School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
Department of Pathophysiology, School of Basic Medicine Science, Wenzhou Medical University, Wenzhou, China.
J Appl Microbiol. 2019 Aug;127(2):565-575. doi: 10.1111/jam.14329. Epub 2019 Jun 7.
To observe the therapeutic effects of vaginal infusion of probiotic Clostridium butyricum WZ001 on bacterial vaginosis (BV) in mice.
Female ICR mice were used to establish the model of BV by infecting oestrogen-treated mice with Escherichia coli, and then treated with high- and low dose of C. butyricum. Clinical indexes of mice in the C. butyricum-treated groups were significantly improved and comparable to those in the antibiotic group. Pap staining showed that neutrophil count was significantly increased after modelling and largely decreased after C. butyricum treatment (P < 0·01). Dynamic observation of E. coli and Lactobacillus showed that the number of E. coli significantly decreased in the C. butyricum-treated groups or in the antibiotic group with prolonged treatment (P < 0·01). Besides, the number of E. coli in the low-dose C. butyricum group was higher than that in either its high-dose counterpart or the antibiotic group respectively (P < 0·01). The number of Lactobacillus decreased evidently in the antibiotic group (P < 0·01), while that in the C. butyricum groups remained consistent. Moreover, C. butyricum inhibited the proliferation of E. coli by the experiment in vitro. The phosphorylation of nuclear factor-kappa B (NF-κB) p65 in vaginal tissue and the serum levels of inflammatory cytokines, IL-1β, TNF-α and IL-6, increased after modelling and significantly decreased after treated with C. butyricum (P < 0·01), with no difference found when compared with the antibiotic group.
Clostridium butyricum inhibits the growth of pathogenic bacteria as well as the inflammatory response induced by E. coli and promotes the growth of Lactobacillus to maintain the vaginal micro-ecological balance.
Our results suggest that probiobitc C. butyricum WZ001 has a great potential in the clinical treatment of BV.
观察阴道灌注益生菌丁酸梭菌 WZ001 对细菌性阴道病(BV)的治疗作用。
采用雌激素处理的小鼠感染大肠杆菌建立 BV 模型,然后用高、低剂量丁酸梭菌进行治疗。丁酸梭菌治疗组的小鼠临床指标明显改善,与抗生素组相当。巴氏染色显示,模型建立后中性粒细胞计数明显增加,丁酸梭菌治疗后大量减少(P<0.01)。大肠杆菌和乳酸杆菌的动态观察显示,随着治疗时间的延长,丁酸梭菌治疗组或抗生素组的大肠杆菌数量显著减少(P<0.01)。此外,低剂量丁酸梭菌组的大肠杆菌数量高于其高剂量组或抗生素组(P<0.01)。抗生素组乳酸杆菌数量明显减少(P<0.01),而丁酸梭菌组则保持不变。此外,丁酸梭菌通过体外实验抑制大肠杆菌的增殖。阴道组织核因子-κB(NF-κB)p65磷酸化和血清炎症细胞因子 IL-1β、TNF-α和 IL-6 水平在建模后升高,经丁酸梭菌治疗后显著降低(P<0.01),与抗生素组无差异。
丁酸梭菌抑制致病菌的生长以及大肠杆菌诱导的炎症反应,促进乳酸杆菌的生长,维持阴道微生态平衡。
我们的结果表明,益生菌丁酸梭菌 WZ001 具有治疗 BV 的巨大潜力。