The effect of probiotics on animal health: a focus on host s natural intestinal defenses

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The effect of probiotics on animal health: a focus on host s natural intestinal defenses Guillaume Tabouret Animal Health Dept. Joint Unit 1225 Host Pathogens Interactions

History of probiotics and definition Hippocrates of Cos «The death sits in the bowel; a bad digestion is the root of all evil» He stated that it was the humble duty of the physician to facilitate that healing power firstly by means of dietary approaches, and if that did was not enough, by means of natural medicines The concept of probiotics is back dated over 100 years ago to Elie Metchnikoff (Nobel Prize 1908): "The dependence of the intestinal microbes on the food makes it possible to adopt measures to modify the flora in our bodies and to replace the harmful microbes by useful microbes" Probiotics consumption alters commensal microflora and resistance to pathogenic bacteria

Roy Fuller (1992): «live microbial feed supplement which beneficially affects the host animal by improving its intestinal microbial balance» Living microorganisms (either bacteria or yeast) exerting a proven benefit on the target species. Feed regulation: group of feed additives for stabilizing microbiota of monogastric and ruminants Functional view: digestive bioregulators WHO: One, or a few, well defined strains of microorganisms Rationale for Probiotics usage : EU limitation of antibiotics usage for growth prospects (but also for therapeutic infect. Dis.) Intensive farming systems need for alternative strategies to strengthen animals resistance to infections or pathologies associated with farming systems

Probiotics commonly used in farm animals (not exhaustive): Lactobacillus, Streptococcus, Enterococcus, Bacillus, Saccharomyces cerevisiae Bacterial probiotics have been effective in chickens, pigs and pre ruminant calves Yeast and fungal probiotics have given better results in adult ruminants R. Fuller (1999) ISBN:1898486

Probiotics criteria Normal component of the target specy microbiota Survive and «grow» in their respective ecological niches Able to utilize nutrients and substrates in a normal diet Capacity to adhere and colonize the epithelial cells of the gut Non pathogenic non toxic Able to exert a beneficial effect on the host biology

Dysbiosis and infections inhibition PROBIOTICS Eubiosis promotion Infection Commensalism Microbiota Pathogen Microbiota Pathogen Virulence factors PAMP MAMP / immunmodulatroy factors Pathogen Gut epithelium Danger signals Gut Immune system Immune activation Systemic immunity Immune activation Inflammation, tissue damage Gut epithelium Danger signals Gut Immune system Development & weak activation Gut tissue homeostasis Systemic immunity TOLERANCE Homeostasis

Probiotics modes of action 1. Enzymatic contribution to digestion 2. Production of inhibitory compounds (antimicrobial): antagonism 3. Competition for chemicals/available energy 4. Competition for adhesion sites (exclusion) 5. Enhancement of the immune response

Direct & Indirect activities Nutrients competition Antimicrobials 1 4 Immunostimulation Adhesion sites Aggregation exclusion /receptors competition 2 3 M DC T reg Immune regulation Tissue homeostasis

1 ANTIMICROBIALS

1

2 ADHESION SITES COMPETITION

2 PROBIOTIC STRAINS COMBINATIONS TO SATURATE ADHESION SITES Probiotics binding to mucosa or mucus

3 Journal of Medical Microbiology, 2012 Elimination with feces

4 Immunostimulation by probiotics: Yeast Saccharomyces spp. From McFarland, L. V. (2010). Systematic review and meta-analysis of Saccharomyces boulardii in adult patients. World Journal of Gastroenterology : WJG, 16(18), 2202 2222.

Live S. cerevisiae exerts anti-inflammatory activity

Microbiol. Immunol. (2002) Live Sc. exerts anti-inflammatory activity One of the main component of Sc. wall is as pro-inflammatory as a pathogenic yeast TNF-alpha Secreted immunomodulatory proteins

4 Immunostimulation by probiotics: Lactobacilli From Peter Van Baarlen et al. Trends in Immunology 2013 MAMPs recognition: TLR/NLR/CLR Pathogen = non self Probiotic lactobacilli = non self For a similar result? Strain and species specific variations in the chemical structure of major MAMPS such as LTA or PGN Immunomodulatory proteins (glycosylation) Different responses in IEC or immune cells Engineering of various Lactobacilli strains to promote the «desired» effect

Concluding remarks Microbiota + single probiotic well defined strain +/ pathogen First level of interactions Second level of interactions Third level of interactions Rather complex but what if

Concluding remarks Microbiota + single probiotic well defined strain +/ pathogen Microbiota + combined / engeneered probiotics +/ pathogen First level of interactions Second level of interactions Third level of interactions Rather complex but what if +Host inter species variations +Host inter individual variations A tremendous complexity

Concluding remarks and take home message Existing and convincing proofs of concept of clinical efficacy of probiotics applications for various conditions prevention of antibiotic associated diarrhea prevention severe necrotizing enterocolitis Protection against a variety of pathogens in chicken, pigs Reduction of shedding of E. Coli O157:H7 in cattle and calves improvement of health and production criteria of various livestock animal. The list in now quite long Several modes of action by which probiotics contribute to human and animal health have been proposed or established No single probiotic supplement drives all the mentioned effects. There is no common responses to different probiotics even of the same genera (i.e. lactobacili) Consequently, there is a need for: for a rational selection of a specfic probiotic for defined targets (individual, specie ) and clinical indication for having a better konwledge in the effects (and associated molecular mechanisms) a specific probiotic will have on healthy and unhealthy individuals