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* Graduate School of Biosphere Science, Hiroshima University, 1-4-4 Kagamiyama, Higashi-hiroshima, Hiroshima 739-8528, Japan
School of Veterinary Medicine, Azabu University, 1-17-71 Fuchinobe, Sagamihara, Kanagawa 229-8501, Japan
1 Corresponding author: emiyauchi{at}hiroshima-u.ac.jp
| ABSTRACT |
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and in mice with colitis induced by dextran sodium sulfate (DSS). Filter-grown Caco-2 monolayers were used as the intestinal epithelial model. Among the 4 lactobacilli studied, Lactobacillus rhamnosus OLL2838 most effectively suppressed barrier impairment and increased IL-8 secretion induced by tumor necrosis factor-
in Caco-2 cells; however, the conditioned medium from OLL2838 did not show any effect on barrier functions. The in vivo effects of OLL2838 on intestinal epithelial barrier function and colonic inflammation were assessed in DSS-induced colitis of BALB/c mice. Oral treatment with both live and heat-killed OLL2838 suppressed weight loss and recovered colon length. Additionally, barrier function was restored by the administration of live and heat-killed OLL2838 to the DSS-treated animals, which conferred protection against the increase in mucosal permeability associated with DSS-induced colitis. This may at least partially be because of the increased expression of zonula occludens-1 (4.8-fold) and myosin light-chain kinase (3.1-fold) in intestinal epithelial cells isolated from mice of the heat-killed OLL2838 group. Therefore, L. rhamnosus OLL2838 would be useful in the treatment of gastrointestinal diseases such as inflammatory bowel disease.
Key Words: Lactobacillus rhamnosus colitis intestinal barrier myosin light-chain kinase
| INTRODUCTION |
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The host immune system is substantially separated from the microbiota by a layer of epithelial cells whose integrity is maintained by intercellular junctional complexes; for example, tight junctions (TJ). The TJ contains several proteins of which zonula occludens-1 (ZO-1) was the first to be identified. The ZO-1 protein binds to transmembrane proteins such as claudins and occludin and links them to cytoskeletal actin. Marked downregulation of junction proteins has been observed in actively inflamed IBD tissue (Zeissig et al., 2007). This leads to increased TJ permeability and decreased transepithelial resistance (TER) in mice (Poritz et al., 2007). The increased permeability in IBD patients is related to their disease activity and is predictive of relapse after pharmacological and surgical relief from inflammation (Meddings, 2008).
Inflammatory cytokines such as tumor necrosis factor-
(TNF-
) induce intestinal barrier impairment both in vitro and in vivo (Li et al., 2008; Mazzon and Cuzzocrea, 2008). The TNF-
–induced decrease in TER and increase in permeability are associated with downregulation of ZO-1 protein expression and changes in the junctional localization in vitro (Ma et al., 2004). Ma et al. (2005) have also demonstrated that the TNF-
-induced TER decrease is partly mediated by an increase in expression of myosin light-chain kinase (MLCK) protein and its activation in vitro.
Increasing evidence suggests that some probiotic and commensal bacteria ameliorate inflammation in IBD patients (Gionchetti et al., 2007; Soo et al., 2008) and in vitro. This effect is attributed to the following mechanisms: inhibition of TNF-
production (Lin et al., 2008), enhancement of antiinflammatory cytokines such as IL-10 (Smits et al., 2005) and peroxisome proliferator-activated receptor gamma (Kelly et al., 2004), and antimicrobial substance induction (Schlee et al., 2008). Furthermore, certain probiotic and commensal bacteria suppress intestinal barrier impairment in vitro (Resta-Lenert and Barrett, 2006; Miyauchi et al., 2008). However, few studies have demonstrated in vivo that these kinds of bacteria can ameliorate intestinal inflammation by recovering intestinal barrier function.
If it can be demonstrated that lactobacilli help recover intestinal barrier function, then even children could benefit by consuming lactobacilli in affordable food products such as yogurt. Here, we compared the effects of 4 lactobacilli that are frequently used for fermented milk processing on barrier function in vitro. The strain exerting the most potent activity in vitro was evaluated for amelioration of intestinal inflammation by recovering the intestinal barrier function in mice with dextran sodium sulfate (DSS)-induced colitis.
| MATERIALS AND METHODS |
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were purchased from ICN Biomedicals Inc. (Costa Mesa, CA), Corning Costar (Cambridge, MA), Millipore (Bedford, MA), and Wako Pure Chemical Industries Ltd. (Osaka, Japan), respectively. All other chemicals were of reagent grade.
Caco-2 Cells
Caco-2 cells were purchased from the American Type Culture Collection (Rockville, MD). These cells were between 35 and 45 passages. The growth medium contained DMEM with 10% fetal bovine serum, 1% nonessential amino acids, and antibiotics (100 units/mL penicillin, 100 µg/mL streptomycin, and 50 µg/mL gentamycin). The cells were cultured at 37°C under a humidified 5% CO2 atmosphere in 75-cm2 tissue culture flasks to approximately 80% confluence and seeded into a 12-well Transwell cell culture chamber (density, 5 x 104 cells/cm2). After 14 d of culture, TER was measured using a Millicell-ERS instrument. Caco-2 cell monolayers were used when their TER values were greater than 300
/cm2. Wells were placed in cluster plates with an outside medium (basolateral side, 1.5 mL) and an inside medium (apical side, 0.5 mL). The monolayers were replenished with fresh medium every 24 h.
Evaluation of Barrier Function In Vitro
Lactobacillus delbrueckii ssp. bulgaricus no. 3, Lactobacillus casei no. 9, Lactobacillus gasseri no. 10, and Lactobacillus rhamnosus OLL2838 were obtained from Meiji Dairies Corporation (Kanagawa, Japan). Strains no. 3 and no. 9 were isolated from dairy products and raw milk, respectively, whereas no. 10 and OLL2838 were obtained from human feces. They were cultured in de Man, Rogosa, and Sharpe broth (Becton Dickinson, Sparks, MD) and incubated under anaerobic conditions by using AnaeroPack (Mitsubishi Gas Chemical, Tokyo, Japan) at 37°C for 18 h. The culture suspensions were washed with distilled water. Subsequently, the lactobacilli (105 cfu/well) were added to the apical side of the Caco-2 cell monolayers. When adding the conditioned medium, 2 x 105 cfu/mL of the lactobacilli were incubated in DMEM for 48 h; then, the lactobacilli were removed using a 0.22-µm filter and the removal was verified by plating serial dilutions. One hour later, the cells were treated with TNF-
(100 ng/mL) on the basolateral side of the monolayers and cultured for 48 h. After the 48-h incubation, the TER value was measured to assess epithelial barrier function. The basolateral medium was collected, and the IL-8 concentration of the supernatant was measured using a DuoSet sandwich ELISA (R&D Systems, Abingdon, UK; Miyauchi et al., 2008). After removing the supernatant, the Caco-2 cells were scraped and used for SDS-PAGE and Western blotting, as described below. All experiments were performed in triplicate.
SDS-PAGE and Western Blotting
Caco-2 cell monolayers and mice colonic epithelial cells were washed thrice with ice-cold PBS (pH 7.4) and lysed in lysis buffer (25 mM TrisHCl, 150 mM NaCl, 1% Nonidet P-40, 1% sodium deoxycholate, and 1% SDS; pH 7.4). The cell suspensions were sonicated for 30 min using a sonicator (USK-3, As One Corp., Osaka, Japan) and centrifuged at 14,000 x g for 30 min at 4°C to yield a clear lysate. The proteins were then separated using a 7.5% gel and transferred onto blotting membranes (Immobilon P, polyvinylidene fluoride, Millipore). After overnight blocking with PBS (pH 7.4) supplemented with 0.1% Tween-20 and 1% BSA, the blots were incubated with primary (rabbit anti-ZO-1 or mouse anti-MLCK) and secondary antibodies (horseradish peroxidase–conjugated anti-rabbit or anti-mouse IgG, as appropriate) for 1 h each at room temperature. Anti-ZO-1 antibody was obtained from Zymed Labs (San Francisco, CA); anti-MLCK antibody and horseradish peroxidase–conjugated anti-mouse IgG were obtained from Sigma-Aldrich (St Louis, MO); and horseradish peroxidase–conjugated anti-rabbit IgG was obtained from Kirkegaard & Perry Lab (Baltimore, MD). To confirm equal loading, the blots were reprobed with rat anti-
-tubulin antibody (Chemicon International, CA). The proteins were visualized using chemiluminescence (GE Healthcare, Buckinghamshire, UK) and exposed to x-ray film (Fujifilm, Kanagawa, Japan). Band densities were read using Scion Image Software (Scion, Frederick, MD), and standardized with
-tubulin.
Animal Studies
BALB/c mice (female, 6-wk-old) were purchased from Charles River Japan (Kanagawa, Japan) and housed in an air-conditioned room under a 12-h light-dark cycle. The mice were provided ad libitum access to tap water and a standard diet (MF; Oriental Yeast, Tokyo, Japan). The experimental protocols were approved by the Animal Care Committee, Graduate School of Biosphere Science, Hiroshima University, Japan. Acute colitis was induced in mice by adding 3.5% (wt/vol) DSS (molecular weight, 36,000–50,000; MP Biomedicals, Aurora, OH) to their drinking water for 5 d.
Animal studies were conducted using the species with the highest barrier-recovering activity in vitro among the 4 species tested. Animals were randomly separated into 4 groups (n = 3 or n = 4). Group 1 (normal group) mice were treated orally with PBS from d 1 to 3; group 2 (control group) mice received drinking water with 3.5% DSS and were orally administered PBS. Groups 3 and 4 also received drinking water with 3.5% DSS and 24 h after the start of DSS administration, mice were orally administered 107 cfu/d of live or heat-killed lactobacilli for 3 consecutive days. The heat-killed bacteria were prepared by heating to 75°C for 1 h followed by lyophilization. The animals BW were measured daily. The mice were killed under anesthesia with diethyl ether on d 5. The entire colon was removed from the cecum to the anus and its length was measured as a marker of inflammation.
Tissue Myeloperoxidase Activity
Myeloperoxidase activity was measured in the distal colon segments. Samples were rinsed with cold PBS, blot dried, and immediately frozen in liquid nitrogen and stored at –80°C until assay for activity by the o-dianisidine method (Gebska et al., 2005; Krieglstein et al., 2007). For the assay, tissue samples were thawed and weighed, suspended (10% wt/vol) in 50 mM potassium phosphate buffer (pH 6.0) containing 0.5% hexadecyltrimethylammonium bromide, and then homogenized. The homogenate was centrifuged at 14,000 x g for 10 min at 4°C. The reaction was initiated by mixing and incubating the supernatant (50 µL) at 20°C for 10 min with a solution composed of 1,420 µL of 50 mM potassium phosphate, 15 µL of 20 mg/mL o-dianisidine dihydrochloride, and 15 µL of 20 mM hydrogen peroxide. After 5 min, the reaction was terminated by adding 10 µL of 2% sodium azide. The change in absorbance was read at 460 nm in a spectrophotometer. Myeloperoxidase activity was expressed as the amount of enzyme necessary to produce a change in absorbance of 1.0 unit/min per gram of tissue (wet weight).
In Vivo Intestinal Permeability
Intestinal permeability was examined by the method of Cario et al. (2007) with some modifications. Briefly, on d 5, mice were gavaged with 0.6 mg/g of BW of fluorescein isothiocyanate (FITC)-labeled dextran (mol wt, 4,000). The amount of FITC-labeled dextran in the blood was determined 4 h later by measuring fluorescence intensity with a spectrophotofluorometer (Nihon Bunko, FP-750, Tokyo, Japan) at excitation and emission wavelengths of 495 nm and 520 nm, respectively.
Isolation of Mouse Colonic Epithelial Cells
On d 5, the mice were killed under anesthesia with diethyl ether, and the distal colon (5 cm before the anus) was removed. Colonic epithelial cells were partially purified by the method of Lee et al. (2006) with some modifications. Briefly, the whole colon was washed with PBS, minced, washed thrice in PBS containing 1 mM dithiothreitol, and incubated in Hanks balanced salt solution containing 5 mM EDTA and 0.1 mM dithiothreitol for 1 h at 37°C. The sample was shaken vigorously to detach epithelial cells and crypts, which were then collected from the supernatant after allowing the large tissue pieces to settle to the bottom of the tube. The collected cells and crypts were centrifuged at 800 x g for 5 min and washed thrice in PBS. The pellet was subjected to SDS-PAGE and analyzed by Western blotting with anti-ZO-1 or anti-MLCK, as described earlier.
Data Analyses
All data are expressed as the means ± standard error. Statistical analysis was performed using one-way ANOVA followed by Tukeys post-hoc test.
| RESULTS |
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–Induced Barrier Impairment in Caco-2 Cells
in the human epithelial Caco-2 cells and evaluated by measuring the TER value. The effects of live L. delbrueckii no. 3, L. casei no. 9, L. gasseri no. 10, and L. rhamnosus OLL2838 on TNF-
-induced changes in TJ barrier function (TER) and the level of IL-8, one of the major proinflammatory cytokines, were studied. Because these effects were most prominent when the Caco-2 cells were incubated with 105 cfu/well of live lactobacilli, all the experiments were carried out at this bacterial count. Figure 1A shows that TNF-
treatment decreased TER. However, pretreatment with OLL2838 significantly suppressed the TNF-
–induced decrease in TER. On the other hand, the effects of L. delbrueckii no. 3, L. casei no. 9, and L. gasseri no. 10 were rather weak, with no significant differences between the TER values of the control and these 3 strains. As shown in Figure 1B, TNF-
treatment also induced a remarkable increase in the production of IL-8 in Caco-2 cells. The OLL2838 strain significantly suppressed TNF-
–induced IL-8 production, and the other lactobacilli suppressed IL-8 production to some extent.
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-tubulin antibody. Tumor necrosis factor-
drastically decreased ZO-1 expression and increased MLCK expression. However, OLL2838 markedly increased ZO-1 levels and decreased MLCK levels. Therefore, we confirmed that OLL2838 suppressed TJ barrier impairment in the in vitro model.
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–treated Caco-2 cells (Figure 3B), MLCK expression in the colonic epithelium of DSS-induced colitis mice diminished during barrier impairment (Figure 6C). Both live and heat-killed OLL2838 recovered the MLCK level. | DISCUSSION |
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–induced barrier impairment in Caco-2 cells and DSS-induced colitis in mice. Several groups have reported similar effects of L. rhamnosus GG in vitro (Zhang et al., 2005; Choi et al., 2008; Seth et al., 2008) and in IBD patients (Zocco et al., 2006). However, we compared the antiinflammatory activity among 4 lactobacilli used in fermented milk food production and demonstrated the barrier-recovering activity of OLL2838 in vivo.
As compounds responsible for this antiinflammatory activity of other strains of L. rhamnosus, soluble protein secreted by L. rhamnosus GG (Seth et al., 2008) and the conditioned medium of L. rhamnosus GG (Choi et al., 2008) have been reported. Zhang et al. (2005) reported that both live and dead L. rhamnosus GG inhibited TNF-
–induced IL-8 production in Caco-2 cells. We also found that both live and heat-killed OLL2838 suppressed DSS-induced colitis, although the antiinflammatory ability of heat-killed OLL2838 was weaker than that of live L. rhamnosus (Figures 4B and 5).
The cell wall component in heat-killed OLL2838 is thought to be responsible for the observed effect. We previously reported that the cell wall fraction of the commensal bacteria Enterococcus hirae ameliorated TNF-
–induced barrier impairment in Caco-2 cells (Miyauchi et al., 2008). Further, it was demonstrated that E. hirae cell wall fractions (e.g., lipoteichoic acid) protected against intestinal impairment by regulating the epithelial TJ via Toll-like receptor (TLR)-2 signaling. Cario et al. (2007) also reported that the synthetic TLR2 ligand Pam3Cys-Ser-(Lys)4 ameliorated the damage in Caco-2 cells and in intestinal cells in a mice colitis model. Furthermore, Lee et al. (2006) demonstrated that apical TLR9 signaling in intestinal epithelial cells was important for maintaining colonic homeostasis. Additional studies are required to clarify whether TLR is involved in the antiinflammatory effects of OLL2838 observed in this study.
Dextran sodium sulfate induced the decrease in ZO-1 expression in the mice colonic epithelium (Figure 6B). Because ZO-1 is an integral component of other junctional complexes, including the adherens and gap junctions, its downregulation affects these junctions (Ma et al., 2004). The level of ZO-1 in the epithelium was markedly recovered by live and heat-killed OLL2838 (Figure 6B). Thus, this increased ZO-1 expression, at least in part, leads to the enforcement of TJ barrier function and the reduced permeability of FITC-labeled dextran (Figure 6A).
As shown in Figure 3, TNF-
induced the increase in MLCK expression and paracellular permeability in Caco-2 cells; on the other hand, DSS suppressed MLCK expression in the colonic epithelium of DSS-colitis mice (Figure 6C) and increased the intestinal permeability (Figure 6A), which appears contradictory. Feighery et al. (2008) reported that the MLCK inhibitor reduces the increase in epithelial permeability in Caco-2 cells but not in DSS-induced colitis mice. Thus, the role of MLCK in intestinal permeability is probably different in Caco-2 cells and in DSS-induced colitis mice.
To our knowledge, there are few studies on the MLCK level in DSS-induced colitis mice. It has been reported that DSS induces apoptosis (Vetuschi et al., 2002; Cario et al., 2007) and that MLCK inhibition induces apoptosis (Fazal et al., 2005; Connell and Helfman, 2006); therefore, the intestinal epithelium of DSS-treated mice with reduced MLCK expression (Figure 6C) may undergo apoptosis. This is the first finding that normalization of MLCK expression by OLL2838 can contribute to intestinal barrier recovery; OLL2838 probably suppressed apoptosis in the inflamed intestine.
We demonstrated here that OLL2838 restored intestinal barrier function and paracellular permeability. In addition, mechanisms such as the suppression of proinflammatory cytokines in the intestine may exist for colitis prevention by OLL2838. We have recently reported that Bifidobacterium longum ssp. infantis suppressed proinflammatory IL-17 production in DSS-inflamed colon organ culture (Tanabe et al., 2008). Lin et al. (2008) also reported that L. reuteri suppressed TNF-
and monocyte chemotactic protein-1 (MCP-1, one of the chemokines) in primary monocyte-derived macrophages from children with Crohns disease, similar to that observed in the Caco-2 cells in this study (Figure 1B).
In conclusion, oral treatment with live and heat-killed OLL2838 suppressed colitis in mice. The OLL2838 strain prevented the loss of ZO-1 and MLCK and suppressed the increase in mucosal permeability. Studies in which probiotics were administered before DSS have indicated the preventive effects of probiotics in intestinal inflammation (Fitzpatrick et al., 2007; Chung et al. 2008). On the other hand, in this study, we administered DSS to mice before OLL2838 supplementation. By this method, we could determine whether OLL2838 prevents the development of colitis. Therefore, OLL2838 would be useful in the treatment of leaky gut and gastrointestinal diseases such as IBD.
| ACKNOWLEDGMENTS |
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Received for publication September 10, 2008. Accepted for publication February 10, 2009.
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modulation of Caco-2 intestinal epithelial tight junction barrier: role of myosin light-chain kinase protein expression. Am. J. Physiol. Gastrointest. Liver Physiol. 288:G422–G430.
-induced barrier impairment in the human epithelial tight junction. Lett. Appl. Microbiol. 46:469–476.[CrossRef][Medline]
- and IFN-
-induced dysfunction in human intestinal epithelial cells. Gastroenterology 130:731–746.[CrossRef][Medline]
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