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J. Dairy Sci. 88:3455-3459
© American Dairy Science Association, 2005.

Caseinoglycomacropeptide Inhibits Adhesion of Pathogenic Escherichia coli Strains to Human Cells in Culture

J. R. Rhoades1, G. R. Gibson2, K. Formentin3, M. Beer3, N. Greenberg3 and R. A. Rastall1

1 Food and Bioprocessing Sciences Unit and
2 Food Microbial Sciences Unit, School of Food Biosciences, The University of Reading, Reading, UK
3 Novartis Medical Nutrition, Nyon, Switzerland

Corresponding author: R. A. Rastall; e-mail: r.a.rastall{at}rdg.ac.uk.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Caseinoglycomacropeptide (CGMP) derived from {kappa}-casein was investigated for its ability to inhibit the adhesion of 3 strains of verotoxigenic Escherichia coli (VTEC) and 3 strains of enteropathogenic Escherichia coli (EPEC) to human HT29 tissue cell cultures. Effects on adhesion of Desulfovibrio desulfuricans, Lactobacillus pentosus, Lactobacillus casei, Lactobacillus acidophilus, and Lactobacillus gasseri were also investigated. Generally, CGMP exerted effective anti-adhesive properties at a dose of 2.5 mg/mL, albeit with a high degree of strain specificity. The CGMP reduced adhesion of VTEC strains to <50% of the control and reduced adhesion of EPEC strains to between 80 and 10% of the control. The CGMP also reduced the adhesion of L. pentosus and L. casei to 44 and 42%, respectively. A slight but significant reduction of L. acidophilus, to 81%, was observed, but no significant effects were detected with either Dsv. desulfuricans or L. gasseri. Further investigation of the dose response relationships with the E. coli strains gave IC50 values ranging between 0.12 and 1.06 mg/mL.

Key Words: caseinoglycomacropeptide • bacterial adhesion • Escherichia coli • probiotic

Abbreviation key: CGMP = caseinoglycomacropeptide, EPEC = enteropathogenic Escherichia coli, SDMEM = Dulbecco’s modified Eagle’s medium supplemented with 5% (vol/vol) fetal bovine serum and 1% (vol/vol) nonessential amino acid solution, VTEC = verotoxigenic Escherichia coli.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
It is now established that adhesion to host cell surfaces is an essential step for the pathogenesis of certain bacteria, including those that have effects within the human gut. This interaction frequently involves the recognition of one or more host cell receptors by bacterial adhesion (Sharon and Ofek, 2000). These host cell receptors are often cell-surface oligosaccharides (Ofek et al., 2003). Such oligosaccharides can also be conjugated to dairy proteins, a convenient and commercialized form of which is caseinoglycomacropeptide (CGMP; Brody, 2000). As such, if these molecules are present in situ, they may act as decoys for relevant pathogens. There is clearly much potential for a prophylactic approach to infection control by means of incorporating anti-adhesive molecules into the diet with the goal of reducing the adhesion of common gastrointestinal pathogens. However, in vitro laboratory tests are needed to determine the most effective molecules to develop as ingredients and their target strains.

Caseinoglycomacropeptide has been found to inhibit adhesion of Streptococcus sobrinus, Streptococcus sanguis, Streptococcus mutans, and Actinomyces viscosus to erythrocytes and polystyrene surfaces (Neeser et al., 1988). It has also been shown to inhibit binding of cholera toxin to Chinese Hamster ovary cells at concentrations as low as 20 ppm (Kawasaki et al., 1992). Similar activity was observed with binding of E. coli heat-labile enterotoxins LT-I and LT-II to Chinese Hamster ovary cells (Isoda et al., 1990). The feeding of 1 mg of CGMP/d protected 100% of mice against LT-I and protected 80% against LT-II. More recently, CGMP was shown to reduce Escherichia coli-induced diarrhea in infant rhesus monkeys (Brück et al., 2003). The postulated mechanism of effect was an anti-adhesive capacity of the CGMP to E. coli.

In this study, we examined the potential of CGMP to inhibit adhesion of pathogenic strains of E. coli and compared this with similar effects in other selected gut bacteria, including some probiotic lactobacilli.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Microbiological Media and Chemicals
Microbiological media were from Oxoid Ltd., Basingstoke, UK. These were plate count agar, de Man Rogosa Sharpe agar and broth, and maximum recovery diluent. All were prepared according to the manufacturer’s instructions.

Dulbecco’s, Modified Eagle’s Medium with Gluta-max-1 and fetal bovine serum were purchased from GIBCO, Invitrogen Ltd. (Paisley, UK).

The following chemicals were obtained from Sigma-Aldrich Chemical Co. Ltd. (Poole, UK): PBS tablets (pH 7.2 ± 0.2; 0.1 M), nonessential amino acid solution, and Trypsin-EDTA solution [500 N{alpha}-benzoyl-L-arginine ethyl ester (BAEE) units of porcine trypsin and 180 µg of EDTA/mL].

Bacterial Cultures
Nontoxigenic (verotoxigenic) E. coli O157:H7 (VTEC) isolates were obtained from the National Collection of Type Cultures (Colindale, London, UK). Enteropathogenic E. coli (EPEC) isolates were resuscitated from freeze-dried ampules stored at ambient temperature since 1976. These were originally obtained from the Salmonella and Shigella Reference Laboratory [Public Health Laboratory Service (now Health Protection Agency), Colindale, London, UK] and were isolated from infant diarrhea cases. Desulfovibrio desulfuricans strain NCIMB 12833 was obtained from the National Collection of Industrial and Marine Bacteria, United Kingdom. Bacterial isolates were stored at –80°C on cryogenic culture storage beads. Working cultures on slopes of plate count agar in universal bottles were prepared from the beads and stored for up to 1 mo at 4°C. A plate count agar plate was streaked each time the slope cultures were used to confirm culture purity.

Escherichia coli broth cultures for adhesion assays were grown in Dulbecco’s modified Eagle’s medium supplemented with 5% (vol/vol) fetal bovine serum and 1% (vol/vol) nonessential amino acid solution (SDMEM). For each strain, broth was inoculated from a slope culture and incubated anaerobically at 37°C for 18 to 24 h. The overnight culture was then inoculated (1%, vol/vol) into fresh SDMEM and incubated for a further 18 to 24 h under the same conditions. This procedure was repeated once more. On the day of the assay, a 10% (vol/vol) inoculum was placed into prewarmed SDMEM and incubated for 4 h anaerobically at 37°C.

Lactobacilli were grown in de Man, Rogosa, and Sharpe agar and broth and treated for adhesion assay as described previously.

Desulfovibrio desulfuricans was cultured in Postgate’s E medium prepared by combining the following ingredients in a conical flask: 0.5 g of KH2PO4, 1.0 g of NH4Cl, 1.0 g of Na2SO4, 0.51 g of CaCl2, 2.0 g of MgCl2·7H2O, 3.5 g of sodium lactate, 1.0 g of yeast extract, 0.1 g of ascorbic acid, 0.1 g of sodium thioglycollate, 0.5 g of FeSO4·7H2O, and 1 L of tap water. The medium was boiled to dissolve the ingredients and cooled to approximately 50°C. Culture pH was adjusted to 7.6 with 1.0 M NaOH. The medium was re-boiled and transferred immediately to an anaerobic cabinet (80% N2, 10% CO2, 10% H2; 37°C), allowed to cool until hand-hot, and dispensed into Hungate tubes (10 mL per tube). The Hungate tubes were autoclaved at 121°C for 15 min. Postgate’s medium E agar was prepared as described previously but with the addition of 15 g of agar no. 1. Following pH adjustment, the agar medium was dispensed into screw-capped bottles and autoclaved at 121°C for 15 min. The agar was cooled to 50°C and dispensed into Petri dishes. Once set, the agar plates were transferred into the anaerobic cabinet 4 d prior to use. Desulfovibrio desulfuricans was grown on Postgate’s E medium in Hungate tubes anaerobically at 37°C for up to 5 d. Working cultures in Hungate tubes were stored for up to 2 mo at ambient temperature. To prepare cultures for the adhesion assay, 1.0 mL of stock culture was inoculated into a Hungate tube and incubated for 24 h. A 1-mL aliquot was taken from this tube, inoculated into a fresh Hungate tube, and incubated for a further 24 h.

Cell Cultures
The HT29 human colon adenocarcinoma epithelial cells were obtained from the European Collection of Cell Cultures, Center for Applied Microbiology and Research (Porton Down, UK). Cells were grown in 25 cm2 of tissue culture flasks in SDMEM at 37°C in 5% CO2 until approximately 90% confluent, split according to the recommended method of the European Collection of Cell Cultures, and stored in aliquots over liquid nitrogen. These aliquots were used to seed 25-cm2 flasks, which, following growth, were split into 12-well tissue culture plates. The 12-well plates were grown to approximately 90% confluence before being used for the adhesion assays.

Assay Method
Adhesion assays were carried out as follows. A culture of the test strain was prepared as described previously and then diluted to 1:500 in PBS. The viable count of the diluted suspension was determined by spread plating onto plate count agar; decimal dilutions were carried out in maximum recovery diluent as appropriate. The CGMP was dissolved in PBS (2.5 mg/mL) and sterilized by passing through a 0.2-µm syringe filter. The CGMP was further diluted in sterile PBS as required. The SDMEM was aspirated from a 12-well tissue culture plate with near-confluent monolayers of HT29 cells (described previously). The monolayers were then washed by pipetting in 1 mL of sterile PBS per well, swirling by hand, and then aspirating. A 0.5-mL aliquot of CGMP solution was added to a well followed by 0.5 mL of the bacterial suspension in PBS. A control using sterile PBS in place of CGMP solution was prepared. All assays were performed in triplicate. The plates were swirled by hand to mix and then incubated at 37°C aerobically for 2 h.

After incubation, the bacterial suspension was aspirated from the wells. A 1-mL aliquot of PBS was added to each well. The plate was swirled briefly by hand, and the PBS was removed. This washing step was repeated twice more. A 70-µL aliquot of trypsin-EDTA solution was added to each well, the plate was rocked to ensure even coverage, and then was incubated at 37°C for 5 min. A 1-mL aliquot of PBS was then pi-petted into each well, and the pipette was mixed until the monolayer was completely dislodged and clumps were broken up (as determined visually). Bacteria remaining in the well were then enumerated by plate counting on appropriate agar plates with decimal dilutions performed in maximum recovery diluent as required. All plates were incubated at 37°C for 18 to 24 h before colonies were enumerated. Viable counts were calculated for all wells and for the inoculum and were expressed as cfu/mL. For each test, the mean and standard error of the triplicate wells were calculated. Statistical significances were determined by one-way AN-OVA using Minitab version 14.


    RESULTS AND DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
The CGMP was screened for activity against the chosen bacteria at a concentration of 2.5 mg/mL. These results are presented in Table 1Go. The VTEC strains were inhibited to 31 to 51% adhesion relative to the control value. In contrast, serotype variation was evident in the sensitivities of the 3 EPEC serotypes to CGMP with adhesion varying from 4 to 87% of the control value (Table 1Go).


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Table 1. Adhesion of bacteria to HT-29 cells.
 
The CGMP also resulted in a decrease in adhesion of 3 of the 4 lactobacilli tested. Lactobacillus casei and L. pentosus were both reduced to around 40% of the control level of adhesion, and L. acidophilus was reduced by a much lower degree, to 81% of the control value. Lactobacillus gasseri, however, was completely resistant to the anti-adhesive activity of CGMP. The effect of CGMP on the adhesion of probiotic bacteria has not been tested to date and this may have implications for the application of CGMP as a dietary anti-adhesive. For CGMP to exert desirable effects on the gut microflora, the anti-adhesive effect would need to be selective for pathogens and potentially harmful organisms over the desirable probiotic flora.

Desulfovibrio desulfuricans was also investigated in this study, as this organism is known to produce toxic H2S by reduction of dietary sulfate in the colon and is postulated to be involved in the etiology of ulcerative colitis (Pitcher and Cummings, 1996; Willis et al., 1997). However, CGMP did not have any significant effect on adhesion of Dsv. desulfuricans.

The ability of CGMP to inhibit the E. coli strains was further investigated by determining the dose-response relationships and IC50 values, which are presented in Table 2Go. Figures 1Go and 2Go show the dose-response curves for EPEC (with the exception of strain O111:H27, which was not significantly inhibited; Table 1Go), and VTEC strains, respectively. Inhibition was apparent at low concentrations of CGMP, and IC50 values ranged from 0.12 to 1.06 mg/mL. The CGMP displayed good anti-adhesive activity against VTEC strains but had marked strain specificity with the EPEC strains; O111:H27 was virtually unaffected, but, with O128:H12, adhesion was reduced to <5% of the control value.


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Table 2. IC50 values of caseinoglycomacropeptide (CGMP) toward Escherichia coli strains.1
 


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Figure 1. Anti-adhesive activity of caseinoglycomacropeptide (CGMP) against Escherichia coli serotypes O111:H27 (•), O119:H4 ({square}), and O128:H12 ({blacktriangleup}). Error bars indicate standard errors of the means of triplicate assays.

 


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Figure 2. Anti-adhesive activity of caseinoglycomacropeptide (CGMP) against Escherichia coli O157:H7 strains NCTC 12900 (•), NCTC 13127 ({square}), and NCTC 13128 ({blacktriangleup}). Error bars indicate standard errors of the means of triplicate assays.

 
It is clear that CGMP has some potential as a prophylactic anti-adhesive. However, it is also clear that CGMP showed strain-dependent behavior. The reasons for such strain variability are not yet apparent. Caseinoglycomacropeptide carries 3 glycosylation sites with a heterogeneous array of glycans based on a core of Galß1->3GalNAc (Sato and Itoh, 1992). The undecorated core accounts for 6.3% of the glycans and this core can carry N-acetylneuraminic acid residues {alpha}-1 to 3-linked to the galactose (18.4% of glycans), {alpha}-1 to 6-linked to the N-acetylgalactosamine (18.5% of glycans), or at both positions (56% of glycans; Sato and Itoh, 1992). Glycans carrying terminal N-acetylneur-aminic acid residues (commonly referred to as sialic acids) are known to act as receptors for several pathogens, including enterotoxigenic and enteroaggregative E. coli strains (Korhonen et al., 1984; Ofek et al., 2003). Sialic acids have also been implicated in the binding of Lactobacillus casei (Ofek et al., 2003). Other lactoba-cilli have been reported to adhere to mucins (Ofek et al., 2003), but the detailed receptor specificity is unknown. The majority of studies on the inhibition of adhesion of bacteria to human cells by CGMP have utilized single strains of pathogens, and we have an incomplete knowledge of the cellular receptors for different strains of pathogenic bacteria and for probiotic organisms.

Also, the system used here is a model system based on a human colon cancer cell line, and it is conceivable that different results would be obtained with different cell types. Nevertheless, we have demonstrated the biological potential for CGMP to inhibit the binding of pathogenic strains of E. coli, albeit with some concomitant effects on probiotic bacteria.

Received for publication February 14, 2005. Accepted for publication June 7, 2005.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 


Brody, E. P. 2000. Biological activities of bovine glycomacropeptide. Br. J. Nutr. 84:S39–S46.

Brück, W. B., S. Kelleher, G. R. Gibson, K. E. Nielsen, D. E. W. Chatterton, and B. Lünnerdal. 2003. rRNA probes used to quantify the effects of glycomacropeptide and {alpha}-lactalbumin supplementation on the predominant groups of intestinal microflora of infant rhesus monkeys challenged with enteropathogenic Escherichia coli. J. Ped. Gastroenterol. Nutr. 37:273–280.[Medline]

Isoda, H., Y. Kawasaki, M. Tanimoto, S. Dosako, and T. Idota. 1990. Use of compounds containing or binding sialic acid to neutralise bacterial toxins. European Patent 385118.

Kawasaki, Y., H. Isoda, M. Tanimoto, S. Dosako, T. Idota, and K. Ahiko. 1992. Inhibition by lactoferrin and {kappa}-casein glycomacropeptide of binding of cholera toxin to its receptor. Biosci. Biotechnol. Biochem. 56:195–198.[Medline]

Korhonen, T. K., V. Väisänen-Rhen, M. Rhen, A. Pere, J. Parkkinen, and J. Finne. 1984. Escherichia coli fimbriae recognising sialyl galactosides. J. Bacteriol. 159:762–766.[Abstract/Free Full Text]

Neeser, J. R., A. Chambaz, S. D. Vedovo, M. J. Prigent, and B. Guggenheim. 1988. Specific and non-specific inhibition of adhesion of oral actinomyces and streptococci to erythrocytes and polystyrene by caseinoglycopeptide derivatives. Infect. Immun. 56:3201–3208.[Abstract/Free Full Text]

Ofek, I., D. L. Hasty, and R. J. Doyle. 2003. Bacterial Adhesion to Animal Cells and Tissues. ASM Press, Washington, DC.

Pitcher, M. C., and J. H. Cummings. 1996. Hydrogen sulphide: A bacterial toxin in ulcerative colitis? Gut 39:1–4.[Free Full Text]

Sato, T., and T. Itoh. 1992. Variations and distributions of O-glycosidically linked sugar chains in bovine O-casein. J. Dairy Sci. 75:1768–1774.[Abstract]

Sharon, N., and I. Ofek. 2000. Safe as mother’s milk: Carbohydrates as future anti-adhesion drugs for bacterial diseases. Glycoconj. J. 17:659–664.[Medline]

Willis, C. L., J. H. Cummings, G. Neale, and G. R. Gibson. 1997. Nutritional aspects of dissimilatory sulfate reduction in the human large intestine. Curr. Microbiol. 35:294–298.[Medline]


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