Abstract
To investigate the effects of orally administrated Saccharomyces boulardii (S. boulardii) on the progress of carbon tetrachloride (CCl4)-induced liver fibrosis, 34 male Wistar rats were randomly divided into four experimental groups including the control group (n = 8), the cirrhotic group (n = 10), the preventive group (n = 8), and the treatment group (n = 8). Results showed that the liver expression levels of collagen, type I, alpha 1 (Col1A1), alpha smooth muscle actin (αSMA), transforming growth factor beta (TGF-β) and the serum levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and malondialdehyde (MDA) increased significantly in cirrhotic rats compared with control and decreased by S. boulardii administration. Treatment of S. boulardii also attenuated the increased endotoxin levels and pro-inflammatory cytokines in CCl4-treated rats. And, these were associated with the changes of intestinal permeability and fecal microbial composition. Our study suggested that oral administration of S. boulardii can promote the liver function of CCl4-treated rats, and the preventive treatment of this probiotic yeast may decelerate the progress of liver fibrosis.
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El Bialy, S.A., K.F. El Kader, and M.B. El-Ashmawy. 2011. Current progress in antifibrotics. Current Medicinal Chemistry 18: 3082–3092.
Friedman, S.L. 2004. Mechanisms of disease: mechanisms of hepatic fibrosis and therapeutic implications. Nature Clinical Practice Gastroenterology and Hepatology 1: 98–105.
Friedman, S.L., F.J. Roll, J. Boyles, et al. 1985. Hepatic lipocytes: the principal collagen-producing cells of normal rat liver. Proceedings of the National Academy of Sciences of the United States of America 82: 8681–8685.
Friedman, S.L., and M.B. Bansal. 2006. Reversal of hepatic fibrosis—fact or fantasy? Hepatology 43: S82–S88.
Chen, Y., F. Yang, H. Lu, B. Wang, et al. 2011. Characterization of fecal microbial communities in patients with liver cirrhosis. Hepatology 54: 562–572.
Cesaro, C., A. Tiso, A. Del Prete, R. Cariello, et al. 2011. Gut microbiota and probiotics in chronic liver diseases. Digestive and Liver Disease 43: 431–438.
Guerrero Hernandez, I., A. Torre Delgadillo, F. Vargas Vorackova, et al. 2008. Intestinal flora, probiotics, and cirrhosis. Annals of Hepatology 7: 120–124.
Zhang, W., Y. Gu, Y. Chen, et al. 2010. Intestinal flora imbalance results in altered bacterial translocation and liver function in rats with experimental cirrhosis. European Journal of Gastroenterology and Hepatology 22: 1481–1486.
Graff, S., J.C. Chaumeil, P. Boy, R. Lai-Kuen, et al. 2008. Influence of pH conditions on the viability of Saccharomyces boulardii yeast. The Journal of General and Applied Microbiology 54: 221–227.
Edwards-Ingram, L., P. Gitsham, N. Burton, et al. 2007. Genotypic and physiological characterization of Saccharomyces boulardii, the probiotic strain of Saccharomyces cerevisiae. Applied and Environmental Microbiology 73: 2458–2467.
Kelesidis, T., and C. Pothoulakis. 2012. Efficacy and safety of the probiotic Saccharomyces boulardii for the prevention and therapy of gastrointestinal disorders. Therapeutic Advances in Gastroenterology 5: 111–125.
Can, M., B.A. Besirbellioglu, I.Y. Avci, et al. 2006. Prophylactic Saccharomyces boulardii in the prevention of antibiotic-associated diarrhea: a prospective study. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research 12: 19–22.
McFarland, L.V. 2010. Systematic review and meta-analysis of Saccharomyces boulardii in adult patients. World Journal of Gastroenterology 16: 2202–2222.
Schneider, S.M., F. Girard-Pipau, J. Filippi, et al. 2005. Effects of Saccharomyces boulardii on fecal short-chain fatty acids and microflora in patients on long-term total enteral nutrition. World Journal of Gastroenterology 11: 6165–6169.
Leonel, A.J., and J.I. Alvarez-Leite. 2012. Butyrate: implications for intestinal function. Current Opinion in Clinical Nutrition and Metabolic Care 15: 474–479.
Everard, A., S. Matamoros, L. Geurts, et al. 2014. Saccharomyces boulardii administration changes gut microbiota and reduces hepatic steatosis, low-grade inflammation, and fat mass in obese and type 2 diabetic db/db mice. mBio 5(3): e01011–e01014.
Clawson, G.A. 1989. Mechanisms of carbon tetrachloride hepatotoxicity. Pathology and Immunopathology Research 8: 104–112.
Sanchez, E., J. C. Nieto, A. Boullosa, et al. 2014. VSL#3 probiotic treatment decreases bacterial translocation in rats with carbon tetrachloride-induced cirrhosis. Liver International Article first published online: 12 MAY 2014 doi: 10.1111/liv.12566.
D'Argenio, G., R. Cariello, C. Tuccillo, et al. 2013. Symbiotic formulation in experimentally induced liver fibrosis in rats: intestinal microbiota as a key point to treat liver damage? Liver International 33: 687–697.
Affò, S., O. Morales-Ibanez, D. Rodrigo-Torres, et al. 2014. CCL20 mediates lipopolysaccharide induced liver injury and is a potential driver of inflammation and fibrosis in alcoholic hepatitis. Gut Article first published online: 12 AUG 2014 doi:10.1136/gutjnl-2013-306098.
Yagi, K., S. Matsuoka, A.W. Linnane, et al. 1981. Plasma lipid peroxide levels in an urbanized Micronesian population—Nauru. Journal of Nutritional Science and Vitaminology 27: 425–428.
Satoh, K., S. Takamatsu, S. Sakuta, et al. 1981. Augmented malondialdehyde production by platelets from patients with cerebrovascular disorders. Japanese Circulation Journal 45: 1335–1341.
Poyrazoglu, O.K., I.H. Bahcecioglu, H. Ataseven, et al. 2008. Effect of unfiltered coffee on carbon tetrachloride-induced liver injury in rats. Inflammation 31: 408–413.
Lee, I.H., A. Dinudom, A. Sanchez-Perez, et al. 2007. Akt mediates the effect of insulin on epithelial sodium channels by inhibiting Nedd4-2. The Journal of Biological Chemistry 282: 29866–29873.
Joossens, M., G. Huys, M. Cnockaert, et al. 2011. Dysbiosis of the fecal microbiota in patients with Crohn's disease and their unaffected relatives. Gut 60: 631–637.
Liu, Y., T. Zhou, D. Crowley, et al. 2012. Decline in topsoil microbial quotient, fungal abundance and C utilization efficiency of rice paddies under heavy metal pollution across South China. PLoS ONE 7: e38858.
Penders, J., C. Thijs, C. Vink, et al. 2006. Factors influencing the composition of the intestinal microbiota in early infancy. Pediatrics 118: 511–521.
Salzman, N.H., H. Kuiechun, D. Haribhai, et al. 2010. Enteric defensins are essential regulators of intestinal microbial ecology. Nature Immunology 11: 76–82.
Bartosch, S., A. Fite, G.T. Macfarlane, et al. 2004. Characterization of bacterial communities in feces from healthy elderly volunteers and hospitalized elderly patients by using real-time PCR and effects of antibiotic treatment on the fecal microbiota. Applied and Environmental Microbiology 70: 3575–3581.
Wiest, R., F. Chen, G. Cadelina, et al. 2003. Effect of Lactobacillus-fermented diets on bacterial translocation and intestinal flora in experimental prehepatic portal hypertension. Digestive Diseases and Sciences 48: 1136–1141.
Soriano, G., E. Sanchez, C. Guarner, et al. 2012. Lactobacillus johnsonii La1 without antioxidants does not decrease bacterial translocation in rats with carbon tetrachloride-induced cirrhosis. Journal of Hepatology 57: 1395–1396.
Rincon, D., J. Vaquero, A. Hernando, et al. 2014. Oral probiotic vsl#3 attenuates the circulatory disturbances of patients with cirrhosis and ascites. Liver International Article first published online: 4 APR 2014 doi: 10.1111/liv.12539.
Dapito, D.H., A. Mencin, G.Y. Gwak, et al. 2012. Promotion of hepatocellular carcinoma by the intestinal microbiota and TLR4. Cancer Cell 21(4): 504–516.
Chan, C.C., S.J. Hwang, F.Y. Lee, et al. 1997. Prognostic value of plasma endotoxin levels in patients with cirrhosis. Scandinavian Journal of Gastroenterology 32: 942–946.
Rietschel, E.T., T. Kirikae, F.U. Schade, et al. 1994. Bacterial endotoxin: molecular relationships of structure to activity and function. FASEB Journal 8: 217–225.
Raetz, C.R., and C. Whitfield. 2002. Lipopolysaccharide endotoxins. Annual Review of Biochemistry 71: 635–700.
Schnabl, B., and D.A. Brenner. 2014. Interactions between the intestinal microbiome and liver diseases. Gastroenterology 146: 1513–1524.
Gomez-Hurtado, I., A. Santacruz, G. Peiro, et al. 2011. Gut microbiota dysbiosis is associated with inflammation and bacterial translocation in mice with CCl4-induced fibrosis. PLoS ONE 6: e23037.
Plummer, J.L., C.J. Ossowicz, C. Whibley, et al. 2000. Influence of intestinal flora on the development of fibrosis and cirrhosis in a rat model. Journal of Gastroenterology and Hepatology 15: 1307–1311.
Riordan, S.M., and R. Williams. 2006. The intestinal flora and bacterial infection in cirrhosis. Journal of Hepatology 45: 744–757.
Llovet, J.M., R. Bartoli, F. March, et al. 1998. Translocated intestinal bacteria cause spontaneous bacterial peritonitis in cirrhotic rats: molecular epidemiologic evidence. Journal of Hepatology 28: 307–313.
Acknowledgments
This work was supported by the Key Project of the National Twelfth-Five Year Research Program of China (2012BAI35B02), the National HighTechnology Research and Development Progran (863 Program) of China (2014AA022200), and the Specialized Research Fund for the Doctoral Program of Higher Education of China (20132105120012).
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Li, M., Zhu, L., Xie, A. et al. Oral Administration of Saccharomyces boulardii Ameliorates Carbon Tetrachloride-Induced Liver Fibrosis in Rats via Reducing Intestinal Permeability and Modulating Gut Microbial Composition. Inflammation 38, 170–179 (2015). https://doi.org/10.1007/s10753-014-0019-7
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DOI: https://doi.org/10.1007/s10753-014-0019-7