Novel Potential Probiotic Lactobacilli for Prevention and Treatment of Vulvovaginal Infections
Language English Country United States Media print
Document type Journal Article
PubMed
32583131
DOI
10.1007/s12602-020-09675-2
PII: 10.1007/s12602-020-09675-2
Knihovny.cz E-resources
- Keywords
- Lactobacilli, Probiotics, Vaginal microbiome, Vulvovaginal infections,
- MeSH
- Candida growth & development MeSH
- Adult MeSH
- Candidiasis * microbiology therapy MeSH
- Lactobacillus * MeSH
- Humans MeSH
- Pregnancy MeSH
- Vagina microbiology MeSH
- Vaginitis * microbiology therapy MeSH
- Vulvitis * microbiology therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Lactobacilli in the vaginal tract are essential to protect against microbial infections. We therefore focused on isolating vaginal lactobacilli from pregnant women and testing their functional properties. Lactobacilli were isolated from 50 vaginal swabs and the purified isolates were identified by MALDI-TOF MS. Functional properties (antimicrobial activity, organic acids and hydrogen peroxide production, antibiotic susceptibility, auto-aggregation, and hydrophobicity) of selected isolates were tested. Lactobacilli (41 strains) were identified in 58% of swabs with a predominance of Lactobacillus crispatus (48%) followed by L. jensenii (21%), L. rhamnosus (14%), L. fermentum (10%), and L. gasseri (7%). The highest antibacterial activity was determined for L. fermentum and L. rhamnosus. Strong anti-Candida activity was observed for strains L. crispatus, L. fermentum, and L. rhamnosus. Strain L. jensenii 58C possessed the highest production of hydrogen peroxide (6.32 ± 0.60 mg/l). The best lactic acid producer was strain L. rhamnosus 72A (11.6 ± 0.2 g/l). All strains were resistant to fluconazole and metronidazole. The highest auto-aggregation was observed for strain L. crispatus 51A (98.8 ± 0.1% after 24 h). Strain L. rhamnosus 68A showed the highest hydrophobicity (69.1 ± 1.4%). Strains L. fermentum and L. rhamnosus showed high antibacterial activity and hydrophobicity, and strains L. crispatus possessed high auto-aggregation and anti-Candida activity. Thus, these strains alone or in a mix could be used for the preparation of probiotic products for treatment and prevention of vulvovaginal infections of pregnant and non-pregnant women.
See more in PubMed
Granato P (2006) Microbial flora of humans and microbial virulence factors. In: Wooley D, Byers K (eds) Biological safety: principles and practices. ASM Press, Washington, pp 3–17
Borges S, Silva J, Teixeira P (2014) The role of lactobacilli and probiotics in maintaining vaginal health. Arch Gynecol Obstet 289:479–489. https://doi.org/10.1007/s00404-013-3064-9 PubMed DOI
Boris S, Barbés C (2000) Role played by lactobacilli in controlling the population of vaginal pathogens. Microbes Infect 2:543–546. https://doi.org/10.1016/S1286-4579(00)00313-0 PubMed DOI
DiGiulio DB, Callahan BJ, McMurdie PJ, Costello EK, Lyell DJ, Robaczewska A, Sun CL, Goltsman DSA, Wong RJ, Shaw G, Stevenson DK, Holmes SP, Relman DA (2015) Temporal and spatial variation of the human microbiota during pregnancy. Proc Natl Acad Sci U S A 112:11060–11065. https://doi.org/10.1073/pnas.1502875112 PubMed DOI PMC
Walther-António MRS, Jeraldo P, Berg Miller ME, Yeoman CJ, Nelson KE, Wilson BA, White BA, Chia N, Creedon DJ (2014) Pregnancy’s stronghold on the vaginal microbiome. PLoS One 9:1–10. https://doi.org/10.1371/journal.pone.0098514 DOI
Petricevic L, Domig KJ, Nierscher FJ, Sandhofer MJ, Fidesser M, Krondorfer I, Husslein P, Kneifel W, Kiss H (2014) Characterisation of the vaginal Lactobacillus microbiota associated with preterm delivery. Sci Rep 4:1–6. https://doi.org/10.1038/srep05136 DOI
Farr A, Kiss H, Hagmann M, Machal S, Holzer I, Kueronya V, Husslein PW, Petricevic L (2015) Role of Lactobacillus species in the intermediate vaginal flora in early pregnancy: a retrospective cohort study. PLoS One 10:1–12. https://doi.org/10.1371/journal.pone.0144181 DOI
Park JS, Park CW, Lockwood CJ, Norwitz ER (2005) Role of cytokines in preterm labor and birth. Minerva Ginecol 57:349–366 PubMed
Nuriel-Ohayon M, Neuman H, Koren O (2016) Microbial changes during pregnancy, birth, and infancy. Front Microbiol 7:1–13. https://doi.org/10.3389/fmicb.2016.01031 DOI
Boldenow E, Gendrin C, Ngo L, Bierle C, Vornhagen J, Coleman M, Merillat S, Armistead B, Whidbey C, Alishetti V, Santana-Ufret V, Ogle J, Gough M, Srinouanprachanh S, MacDonald JW, Bammler TK, Bansal A, Liggitt HD, Rajagopal L, Adams Waldorf KM (2016) Group B Streptococcus circumvents neutrophils and neutrophil extracellular traps during amniotic cavity invasion and preterm labor. Sci Immunol 1:1–13. https://doi.org/10.1126/sciimmunol.aah4576 DOI
Borges S, Silva J, Teixeira P (2012) Survival and biofilm formation by group B streptococci in simulated vaginal fluid at different pHs. Antonie Leeuwenhoek 101:677–682. https://doi.org/10.1007/s10482-011-9666-y PubMed DOI
Hillier SL, Nugent RP, Eschenbach DA, Krohn MA, Gibbs RS, Martin DH, Frances Coach M, Edelman R, Pastorek JG, Vijaya Rao A, McNellis D, Regan JA, Carey C, Klebanoff MA (1995) Association between bacterial vaginosis and preterm delivery of a low-birth-weight infant. N Engl J Med 333:1737–1742. https://doi.org/10.1056/NEJM199512283332604 PubMed DOI
Borges S, Barbosa J, Teixeira P (2016) Gynecological health and probiotics. In: Watson RR, Preedy VR (eds) Probiotics, prebiotics, and synbiotics - bioactive foods in health promotion. Elsevier, London, pp 741–752 DOI
Boris S, Suárez JE, Vázquez F, Barbés C (1998) Adherence of human vaginal lactobacilli to vaginal epithelial cells and interaction with uropathogens. Infect Immun 66:1985–1989 DOI
Verdenelli MC, Coman MM, Cecchini C, Silvi S, Orpianesi C, Cresci A (2014) Evaluation of antipathogenic activity and adherence properties of human Lactobacillus strains for vaginal formulations. J Appl Microbiol 116:1297–1307. https://doi.org/10.1111/jam.12459 PubMed DOI
Reid G (2001) Probiotic agents to protect the urogenital tract against infection. Am J Clin Nutr 78:437–443. https://doi.org/10.1093/ajcn/73.2.437s DOI
Lalan MS, Misra A (2011) Applications of polymers in vaginal drug delivery. In: Misra A, Shahiwala A (eds) Applications of polymers in drug delivery. Smithers Rapra, Shawbury, pp 351–377
Amin M, Goodarzi H, Orang Z, Farsi S, Jorfi M (2011) Isolation and identification of Lactobacillus species from the vagina and their antimicrobial properties. Afr J Microbiol Res 5:3300–3304. https://doi.org/10.5897/AJMR11.481 DOI
Romero R, Hassan SS, Gajer P, Tarca AL, Fadrosh DW, Nikita L, Galuppi M, Lamont RL, Chaemsaithong P, Miranda J, Chaiworapongsa T, Ravel J (2014) The composition and stability of the vaginal microbiota of normal pregnant women is different from that of non-pregnant women. Microbiome 4:1–19. https://doi.org/10.1186/2049-2618-2-4 DOI
Kiss H, Kögler B, Petricevic L, Sauerzapf I, Klayraung S, Domig K, Viernstein H, Kneifel W (2007) Vaginal Lactobacillus microbiota of healthy women in the late first trimester of pregnancy. BJOG 114:1402–1407. https://doi.org/10.1111/j.1471-0528.2007.01412.x PubMed DOI
Rosenstein IJ, Morgan DJ, Sheehan M, Lamont RF, Taylor-Robinson D (1996) Bacterial vaginosis in pregnancy: distribution of bacterial species in different gram-stain categories of the vaginal flora. J Med Microbiol 45:120–126. https://doi.org/10.1099/00222615-45-2-120 PubMed DOI
Donders GGG, Bellen G, Grinceviciene S, Ruban K, Vieira-Baptista P (2017) Aerobic vaginitis: no longer a stranger. Res Microbiol 168:845–858. https://doi.org/10.1016/j.resmic.2017.04.004 PubMed DOI
Strus M, Kucharska A, Kukla G, Brzychczy-Wloch M, Maresz K, Heczko PB (2005) The in vitro activity of vaginal Lactobacillus with probiotic properties against Candida. Infect Dis Obstet Gynecol 13:69–75. https://doi.org/10.1080/10647440400028136 PubMed DOI PMC
Hütt P, Lapp E, Štšepetova J, Smidt I, Taelma H, Borovkova N, Oopkaup H, Ahelik A, Rööp T, Hoidmets D, Samuel K, Salumets A, Mändar R (2016) Characterisation of probiotic properties in human vaginal lactobacilli strains. Microb Ecol Health Dis 27:1–9. https://doi.org/10.3402/mehd.v27.30484 DOI
Bouridane H, Sifour M, Idoui T, Annick L, Thonard P (2016) Technological and probiotic traits of the lactobacilli isolated from vaginal tract of the healthy women for probiotic use. Iran J Biotech 14:192–201. https://doi.org/10.15171/ijb.1432 DOI
Rabe LK, Hillier SL (2003) Optimization of media for detection of hydrogen peroxide production by Lactobacillus species. J Clin Microbiol 41:3260–3264. https://doi.org/10.1128/JCM.41.7.3260-3264.2003 PubMed DOI PMC
Kaewnopparat S, Dangmanee N, Kaewnopparat N, Srichana T, Chulasiri M, Settharaksa S (2013) In vitro probiotic properties of Lactobacillus fermentum SK5 isolated from vagina of a healthy woman. Anaerobe 22:6–13. https://doi.org/10.1016/j.anaerobe.2013.04.009 PubMed DOI
Anukam KC, Reid G (2008) Effects of metronidazole on growth of Gardnerella vaginalis ATCC 14018, probiotic Lactobacillus rhamnosus GR-1 and vaginal isolate Lactobacillus plantarum KCA. Microb Ecol Health Dis 20:48–52. https://doi.org/10.1080/08910600701837964 DOI
Malik S, Petrova MI, Claes IJJ, Verhoeven TLA, Busschaert P, Vaneechoutte M, Lievens B, Lambrichts I, Siezen RJ, Balzarini J, Vanderleyden J, Lebeer S (2013) The highly autoaggregative and adhesive phenotype of the vaginal Lactobacillus plantarum strain CMPG5300 is sortase dependent. J Appl Environ Microbiol 79:4576–4585. https://doi.org/10.1128/AEM.00926-13 DOI
Kos B, Šuškovic J, Vukovic S, Šimpraga M, Frece J, Matošic S (2003) Adhesion and aggregation ability of probiotic strain Lactobacillus acidophilus M92. J Appl Microbiol 94:981–987. https://doi.org/10.1046/j.1365-2672.2003.01915.x PubMed DOI