Published online Feb 7, 2022. doi: 10.3748/wjg.v28.i5.532
Peer-review started: July 21, 2021
First decision: October 3, 2021
Revised: October 16, 2021
Accepted: January 6, 2022
Article in press: January 6, 2022
Published online: February 7, 2022
Processing time: 187 Days and 18.8 Hours
It is worthwhile to explore which effective ingredients in the supernatants of Bacillus subtilis, Enterococcus faecium, and Enterococcus faecalis and which signaling pathways are regulating serotonin transporter (SERT) expression further.
The supernatants of B. subtilis, E. faecium, and E. faecalis can upregulate SERT expression in intestinal epithelial cells and the intestinal tissues in the rat model of PI-IBS. And combined supernatants of B. subtilis and E. faecalis was more efficacious than single supernatant.
The levels of SERT (at post-treatment 12 and 24 h) were significantly elevated in Caco-2 cells treated with B. subtilis supernatant compared with those in the control group (aP < 0.05). Those levels were markedly upregulated in Caco-2 cells stimulated with E. faecium and E. faecalis supernatants at 24 h (aP < 0.05). In addition, the SERT expression in groups B, C and D was significantly higher than that in group A in the 2nd wk (aP < 0.05). Increased SERT expression was found only in group D in the 3rd wk (aP < 0.05). However, there was no significant difference in the SERT expression between the groups in the last week (P > 0.05).
Caco-2 and HT-29 cells were stimulated with probiotic culture supernatants for 12 and 24 h, respectively. A rat (male Sprague-Dawley rat) model of post-infectious irritable bowel syndrome (PI-IBS) was constructed and the rats were treated with PBS (group A) and three probiotics culture supernatants (groups B, C, and D) for 4 wk. The levels of SERT were detected by quantitative PCR and western blotting.
The present study aimed to explore whether B. subtilis, E. faecium, and E. faecalis supernatants could upregulate SERT expression in vitro and in vivo.
5-HT and SERT contribute significantly to the development of IBS. Whether the supernatants of B. subtilis, E. faecium, and E. faecalis can improve gastrointestinal sensation and movement by regulating SERT expression needs to be clarified. The research is significant to the treatment of IBS patients with lower expression level of SERT or with symptoms of diarrhea.
IBS is a functional gastrointestinal disorder, of which the onset and development are associated with serotonin and SERT. Recent studies have shown that B. subtilis, E. faecium, and E. faecalis play important roles in the clinical treatment of IBS. However, the underlying mechanism of therapeutic effects on IBS remains elusive and requires additional research.