Abstract
A newly isolated strain of a species ofLactobacillus of human origin, designated GG (Lactobacillus GG), has been studied to determine its ability to survive in the human gastrointestinal tract. When fed to 76 volunteers as a frozen concentrate or as a fermented preparation in milk or whey,Lactobacillus GG was recovered in the feces of all subjects receiving the fermented milk or whey and in 86% receiving the frozen concentrate when a single fecal specimen was cultured. The organism was also present in the feces of subjects concurrently receiving ampicillin. After terminating feeding of the organism,Lactobacillus GG persisted in the feces of 87% of volunteers four days later and in 33% of subjects seven days later.Lactobacillus GG lowered fecal bacterial β-glucuronidase activity by approximately 80% in volunteers given the organism for four weeks. These studies demonstrate thatLactobacillus GG can survive and temporarily colonize the human gastrointestinal tract and can affect the metabolic activity of the resident microflora.
Similar content being viewed by others
References
Simon GL, Gorbach SL: The human intestinal microflora. Dig Dis Sci 31:147S-162S, 1986
Finegold SM, Sutter VL, Sugihara PT, Elder HA, Lehmann LVN, Phillips RL: Fecal microbial flora in Seventh day adventist populations and control subjects. Am J Clin Nutr 30:1781–1792, 1977
Moore WEC, Holderman LV: Human fecal flora: The normal flora of 20 Japanese-Hawaiians. Appl Microbial 27:961–979, 1974
Haenel H: Some rules in the ecology of the intestinal microflora of man. J Appl Bacteriol 24:242–251, 1961
Paul D, Hoskins LC: Effect of oral lactobacillus counts. J Clin Nutr 25:763–765, 1972
Savage DC: Introduction to mechanisms of association of indigenous microbes. Am J Clin Nutr 32:113–118, 1979
Fuller R: Ecological studies on the lactobacillus flora associated with the crop epithelium of the bowel. J Appl Bacteriol 36:131–139, 1973
Kotarski SF, Savage DC: Models for study of the specificity by which indigenous lactobacilli adhere to murine gastric epithelia. Infect Immun 26:966–975, 1979
Kleeman EG, Klaenhammer TR: Adherence ofLactobacillus species to human fetal intestinal cells. J Dairy Sci 65:2063–2069, 1982
Conway PL, Goldin BR, Gorbach SL: Survival of lactic acid bacteria in the human stomach and adhesion to intestinal cells. J Dairy Sci 70:1–12, 1987
Sobel JD, Schneider J, Koge D, Levinson ME: Adherence of bacteria to vaginal epithelial cells at various times in the menstrual cycle. Infect Immun 32:194–197, 1981
Wood JR, Sweet RL, Catena AC, Hadley WK, Robbie M:In vitro adherence ofLactobacillus species to vaginal epithelial cells. Am J of Obstet Gynecol 153:740–743, 1985
Chan RCY, Reid G, Irvin RT, Bruce AW, Costerton JW: Competitive exclusion of uropathogens from human uroepithelial cells by lactobacillus whole cells and cell wall fragments. Infect Immun 47:84–89, 1985
Reid G, Cook RL, Bruce AW: Examination of strains of lactobacilli for properties that may influence bacterial interference in the urinary tract. J Urol 138:330–335, 1987
Herthelius M, Gorbach SL, Mollby R, Nord CE, Pettersson L, Winberg J: Elimination of vaginal colonization withEscherichia Coli by administration of indigenous flora. Infect Immun 57:2447–2451, 1989
Gorbach SL: Lactic acid bacteria and human health. Ann Med 22:37–41, 1990
Goldin BR, Gorbach SL: The relationship between diet and rat fecal bacterial enzymes implicated in colon cancer. J Natl Cancer Inst 57:371–375, 1976
Goldin BR, Swenson L, Dwyer J, Sexton M, Gorbach SL: Effect of diet and lactobacillus supplements on human fecal bacterial enzymes. J Natl Cancer Inst 64:255–262, 1980
Goldin BR, Gorbach SL: Alterations of the intestinal microflora by diet, oral antibiotics and lactobacillus. Decreased production of free amines from aromatic nitro compounds, azo dyes and glucuronidase. J Natl Cancer Inst 73:689, 1984
Silva M, Jacobus NV, Deneke C, Gorbach SL: Antimicrobial substance from a human lactobacillus strain. Antimicrob Agents Chemother 31:1231–1233, 1987
Silva M, Cornick NA, Gorbach SL: Suppression of colonic microflora by cefoperazone and evaluation of the drug as potential prophylaxis in bowel surgery. Antimicrob Agents Chemother 33:835–838, 1989
Robins-Browne RM, Levine MM: The fate of ingested lactobacilli in the proximal small intestine. Am J Clin Nutr 34:514–519, 1981
Clements ML, Levine MM, Ristaino PA, Daya VE, Hughes TP: Exogenous lactobacilli fed to man-their fate and ability to prevent diarrheal disease. Prog Food Nutr Sci 7:29–37, 1983
Pettersson L, Graf W, Sewelin U: Survival ofLactobacillus acidophilus NCDO 1748 in the human gastrointestinal tract.In XV Symposium Swedish Nutrition Foundation. Hallegren B. (ed). Uppsala, Sweden. Almquist and Wilssell, 1983, pp 127–130
Cooke EM:Escherichia coli and Man. Curchill Livingstone, London, 1974, 96 pp
Kauffmann F, Perch B: Uber die Coliflora des gesunden Menschen. Acta Pathol Microbiol Scand 20:201, 1943
Smith HW: Survival of orally administeredE. coli K-12 in the alimentary tract of man. Nature 255:500–504, 1975
Smith HW: Is it safe to useEscherichia coli K12 in recombinant DNA experiments? J Infect Dis 137:655–660, 1978
Anderson ES: Viability of, and transfer of, the plasmid fromE. coli K12 in the human intestine. Nature 255:502–504, 1975
Gorbach SL: Recombinant DNA: An infectious disease perspective. J Infect Dis 137:615–623, 1978
Smith HW: Transfer of antibiotic, resistance from animal and human strains ofE. coli in the alimentary tract of man. Lancet 1:1174–1176, 1969
Formal SB, Hornick RB: InvasiveEscherichia coli. J Infect Dis 137:641–644, 1978
Hinton JM, Lennard-Jones JE, Young AC: A new method for studying gut transit times using radio-opaque markers. Gut 10:942–947, 1969
Turnbull GK, Bartram CI, Lennard-Jones JE: Radiologic studies of rectal evacuation in adults with idiopathic constipation. Dis Colon Rectum 31:190–197, 1988
Corazziari E, Materia E, Bausano G, Torsoli A, Badiali A, Fanucci A, Fanucci L, Fraracci L, Morini S, Capurso L, Montesi A, Pinzello G, Novara V: Laxative consumption in chronic nonorganic constipation. J Clin Gastroenterol 9(4):427–430, 1987
Goldin BR: Intestinal microflora: Metabolism of drugs and carcinogens. Ann Med 22:43–48, 1990
Hawksworth GB, Draser BS, Hill MJ: Intestinal bacteria and the hydrolysis of glycoside bonds. J Med Microbiol 4:451–459, 1971
Gadelle D, Raiband P, Sacquet E: β-Glucuronidase activities of intestinal bacteria determined bothin vitro andin vivo in gnotobiotic rats. Appl Environ Microbiol 49:682–685, 1985
Goldin B, Gorbach SL: Effect ofLactobacillus acidophilus dietary supplements on 1,2-dimethylhydrazine dihydrochloride induced intestinal cancer in the rat. J Natl Cancer Inst 64:263–265, 1980
Bruce AW, Reid G: Intravaginal instillation of lactobacilli for prevention of recurrent urinary tract infection. Can J Microbiol 34:339–343, 1988
Reid G, Chan RCY, Bruce AW, Costerton JW: Prevention of urinary tract infection in rats with an indigenousLactobacillus casei strain. Infect Immun 49:320–324, 1985
Sandine WE, Muralidhara KS, Elliker PR, England DC: Lactic acid bacteria in food and health: A review with special reference to enteropathogenicEscherichia Coli as well as certain enteric diseases and their treatment with antibiotics and lactobacilli. J Milk Food Technol 35:691–702, 1972
Schwart ED, Smith JJ: Preliminary investigation of viableLactobacillus acidophilus instillation in vaginal pruritus. Clin Med 70:1120–1121, 1963
Gorbach SL, Chang TW, Goldin BR: Successful treatment of relapsing clostridium difficile colitis withLactobacillus GG. Lancet 2:1519, 1987
Oksanen P, Vapaatalo H, Salminen S, Saxelin M, Hamalainen P, Ihantola-Vormisto A, Muurasniemi-Isovitta L, Nikkari S, Oksanen T, Porsti I, Salminen E, Siitonen S, Stuckey H, toppila A, Varaatalo H: Prevention of traveler's diarrhea byLactobacillus GG. Ann Med 22:53–56, 1990
Isolauri E, Juntunen M, Rautanen T, Sillanaukee P, Koivula T: A humanLactobacillus strain (Lactobacillus GG) promotes recovery from acute diarrhea in children. Pediatrics 88:90–97, 1991
Author information
Authors and Affiliations
Additional information
This work was supported by a grant from the Nutritional Research Foundation (Helsinki, Finland).
Rights and permissions
About this article
Cite this article
Goldin, B.R., Gorbach, S.L., Saxelin, M. et al. Survival ofLactobacillus species (strain GG) in human gastrointestinal tract. Digest Dis Sci 37, 121–128 (1992). https://doi.org/10.1007/BF01308354
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01308354