Background
Majority of enteric infections are foodborne and, in most case, bacteria are the major pathogenic agents followed by viruses, and then parasites. Among the enteric bacterial pathogens, Enterohemorrhagic
Escherichia coli (EHEC) is one of the pre-dominants enteric bacterial pathogen in the USA and other developed countries. EHEC is frequently isolated from beef and other food products such as produce as well as recorded as a top ranked foodborne bacterial pathogenic agents in respect to mortality and morbidity [
1,
2]. Enteric infection with EHEC also can lead to kidney failure due to the severe cytotoxic effect of EHEC known as Hemolytic Uremic Syndrome (HUS) [
1]. This effect could be intensified due to the antibiotic therapy [
2]. In addition, with high incidence of antibiotic resistance in EHEC [
3], the development of novel bio-therapeutics against this specific enteric bacterial pathogen, is more crucial than ever.
Probiotic, as predominate part of gut microbial ecosystem, plays critical roles in maintaining the balance of human GI ecosystems and prevent the enteric infections by limiting colonization of enteric pathogen [
4‐
6]. In addition, with host health promotion, probiotics showed several defensive or beneficial activities against pathogens including competitive exclusion, inhibition of bacterial protein synthesis, limiting quorum sensing, secretion of proteins, and their motility/mobility [
4‐
8]. However, all these beneficial roles of probiotics against enteric bacterial pathogens generally depend on the ratio of probiotic within the gut ecosystems and the total amount of bioactive metabolites specifically short chain fatty acids and other acids produced by them.
On the other hand, the use of dietary plant phenolic extracts is becoming an attractive alternative therapy [
9‐
11]. Fruit byproducts, especially blackberry (
Rubus fruticosus) and blueberry (
Vaccinium corymbosum) byproducts commonly known as pomace, contain bioactive phenolics including flavan, flavanone, flavones, glucuronides, glucosides, quinolones, catechol, coumarin, phenols, luteolines, tannins, quercetin, chlorogenic acid, ellagic acid, gallic acid, xanthoxic acid [
12]. Recent reports have shown that berry pomace phenolic extracts (BPEs) are antimicrobial against a wide variety of enteric bacterial pathogens [
13‐
16] and in the presence of BPEs, growth of beneficial bacterial/probiotic is enhanced with increased production of the bioactive metabolites [
17‐
20].
Combination of probiotic and prebiotic, known as synbiotics, have emerged as a promising alternative treatment approach and can improve and maintain host health; beneficial effects depend largely upon the total quantity of probiotics and the amount and type of functional byproducts (proteins and peptides) they produce. In a recent study, we found that in the presence of the prebiotic-like component peanut flour,
Lactobacillus casei (Lc) produced 100 times more linoleic acid (LA) than under normal condition and was able to outcompete several enteric bacterial pathogens [
13,
21,
22]. On the basis of such observation, we have overexpressed the linoleate isomerase (myosin cross-reactive antigen,
mcra) gene in a natural, sustainable Lc strain in order to enhance the production of conjugated linoleic acids (CLA) [
23,
24] and verify the ability of this genetically engineered strain (Lc + CLA) to inhibit growth and infection of host cells by EHEC in vitro.
In this study, we assess the effect of genetically modified L. casei with increased production ability of CLA, known as Lc + CLA in combination with various concentration of BPEs against the growth and survival ability EHEC and its interaction with cultured human intestinal epithelial (INT-407) cells. Further, we also compare expression levels of EHEC virulence mediatory genes, and physicochemical properties in the presence or absence of the probiotic strains and/or bioactive phenolic extracts.
Discussions
In this study, the combined effect of Lc + CLA, the probiotic strain with enhanced ability of conjugated linoleic acid (CLA) production, and bioactive phenolic compounds, BPEs extracted from blackberry and blueberry pomaces (byproducts), on the growth, survival and physicochemical properties of EHEC and in alteration of its interactions with human intestinal epithelial (INT-407) cells was investigated. BPE which showed its anti-oxidation and modulation ability of gut microbiome positively in our previous chicken trial [
25], was tested in this study to amplify the beneficial effects of Lc or Lc + CLA.
We observed the synergistic effect of Lc or Lc + CLA and BPEs enhance the inhibiting ability of the growth of EHEC but the effect of BPE depends on concentration and duration of treatment period. These findings satisfy the previous reports in which we observed that CLA overproducing strain, Lc + CLA and its metabolites containing CFCSs could alter the pathogenesis of several enteric bacterial pathogens including EHEC,
Salmonella and
Campylobacter jejuni [
23,
24]. It has been also reported that CLA improved host gut health and immunity by protecting against inflammation and also play important role in metabolic pathways and in balancing gut microbial ecosystem [
26,
27]. Further, researchers have reported that secondary plant metabolites containing bioactive phenolic extracts possess antimicrobial and anti-oxidant properties [
28,
29]. In our laboratory, we also found that phenolic extracts from blueberry and blackberry pomace could inhibit the growth and survival of various enteric bacterial pathogens including
Salmonella and
Campylobacter and altered the virulence properties of these pathogens and their interaction with host cells [
12,
15,
30]. In our in vivo study, we also found that BPE can reduce the colonization of enteric bacterial pathogen
Campylobacter in chicken gut on concentration dependent manners and a very trace amount (0.1 GAE mg/ml) of BPEs also act as a growth promoter in chicken [
31]. In this study, we found the combined effects CLA over-producing
Lactobacillus strain with various concentration of BPEs can inhibit the growth and alter different pathogenic traits of EHEC at higher efficacy compared to BPEs at the same concentration alone.
In this current study, we also observed that CFCSs collected from either Lc or Lc + CLA could modify the growth and pathogenesis of EHEC and effect of CFCSs on EHEC growth reduction may not only depend on medium acidification, as growth of EHEC at a wide range of pH was previously observed [
32]. As anti-pathogenic traits of phenolic compounds and Lc + CLA along with other metabolites in CFCSs showed an intensive effect on EHEC, it can be inferred that both metabolites produced by Lc or Lc + CLA and bioactive phenolic components of berry pomace could act synergistically, also found previously [
33].
As attachment is considered to be important virulence properties, in this study we observed that adhesion efficacy of EHEC was reduced significantly in cultured mammalian intestinal epithelial cells, INT-407 in co-culture with Lc or Lc + CLA or treated by the CFCSs obtained from overnight culture of Lc or Lc + CLA in presence of BPEs. Higher concentrations of BPEs alone could reduce the adhesion efficacy significantly compared to growth media without any supplement. It has been reported before that similar carbohydrate-binding specific proteins are displayed on
Lactobacillus spp. surface and may involve in decreasing the adhesiveness of enteric bacterial pathogens by pre-occupying the surface receptors on host cells [
34]. Researchers have also reported that CFCSs, collected from various condition of
Lactobacillus spp. also restricted the cells adhesion to host epithelial cells by different enteric bacterial pathogens [
4,
35]. To further investigate the attenuated bacterial virulence at gene expression level, we observed that the expression level of different virulence genes. The
ler is the main transcriptional regulator for EHEC that modulates all effectors especially
espA,
espB,
espD,
eaeA and
tir for attaching and effacing of the bacteria [
36,
37] and were down regulated in the presence of the treatments of this study. This finding indicated that the down-regulation of the transcriptional regulator repressed the expression of effector genes for bacterial attachment, and therefore directly related to the reduction of EHEC-host cell interactions and other pathogenicity related traits.
Several groups of researchers reported positive relation among hydrophobicity, auto-aggregation and cell association activities [
38‐
40]. In this study, combined treatments with CFCSs from Lc/Lc + CLA in presence of BPEs resulted in decreased hydrophobicity and auto-aggregation, which might impact on the reduction of adhesiveness in EHEC into INT-407 cells [
12,
22,
41]. We also observed deferred ability of biofilm formation by EHEC with the combined treatments of CFCSs collected from either Lc or Lc + CLA in presence of different concentrations of BPEs. A positive association between bacterial auto-aggregation, cell surface hydrophobicity to biofilm formation ability has also been reported previously and our findings agreed with other study [
42]. Injured but viable EHEC cell percentage was increased significantly by all the treatments and the effect intensified with the higher concentrations of BPEs or higher concentrations of bioactive metabolites, as higher concentration of BPEs were more efficient or CFCS from Lc + CLA was more effective compared to CFCS from Lc in presence of the same concentration of BPE. We hypothesized that the ratio of injured bacterial cells depends on the anti-pathogenic metabolites present in the treatments.
Conclusion
Probiotics specifically linoleic acid over-producing
Lactobacillus strain, Lc + CLA, in the presence of BPEs exhibited rigorous effects on EHEC pathogenesis. Further, the growth medium supplemented with trace amount of BPEs stimulated the growth of probiotic strains [
33], and also intensified the inhibitory effect of CFCSs collected from Lc + CLA on growth and survival of EHEC and altered the INT-407 cells-EHEC interactions. The promising roles of the combination of the genetically engineered probiotic strain, Lc + CLA and bioactive BPEs in controlling foodborne infection with EHEC, particularly growth inhibition, physicochemical properties alteration, disruption of EHEC-host cell interactions, and its virulence genes suppression indicated the possibility to make this synbiotic potential alternative to preventive and/or therapeutics for EHEC infection in human. In future, the effectiveness of the synbiotic is needed to confirm in appropriate animal model.
Materials and method
Bacterial strains and growth conditions
In this study, enterohemorrhagic
Escherichia coli EDL933 (EHEC) (ATCC 700927) was grown on Luria-Bertani (LB) agar (EMD Chemicals Inc., USA) for 18 h at 37 °C under aerobic conditions (Thermo Fisher Scientific Inc., USA). Probiotic strains,
Lactobacillus casei (Lc) (ATCC 334) and lineolate over-expressed bioactive
L. casei (Lc + CLA) [
23,
24] were grown on de Man Rogosa Sharpe (MRS) agar (EMD Chemicals Inc., USA) overnight at 37 °C under aerobic condition with 5% CO
2 (Thermo Fisher Scientific Inc., USA).
Preparation of pomace phenolic extracts
Commercial blackberry and blueberry pomaces was donated by Milne Fruit Products Inc., Prosser, WA, USA, and BPE was extracted following the protocol previously reported [
13]. Spectrophotometric method was used to measure the concentration of BPE and expressed as GAE [
43]. BPE was comprised of blackberry and blueberry pomace extracts at 1:1 v/v ratio for this study.
Mammalian cell and culture conditions
Human intestinal epithelial (INT-407) (ATCC CCL-6) cells were cultured at 37 °C, standard condition (5% CO
2) in Dulbecco’s Modified Eagle Medium (DMEM) (Corning Cellgro, USA) supplemented with 10% heat-inactivated Fetal Bovine Serum (FBS) (Corning Cellgro, USA) and 50 µg/ml of gentamycin (Lonza, USA). For monolayer preparation, INT-407 cells were seeded in 24-well culture plate (Greiner Bio-one Inc., USA) at 2 × 10
5 cells/ml and maintained following the standard protocol described as above to form > 90% confluence monolayer. Before use, the monolayers were washed with phosphate buffer saline (PBS) three times and immersed in antibiotic free DMEM supplemented with 5% heat-inactivated FBS [
24].
Cell free culture supernatant
Cell free culture supernatant (CFCS) of overnight liquid cultures of Lc, and Lc + CLA were collected following the method previously reported by our laboratory [
21] and collected CFCSs were filtered and stored at 4 °C.
Growth inhibition assay
Inhibition of EHEC growth was carried out in presence of different concentrations of BPEs (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE) and/or Lc or LC + CLA. All bacterial strains were grown on selective respective agar plates following the method described above. A volume of 400 µl of Lc or Lc + CLA bacterial suspension containing approximately 107 CFU/ml was mixed with equal volume of EHEC suspension containing approximately 106 CFU/ml in 3.2 ml of LB broth and incubated at 37 °C in presence of different concentrations (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE) of BPE. Serial dilutions were performed in PBS, followed by plating on LB agar for EHEC at 0, 24, 48, and 72 h time points. For inhibition assay with CFCSs, instead of live Lc or Lc + CLA, 400 µl of CFCS-LC (collected from Lc) or CFCS-Lc + CLA (collected from Lc + CLA) with/without BPEs were mixed with equal volume of EHEC suspension containing approximately 106 CFU/ml in 3.2 ml of LB broth and incubated at 37 °C and counted following the above mentioned plating methods at 0, 24, 48 h and 72 h time points.
Cell adhesion assay
Adhesion of EHEC to INT-407 cell was performed following the method described previously [
21,
24]. Briefly, INT-407 cell monolayers were pre-treated with 100 µl DMEM (control), different concentrations of BPEs (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE) or with probiotics or their CFCS in presence of different concentrations of BPEs (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE) for 1 h (triplicates). After pre-treatment, 100 µl of EHEC, bacterial suspension with multiplicity of infection (MOI) of 10 (2 × 10
6 CFU/ml) were inoculated into each well, followed by 2 h incubation, lysis by 0.1% Triton X-100 for 15 min, serial dilutions and plating for quantification.
Physiological properties of EHEC in the presence of probiotics or their CFCS and/or BPEs
Changes of physicochemical properties including cell surface hydrophobicity, auto-aggregation and injured cell ratio of EHEC were evaluated following the methodologies previously described [
16] with modifications in culture condition. In brief, EHEC was grown in LB broth or LB broth with BPEs (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE) or CFCSs collected from Lc or Lc + CLA in combination with BPEs at 37 °C for 18 h.
The ability of EHEC to form biofilms on glass surfaces in the absence or presence of CFCSs and/or BPEs was performed following the method previously described [
16]. Briefly, 100 µl of EHEC, containing approximately 5 × 10
5 CFU/ml, was inoculated in triplicate in wells of 6-well plates (Corning, USA) containing 22 × 22 mm
2 glass slides. Wells containing LB broth (control) or LB broth supplemented with different concentrations of BPEs (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE), or CFCSs with BPEs were incubated for 48 without shaking at 37 °C. Then, the glass slides were rinsed with PBS for five times and bacterial cells were recovered using sterile cell scraper (VWR, USA) from the glass surface and enumerated.
EHEC was grown in the absence or presence of BPEs (0.1 mg/ml GAE or 0.5 mg/ml GAE or 1.0 mg/ml GAE) or/and CFCSs collected from Lc or Lc + CLA and RNA was extracted according to the protocol of ZR Bacterial RNA MiniPrep kit (Zymo Research Corp., USA). The RNA quantification was carried out using NanoDrop spectrophotometer (Thermo Scientific Inc., USA) and cDNA synthesis was performed according to the protocol provided by Quanta Biosciences, USA. The custom-synthesized oligonucleotide primers for
espA,
espB,
espD,
eaeA,
ler,
tir of EHEC were purchased from Eurofins MWG Operon, USA and methodology previously described [
44] was followed to perform the qRT-PCR assay.
Statistical analysis
Collected data were analyzed by the Statistical Analysis System software (SAS Institute Inc., USA). The one-way analysis of variance (ANOVA) for each single time point followed by Tukey’s test was used to evaluate the various treatments and significant differences among control and treatments were determined based on significant level of 0.05.
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