Department of Pediatrics, Obstetrics and Reproductive Medicine, University of Siena, S Maria alle Scotte, viale Bracci 53100 Siena, Italy.
Placenta. 2010 Oct;31(10):867-72. doi: 10.1016/j.placenta.2010.04.007. Epub 2010 Aug 8.
A number of studies are showing that probiotic treatment induces an anti-inflammatory state. Intrauterine infection can lead to preterm delivery by modulating immune function and efforts to prevent this condition are ongoing nowadays. Lactobacillus rhamnosus GG (LGG) is a probiotic known to ameliorate inflammation by increasing local anti-inflammatory mediators in urinary and gastrointestinal tracts. The present study then analyzed the effect of heat-killed LGG over β-hCG, progesterone, interleukins (IL) 4 and 10, tumor necrosis factor-α (TNF-α), corticotropin releasing hormone (CRH) and urocortin (Ucn) release by primary trophoblast cells. Normal human term placentas (n = 6) were collected and purified trophoblast cells were incubated in the presence of LGG, lipopolysaccharide (LPS) or either LGG + LPS during 3 h, after which the target substances were quantified by ELISA and real-time PCR. LGG did not affect β-hCG, progesterone, or CRH secretion. Conversely, LGG increased IL-4 protein and mRNA expression (P < 0.05) while IL-10 and Ucn secretion were increased in a dose dependent manner and the highest dose of LGG increased significantly IL-10 mRNA (P < 0.05). LGG did not alter TNF-α, while LPS exposure increased TNF-α protein (P < 0.001) and mRNA expression (P < 0.01). Conversely, LGG treatment reversed LPS-induced TNF-α release at both protein (P < 0.01) and mRNA levels (P < 0.05) in a dose dependent fashion. In conclusion, LGG stimulates IL-4, IL-10 and Ucn expression and reverses LPS-induced TNF-α release from trophoblast cells, with no change in β-hCG or progesterone release, suggesting that this probiotic may play a role as an immunomodulatory agent in human placenta without altering basic trophoblast functions.
许多研究表明,益生菌治疗可诱导抗炎状态。宫内感染可通过调节免疫功能导致早产,目前正在努力预防这种情况。鼠李糖乳杆菌 GG(LGG)是一种益生菌,已知可通过增加尿和胃肠道中的局部抗炎介质来改善炎症。本研究随后分析了热灭活 LGG 对β-hCG、孕酮、白细胞介素(IL)4 和 10、肿瘤坏死因子-α(TNF-α)、促肾上腺皮质激素释放激素(CRH)和尿皮质素(Ucn)释放的影响由原代滋养细胞。收集正常足月胎盘(n = 6)并纯化滋养细胞,在存在 LGG、脂多糖(LPS)或 LGG + LPS 的情况下孵育 3 小时,然后通过 ELISA 和实时 PCR 定量目标物质。LGG 不影响β-hCG、孕酮或 CRH 分泌。相反,LGG 增加了 IL-4 蛋白和 mRNA 表达(P < 0.05),而 IL-10 和 Ucn 分泌呈剂量依赖性增加,LGG 的最高剂量显著增加了 IL-10 mRNA(P < 0.05)。LGG 不改变 TNF-α,而 LPS 暴露增加了 TNF-α 蛋白(P < 0.001)和 mRNA 表达(P < 0.01)。相反,LGG 以剂量依赖性方式逆转了 LPS 诱导的 TNF-α释放,无论是在蛋白(P < 0.01)还是在 mRNA 水平(P < 0.05)。总之,LGG 刺激 IL-4、IL-10 和 Ucn 的表达,并逆转 LPS 诱导的滋养细胞中 TNF-α的释放,而β-hCG 或孕酮的释放没有变化,这表明这种益生菌在不改变基本滋养细胞功能的情况下,可能在人类胎盘作为免疫调节剂发挥作用。
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