乳酸菌及びビフィズス菌の消化管定着機構の解明と感染予 防 …effects in the...
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乳酸菌及びビフィズス菌の消化管定着機構の解明と感染予防への応用
誌名誌名 ミルクサイエンス = Milk science
ISSNISSN 13430289
巻/号巻/号 663
掲載ページ掲載ページ p. 219-226
発行年月発行年月 2017年12月
農林水産省 農林水産技術会議事務局筑波産学連携支援センターTsukuba Business-Academia Cooperation Support Center, Agriculture, Forestry and Fisheries Research CouncilSecretariat
Milk Science Vol. 66, No. 3 2017
一平成29年度日本酪農科学会奨励賞 受賞記念総説
Study of the adherence properties of Lactobacillus and Bifidobacterium species
to intestinal tract and application to the prevention of pathogenic infection
Keita Nishiyama*
(Department of Microbiology, School of Pharmacy, Kitasato University, Minato-ku, Tokyo, 108-8641, Japan)
1. Introduction
The human gastrointestinal (GI) microbiota is
estimated to contain more than 1014 bacterial cells
from 1,000 or more species that form an extremely
complex microbial ecosystem1l. GI micro biota
affect many aspects of host physiology, such as
metabolic phenotype, nutrient absorption and
production, pathogenic infection, and regulation of
the immune system. Consequently, the behavior of
the intestinal microbiota influences host health.
Certain bacteria can be proactively consumed to
directly or indirectly improve the microbiota com-
position, thereby exerting health -maintaining
effects in the host GI tract1,2l. According to the in-
ternational scientific association for probiotics and
prebiotics, a pro biotic is defined as "a live microor-
ganism that, when administered in adequate
amounts, confers a health benefit on the host"3l.
The most commonly applied probiotic bacteria are
Lactobacillus and Bifidobacterium species.
The genus Lactobacillus comprises a large heter-
ogeneous group of low-G + C, gram-positive bacter-ia of the family Lactobacillaceae, class Bacilli.
With over 145 species, the very diverse genus
Lactobacillus is the largest among the lactic acid
bacteria. Lactobacillus species are present through-
out the GI tracts of mammals. Lactobacillus species
are often detected as dominant bacteria from the
duodenum to the terminal ileum in the adult human
* Corresponding Author : Keita Nishiyama Department of Microbiology, School of Pharmacy, Kitasato University, Minato-ku, Tokyo, 108-8641, Japan. (Tel : + 81-3-5719-6256, Fax : + 81-3-3444-4831, E-mail: [email protected]) October 31, 2017 accepted [doi:10.11465/milk.66.219]
gut, and in the female urogenital tract.
The genus Bifidobacterium comprises high-G + C,
gram-positive bacteria of the family Bifidobacteria-
ceae, class Actinobacteria. Bifidobacteria are par-
ticularly abundant among microbial communities
residing in the large intestine of breast-fed infants.
Some bifidobacterial species, such as Bifidobacteri-
um bifidum, Bifidobacterium breve, Bifidobacterium
longum subsp. inf antis, and Bifidobacterium longum
subsp. longum, are specific to the human GI tract
and are among the dominant bacterial members of
the intestinal microbiota of breast-fed infants.
The intestinal mucosal surface component is the
first point of contact for intestinal microbes, includ-
ing Lactobacillus and Bifidobacterium4,5l. Adhesion
to the mucosal surface has been considered to
prolong bacterial persistence in the GI tract
environment and their beneficial effects to the host.
The adhesion capacity of Lactobacillus and
Bifidobacterium might depend on bacterial cell-sur-
face components4-8l. In the light of our research
focuses on bacteria-host interaction processes, we
have been studying bacterial cell-surface adhesion
factors. In previous studies, we have identified and
characterized the interactions of adhesion factors
with receptor molecules. Elongation factor Tu
(EF-Tu) from Lactobacillus reuteri binds to sulfat-
ed carbohydrate moieties of glycocalyx and
mucins9l, mucus-binding factor from Lactobacillus
rhamnosus binds to certain extracellular matrix
(ECM) proteins and mucins10l, aggregation prom-
pting-factor (APF) from Lactobacillus gasseri binds
to fibronectin11l, SpaC pili from Lactobacillus rham-
nosus bind to [J-galactoside at the non-reducing
terminus of glycolipids12l, and sialidase from B.
bifidum binds to colonic mucin13l. Moreover, the
competition with pathogens for the same receptor
220
site (s) on the host mucosal surface has been consi-
dered one of the strategies for the clearance of
infectious bacteria by probiotics14l. Figure 1 sum-
marizes the current knowledge on the mechanisms
of competitive exclusion in pathogen infection by
probiotic bacteria. One of our research aims is to
apply the knowledge on the characterized adhesion
factors to the prevention of pathogen infections.
In the first part of this review, we will summarize
the molecular mechanisms underlying the inhibito-
ry effects of adhesive Lactobacillus strains on Cam-
pylobacter and Helicobacter infection mediated
through adhesion site competition. In the second
part, we will focus on the extracellular glycoside
hydrolase-mediated colonization process unique to
B. bifidum that we recently discovered.
2. Adhesion of Lactobacil/us strains to the
intestinal tract and application to patho-
genic infection control
(1) Prevention of Helicobacter infection
Helicobacter pylori is a spiral-shaped, gram-nega-
tive bacterium that colonizes the gastric and duo-
den um mucosa in more than 50 % of the world
population. H pylori was first isolated by Marshall
and Warren, who identified this organism as a
major cause of peptic ulcers and gastric adenocar-
cinoma 15l. Triple therapy including a proton pump
inhibitor, clarithromycin, and amoxicillin is one of
the most commonly used treatments for H pylori.
The efficacy of this treatment is strongly affected
by the occurrence of clarithromycin resistance; in
Japan, the success rate is only 70%16l.
Adhesion of H pylori to the mucosal surface con-
stitutes a key step in successful colonization of the
host GI tract and is characterized by the interaction
with several receptor molecules, such as blood
group ABO antigens, sialylated Lewis antigens of
mucin, and sulfated glycoconjugates17l. Therefore,
we thought that adhesion of Lactobacillus strains to
these molecules can competitively inhibit the adhe-
sion of H pylori.
Mukai and colleagues previously reported that
Lactobacillus reuteri JCM1081 adheres to asialo-
GMl and sulfatide18l. These authors applied cell-
surface extracts from L. reuteri JCM1081 to an
agarose gel-immobilized galactose 3-sulfate probe
第66巻
corresponding to the carbohydrate moiety of sulfa-
tide, and thus identified a ~47-kDa protein as a
candidate sulfatide-binding protein18l. Based on its
N-terminal amino acid sequence, the protein was
identified as EF-Tu, encoded by the tuf gene9l. To
characterize EF-Tu binding properties, surface
plasmon resonance (SPR) analysis was performed
to determine whether EF-Tu interacts with sulfat-
ed glycoconjugates. SPR analysis demonstrated
that recombinant EF-Tu binds to sulfatide and
sulfated mucin, but not to neutral or sialylated
glycolipids, indicating that a sulfated carbohydrate
residue is responsible for EF-Tu binding.
Moreover, adhesion or L. reuteri JCM1081 to
mucin was blocked in an anti-EF-Tu antibody
concentration-dependent matter, indicating that
EF-Tu is involved in L. reuteri adhesion to mucin.
Therefore, the binding of EF-Tu to sulfated carbo-
hydrate moieties of glycoconjugates and mucin
might promote Lactobacillus adhesion to the
mucosal surface9l (Fig. 1).
We evaluated EF-Tu-mediated H pylori inhibi-
tion using recombinant EF-Tu protein in an in vitro
assay. Because EF-Tu is a housekeeping protein,
tuf mutant strains are lethal. The addition of
recombinant EF-Tu inhibited the adhesion of H
pylori American Type Culture Collection (ATCC)
strains and clinical isolates to porcine gastric mucin
ma concentration-dependent manner19l (Fig. 2A).
This competition effect was significantly lower on
sulfatase-treated porcine gastric mucin, which sug-
gested that the EF-Tu inhibitory effect is mediated
by sulfated carbohydrates (Fig. 2B). We further
examined whether administration of EF-Tu-
expressing Lactobacillus strains is effective for
suppressing H pylori Sydney strain 1 (SSl) coloni-
zation in a C57BL/6J mouse model2°l. C57BL/6J
mice were intragastrically administered Lactobacil-
lus strains once daily, starting two days before
intragastric inoculation with H pylori SSl and
continuing for 15 days after inoculation. Among
the five Lactobacillus strains examined (L. gasseri
KZ1201, L. gasseri SBT2055, L. reuteri JCM1081,
L. rhamnosus ATCC 53103, and Lactobacillus joh-
nsonii KZ1002), four strains exhibited significant
preventive efficacy against H pylori SSl at day 15
of infection. Interestingly, the non-inhibitory strain
L. johnsonii KZ1002 showed lower EF-Tu cell-sur-
第 3号 221
Fig. 1 Schematic representation of the processes of bacterial competitive exclusion in pathogen infection Left, Scheme summarizing inhibition of He/icobacter and Campylobacter infection mediated through competition for the same adhesion sites by adhesive probiotic strains. Right, Scheme summarizing identified bacterial adhesion factors and their target ligand molecules in the host GI tract.
(A)
■ Non-treated □Recombinant EF-Tu
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EF-Tu from L. reuteri JCM 1081 inhibits the adhesion of H. pylori strains to mucin (A) Inhibition of the adhesion of H. pylori strains to porcine gastric mucin by recombinant EF-Tu protein. (B) Effects of treatment with sulfatase on the inhibition of H. pylori by recombinant EF-Tu protein. All data are presented as the mean CFU/well土SD.*p<0.05. "n.s.," not significant. Reprinted from Nishiyama et al. (2017) 19) with permission of the Japanese Dairy Science Association.
face expression than the four effective strains19l.
Based on these findings, we propose that EF-Tu-
mediated adhesion of Lactobacillus to sulfated car-
bohydrates might be an important process under-
lying their H pylori inhibitory effect.
(2) Prevention of Campylobacter infection
Campylobacter spp. have been recognized as the
leading cause of enteric bacterial infections affect-
ing the human GI tract. Campylobacter jejuni is the
most frequently isolated from infected humans21l.
C. jejuni is a typical zoonotic pathogen as it can
colonize poultry and domestic animals, and is main-
ly transmitted by the handling and consumption of
contaminated poultry meat21l. Thus, reducing C.
jejuni colonization in the intestinal tracts of poultry
has been proposed as an approach to decreasing
the disease burden in humans.
L. gasseri SBT2055 is considered as a candidate
probiotic strain owing to is ability to establish in
the human GI tract22l. In a chick colonization
assay, oral doses of L. gasseri SBT2055 were
administered to chicks daily for 14 days after
inoculation with C. jejuni 81-176. At 14 days post
inoculation, chicks treated with L. gasseri
SBT2055 had a significantly lower C. jejuni coloni-
zation level in the cecum than control chicks. L.
gasseri SBT2055 also lowered C. jejuni adhesion to
and internalization by human epithelial cells,
indicating that it effectively and competitively
excludes C. jejuni23l. Moreover, the co-aggregation
phenotype and/ or adhesion mediated by cell
surface components might be involved in the inhi-
bition of C. jejuni23).
222
APF is cell surface proteins that have been
characterized for several Lactobacillus species24l.
These proteins have been considered to be related
to bacterial adhesion and aggregation. We focused
on the functional roles of L. gasseri SBT2055 cell-
surface APFs (APFl and APF2) in the inhibitory
effects of L. gasseri SBT2055 on C. jejuni infection.
An L. gasseri SBT2055 apfl knockout (Llapfl)
strain showed abolished self-aggregation as com-
pared to the wild-type and apf2 knockout (Llapf2)
strains. Adhesion of the Llapfl strain to epithelial
cells was significantly lower than that of the wild-
type and Llapf2 strains. Thus, APFl is involved in
the L. gasseri SBT2055 adhesion and aggregation
phenotypes11l. C. jejuni adhesion to and invasion of
human epithelial cells were significantly inhibited
by the L. gasseri SBT2055 wild-type and Llapf2
strains, but not the Llapfl strain. Chicks treated
with L. gasseri SBT2055 wild-type and apf2 strains
showed significant inhibition of cecum colonization
by C. jejuni when compared to the Llapfl strain-
treated group (Fig. 3A). Interestingly, co-aggre-
gation with C. jejuni 81-176 was similar between
Llapfl and Llapf2 (Fig. 3B). These results suggest
that competitive adhesion rather than co-aggrega-
tion is the main process underlying the inhibitory
effects of APFl on C. jejuni inhibition叫
ECM proteins, such as fibronectin, laminin, and
collagen, are some of the major receptors support-
ing bacterial adhesion to epithelial cells25l. In an
SPR analysis to evaluate the binding of recom-
binant APFs to these ECM proteins, interestingly,
recombinant APFl was shown to have high affinity
to fibronectin, while APF2 did not bind to this
protein11l (Fig. 1). Fibronectin is one of the recep-
tor molecules mediating C. jejuni colonization of
the GI tract, as evidenced by previous studies
showing that adhesion of C. jejuni to :fibronectin is
required for invasion of human epithelial cells as
well as for GI tract colonization in chicken26l.
Therefore, this report supports our notion that
inhibition of C. jejuni by L. gasseri SBT2055 is
mediated through competition of APFl with C.
jejuni ligands for adhesion sites such as fibronectin
on the intestinal epithelial cell surface11l.
We demonstrated that cell surface-associated
APFl is important in L. gasseri SBT2055 adhesion
and aggregation, and that the adhesion activity of
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APF from L gasseri SBT2055 facilitates competi-tive exclusion of C. jejuni (A) APF1-producing L. gasseri strains inhibit C. jejuni colonization and persistence in chicks. **p く0.01versus C. jejuni alone. Lines indicate median CFU values for each group. (B) lnterac-tion of L. gasseri strains and C. jejuni as assessed by SPR analysis. Arrows indicate sample injec-tion points. Reprinted from Nishiyama et al. (2015) 11l with permission of John Wiley & Sons Ltd.
L. gasseri SBT2055 is important for the reduction
in C. jejuni infection and colonization11l. This find-
ing confirms the idea of competitive exclusion of C.
jejuni mediated by cell-surface component of L.
gasseri SBT2055 playing a key role in the preven-
tion of pathogen infection.
3. Extracellular sialidase-mediated adhesion
of B. bifidum
Bifidobacteria are thought to employ a variety
of microbe -host interaction mechanisms that
facilitate GI tract colonization5,7,8l; however, the
underlying molecular mechanisms are not fully
understood. We have previously demonstrated that
the adhesion of 22 Bifidobacterium strains to por-
cine colonic mucins varied markedly, with some
strains showing specific interactions with mucin
carbohydrate moieties27l. We hypothesized that
Bifidobacterium strains carrying lectin-like adhe-
sion molecule (s) on the cell surface could promote
the bacteria-mucosal surface interaction, thus
facilitating bifidobacterial establishment in the GI
tract. In this section, I describe a novel extracellu-
lar sialidase-mediated colonization process that is
unique to B. bifidum.
Bifidobacterium species reside in the large
intestine, where there is a low abundance of
sugars; their survival and growth therefore
第 3号 223
requires a variety of extracellular and cytoplasmic
glycosyl hydrolases that hydrolyze indigestible
oligosaccharides28l. Sialic acids (Neu5Ac) are
frequently found at the non-reducing termini of
sugar chains on various eukaryotic glycocon-
jugates as well as at the terminal position of human
milk oligosaccharide (HMO). As sialic acid pro-
vides a negative charge, sialic acid-containing
carbohydrates are resistant to several bacterial
glycosidases. Therefore, removal of sialic acid
from HMOs and intestinal glycoconjugates
exposes the glycan moiety and is considered to
hasten their catabolism.
B. bifidum extracellular sialidase (SiaBb2, Fig.
4A) might play a role in bifidobacterial catabolism
of sialylated carbohydrates. However, the func-
tional role of sialidase in Bifidobacterium growth
remains unknown. Using the B. bifidum ATCC
15696 siaBb2 knock out (L1siabb2) strain, we
demonstrated that SiaBb2 promotes the removal of
sialic acid from sialyl-HMO and -mucin glycans to
yield utilizable oligosaccharides. Interestingly,
L1siabb2 showed a significantly lower ability to
adhere to epithelial cells and porcine colonic mucin
than the wild-type strain, while adhesion was
restored to the wild-type level in a siabb2 com-
plementation strain. This finding indicated that
SiaBb2 plays a role in the mucin-adhesive ability of
B. bifidum A TCC 1569613l.
To futher characterize SiaBb2-mediated B. bifi-
dum adhesion further, we examined the binding of
recombinant SiaBb2 peptides to porcine colonic
mucins. Recombinant conserved Sialidase domain
peptides (see Fig. 4A) bound to mucin with simi-
lar efficacies. Interestingly, the sialidase domain is
responsible for the interaction, as the binding of
SiaBb2 was less effective upon desialylation of
mucin by mild acid hydrolysis. These results
suggest that SiaBb2 can recognize sialylated carbo-
hydrates of porcine colonic mucin as well as other
carbohydrates. A glycoarray assay revealed that
sialidase domain peptides bind to the幽 6-linked
sialic acid on sialyloligosaccharide and blood type
A antigen at the non-reducing termini of sugar
chains (Fig. 4B). This finding indicates that the
sialidase domain is responsible for the interaction,
and that SiaBb2 recognizes two different carbohy-
drate structures via lectin-like interaction13l (Fig.
(A) 1 36
SiaBb2 N-0
Signal sequence
Fig. 4
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Sialidase domain
572 634
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Extracellular SiaBb2 from B. bifidum A TCC 1 5696 enhances its binding to sialyloligosaccha-rides and blood type A antigen. (A) Schematic representation of the primary structure of SiaBb2. Amino acid numbering starts at the presumed initiation codon. (B) Inter-actions of sialidase domain peptide with 28 type-s of sugar chains based on glycoarray signals Strong sialidase domain peptide fluorescence signals corresponding to carbohydrate chains of Siaa2,6 linkage at the non-reducing terminus (gray arrows) and blood type A antigen (black arrow). Reprinted from Nishiyama et al. (2017) lJ).
1).
Together, these findings suggest that extracellu-
lar sialidase from B. bifidum acts as a bifunctional
extracellular glycosidase enhancing Bifidobac-
terium-mucosal surface interactions and supporting
the assimilation of HMOs and intestinal glycocon-
jugates13l. Our breakthrough discovery of the
bifunctional role of extracellular glycoside hydro-
lase will accelerate our understanding of the coloni-
zation mechanisms of Bifidobacterium on the
mucosal surface and help to clarify its survival
strategies.
4. Conclusion
Adhesion to the mucosal surface is a prime
strategy for the colonization and persistence of
non-motile organisms (e.g., Lactobacillus and
Bifidobacterium) in the GI tract and might provide
a competitive advantage in this ecosystem. In this
224
review, we described recently identified and
characterized adhesion factors of Lactobacillus and
Bifidobacterium species and presented a strategy
for preventing Helicobacter and Campy!obacter
infections by applying Lactobacillus adhesion
factors. Probiotic bacteria have been shown to
possess the capacity to competitively inhibit patho-
gen colonization and infection. The competitive
inhibition activity has been considered to occur
through the action of several key mechanisms,
including competition for attachment sites, co-
aggregation with the pathogen, host immune
modulation, and production of antimicrobial com-
pounds or lactic acid14l. Studies indicate that the
effectiveness of the inhibitory effects is mediated
through competition with pathogen ligands for the
same adhesion sites, and provide significant
insights into the mechanisms underlying competi-
tive adhesion of intestinal pathogenic bacteria by
probiotics. Recent studies have revealed the
Bifidobacterium adhesion mechanism, and the
application of these strains is an important direc-
tion for further research. Deepening our under-
standing of the interactions between probiotic bac-
teria and the mucosal surface is anticipated to
reveal important information, including latent
capabilities of probiotics, as well as more specific
applications of these bacteria.
Acknowledgement
I am deeply honored to have received an
Encouragement Award from the Japanese Dairy
Science Association. I extend my heartfelt thanks
to the President of the Association, Dr. Tadao
Saito, as well as to the professors and scientists
who served on the panel of judges. All research
described in this review was carried out in collabo-
ration with Drs. Takao Mukai and Yuji Yamamoto
(Kitasato University). During this research, I
received support from many collaborators, col-
leagues, and students, to whom I am sincerely
grateful.
Funding
The research described herein was supported by
JSPS KAKENHI Grant Numbers 24580397,
15K07709, and 15H06581 and by a Kitasato
University Research Grant for Young Researchers.
第66巻
Part of this work was funded by Megmilk Snow
Brand Co., Ltd.
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226 第66巻
乳酸菌及びビフィズス菌の消化管定着機構の解明と感染予防への応用
西 山 啓 太
(北里大学薬学部微生物学教室,東京都港区白金 5-9-1 108-8641)
LactobacillusやBifidobacteriumは哺乳類の消化管に広く生息する共生細菌である。これらの細菌にとって宿主腸粘
膜に対する付着性を有することは腸内環境での定着や生存を有利にすると考えられている。これまで筆者は,細菌と宿
主腸粘膜の相互作用に着目し, LactobacillusやBifidobacteriumにおいて複数の付着因子を同定し特徴付けてきた。さ
らに見出された付着特性を利用し,病原細菌との付着部位の競合を利用した感染予防の有用性を証明してきた。本総説
では, Lactobacillusによる CampylobacterとHelicobacterの感染予防に関する取り組みとそのメカニズムについて論じ
るとともに,最近筆者らが見出したBifidobacteriumの糖質分解酵素を介した付着機構について紹介する。