title: Immunomodulatory consequences of oral administration of Lactobacillus rhamnosus strain GG in healthy volunteers.
abstract: Probiotic microorganisms, especially lactic acid bacteria, are effective in the treatment of infectious diarrhoeal diseases and experimental colitis. Although the mechanisms by which these organisms exert their anti-inflammatory effects are largely unknown, immunomodulating effects are suggested. The objective of this study was to examine the effect of a 5-week oral administration of Lactobacillus rhamnosus subspecies GG (Lb. GG) on the cellular immune response to intestinal microorganisms in ten healthy volunteers. Peripheral blood cells (PB) were stimulated with either 'self' or 'non-self' preparations of faecal samples and isolated Bacteroides fragilis group-organisms (Bfg) or Escherichia coli (Esch. coli), and pro- and anti-inflammatory cytokines (IL-10, IL-4, IL-6, IFN-gamma, TNF-alpha) were measured in the culture supernatant. CD4+ T-lymphocyte activation was determined by measurement of intracellular ATP following lysis of the cells. The activational response of CD4+ T-lymphocytes towards isolated and heat-inactivated intestinal organisms was increased after the probiotic treatment. Additionally, TNF-alpha, IL-6 and in part IFN-gamma cytokine secretion by PB cells following stimulation with whole stool preparations and single members of the flora was significantly decreased, whereas the IL-10 and in part IL-4 cytokine secretion was increased at the end of the study. In contrast, the activational response of CD4+ T-lymphocytes following stimulation with whole 'non-self' intestinal flora was higher than by 'self' intestinal flora, but both responses showed a trend towards a reduction at the end of the study. This study documents a direct effect by Lb. GG on the cellular immune system of healthy volunteers and offers a promising tool to investigate systemic immunomodulation due to oral administration of probiotic microorganisms.
authors.affiliation: Department of Internal Medicine I, University of Regensburg, Regensburg, Germany. michael.schultz@klinik.uni-regensburg.de
authors.forename: Michael
authors.initials: M
authors.lastname: Schultz
authors.forename: Hans-Jörg
authors.initials: HJ
authors.lastname: Linde
authors.forename: Norbert
authors.initials: N
authors.lastname: Lehn
authors.forename: Kurt
authors.initials: K
authors.lastname: Zimmermann
authors.forename: Johannes
authors.initials: J
authors.lastname: Grossmann
authors.forename: Werner
authors.initials: W
authors.lastname: Falk
authors.forename: Jürgen
authors.initials: J
authors.lastname: Schölmerich
mesh_terms: D000328:Adult; D001441:Bacteroides fragilis / Q000276:immunology; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology; D017077:Culture Media, Conditioned; D004926:Escherichia coli / Q000276:immunology; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D007111:Immunity, Cellular; D007371:Interferon-gamma / Q000378:metabolism; D016753:Interleukin-10 / Q000378:metabolism; D015847:Interleukin-4 / Q000378:metabolism; D015850:Interleukin-6 / Q000378:metabolism; D007422:Intestines / Q000382:microbiology; D007778:Lactobacillus; D008213:Lymphocyte Activation; D008214:Lymphocytes / Q000276:immunology; D008297:Male; D019936:Probiotics; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D017077:Culture Media, Conditioned; D015850:Interleukin-6; D014409:Tumor Necrosis Factor-alpha; D016753:Interleukin-10; D015847:Interleukin-4; D007371:Interferon-gamma