Abstract
Probiotics have been shown to have beneficial properties in attenuating the risk of colorectal cancer (CRC) development. However, functional evidence to support such effects for some probiotic bacteria are relatively unknown. Here, we document a significant antioxidant, anti-proliferative and pro-apoptotic activities of Lactobacillus acidophilus ATCC 314 and Lactobacillus fermentum NCIMB 5221 on CRC cells, particularly when used in combination (La-Lf). Furthermore, a superior synergistic activity on the inhibition of tumor growth and modulation of cell proliferation and epithelial markers in the Apc Min/+ CRC mouse model was explored, based on the expression levels of Ki-67, E-cadherin, β-catenin, and cleaved caspase-3 (CC3) proteins. The anti-cancer activity of La-Lf co-culture was significantly enhanced in vitro with significant reduced proliferation (38.8 ± 6.9 %, P = 0.009) and increased apoptosis (413 RUL, P < 0.001) towards cancer cells, as well as significant protection of normal colon cell growth from toxic treatment (18.6 ± 9.8 %, P = 0.001). La-Lf formulation (1010cfu/animal/day) altered aspects of intestinal tumorigenesis by significantly reducing intestinal tumor multiplicity (1.7-fold, P = 0.016) and downregulating cellular proliferation markers, including β-catenin (P = 0.041) and Ki-67 (P = 0.008). In conclusion, La-Lf showed greater protection against intestinal tumorigenesis supporting a potential use as a biotherapeutic for the prevention of CRC.
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References
Ambalam P, Raman M, Purama RK, Doble M (2016) Probiotics, prebiotics and colorectal cancer prevention. Best Pract & Res Clin Gastro 30(2016):119e131
Amdekar S, Roy P, Singh V, Kumar A, Singh R, Sharma P (2012) Anti-inflammatory activity of Lactobacillus on carrageenan-induced paw edema in male Wistar rats. Inter Journ of Inflam 2012(2012):52015–52016
Andreotti PE, Cree IA, Kurbacher CM, Hartmann DM, Linder D, Harel G, Gleiberman I, Caruso PA, Ricks SH, Untch M, Sartori C, Bruckner HW (1995) Chemosensitivity testing of human tumors using a microplate adenosine triphosphate luminescence assay: clinical correlation for cisplatin resistance of ovarian carcinoma. Cancer Res 55:5276–5282
Belcheva A, Irrazabal T, Martin A (2015) Gut microbial metabolism and colon cancer: can manipulations of the microbiota be useful in the management of gastrointestinal health? BioEss 37:403–412
Chu F-F, Esworthy RS, Chu PG, Longmate JA, Huycke MM, Wilczynski S, Doroshow JH (2004) Bacteria-induced intestinal cancer in mice with disrupted Gpx1 and Gpx2 genes. Cancer Res 64:962–968
Conacci-Sorrell M, Zhurinsky J, Ben-Ze’ev A (2002) The cadherin-catenin adhesion system in signaling and cancer. The Jour of Clinic Invest 109:987–991
Corpet DE, Pierre F (2003) Point: from animal models to prevention of colon cancer. Systematic review of chemoprevention in MIN mice and choice of the model system. Cancer Epide Biomark & Preven 12:391–400
Cousin FJ, Jouan-Lanhouet S, Théret N, Brenner C, Jouan E, Le Moigne-Muller G, Dimanche-Boitrel M-T, Jan G (2016) The probiotic Propionibacterium freudenreichii as a new adjuvant for TRAIL-based therapy in colorectal cancer. Oncotar 2016 7(6):7161–7178
Dai C, Zheng C-Q, Meng F-j, Zhou Z, Sang L-x, Jiang M (2013) VSL# 3 probiotics exerts the anti-inflammatory activity via PI3k/Akt and NF-κB pathway in rat model of DSS-induced colitis. Mol and Cel Bio 374:1–11
de Moura NA, Caetano BF, Sivieri K, Urbano LH, Cabello C, Rodrigues MA, Barbisan LF (2012) Protective effects of yacon (Smallanthus sonchifolius) intake on experimental colon carcinogenesis. Food and Chemi Toxico 50:2902–2910
Frick JS, Schenk K, Quitadamo M, Kahl F, Koberle M, Bohn E, Aepfelbacher M, Autenrieth IB (2007) Lactobacillus fermentum attenuates the proinflammatory effect of Yersinia enterocolitica on human epithelial cells. Inflamm Bowel Dis 13:83–90
Fuller R (1992) History and development of probiotics. In: Probio. Springer, pp 1–8
Ganan M, Carrascosa AV, de Pascual-Teresa S, Martinez-Rodriguez AJ (2012) Effect of mannoproteins on the growth, gastrointestinal viability, and adherence to Caco-2 cells of lactic acid bacteria. Journ of Food Scie 77:M176–M180
Gay LJ, Mitrou PN, Keen J, Bowman R, Naguib A, Cooke J, Kuhnle GG, Burns PA, Luben R, Lentjes M (2012) Dietary, lifestyle and clinicopathological factors associated with APC mutations and promoter methylation in colorectal cancers from the EPIC-Norfolk study. The Journ of Patho 228:405–415
Gregorieff A, Clevers H (2005) Wnt signaling in the intestinal epithelium: from endoderm to cancer. Genes Dev 19:877–890. doi:10.1101/gad.1295405
Harada N, Tamai Y, Ishikawa T, Sauer B, Takaku K, Oshima M, Taketo MM (1999) Intestinal polyposis in mice with a dominant stable mutation of the β-catenin gene. The EMBO Journ 18:5931–5942
Hummel S, Veltman K, Cichon C, Sonnenborn U, Schmidt MA (2012) Differential targeting of the E-cadherin/β-catenin complex by gram-positive probiotic Lactobacilli improves epithelial barrier function. Appl and Envir Micro 78:1140–1147
Isono A, Katsuno T, Sato T, Nakagawa T, Kato Y, Sato N, Seo G, Suzuki Y, Saito Y (2007) Clostridium butyricum TO-A culture supernatant downregulates TLR4 in human colonic epithelial cells. Dig Dis Sci 52:2963–2971
Jones ML, Kahouli I, Labbé A, Prakash S, Tomaro-Duchesneau C, Rodes L, Saha S, Malhotra M (2014) Effect of orally administered L. fermentum NCIMB 5221 on markers of metabolic syndrome: an in vivo analysis using ZDF rats. App Micro Biot 98:115–126
Kahouli I, Tomaro-Duchesneau C, Prakash S (2013a) Probiotics in colorectal cancer (CRC) with emphasis on mechanisms of action and current perspectives. Journ of Med Microb 62:1107–1123
Kahouli I, Tomaro-Duchesneau C, Prakash S (2013b) Probiotics in colo-rectal cancer (CRC) with emphasis on mechanisms of action and current perspectives. Journ of Med Microb 62:1107–1123
Kahouli I, Malhotra M, Alaoui-Jamali M, Prakash S (2015a) In-vitro characterization of the anti-cancer activity of the probiotic bacterium Lactobacillus fermentum NCIMB 5221 and potential against colorectal cancer. Journ of Cancer Sci & Therap 2015 7:224–235
Kahouli I, Malhotra M, Tomaro-Duchesneau C, Rodes LS, Aloui-Jamali MA, Prakash S (2015b) Identification of Lactobacillus fermentum strains with potential against colorectal cancer by characterizing short chain fatty acids production, anti-proliferative activity and survival in an intestinal fluid. Journ of Bioanal & Biomed 7:104
Kahouli I, Malhotra M, Tomaro-Duchesneau C, Saha S, Marinescu D, Rodes L, Alaoui-Jamali M, Prakash S (2015c) Screening and in-vitro analysis of Lactobacillus reuteri strains for short chain fatty acids production, stability and therapeutic potentials in colorectal cancer. Journ of Bioequiv & Bioavail 2015(7):039–050
Kettunen HL, Kettunen AS, Rautonen NE (2003) Intestinal immune responses in wild-type and Apcmin/+ mouse, a model for colon cancer. Cancer Res 63:5136–5142
Kliegman RM, Willoughby RE (2005) Prevention of necrotizing enterocolitis with probiotics. Pedia 115:171–172
Kuppusamy P, Yusoff MM, Maniam GP, Ichwan SJA, Soundharrajan I, Govindan N (2014) Nutraceuticals as potential therapeutic agents for colon cancer: a review. Acta Pharm Sinica B 4:173–181
Laudanno O, Vasconcelos L, Catalana J, Cesolari J (2006) Anti-inflammatory effect of bioflora probiotic administered orally or subcutaneously with live or dead bacteria. Dig Dis Sci 51:2180–2183
Levin B, Rozen P, Spann SJ, Young GP (2005) Colorectal cancer in clinical practice: prevention, early detection and management. CRC Press,
Lewus CB, Montville TJ (1991) Detection of bacteriocins produced by lactic acid bacteria. Journ of Microb Meth 13:145–150
Lin PW, Nasr TR, Berardinelli AJ, Kumar A, Neish AS (2008) The probiotic Lactobacillus GG may augment intestinal host defense by regulating apoptosis and promoting cytoprotective responses in the developing murine gut. Ped Res 64:511–516
Lindfors K, Blomqvist T, Juuti-Uusitalo K, Stenman S, Venäläinen J, Mäki M, Kaukinen K (2008) Live probiotic Bifidobacterium lactis bacteria inhibit the toxic effects induced by wheat gliadin in epithelial cell culture. Clinic & Exp Imm 152:552–558
Ma EL, Choi YJ, Choi J, Pothoulakis C, Rhee SH, Im E (2010) The anticancer effect of probiotic Bacillus polyfermenticus on human colon cancer cells is mediated through ErbB2 and ErbB3 inhibition. Intern Journ of Canc 127:780–790
Macfarlane GT, Macfarlane S (2012) Bacteria, colonic fermentation, and gastrointestinal health. Journ of AOAC Intern 95:50–60
Madsen KL (2012) Enhancement of epithelial barrier function by probiotics. Journ of Epithe Biol and Pharm 2012 5(Suppl 1-M8):55–59
Maghsoudi N, Zakeri Z, Lockshin R (2012) Programmed cell death and apoptosis–where it came from and where it is going: from Elie Metchnikoff to the control of caspases. Exp Oncol 34:146–152
Mariadason JM, Bordonaro M, Aslam F, Shi L, Kuraguchi M, Velcich A, Augenlicht LH (2001) Down-regulation of β-catenin TCF signaling is linked to colonic epithelial cell differentiation. Cancer Res 61:3465–3471
Mennigen R, Nolte K, Rijcken E, Utech M, Loeffler B, Senninger N, Bruewer M (2009) Probiotic mixture VSL# 3 protects the epithelial barrier by maintaining tight junction protein expression and preventing apoptosis in a murine model of colitis. American Journal of Physiology-Gastr and Liver Physio 296:G1140–G1149
Naishiro Y, Yamada T, Takaoka AS, Hayashi R, Hasegawa F, Imai K, Hirohashi S (2001) Restoration of epithelial cell polarity in a colorectal cancer cell line by suppression of β-catenin/T-cell factor 4-mediated gene transactivation. Cancer Res 61:2751–2758
Ohara T, Yoshino K, Kitajima M (2009) Pre-and probiotics increase host-cell immunological competence, improve bowel movement, and prevent the onset of colon cancer—an analysis based on movements of intestinal microbiota Rinsho byori. The Jap Journ of Clinic Patho 57:533–541
Pajari AM, Rajakangas J, Päivärinta E, Kosma VM, Rafter J, Mutanen M (2003) Promotion of intestinal tumor formation by insulin is associated with an accumulation of cytosolic β-catenin in Min mice. Intern Journ of Canc 106:653–660
Rachmilewitz D, Katakura K, Karmeli F, Hayashi T, Reinus C, Rudensky B, Akira S, Takeda K, Lee J, Takabayashi K, Raz E (2004) Toll-like receptor 9 signaling mediates the anti-inflammatory effects of probiotics in murine experimental colitis. Gastro 126:520–528
Rafter J (2003) Probiotics and colon cancer. Best Prac & Res Clinic Gastro 17:849–859
Raman M, Ambalam P, Kondepudi KK, Pithva S, Kothari C, Patel AT, Purama RK, Dave J, Vyas B (2013) Potential of probiotics, prebiotics and synbiotics for management of colorectal cancer. Gut Micro 4:181–192
Roessler A, Forssten S, Glei M, Ouwehand A, Jahreis G (2012) The effect of probiotics on faecal microbiota and genotoxic activity of faecal water in patients with atopic dermatitis: a randomized, placebo-controlled study. Clinic Nutr 31:22–29
Romagnolo B, Berrebi D, Saadi-Keddoucci S, Porteu A, Pichard A-l, Peuchmaur M, Vandewalle A, Kahn A, Perret C (1999) Intestinal dysplasia and adenoma in transgenic mice after overexpression of an activated β-catenin. Cancer Res 59:3875–3879
Rubinfeld B, Souza B, Albert I, Muller O, Chamberlain SH, Masiarz FR, Munemitsu S, Polakis P (1993) Association of the APC gene product with beta-catenin. Sci 262:1731–1734
Sadeghi-Aliabadi H, Mohammadi F, Fazeli H, Mirlohi M (2014) Effects of Lactobacillus plantarum A7 with probiotic potential on colon cancer and normal cells proliferation in comparison with a commercial strain. Iran Journ of Bas Med Sci 17:815
Sartor RB (2004) Therapeutic manipulation of the enteric microflora in inflammatory bowel diseases: antibiotics, probiotics, and prebiotics. Gastro 126:1620–1633
Scheppach W, Luehrs H, Melcher R, Gostner A, Schauber J, Kudlich T, Weiler F, Menzel T (2004) Antiinflammatory and anticarcinogenic effects of dietary fibre. Clinic Nutr Supp 1:51–58
Sellin JH, Umar S, Xiao J, Morris AP (2001) Increased β-catenin expression and nuclear translocation accompany cellular hyperproliferation in vivo. Cancer Res 61:2899–2906
Sparks AB, Morin PJ, Vogelstein B, Kinzler KW (1998) Mutational analysis of the APC/β-catenin/Tcf pathway in colorectal cancer. Cancer Res 58:1130–1134
Tjalsma H, Boleij A, Marchesi JR, Dutilh BE (2012) A bacterial driver–passenger model for colorectal cancer: beyond the usual suspects. Nature Rev Micr 10:575–582
Tomaro-Duchesneau C, Saha S, Malhotra M, Jones ML, Labbé A, Rodes L, Kahouli I, Prakash S (2014) Effect of orally administered L. fermentum NCIMB 5221 on markers of metabolic syndrome: an in vivo analysis using ZDF rats. App Micro and Biot 98:115–126
Urbanska AM, Bhathena J, Martoni C, Prakash S (2009) Estimation of the potential antitumor activity of microencapsulated Lactobacillus acidophilus yogurt formulation in the attenuation of tumorigenesis in Apc (Min/+) mice. Dig Dis and Sci 54:264–273
Wijnhoven B, Dinjens W, Pignatelli M (2000) E-cadherin–catenin cell–cell adhesion complex and human cancer. Brit Journ of Sur 87:992–1005
Xiao L-J, Zhao S, Zhao E-H, Zheng X, Gou W-F, Takano Y, Zheng H-C (2013) Clinicopathological and prognostic significance of Ki-67, caspase-3 and p53 expression in gastric carcinomas. Onco Letters 6:1277–1284
Yan F, Cao H, Cover TL, Whitehead R, Washington MK, Polk DB (2007) Soluble proteins produced by probiotic bacteria regulate intestinal epithelial cell survival and growth. Gastro 2006 132:562–575
Zavisic G, Petricevic S, Radulovic Z, Begovic J, Golic N, Topisirovic L, Strahinic I (2012) Probiotic features of two oral Lactobacillus isolates. Brazil Journ of Micr 43:418–428
Zhao Q, Mutukumira A, Lee SJ, Maddox I, Shu Q (2012) Functional properties of free and encapsulated Lactobacillus reuteri DPC16 during and after passage through a simulated gastrointestinal tract. World Journ of Micro and Biot 28:61–70
Acknowledgments
The authors would like to acknowledge a Canadian Institute of Health Research (CIHR) grant (MPO 64308) and grants from Micropharma Limited to Dr. Satya Prakash, a Fonds de Recherche du Québec–Santé (FRSQ) Doctoral Awards and a Faculty of Medicine George G. Harris Fellowship to Imen Kahouli. The authors thank the Comparative Medicine and Animal Resources Centre (McGill University) and Dr. Martin Lapointe for his assistance with histopathological analysis. The authors acknowledge the assistance of Dr. Anis Riahi (Department of Neurology, Military Hospital of Tunis, Tunisia), as well as Nadia R. Hindri (Clinical Biology Laboratory, Salah Azaiz Institute, Tunisia) in the study design and data interpretation.
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This study was funded by a Canadian Institute of Health Research (CIHR) grant (MPO 64308).
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Imen Kahouli declares that she has no conflict of interest. Dr. Meenakshi Malhotra declares that she has no conflict of interest. Susan Westfall declares that she has no conflict of interest. Dr. Moulay A. Alaoui-Jamali declares that he has no conflict of interest. Dr. Satya Prakash declares that he has no conflict of interest.
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Kahouli, I., Malhotra, M., Westfall, S. et al. Design and validation of an orally administrated active L. fermentum-L. acidophilus probiotic formulation using colorectal cancer Apc Min/+ mouse model. Appl Microbiol Biotechnol 101, 1999–2019 (2017). https://doi.org/10.1007/s00253-016-7885-x
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DOI: https://doi.org/10.1007/s00253-016-7885-x