Foster T L, Winans L, Carski T R
Am J Gastroenterol. 1980 Mar;73(3):238-43.
A commercially available lactobacillus-containing preparation has been used extensively in the treatment of diarrhea but few laboratory tests have been performed to determine the efficacy of this product. The rabbit ileal loop reaction was used here to determine the effect of the lactobacillus preparation and its ingredients on E. coli enterotoxin-induced loop fluid response. Enterotoxigenic E. coli cells grown overnight in shake cultures were washed and resuspended in saline to the original volume. They were then diluted in TSB suspensions of the lactobacillus preparation or its ingredients and injected into ileal loops. E. coli diluted in TSB served as positive controls. Fluid response was measured after 18 hours and the loop fluid ratio (LFR) (ml./cm.) of the lactobacillus preparations was compared to the positive controls. The positive controls always showed a high loop fluid ratio (greater than 1.1 ml./cm.) and negative saline controls showed no fluid response. The lactobacillus granules and tablets had low LFR's (0.08 and 0.05, respectively). Ingredients (whey, talc, sugar, evaporated milk, mineral oil) had variable LFR's (0.65, 0.78, 1.39, 1.46 and 1.54, respectively). Individual ingredients used to make this preparation show little antifluid response when used separately but the final product exhibits a significant antienterotoxin response.
一种市售的含乳酸菌制剂已被广泛用于治疗腹泻,但很少进行实验室测试来确定该产品的疗效。本文采用兔回肠袢反应来确定乳酸菌制剂及其成分对大肠杆菌肠毒素诱导的肠袢液反应的影响。将在摇瓶培养中过夜生长的产肠毒素大肠杆菌细胞洗涤后,重悬于盐水中至原体积。然后将它们稀释于乳酸菌制剂或其成分的胰酪大豆胨肉汤(TSB)悬液中,并注入回肠袢。稀释于TSB中的大肠杆菌用作阳性对照。18小时后测量液体反应,并将乳酸菌制剂的肠袢液比率(LFR)(毫升/厘米)与阳性对照进行比较。阳性对照始终显示出较高的肠袢液比率(大于1.1毫升/厘米),而阴性盐水对照则无液体反应。乳酸菌颗粒和片剂的LFR较低(分别为0.08和0.05)。成分(乳清、滑石粉、糖、炼乳、矿物油)的LFR各不相同(分别为0.65、0.78、1.39、1.46和1.54)。用于制备该制剂的各个成分单独使用时显示出很小的抗液体反应,但最终产品表现出显著的抗肠毒素反应。