SACCHAROMYCES-BOULARDII INHIBITS CLOSTRIDIUM-DIFFICILE TOXIN-A BINDING AND ENTEROTOXICITY IN RAT ILEUM

SACCHAROMYCES-BOULARDII INHIBITS CLOSTRIDIUM-DIFFICILE TOXIN-A BINDING AND ENTEROTOXICITY IN RAT ILEUM
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DOI:
10.1016/0016-5085(93)90280-p
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发表时间:
1993-04-01
期刊:
影响因子:
29.4
通讯作者:
LAMONT, JT
LAMONT, JT
中科院分区:
医学1区
文献类型:
--
作者:
POTHOULAKIS, C;KELLY, CP;LAMONT, JT

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Background: Saccharomyces boulardiiis a nonpathogenic yeast used for the prevention and treatment ofClostridium difficile-associated diarrhea and colitis. However, the mechanism by whichS. boulardiiexerts its protective effects remains unclear.Methods:The binding of [3H]toxin A to its brush border receptor preincubated withS. boulardii-cultured suspension or filtered conditioned medium was measured in vitro. The effect of toxin A on secretion, epithelial permeability, and morphology in rat ileal loops in vivo was also examined in rats pretreated withS. boulardii.Results: S. boulardiireduced [3H]toxin A-receptor binding in a dose-dependent fashion. Sodium dodecyl sulfate polyacrylamide gel electrophoresis of ileal brush border exposed toS. boulardii-conditioned medium revealed a diminution of all brush border proteins. Treatment of rats withS. boulardiisuspension reduced fluid secretion and mannitol permeability caused by toxin A.Conclusions: S. boulardiimay reduce some of the enterotoxic effects of toxin A by inhibiting toxin A-receptor binding. This effect appears to be manifested by a secreted product of the yeast, possibly a protease.