- Research Paper
- Open Access
Modulation of anti-inflammatory response in lipopolysaccharide stimulated human THP-1 cell line and mouse model at gene expression level with indigenous putative probiotic lactobacilli
© Springer-Verlag Berlin Heidelberg 2013
- Received: 23 January 2013
- Accepted: 21 May 2013
- Published: 2 June 2013
The anti-inflammatory potential of eight indigenous probiotic Lactobacillus isolates was evaluated in vitro in terms of modulating the expression of tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6) in human acute monocytic leukemia (THP-1) cells under inflammatory conditions. Amongst these, Lactobacillus plantarum Lp91 was the most potent anti-inflammatory strain as it evoked a significant (P < 0.001) down-regulation of TNF-α by −1.45-fold relative to the control in THP-1 cells. However, in terms of IL-6 expression, all the strains could up-regulate its expression considerably at different levels. Hence, based on in vitro expression of TNF-α, Lp91 was selected for in vivo study in lipopolysaccharide (LPS)-induced mouse model to look at the expression of TNF-α, IL-6, monocyte chemotactic protein-1 (MCP-1), vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule (ICAM-1) and E-selectin in mouse aorta. In LPS challenged (2 h) mice group fed with Lp91 for 10 days, TNF-α, IL-6, MCP-1, VCAM-1, ICAM-1 and E-selectin expressions were significantly down-regulated by 3.10-, 10.02-, 4.22-, −3.14-, 2.28- and 5.71-fold relative to control conditions. In conclusion, Lp91 could serve as a candidate probiotic strain to explore it as a possible biotherapeutic anti-inflammatory agent against inflammatory diseases including cardiovascular disease.
- Cardiovascular diseases
- Intercellular adhesion molecule
- Monocyte chemotactic protein-1
- Vascular cell adhesion molecule-1
Therapeutic action of probiotics on the host’s immune system has entered a new and fascinating phase of intensive research in quest for finding novel dietary anti-inflammatory agents. The prospects of exploring the anti-inflammatory efficacy of probiotic treatment against inflammatory disorders as well as metabolic syndrome like obesity, diabetes mellitus (DM-2) and cardiovascular diseases (CVDs) have made these food grade organisms with generally regarded as safe (GRAS) status a very attractive key microbial ingredient of functional and health foods specifically targeted in the management of anti-inflammatory disorders across the world (Martin et al. 2008; Hormannsperger and Haller 2010). Recent advancements in molecular biology and better understanding of the pathogenesis of several inflammatory conditions have facilitated scientists to delve deeper into the fundamental causes of metabolic disorders commonly associated with an age-old immunological defense mechanism, that is, inflammation.
Most of the time, inflammation acts as a life savior providing defense against various antigens. However, recent studies have shown that it could be fatal under extreme conditions. Excessive inflammation destabilizes cholesterol deposits in the coronary arteries, leading to heart attacks and even strokes (Laugerette et al. 2011) and hence can play a central role in the pathogenesis of heart diseases. The biochemical processes involved in CVDs are the same as those involved in blood coagulation, inflammation and immune response (Lapara and Kelly 2010). In other words, chronic inflammation may be the engine that drives many of the most feared illnesses of middle and old age, that is, CVDs and strokes.
Chronic low-grade inflammation is now recognized as one of the root causes for the onset of CVDs. The bacterial products specifically lipopolysaccharide (LPS) induce an inflammatory response, which is central to the pathophysiology of CVD and diabetes and provides a link between diseases of the gut and the vasculature (Harris et al. 2012). Scientific evidence has suggested that metabolic endotoxemia (LPS, 50–100 pg/ml) can cause chronic low-grade inflammation and mild disturbances in energy metabolism implicated in the development of CVD and type 2 diabetes (Maitra et al. 2011). Metabolic endotoxemia has been linked to the development of CVD as well. In a 5-year epidemiological study involving 516 middle-aged men and women, those with plasma LPS levels over 50 pg/ml had a threefold increase in risk of developing atherosclerosis, while the subpopulation of smokers or ex-smokers with the same level of LPS had a 13-fold increase (Wiedermann et al. 1999). In this context, the contribution of inflammation from gut microbiota in pathogenesis of CVD may provide insight into new therapies to decrease disease risk.
Cytokines mediate and regulate the inflammatory responses through the involvement of pro- and anti-inflammatory interleukins and adhesion molecules. The role of cytokines in the pathogenesis of CVDs is increasingly evident ever since the inflammatory mechanisms in atherosclerosis and heart failure were understood (Lapara and Kelly 2010). Adhesion molecules like intercellular adhesion molecule (ICAM), vascular cell adhesion molecule (VCAM) and E-selectin also play a pivotal role in atherosclerotic plaque formation. Inflammation disturbs the homeostasis existing between anti- and pro-inflammatory cytokines. The increased level of pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α) and IL-6 increase the hepatic synthesis of acute phase proteins like fibrinogen, C reactive protein, adhesion molecules like VCAM-1, ICAM-1 and E-selectin, etc., along with concurrent decrease in the synthesis of high density lipoprotein (HDL). Previous studies have shown that the pro-inflammatory mediators, particularly TNF-α, can induce a procoagulant state on the surface of vascular endothelium and monocytes, down-regulating the protein C anticoagulant pathway and stimulating thrombin and fibrin formation. Therapeutic approaches that reduce the levels of pro-inflammatory biomarkers and address traditional risk factors are specifically important in preventing CVD and other potentially metabolic disorders (Paoletti et al. 2006).
Recent findings on probiotics as potential biotherapeutics have revealed that these friendly organisms have bright prospects by serving as innovative tools to alleviate intestinal inflammation, normalize gut mucosal dysfunction and down-regulate hypersensitivity reactions (Maslowski and Mackay 2011). Oral administration of probiotics can influence immune response by modulating cytokine profiles not only locally in the intestines, but also systemically (Meyer et al. 2007). The consumption of probiotics can help in decreasing the level of interleukin-6 (IL-6) which in turn leads to reduction in the fibrinogen level in the blood. Amongst the probiotics, the role of lactobacilli in reducing the fibrinogen and cholesterol levels in blood has been well documented (Li et al. 2009; Kumar et al. 2011). Probiotics are also known to markedly inhibit TNF-α production by normal and inflamed mucosa. It has been shown that some probiotic organisms can modulate the expression of pro- and anti-inflammatory molecules both in vitro as well as in vivo in a strain-dependent manner (Habil et al. 2011).
The present study was aimed to primarily assess the anti-inflammatory properties of putative indigenous probiotic Lactobacillus plantarum (L. plantarum) strains both in vitro (THP-1) cells and in vivo (mouse model) under inflammatory conditions at gene expression level with the long-term objective of exploring these as biotherapeutics in the management of inflammatory diseases including CVDs.
Ten bacterial strains which included eight indigenous putative Lactobacillus isolates (L. plantarum 9, 21, 65, 75, 78, 91, 100 and L. pentosus S7) along with two reference strains viz. L. plantarum Lp5276 (also designated as CSCC5276, NCDO82 or VTTE-71034 was procured from Dr. N. P. Shah from Victoria University, Australia; Crittenden et al. 2002; Kaushik et al. 2009) and Lactobacillus acidophilus NCFM (also known as Howaru Dophilus, La-1, NCK56, NCK45, N2, RL8KR, RL8KS and RL8K; Sanders and Klaenhammer 2001; Altermann et al. 2005; Ringel-Kulka et al. 2011), the subject of this study, were procured from the probiotic culture collection maintained at Molecular Biology Unit, Dairy Microbiology Division, National Dairy Research Institute, Karnal. L. plantarum Lp91 was deposited at Microbial Type Culture Collection, Institute of Microbial Technology, Chandigarh, India, as MTCC 5690. The two reference strains of probiotic lactobacilli, that is, Lp5276 and NCFM were included in the study to compare the anti-inflammatory efficacy of the indigenous probiotic strains with that of reference strains to associate any variability in their purported functionality within L. plantarum or between Lactobacillus spp. Bacterial strains were activated prior to use by growing in de Man Rogosa Sharpe (MRS) broth (HiMedia, India) at 37 °C for 18–24 h. The identity of the L. plantarum strains was ascertained by PCR both at genus and species level using genus-specific LbLMA1/R-161 (5′-ctc aaa act aaa caa agt ttc-3′/5′-ctt gta cac acc gcc cgt tca-3′) (Dubernet et al. 2002) and species-specific Lpla2/Lpla3 primers (5′-att cat agt cta gtt gga ggt-3′/5′-cct gaa ctg aga gaa ttt ga-3′) (Song et al. 2000) and was further authenticated by 16S rDNA sequencing as described previously (Kaushik et al. 2009). In brief, the genomic DNA of Lactobacillus strains was isolated as per Pospiech and Neumann (1995). PCR was set up in a 25 μl reaction volume containing sterile MilliQ water (17 μl), PCR Buffer (2.5 μl), Primer (2.0 μl), dNTPs (2.0 μl), 1.0 U Taq DNA polymerase (0.5 μl) and template (1.0 μl). The PCR cycling parameters included an initial denaturation of 95 °C/5 min, followed by 45 cycles each of denaturation (95 °C/30 s), annealing at (55 °C/30 s) for genus-specific and 60 °C/30 s. for species-specific PCR followed by extension (72 °C/2 min) and final extension of 72 °C/10 min. The PCR products were electrophoresed on 1.8–2 % agarose gel containing ethidium bromide and visualized under UV light (Fotodyne, USA).
Propagation of human acute monocytic leukemia cell line (THP-1)
Human acute monocytic leukemia cell line (THP-1) was procured from National Centre of Cell Sciences (NCCS, Pune, India). The cell line was cultured in Roswell Park Memorial Institute Medium 1640 (RPMI, Sigma, USA). The medium was supplemented with 10 % (v/v) heat inactivated fetal bovine serum (Sigma, USA), 2 mM glutamine (Sigma, USA), 1 mM sodium pyruvate, 2 g/l sodium bicarbonate, 0.05 mM mercaptoethanol, 1 % 100 U/ml penicillin (Sigma, USA) and 1 % 100 U/ml streptomycin (Sigma, USA) in 25-cm2 culture flask (Falcon, Beckton Dickinson, Sparks, MD, USA) and incubated at 37 °C in an atmosphere of 5 % CO2. The culture was passaged in fresh medium every alternate day for activation.
THP-1 cells were treated with phorbol 13 myristate 12 acetate (PMA) to convert it to THP-1 macrophage attached cell line. After attaining 80 % confluency, 1 × 106 of cells/ml were seeded in each well of the plates with complete medium and incubated at 37 °C under 5 % CO2. The growth medium was changed every 2 days. THP-1 derived macrophage cells were cultured until complete confluency had reached. One day prior to challenging the cell line with probiotic Lactobacillus strains, the complete medium was replaced with basal medium free from serum and antibiotics. Viability of THP-1 cells was assessed by trypan blue assay (dye exclusion method). The assay was used for determining the concentration of LPS (Escherichia coli; Sigma, USA) used for challenging the cell line. In brief, the cell suspension (about 106 cells/ml) was diluted in 1:1 ratio using a 0.2 % (w/v) trypan blue solution in saline water (mix 4 parts of 0.2 % trypan blue with 1 part of 5× Saline (4.25 % NaCl w/v). After incubation of 2 min at 37 °C under 5 % CO2, the cells were counted using hemocytometer and cell viability was calculated (viable cells will appear colorless). The viability of cell line at different concentrations of LPS was more than 95 % at 100 ng/ml LPS for 3 h based on trypan blue exclusion assay.
Subjecting THP-1 macrophage cells with probiotics and LPS treatments
The THP-1 derived macrophages were separately pre-challenged with each of the individual live probiotic Lactobacillus strains [~1 × 109 colony forming unit (cfu)/ml] followed by LPS (100 ng/ml) treatment. Prior to challenge, the lactobacilli were grown ON in MRS broth at 37 °C and harvested by centrifugation at 5,500×g for 10 min. The cells were then washed twice in PBS buffer, and OD600 was adjusted to 1.5 which corresponded to ~1 × 109 cfu/ml based on viable plate count determination. The bacterial cells were then resuspended in RPMI (~1 × 109 cfu/ml). One ml of the cell suspension was then added to the wells of the culture plate and incubated at 37 °C in 5 % CO2 for 4 h followed by addition of fresh medium without antibiotic and fetal bovine serum.
After incubation, cells were challenged with 100 ng/ml LPS and again incubated further for 3 h. LPS was completely removed by decanting the medium, and trypsinization was done by addition of trypsin–EDTA solution (Sigma, USA). Cells were centrifuged at 450×g/5 min at RT and resuspended in RPMI medium and pelleted. RNA was isolated from the cell pellet by TRIzol method (TRI Reagent Sigma, USA). One μg of the DNaseI (Promega, USA)-treated RNA was transcribed into cDNA, using ImPromII reverse transcriptase kit (Promega, USA) and random hexamer primers (10 μM) provided with the same. The expression of pro-inflammatory cytokines like TNF-α and IL-6 was analyzed by RT-qPCR. Untreated THP-1 cells grown in RPMI served as control.
In vivo study using LPS mouse model
A total of 32 adult male (7–8 weeks old) Swiss Albino mice weighing 25–30 g on average were used in this study. The animals were fed normal diet (bengal gram crushed: 58 %, wheat starch: 15 %, groundnut cake: 10 %, casein: 4 %, groundnut oil: 4 %, salt mixture: 4 %, vitamin mixture: 0.2 % and choline chloride: 0.2 %) and water ad libitum during the entire course of the experiment. The animals were divided into four homogeneous groups (LPS, Lp91 + LPS, control and Lp91 groups) comprising of eight animals each, housed in individual cages and maintained under a constant 12-h light–12-h dark cycle. The temperature was controlled at 21 °C with about 56–60 % relative humidity. Before conducting the animal trial, prior approval of the Institute’s Animal Ethics Committee was obtained, and the mice were maintained as per National Institute of Nutrition, India, guidelines for the care and use of laboratory animals.
Feeding of mice and experimental design
The cell suspension of Lp91 (109cfu/ml) was prepared by centrifuging 1.5 ml of the ON grown culture [4,000×g, 15 min] and resuspending the cell pellet in 200 μl of sterile PBS. The mice were fed for 10 days by oral intubation of the cell suspension with the help of 1 ml syringe and silicon tubing. The mice fed with PBS alone served as the control group. The experimental design has been illustrated in Fig. 1S under supplementary information. After fasting on 10th day, intraperitoneal injection of LPS (20 mg/kg body weight) was given to mice 2 h before dissection on 11th day to induce inflammation. Aorta was collected during dissection. RNA was isolated from the aorta of mice under different experimental conditions by TriZol method. The DNase I (Promega, USA)-treated RNA was transcribed into cDNA, using Fermentas first strand cDNA synthesis kit with 100 μM random hexamer primers. The expression of various pro-inflammatory cytokines like TNF-α and IL-6, chemokine MCP-1, VCAM-1, ICAM-1 and E-selectin after administration of Lp91 for 10 days was investigated by RT-qPCR.
Relative gene expression studies by RT-qPCR
Sequences of the primers used for RT-qPCR
Primer sequence (5′–3′)
Annealing temperature (°C)
Amplicon size (bp)
TNF-α Sae F
TNF-α Sae R
agc cca tgt tgt agc aaa cc
tga ggt aca ggc cct ctg at
Saegusa et al. (2007)
IL-6 Tatjana F
IL-6 Tatjana R
ttc aat gag gag act tgc ctg
aca aca aca atc tga ggt gcc
Faruqi et al. (2001)
tgg ctg ggg tgt tga agg tct
agc acg gca tcg tca cca act
Lallemant et al. (2009)
TNF-α mus F
TNF-α mus R
tct cat cag ttc tat ggc cc
ggg act aga caa ggt aca ac
Dombrowicz et al. (2001)
IL-6 mus F
IL-6 mus R
gtt ctc tgg gaa atc gtg ga
tgt act cca ggt agc tat gg
Dombrowicz et al. (2001)
MCP-1 mus F
MCP-1 mus R
tct ggg cct gct gtt cac
gtg aat gag tag cag cag gtg agt
tgg tga aat gga atc tga acc
ccc aga tgg tgg ttt cct t
gga cca cgg agc caa ttt c
ctc gga gac att aga gaa caa tgc
ccc tgc cca cgg tat cag
ccc ttc cac aca gtc aaa cgt
agt gtg acg ttg aca tcc gta
gcc aga gca gta atc tcc ttc t
RT-qPCRs were set up in LightCycler 480 (Roche, Switzerland) preloaded with relative quantification software (version LCS480 22.214.171.124, Roche) along with fluorescence signal detection (SYBR Green). Each reaction was performed in a 10 μl reaction volume containing 5 μl of 2× SYBR Green PCR Master Mix (Roche), 2.5 μl of properly diluted cDNA (30 ng/μl of cDNA for all the genes used for RT-qPCR), 0.5 μl of each primer at 10 μM and 1.5 μl of nuclease-free water. Negative controls (with no DNA template, only primer pair for the target genes, water and 2× SYBR Green PCR Master Mix) were included in each run. The thermal cycling conditions included initial denaturation at 95 °C for 5 min, followed by 45 cycles each of denaturation (95 °C/10 s), annealing (58–60/15 s) and extension (15 s at 72 °C with a single fluorescence measurement), a melt curve program (60–95 °C with a heating rate of 0.11 °C/s and continuous fluorescence measurement) and finally, a cooling step at 40 °C. RNA extraction and measurement of gene expression by RT-qPCR were performed in triplicate, and the mean of all these values was used for final analysis.
The identity of bacterial isolates used in this study as L. plantarum was ascertained by both genus- and species-specific PCR (Fig. 2S) and further authenticated by 16S rDNA sequencing. As the specific health promoting functions of probiotics are highly strain specific, attempts were also made to discriminate eight of the putative indigenous isolates of probiotic L. plantarum/Lactobacillus pestosus as distinct strains based on their unique RAPD banding patterns by RAPD PCR using three different random primers viz. 228, 244 and 275 (Fig. 3S). However, the most discriminatory random primer turned out to be 275 which led to development of distinct RAPD banding patterns by producing amplicons ranging in size from 100 to 2,000 bp.
Relative expression of TNF-α and IL-6 in THP-1 cells by RT-qPCR
Similarly, challenge of THP-1 cells with LPS alone induced the expression of IL-6 significantly (P < 0.001) by 5.67-fold relative to control. However, probiotic treatment individually with Lp65, 9, 21 and 75 led to a significant (P < 0.001) increase in the expression of IL-6 by 78.91-, 58.84-, 33.56- and 32.49-fold, respectively, in THP-1 cells. Contrary to this, the two reference strains Lp5276 and NCFM behaved differently with regard to IL-6 expression as Lp5276 evoked the expression of the same by 1.54-fold only as against 8.41-fold induced by NCFM, thereby, indicating that immune-modulatory effect of probiotics was strain dependent. Lp91 was chosen as the most potent strain for in vivo studies because of its ability to down-regulate TNF-α expression significantly by −1.45-fold and also because this strain exhibited strong probiotic attributes and demonstrated cholesterol lowering effects as reported previously in our laboratory (Duary et al. 2010, 2011, 2012a, b; Kumar et al. 2011, 2012) for pursuing in vivo studies.
Relative expression of TNF-α and IL-6 in LPS mouse model by RT-qPCR
Relative expression of MCP-1, VCAM-1, ICAM-1 and E-selectin
With regard to VCAM-1 and ICAM-1, LPS stimulation showed a significant up-regulation of the two genes (P < 0.037) in mice by 2.94- and 8.22-folds, respectively, relative to control group. However, treatment with Lp91 along with LPS resulted into a significant down-regulation of VCAM-1 to −3.14-fold as compared to LPS control. Contrary to this, under the same conditions, ICAM-1 expression was up-regulated significantly (P < 0.045) with relative increase of 2.28-fold indicating a significant decrease of 5.95-fold in the level of ICAM-1 when compared to LPS group alone. However, there was a significant (P < 0.009) down-regulation of VCAM-1 by −4.81-fold in case of mice group fed with Lp91 alone for 10 days, whereas expression of ICAM-1 in the same animal group was down-regulated by 1.09-fold which, however, was non-significant.
LPS challenge led to expression of E-selectin in mice significantly (P < 0.002) by 8.84-fold relative to control. However, in mice group wherein Lp91 was fed for 10 days followed by LPS challenge for 2 h, there was a significant (P < 0.006) relative increase in E-selectin expression by 5.71-fold relative to control. These results further indicate that there was actually 3.13-fold reductions in the expression of E-selectin. On the other hand, when Lp91 was fed alone, there was no significant change in the level of E-selectin expression (1.97-fold).
Persistence of Lactobacillus plantarum 91 in mouse gut
New insights into the pathogenesis of CVDs reveal that inflammation is the hallmark of atherosclerosis and takes place as a consequence of endogenous or exogenous insult of the vessel wall (Lapara and Kelly 2010). The progression of this inflammatory response is regulated by specific patterns of cytokine expression. The outcome of the study conducted by Gotsman et al. (2008) on the patients with atherosclerosis—a chronic inflammatory condition clearly demonstrated that the expression of inflammatory markers like IL-6 and tumor necrosis factor-alpha was increased significantly in those patients which eventually could end up into coronary artery diseases. Hence, the balance of pro- and anti-inflammatory cytokines is of considerable biological significance in vascular inflammation and is underscored by the fact that in vivo down-regulation of pro-inflammatory cytokines reduces atherogenesis. Because of their alleged role in inflammatory response, these pro-inflammatory cytokines were targeted in our study to look at their relative expression both in THP-1 cells and mouse model evoked with the test L. plantarum strains under inflammatory conditions.
In vitro studies
The results obtained from this study clearly demonstrate that the ability to modulate cytokine network particularly in terms of TNF-α expression by probiotic bacteria was highly strain specific. Several reports are available in literature on the immuno-stimulatory properties of probiotics for augmenting the expression of TNF-α (Cross et al. 2004; Mohamadzadeh et al. 2005), whereas an equivalent reports on inhibition of TNF-α expression evoked by probiotic strains are also available (Pena et al. 2005; Chan Remillard and Ozimek 2006; Lin et al. 2008). Morita et al. (2002) also reported that the immuno-regulatory activities of lactobacilli were highly strain dependent. Our results on down-regulation of TNF-α expression by probiotics are in agreement with the previous reports wherein the inhibition of TNF-α expression in intestinal cells isolated from Crohn’s patients and LPS-activated THP-1 cells and human monocyte derived macrophages on treatment with specific probiotic strains was recorded (Carol et al. 2006; Lin et al. 2008; Jones and Versalovic 2009).
Probiotic cultures have clinical relevance for amelioration of inflammatory diseases such as CVDs, inflammatory bowel disease (IBD)/Crohn’s disease (CD)/ulcerative colitis (UC), etc., as these patients have increased levels of TNF-α which needs to be reduced and hence these patients are given anti-TNF-α therapy. A large number of clinical studies using anti-TNF-α mAb (anti-tumor necrosis factor-alpha monoclonal antibody) therapy have clearly shown a beneficial effect in IBD patients (Rutgeerts et al. 2004). Anti-TNF-α treatment can inhibit the cytokine-induced chain of events likely to result into increased risk of CVDs. The important role played by TNF-α in intestinal inflammation is strongly supported by the fact that drugs capable of interfering with the activity of this mediator are being developed for IBD therapy. Down-regulation of TNF-α can restore the breach of the innate immunity and thereby prevent the onset of the inflammatory events. In this context, our study clearly demonstrate the anti-inflammatory prospects of our putative probiotic lactobacilli strains by down-regulating the expression of TNF-α in THP-1 cells which can be eventually be explored in the management of inflammatory metabolic disorders. Our indigenous probiotic lactobacillus strains Lp91, 9 and 100 which were able to down-regulate TNF-α significantly could serve as the potential candidate probiotics for the management of inflammatory diseases including CVDs.
With regard to expression of IL-6 in THP-1 cells, it was observed from our study that probiotic treatment could enhance the expression of this dual function cytokine IL-6. It is a pleiotropic cytokine with dual functionality, that is, it has both pro-inflammatory as well as anti-inflammatory properties under different conditions (Lee et al. 2009; Xing et al. 1998). Our results in this context are in agreement with those of Reilly et al. (2007) who also reported that probiotic Lactobacillus paracasei could potentiate the effects of IL-1β on IL-6 production in cultured Caco-2 cells suggesting its anti-inflammatory properties. However, our results are partially in agreement with the findings of Servin (2004) who reported that probiotic strains attenuated the production of IL-6, IFN-γ and NO in the host cells. Furthermore, a study conducted by Xing et al. (1998) also clearly revealed an anti-inflammatory nature of IL-6 in both local and systemic acute inflammatory responses elicited by local lung or systemic exposure to endotoxin by using IL-6 gene knockout mice. It was demonstrated that IL-6 was critically required to control the extent of local or systemic acute inflammatory responses, particularly the level of pro-inflammatory cytokines in the local and systemic compartments, respectively. The demonstration of these opposing effects in the host cells by different probiotics with regard to IL-6 expression could possibly be attributed to their strain specificity.
In vivo studies
As far as we understand, there is no direct published report available on the expression of TNF-α and IL-6 in mouse aorta on LPS stimulation and probiotic treatment. Therefore, right now, we are not in a position to substantiate our results with the observations of other groups of workers on TNF-α and IL-6 expression in other affected tissues in inflammatory mouse models. Our findings in this regard are supported by the outcome of a similar study conducted by Perdigon et al. (2002) who also recorded significant dose-dependent increase in TNF-α values (P < 0.01) in the intestinal tissue with all LAB strains tested in mouse model. Kano et al. (2002) also reported that oral administration of milk fermented with Lactobacillus delbrueckii ssp. bulgaricus OLL1073R-1 into DBA/1 mice inhibited secretion of IL-6 and TNF-α by lymph node cells (LNC). Peran et al. (2005), on the other hand, reported highly diverse results with lactic acid bacteria on their ability to enhance or to reduce inflammatory cytokine production of TNF-α. A decreased colonic expression of TNF-α by different LAB in colitis mouse model has also been reported (Arribas et al. 2009; Lee et al. 2009). Regarding the effect of probiotics on IL-6 expression, our results are consistent with the observations of Ruiz et al. (2005) who too reported that enterocytes could excrete cytokines such as IL-6 in presence of probiotic organisms as demonstrated with several physiological animal models. Similarly, Vinderola et al. (2005) also reported that intestinal epithelial cells could produce IL-6 up to 5 days on colonization with only one organism, that is, Bifidobacterium lactis Bb-12 in rats. In a recent report, L. delbrueckii and Lactobacillus fermentum when given orally in moderate UC patients for 8 weeks significantly ameliorated inflammation by decreasing the colonic concentration of IL-6, expression of TNF-α and NF-κBp65 and leukocyte recruitment (Hegazy and El-Bedewy 2010). In a more recent study, Martins et al. (2011) reported that the pre-treatment with Saccharomyces cerevisiae 905 orally decreased levels of pro-inflammatory cytokines (IL-6, IL-10, TGF-β, TNF-α, and IFN-γ) in a murine model challenged with Salmonella typhimurium. However, our findings are at variance with those of Pavan et al. (2003) who recorded substantial increase in level of TNF-α, IFN-γ and IL-10 mRNA in the ilea and colons of mice on receiving a single daily dose of L. plantarum NCIMB8826 or Lactococcus lactis for 4 consecutive days. These differences related to gene expression might be attributed to strain specificity of the probiotic cultures used in their respective studies along with that of different animal models.
The validity of our results related to expression of MCP-1 in mice evoked by probiotic interventions can be supported by almost similar findings recorded in some previous studies (Veckman et al. 2003; Ukena et al. 2005), wherein up- or down-regulation of the expression of MCP-1 in animal models and cell lines on probiotic treatment along with inflammatory agent was recorded. Later, Harata et al. (2010) demonstrated that intranasal administration of LGG led to significant increase in mRNA expression of IL-1β, TNF-α and MCP-1 (P < 0.01) in an animal model. From these findings, it can be concluded that although lot of in vitro studies on MCP-1 expression induced by probiotic treatments have been conducted in different cell lines by different groups, there are hardly any in vivo studies that were attempted on similar lines.
Our findings with regard to relative expression of VCAM-1 and ICAM-1 induced in mice on probiotic treatment along with LPS can be adequately supported with a handful of studies carried out on similar lines. In one of the clinical studies conducted by Hilvak et al. (2005), it was reported that long-term (56 week) oral administration of probiotic Enterococcus faecium M-74 decreased the expression of sICAM-1 and monocyte CD54. It was notably found that plasma sICAM-1 level increased no sooner than 4 weeks when probiotic administration discontinued. In another in vivo study conducted in colitic rats by Angulo et al. (2006), it was demonstrated that Lactobacillus casei prevented the up-regulation of ICAM-1 expression and leukocyte recruitment in experimental colitis. Endothelial ICAM-1 and VCAM-1 expression was significantly increased in the colonic endothelium in association with the induction of colitis. Our results on these aspects can be further supported by almost similar findings recorded by Chu et al. (2009) who also reported that L. plantarum treatment improved the histological damage score in IL-10 knockout (KO) mice compared to untreated KO mice and also significantly attenuated the expression of MAdCAM-1 and ICAM-1. Thus, our indigenous probiotic strain Lp91 could significantly down-regulate the expression of VCAM-1 and hence by virtue of having this attribute, it could be an attractive candidate probiotic to explore it as a potential biotherapeutic role in the management of inflammatory diseases including CVDs and other related diseases where such adhesion molecules could have a deleterious role by blocking the endothelial cells in the blood circulating system.
Similarly, as far as E-selectin is concerned, there is hardly any published report on its expression in the host cells on probiotic treatment. Nevertheless, some studies have been conducted, wherein phenolic compounds and herbal medicines have been reported to inhibit the expression of E-selectin (Carluccio et al. 2003; Hu et al. 2009). Hence, the useful information generated from the outcome of these studies related to the effect of phenolic compounds and herbal medicines could also be extrapolated to probiotic effect for modulating the expression of important adhesion molecules like E-selectin to establish their efficacy as biotherapeutics in the management of inflammatory diseases including CVDs and other heart-related problems.
From the findings of this study, it can be concluded that our indigenous probiotic Lactobacillus strain Lp91 possessed strong anti-inflammatory property by virtue of its ability to down-regulate TNF-α expression in THP-1 cells and LPS mouse model. This strain is also adequately equipped with in built protective system with ability to inhibit the expression of key chemokine and adhesion molecules such as MCP-1, VCAM-1, ICAM-1 and E-selectin in mice under the inflammatory conditions. By modulating the expression of these key signal molecules having potential clinical implications in human health, Lp91 holds great promise and could serve as the perspective biotherapeutic agent in the management of inflammatory disorders particularly CVDs including atherosclerosis. These findings are likely to open new avenues for exploring anti-inflammatory properties of probiotics along with their ability to inhibit key adhesion molecules as a new weapon to target inflammatory disorders including CVDs.
We gratefully acknowledge the support provided by Director, National Dairy Research Institute (Karnal, India) and Indian Council of Agricultural Research (India) to carry out the study. The authors are also indebted to Ministry of Food Processing Industries (MoFPI) for financial support during the execution of the project. The authors also gratefully acknowledge the help rendered by Dr. Rajeev Kapila, Principal Scientist, Animal Biochemistry Division, Mr. Mohinder Singh, Attd., Small animal house, NDRI.
Conflict of interest
The authors have declared no conflict of interest.
- Altermann E, Russell WM, Azcarate-Peril MA, Barrangou R, Buck BL, McAuliffe O, Souther N, Dobson A, Duong T, Callanan M, Lick S, Hamrisk A, Cano R, Klaenhammer TR (2005) Complete genome sequence of the probiotic lactic acid bacterium Lactobacillus acidophilus NCFM. Proc Natl Acad Sci 102:3906–3912. doi:10.1073/pnas.0409188102 PubMedView ArticleGoogle Scholar
- Angulo S, Llopis M, Antolin M, Gironella M, Sans M, Malagelada JR, Pique JM, Guarner F, Panes J (2006) Lactobacillus casei prevents the upregulation of ICAM-1 expression and leukocyte recruitment in experimental colitis. Am J Physiol Gastrointest Liver Physiol 291:G1155–G1162PubMedView ArticleGoogle Scholar
- Arribas B, Rodriguez-Cabezas ME, Camuesco D, Comalada M, Bailon E, Utrilla P, Nieto A, Concha A, Zarzuelo A, Galvez J (2009) Probiotic strain of Escherichia coli, Nissle 1917, given orally exerts local and systemic anti-inflammatory effects in lipopolysaccharide-induced sepsis in mice. Br J Pharmacol 157:1024–1033PubMedView ArticleGoogle Scholar
- Bustin SA, Benes V, Garson JA, Hellemans J, Huggett J, Kubista M, Mueller R, Nolan T, Pfaffl MW, Shipley GL, Vandesompele J, Wittwer CT (2009) The MIQE guidelines: minimum information for publication of quantitative real-time pcr experiments. Clin Chem 55L:611–622View ArticleGoogle Scholar
- Carluccio MA, Siculella L, Ancora MA, Massaro M, Scoditti E, Storelli C, Visioli F, Distante A, De Caterina R (2003) Olive oil and red wine antioxidant polyphenols inhibit endothelial activation antiatherogenic properties of mediterranean diet phytochemicals. Arter Thromb Vasc Biol 23:622–629View ArticleGoogle Scholar
- Carol M, Borruel N, Antolin M, Llopis M, Casellas F, Guarner F, Malagelada JR (2006) Modulation of apoptosis in intestinal lymphocytes by a probiotic bacteria in Crohn’s disease. J Leukoc Biol 79:917–922PubMedView ArticleGoogle Scholar
- Chan Remillard SKW, Ozimek L (2006) Inhibition of tumour necrosis factor by lactic acid bacteria in mouse macrophages. DRTC Dairy Day 45–46Google Scholar
- Chu Z, Chen H, Ma Y, Zhou Y, Zhang M, Zhang P, Qin HL (2009) Lactobacillus plantarum prevents the upregulation of adhesion molecule expression in an experimental colitis model. Dig Dis Sci 55:2505–2513PubMedView ArticleGoogle Scholar
- Crittenden R, Karppinen S, Ojanen S, Tenkanen M, Fagerstrom R, Matto J, Saarela M, Mattila-Sandholm T, Poutanen K (2002) In vitro fermentation of cereal dietary fibre carbohydrates by probiotic and intestinal bacteria. J Sci Food Agric 82:781–789View ArticleGoogle Scholar
- Cross ML, Ganner A, Teilab D, Fray LM (2004) Patterns of cytokine induction by gram-positive and gram-negative probiotic bacteria. FEMS Immunol Med Microbiol 42:173–180PubMedView ArticleGoogle Scholar
- Dombrowicz D, Nutten S, Desreumaux P, Neut C, Torpier G, Peeters M, Colombel JF, Capron M (2001) Role of the high affinity immunoglobulin E receptor in bacterial translocation and intestinal inflammation. J Exp Med 193:25–34PubMedView ArticleGoogle Scholar
- Duary RK, Batish VK, Grover S (2010) Expression of atpD gene in putative indigenous probiotic L. plantarum strains under in vitro acidic conditions by RT-qPCR. Res Microbiol 161:399–405PubMedView ArticleGoogle Scholar
- Duary RK, Rajput YS, Batish VK, Grover S (2011) Assessing the adhesion of putative indigenous probiotic lactobacilli to human colonic epithelial cells. Indian J Med Res 134:664–671PubMedView ArticleGoogle Scholar
- Duary RK, Batish VK, Grover S (2012a) Relative gene expression of bile salt hydrolase and surface proteins in two putative indigenous Lactobacillus plantarum strains under in vitro gut conditions. Mol Biol Rep 39:2541–2552PubMedView ArticleGoogle Scholar
- Duary RK, Bhausaheb MA, Batish VK, Grover S (2012b) Anti-inflammatory and immunomodulatory efficacy of indigenous probiotic Lactobacillus plantarum Lp91 in colitis mouse model. Mol Biol Rep 39:4765–4775PubMedView ArticleGoogle Scholar
- Dubernet S, Desmasures N, Gueguen M (2002) A PCR based method for identification of lactobacilli at the genus level. FEMS Microbiol Lett 214:271–275PubMedView ArticleGoogle Scholar
- Faruqi TR, Gomez D, Bustelo XR, Bar-Sagi D, Reich NC (2001) Rac1 mediates STAT3 activation by autocrine IL-6. Proc Natl Acad Sci 98:9014–9019PubMedView ArticleGoogle Scholar
- Gotsman I, Stabholz A, Planer D, Pugatsch T, Lapidus L, Novikov Y, Masrawa S, Soskolne A, Lotan C (2008) Serum cytokine tumor necrosis factor-alpha and interleukin-6 associated with the severity of coronary artery disease: indicators of an active inflammatory burden? Isr Med Assoc J 10:494–498PubMedGoogle Scholar
- Habil N, Al-Murrani W, Beal J, Foey AD (2011) Probiotic bacterial strains differentially modulate macrophage cytokine production in a strain-dependent and cell subset-specific manner. Benef Microbes 2:283–293PubMedView ArticleGoogle Scholar
- Harata G, He F, Hiruta N, Kawase M, Kubota A, Hiramatsu M, Yausi H (2010) Intranasal administration of Lactobacillus rhamnosus GG protects mice from H1N1 influenza virus infection by regulating respiratory immune responses. Lett Appl Microbiol 50:597–602PubMedView ArticleGoogle Scholar
- Harris K, Kassis A, Major G, Chou CJ (2012) Is the gut microbiota a new factor contributing to obesity and its metabolic disorders? J Obes 2012:14. doi:10.1155/2012/879151 Google Scholar
- Hegazy SK, El-Bedewy MM (2010) Effect of probiotics on pro-inflammatory cytokines and NF-κB activation in ulcerative colitis. World J Gastroenterol 16:4145–4151PubMedView ArticleGoogle Scholar
- Hilvak P, Jhanova E, Odraska J, Ferenick M, Ebringer L, Mikes Z (2005) Long term (56 week) oral administration of probiotic Enterococci faecium M-74 decreases the expression of sICAM-1 and monocyte CD54, and increases that of lymphocytes CD49d in humans. Bratisl Lek Listy 106:175–181Google Scholar
- Hormannsperger G, Haller D (2010) Molecular crosstalk of probiotic bacteria with the intestinal immunesystem: clinical relevance in the context of inflammatory bowel disease. Int J Med Microbiol 300:63–73. doi:10.1016/j.ijmm.2009.08.006 PubMedView ArticleGoogle Scholar
- Hu Y, Chen X, Duan H, Hu Y, Mu X (2009) Chinese herbal medicinal ingredients inhibit secretion of IL-6, IL-8, E-selectin and TXB2 in LPS-induced rat intestinal microvascular endothelial cells. Immunopharmacol Immunotoxicol 31:550–555PubMedView ArticleGoogle Scholar
- Jones SE, Versalovic J (2009) Probiotic Lactobacillus reuteri biofilms produce antimicrobial and anti-inflammatory factors. BMC Microbiol 9:35PubMedView ArticleGoogle Scholar
- Kano H, Mogami O, Uchida M (2002) Oral administration of milk fermented with Lactobacillus delbrueckii ssp. bulgaricus OLL1073R-1 to DBA/1 mice inhibits secretion of proinflammatory cytokines. Cytotechnology 40:67–73PubMedView ArticleGoogle Scholar
- Kaushik JK, Kumar A, Duary RK, Mohanty AK, Grover S, Batish VK (2009) Functional and probiotic attributes of an indigenous isolate of Lactobacillus plantarum. PLoS One 4:e8099. doi:10.1371/journal.pone.0008099 PubMedView ArticleGoogle Scholar
- Kumar R, Grover S, Batish VK (2011) Hypocholesterolaemic effect of dietary inclusion of two putative probiotic bile salt hydrolase-producing Lactobacillus plantarum strains in Sprague–Dawley rats. Br J Nutr 105:561–573PubMedView ArticleGoogle Scholar
- Kumar R, Grover S, Batish VK (2012) Bile salt hydrolase (Bsh) activity screening of lactobacilli: in vitro selection of indigenous Lactobacillus strains with potential bile salt hydrolysing and cholesterol-lowering ability. Probiotics Antimicrob Prot 4:162–172View ArticleGoogle Scholar
- Lallemant B, Evrard A, Combescure C, Chapuis H, Chambon G, Raynal C, Reynaud C, Sabra O, Joubert D, Hollande F, Lallemant JG, Lumbroso S, Brouillet JP (2009) Reference gene selection for head and neck squamous cell carcinoma gene expression studies. BMC Mol Biol 10:78PubMedView ArticleGoogle Scholar
- Lapara NJ 3rd, Kelly BL (2010) Suppression of LPS-induced inflammatory responses in macrophages infected with Leishmania. J Inflamm (Lond) 7:8View ArticleGoogle Scholar
- Laugerette F, Vors C, Peretti N, Michalski M (2011) Complex links between dietary lipids, endogenous endotoxins and metabolic inflammation. Biochimie 93:39–45PubMedView ArticleGoogle Scholar
- Lee B, Lee JH, Lee HS, Bae EA, Huh CS, Ahn YT, Kim DH (2009) Glycosaminoglycan degradation-inhibitory lactic acid bacteria ameliorate 2,4,6-trinitrobenzenesulfonic acid-induced colitis in mice. J Microbiol Biotechnol 19:616–621PubMedGoogle Scholar
- Li N, Russell WM, Douglas-escobar M, Hauser N, Lopez M, Neu J (2009) Live and heat-killed Lactobacillus rhamnosus GG: effects on pro-inflammatory and anti-inflammatory cytokines/chemokines in gastrostomy-fed infant rats. Pediatr Res 66:203–207PubMedView ArticleGoogle Scholar
- Lin YP, Thibodeaux CH, Pena JA, Ferry GD, Versalovic J (2008) Probiotic Lactobacillus reuteri suppress pro inflammatory cytokine via c-Jun. Inflamm Bowel Dis 14:1068–1083PubMedView ArticleGoogle Scholar
- Maitra U, Gan L, Chang S, Li L (2011) Low-dose endotoxin induces inflammation by selectively removing nuclear receptors and activating ccaat/enhancer-binding protein δ. J Immunol 86:4467–4473View ArticleGoogle Scholar
- Martin P, Wang Y, Sprenger N, Yap IKS, Lundstedt T, Lek P, Rezzi S, Ramadan Z, van Bladeren P, Fay LB, Kochhar S, Lindon JC, Holmes E, Nicholson JK (2008) Probiotic modulation of symbiotic gut microbial—host metabolic interactions in a humanized microbiome mouse model. Mol Syst Biol 4:157. doi:10.1038/msb4100190 PubMedGoogle Scholar
- Martins FS, Elian SD, Vieira AT, Tiago FC, Martins AK, Silva FC, Souza EL, Sousa LP, Araujo HR, Pimenta PF, Bonjardim CA, Arantes RM, Teixeira MM, Nicoli JR (2011) Oral treatment with Saccharomyces cerevisiae strain UFMG 905 modulates immune responses and interferes with signal pathways involved in the activation of inflammation in a murine model of typhoid fever. Int J Med Microbiol 301:359–364PubMedView ArticleGoogle Scholar
- Maslowski KM, Mackay CR (2011) Diet, gut microbiota and immune responses. Nat Immunol 12:5–9. doi:10.1038/ni0111-5 PubMedView ArticleGoogle Scholar
- Meyer AL, Elmadfa I, Herbacek I, Micksche M (2007) Probiotic, as well as conventional yogurt, can enhance the stimulated production of proinflammatory cytokines. J Hum Nutr Diet 20:32–38View ArticleGoogle Scholar
- Mohamadzadeh M, Olson S, Kalina WV, Ruthel G, Demmin GL, Warfield KL, Bavari S, Klaenhammer TR (2005) Lactobacilli activate human dendritic cells that skew T cells toward T helper 1 polarization. Proc Natl Acad Sci 102:2880–2885PubMedView ArticleGoogle Scholar
- Morita H, He F, Fuse T, Ouwerhand AC, Hashimoto H, Hosoda M, Mizumachi K, Kurisaki J (2002) Cytokine production by the murine macrophage cell line J774.1 after exposure to Lactobacilli. Biosci Biotechnol Biochem 66:1963–1966PubMedView ArticleGoogle Scholar
- Paoletti R, Bolego C, Poli A, Cignarella A (2006) Metabolic syndrome, inflammation and atherosclerosis. Vasc Health Risk Manag 2:145–152PubMedView ArticleGoogle Scholar
- Pavan S, Desreumaux P, Mercenier A (2003) Use of mouse models to evaluate the persistence, safety, and immune modulation capacities of lactic acid bacteria. Clin Diagn Lab Immunol 10:696–701PubMedGoogle Scholar
- Pena JA, Rogers AB, Ge Z, Ng V, Li SY, Fox JG, Versalovic J (2005) Probiotic Lactobacillus spp. diminish Helicobacter hepaticus-induced inflammatory bowel disease in interleukin-10-deficient mice. Infect Immun 73:912–920PubMedView ArticleGoogle Scholar
- Peran L, Camuesco D, Comalada M, Nieto A, Concha A, Diaz-Ropero MP, Olivares M, Xaus J, Zarzuelo A, Galvez J (2005) Preventative effects of a probiotic, Lactobacillus salivarius ssp. salivarius, in the TNBS model of rat colitis. World J Gastroenterol 11:5185–5192PubMedGoogle Scholar
- Perdigon G, Galdeano MC, Valdez JC, Medici M (2002) Interaction of lactic acid bacteria with the gut immune system. Eur J Clin Nutr 56:S21–S26PubMedView ArticleGoogle Scholar
- Pfaffl MW (2001) Development and validation of an externally standardised quantitative insulin like growth factor-1 (IGF-1) RT–PCR using LightCycler SYBR® Green I technology. In: Meuer S, Wittwer C, Nakagawara K (eds) Rapid cycle real-time PCR, methods and applications. Springer Press, Heidelberg, pp 281–291View ArticleGoogle Scholar
- Pfaffl MW, Horgan GW, Dempfle L (2002) Relative expression software tool (REST) for group-wise comparison and statistical analysis of relative expression results in real-time PCR. Nucleic Acids Res 30:e36PubMedView ArticleGoogle Scholar
- Pospiech A, Neumann B (1995) A versatile quick preparation of genomic DNA from gram-positive bacteria. Trends Genet 11:217–218PubMedView ArticleGoogle Scholar
- Rasmussen R (2001) Quantification on the LightCycler. In: Meuer S, Wittwer C, Nakagawara K (eds) Rapid cycle real-time PCR, methods and applications. Springer Press, Heidelberg, pp 21–34View ArticleGoogle Scholar
- Reilly N, Poylin V, Menconi M, Onderdonk A, Bengmark S, Hasselgren PO (2007) Probiotics potentiate IL-6 production in IL-β-treated Caco-2 cells through a heat shock-dependent mechanism. Am J Physiol Regul Integr Comp Physiol 293:R1169–R1179PubMedView ArticleGoogle Scholar
- REST: relative expression software tool (2009). http://rest.gene-quantification.info
- Ringel-Kulka T, Palsson OS, Maier D, Carroll I, Galanko JA, Leyer G, Ringel Y (2011) Probiotic bacteria Lactobacillus acidophilus NCFM and Bifidobacterium lactis Bi-07 versus placebo for the symptoms of bloating in patients with functional bowel disorders: a double-blind study. J Clin Gastroenterol 45:518–525. doi:10.1097/MCG.0b013e31820ca4d6 PubMedView ArticleGoogle Scholar
- Ruiz PA, Hoffmann M, Szcesny S, Blaut M, Haller D (2005) Innate mechanisms for Bifidobacterium lactis to activate transient pro-inflammatory host responses in intestinal epithelial cells after the colonization of germ-free rats. Immunology 115:441–450PubMedView ArticleGoogle Scholar
- Rutgeerts P, Van Assche G, Vermeire S (2004) Optimizing anti-TNF treatment in inflammatory bowel disease. Gastroenterology 126:1593–1610PubMedView ArticleGoogle Scholar
- Saegusa S, Totsuka M, Kaminogawa S, Hosoi T (2007) Cytokine responses of intestinal epithelial like Caco-2 cells to non pathogenic and opportunistic pathogenic yeasts in the presence of butyric acid. Biosci Biotechnol Biochem 71:2428–2434PubMedView ArticleGoogle Scholar
- Sanders ME, Klaenhammer TR (2001) The scientific basis of Lactobacillus acidophilus NCFM functionality as a probiotic. J Dairy Sci 84:319–331PubMedView ArticleGoogle Scholar
- Servin AL (2004) Antagonistic activities of lactobacilli and bifidobacteria against microbial pathogens. FEMS Microbiol Rev 28:405–440PubMedView ArticleGoogle Scholar
- Song Y, Kato N, Liu C, Matsumiya Y, Kato H, Watanabe K (2000) Rapid identification of 11 human intestinal Lactobacillus species by multiplex PCR assays using group and species-specific primers derived from the 16S–23S rRNA intergenic spacer region and its flanking 23S rRNA. FEMS Microbiol Lett 187:167–173PubMedGoogle Scholar
- Ukena SN, Westendorf AM, Hansen W, Rohde M, Geffers R, Coldewey S, Suerbaum S, Bue J, Gunzer F (2005) The host response to the probiotic Escherichia coli strain Nissle 1917: specific up-regulation of the proinflammatory chemokine MCP-1. BMC Med Genet 6:43PubMedView ArticleGoogle Scholar
- Veckman V, Miettinen M, Matikainen S, Lande R, Giacomini E, Coccia EM, Julkunen I (2003) Lactobacilli and streptococci induce inflammatory chemokine production in human macrophages that stimulates Th1 cell chemotaxis. J Leukoc Biol 74:395–402PubMedView ArticleGoogle Scholar
- Vinderola G, Matar C, Perdigon G (2005) Role of intestinal epithelial cells in immune effects mediated by gram-positive probiotic bacteria: involvement of toll-like receptors. Clin Diagn Lab Immunol 12:1075–1084PubMedGoogle Scholar
- Wiedermann CJ, Kiechl S, Dunzendorfer S, Schratzberger P, Egger G, Oberhollenzer F, Willeit J (1999) Association of endotoxemia with carotid atherosclerosis and cardiovascular disease: prospective results from the Bruneck Study. J Am Coll Cardiol 34:1975–1981PubMedView ArticleGoogle Scholar
- Xing Z, Gauldie J, Cox G, Baumann H, Jordana M, Lei XF, Achong MK (1998) IL-6 is an anti-inflammatory cytokine required for controlling local or systemic acute inflammatory responses. J Clin Invest 101:311–320. doi:10.1172/JCI1368 PubMedView ArticleGoogle Scholar