Review of Literature |4 Review of Literature Introduction History and the Definition of Probiotic The word ‘probiotic’ comes from Greek language ‘pro-bios’ which means ‘for life’. The use of lactic acid bacteria as feed supplements goes back to pre-Christian times when fermented milks were consumed by humans. It was not until the beginning of this century that Metchnikoff, working at the Pasteur Institute in Paris, started to put the subject on to a scientific basis. In 1908, he proposed the beneficial effects of probiotic microorganisms on human health. Metchnikoff hypothesized that Bulgarians are healthy and lived long because of the consumption of fermented milk products which consists of Lactobacillus spp. Therefore, these bacteria affect the gut microflora positively and decrease the microbial toxic activity (Gismondo et al., 1999; Chuayana et al., 2003). The term ‘probiotic’ was used in 1965 for the first time by Lilley and Stillwell to describe substances which stimulate the growth of other microorganisms. The word ‘probiotic’ was used based on its mechanism and the effect on human health. Parker (1974) defined ‘probiotic’ as ‘substances and organisms which contribute to intestinal microbial balance’. According to Fuller (1989) probiotic is a live microbial supplement which affects host’s health positively by improving its intestinal microbial balance. Guarino et al. (1998) defined probiotics as “living microorganisms, which upon ingestion in certain numbers exert health benefits beyond inherent basic nutrition”. Later a lot of researchers defined probiotics as: Naidu et al. (1999) - ‘A microbial dietary adjuvant that beneficially affects the host physiology by modulating mucosal and systemic immunity, as well as improving nutritional and microbial balance in the intestinal tract’. Salminen et al. (1998)- ‘A live microbial food ingredient that is beneficial to health’. |5 Schrezenmeir and de Vrese, (2001)- ‘A preparation of or a product containing viable, defined microorganisms in sufficient numbers, which alter the microflora in the host and exert beneficial health effects in the host’. FAO/WHO (2002)- ‘Live microorganisms which when administered in adequate amounts confer health benefit on the host’. Probiotics are used in a large variety of fields relevant to human and animal health. Probiotic products contain one or several species of probiotic bacteria. Most of the products are dairy based like fermented milk or as lyophilized powders in the form of tablets. The oral consumption of probiotic microorganisms produces a protective effect on the gut flora. Lots of studies suggest that probiotics have beneficial effects on microbial disorders of the gut. They are known to have a positive therapeutic effect against traveller’s diarrhoea, antibiotic associated diarrhoea and acute diarrhoea (Gismondo et al., 1999; Ouwehand et al., 1999). More than 400 bacterial species exist in human intestinal tract. Lots of factors may change the balance from potentially beneficial or health promoting bacteria like Lactobacilli and Bifidobacteria to potentially harmful or pathogenic microorganisms like Clostridia species. It makes the host more susceptible to illnesses. In this case the prevalence of the beneficial bacteria must be supported. Use of probiotics helps to protect the host from various intestinal disorders by increasing the number of beneficial bacteria (Fooks et al., 1999). The most commonly used microorganisms in probiotic products are the lactic acid bacteria (LAB) and it is important to know how these LAB affect the immune status of the consumer. The probiotic approach is attractive because it is a reconstitution of the natural condition which means repairing a deficiency rather than the addition of foreign chemicals to the body which may have toxic consequences or, as in the case of antibiotics induce resístance and compromise subsequent therapy. The discovery that probiotics can |6 stimulate an immune response (Fuller and Perdigon, 2000) provides a scientific basis for some of the observed probiotic effects. The probiotics which are used to feed both man and animals are given in Table 1. Table 1. Microorganisms used in probiotic products Homofermenter Facultative homofermenter Obligate heterofermenter Enterococcus faecium Lactobacilus bavaricus Lactobacillus brevis E. faecalis L. casei L. buchneri Lactobacillus acidophilus L. coryniformis L. cellobiosus L. lactis L. curvatus L. confuses L. delbrueckii L. plantarum L. coprophilus L. leichmannii L. sake L. fermentatum L. salivarius L. sanfrancisco Streptococcus bovis Leuconostoc dextranicum S. thermophilus Leu. mesenteroides Pediococcus acidilactici Leu. paramesenteroides P. damnosus P. pentosaceous Lactic acid bacteria as probiotics Lactic acid bacteria are non-spore forming, gram positive and catalase negative without cytochromes, non-aerobic or aerotolerant, fastidious, acid-tolerant and strictly fermentative bacteria with lactic acid as the major end product during sugar fermentation. LAB genera isolated from various fermented foods are Lactobacillus, Pediococcus, Enterococcus, Lactococcus, Leuconostoc, Oenococcus, Streptococcus, Tetrazenococcus, Carnobacterium, Vagococcus and Weissella (Stiles and Holzapfel, 1997; Carr et al., 2002; Salminen et al., 2004). LAB produce organic acids during fermentation, mostly lactic acid which is the characteristic fermentative product and which reduces the pH of the substrate to a level where the growth of pathogenic, putrefactive, and toxinogenic bacteria are inhibited (Holzapfel et al., 1995). LAB are conferred the GRAS (generally recognized as safe) status in foods (Donohue and |7 Salminen, 1996). Many species of LAB can also act as “biopreservers” and some of them are exploited commercially (Holzapfel et al., 2003). Lactic acid bacteria: Sources Lactic acid bacteria are widely distributed in the nature. In this group are included representatives of the genus Lactobacillus, Lactococcus, Pediococcus and Leuconostoc. They could be isolated from soil, water, plants, silages, waste products, and also from the intestinal tract of animals and humans. The lactic acid fermentation plays an essential role in the production of all dairy products and is involved in the production of many foods and drinks – sausages, pickles, boza etc. They should possess stable fermentation characteristics and should be resistant to bacteriophages (Lee, 1996). Lactobacilli are known to be involved in many locally fermented foods. They have been isolated from fermented cassava products e.g. gari, fufu, lafun, fermented cereal grains and milk curd (Okafor and Okafor, 1977; Oyewole et al., 1988). Identification of Probiotic Strains Probiotics in human gastrointestinal tract are identified by colony morphology, fermentation patterns, serotyping or some combination of these. Classical microbiological techniques are really important for selection, enumeration and biochemical characterization but it is not efficient to classify a culture by classical methods. With the developing technology about the molecular typing it is getting more reliable to identify and differentiate bacterial strains. Molecular characterization methods are powerful even between closely related species. There are number of alternative taxonomic classification methods which were well known including hybridization with species-specific probes and generation of profile PCR applicants by species-specific primers (Klaenhammer and Kullen, 1999). The most powerful and accurate methods is |8 sequencing (Coeuret et al., 2003). The application of 16S rRNA is one of the best and most reliable approaches to identify bacteria on a phylogenetic basis. Mechanism of Probiotic Action Probiotic microorganisms affect host health by different mechanisms. Many studies have been trying to explain how probiotics could protect the host from the intestinal disorders. These mechanisms are listed below briefly (Salminen et al., 1999; Castagliuoluolo et al., 1999; Rolfe, 2000). Production of inhibitory substances: Production of some organic acids, hydrogen peroxide and bacteriocins Blocking of adhesion sites: Probiotics inhibit the pathogens by adhering to the intestinal epithelial surfaces by competitively blocking the adhesion sites. Competition for nutrients: Despite lack of studies in vivo, probiotics inhibit the pathogens by consuming the nutrients which pathogens need. Stimulation of immunity: Stimulation of specific and nonspecific immunity Degradation of toxin receptor: Because of the degradation of toxin receptor on the intestinal mucosa, it was shown that S. boulardii protects the host against C.difficile intestinal disease. Selection Criteria for Probiotic lactic acid bacteria In order to exert its beneficial effects, a successful potential probiotic strain is expected to have a number of desirable properties. The selection criteria are enlisted in Table 2 (Ouwehand et al., 1999). |9 Table 2. Selection criteria for probiotics Probiotic Strain Remarks Properties Human origin Although Saccharomyces boulardii is not of human origin, this criterion is important for species dependent health effects Acid and bile Important for oral consumption, survival through the intestine, tolerance adhesiveness and metabolic activity Adhesion to mucosal Important to improve immune system, competition with pathogens, surface maintain metabolic activity, prevent pathogens colonization. Safe for food Identification and characterization of strains accurately documented safety. No invasion of intestinal mucus Clinically validated and documented health effects Good technological properties Minimum effective dosage has to be known for each particular strain and in different products Survival in products if viable organisms are required, strain stability, culturable in large scales, oxygen resistance, have no negative effects on product flavor The selection criteria can be categorized in four basic groups. Appropriateness, suitability for technical application, competitiveness, performance and functionality (Klaenhammer and Kullen, 1999). Strains which have these criteria should be used in order to get effective results on health and functional probiotic lactic acid bacteria. Saarela et al. (2000) proposed the properties of probiotics in three basic groups as; safety aspects, aspects of functionality and technological aspects. Some major selection criteria will be discussed in detail as follows. Acid and Bile Tolerance The first criteria for probiotic strains are their tolerance to acid and bile. Bacteria used as probiotic strains are joined in the food system with a journey to the lower intestinal tract via the mouth. In this food system, probiotic bacteria should be resistant to the enzymes like lysozyme in the oral cavity. It goes to the stomach and enters the upper intestinal tract which contains bile. The strains should have the ability to resist the | 10 digestion process. The viability and activity of probiotics are needed at the lower digestive tract, these organisms should withstand the adverse conditions encountered in the host’s upper gastrointestinal tract (Ding and Shah, 2007). Strains need to be resistant to the stressful conditions of the stomach (pH 1.5-3.0) and upper intestine which contain bile (Chou and Weimer, 1999). To show probiotic property, they should reach to the lower intestinal tract and maintain themselves there. Bile acids are synthesized in the liver from cholesterol and sent to the gallbladder and secreted into the duodenum in the conjugated form (500-700 ml/day). In the large intestine these acids suffer some chemical modifications (deconjugation, dehydroxylation, dehydrogenation and deglucuronidation) due to the microbial activity. Conjugated and deconjugated bile acids show antimicrobial activity especially on Escherichia coli subspecies, Klebsiella spp., and Enterococcus spp. The deconjugated acid forms are more effective on gram positive bacteria (Dunne et al., 2001). Chou and Weimer (1999) demonstrate some of the L. acidophilus strains resistant to acid at pH 3.5 for 90 min and were able of grow in medium at pH 3.5 containing mixed bile salts (0.2%). In another study a large culture collection of lactic acid bacteria was screened to select strains to be used as probiotics. For this, over 200 strains of Lactobacillus and Bifidobacterium were examined according to their ability of resistance to bile and acid and four of them were selected. Three of them were from dairy origins and the last one was from human origin. They were compared with the two commercial probiotic strains namely Lactobacillus rhamnosus GG and Lactobacillus acidophilus LA-1. The isolated strains were analyzed for a series of pH between 1 and 3 and also for tolerance against bile at final concentrations of 0, 0.5 and 1% w/v (Prasad et al., 1998). In another research, twenty nine Lactobacillus strains of dairy origin were tested in vitro for their probiotic potential. The resistance of bacteria was examined in between pH 1.0 and pH 3.0. Tolerance to bile salt was tested against | 11 (0.3%) oxgall. All the examined strains were resistant to pH 3.0 for 3h, but most of them lost their viability within 1h at pH 1.0. Also all of them tolerated 0.3% bile salt concentration for 4 h. An experiment was performed on three Lactobacillus species isolated from human milk if they can be used as potential probiotic strains. They were identified as Lactobacillus gasseri and one of them as Lactobacillus fermentum. Survival in low pH and gastrointestinal environment were examined for comparison with commercial probiotic strains of L. rhamnosus GG, L. casei and L. johnsonii La1. The strains especially L.gasseri showed that it can be used as a potential probiotic strain (Martin et al., 2004). Antimicrobial Activity Antimicrobial activity is one of the most important selection criteria for probiotics. Antimicrobial activity targets the enteric undesirables and pathogens (Klaenhammer and Kullen, 1999). Antimicrobial effects of lactic acid bacteria are formed by producing some substances such as organic acids (lactic, acetic, propionic acids), carbon dioxide, hydrogen peroxide, diacetyl, low molecular weight antimicrobial substances and bacteriocins (Ouwehand and Vesterlund, 2004). Here are some examples of these substances: Lactobacillus reuterii (a member of normal microflora of human and many other animals) produces a low molecular weight antimicrobial substance reuterin; subspecies of Lactococcus lactis produces a class I bacteriocin, nisin A; Enterococcus feacalis DS16 produces a class I bacteriocin cytolysin; Lactobacillus plantarum produces a class II bacteriocin plantaricin S; Lactobacillus acidophilus produces a class III bacteriocin acidophilucin A (Ouwehand and Vesterlund, 2004). Production of bacteriocins is highly affected by the factors of the species of microorganisms, ingredients and pH of the medium, incubation temperature and time. Nisin, produced by L. lactis subsp. lactis is a well known bacteriocin and is permitted in | 12 food preparations. Lactobacilli and Bifidobacteria isolated from human ileum were assayed for antimicrobial activity against a range of indicator microorganisms, Listeria, Bacillus, Enterococcus, Staphylococcus, Clostridium, Pseudomonas, Escherichia coli, Lactobacillus, Streptococcus, Bifidobacterium and Lactococcus. Antimicrobial activity of Lactobacillus salivarius UCC118 was measured against the bacteria listed above. The study showed that Lactobacillus salivarius UCC118 is significantly capable of inhibiting in vitro growth of both gram positive and gram negative bacteria such as; L. fermentum KLD, B. longum, B. bifidum, Bacillus subtilus, B. cereus, B.thuringensis, E. faecalis, E. faecium and is not effective against some of Lactobacillus, Lactococcus, Leuconostoc, Streptococcus species (Dunne et al., 2001). Some milk products were used to isolate potential probiotic bacteria and determine their possible antimicrobial activities. Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, Salmonella typhi, Serratia marcescens and Candida albicans were used as indicator microorganisms. After the study, the results showed that, Yakult and Ski D’ Lite probiotics inhibited all the test indicator microorganisms. Nestle yogurt probiotics were bactericidal for S.aureus and P. aeruginosa but inhibitory for S. typhi , Neslac probiotics killed E. coli and S. typhi while they were only inhibitory for S.aureus and C. albicans (Chuayana et al., 2003). In another study eight lactic acid bacteria strains producing bacteriocins were isolated from Burkina Faso fermented milk and they were examined for the antimicrobial activity against Enterococcus faecalis 103907 CIP, Bacillus cereus 13569 LMG, Staphylococcus aureus ATCC 25293, Escherichia coli 105182 CIP. The lactic acid bacteria strains were identified as Lactobacillus fermentum, Pediococcus spp., Lactococcus spp., Leuconostoc mesenteroides subsp. mesenteroides. The diameters of inhibition zones were obtained between 8 mm and 12 mm. Lactobacillus fermentum (S1) gave the biggest zone of 12 mm against Enterococcus faecalis while the smallest one was obtained with Leuconostoc | 13 mesenteroides subsp. mesenteroides (S5) on the same strain Enterococcus faecalis (Savadogo et al., 2004). In a research which was aimed to test the production of bacteriocin in vaginal lactobacilli flora and characterization of this flora was also made. First antimicrobial activity was assayed for 100 vaginal Lactobacilli isolates. Six of them were determined for the production of bacteriocin. In this study, common human pathogens Gardneralla vaginalis, Pseudomonos aeruginosa, Proteus vulgaris, Escherichia coli, Enterobacter cloacae, Streptococcus milleri, Staphylococcus aureus and Candida albicans were used as indicator microorganisms. Six of the strains had bacteriocin activity against eight of ten different Lactobacillus species an also S.milleri, P. vulgaris, P. aeruginosa, E. coli, E. cloacae and G. vaginalis. But none of the isolated strains showed efficiency on test organisms S. aureus and C. albicans. Some characteristics of bacteriocins were obtained from the research (Karaoglu et al., 2003). In another research, potential probiotic lactobacilli strains (L.reuteri, L. plantarum, L.mucosae, L. rossiae strains), were used as additives in pelleted feeding and examined according to their antibacterial activity against Salmonella typhimurium ATCC 27164, E. coli, C. perfringens 22G, S. aureus ATCC 25923, B.megaterium F6, L. innocua DSM 20649 and B. hyodysenteriae ATCC 27164. Generally the cell free extracts of lactobacilli were able to inhibit all potential pathogens except B. hyodysenteriae ATCC 27164. The study showed that, neutralization and treatment with catalase affect the antibacterial activity (De Angelis et al., 2006). In another similar study four Lactobacillus strains (L. salivarius CECT5713, L. gasseri CECT5714, L. gasseri CECT 5715 and L. fermentum CECT5716) isolated from human milk were investigated for the antimicrobial activity. All the strains showed antibacterial properties against pathogenic bacteria (Salmonella choleraesuis CECT4155, CECT409 and CECT443, Esherichia coli CECT439 and E. coli O157:H7 serover CECT4076, Staphylococcus aureus CECT4013 | 14 and CECT9776, Listeria monocytogenes Scott A and the spoilage strain Clostridium tyrobutyricum CECT4011). However, the antimicrobial properties of Lactobacilli strains varied and L. salivarius CECT5713 revealed not only the best in vitro antibacterial activity, but also the highest protective effect against a Salmonella strain in the murine infection model (Olivares et al., 2006). LAB have been used as natural preservatives because of their antimicrobial capacity • Fermentative processs: Antimicrobial activity can be exerted through the reduction of pH or production of organic acids (lactic acid, acetic acid), CO2, reuterin, diacetyl, 2-pyrrolidone, 5-carboxylic acid (PCA) (Mayra-Makinen and Bigret, 1998). Effective starter culture activity can prevent the pathogen and contaminant growth that may occur during cheese making process. • Bacteriocins production: Bacteriocins can be defined as protein antibiotics of relatively high molecular weight and mainly affecting the same or closely related species. These bacteriocins can potentially be used to control the growth of spoilage and pathogenic organisms in food (Cardinal et al., 1997). Bacteriocin producing lactococcal strains have been used successfully as starter cultures for cheese making in order to improve the safety and quality of the cheese. In recent work, 79 wild lactococci have been studied and 32 of these have been found to be antimicrobially active (Wouters et al., 2002). In 17 of these strains, the well-known antimicrobial peptide nisin has been found, whereas the others produced diplococcin, lactococcin or an unidentified bacteriocin-like compound. Moreover, the use of nisin as an effective preservative in processed cheese has been widely accepted. Proteolytic Activity The ability to produce extracellular proteinases is a very important feature of LAB. These proteinases catalyse the initial steps in the hydrolysis of milk proteins, | 15 providing the cell with the amino acids that are essential for growth of LAB. The proteolytic activities of LAB including yoghurt starter bacteria and probiotic organisms were studied extensively and proteolytic enzymes were isolated and characterized. Bacterial enzymatic hydrolysis was shown to enhance the bio-availability of protein and fat (Friend and Shashani, 1984). Bacterial protease can increase the production of free amino acids which can benefit the nutritional status of the host particularly if the host has a deficiency in endogenous protease production. Proteolytic system of LAB in cheese ripening and rapid growth in milk during fermentation as well as improved survival during storage. This ability of dairy LAB and probiotics has become even more important upon realising that a range of bioactive peptides may be liberated due to microbial action. Biologically active peptides are generated during milk fermentation by proteolytic enzymes produced by L. helveticus, L. lactis subsp. cremoris FT4 and L. delbrueckii ssp. bulgaricus SS1. Flavor and Aroma Formation Proteolytic and lipolytic activities of probiotic cultures degrade proteins and lipids which is responsible for the characteristic taste and flavor of dairy products. For example the popular probiotic L. acidophilus is responsible for the tangy flavor of cultured dairy products, including yogurt. The quality of cheese and other fermented food products is dependent on the ability of flavor and aroma production of microorganisms which include starter culture. L. lactis ssp lactis and L. lactis ssp cremoris are known to produce organic acids such as lactic acid and acetic acid in fermented milk and L. lactis ssp. lactis biovar diacetylactis and Leuconostoc sp produce acetaldehyde, diacetyl, acetoin, and 2-3 butylene-glycol which are responsible for flavour formation in cheese. It has been reported that these aroma compounds might be produced to avoid pyruvate accumulation in the cell. Moreover, improved knowledge of | 16 proteolysis and peptidolysis in cheese, analysis on enzymatic systems of LAB and evaluation of different strains, will provide better understanding between flavor development and starter activity. A number of different LAB have been evaluated for their ability to degrade amino acids to aroma compounds. L. lactis subsp. Lactis, L. lactis supsp. cremoris, Lactobacillius lactis, L. helveticus, L. bulgaricus, L. casei are capable of degrading methionine to methonethiol, dimethyledisulphide (DMDS) and dimethyltrisulphide (DMTS) (Yvon and Rijnen, 2001). Exopolysaccharide production Many strains of LAB produce exopolysaccharides (EPS). These compounds can be produced as capsules which are tightly attached to the bacterial cell wall or as a loose slime (ropy) which is liberated into the medium (Mayra-Makinen and Bigret, 1998). Although differences are observed in EPS production by this strain (L. helveticus) regarding the energy sources (lactose or glucose), the monomeric composition of the polymers produced is independent of the carbohydrate use. Due to the increase in viscocity and stabilizing properties, EPS producing starter cultures are beneficial for industrial usage. They contribute to the texture development. Probiotics in Health Probiotic bacteria provide specific health benefits when consumed as a food component (Gaurner and Malagelada, 2003). There are lots of studies on the health benefits of probiotic fermented foods. These health-related effects can be listed as below (Dugas et al., 1999; Scherezenmeir and de Vrese, 2001; Dunne et al., 2001). Prevention of gastrointestinal problems Improving immune system Reduction of cholesterol | 17 Lowering blood pressure Reduction of allergic symptoms Suppression of pathogenic microorganisms (antimicrobial effect) Prevention of osteoporosis Prevention of urogenital infections Prevention of gastrointestinal problems Lactose Intolerance A large number of population become lactose intolerant after weaning. These lactose intolerant people cannot metabolize lactose due to the lack of essential enzyme βgalactosidase. When they consume milk or lactose-containing products, symptoms including abdominal pain, bloating, flatulence, cramping and diarrhoea ensue. The studies provide that the addition of certain starter cultures to milk products allows the lactose intolerant people to consume those products without the usual rise of breath hydrogen or associated symptoms (Lin et al., 1991; Scheinbach, 1998; Ouwehand and Salminen, 1998; Fooks et al., 1999). The beneficial effects of probiotics on lactose intolerance are due to the high lactase activity of bacterial preparations used in the production and increased lactase enzyme (Salminen et al., 2004). Furthermore, the LAB which is used to produce yogurt, Lactobacillus bulgaricus and Streptococcus thermophilus, are not resistant to gastric acidity. Hence, the products with probiotic bacteria are more efficient for lactose intolerant humans because of their ability to withstand low pH and capability to improve digestibility of lactose by β-galactosidase production. Anti-diarrheal effect Diarrhea is caused by many different pathogens and it is difficult to evaluate the effects of probiotics on diarrhea. But there are lots of researches and evidence that | 18 probiotics have beneficial effects on some types of diarrhea. In the treatment of rotavirus diarrhea, Lactobacillus GG is reported to be effective (Pant et al., 1996; Guandalini et al., 2000). Also Lactobacillus acidophilus LB1, Bifidobacterium lactis and Lactobacillus reuterii are reported to have beneficial effects on shortening the duration of diarrhea (Salminen et al., 2004). Another type of diarrhea is traveller’s diarrhea which affects the healthy traveller’s not only in developing countries but also in European countries. Oksanen et al. (1990) evaluated the efficacy of Lactobacillus GG in preventing diarrhea in 820 people travelling from Finland to Turkey. Antibiotic therapies are also known to cause mild and severe outbreaks of diarrhea. The normal microflora may be suppressed during the microbial therapy resulting in more pathogenic strains. The changes in microflora may also encourage the resistant strains like Clostridium difficile which is the main reason for antibiotic associated diarrhea (AAD). Probiotics and Immune System Probiotic bacteria are known to have positive effects on the immune system of their hosts (Mombelli and Gismondo, 2000). Some in vitro and in vivo studies have been carried out in mice and in humans. Data indicate that probiotic feeding supported the immune system against some pathogens (Scheinbach, 1998; Dugas et al., 1999). Probiotics enhance immune system by producing cytokines, stimulating macrophages and increasing secretory IgA concentrations (Scheinbach, 1998, Dugas et al., 1999). Some of these effects are related to adhesion while some of them are not (Ouwehand et al., 1999). Link-Amster et al. (1994) examined whether eating fermented milk containing Lactobacillus acidophilus La1 and Bifidobacteria could modulate the immune response in humans. They give volunteers the test fermented milk over a period of three weeks during which attenuated Salmonella typhi Ty21a was administered to mimic an enteropathogenic infection. After three weeks, the specific serum IgA titre rise to S. typhi | 19 Ty21a in the test group was >4-fold and significantly higher (p=0.04) than in the control group which did not consume fermented foods but received S. typhi Ty21a. The total serum IgA increased. These results showed that LAB which can survive in the gastrointestinal tract and act as an adjuvant to the humoral immune response (LinkAmster et al., 1994; Ouwehand et al., 1999). Perdigon et al. (1986) fed the mice with Lactobacilli or yogurt which stimulated macrophages and increased secretory IgA concentrations (Scheinbach, 1998). Also in a human trial, Halpern et al. (1991) fed humans with 450 g of yogurt per day for 4 months and observed a significant increase in the production of γ-interferon. Mattila-Sandholm and Kauppila (1998) showed that Lactobacillus rhamnosus GG and Bifidobacterium lactis Bb-12 derived extracts suppress lymphocyte proliferation in vitro. Children suffering with severe atopic eczema resulting from food allergy were fed with Lactobacillus rhamnosus GG and Bifidobacterium lactis Bb-12. An improvement in clinical symptoms was observed (Saarela et al., 2000). Anti-cancer effect Epidemiological studies point out that if the consumption of saturated fats increases in the diet the occurrence of colon cancer increases. Bacterial enzymes (βglucoronidase, nitroreductase and azoreductase) convert precarcinogens to active carcinogens in the colon. It is thought that probiotics could reduce the risk of cancer by decreasing the bacterial enzyme activity. Although the exact mechanism for the anti tumor action is not known, some suggestions were proposed by many authors as follows (Scheinbach, 1998; Fooks et al., 1999): Carcinogen/precarcinogens are suppressed by binding, blocking or removal. Suppressing the growth of bacteria with enzyme activities that may convert the procarcinogens to carcinogens. Changing the intestinal pH thus altering microflora activity and bile solubility. | 20 Altering colonic transit time to remove fecal mutagens more efficiently. Stimulating the immune system. There are in vitro and in vivo evidences not only from animal studies but also from human studies that probiotics have beneficial effects on suppression of cancer. Oral administration of lactic acid bacteria has been shown to reduce DNA damage caused by chemical carcinogens, in gastric and colonic mucosa in rats. The consumption of Lactobacilli by healthy volunteers has been demonstrated to reduce the mutagenicity of urine and feaces associated with the ingestion of carcinogens in cooked meat. When it comes to epidemiological studies, they show an association between fermented dairy products and colorectal cancer. The consumption of a large quantity of dairy products especially fermented foods like yogurt and fermented milk containing Lactobacillus or Bifidobacterium may be related to a lower occurrence of colon cancer (Hirayama and Rafter, 2000; Rafter, 2003). A number of studies have shown that predisposing factors like “increase in enzyme activity that activate carcinogens, increase procarcinogenic chemicals within the colon or alter population of certain bacterial genera and species” are altered positively by consumption of certain probiotics (Brady et al., 2000). Anti-cholesteremic activity Lots of researchers proposed that probiotics have cholesterol reduction effects. They are known to bind or incorporate cholesterol directly into the cell membrane or produce bile salt hydrolase enzyme which deconjugate the bile salts and increases cholesterol breakdown (Scheinbach, 1998). A study on the reduction of cholesterol has shown that Lactobacillus reuteri CRL 1098 decreased total cholesterol by 38% when it is given to mice for 7 days at the rate of 104 cells/day. This dose of Lactobacillus reuteri caused a 40 % reduction in triglycerides and a 20 % increase in the ratio of high density | 21 lipoprotein to low density lipoprotein without bacterial translocation of the native microflora into the spleen and liver (Kaur et al., 2002). Probiotic Lactic Acid Bacteria: Strain Improvement Due to the considerable importance of LAB, culture improvement studies have been accelerated in recent years. Progress in gene technology has allowed this development by introducing new genes to improve bacteria that better fitted to technological processes or enhanced organoleptic properties. It is expected that better understanding of the genetics and physiology of LAB will give rise to better strain use, selection and improvement (Ross et al., 2000). Construction of bacteriophage resistant strains is very important. The resistant mechanisms are often carried out by plasmids and transposons. Due to large number of multiple genes insertional mutagenesis is not practical for protection against low pH. John and Nampoorthiri (2008) used nitrous acid to improve a strain of L. delbrueckii NCIM 2025 for lactic acid productivity, acid tolerance and sugar tolerance. Safety Aspects of Probiotics Today, there are evidences that probiotic strains used as commercial bacteria are safe. The safety of the probiotic products is appraised with the phenotypic and genotypic characteristics and the use of microorganisms. Safety aspects of probiotic bacteria should fulfil the following requirements (Saarela et al., 2000). 1. Strains for human use are preferred to be of human origin 2. They are isolated from healthy human gastrointestinal tract 3. They have to be non-pathogenic 4. They have no history of relationship with diseases like, infective endocarditis or Gastro-intestinal tract disorders 5. They do not deconjugate bile salts | 22 6. They should not carry transmissible antibiotic resistance genes. Probiotic in functional fermented foods Steinkraus (1996) defined indigenous fermented foods as “foods where microorganisms bring about some biochemical changes in the substances during fermentation and enrichment of the human diet through the development of a flavour, aroma and texture in the foods”. The remarkable aspects of fermented foods is that they have biological functions enhancing several health promoting benefits for the consumers due to the functional microorganisms associated with them. Bioenrichment of nutritional value, protective properties, bioavailability of minerals, therapeutic value, production of antioxidants and immunological effects are some of the biological functions of fermented foods (Tamang, 2007). Cereal based fermented foods Cereals are high in starch, dietary fiber, vitamins and minerals, but typical amounts and quality of protein present do not fulfil the nutritional requirements of animals (McDonald et al., 2002). Thus, cereal based feeds are amended with additional protein sources to attain the required protein levels. The addition and proliferation of microorganisms in feed may improve the nutritional quality for the animals (Ravindra, 2000). Wheat (Triticum aestivum) is an excellent fodder cereal, with high energy and low bran content, but the protein quality is generally poor ( Shewry, 2007). The high starch content also limits the use of wheat in ruminant feeds, as it might perturb the rumen fermentation (McDonald et al., 2002). More specifically, a validation of the protein quality is necessary, as the proportion of essential amino acids often decreases when crude protein content increases (Simonsson, 1995; Shewry, 2007). | 23 Tamang (2010) defined ethnic, fermented foods as foods from locally available raw materials of plant or animal sources either naturally or by adding starter cultures containing functional microorganisms that modify the substrates biochemically and organoleptically into edible products that are culturally and socially acceptable to the consumers. Types of fermented foods Fermented foods are of two types I. II. Natural fermented food Controlled fermented food In natural fermented food, raw materials get fermented by natural microflora present on the raw ingredients or in the environment, without addition of starter cultures. e.g., Gundruk Controlled fermented foods are prepared by using starter cultures. In this fermentation there are two types: I. Mono culture fermented food: A single, pure culture strain of microorganisms used for the preparation of food. e.g., Natto II. Multicultural fermented foods: Using a biculture or multicultural strains of microorganisms or mixed inocula. e.g., Cheese, Sausages On the basis of fermentation (substrates, nonalcoholic) foods are categorized into Fermented milk products Fermented cereal products Fermented vegetable products Fermented fish products Fermented meat products Fermented legume products Miscellaneous fermented products | 24 Varieties of fermented products are prepared and eaten in different parts of the world (Table 3). Table 3. Fermented cereal based food products around the world Fermented Cereal cereals substrate used Ambali Millet, rice Bahtura Wheat flour Ben-saalga Pearl millet Sensory property Acidic, Bread Gruel Jalebi Wheat,barley, buckwheat Rice and black gram Weat flour Mildly acidic, soft, spongy Crispy, sweet Kinky Maize Acidic, solid Maheu Mawe Maize, sorghum, millet Maize Naan Natto Wheat flour Soybean Sour, nonalcoholic Sour, nonalcoholic Baked bread Alkaline Ogi Maize, sorghum, millet Wheat Chilra Idli Pizza dough Puda/pudla Rabadi Maize, Bengal gram Cereals, pulses with cow milk Sourdough Wheat, Rye Trahana Rice, wheat, soybean and milk Maize, sorghum, millet Uji Source: Tamang (2010). Dough Acidic Leavened dough Pancake Thick product with slight acidic Leavened bread Sweet and sour Sour Type of product pan cake pancake Weaning food Staple Microorganism Country used LAB India LAB, yeasts India LAB, yeasts Ghana LAB, yeasts India Breakfast food Deep fried snacks Steamed, staple Beverage LAB, yeasts India,Srilanka, Malaysia India, Pakistan, Nepal LAB, yeasts LAB, yeasts Ghana LAB South Africa Porridge Yeasts, LAB Togo, Benin Staple breakfast LAB, yeasts Bacillus natto Staple porridge Used as base Snack food Drink LAB, yeasts India,Afghanistan, Pakistan Nigeria Baker’s yeast worldwide LAB, yeasts India Yeasts, LAB India, Pakistan breakfast LAB, yeasts Australia, Europe soup Yeasts, LAB Turkey Staple LAB Kenya, Tanzania | 25 Quorum sensing Signalling mechanisms that govern physiological and morphological responses to changes in cell density are common in bacteria. These signal transduction processes are called quorum sensing, and involve the production, release and response to hormone-like molecules that accumulates in the external environment when the cell population grows (Fuqua et al., 1994; Pappas et al., 2004). The cooperation of microorganisms that would form a multicellular structure on a surface appears to be controlled by mechanisms that are, in some cases, not functioning in individual microbial cells grown in shaken liquid cultures (Palkova and Vachova, 2006). Quorum sensing allows microorganisms to monitor their density and consequently leads to a specific response by the whole population. Farnesol has been identified as a quorum sensing molecule responsible for hyphal formation in stationary phase cells of Candida albicans (Hornby et al., 2001). The system of quorum sensing allows the amount of a signalling compound to increase more efficiently than could be achieved by a simple increase in the number of noninduced cells. Therefore, the population can change its behaviour before reaching a critical density (Chen et al., 2004; Palkova, 2004). Chen and Fink (2006) showed that the quorum sensing molecules regulate transcription of a small set of genes (~150). About 70% of these genes have previously been shown to be up-regulated upon entry into stationary phase. The induction of these genes suggests that quorum sensing molecules may also play a role in signalling the transition to stationary phase. Autoinducer II The biological properties of piperazine have attracted attention in recent times (McCleland et al., 2004). Their heterocyclic system constitutes a rich source of new biologically active compounds (Li and Yang, 2002). They are known to have activities as antitumor (Kanzaki et al., 2000), antiviral (Sinha et al., 2004), antifungal (Byun et al., | 26 2003), antibacterial (De Kievit and Iglewski, 2000; Fdhila et al., 2003; Uhegbu and Trischman, 2005) and antihyperglycaemic (Kwon et al., 2000). For medical chemistry properties of diketopiperazine, a derivative of piperazine as donor and acceptor groups for hydrogen bonding is very interesting. They are considered ideal for the development of new therapeutic agents (Niidome et al., 2003). Piperazine is the smallest cyclic peptides commonly biosynthesized from aminoacids by different organisms and are considered to be secondary functional metabolites. Cyclo diketo piperazine has shown antitumor activity by significantly reducing the viability over 50% oh Hela, WHCO3 and MCF-7 cells (McCleland et al., 2004). Several antimicrobially active diketopiperazines have been isolated from microorganisms like marine fungus belonging to Ascomycota which have been shown to have powerful activity against filamentous fungus Pyricularia oryzae (Byun et al., 2003). Fungus Chaetomium globosum is found active against Mycobacterium tuberculosis (Kanokmedhakul et al., 2002). Several bacterial strains produce pathogenic factors when spread as biofilms where they are protected against toxic agents. To achieve an organized status in these aggregates, bacteria affect a quorum sensing process through small water soluble molecules, which act as auto-inducers. Piperazines comprise a novel family of signalling compounds, identified cell-free supernatants of gram negative and gram positive bacteria (Abraham, 2005). Diketopiperazines are the smallest cyclic peptide derived from the folding head to tail of a linear dipeptide. Due to their chiral, rigid and functionalized structure, they bind to a large variety of receptors with high affinity, giving a broad range of biological activities. The combinational use of natural and unnatural aminoacids a large library of compounds may contribute to an understanding of the structural requirements for receptor interactions and will open new perspectives for drug discovery processes (Martins and Carvalho, 2007). Antifungal activity has also been demonstrated by piperazine propanol | 27 derivative of 1,3 –β-D-glucosynthase inhibitor (Kondoh et al., 2005). Malaria is one of the major diseases of developing countries caused by protozoan parasite Plasmodium. The parasite is transmitted by the female anopheles mosquito and transits through the liver and the blood of the mammalian host (Maitland and Marsh, 2004). Bisquinolines have been used to target the erythrocytic stage of the parasite (Poulain and Melnyk, 2005). In this regard, 1,4 bis piperazine is used as a new antimalarial drug. Lactococcus lactis, a lactic acid bacterium Lactococcus are gram-positive cocci, occurring in pairs and form D (-) lactic acid and carbon dioxide from the fermentation of glucose. These microorganisms form small, grey, flat colonies on agar media. Lactococcus lactis and Lactococcus cremoris are of vital importance as starter cultures in the diary industry. They produce diacetyl, a flavor compound in the manufacture of dairy products like butter, buttermilk, cheeses (Jay, 1982). Strains belonging to the Lactococcus lactis, are the most important organisms in the manufacture of fermented dairy products such as sour milk, cream, butter, fresh cheeses and many varieties of semi-hard cheeses. Research on the genetic and physiological properties of these bacteria has expanded rapidly in the last decade. Lactococcus lactis can be isolated from various environmental sources and are mainly targeted as industrial starter cultures for the manufacture of a wide range of fermented dairy products including fermented milks, sour cream, soft and hard cheeses, and lactic casein (Ward et al., 2002). The taxonomy of L. lactis has changed many times and currently it is based phenotypically (Schleifer et al., 1985; van Hylckama et al., 2006; Rademaker et al., 2007). This includes two subspecies (subsp. lactis and subsp. cremoris) and one biovar (subsp. lactis biovar diacetylactis). The lactis and cremoris phenotypes are differentiated on the basis of arginine utilization, growth temperature, | 28 and salt tolerance, whereas the biovar diacetylactis strains have the additional ability to metabolize citrate. Numerous studies including DNA–DNA hybridization, 16S rRNA, and gene sequence analysis have demonstrated the existence of two main genotypes. These two genotypic groups have also been called L. lactis subsp. lactis and L. lactis subsp. cremoris, but unfortunately the genotype and phenotype designations do not necessarily correspond, thus introducing a degree of confusion into the taxonomy of this species (Tailliez et al., 1998). L. lactis isolates of dairy and plant origin using various genomic fingerprinting methods and multilocus sequence analysis has clearly demonstrated that two major lineages exist (Rademaker et al., 2007). One of these comprises those strains with a L. lactis subsp. cremoris genotype and includes strains with both lactis and cremoris phenotypes. The other comprises those strains with a L. lactis subsp. lactis genotype that includes strains with the lactis phenotype as well as biovar diacetylactis. Comparative genome hybridization (CGH) using 39 L. lactis strains of dairy or plant origin (Bayjanov et al., 2009) provides further evidence confirming the unusual taxonomic structure in this species. As a result, it is necessary to specify a genotype (cremoris or lactis) and a phenotype (cremoris, diacetylactis, or lactis) to adequately describe individual strains. Strains that show both the subsp. cremoris genotype and phenotype cluster closely together and form a definite subgroup that shows limited diversity relative to the other L. lactis strains examined (Rademaker et al., 2007; Taibi et al., 2010). These L. lactis subsp. cremoris strains are favored for use as defined strain starter cultures for Cheddar cheese production because they are less likely to cause bitterness and other flavor defects (Heap, 1998). The citrate metabolizing biovar diacetylactis strains contribute to the flavor and aroma profile of a range of fermented dairy products and are also a component of the starter blends used for lactic casein manufacture (Heap and Lawrence, 1984). These strains have long been distinguished | 29 taxonomically (Kempler and McKay, 1981), but with the description of the genus Lactococcus (Schleifer et al., 1985), they were incorporated into L. lactis subsp. lactis. Biovar diacetylactis dairy starter strains have been genotypically (Kohler et al., 1991; Beimfohr et al., 1997) and phenotypically (Bachmann et al., 2009) distinguished from other L. lactis cultures, suggesting that these cultures may also form a separate subgroup. Both L. lactis subspecies have been isolated from a variety of environmental sources but are most commonly associated with fresh or fermented plant material or with milk and milk products. Strains that show the genotype of lactis subspecies can be readily isolated from these environments, whereas isolation of cultures with the cremoris subspecies genotype are comparatively rare (Klijn et al., 1995; Salama et al., 1995). Attempts to isolate new cremoris or diacetylactis phenotype strains from environmental sources have met with little success as wild-type strains of both subspecies show the lactis phenotype (Klijn et al., 1995; Salama et al., 1995; Ward et al., 1998). Because of its industrial relevance, L. lactis has become the best studied of the lactic acid bacteria and is regarded as a model organism for this bacterial group, although most work has been focused on a small number of laboratory strains of dairy origin. Complete genome sequences have been published for four strains. These include the two plasmid-cured strains (IL1403 and MG1363) on which much of the detailed biochemical and genetic knowledge of L. lactis is based (Bolotin et al., 2001; Wegmann et al., 2007). Both IL1403 and MG1363 belong to L. lactis subsp. lactis phenotypically, but the parent strain of IL1403 (CNRZ157) has a citrate permease plasmid and is able to metabolize citrate placing it with L. lactis subsp. lactis biovardiacetylactis, whereas MG1363 has a lactis phenotype and a cremoris genotype. The third genome-sequenced strain (SK11) has been used as a cheese starter culture and belongs to the subgroup of strains with both the subsp. cremoris genotype and phenotype (Makarova et al., 2006). The fourth genome is from a L. lactis subsp. | 30 lactis strain of plant origin (KF147), and a partial sequence is also available for a second plant strain (KF282) (Siezen et al., 2008; 2010). Comparison of the genomes from plant and dairy isolates has highlighted the differences in gene content that can occur between individual strains in the same species (Siezen et al., 2008) and shows that sequencing of one representative genome does not give a complete picture of a species. Attempts to describe this intraspecies diversity have led to the term species genome and pangenome (Medini et al., 2005) being defined to cover all the genes present in the characterized strains of a species. Under both definitions, the genome has a core of genes responsible for the basic aspects of the biology of the species and a set of auxiliary or dispensable genes that contribute to species diversity and may provide a selective advantage in certain environments. Antioxidant activity of LAB Oxidative stress can be defined as an excess of reactive oxygen species (ROS) that have strong oxidizing potential for cells (Farr and Kogoma, 1991; Fridovich, 1998). ROS cause damage to macromolecular constituents such as DNA, RNA, proteins and lipids (Berlett and Stadtman, 1997). Toxicity occurs when the degree of oxidative stress exceeds the capacity of cell defence systems (Farr and Kogoma, 1991). ROS originate from partial reduction of molecular oxygen (O2) to superoxide, hydrogen peroxide (H2O2) and hydroxyl radical (OH) (Storz and Imlay, 1999). The biological sources of ROS are numerous, e.g. they can be generated in aerobiosis by flavoproteins (Condon, 1987), and by macrophages during inflammatory reactions (Ross, 1991). Thus, oxidative stress plays an important role in pathologies of the gastrointestinal tract of humans such as inflammatory bowel diseases (Kruidenier and Verspaget, 2002; Kruidenier et al., 2003) and in the radio-induced tissue injury that may occur during radiotherapy (Sun et al., 1998). Bacterial species are more or less sensitive to oxygen according to the | 31 enzymic equipment they possess to prevent or repair ROS damage. Some lactic acid bacteria, such as Lactococcus lactis, widely used in the production of fermented food products, produce a superoxide dismutase, which degrades O2 to generate H2O2 (Sanders et al., 1995). However, they lack catalases, antioxidant metalloenzymes that catalyse the reaction in which toxic H2O2 is reduced to two H2O molecules and O2. But catalase activity has been reported in several Lactobacillus species during the last decade (Knauf et al., 1992; Igarashi et al., 1996). In the absence of catalase, H2O2 produced by the cell or present in the environment accumulates in presence of iron for the production of more toxic hydroxyl group (Fridovich, 1998; Imlay, 2003). Catalases have been distinguished in two classes according to their active-site composition: one is haem-dependent, and the other, also named pseudocatalase, is manganese-dependent for the reduction of H2O2 (Abriouel et al., 2004; Noonpakdee et al., 2004). Strains of lactic acid bacteria expressing high levels of catalases could be useful in both traditional food applications and new therapeutic uses. A probiotic antioxidant strain able to eliminate ROS in the digestive tract of animals and humans could have applications for treatment of inflammatory diseases or post-cancer drug treatments. Preservation of lactic acid bacteria culture viability by different methods According to the proposed concept on the efficacy of probiotic application, the probiotic bacteria must be viable at the time of consumption to achieve beneficial function. Official standards for the minimum suggested level for probiotics in the food to attain this viability require a minimum of 106-107 cfu/g, which have been introduced by several food organizations worldwide (Talwalkar and Kailasapathy, 2004). Drying is widely used as a means of preservation of bacterial cells. Because high water activity dramatically decreases the viability of probiotics, removal of water can effectively extend the shelf life of probiotic products. Drying is widely used as a means of | 32 preservation of bacterial cells. Because high water activity dramatically decreases the viability of probiotics, removal of water can effectively extend the shelf life of probiotic products. Freeze-drying is another practicable method to improve the viability of probiotics is to immobilize the bacteria in an external protective matrix, which can improve their resistance to adverse conditions and facilitate better survival in specific food products (Adhikari, et al., 2003; Godward and Kailasapathy, 2003). Freeze-drying is a common method used to incorporate probiotics in foods. However, the viability of freeze-dried probiotic bacteria is affected during processing and storage. Freeze-dried probiotic organisms are protected by adding cryoprotectants, and the identification of protective agents that enhance cellular survival during storage and application in food is the key challenge (Hubalek, 2003). The technique of microencapsulation based on complex (w/o/w) dispersion offers several advantages for the immobilization of probiotics. | 33 Aim and Scope The aim of this study was to isolate novel LAB with antimicrobial and high antioxidant properties. Further, the aim was to prevent the deterioration of probiotic cereal blend product. The present study also focused on the probiotic properties of L. lactis MTCC 5441 isolated from green gram dhal. The probiotic properties investigated included tolerance to acid and bile conditions, adhesion to epithelial cells, hydrophobicity, antimicrobial property and antioxidant activity. This strain has been used as a starter culture for the preparation of probiotic cereal blend. During the storage a quorum sensing signalling molecule was produced which helped in keeping the food quality during the storage period. Encapsulation and freeze drying methods were used to improve its survival. Future Prospective In this study the first step was taken to study the probiotic properties of the isolate. The production of signalling molecule was also identified during storage of the probiotic product. The work can be taken in detail to study the mechanism and mode of action. Proposed objectives of the thesis: 1. Isolation and characterization of lactic acid bacteria from cereals and legumes. 2. Elucidation of functional properties 3. Preparation of cereal based probiotic foods with potential lactic acid bacteria and evaluation of their probiotic functional properties during storage 4. Identification of quorum sensing signalling molecules produced in the probiotic foods during storage.
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