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. 2014 Jul 19;36(4):9686. doi: 10.1007/s11357-014-9686-4

RETRACTED ARTICLE: Improvement in Th1/Th2 immune homeostasis, antioxidative status and resistance to pathogenic E. coli on consumption of probiotic Lactobacillus rhamnosus fermented milk in aging mice

Rohit Sharma 1, Rajeev Kapila 1,✉, Gulshan Dass 1, Suman Kapila 1
PMCID: PMC4150900  PMID: 25037247

Abstract

Imbalance in Th1/Th2 immune pathways and cellular antioxidant systems with progressive aging are among the leading causes of increased risk of morbidity and mortality in elderly. Although probiotics have been considered to boost immune system, there is a lack of comprehensive analysis of probiotic effects on aging physiology. The present study aimed at determining anti-immunosenescence potential of milk fermented with probiotic Lactobacillus rhamnosus (LR) in 16 months old mice by concurrent analysis of immunosenescence markers associated with Th1/Th2 profile of splenocytes, inflamm-aging in plasma, neutrophil functions and antibody response in intestine along with analysis of antioxidant enzymes in liver and red blood cells (RBCs) after feeding trials of 1 and 2 months, respectively. An enteropathogenic Escherichia coli (ATCC 14948)-based infection model in aging mice was also designed to validate protective attributes of LR. Splenocytes registered increased IFN-γ and decreased IL-4 and IL-10 production in LR-fed animals. Neutrophil respiratory burst enzymes and phagocytosis increased significantly while no aggravation in plasma levels of MCP-1 and TNF-α was observed. Further, owing to increased Th1 response, antibodies registered a decrease in IgG1/IgG2a ratio and IgE levels in LR groups. No significant variations were observed in secretory IgA and IgA + cells in the intestine. Antioxidant enzymes (superoxide dismutase, catalase, glutathione peroxidase) in LR-fed groups recorded increased activities which were more pronounced in the liver than in RBCs. LR supplementation significantly reduced E. coli translocation to organs (intestine, liver, spleen, peritoneal fluid) by enhancing E. coli-specific antibodies (IgA and IgG1) and inflammatory proteins. In conclusion, LR supplementation alleviated immunosenescence-associated Th1/Th2 imbalance, improved antioxidant capacity, and enhanced resistance of aged mice to E. coli infection thereby signifying its potential in augmenting healthy aging.

Keywords: Immunosenescence, Lactobacillus, Infection, Antioxidant, Th1/Th2, Inflamm-aging

Introduction

There is growing concern of age-associated aberrations in immune system or immunosenescence on the rationale of healthy aging. The process of immunosenescence describes the plethora of deleterious changes that occur in various aspects of immune system with age. These changes are among the foremost reasons for increased rates of recurring infections, chronic inflammatory disorders, and feeble response to vaccination in elderly (McElhaney 2003; Effros 2005). In particular, a paradigm shift in Th1/Th2 immune homeostasis is observed with progressive aging that renders elderly prone to either autoimmune conditions or allergic disorders and may also form the basis of downstream changes in other branches of immune system with age (Hawkley and Cacioppo 2004; Uciechowski et al. 2008). As such, it is conceivable that strategies aimed at restoration of age-associated Th1/Th2 imbalance could be more favorable in alleviating the damaging effects of immunosenescence in elderly. Aging has several other manifestations in cellular systems including disruption of redox homeostasis. The free radical theory of aging aptly describes this phenomenon which culminates in oxidative damage to cells and tissues. Thus, immunosenescence, increased susceptibility to infections, and oxidative stress together constitute a grave threat for a healthy life in elderly. Hence, it is no surprise that worldwide efforts aimed at reducing the impact of age on immune system and improving redox status in elderly are among the top priorities. Indeed, several strategies including vaccination, nutritional supplements, and anti-inflammatory treatments have been suggested to counter immunosenescence and age-inflicted disorders (Aw et al. 2007; Mocchegiani et al. 2009; Dorrington and Bowdish 2013).

Probiotics or beneficial microbes have gained attention primarily due to their immune-enhancing attributes. Although the exact mechanisms pertaining to probiotic effects are yet to be deciphered, nevertheless, many reports describing both preventive and therapeutic effects of probiotics can be cited. However, the role of probiotics in countering immunosenescence during aging are least understood. There are some reports of the beneficial effects of probiotics on aging immune system, but lack of a comprehensive analysis of probiotics in alleviating immunosenescence, oxidative stress, and resisting infections in elderly is evident (Sharma et al. 2013a). The effects of probiotics have also been reported to vary according to the immuno-physiological state of the subjects (Roessler et al. 2008). This suggests that for aging studies, it is imperative to analyze probiotic effects in a distinct experimental design of aged subjects rather than extrapolating results from studies on adult population. Furthermore, owing to its diverse and ambiguous nature, it is essential to characterize both the type and extent of prevalent immunosenescence in concerned subjects before testing any mitigating strategies.

Considering these aspects, we initially characterized age-associated changes in immune system of male Swiss albino mice (Sharma et al. 2013b) and observed imbalance in Th1/Th2 immune pathways along with variations in cellular and humoral immunological functions. Based on this prior knowledge, the present study was designed to assess anti-immunosenescence effects of consumption of milk fermented with probiotic Lactobacillus rhamnosus (LR; MTCC 5897) in aging mice employing several markers of cellular and humoral immunosenescence as well as antioxidative capacity. Further, a pathogen infection study in aging mice, mimicking a real-time challenge environment, was also executed to assess immune-protective attributes of LR fermented milk consumption. This specific probiotic lactobacillus was selected in the present investigation as it had shown promising immunomodulatory attributes such as modulation of macrophage functions, interleukins production, humoral response in serum/intestine, etc. (data unpublished). The overall aim of the present study was to provide a holistic analysis of health beneficial attributes of probiotic LR on aging physiology.

Material and methods

Microorganisms and culture conditions

LR (MTCC 5897) used in the present study was isolated from indigenous fermented milk. The bacterial culture was identified by commercially available API® microorganism identification kit and subsequent 16 s rRNA analysis. The culture was characterized as a probiotic strain after investigation of standard probiotic attributes, viz., acid resistance, bile tolerance, cell surface hydrophobicity, and antimicrobial activity as per methods described previously (Kapila et al. 2012; Rammelsberg and Radler 1990). Scanning electron microscopy was performed to visualize adherence of LR to Caco-2 cells (Bernet et al. 1993). The antimicrobial activity of LR culture supernatant was also assessed against varying concentrations (1 and 1.5 %) of pathogenic Escherichia coli (ATCC 14948).

During in vivo trials, LR culture was stored at −80 °C in MRS broth supplemented with 20 % (v/v) glycerol and activated prior to use by sub-culturing twice in MRS broth for 18 h at 37 °C. Probiotic fermented milk (PFM) was prepared by inoculating aliquots of sterile skim milk with bacterial strain and incubating for 18 h at 37 °C. The number of bacteria in the fermented milk was determined by plate counting on MRS agar plates after aerobic incubation at 37 °C for 24–48 h. A milk-based delivery system of probiotics was favored as it is a convenient way of probiotic consumption in general population.

An enteropathogenic E. coli strain (ATCC 14948) was procured from National Collection of Dairy Cultures, N.D.R.I, Karnal. The culture was activated by growing in brain heart infusion broth (Himedia laboratories, Mumbai, India) at 37 °C for 24 h and then washed and resuspended in sterile phosphate-buffered saline (PBS) after adjusting cell concentration to 108 cfu/ml using agar plate counting.

Animals and experimental design

The study was divided into two separate experiments using 16 months old male Swiss albino mice. The first experiment was designed to evaluate the influence of LR consumption on immunological and redox homeostasis parameters. A second pathogen challenge experiment was conducted to determine the preventive attributes of consumption of LR fermented milk. To eliminate any effect of feeding and infection history on aging study, the male Swiss albino mice used in the present investigation were segregated along with their mothers from stock of animals in small animal house of N.D.R.I, Karnal at the age of 2 weeks while still in suckling period. The animals were separated into different experimental groups only after weaning from mothers (≈21 days old) and were raised on basal diet (protein 12 % and fat 10 %) till 16 months of age for subsequent experiments in the present study. All animal experiments were approved and as per guidelines of the Institutional Animal Ethics Committee (Approval letter no. NDRI 382/01CPCSEA; dated 29 June 2011).

For the first experiment, animals were kept in two sets of three diet groups containing six animals each: basal diet (BD), BD supplemented with skim milk (SM), and BD supplemented with LR fermented milk. The study duration was further divided into two intervals: one set of animals (containing the three diet groups) was fed for 1 month while the other set was continued for 2 months on their respective diet regimen. LR-fed animals received 1 × 109 cfu/ml of bacteria per animal per day in 3 ml throughout the study duration. At the end of their respective study period, animals from each set were sacrificed by diethyl ether overdose and blood, peritoneal fluid, spleen, intestine, and liver of the animals were collected to assess various immunological parameters. In order to gain a better understanding of probiotic anti-immunosenescence effects in aging animals (16 months old), all immunological results presented in current investigation have also been supplemented with respective normal data of young (4 months old) animals as earlier investigated in our laboratory (Sharma et al. 2013b).

For the second experiment of pathogen challenge, animals were kept on two diet groups with eight animals each: SM (control) and probiotic LR-supplemented group. LR-fed animals received 1 × 109 cfu/ml of bacteria per animal per day in 3 ml of PFM. Animals were pre-fed on their respective diets for 30 days followed by oral administration of a single dose of enteropathogenic E. coli (108 cfu/ml) on the 31st day only. The feeding regimen was continued in respective groups for seven more days post-infection. Mice were sacrificed on the 8th day and spleen, liver, intestine, and peritoneal fluid of animals were collected for analysis of pathogen colonization and pathogen-specific antibodies production (in intestine) while blood plasma was used to assess circulatory inflammatory proteins.

Cytokine profile

Splenocytes were isolated and cultured from spleen tissue of experimental animals as described previously using concanavalin A (Sigma; 5 μg/ml) as a stimulant (Jain et al. 2009). Supernatants of cultured splenocytes were used to estimate levels of interleukins (IFN-γ, IL-4, and IL-10) using commercially available quantitative sandwich ELISA kits (eBiosciences, San Diego, CA) according to manufacturer’s protocol. Briefly, NUNC Maxisorp 96-well plates were coated with 100 μl of 1× capture antibody (goat anti-mouse IFN-γ/IL-4/IL-10) and incubated overnight at 4 °C. The samples were diluted two times before adding in the experimental wells followed by the addition of detection antibody and 100 μl of avidin horseradish peroxidase (HRP). Plates were allowed to develop with the TMB substrate (3,3,5,5-tetramethyl diamine benzidine containing 0.03 % H2O2) and reaction was finally stopped with 50 μl of 2 M H2SO4. Plates were read at 450 nm. Results are expressed as per milligram total protein.

The basal level of circulatory inflammation was analyzed by estimation of monocyte chemotactic protein-1 (MCP-1) and tumor necrosis factor-α (TNF-α) in blood plasma. In brief, MCP-1/TNF-α levels in plasma were determined using quantitative sandwich ELISA (eBiosciences, San Diego, CA). NUNC Maxisorp 96-well plates were coated with 100 μl of 1× capture antibody (goat anti-mouse MCP-1/ TNF-α) and incubated overnight at 4 °C. The samples were added into the experimental wells followed by the addition of respective detection antibodies and 100 μl of avidin HRP. Plates were allowed to develop with the TMB substrate (3,3,5,5-tetramethyl diamine benzidine containing 0.03 % H2O2) and reaction was finally stopped with 50 μl of 2 M H2SO4. Plates were read at 450 nm.

Neutrophil isolation and functional analysis

Neutrophils were isolated from whole blood by density gradient centrifugation using Histopaque (Sigma, St Louis, USA) solutions 1077 and 1119. Briefly, 3 ml of Histopaque 1077 was carefully layered on top of 3 ml of Histopaque 1119 and 1.5 ml of collected blood was layered on the top of the gradient followed by centrifugation at 800 × g for 30 min at room temperature. The neutrophil layer in gradient was carefully removed and subject to lysis of any remaining red blood cells as previously described (Costa et al. 2006). The resulting cell suspension contained more than 90 % of neutrophils with overall viability greater than 95 % as determined by Trypan blue exclusion method.

Peripheral blood neutrophils were analyzed to evaluate effects of LR consumption in terms of respiratory burst potential and phagocytic activity. Neutrophil respiratory burst potential was assessed by analyzing cytochrome c reductase and myeloperoxidase (MPO) activities. Neutrophil cytochrome c reductase activity was evaluated using cytochrome c reductase (NADPH) Assay Kit (Sigma, CY0100) as per manufacturer’s protocol. Briefly, neutrophil cell suspensions (1 × 106 neutrophils/ml) were sonicated in enzyme dilution buffer (300 mM, pH 7.8) containing 0.05 % Triton X-100. The suspension was centrifuged at 12,000 × g for 10 min and the supernatant was analyzed for cytochrome c reductase activity. One unit of cytochrome c reductase activity was defined as reduction of 1.0 nmol of oxidized cytochrome c in the presence of 100 μmol of NADPH per minute at pH 7.8 at 25 °C.

MPO activity was measured according to Bradley et al. (1982) with some modifications. Briefly, neutrophil suspensions were homogenized in 9 volumes of ice cold potassium phosphate buffer (50 mM, pH 6.0) containing 0.5 % cetyl trimethyl ammonium bromide (CTAB) followed by sonication (10 s) and freeze–thaw (three times). The suspension was centrifuged at 12,000 × g for 15 min and the supernatant analyzed for MPO activity by mixing assay buffer (50 mM potassium phosphate buffer, pH 6.0) containing 0.5 mM o-dianisidine dihydrochloride and 0.0005 % H2O2 as substrates. The breakdown of H2O2 is directly proportional to oxidation of o-dianisidine dihydrochloride which was measured at 460 nm (UV-Visible double beam spectrophotometer, UVD-3500, Labomed Inc. USA). The concentration of oxidized o-dianisidine dihydrochloride was calculated from its molar extinction coefficient (11.3 mM−1 cm−1). One unit of enzyme activity was defined as that oxidizing 1.0 nmol of o-dianisidine per min at 25 °C.

Neutrophil suspensions (1 × 106cells/ml) were further used for assessing phagocytic activity using yeast cells according to the method of Hay and Westwood (2002). Phagocytosis was observed at × 1,000 magnification under oil immersion (Olympus Optical Co. Ltd, Japan) and following observations was recorded:

Percentagephagocytosis=Numberofneutrophilswithyeastcellsinternalizedper100neutrophils.Phagocyticindex=%phagocyticneutrophilscontaining≥1yeast×meannumberofyeasts/phagocyticneutrophilscontainingyeasts.

Humoral immune response in intestine

Intestinal fluid was collected as per the procedure described by Lim et al. (1981). Briefly, small intestine from gastro-duodenal to ileocaecal junctions was carefully removed and contents were washed out with 5 ml PBS (pH 7.2) followed by centrifugation at 2,000 × g for 30 min. The resultant supernatant, i.e., intestinal fluid, was recovered and stored at −80 °C until used for estimation of total IgA, total IgE, IgG1, and IgG2a antibodies. These antibodies were detected in a sandwich ELISA format as described in previous section and according to manufacturer’s protocol (Komabiotech, Korea; eBiosciences, San Diego, CA). Results are expressed as per milligram of total protein.

Immunofluorescence assay for IgA + cells

Two centimeters of tissue from ileum of small intestine was used for the preparation of histological slides by the method of Kiernan (2008). Sections (3 μm) of tissues were cut with Senior Rotary Microtome (Radical, RMT-30, Ambala, India) and slides were prepared for direct immunofluorescence assay for IgA + cells. After deparaffinization using xylene and rehydration in a decreasing gradient of ethanol, sections were blocked in 2 % bovine serum albumin (BSA) for 1 h. The slides were washed two to three times with PBS, followed by incubation with 1:100 dilution of α-chain mono-specific antibody conjugated with fluorescein isothiocyanate (FITC) (Cayman Chemical, Michigan, USA) for 1 h and observed with a fluorescent light microscope (Olympus, CKX41, Japan). The number of fluorescent cells was counted in at least 30 fields at × 200 magnification. The results were expressed as the number of positive fluorescent cells per five fields of vision.

Antioxidant enzyme activity

Catalase (CAT), superoxide dismutase (SOD), and glutathione peroxidase (GPx) activities were determined in liver and red blood cells (RBC) lysates to assess antioxidant capacity. CAT activity was measured by spectrophotometric analysis of the rate of H2O2 decomposition at 240 nm (Aebi 1984). One unit of CAT corresponds to degradation of 1 μmol of H2O2 per min. SOD was measured according to the previous method of Marklund and Marklund (1974) and unit activity was defined as the amount of enzyme that causes 50 % inhibition of pyrogallol autooxidation under experimental conditions. GPx was assayed by measuring the rate of oxidation of NADPH using cumene hydroperoxide as substrate (Paglia and Valentine 1967). The enzyme activity was calculated using extinction coefficient of 6.22 × 103 M−1 cm−1 and unit activity was 1 mmol of NADPH oxidized per min. Results are expressed as units per milligram total protein for liver enzymes and units per milligram total hemoglobin (Hb) for enzymes in RBC lysate.

Quantitative estimation of E. coli translocation

In the second experiment involving pathogen challenge to aging animals, the translocation and colonization of E. coli was determined in peritoneal fluid and various organs of the animals. The intestine, liver, and spleen of each animal were individually homogenized in 0.1 % peptone water. The tissue homogenate and peritoneal fluid were then serially diluted in peptone water and plated on eosin methylene blue agar (Himedia laboratories, Mumbai, India). E. coli bacterial colonies with characteristic green metallic sheen were identified and enumerated after 48 h incubation at 37 °C.

Estimation of E. coli-specific antibodies in intestinal fluid

A section of small intestine was used to collect intestinal fluid for estimation of pathogen-specific antibodies. E. coli-specific IgA (Komabiotech, Korea) and IgG1 (eBiosciences, San Diego, CA) antibodies were estimated in intestinal fluid by ELISA according to manufacturer’s protocol and as described by Engwall and Perlmann (1971). Briefly, wells of microtiter plates (NUNC, Germany) were coated with E. coli suspension (100 μl) at the rate of 108 cfu/ml in 0.06 M carbonate buffer (pH 9.6). Control wells were coated with 100 μl of carbonate buffer alone. Plates were incubated for 18–20 h at 37 °C for drying. After drying, 200 μl of 70 % methanol was added and left for 20 min to fix antigen on the plate surface and then dried again with a dryer. Free binding sites were blocked by adding 200 μl of blocking solution [2 % BSA in PBS-Tween-20 (PBS/T)] and incubated at room temperature for 2 h with occasional shaking. Blocking solution was eliminated and wells were washed three times with 0.05 % PBS/T. Samples and detection antibody (IgG1) were added and the plates were incubated for 3 h at 37 °C with occasional shaking. For IgA, samples were incubated for 1 h followed by addition of 100 μl of goat anti-mouse peroxidase conjugate antibody (IgA) and incubation at 37 °C for 1 h. Substrate solution (0.1 ml) (0.04 % o-phenylene-diamine hydrochloride, 0.012 % H2O2 in phosphate citrate buffer, pH 5.0) was added to each well, and the reaction was carried out at RT for 30 min in darkness. The reaction was stopped with 0.1 ml of H2SO4(2 N) and absorbance was measured at 450 nm using ELISA plate reader. Antibody concentration in each sample was expressed as absorbance/100 μl.

Estimation of inflammatory proteins in plasma of E. coli-infected animals

Circulatory markers of inflammation (IFN-γ, MCP-1, and TNF-α) were assessed in plasma of E. coli-challenged animals using sandwich ELISA as described in previous sections.

Statistical analysis

Data were analyzed using GraphPad Prism (Version 5.01) software. Experimental results are presented as means ± standard error mean (SEM). Data were subjected to two-way analysis of variance (ANOVA) and the Bonferroni test was used to separate the means (P < 0.05) which were considered statistically significant. All immunological data are supplemented with respective data of 4 months old young animals (as per Sharma et al. 2013b) for better inference of probiotic effects.

Results

Probiotic attributes of LR

Probiotic attributes of LR are presented in Fig. 1. LR showed high survival rate even at lowest pH condition (pH = 2) which continued to increase as acidic conditions decreased (Fig. 1a). Except for pH = 2 after 3 h incubation, no significant difference in survivability of LR with time in different acidic conditions could be observed. LR showed excellent bile tolerance even after prolonged incubation (6 h) under strong bile concentration (Fig. 1b). The survivability of bacteria appeared to enhance with progressive time in bile conditions. Cell surface hydrophobicity is used as an indicator of the ability of probiotics to adhere to the intestinal epithelial cells. LR showed variable results with different solvents with most affinity for xylene followed by octane and n-hexadecane (Fig. 1c). No significant variations in hydrophobicity could be observed during different time intervals. Representative scanning electron micrograph of LR attached to Caco-2 cells is shown in Fig. 1e. In vitro analysis of antimicrobial activity revealed strong inhibition of E. coli by LR culture supernatant (Fig. 1d). LR was able to effectively inhibit E. coli at different inoculum concentrations and showed expected increase in zone of inhibition with increased volume of culture supernatant.

Fig. 1.

Fig. 1

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Probiotic attributes of L. rhamnosus (LR). a Acid resistance. b Bile salt tolerance. c Cell surface hydrophobicity. d Antimicrobial activity of LR culture supernatant against varying E. coli inoculum concentration (1 and 1.5 %) and e scanning electron micrograph showing adherence of LR to Caco-2 cells. Values are mean ± SEM. *P < 0.05 represents values which are significantly different from 0 h in a given group

Interleukins profile

A remarkable increase (P < 0.001) in IFN-γ production was recorded in LR-fed groups as compared to control (BD and SM) groups (Fig. 2a). On the other hand, the levels of IL-4 and IL-10 recorded a considerable (P < 0.01) decrease in probiotic-fed group as compared to BD group after 2 months of feeding duration (Fig. 2b, c). Thus, both control groups showed heightened Th2 response while LR-fed group showed an increase in Th1 response. Further, the various changes in interleukins production on administration of LR fermented milk appeared to be maintained over the 2 months of feeding duration.

Fig. 2.

Fig. 2

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Effect of probiotic supplementation on interleukins production in splenocytes of aging animals during 2 months of feeding in respective diet groups: BD, basal diet; SM, skim milk; LR, L. rhamnosus fermented milk. a IFN-γ. b IL-4. c IL-10. Bar in black shows respective reference values in young (4 months old) animals. Values are mean ± SEM; values with different letters are significantly different within the group at P < 0.01. **P < 0.01 for treatments fed for 1 versus 2 months

Inflamm-aging markers

The effect of probiotic administration on circulatory inflammatory markers in plasma is depicted in Fig. 3. No significant difference in levels of MCP-1 in any experimental group was observed after 1 month of feeding. However, a significant (P < 0.05) decrease in MCP-1 was recorded in LR-fed group as compared to control groups after 2 months of feeding (Fig. 3a). A significant (P < 0.05) increase in TNF-α levels in BD-fed animal group was observed with progressive aging after 2 months of study duration (Fig. 3b). LR-fed group however maintained their TNF-α levels and thus registered significant (P < 0.05) decline as compared to BD-fed group after 2 months.

Fig. 3.

Fig. 3

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Effect of probiotic supplementation on levels of inflammatory markers in plasma of aging animals during 2 months of feeding in respective diet groups: BD, basal diet; SM, skim milk; LR, L. rhamnosus fermented milk. a MCP-1. b TNF-α. Bar in black shows respective reference values in young (4 months old) animals. Values are mean ± SEM; values with different letters are significantly different within the group at P < 0.05. *P < 0.05 for treatments fed for 1 versus 2 months

Neutrophil functions

The impact of feeding LR fermented milk on neutrophil functions is depicted in Fig. 4. A significant (P < 0.05) increase in activities of both cytochrome c reductase and MPO was observed as compared to control groups BD and SM (Fig. 4a, b). The effects were distinct after 2 months of feeding as compared after 1 month. Percent phagocytosis and phagocytic index of neutrophils also significantly (P < 0.05) increased in LR-fed groups in comparison to BD group which appeared to maintain over 2 months of feeding period (Fig. 4c, d).

Fig. 4.

Fig. 4

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Effect of probiotic supplementation on neutrophil functions of aging animals during 2 months of feeding on respective diet regimen: BD, basal diet; SM, skim milk; LR, L. rhamnosus fermented milk. a Cytochrome c reductase. b Myeloperoxidase. c Percent phagocytosis. d Phagocytic index. Bar in black shows respective reference values in young (4 months) animals. Values are mean ± SEM; values with different letters are significantly different within the group at P < 0.05. **P < 0.01 for treatments fed for 1 versus 2 months

Gut immune response

IgG1 levels registered a significant increase (P < 0.05) in both BD and SM control groups with progressive aging after 2 months of feeding while LR-fed group maintained their original levels (Fig. 5a). No significant variations were observed in IgG2a levels while comparing LR group with control groups (Fig. 5b). However, the ratio IgG1/IgG2a observed a significant (P < 0.05) decrease in LR-fed groups after 2 months of feeding as compared to BD group (Fig. 5c). Also, a significantly (P < 0.05) increased IgG1/IgG2a ratio in both control groups among 1 and 2 months of feeding trial was observed in aging mice. Similar trend was observed in levels of IgE wherein BD group recorded a significant increase among 1 and 2 months of feeding while LR-fed group registered a significant (P < 0.05) decrease after 2 months (Fig. 5d). On the other hand, no significant variations in secretory IgA levels and numbers of IgA + cells could be observed among different experimental groups over the entire study duration (Fig. 5e, f). Representative photograph of fluorescent IgA + cells is depicted in Fig. 5g.

Fig. 5.

Fig. 5

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Effect of probiotic supplementation on gut immune functions of aging mice during 2 months of feeding on respective diet regimen: BD, basal diet; SM, skim milk; LR, L. rhamnosus fermented milk. a IgG1. b IgG2a. c IgG1/IgG2a ratio. d IgE. e IgA. f IgA + cells and g micrograph showing fluorescent IgA + cells. Bar in black shows respective reference values in young (4 months) animals. Values are mean ± SEM; values with different letters are significantly different within the group at P < 0.05; ***P < 0.001, **P < 0.01, *P < 0.05 for treatments fed for 1 versus 2 months

Antioxidant capacity

All investigated liver enzymes (SOD, CAT, and GPx) invariably recorded significant (P < 0.05) increase in enzyme activities in LR-fed groups as compared to BD groups throughout the feeding duration (Fig. 6b, d, f). The differences in enzyme activities in RBCs were however less distinctive (Fig. 6a, c, e) and only GPx activity recorded significant increase as compared to control groups over the feeding period of 2 months. All liver antioxidant enzymes, on the other hand, depicted robust improvement in antioxidative activities which appeared to persist during 1 and 2 months of feeding trial.

Fig. 6.

Fig. 6

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Effect of probiotic supplementation on antioxidant enzyme activities of aging animals during 2 months of feeding on respective diet regimen: BD, basal diet; SM, skim milk; LR, L. rhamnosus fermented milk. SOD activity in a RBCs and b liver. Catalase activity in c RBCs and d liver and glutathione peroxidase activity in e RBCs and f Liver. Values are mean ± SEM; values with different letters are significantly different within the group at P < 0.05; *P < 0.05 for treatments fed for 1 versus 2 months

E. coli infection symptoms and pathogen colonization

Ostensible changes in behavior of control SM-fed mice were evident by third day post-pathogen challenge which included dormant and isolated behavior, massive diarrhea, continuous erratic heart beat, and loss of appetite. LR-fed animals were, however, more active and respondent and maintained their appetite as compared to SM-fed mice (Fig. 7a). No mortalities were observed among any of the animal groups during the feeding trial. E. coli infection heavily infiltrated body organs and peritoneal fluid of mice. However, a remarkable (P < 0.001) decrease in pathogen colonization in the intestine, liver, spleen, and peritoneal fluid was observed in LR-fed groups as compared to SM-fed group (Fig. 7b). The colonization in various organs and peritoneal fluid was 1 to 2 log units less in LR-fed groups as compared to SM group.

Fig. 7.

Fig. 7

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Influence of consumption of LR fermented milk on pathogenic E. coli infection in aging mice. a Daily food intake in animals post-infection. b E. coli counts in body organs and peritoneal fluid of animals. c E. coli specific antibodies in intestine. d Levels of inflammatory proteins in plasma. Values are mean ± SEM; asterisk represents significant difference as compared to SM group; ***P < 0.001, **P < 0.01, *P < 0.05

E. coli-specific antibodies

A remarkable (P < 0.001) 3.19-fold increase in E. coli-specific IgA antibodies and a 1.15-fold increase (P < 0.01) in E. coli-specific IgG1 were observed in LR-fed group as compared to SM group (Fig. 7c).

Inflammatory proteins

A significant presence of circulator inflammatory markers was noted in LR-fed group (Fig. 7d). IFN-γ registered an increase of 3.34-fold (P < 0.01), TNF-α recorded an increase of 1.47-fold (P < 0.01), while MCP-1 registered an increase of 26.82 % (P < 0.05) in LR-fed group as compared to control SM group.

Discussion

An age-associated imbalance in Th1/Th2 cytokine production has been validated in several previous studies. This disparity in T cell differentiation is primarily responsible for vulnerability to infections and other adverse immunological outcomes during aging. However, the nature of this imbalance is often ambiguous and contradictory. While some studies have suggested increased Th1 response with aging, others have also implicated increased Th2 response (Shearer 1997; Ginaldi et al. 1999; Kovacs et al. 2004; Uciechowski et al. 2008). We argued that without explicit knowledge of nature of this dysregulation and immunological state of subjects employed, it is difficult to comprehend and contemplate the precise effects of probiotics. Considering this, we have earlier reported that Swiss albino mice strain used in the present study shows a decrease in Th1 response with an aggravation of Th2 response during progressive aging (Sharma et al. 2013b). Probiotics have been shown to restore Th1/Th2-related imbalance in clinical studies and murine allergic models (Schiavi et al. 2011; Tan et al. 2011). In the first experimental design of the present investigation, we report that the age-associated skewness towards Th2 response in aging mice can also be countered by probiotic lactobacilli supplementation. In this aging model, the interleukins profile of splenocytes in probiotic LR-fed group indicated a restoration of otherwise skewed Th2 immune response. Aggressive increase in IFN-γ and concurrent decrease in IL-4 and IL-10 in LR group suggested a strong inclination towards cell-mediated immune response. Further, interleukins profile in probiotic-fed aging animals invariably appeared to recuperate to the levels as otherwise observed in young (4 months) old animals. Thus, this scenario proposes an effective reversal of immune response from otherwise prevalent Th2 response in control groups (BD and SM) to a predominant Th1 response in lactobacilli-supplemented groups thereby augmenting Th1/Th2 homeostasis in aging mice.

The robust increase in Th1 cytokine response on account of probiotic supplementation was further assessed in conjunction with analysis of other immunological parameters. Many studies have reported various age-associated discrepancies in neutrophil functions including impaired respiratory burst and phagocytosis (Braga et al. 1998; Tortorella et al. 2000; Lord et al. 2001). IFN-γ has been shown to enhance various neutrophil functions (Ellis and Beaman 2004). Thus, the apparent increase in IFN-γ levels in LR-fed group could be accountable for the observed increase in respiratory burst enzymes (cytochrome c reductase and MPO) and phagocytic potential of neutrophils. Very few studies have earlier explored the effects of probiotics in modulating in vivo neutrophil functions. An earlier study in our laboratory has shown that probiotic lactobacilli are able to enhance neutrophil functions in adult mice (Kapila et al. 2013). A study by Stadlbauer et al. (2008) has also reported enhanced phagocytosis in neutrophils after dietary supplementation with Lactobacillus casei Shirota in patients with alcoholic cirrhosis. However, the present investigation is the first report describing effects of probiotics in modulating various aspects of neutrophil oxidative burst in aging mice.

The analysis of circulatory pro-inflammatory proteins in different experiments was intriguing. In assessment of inflammatory status of aging animals in the first experiment, TNF-α levels in control BD-fed animals registered a significant increase (71.9 %) with age as evident from 1 and 2 months of trial period. This suggests the presence of a chronic low-grade inflammation state in aging mice which is often proclaimed as inflamm-aging and has been previously demonstrated in both animal and human aging studies (Bruunsgaard and Pedersen 2003; Ogawa et al. 2008; Lin et al. 2010; Sharma et al. 2013b). Inflamm-aging is essentially an immunological paradox, as despite impaired functional capacity of innate immune cells and decreased Th1 response, persistent sub-optimal accumulation of inflammatory markers is prevalent during aging that predisposes elderly to inflammatory disorders. In the present study, despite increasing Th1 response, LR supplementation apparently suppressed concentrations of both TNF-α and MCP-1, which are potent markers of inflammation. Thus, it appears that while aging animals in control group continued to show signs of inflamm-aging, probiotic LR-fed animals were resistant to aggravation of circulatory inflammation. These results suggest anti-inflamm-aging attributes of probiotic LR supplementation that ultimately helped maintain inflammatory homeostasis in aging animals. Previous studies have reported that various strains of probiotics can attenuate 1 L-1β, TNF-α, and IL-6 levels beyond the gastrointestinal mucosa and in the periphery thereby maintaining the inflammatory networks (Ghosh et al. 2004). It has also been shown that consumption of a milk-based drink containing L. rhamnosus GG, Bifidobacterium animalis sp. lactis Bb12, or Propionibacterium freudenreichii sp. shermanii JS by healthy adults led to a significant decrease in the levels of serum CRP and pro-inflammatory cytokines in peripheral blood mononuclear cells (Kekkonen et al. 2008). The mechanisms pertaining to these effects are varied and are not fully understood. The role of polyamines is of emerging importance in relation to systemic inflammation and aging. It has been recently hypothesized that probiotic-induced production of polyamines could be crucial in alleviating inflamm-aging in elderly (Matsumoto and Kurihara 2011). Moreover, probiotic bacteria can also interact with epithelial cells and alter downstream cytokine production through modulation of cell signaling pathways which may account for their influence on inflammatory molecules (Neish 2004; Otte and Podolsky 2004; Ruiz et al. 2005). It has been shown that probiotics are capable of inhibiting the nuclear factor-kB pathway in epithelial cells through various mechanisms, including blocking inhibitor kB degradation by inhibiting ubiquination (Neish et al. 2000) or by inhibiting proteasome function (Jijon et al. 2004). Induction of Treg cells by certain probiotic bacterial strains has also been hypothesized to exert potent anti-inflammatory effects (Sheil et al. 2004).

In contrast, during E. coli infection experiment, all measured inflammatory proteins recorded a remarkable increase in LR-fed group as compared to control group. This apparent contradiction in state of inflammatory networks could be attributed to the fact that generally, infectious agents invade to intestinal epithelium and stimulate intense acute inflammatory response. We reason that the changed dynamics of the aging immune system under the prevailing threat of E. coli infection, coupled with the Th1 stimulating ability of LR, together resulted in increased IFN-γ production in pathogen challenge experiment. This increase in Th1 response could have helped resist the invading pathogen by further activating innate immune cells and therefore the observed increase in downstream inflammatory proteins (TNF-α and MCP-1). Previous studies have also reported that probiotics can modulate the cytokine environment in response to pathogenic invasion as compared to healthy individuals resulting in a strong cell mediated response against invading pathogen (Jain et al. 2008, 2009). In context of inflamm-aging and infection, our observations are also indicative of differential probiotic–host cross talk and effector cytokine response. Together, it is plausible to conclude that LR consumption prevented the escalation of inflamm-aging, while in case of an infection, a strong inflammatory response was evident owing to pathogenic stimulation and Th1 activating attributes of the present probiotic bacteria.

In the present study, analysis of gut immune response revealed significant effects of LR consumption in modulating downstream immunoglobulin production. The levels of IgG1 were significantly decreased in LR-fed group than control groups suggesting reduced Th2 response. No explicit changes were observed for IgG2a levels. However, the ratio of IgG1/IgG2a provided a clear scenario wherein a significant decrease in IgG1/IgG2a was observed in LR-fed groups after 2 months of feeding. This decrease appeared at par with reference values observed for young (4 months old) animals. Similarly, IgE levels in LR-fed groups recorded a significant decrease than control groups. It was also interesting to note a significant increase in IgG1/IgG2a ratio and IgE levels in control groups between 2 months of feeding trial suggesting prevalent Th2 response with age. T cell cytokines are responsible for stimulating the class switching process in B cells. Th2 cytokines, IL-4 in particular, are considered the main driving force for favoring IgG1 production and class switching to IgE in differentiating B cells (Snapper et al. 1988). On the other hand, Th1 cytokine IFN-γ is responsible for synthesis of IgG2a and also the prevention of IgE class switching (Le Bon et al. 2001). Thus, the apparent decrease in IgG1/IgG2a and IgE production in LR groups could be attributed to the observed increase in IFN-γ and decrease in IL-4 production in probiotic-fed groups which further signifies the inclination of immune response towards Th1 response. IgA levels on the other hand remained unchanged in various experimental groups over the entire feeding duration. The enumeration of IgA + cells further corroborated the same notion and no significant changes were observed in any of the experimental groups.

Infectious agents such as E. coli can bypass gastric defenses, penetrate into intestinal mucosa, and multiply within macrophages of the reticuloendothelial system to disseminate via systemic circulation, reaching different organs such as liver and spleen (Melton-Witt et al. 2012). The in vitro test of LR culture supernatant had suggested antimicrobial effects against pathogenic E. coli. This was further corroborated in in vivo study when LR consumption improved the resistance of aged mice to E. coli infection in all organs and peritoneal fluid of animals suggesting that this probiotic has the potential to inhibit systemic infection. Previous studies have also suggested that probiotic interventions can resist the severity of pathogenic infections (Shu and Gill 2002; Kapila et al. 2007; Jain et al. 2009). The precise mechanism of LR resistance to E. coli infection is speculative but it is possible that continuous pre-feeding of PFM for 30 days could have provided ample time for adherence and colonization of LR over the intestinal epithelial cells thereby creating a protective layer. This is also supported by probiotic attributes of LR (acid/bile tolerance and hydrophobicity) which suggest its strong survivability in gut and ability to adhere to cells. Thus, LR supplementation could have provided preliminary protection from E. coli pathogen by resisting its initial adherence and colonization in the intestinal lumen. Further, Th1 stimulating potential of this probiotic strain probably then took over and resulted in increased presence of downstream pro-inflammatory proteins (MCP-1/TNF-α/IFN-γ) that together activated phagocytes and culminated in a lethal inflammatory response thereby resisting the invading pathogen. Moreover, the remarkable increase observed in pathogen-specific IgA and IgG1 antibodies in LR-fed group may also have attenuated the spreading of E. coli either by precipitating and/or presenting them for complement system and immune cells to be destroyed.

LR consumption in the present study influenced various immunological parameters in aging mice which was also evident during an infection challenge. To further substantiate these findings, we hypothesized that this beneficial immunological state might also be reflected in oxidative status of the aging animals. Free radical theory of aging proposes increase in age-inflicted oxidative stress contributed by decreased activities of various antioxidant enzymes resulting in tissue damage and inflammatory aggravation. Together with impaired immune functions and inflamm-aging, this impaired redox status in cells could be detrimental to cell survival and function. LR administration in the present study also enhanced the activities of SOD, CAT, and GPx in the liver and RBCs signifying improved free radical clearance system. Previous studies have shown that oral administration of lactobacilli and fermented milk whey promotes glutathione biosynthesis in tissues which could explain increased GPx activity in LR-fed groups (Zommara et al. 1998; Lutgendorff et al. 2009). The liver is the major site of glutathione synthesis and transport and thus could explain the apparent effects of LR consumption on GPx activity in liver and RBCs. Similarly, consumption of probiotic cultured milk has also been shown to enhance activities of SOD and CAT in various clinical and experimental studies (Shih and Yen 2007; Yadav et al. 2008; Zhou et al. 2010; Kaushal and Kansal 2012) which could be attributed to release of antioxidative peptides from milk proteins by proteolytic activity of probiotic strains. Moreover, it has also been shown that probiotic supplementation may protect against oxidative stress by decreasing the accumulation of ROS (Kullisar et al. 2002; Martarelli et al. 2011) possibly by mechanisms involving metal ion chelation, scavenging of the oxidant compounds, or even inhibiting ROS production in the intestine (Azcárate-Peril et al. 2011).

A range of different aspects and parameters involving effects of probiotic L. rhamnosus on immunology, infection, and oxidative stress in aging mice were assessed in the present study. The exact mechanisms governing these effects are elusive and were not addressed in this study per se. However, antigen presenting cells such as dendritic cells (DC) could play a critical role in this scenario due to their ability to polarize naive Th0 cells to Th1 or Th2 subsets and thus confer the characteristic Th1 or Th2 response. It is possible that probiotic LR in the present study interacted and stimulated DC cells in gut in a way that primed naïve T cells to yield a strong Th1 response. It has been previously shown that probiotic lactobacilli can modulate the phenotype and function of DC resulting in skewness towards Th1 response (Feili-Hariri et al. 2005; Mohamadzadeh et al. 2005; Mohamadzadeh and Klaenhammer 2008). The enhanced Th1 response can explain most of observed effects of probiotics in the present study but further studies are required relating inflamm-aging and Th1 stimulating effects of probiotics.

In conclusion, improvements in several immune functions, ability to resist infections, and oxidative clearance were observed on consumption of LR fermented milk, indicating its ability to counter age-associated imbalance in Th1/Th2 response. Our previous analyses of age-related changes in murine immune system greatly substantiated our interpretation and contemplation of probiotic effects in the present study. Several of the immune parameters investigated indicated signs of prevalent immunosenescence and polarized Th2 response in control groups (BD and SM) which was effectively ameliorated by restoration of Th1/Th2 homeostasis on LR supplementation. This further suggests the efficacy of probiotic LR in countering the robust changes during immunosenescence. Another important observation was that although probiotics modulated immune functions, no indiscriminate aggravation of inflammatory status in plasma was apparent until subjected to a real-time pathogenic challenge. LR supplementation also effectively resisted translocation of pathogenic E. coli suggesting its overall potential in augmenting healthy aging. Together, it is plausible that probiotic L. rhamnosus used in the present study may find applications as an immunostimulant in subjects with weakened Th1 response as in aging or in other immunocompromized syndromes. However, further studies aimed at analysis of anti-inflamm-aging properties of probiotics vis-à-vis their immune modulating attributes need to be addressed to fully understand probiotic effects on aging immune system.

Acknowledgments

The financial assistance provided by the Department of Biotechnology, Government of India, and laboratory facilities provided by National Dairy Research Institute are thankfully acknowledged.

Footnotes

This article has been retracted. Please see the retraction notice for more detail: https://doi.org/10.1007/s11357-024-01385-9

Change history

10/17/2024

This article has been retracted. Please see the Retraction Notice for more detail: 10.1007/s11357-024-01385-9

References

  1. Aebi H (1984) Catalase in vitro. Methods Enzymol 105:121–126 [DOI] [PubMed] [Google Scholar]
  2. Aw D, Silva AB, Palmer DB (2007) Immunosenescence: emerging challenges for an ageing population. Immunology 120:435–446 [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Azcárate-Peril MA, Sikes M, Bruno-Bárcena JM (2011) The intestinal microbiota, gastrointestinal environment and colorectal cancer: a putative role for probiotics in prevention of colorectal cancer? Am J Physiol Gastrointest Liver Physiol 301:G401–G424 [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bernet MF, Brassart D, Neeser JR, Servin AL (1993) Adhesion of human bifidobacterial strains to cultured human intestinal epithelial cells and inhibition of enteropathogen-cell interactions. Appl Environ Microbiol 59(12):4121–4128 [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bradley PP, Priebat DA, Christensen RD, Rothstein G (1982) Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Invest Dermatol 78:206–209 [DOI] [PubMed] [Google Scholar]
  6. Braga PC, Sala MT, Dal Sasso M, Mancini L, Sandrini MC, Annoni G (1998) Influence of age on oxidative bursts (chemiluminescence) of polymorphonuclear neutrophil leukocytes. Gerontology 44:192–197 [DOI] [PubMed] [Google Scholar]
  7. Bruunsgaard H, Pedersen BK (2003) Age-related inflammatory cytokines and disease. Immunol Allergy Clin North Am 23:15–39 [DOI] [PubMed] [Google Scholar]
  8. Costa D, Marques AP, Reis RL, Lima JL, Fernandes E (2006) Inhibition of human neutrophil oxidative burst by pyrazolone derivatives. Free Radic Biol Med 40:632–640 [DOI] [PubMed] [Google Scholar]
  9. Dorrington MG, Bowdish DM (2013) Immunosenescence and novel vaccination strategies for the elderly. Front Immunol 4:171 [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Effros RB (2005) Roy Walford and the immunologic theory of aging. Immun Ageing 2:7 [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Ellis TN, Beaman BL (2004) Interferon-γ activation of polymorphonuclear neutrophil function. Immunology 112:2–12 [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Engwall E, Perlmann P (1971) Enzyme linked immunosorbent assay, ELISA III. Quantitation of specific antibodies by enzyme labeled antiimmunoglobin in antigen coated tubes. J Immunol 109:129–135 [PubMed] [Google Scholar]
  13. Feili-Hariri M, Falkner DH, Morel PA (2005) Polarization of naive T cells into Th1 or Th2 by distinct cytokine-driven murine dendritic cell populations: implications for immunotherapy. J Leukoc Biol 78:656–664 [DOI] [PubMed] [Google Scholar]
  14. Ghosh S, van Heel D, Playford RJ (2004) Probiotics in inflammatory bowel disease: is it all gut flora modulation? Gut 53:620–622 [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ginaldi L, De Martinis M, D'Ostilio A, Marini L, Loreto MF, Martorelli V, Quaglino D (1999) The immune system in the elderly: II. Specific cellular immunity. Immunol Res 20:109–115 [DOI] [PubMed] [Google Scholar]
  16. Hawkley LC, Cacioppo JT (2004) Stress and the aging immune system. Brain Behav Immun 18:114–119 [DOI] [PubMed] [Google Scholar]
  17. Hay FC, Westwood OMR (2002) Practical immunology, 4th edn. Blackwell, Oxford, pp 203–206 [Google Scholar]
  18. Jain S, Yadav H, Sinha PR, Naito Y, Marotta F (2008) Dahi containing probiotic Lactobacillus acidophilus and Lactobacillus casei has a protective effect against Salmonella enteritidis infection in mice. Int J Immunopathol Pharmacol 21:1021–1029 [DOI] [PubMed] [Google Scholar]
  19. Jain S, Yadav H, Sinha PR (2009) Probiotic dahi containing Lactobacillus casei protects against Salmonella enteritidis infection and modulates immune response in mice. J Med Food 12:576–583 [DOI] [PubMed] [Google Scholar]
  20. Jijon H, Backer J, Diaz H, Yeung H, Thiel D, McKaigney C, De Simone C, Madsen K (2004) DNA from probiotic bacteria modulates murine and human epithelial and immune function. Gastroenterol 126:1358–1373 [DOI] [PubMed] [Google Scholar]
  21. Kapila S, Sinha PR, Singh S (2007) Influence of feeding fermented milk and non-fermented milk containing Lactobacillus casei on immune response in mice. Food Agric Immunol 18:75–82 [Google Scholar]
  22. Kapila R, Kapila S, Kapasiya M, Pandey D, Dang A, Salingati V (2012) Comparative evaluation of oral administration of probiotic Lactobacilli fermented milks on macrophage function. Probiot Antimicrob Prot 4:173–179 [DOI] [PubMed] [Google Scholar]
  23. Kapila R, Sebastian R, Verma DV, Sharma R, Kapasiya M, Salingati V, Kapila S, Dang A (2013) Comparative activation of innate immunity on prolonged feeding of Lactobacilli fermented milks. Microbiol and Immunol 57:778–784 [DOI] [PubMed] [Google Scholar]
  24. Kaushal D, Kansal VK (2012) Probiotic Dahi containing Lactobacillus acidophilus and Bifidobacterium bifidum alleviates age-inflicted oxidative stress and improves expression of biomarkers of ageing in mice. Mol Biol Rep 39:1791–1799 [DOI] [PubMed] [Google Scholar]
  25. Kekkonen RA, Lummela N, Karjalainen H, Latvala S, Tynkkynen S, Jarvenpaa S, Kautiainen H, Julkunen I, Vapaatalo H, Korpela R (2008) Probiotic intervention has strain-specific anti-inflammatory effects in healthy adults. World J Gastroenterol 14:2029–2036 [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Kiernan JA (2008) Histological & histochemical methods theory & practice, 4th edn. Bloxham, UK [Google Scholar]
  27. Kovacs EJ, Duffner LA, Plackett TP (2004) Immunosuppression after injury in aged mice is associated with a TH1-TH2 shift, which can be restored by estrogen treatment. Mech Ageing Dev 125:121–123 [DOI] [PubMed] [Google Scholar]
  28. Kullisar T, Zilmer M, Mikelsaar M, Vihalemm T, Annuk H, Kairanc C, Kilk A (2002) Two antioxidative lactobacilli strains as promising probiotics. Int J Food Microb 72:215–224 [DOI] [PubMed] [Google Scholar]
  29. Le Bon A, Schiavoni G, D'Agostino G, Gresser I, Belardelli F, Tough DF (2001) Type I interferons potently enhance humoral immunity and can promote isotype switching by stimulating dendritic cells in vivo. Immunity 14:461–470 [DOI] [PubMed] [Google Scholar]
  30. Lim TS, Messiha N, Watson RR (1981) Immune components of the intestinal mucosa of ageing and protein deficient mice. Immunology 43:401–407 [PMC free article] [PubMed] [Google Scholar]
  31. Lin SP, Sun XF, Chen XM, Shi SZ, Hong Q, Lv Y (2010) Effect of aging on pulmonary ICAM-1 and MCP-1 expressions in rats with lipopolysaccharide-induced acute lung injury. Nan Fang Yi Ke Da Xue Xue Bao 30:584–587 [PubMed] [Google Scholar]
  32. Lord JM, Butcher S, Killampali V, Lascelles D, Salmon M (2001) Neutrophil ageing and immunosenescence. Mech Ageing Dev 122:1521–1535 [DOI] [PubMed] [Google Scholar]
  33. Lutgendorff F, Nijmeijer RM, Sandström PA, Trulsson LM, Magnusson KE, Timmerman HM, van Minnen LP, Rijkers GT, Gooszen HG, Akkermans LM, Söderholm JD (2009) Probiotics prevent intestinal barrier dysfunction in acute pancreatitis in rats via induction of ileal mucosal glutathione biosynthesis. PLoS One 4:e4512 [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Marklund S, Marklund G (1974) Involvement of superoxide dismutase anion radical in autooxidation of pyrogallol and a convenient assay for superoxide dismutase. Eur J Biochem 42:469–474 [DOI] [PubMed] [Google Scholar]
  35. Martarelli D, Verdenelli MC, Scuri S, Cocchioni M, Silvi S, Cecchini C, Pompei P (2011) Effect of a probiotic intake on oxidant and antioxidant parameters in plasma of athletes during intense exercise training. Curr Microbiol 62:1689–1696 [DOI] [PubMed] [Google Scholar]
  36. Matsumoto M, Kurihara S (2011) Probiotics-induced increase of large intestinal luminal polyamine concentration may promote longevity. Med Hypotheses 77:469–472 [DOI] [PubMed] [Google Scholar]
  37. McElhaney JE (2003) Overcoming the challenges of immunosenescence in the prevention of acute respiratory illness in older people. Conn Med 67:469–474 [PubMed] [Google Scholar]
  38. Melton-Witt JA, Rafelski SM, Portnoy DA, Bakardjiev AI (2012) Oral infection with signature-tagged Listeria monocytogenes reveals organ-specific growth and dissemination routes in guinea pigs. Infect Immun 80:720–732 [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Mocchegiani E, Giacconi R, Cipriano C, Malavolta M (2009) NK and NKT cells in aging and longevity: role of zinc and metallothioneins. J Clin Immunol 29:416–425 [DOI] [PubMed] [Google Scholar]
  40. Mohamadzadeh M, Klaenhammer TR (2008) Specific Lactobacillus species differentially activate Toll-like receptors and downstream signals in dendritic cells. Expert Rev Vaccines 8:1155–1164 [DOI] [PubMed] [Google Scholar]
  41. Mohamadzadeh M, Olson S, Kalina WV, Ruthel G, Demmin GL, Warfield KL, Bavari S, Klaenhammer TR (2005) Lactobacilli activate human dendritic cells that skew T cells toward T helper 1 polarization. Proc Natl Acad Sci U S A 102:2880–2885 [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Neish AS (2004) Bacterial inhibition of eukaryotic pro-inflammatory pathways. Immunol Res 29:175–186 [DOI] [PubMed] [Google Scholar]
  43. Neish AS, Gewirtz AT, Zeng H, Young AN, Hobert ME, Karmali V, Rao AS, Madara JL (2000) Prokaryotic regulation of epithelial responses by inhibition of IkappaB-alpha ubiquitination. Science 289:1560–1563 [DOI] [PubMed] [Google Scholar]
  44. Ogawa K, Suzuki K, Okutsu M, Yamazaki K, Shinkai S (2008) The association of elevated reactive oxygen species levels from neutrophils with low-grade inflammation in the elderly. Immun Ageing 5:13 [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Otte JM, Podolsky DK (2004) Functional modulation of enterocytes by gram-positive and gram-negative microorganisms. Am J Physiol Gastrointest Liver Physiol 286:G613–G626 [DOI] [PubMed] [Google Scholar]
  46. Paglia DE, Valentine WN (1967) Studies on quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 70:158–169 [PubMed] [Google Scholar]
  47. Rammelsberg M, Radler F (1990) Antibacterial polypeptides of Lactobacillus species. J Appl Bacteriol 69:177–184 [Google Scholar]
  48. Roessler A, Friedrich U, Vogelsang H, Bauer A, Kaatz M, Hipler UC, Schmidt I, Jahreis G (2008) The immune system in healthy adults and patients with atopic dermatitis seems to be affected differently by a probiotic intervention. Clin Exp Allergy 38:93–102 [DOI] [PubMed] [Google Scholar]
  49. Ruiz PA, Hoffmann M, Szcesny S, Blaut M, Haller D (2005) Innate mechanisms for Bifidobacterium lactis to activate transient pro-inflammatory host responses in intestinal epithelial cells after the colonization of germfree rats. Immunol 115:441–450 [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Schiavi E, Barletta B, Butteroni C, Corinti S, Boirivant M, Di Felice G (2011) Oral therapeutic administration of a probiotic mixture suppresses established Th2 responses and systemic anaphylaxis in a murine model of food allergy. Allergy 66:499–508 [DOI] [PubMed] [Google Scholar]
  51. Sharma R, Kapila R, Kapila S (2013a) Probiotics as anti-immunosenescence agents. Food Rev Int 29:201–216 [Google Scholar]
  52. Sharma R, Kapila R, Haq MR, Salingati V, Kapasiya M, Kapila S (2013b) Age-associated aberrations in mouse cellular and humoral immune responses. Aging Clin Exp Res. doi:10.1007/s40520-013-0190-y, In Press [DOI] [PubMed] [Google Scholar]
  53. Shearer GM (1997) Th1/Th2 changes in aging. Mech Ageing Dev 94:1–5 [DOI] [PubMed] [Google Scholar]
  54. Sheil B, McCarthy J, O’Mahony L, Bennett MW, Ryan P, Fitzgibbon JJ, Kiely B, Collins JK, Shanahan F (2004) Is the mucosal route of administration essential for probiotic function? Subcutaneous administration is associated with attenuation of murine colitis and arthritis. Gut 53:694–700 [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Shih PH, Yen GC (2007) Differential expressions of antioxidant status in aging rats: the role of transcriptional factor Nrf2 and MAPK signaling pathway. Biogerontol 8:71–80 [DOI] [PubMed] [Google Scholar]
  56. Shu Q, Gill HS (2002) Immune protection mediated by the probiotic Lactobacillus rhamnosus HN001 (DR201) against Escherichia coli O157:H7 infection in mice. FEMS Immunol Med Micro 34:59–64 [DOI] [PubMed] [Google Scholar]
  57. Snapper CM, Finkelman FD, Paul WE (1988) Differential regulation of IgG1 and IgE synthesis by interleukin 4. J Exp Med 167:183–196 [DOI] [PMC free article] [PubMed] [Google Scholar]
  58. Stadlbauer V, Mookerjee RP, Hodges S, Wright GA, Davies NA, Jalan R (2008) Effect of probiotic treatment on deranged neutrophil function and cytokine responses in patients with compensated alcoholic cirrhosis. J Hepatol 48:945–951 [DOI] [PubMed] [Google Scholar]
  59. Tan M, Zhu JC, Du J, Zhang LM, Yin HH (2011) Effects of probiotics on serum levels of Th1/Th2 cytokine and clinical outcomes in severe traumatic brain-injured patients: a prospective randomized pilot study. Crit Care 15:R290 [DOI] [PMC free article] [PubMed] [Google Scholar]
  60. Tortorella C, Piazzolla G, Spaccavento F, Vella F, Pace L, Antonaci S (2000) Regulatory role of extracellular matrix proteins in neutrophil respiratory burst during aging. Mech Ageing Dev 119:69–82 [DOI] [PubMed] [Google Scholar]
  61. Uciechowski P, Kahmann L, Plümäkers B, Malavolta M, Mocchegiani E, Dedoussis G, Herbein G, Jajte J, Fulop T, Rink L (2008) TH1 and TH2 cell polarization increases with aging and is modulated by zinc supplementation. Exp Gerontol 43:493–498 [DOI] [PubMed] [Google Scholar]
  62. Yadav H, Jain S, Sinha PR (2008) Oral administration of dahi containing probiotic Lactobacillus acidophilus and Lactobacillus casei delayed the progression of streptozotocin-induced diabetes in rats. J Dairy Res 75:189–195 [DOI] [PubMed] [Google Scholar]
  63. Zhou X, Tian Z, Wang Y, Li W (2010) Effect of treatment with probiotics as water additives on tilapia (Oreochromis niloticus) growth performance and immune response. Fish Physiol Biochem 36:501–509 [DOI] [PubMed] [Google Scholar]
  64. Zommara M, Toubo H, Sakono M, Imaizumi K (1998) Prevention of peroxidative stress in rats fed on a low vitamin E containing diet by supplementing with a fermented bovine milk whey preparation: effect of lactic acid and b-lactoglobulin on the antiperoxidative action. Biosci Biotechnol Biochem 62:710–717 [DOI] [PubMed] [Google Scholar]

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