Abstract
We have attempted to determine the influence of lincomycin treatment by oral route on the qualitative and quantitative composition of intestinal microflora and on its activity in deconjugating and 7α-dehydroxylating bile acids. Fresh feces from ten patients without preexisting bowel disease were analyzed before and after antibiotic therapy. Our results show that, after antibiotic therapy, the number of microorganisms that 7α-dehydroxylate cholic and chenodeoxycholic acids was greatly decreased, whereas no significant alteration was observed in the total count of microorganisms deconjugating taurocholic and glycocholic acids.Bacteroidaceae and bifidobacteria were almost completely eliminated, and lactobacilli and coliforms were significantly reduced, whereas the number of anaerobic microorganisms was virtually unaffected.
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Literature Cited
Aranki A, Syed SA, Kenney EB, Freter R (1969) Isolation of anaerobic bacteria from human gengiva and mouse cecum by means of a simplified glove box procedure. Appl. Microbiol 17:568–576
Ashton H, Beveridge GW, Stevenson CJ (1970) Therapeutics XII. Lincomycin and clindamycin. Br J Dermatol 83:604–606
Bartlett JG, Sutter VL, Finegold SM (1972) Treatment of anaerobic infections with lincomycin and clindamycin. N Engl J Med 16:1006–1010
Drasar BS, Hill MJ (1974) Human intestinal flora. London: Academic Press, pp. 116–121
Eneroth P (1963) Thin-layer chromatography of bile acids. J Lipid Res 4:11–16
Ferrari A, Pacini N, Canzi E, Bruno F (1980) Prevalence of oxygen-intolerant microorganisms in primary bile acids 7α-dehydroxylating mouse intestinal microflora. Curr Microbiol 4:257–260
Fesce A, Tittobello A, Cambielli M, Balsari A, Guslandi M, Evangelista A (1978) Use of gentamicin to prevent intestinal side effects of lincomycin therapy. Int J Clin Pharmacol ther Toxicol 16:495–520
Finegold SM, Harada NE, Miller LG (1966) Lincomycin: activity against anaerobes and effect on normal human fecal flora. Antimicrob Agents Chemother 6:659–667
Finegold SM, Sugihara PT, Sutter VL, (1971) Use of selective media for isolation of anaerobes from humans. In: Shapton DA, Board RG (eds) Isolation of anaerobes. London: Academic Press, pp 99–108
Geddes AM, Bridgwater FAJ, Williams DN, Oon J, Grimshaw GJ (1970) Clinical and bacteriological studies with clindamycin. Br Med J 2:703–704
Harrigan WR, McCance ME (1976) Laboratory methods on food and dairy microbiology. London: Academic Press, pp 383–389
Hayakawa S (1973) Microbial transformation of bile acids. Adv. Lipid Res 2:143–192
Hirano S, Mukai H, Kawataba N, Sakamoto N (1978) Clostridium in human feces. II. In vitro activities to transform chenodeoxycholic acid. Acta Med Univ Kagoshima 20:153–163
Hirano S, Nakama R, Tamaki M, Masuda N, Oda H (1981) Isolation and characterization of thirteen intestinal microorganisms capable of 7α-dehydroxylating bile acids. Appl Environ Microbiol 41:737–745
Hofmann AF (1977) Bile acids, diarrhea, and antibiotics: data, speculation, and unifying hypothesis. J Infect Dis [Suppl] 135:126–131
Holdeman LV, Moore WEC (eds) (1973) Anaerobic laboratory manual, 2nd edn. Blacksburg VA: Virginia Polytechnic Institute and State University Anaerobe Laboratory, p 124
Marcus PI, Talalay P (1956) Induction and purification of α-and β-hydroxy steroid dehydrogenases. J Biol Chem 218:661–674
McGehee RF Jr, Smith CB, Wilcox C, Finland M (1968) Comparative studies of antibacterial activity in vitro and absorption and excretion of lincomycin and clindamycin. Am J Med Sci 256:279–292
Mevissen-Verhage EAE, De Vos NM, Harmsen van Amerongen WCM, Marcelis JH (1982) A selective medium for the detection and enumeration of clostridia in human faeces. Antonie Leeuwenhoek 48:205–206
Paus B (1971) Chronic osteomyelitis: a report of fifty cases treated with lincomycin (LincocinR). Acta Orthop Scand 42:320–327
Samuel P, Holtzman CM, Meilman E, Sekowski I (1973) Effect of neomycin and other antibiotics on serum cholesterol levels and on 7α-dehydroxylation of bile acids by the fecal bacterial flora in man. Circ Res 33:393–402
Scardovi V, Trovatelli LD, Zani G, Crociani F, Matteuzzi D (1971) Deoxyribonucleic acid homology relationship among species of the genusBifidobacterium. Int J Syst Bacteriol 21:276–294
Stahl E (1969) Thin-layer chromatography. New York: Springer-Verlag, pp 857–858
Stellawg EJ, Hylemon PB (1979) 7α-Dehydroxylation of cholic acid and chenodeoxycholic acid byClostridium leptum. J Lipid Res 20:325–333
Sutter VL, Finegold SM (1974) The effect of antimicrobial agents on human faecal flora: studies with cephalexin, cyclacillin and clindamycin. In: Skinner FA, Carr JG (eds) The normal microbial flora of man. New York: Academic Press, pp 229–240
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Canzi, E., Ceccarelli, A., Ferrari, A. et al. Effect of lincomycin treatment on intestinal microflora composition and its bile-acid-metabolizing activity. Current Microbiology 12, 1–4 (1985). https://doi.org/10.1007/BF01567743
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DOI: https://doi.org/10.1007/BF01567743