typhimurium and
stimulates the immune system in gnotobiotic and conventional
mice. Journal of Medical Microbiology 56: 352-359.
Segain, J.P., Raingeard de la Blétière, D., Bourreille, A., Leray, V.,
Gervois, N., Rosales, C., Ferrier, L., Bonnet. C., Blottière, H.M.
and Galmiche, J.P., 2000. Butyrate inhibits inflammatory responses
through NF-kB inhibition: implications for Crohn’s disease. Gut
47: 397-403.
Steinhart, A.H., Hiruki, T., Brzezinski, A. and Baker J.P., 1996.
Treatment of left-sided ulcerative colitis with butyrate enemas:
a controlled trial. Alimentary and Pharmacological Therapy 10:
729-736.
Strath, M., Warren, D.J. and Sanderson, C.J., 1985. Detection of
eosinophils using an eosinophil peroxidase assay. Its use as an
assay for eosinophil differentiation factors. Journal of Immunological
Methods 83: 209-215.
Tiago, F.C.P., Martins, F.S., Souza, E.L.S., Pimenta, P.F., Araujo, H.R.,
Castro, I.M., Brandão, R.L. and Nicoli, J.R., 2012. Adhesion to the
yeast cell surface as a mechanism for trapping pathogenic bacteria
by Saccharomyces probiotics. Journal of Medical Microbiology 61:
1194-1207.
McFarland, L.V., 2010. Systematic review and meta-analysis of
Saccharomyces boulardii in adult patients, World Journal of
Gastroenterology 16: 2202-2222.
Matricon, J., Barnich, N. and Ardid, D., 2010. Immunopathogenesis of
inflammatory bowel disease. Lands Bioscience, 1: 299-309.
Ogura, Y., Bonen, D.K., Inohara, N., Nicolae, D.L., Chen, F.F., Ramos,
R., Britton, H., Moran, T., Karaliuskas, R., Duerr, R.H., Achkar, J.P.,
Brant, S.R., Bayless, T.M., Kirschner, B.S., Hanauer, S.B., Nuñez, G.
and Cho, J.H., 2001. A frameshift mutation in NOD2 associated
with susceptibility to Crohn’s disease. Nature 41: 603-606.
Perše, M. and Cerar, A. 2012. Dextran sodium sulphate colitis mouse
model: traps and tricks. Journal of Biomedicine and Biotechnology
2012: 718617.
Pothoulakis, C., 2009. Review article: anti-inflammatory mechanisms of
action of Saccharomyces boulardii. Alimentary and Pharmacological
Therapy 30: 826-833.
Sang, L.X., Chang, B., Zhang, W.L., Wu, X.M., Li, X.H. and Jiang, M.,
2010. Remission induction and maintenance effect of probiotics on
ulcerative colitis: a meta-analysis. World Journal of Gastroenterology
16: 1908-1915.
Sartor, R.B., 2006. Mechanisms of disease: pathogenesis of
Turner, J.R., 2009. Intestinal mucosal barrier function in health and
disease. Nature Reviews Immunology 9: 700-807.
Viana, M., Santos, R., Generoso, S., Arantes, R., Correia, M. and
Cardoso, V., 2009. Pretreatment with arginine preserves intestinal
barrier integrity and reduces bacterial translocation in mice.
Nutrition 26: 218-233.
Vieira, A.T., Fagundes, C.T., Alessandri, A.L., Castor, M.G., Guabiraba,
R., Borges, V.O., Silveira, K.D., Vieira, E.L., Gonçalves, J.L., Silva,
T.A., Deuruaz, M., Proudfoot, A.E., Sousa, L.P. and Teixeira,
M.M., 2009. Treatment with a novel chemokine-binding protein
or eosinophil lineage-ablation protects mice from experimental
colitis. American Journal of Pathology 175: 2382-2391.
Vilela, E.G., Ferrari, M.L.A., Torres, H.O.G., Martins, F.P., Goulart,
E.M., Lima, A.S. and Cunha A.S., 2008. Influence of Saccharomyces
boulardii on the intestinal permeability of patients with Crohn´s
disease in remission. Scandinavian Journal of Gastroenterology
43: 842-848.
Xavier, R.J. and Podolsky, D.K., 2007. Unravelling the pathogenesis of
inflammatory bowel disease. Nature 448: 427-434.
Zyrek, A.A., Cichon, C., Helms, S., Enders, C., Sonnenborn, U. and
Schmidt, M.A., 2007. Molecular mechanisms underlying the
Crohn’s disease and ulcerative colitis. Nature Clinical Practice
Gastroenterology and Hepatology 3: 390-406.
probiotic effects Escherichia coli Nissle 1917 involve ZO-2 and
PKCζ redistribution resulting in tight junction and epithelial barrier
repair. Cellular Microbiology 9: 804-816.
Beneficial Microbes 6(6)
815
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