Processed Supernatants from Lactobacillus Rhamnosus GG Culture Improve Intestinal Barrier Function in Rats after Massive Small Bowel Resection

Processed Supernatants from Lactobacillus Rhamnosus GG Culture Improve Intestinal Barrier Function in Rats after Massive Small Bowel Resection Jiang ...
Author: Alexis McCoy
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Processed Supernatants from Lactobacillus Rhamnosus GG Culture Improve Intestinal Barrier Function in Rats after Massive Small Bowel Resection

Jiang Wu, Linxi Qian, Yan Zhong, Wei Cai Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine Shanghai Institute for Pediatric Research Shanghai, China

I have the following financial relationships to disclose: Company: Mead Johnson Nutrition

No Products or services was tested in this study, which was partly financially supported by MJN.

Background Short bowel syndrome (SBS) and gut barrier dysfunction – Malabsorption state when the functioning gut mass is below the amount necessary for adequate digestion and absorption – Association with gut barrier dysfunction, intestinal bacterial overgrowth and translocation

Probiotics and gut barrier function – Beneficial effects of live probiotics, e.g. LGG on gut barrier function, BUT with safety concern in vulnerable population, e.g. SBS. – As an alternative, probiotic bacteria derived nonviable products or metabolites might mimic the beneficial effects of live probiotics – Soluble mediator from LGG shows immune modulatory properties.

Piena-Spoel et al. 2000, Camilleri et al. 2012, Reddy et al. 2013 Al-Sadi et al. 2013, Kunz et al. 2004, Sentongo et al. 2008, Donato et al. 2010

Claudin-3 expression (mice) Patel et al. 2012

1

Experimental Setup To study effects of nutritional interventions on gut barrier function in SBS Sprague Dawley (5-6wk old) (n=8/group)

Sacrifice

Food intake, body weight Bowel transection with re-anastomosis

Chow + PBS (sham) Chow + PBS (SBS)

75% -80% small bowel resection

Chow + LGG soluble mediator (LEGa, column)

1. Intestinal morphology/adaptation 2. Systemic and local inflammation 3. Bacterial translocation 4. Intestinal barrier function - Tight Junction proteins - intestinal permeability - sIgA

Chow + LGG soluble mediator (LEGb, ultrafiltr.)

Chow + viable LGG Day 15

Day 1

oral gavage: 5 x 108 CFU (equivalent) LGG/day

LGG soluble mediator preparation: Standardized proprietary production protocol (controlled fermentation process, collection of spent medium, downstream processing: column chromatography (LEGa) or ultrafiltration (LEGb), sterile filtration, drying)

3

LGG Soluble Mediators in SBS Improved body weight gain

Body weight 280 260 240

gram

220

sham

* *

200

*

180

#

SBS SBS+LEGa SBS+LEGb SBS+LGG

160

# 140 120 day 0

day 7

day 14

# p

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