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Vaginal lactobacilli and preterm birth.

OBJECTIVE: To assess the relationship between the absence of vaginal lactobacilli and preterm birth at < 33 weeks of gestation. METHODS: A prospective study of the vaginal flora in the second trimester was undertaken in 1958 women with singleton pregnancies. The contribution of various microorganisms to preterm delivery was analyzed using a multivariate-logistic regression model. RESULTS: Lactobacillus species were not cultured from 28% of 118 women who delivered at < 33 weeks, 10% of 224 women who delivered between 33 and 36 weeks, and 5% of 1616 women who delivered at > 37 weeks of gestation. Lactobacilli (odds ratio and 95% confidence interval: 0.15 [0.09 to 0.24]), Mycoplasma hominis (2.3 [1.0 to 5.4]), and glucose non-fermentative gram-negative rods (2.1 [1.0 to 4.2]) were identified as independent risk factors for preterm delivery at < 33 weeks of gestation. Absence of lactobacilli (sensitivity and positive predictive value: 28% and 25%) was a better predictor of preterm delivery at < 33 weeks of gestation than the presence of Mycoplasma hominis (7% and 13%, respectively) or glucose non-fermentative rods (9% and 11%). CONCLUSIONS: Although this was not a cohort study, results suggest that tests for determining the presence of vaginal lactobacilli may be clinically useful tools for identifying women at an increased risk of preterm delivery at < 33 weeks of gestation.

Adult↗

Mutans streptococci, lactobacilli in saliva and acidity from organisms in dental plaque: changes after restorative treatment.

The effect of restorative dental treatment was evaluated on mutans streptococci and lactobacilli in saliva, as well as acid production by plaque bacteria. We used semiquantitative culture kits at time points up to 6 months following treatment. Changes in eating habits and oral hygiene during the study period were ruled out using a questionnaire. Mutans streptococci, lactobacilli, and acidity all had decreased significantly at 1 week after treatment. Acidity often was the first variable to return to pretreatment levels, while abundant at 6 than 3 months. Lactobacilli showed the most durable response to treatment. Restorative treatment achieves import temporary decreases in caries-associated bacteria, especially lactobacilli, without influence from potentially relevant behavioral changes. In addition, follow up examinations at relatively long intervals at least 3 month would appear most effective for dental health management.

Child↗

Impact of two probiotic Lactobacillus strains feeding on fecal lactobacilli and weight gains in chicken.

Two probiotic strains, Lactobacillus agilis JCM 1048 and L. salivarius subsp. salicinius JCM 1230 isolated from chicken intestine, exhibited probiotic characteristics that can be applied for chicken production. After 7 days of probiotic feeding (FD7), the count of intestinal lactobacilli in the probiotic group (group P, n=10) was significantly (p<0.05) higher than that in the control group (group C, n=9). After 40 days of probiotic feeding (FD40), the lactobacilli and enterococci counts were stable but the Enterobacteriaceae number was significantly reduced (p<0.05). A total of 163 isolated lactobacilli were identified as the L. acidophilus/gallinarum group (49.7%), L. agilis (30.7%), L. salivarius (9.2%), L. reuteri (9.2%), and Lactobacillus spp. (1.2%). The probiotic lactobacilli positively affected the Lactobacillus biota in chickens at FD7, with a significant increase in the number (p<0.05) of L. agilis and group P. The viable counts of each Lactobacillus species at FD40, however, showed no differences between two groups. An increasing incidence of L. agilis was also noted with probiotic feeding. The probiotic effect of two strains resulted in significantly increased weight gains (10.7%) of group P in comparison with group C at FD40 (p<0.01).

Animal Feed↗

Risk factors for colonization of salivary lactobacilli and Candida in children.

We analyzed the occurrence of salivary lactobacilli and Candida in a sample of 166 children aged 1-4 years (mean, 2.5 years) in relation to possible risk factors for colonization of the microbes. The risk factors examined were sucking habits, feeding habits, symptoms of respiratory infections, and antibiotic therapy at the time of sampling. Lactobacilli occurred in 18% of the children's saliva, and Candida in 24%. In the logistic modeling the variables most strongly associated with the occurrence of lactobacilli were pacifier-sucking (relative risk (RR), 2.9; 95% confidence interval (CI), 1.1-7.0; P = 0.01) and antibiotic therapy (RR, 4.6; CI, 1.2-16.9; P = 0.01). The association between positive Candida test and use of a pacifier was also significant (RR, 4.8; CI, 2.1-10.7; P = 0.0001). The results of the study suggest that the use of a pacifier increases the occurrence of both salivary lactobacilli and Candida. It could therefore be a factor influencing caries susceptibility and activity in children.

Anti-Bacterial Agents↗

Lactobacillus casei strain Shirota-fermented milk stimulates indigenous Lactobacilli in the pig intestine.

The aim of this study was to determine the effect of a probiotic, i.e. fermented milk prepared with Lactobacillus casei strain Shirota, on indigenous Lactobacilli in the pig large intestine. This fermented milk was given as a probiotic to experimental pigs for 2 weeks. The fecal organic acid concentration increased with the fermented milk; acetate and propionate increased significantly (p<0.05). At the same time, lactate and butyrate tended to increase. The fecal pH was significantly reduced by the fermented milk (p<0.05). Although the number of bacteria of strain Shirota in the intestinal contents was much smaller than those of indigenous Lactobacilli, 10(4) vs 10(8) (cfu/g), the numbers of indigenous Lactobacilli and Bifidobacteria in the pig intestine appeared to increase with the fermented milk. In addition, the phenotypic diversity (phenotypic group numbers) of indigenous Lactobacilli increased from 3 to 8 with the fermented milk supplementation. Thus the fermented milk affected the indigenous Lactobacillus population and constitution.

Animals↗

Genetic modification of intestinal lactobacilli and bifidobacteria.

Lactobacilli and bifidobacteria are important members of the gastrointestinal microflora of man and animals. There is a substantial and growing body of evidence that these microbes provide benefits to the host in which they reside. Understanding the roles of these two groups of bacteria in the intestine continues to be a significant challenge. To this end, genetic characterisation and manipulation of intestinal lactobacilli and bifidobacteria is essential to define their contributions to the intestinal microflora, and to potentially exploit any beneficial or unique properties. This review will describe the tools and strategies currently available for the genetic manipulation of lactobacilli and bifidobacteria. Additionally, the ramifications and opportunities that may arise as a result of the genetic manipulation of probiotic lactobacilli and bifidobacteria will be addressed.

Animals↗

[Binding of oral lactobacilli to collagen].

The present study surveyed the ability, the characters and the influential factors on lactobacilli binding to the collagen. The experiment employed reference strains and fresh isolated strains. Binding of 3H-labeled bacteria to human type I collagen absorbed on hydroxyapatite surface (C-HA) was tested. The results suggested that the lactobacilli had high affinity for collagen. Competitive inhibitory assay indicated the attachment was highly specific. Binding to C-HA occurred in a collagen dose-dependent manner. pH value of reaction mixtures significantly affected the adherence. Below pH 6.5, increasing pH value caused a reduction of binding. Above pH 6.5, the binding was less affected. The ionic strength apparently influenced the binding level. The results of this study revealed one of the mechanisms that oral lactobacilli target dentin and root surfaces caries. This may also be a cariogenic virulent factor of lactobacilli.

Bacterial Adhesion↗

Antibiotic associated diarrhoea: a controlled study comparing plain antibiotic with those containing protected lactobacilli.

Antibiotic associated diarrhoea is known to occur with broad spectrum antibiotics. Lactobacillus has been used for prophylaxis and therapy of this condition. In a double blind controlled study, the antibiotic containing ampicillin (250 mg) and cloxacillin (250 mg) with or without protected lactobacilli was evaluated in 740 patients undergoing cataract surgery. The incidence of diarrhoea in patients receiving plain antibiotic was 13.3% compared to 0.0% in patients receiving antibiotic with protected lactobacilli (p<0.001). The study demonstrates that antibiotic formulations containing protected lactobacilli maintain prophylactic effect of lactobacilli.

Ampicillin↗

Lactobacilli from the dentin and saliva in children.

Lactobacilli were detected simultaneously in saliva, dental plaque and carious dentinal plaque in 66 children aged 5 to 15 years. The dentinal plaque samples numbered 15. It was found that Lactobacilli were present in 100% of the dentin samples, 70% of the saliva samples and 29% of the plaque samples. The DMF index and dentinal lactobacilli are systematically linked. The DMF index is weakly linked to salivary and independent of plaque lactobacilli. It is concluded that (1) dentin is responsible for the salivary hypercontamination and (2) the Lactobacillus Count could hardly be a predictive test.

Adolescent↗

[Modulation of immune system cells by lactobacilli].

The influence of lactobacilli on the proliferative potential of immune system cells after the intragastral administration of viable microbial cells and their native filtrates to mice CBA is evaluated. The data have been obtained on the modulating influence of lactobacilli on the formation of T- and B-cell immune response--their role in maintaining homeostatsis and specific features of cell mediated immune reactions after the intragastral administration of virulent Shigella dysenteriae for modeling experimental infection in CBA mice. The mechanisms of the immunomodulating action of lactobacilli on local and systemic reactions of the host as well as realization of the protective properties of lactobacilli against the causative agents of acute enteric infections are discussed.

Animals↗

Some probiotic properties of vaginal lactobacilli isolated from healthy women.

Lactobacilli have long been considered to be protective flora in the vagina. In this study, samples were taken from the lateral vaginal wall of 19 healthy women, and 58 strains of Lactobacillus spp. were isolated from 10 of these women. The identification results revealed that Lactobacillus gasseri was the predominant lactobacilli in healthy women. The amounts of lactic acid and hydrogen peroxide (H(2)O(2)) produced by Lactobacillus spp. were determined. The vaginal pH levels induced by Lactobacillus spp. strains ranged from 1.00 to 2.15. The titratable acidity of the strains ranged from 0.27 to 1.33%. The H(2)O(2) concentration produced in the lactobacilli strains ranged between 1.01 microg/ml and 15.50 microg/ml. The antimicrobial effects of the lactobacilli against the pathogenic bacteria Escherichia coli ATCC 11230, Staphylococcus aureus ATCC 2392, Pseudomonas aeruginosa ATCC 29212 and Salmonella enterica serovar Enteritidis RSKK 171 were also determined by the agar diffusion methods.

Female↗

[Immunobiologic properties of lactobacilli].

The authors investigated in experiments on mice immunobiological properties of selected strains of lactobacilli (Lbc. acidophilus, Lbc. casei and Lbc. delbruecki). Their immunostimulating action was evaluated from the migrating capacity of lymphocytes into the interepithelial spaces and lamina propria mucosae of the gut. The most marked changes were observed in the group of animals to whom Lbc. acidophilus and Lbc. casei was administered for two weeks by a gastric tube. The protective properties of lactobacilli on the course and development of model infections (virus of encephalomyocarditis) was greatest in mice given Lbc. casei and Lbc. acidophilus by the intraperitoneal route four days before infection. At the end of the two-week period in the Lbc. casei group 66% mice survived and in the Lbc. acidophilus group 34%. The ability of lactobacilli to influence the interferon producing activity was investigated in vitro on a model of peritoneal cells obtained from premedicated mice. The lactobacilli strains themselves did not have interferon inducing properties. However, when the interferon producing capacity of peritoneal cells was assessed after administration of the viral inducer (virus of Newcastle disease) the capacity was much higher, when compared with controls.

Adjuvants, Immunologic↗

Preservation of the quantity of lactobacilli in samples from the oral cavity.

Transport media for the preservation of streptococci from oral samples have been described, but a suitable transport medium for the preservation of lactobacilli in oral samples is yet to be established. In this study MRS, ROGOSA, and modifications of these media were evaluated as transport media for the quantitative preservation of oral lactobacilli. Results indicated a survival of ca. 100 per cent oral lactobacilli for both media when stored at 4 degrees C for up to 72 h. A decrease in the survival rate was obtained upon storage at -196 degrees C and growth occurred upon storage at 20 degrees C. It was evident throughout that carbohydrate-free modifications of both media best supported the quantitative survival of oral lactobacili. Carbohydrate-free modifications of both MRS and ROGOSA are therefore recommended as preservative transport media for the quantity of oral lactobacilli in oral samples for limited time periods.

Culture Media↗

[Optimization of the method of isolation of microamounts of plasmid DNA from lactobacilli].

Modification of the alkaline lysis at elevated temperature technique is proposed isolation of plasmid DNA from lactobacilli. Modification consists of colorimetric control of culture phase during the biomass growth, pH control at the probes treatment with lysozyme and alkaline solution of natrium dodecylsulfate by adding the indicator bromcrezolpurple into the medium for biomass growth. The high concentration of lysozyme is used (10 mkg.ml-1). Lactobacilli are lysed at 2 min incubations of the probes with the lytic solution in the boiling water bath. The treatment of the probes by proteinase K, by the mixture of chloroform:phenol:isoamyl spirit (25:24:1 vol/vol/vol) and by diethylpirocarbonate increased considerably the quality of the obtained DNA preparations. The modified technique is suitable for isolation of the plasmid DNA from lactobacilli of different species, enterococci, streptococci and other lactic bacteria. The connection of antibiotic resistance marker and the plasmid profile of lactobacilli under different conditions with the presence of the plasmid DNA- protein complex is discussed.

DNA, Bacterial↗

Adjuvanticity of lactobacilli. I. Differential effects of viable and killed bacteria.

The adjuvanticity of Lactobacillus brevis and Lactobacillus plantarum was the subject of this study. The latter was the better adjuvant in both delayed hypersensivity and antibody formation to sheep red blood cells. Viable L. plantarum stimulated exclusively the delayed hypersensivity, where heat-killed bacteria had an adjuvant effect on antibody formation. For optimal adjuvant effects lactobacilli had to be injected in a dose of 10(8) into the same site as the antigen. Viable lactobacilli and to a lesser degree heat-killed bacteria induce hepato-splenomegaly, suggesting mediation of the adjuvant activity by the reticuloendothelial system. Granuloma formation with mainly mononuclear cell infiltrates could be observed after subcutaneous administration of viable lactobacilli whereas heat-killed lactobacilli induced granulomata containing about equal numbers of granulocytes and mononuclear cells. The possible clinical application of L. plantarium in the immunotherapy of tumours is suggested.

Adjuvants, Immunologic↗

Effect of a lactobacilli preparation on traveler's diarrhea. A randomized, double blind clinical trial.

The effectiveness of prophylactic ingestion of a commercial preparation of lactobacilli (Lactinex) for the prevention or modification of traveler's diarrhea was tested in a randomized double blind clinical trial in 50 volunteer travelers to Mexico from the United States. Twenty-six subjects received the lactobacilli preparation and 24 received placebo. The incidence of diarrhea and its duration during the 4 weeks of observation were quite similar for the two preparations: 35% for lactobacilli-treated subjects and 29% for placebo subjects. Typically, the diarrhea was mild, lasting 2 days. From the observations during this study we conclude that prophylactic ingestion of lactobacilli for 1 week does not reduce the incidence or duration of traveler's diarrhea either during the period of ingestion or during the following 3 weeks.

Adolescent↗

[Bacteriocinogenic typing of lactobacilli].

Sensitivity of 588 strains of Lactobacilli belonging to 15 species was studied with respect to 39 bacteriocinogenic strains of Lactobacilli producing 39 variants of bacteriocins. The study provided a set of 20 indicator strains of Lactobacilli. With the use of this set it is possible to mark Lactobacilli of various species and differentiate them into 39 bacteriocinogenic types. This may be used in taxonomic and epidemiological studies.

Bacteriocins↗

The influence of lactobacilli on the competitive exclusion of paratyphoid salmonellae in chickens.

The competitive exclusion of salmonellae by native gut microflora was investigated by treating chicks with various avian lactobacilli. The evaluation of protection was based on the number of salmonellae adhering to the mucosa of the crop and the cecum, enumeration of salmonellae in fecal droppings, and enrichment of cloacal swabs and fecal droppings using both individual and seeder bird tests. Lactobacilli reduced the number of salmonellae adhering to the crop mucosa by 1 to 2 logs. Treatment with lactobacilli did not lower the number of chickens shedding salmonellae or reduce the number of salmonellae adhering to the mucosa of the cecum. Lactobacilli as a single bacterial treatment played a minor role in protecting the crop, but no protection of the cecum was demonstrated.

Animals↗