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Infection and Immunity, January 2003, p. 428-436, Vol. 71, No. 1
0019-9567/03/$08.00+0 DOI: 10.1128/IAI.71.1.428-436.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Department of Biosciences, Nestlé Research Center, Lausanne, Switzerland
Received 30 May 2002/ Returned for modification 28 August 2002/ Accepted 15 October 2002
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Early studies by Schaedler et al. (36, 37) contributed to the identification of members of the indigenous gut flora of mice and described the colonization of germfree mice with monocultures of these bacteria, mainly lactobacilli, enterococci, coliforms, and clostridia. Colonization of germfree mice with different mixtures of such commensal bacteria led to the rapid appearance of IgA+ plasma cells in the lamina propria (13, 28). Since then, germfree mice have become the model of choice to study the impact of the microflora on gut-associated lymphoid tissue development (7, 9).
It was reported by several groups (10, 24, 44, 45) that segmented filamentous bacteria, a major population of commensal gram-positive bacteria found in many animals, could induce a profound mucosal IgA response in the Peyer's patches and lamina propria of monoassociated mice. Elegant studies with germfree SCID mice showed that the level and timing of colonization of segmented filamentous bacteria in monoassociated pups are regulated by both maternal and newborn IgA (21). Similar studies with a gram-negative commensal bacterium, Morganella morganii, showed a transient self-limiting humoral mucosal response elicited by this bacterium while permanently colonizing the gut (40). Thus, early colonization of the neonatal gut by commensal bacteria engenders a transient and controlled immune response at weaning, characterized by IgA secretion, which could be implicated in controlling bacterial adherence to the mucosal epithelium or cause clumping of bacteria near the mucosa to enhance "washout" by peristalsis.
On the other hand, whether secretory IgA is also important for preventing translocation of resident bacteria into mucosal tissues remains less clear. In vitro experiments with an Ussing chamber showed that secretory IgA prevented transepithelial passage of Escherichia coli across the epithelial layer (1). In contrast, earlier work by Berg and colleagues demonstrated that oral immunization of germfree mice with heat-killed E. coli vaccines before colonization with these strains did not reduce the incidence of translocation despite markedly increased levels of intestinal IgA (5). Instead, this group showed that T cells and macrophages play an important role in controlling translocation of endogenous bacteria, including lactobacilli (17, 30). Furthermore, there was a direct relationship between the numbers of a particular bacterial strain in the cecum and the numbers of viable bacteria of this strain present in the mesenteric lymph nodes of germfree mice associated with a whole cecal flora (42), and there were differences in translocation rate among the various types of indigenous bacteria (43).
The description in recent years of a number of strains of gram-positive lactic acid bacteria eliciting probiotic properties (3) and immunomodulatory functions (20, 27) has heightened the interest in the effects of nonpathogenic commensal enteric bacteria on local and systemic immunity (12, 14, 31, 32, 34, 35). Several Lactobacillus strains have been reported to display stimulatory properties on cells of the innate immune system in vitro (18, 19, 22, 23). This stimulation was mirrored in vivo in animal models (31, 32, 33, 34) and in humans given fermented milk products containing probiotics (25, 38, 39). It appears from most of these studies that these effects were strain specific. However, due to a lack of consistency among the models used and the methods of preparation and administration of the bacteria, it has been difficult to establish a physiological basis for this functional heterogeneity.
The current selection criteria for probiotic strains are mostly based on in vitro experiments that addressed inherent properties such as growth rate, survival in simulated gastric juices, and adherence to intestinal epithelial cell lines (15, 29). We used gnotobiotic mice monoassociated with lactobacilli to demonstrate that very different patterns of colonization and of immune response were elicited from two distinct strains that displayed similar properties in vitro, suggesting different applications for each strain. It is therefore also important to select proper probiotic strains for specific applications depending on their activity in vivo.
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Bacteria. L. johnsonii (strain NCC 533 from the Nestlé Culture Collection) and L. paracasei (NCC 2461) were originally isolated from human feces. L. johnsonii (NCC 533) belongs to the L. acidophilus group, is catalase negative, and produces DL-lactic acid. L. paracasei (NCC 2461) belongs to the L. casei group, is catalase negative, and produces L-lactic acid. Both strains were previously shown to grow equally well in vitro in MRS broth without acetate at 37°C under anaerobic conditions and in the presence of bile salts at a concentration of up to 0.4%. Both strains resisted simulated gastric juice conditions similarly (pepsin at 3 g/liter in sterile saline [0.5% wt/vol], pH 2.0, adjusted with concentrated HCl) (8) (Rochat et al., unpublished data).
For the preparation of gavages, the lactobacilli were grown in MRS broth without acetate at 37°C under anaerobic conditions (GasPak system from AnaeroGen, Hampshire, United Kingdom) for 8 h (exponential growth phase). Bacteria were harvested by centrifugation (4,000 x g, 10 min). Pelleted bacteria were then washed two times in sterile 0.9% NaCl and resuspended at 109 CFU in 0.2 ml, as estimated by plating dilutions. For the gavage, bacteria were inoculated intragastrically with a sterile 22-gauge stainless steel feeding needle. Bacterial crude lysate were prepared by resuspending the pellet in distilled water and by sequential sonication five times for 2 min each at maximum power and an amplitude of 18 µm (Soniprep 150 MSE). Protein concentrations were estimated by the bicinchoninic acid protein assay (Pierce, Rockford, Ill.).
Adhesion of lactobacilli to Caco-2 cells. The adherence assays were performed as previously described (19). Briefly, bacteria were metabolically labeled for 24 h with [3H]adenine (24 Ci/mmol; Amersham Pharmacia Biotech, Dübendorf, Switzerland). Caco-2 cells were incubated for 1 h with bacteria (the cell-bacteria ratio was 1:10), washed three times with phosphate-buffered saline (PBS), and dissolved in 0.2 N NaOH. Adhesion was evaluated by liquid scintillation counting (TopCount; Packard Biosciences B.V., Groningen, The Netherlands). Cell adhesion was calculated as the means of triplicate cultures, and L. johnsonii adhesion was arbitrarily set at 100% in each experiment.
Colonization and translocation of bacteria. At different times following gavage with L. johnsonii or L. paracasei, translocation of the bacteria to Peyer's patches and mesenteric lymph nodes, and the density of colonization in the small intestine and colon was measured. Four mice per group were used, and these experiments were repeated three times. All Peyer's patches and mesenteric lymph nodes were removed aseptically, washed five times in an excess volume of sterile PBS, and homogenized in 2 ml of sterile PBS-15% glycerol (Merck, Darmstadt, Germany). One hundred microliters of each of the homogenates was plated on MRS agar plates. The final dilution on the plate was therefore 1:20, and the detection limit was 20 CFU/organ. At each time point, Peyer's patches were also sampled from control conventional mice to ensure that the Peyer's patch sampling was done sterilely (Peyer's patches were always found to be sterile in conventional mice).
Intestinal and colon contents were flushed with an excess volume of sterile PBS and mixed. After 5 min of sedimentation to remove large remains, bacteria were collected from the supernatant, washed three times with PBS, and resuspended in 10 ml of PBS-15% glycerol. One hundred microliters of bacterial suspension was plated on MRS agar plates. Therefore, the initial dilution on the plate was 10-2 and the detection limit was 102 CFU/g. In order to express bacterial levels in CFU per gram of luminal suspension, the luminal contents were weighed (weight of flushed intestine or colon subtracted from weight of intact intestine or colon). Feces were collected sterilely from the rectum and resuspended in 5 ml of saline (10-2 dilution). Serial dilutions of all samples were plated on MRS agar and incubated anaerobically at 37°C for 48 h, after which colony counts were recorded.
Collection of intestinal contents for secretory IgA. Small intestines (including jejunum and ileum) were cut into small pieces and homogenized mildly with a Polytron (Kinematica, Lausanne, Switzerland) in 3 ml of PBS solution containing 0.01% soybean trypsin inhibitor, 36 mM EDTA (Sigma, St. Louis, Mo.), and 1% bovine serum albumin (Sigma). Supernatants were collected after centrifugation at 2,000 x g for 10 min at 4°C. After adding 0.1 M phenylmethylsulfonyl fluoride (Sigma), intestinal contents were collected from the supernatants following ultracentrifugation at 10,000 x g for 20 min at 4°C and frozen at -20°C.
Peyer's patch organ cultures. The method for Peyer's patch organ cultures was described previously (40). Briefly, Peyer's patches were dissected from the small intestine of mice and replaced in cold RPMI-10% fetal calf serum (FCS). The Peyer's patches were washed by three successive transfers through fresh medium. Each Peyer's patch was halved with a sharp sterile razor blade and placed in a sterile flat-bottomed well of a 24-well plate (Costar, Cambridge, Mass.) in 2.0 ml of RPMI-10% FCS and cultured for 10 days under 5% CO2 at 37°C.
Isolation of lamina propria lymphocytes and flow cytometric analysis. Small intestines (jejunum and ileum) from pooled from two mice were opened lengthwise, cut into small pieces, and washed four times with Hanks' balanced salt solution containing 15 mM HEPES (Life Technologies). Intestinal pieces were mixed with warm Hanks' balanced salt solution containing 10% FCS (Amimed, Allschwill, Switzerland) and 50 mM EDTA (Sigma) at least four times. Then they were digested three times for 30 min each at 37°C with RPMI 1640 (Life Technologies) containing 10% FCS and 100 U of collagenase (Sigma) per ml. Lamina propria lymphocytes were collected in the supernatant, washed twice in RPMI-10% FCS, and resuspended in culture medium. The surface expression of IgA on lamina propria lymphocytes was analyzed by staining with biotinylated goat anti-mouse IgA (Southern Biotechnology Associates, Inc.), followed by phycoerythrin-conjugated streptavidin (Pharmingen). The samples were analyzed on a FACScalibur (Becton Dickinson) by measuring the mean fluorescence intensity of surface IgA expression on lamina propria lymphocytes.
ELISA. Lactobacillus-specific immunoglobulins were detected by coating bacterial crude lysate at 100 µg/ml in borate-buffered saline 3 h at 37°C on Maxisorp enzyme-linked immunosorbent assay (ELISA) plates (Life Technologies AG, Basel, Switzerland). After four washes in PBS containing 0.05% Tween 20, wells were blocked overnight at 4°C with PBS containing 20% FCS and 0.05% Tween 20. Samples were incubated for 4 h at 4°C, and after further washing, secondary biotinylated monoclonal antibodies (biotinylated goat anti-mouse IgA or biotinylated goat anti-mouse IgG1 or IgG2a [Southern Biotechnology Associates, Inc., Birmingham, Ala.]) were added at a concentration of 0.5 µg/ml for 1 h at room temperature. Wells were then washed, and 1 µg of horseradish peroxidase-labeled streptavidin (KPL, Gaithersburg, Md.) per ml was incubated for 30 min at room temperature. The plates were washed one last time and revealed with TMB microwell substrate (KPL). Reactions were stopped with 1 M phosphoric acid. Optical density was read at 450 nm.
Lactobacillus-specific IgG isotypes were expressed as arbitrary units calculated from an immune serum obtained from mice injected intraperitoneally with 100 µg of crude bacterial lysate. Lactobacillus-specific IgA levels were expressed in optical density units because no positive standard was available. For serum levels of total IgE, the same method was used with anti-mouse IgE (R35-72; Pharmingen, San Diego, Calif.) and biotinylated rat anti-mouse IgE (Southern Biotechnology Associates, Inc., Birmingham, Ala.) as the coating and detecting antibodies, respectively. IgE levels were compared to an internal standard (mouse IgE; Pharmingen).
Histological analysis. Small intestine tissues were fixed in 10% buffered formaldehyde and paraffin embedded. Then 5-µm-thick sections were cut and deparaffinized in xylol with two changes, hydrated gradually through graded alcohols, and rinsed in distilled water. Sections were stained either with hematoxylin and eosin (Fluka Chemie GMBH, Buchs, Switzerland) or with biotinylated anti-mouse IgA followed by horseradish peroxidase-labeled steptavidin (KPL).
To quench endogenous peroxidase activity, sections were incubated for 15 min in 1% hydrogen peroxide (Aldrich-Chemie, Steinheim, Germany) and then washed twice in PBS. For the immunoperoxidase staining, nonspecific binding was blocked with 10% goat serum in PBS and tissues were stained for 1 h at room temperature with a biotinylated goat anti-mouse IgA (Southern Biotechnology Associates, Inc.) in PBS-1% bovine serum albumin. Then sections were incubated in horseradish peroxidase-labeled streptavidin (KPL, Gaithersburg, Md.) and washed extensively in PBS. Staining was revealed with diaminobenzidine tetrahydrochloride (NEN Life Scientific Products, Inc., Boston, Mass.), and the reaction was stopped with distilled water.
Statistical analysis. Student's t test was used if two groups were compared, while analysis of variance was used for multiple comparisons over time or among several treatment groups. Differences were considered significant when the P value was equal to or less than 0.05.
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FIG. 1. Adhesion of L. johnsonii and L. paracasei to differentiated Caco-2 cells in vitro. Results represent the mean ± standard deviation from six individual experiments. The adhesion value for L. johnsonii in each experiment was set at 100%. Each experiment was performed in triplicate, and the percentages were calculated from the means of these triplicate cultures.
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FIG. 2. Kinetics of bacterial translocation in monoassociated mice. Germfree C3H/n mice received a single gavage with 109 CFU of L. johnsonii or L. paracasei at weaning. Bacterial loads were counted in fecal pellets extracted from the rectum (A), the luminal contents of the small intestine (B), and the colon (C). Bacteria were also counted in Peyer's patches (D) and mesenteric lymph nodes (E). Counts were made by gavage at days 4, 15, and 30 after colonization. This is one representative experiment out of three performed individually. Results are expressed as mean (± standard error of the mean) CFU per gram for feces, small intestine, and colon or as CFU per organ for Peyer's patches and mesenteric lymph nodes for four mice per group. The horizontal dashed line indicates the limit of detection due to the initial dilution of the samples (see Materials and Methods), and data points below that line represent negative cultures. *, P < 0.05 between the two groups.
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Colonization with both L. johnsonii and L. paracasei activated mucosal B-cell responses. Because the two Lactobacillus strains colonized the gut of monoxenic mice at different densities, we wanted to determine how they induced B-cell reactivity in the mucosa. To do this, we monitored structural changes in the Peyer's patches by analyzing the formation of lymphoid aggregates at day 30 after gavage. Tissue sections from the Peyer's patches of L. johnsonii-colonized mice, L. paracasei-colonized mice, ex-germfree mice reconstituted with a normal mouse flora (conventionalized), and germfree mice were stained with hematoxylin and eosin. As described earlier, we observed that the number and size of Peyer's patches in the small intestine of germfree mice were reduced compared to those of ex-germfree mice colonized with a normal mouse flora (11). The lymphoid follicles in the Peyer's patches of L. johnsonii-colonized mice (Fig. 3B) and L. paracasei-colonized mice (Fig. 3C) were in general larger than in germfree mice (Fig. 3A), but not as large as in conventionalized mice (data not shown).
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FIG. 3. Hematoxylin- and eosin-stained histological section of Peyer's patches of monoassociated mice. After 30 days of colonization, the jejunum was taken from germfree and monoassociated mice, and 5-µm-thick paraffin-embedded tissue sections were made from Peyer's patches of germfree controls (A), L. johnsonii-colonized mice (B), and L. paracasei-colonized mice (C).
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FIG. 4. Increased number of IgA+ cells in the lamina propria of monoassociated mice. After 30 days of colonization, the jejunum was taken from germfree and monoassociated mice, and 5-µm-thick paraffin-embedded tissue sections from intestinal tissue of germfree controls (A), L. johnsonii-colonized mice (B), and L. paracasei-colonized mice (C) were stained with biotinylated goat anti-mouse IgA followed by horseradish peroxidase-labeled streptavidin.
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FIG. 5. Levels of Lactobacillus-specific IgA in Peyer's patch whole-organ culture supernatants and intestinal contents of monoxenic mice. After 30 days of colonization, Peyer's patches were collected, washed, and incubated for 10 days in culture. The whole small intestine was taken to extract intestinal contents. Culture supernatants from Peyer's patch cultures (A and B) and intestinal contents (C and D) were assessed for L. johnsonii-specific (A and C) and L. paracasei-specific (B and D) IgA by ELISA. Results are expressed as optical density at 405 nm of specific IgA antibodies and represent means of duplicates (A and B) and of eight mice per group (C and D) (± standard error of the mean). The data show results from one representative experiment out of three. *, significantly increased above values for germfree controls (P < 0.05).
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Next, we measured secretory IgA production in intestinal contents (Fig. 5C and 5D). The data were very similar to those found with the Peyer's patch organ cultures. There was increased production of L. johnsonii-specific IgA in the lumen of L. johnsonii-colonized mice compared to germfree mice (Fig. 5C). In contrast, only a minor (nonsignificant) increase in L. paracasei-specific IgA was seen in the intestinal contents of L. paracasei-colonized mice (Fig. 5D). Again, there was a minor but detectable presence of L. johnsonii- or L. paracasei-specific IgA in the intestinal contents of conventional mice (Fig. 5C and D). Thus, as seen in the supernatants of Peyer's patch cultures, these data suggested that L. johnsonii-colonized mice produced more lactobacillus-specific IgA than L. paracasei-colonized mice.
We also directly measured the intensity of IgA surface expression on B cells in the lamina propria by flow cytometry. As shown in Table 1, the mean fluorescence intensity of surface IgA expression in lamina propria B cells was much higher in conventional mice than in germfree mice. The mean fluorescence intensity of surface IgA was also substantially increased in L. johnsonii-colonized mice, albeit not as much as in conventional mice. In contrast, the mean fluorescence intensity of surface IgA was only weakly increased over that of the germfree controls in L. paracasei-colonized mice. Altogether, these data suggested that colonization with L. johnsonii and L. paracasei induced a secretory IgA response but that this IgA response was stronger and highly specific for L. johnsonii antigens in L. johnsonii-colonized mice, whereas it was weaker and poorly specific for L. paracasei antigens in L. paracasei-colonized mice.
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TABLE 1. Surface IgA expression on B lymphocytes in the lamina propria of germfree and conventional mice or in mice monoassociated with L. johnsonii or L. paracasei
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FIG. 6. Lactobacillus-specific IgG2a and IgG1 isotypes in the serum of monoassociated mice. After 30 days of colonization, serum was collected from L. johnsonii-associated mice and assayed for L. johnsonii-specific IgG2a (A) and IgG1 (B). Serum from L. paracasei-colonized mice was assayed for L. paracasei-specific IgG2a (C) and IgG1 (D). Results were extrapolated from a positive serum standard from mice immunized systemically with L. johnsonii or L. paracasei crude antigens and represent means for eight mice per group (± standard error of the mean). The data show results from one representative experiment out of three. *, significantly increased above values for germfree controls (P < 0.05).
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As already described earlier for gnotobiotic mice (4, 42), we found an important rate of translocation by both Lactobacillus strains into the Peyer's patches and mesenteric lymph nodes. This translocation does not occur in specific-pathogen-free mice, suggesting that the mechanisms that normally prevent translocation in conventional mice are impaired in germfree mice (4). It was shown that administration of a whole cecal flora restored these protective mechanisms in germfree mice (6). In our study, the viable-cell counts of L. johnsonii found in the Peyer's patches and mesenteric lymph nodes were much more important than those of L. paracasei, suggesting that L. johnsonii translocated at a higher rate than L. paracasei. Since bacterial loads of L. johnsonii in the lumen were far greater than L. paracasei, this was in line with the previous observation made in gnotobiotic mice that the number of viable bacteria recovered from the mesenteric lymph nodes is directly related to the numbers of bacteria in the intestinal lumen (42, 43).
However, we observed that despite the maintenance of very high levels of L. johnsonii in the lumen of the small intestine and colon throughout the experiment, the quantity of bacteria recovered from the Peyer's patches and mesenteric lymph nodes decreased dramatically with time. This indicated that, despite maintenance of high bacterial counts in the lumen, an active mechanism prevented further translocation of the bacteria into the Peyer's patches and mesenteric lymph nodes. This was in marked contrast to previous studies showing that the numbers of translocating E. coli cultured from mesenteric lymph nodes of E. coli-monoassociated mice were the same after either 2 days or 100 days of monoassociation (6). Conceivably, this difference could be explained by the fact that the types of immune responses generated in the mucosa by E. coli may be very different from those induced by lactobacilli.
Many factors may influence bacterial survival and translocation in the gut mucosa, the most prominent one probably being the immune response (17, 21, 40). We therefore undertook to study the specific humoral responses elicited by the two strains in the mucosa. We have observed that both lactobacilli induced B-cell stimulation, as characterized by the formation of lymphoid aggregates in Peyer's patches and the presence of IgA+ B cells in the lamina propria. These data suggested that, despite substantial quantitative differences in colonization and translocation, both lactobacilli induced a mucosal B-cell response. However, when we analyzed the nature of the B-cell responses, we observed clear differences between the two strains. Colonization with L. johnsonii promoted substantial production of specific secretory IgA, whereas L. paracasei induced only marginal secretory IgA at levels that were in the same range as the cross-reactive IgA found in conventional mice.
Assuming that secretory IgA plays a key role in the maintenance of bacterial homeostasis in the lumen (21, 40), the latter observation was difficult to reconcile with the finding that bacterial loads of L. johnsonii were by far higher than those of L. paracasei in the lumen. This emphasized that other factors of the innate immune response, distinct from secretory IgA, probably also play an important role in controlling bacterial levels in the lumen and adherence to the mucosa. These could include, for example, the differential activation of
-defensin secretion by Paneth's cells, as shown previously by others (2).
There may be several explanations for why the IgA responses were so different between the two strains. First, due to less efficient colonization and translocation, L. paracasei-specific IgA was transiently produced and was no longer detectable 30 days after colonization. Interestingly, it has previously been shown that colonization of germfree mice with the gram-negative bacterium Morganella morganii also induced little specific secretory IgA (40) due to transient production with a peak at 14 days. Second, IgA in L. paracasei-monoassociated mice may have a low affinity for L. paracasei epitopes. As reported earlier in another system (44), it is not excluded that L. paracasei-specific IgA epitopes were hidden in our ELISA, although this was not the case for L. paracasei-specific IgG. It should also be underlined that secretory IgA from conventional mice cross-reacted to some extent with the Lactobacillus strains, although neither L. johnsonii nor L. paracasei has been reported as being a normal member of the mouse intestinal microbiota. This may not be surprising, because control of the endogenous flora probably requires a broad spectrum of reduced-affinity secretory IgA. Indeed, changes in the intestinal flora result in induction of secretory IgA responses through a pathway independent of T-cell help that may not be highly specific (26).
Further evidence that the two strains of lactobacilli induced different immune responses was given by measuring systemic IgG isotypes. L. johnsonii-colonized mice produced higher levels of specific IgG1 isotypes, in contrast to L. paracasei-colonized mice, which clearly produced preferentially specific IgG2a antibodies. Since it has been described that gamma interferon causes murine B cells to switch towards the IgG2a isotype (16, 41) and interleukin-4 promotes IgG1 (43), this suggested preferential Th1 and Th2 patterns induced by L. paracasei and L. johnsonii. Dissection of the induction of distinct patterns of cytokines in mucosal CD4+ T cells from monoassociated mice should give a clear indication of whether the two strains induce different T-helper responses. This is currently under investigation.
In conclusion, we have shown that Lactobacillus strains with apparently similar properties in vitro may have distinct patterns of colonization and may induce heterogeneous immune responses in vivo. These data underline the heterogeneity that prevails among probiotic Lactobacillus strains. It is only after thorough understanding of their mechanisms of action in vivo that certain strains of probiotics may be used for specific health applications.
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