Butyricicoccus pullicaecorum in inflammatory bowel disease

V Eeckhaut, K Machiels, C Perrier, C Romero, S Maes… - Gut, 2013 - gut.bmj.com
V Eeckhaut, K Machiels, C Perrier, C Romero, S Maes, B Flahou, M Steppe, F Haesebrouck
Gut, 2013gut.bmj.com
Objective Many species within the phylum Firmicutes are thought to exert anti-inflammatory
effects. We quantified bacteria belonging to the genus Butyricicoccus in stools of patients
with ulcerative colitis (UC) and Crohn's disease (CD). We evaluated the effect of
Butyricicoccus pullicaecorum in a rat colitis model and analysed the ability to prevent
cytokine-induced increases in epithelial permeability. Design A genus-specific quantitative
PCR was used for quantification of Butyricicoccus in stools from patients with UC or CD and …
Objective
Many species within the phylum Firmicutes are thought to exert anti-inflammatory effects. We quantified bacteria belonging to the genus Butyricicoccus in stools of patients with ulcerative colitis (UC) and Crohn's disease (CD). We evaluated the effect of Butyricicoccus pullicaecorum in a rat colitis model and analysed the ability to prevent cytokine-induced increases in epithelial permeability.
Design
A genus-specific quantitative PCR was used for quantification of Butyricicoccus in stools from patients with UC or CD and healthy subjects. The effect of B pullicaecorum on trinitrobenzenesulfonic (TNBS)-induced colitis was assessed and the effect of B pullicaecorum culture supernatant on epithelial barrier function was investigated in vitro.
Results
The average number of Butyricicoccus in stools from patients with UC and CD in active (UC: 8.61 log10/g stool; CD: 6.58 log10/g stool) and remission phase (UC: 8.69 log10/g stool; CD: 8.38 log10/g stool) was significantly lower compared with healthy subjects (9.32 log10/g stool) and correlated with disease activity in CD. Oral administration of B pullicaecorum resulted in a significant protective effect based on macroscopic and histological criteria and decreased intestinal myeloperoxidase (MPO), tumour necrosis factor α (TNFα) and interleukin (IL)-12 levels. Supernatant of B pullicaecorum prevented the loss of transepithelial resistance (TER) and the increase in IL-8 secretion induced by TNFα and interferon γ (IFN gamma) in a Caco-2 cell model.
Conclusions
Patients with inflammatory bowel disease have lower numbers of Butyricicoccus bacteria in their stools. Administration of B pullicaecorum attenuates TNBS-induced colitis in rats and supernatant of B pullicaecorum cultures strengthens the epithelial barrier function by increasing the TER.
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