This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Song, Y.-L.
Right arrow Articles by Watanabe, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Song, Y.-L.
Right arrow Articles by Watanabe, K.

 Previous Article  |  Next Article 

Journal of Clinical Microbiology, September 1999, p. 3062-3064, Vol. 37, No. 9
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Identification of and Hydrogen Peroxide Production by Fecal and Vaginal Lactobacilli Isolated from Japanese Women and Newborn Infants

Yu-Li Song,1 Naoki Kato,1,* Yoshiko Matsumiya,1 Cheng-Xu Liu,1 Haru Kato,2 and Kunitomo Watanabe1

Institute of Anaerobic Bacteriology, Gifu University School of Medicine, 40 Tsukasa-machi, Gifu 500-8705,1 and Department of Bacteriology, School of Medicine, Kanazawa University, Kanazawa 920-8640,2 Japan

Received 8 March 1999/Returned for modification 22 May 1999/Accepted 5 June 1999


    ABSTRACT
Top
Abstract
Text
References

We identified Lactobacillus isolates from Japanese women and newborn infants by a DNA-DNA hybridization method. The predominating lactobacilli were Lactobacillus crispatus and Lactobacillus gasseri in the women's vaginas and the newborns' intestines and L. gasseri and Lactobacillus fermentum in the women's intestines. All L. crispatus strains were exclusively strong H2O2 producers.


    TEXT
Top
Abstract
Text
References

The human intestinal tract and vagina harbor a number of microorganisms which form complex and finely balanced ecosystems with their environments. Among these microbes, Lactobacillus spp. are believed to play an important role in stabilization of the microflora by providing an important microbial defense against vaginal and intestinal colonization by exogenous pathogenic microorganisms. Classification studies have resulted in recent taxonomic changes of human-related lactobacilli; members of the Lactobacillus acidophilus group have been divided into six species---L. acidophilus, Lactobacillus amylovorus, Lactobacillus crispatus, Lactobacillus gallinarum, Lactobacillus gasseri, and Lactobacillus johnsonii (7, 11)---and Lactobacillus vaginalis has been recently classified (4). Few studies adapted to the recent classification of Lactobacillus have been performed for investigation of fecal and vaginal lactobacilli (1, 2).

Although previous reports have suggested that production of H2O2 by lactobacilli may represent an important nonspecific antimicrobial defense mechanism in the vaginal ecosystem (5, 9, 10, 14, 16), the H2O2-producing lactobacilli have been seldom identified to the species level.

In this study, using a DNA-DNA hybridization method, we identified to the species level Lactobacillus strains which had been isolated from stool specimens of mothers and infants and vaginal swabs of women to understand the precise ecology of intestinal and vaginal lactobacilli, and we investigated their abilities to produce H2O2.

Reference strains used were 26 Lactobacillus species or subspecies (Table 1). Eighty-five fecal lactobacilli were isolates from 49 healthy mothers and 36 infants born by normal vaginal delivery at Gifu University Hospital in Gifu between 1995 and 1996; 91 vaginal lactobacilli from healthy women were isolated from 27 of the mothers mentioned above and from 64 pregnant women who visited a prenatal clinic in Gifu (16); and 6 vaginal lactobacilli from women with bacterial vaginosis (BV) were isolates from 6 pregnant women (16). MRS agar (Becton Dickinson and Company, Cockeysville, Md.) was used for anaerobic culture of isolates. Lactobacilli were identified as catalase-negative, non-spore-forming, microaerophilic gram-positive rods producing abundant lactate as an end product with or without small amounts of acetate (12).

                              
View this table:
[in this window]
[in a new window]
 
TABLE 1.   Reference strains of Lactobacills species used for DNA hybridization studies

Bacterial DNA was extracted by the method described previously (13). DNA was labeled with PHOTOPROBE biotin (Vector Laboratories Inc., Burlingame, Calif.), according to the manufacturer's instructions. DNA-DNA hybridization was carried out as described elsewhere (6) with modifications. Genomic DNA was adjusted to 100 µg/ml with distilled water. DNA diluted 10-fold with phosphate-buffered saline (pH 7.4) containing 0.1 M MgCl2 was distributed into a microtiter plate (100 µl/well). Hybridization of DNA from reference strains with denatured, biotinylated sample DNA was carried out for 4 to 5 h at 45°C.

H2O2 production by Lactobacillus strains was tested with MRS agar supplemented with 0.25 mg of tetramethylbenzidine (Sigma, St. Louis, Mo.) per ml and 0.01 mg of horseradish peroxidase (Sigma) per ml (5). Inoculated plates were anaerobically incubated for 2 days at 37°C. H2O2 production was ranked as strongly positive, weakly positive, or negative according to the intensity of blue color development.

Ten species and subspecies from mothers' stools and eight species from stools of infants were detected, whereas three strains from mothers and one from an infant remained unidentified (Table 2). L. gasseri was the most commonly found species in both mothers and infants, but the second most predominant species differed between the mothers and infants studied: Lactobacillus fermentum in the mothers and L. crispatus and Lactobacillus salivarius subsp. salivarius in the infants.

                              
View this table:
[in this window]
[in a new window]
 
TABLE 2.   Lactobacillus species isolated from stool and vaginal specimens of Japanese women and newborn infants

The predominant species found in the vaginas of 91 healthy women included L. crispatus, L. gasseri, and L. vaginalis (Table 2). In women with BV, L. crispatus and L. gasseri were common.

A total of 172 strains identified by DNA hybridization were tested for H2O2 production (Table 3). All L. crispatus strains were strongly positive for H2O2 production, and all L. gasseri and L. vaginalis strains were strongly or weakly positive, while L. paracasei and L. plantarum strains were all negative. Of six isolates from women with BV, two were L. crispatus, two were L. gasseri, one was L. vaginalis, and one was L. fermentum; all but the L. fermentum strain were positive for H2O2 production.

                              
View this table:
[in this window]
[in a new window]
 
TABLE 3.   H2O2 production by lactobacilli isolated from stool and vaginal specimens

We found that L. crispatus was the predominant vaginal lactobacillus, followed by L. gasseri, in Japanese women. Giorgi et al. (8), who used DNA homology techniques, reported that L. crispatus and L. jensenii were the predominating lactobacilli in healthy women. These data suggest that L. crispatus is a common vaginal lactobacillus in healthy women in both Japan and Western countries.

The present study showed that the predominant species in stools were L. gasseri, L. fermentum, and L. paracasei subsp. paracasei for women and L. gasseri, L. crispatus, and L. salivarius subsp. salivarius for infants. Benno et al. (2) reported that L. gasseri was the dominant species among lactobacilli isolated from the intestinal tracts of elderly Japanese people. Meanwhile, in the studies in Western countries, the L. acidophilus group, L. salivarius, and L. fermentum were usually recovered from stools of adults and infants (3), and the largest taxa in the rectal mucosa of healthy adults were L. plantarum, L. rhamnosus, and L. paracasei subsp. paracasei (1). These results indicate that the intestinal lactobacilli may be different between Japanese and Western people. Although the reasons for this dissimilarity are unclear, it may be speculated that the inhabiting Lactobacillus species in stools and in the intestinal mucosa are different and that differences between Japanese and Western diets may influence the Lactobacillus species resident in the intestine.

We found that all L. crispatus strains were strong H2O2 producers, while L. paracasei and L. plantarum strains were negative for H2O2 production, and that there was relatedness between Lactobacillus species and H2O2 production regardless of whether or not the isolates were from women with BV. Nagy et al. (15), who identified lactobacilli by phenotypic characteristics, showed that the ability to produce H2O2 was more likely to be associated with the origins of strains (BV or non-BV) than with the Lactobacillus species themselves. Since the methods used for detection of the ability to produce H2O2 were almost the same between our study and that of Nagy et al., differences in lactobacillus identification might be responsible for the contradictory results.


    ACKNOWLEDGMENTS

Y.-L.S. is a recipient of a Nihon Monbusho Scholarship.


    FOOTNOTES

* Corresponding author. Mailing address: Institute of Anaerobic Bacteriology, Gifu University School of Medicine, 40 Tsukasa-machi, Gifu 500-8705, Japan. Phone: 81-58-267-2343. Fax: 81-58-265-9001. E-mail: nk19{at}cc.gifu-u.ac.jp.


    REFERENCES
Top
Abstract
Text
References

1. Ahrne, S., S. Nobaek, B. Jeppsson, I. Aderlberth, A. E. Wold, and G. Molin. 1998. The normal Lactobacillus flora of healthy human rectal and oral mucosa. J. Appl. Microbiol. 85:88-94[Medline].
2. Benno, Y., K. Endo, T. Mizutani, Y. Namba, T. Komori, and T. Mitsuoka. 1989. Comparison of fecal microflora of elderly persons in rural and urban areas of Japan. Appl. Environ. Microbiol. 55:1100-1105[Abstract/Free Full Text].
3. Cooperstock, M. S., and A. J. Zedd. 1983. Intestinal flora of infants, p. 79-99. In D. J. Hentges (ed.), Human intestinal microflora in health and disease. Academic Press, New York, N.Y.
4. Embley, T. M., N. Faquir, W. Bossart, and M. D. Collins. 1989. Lactobacillus vaginalis sp. nov. from the human vagina. Int. J. Syst. Bacteriol. 39:368-370[Abstract/Free Full Text].
5. Eschenbach, D. A., P. R. Davick, B. L. Williams, S. J. Klebanoff, K. Young-Smith, C. M. Critchlow, and K. K. Holmes. 1989. Prevalence of hydrogen peroxide-producing Lactobacillus species in normal women and women with bacterial vaginosis. J. Clin. Microbiol. 27:251-256[Abstract/Free Full Text].
6. Ezaki, T., Y. Hashimoto, and E. Yabuuchi. 1989. Fluorometric deoxyribonucleic acid-deoxyribonucleic acid hybridization in microdilution wells as an alternative to membrane filter hybridization in which radioisotopes are used to determine genetic relatedness among bacterial strains. Int. J. Syst. Bacteriol. 39:224-229[Abstract/Free Full Text].
7. Fujisawa, T., Y. Benno, T. Yaeshima, and T. Mitsuoka. 1992. Taxonomic study of the Lactobacillus acidophilus group, with recognition of Lactobacillus gallinarum sp. nov. and Lactobacillus johnsonii sp. nov. and synonymy of Lactobacillus acidophilus group A3 (Johnson et al. 1980) with the type strain of Lactobacillus amylovorus (Nakamura 1981). Int. J. Syst. Bacteriol. 42:487-491[Abstract/Free Full Text].
8. Giorgi, A., S. Torriani, F. Dellaglio, G. Bo, E. Stola, and L. Bernuzzi. 1987. Identification of vaginal lactobacilli from asymptomatic women. Microbiologica 10:377-384[Medline].
9. Hawes, S. E., S. L. Hillier, J. Benedetti, C. E. Stevens, L. A. Koutsky, P. Wolner-Hanssen, and K. K. Holmes. 1996. Hydrogen peroxide-producing lactobacilli and acquisition of vaginal infections. J. Infect. Dis. 174:1058-1063[Medline].
10. Hillier, S. L., M. A. Krohn, S. J. Klebanoff, and D. A. Eschenbach. 1992. The relationship of hydrogen peroxide-producing lactobacilli to bacterial vaginosis and genital microflora in pregnant women. Obstet. Gynecol. 79:369-373[Medline].
11. Johnson, J. L., C. F. Phelps, C. S. Cummins, J. London, and F. Gasser. 1980. Taxonomy of Lactobacillus acidophilus group. Int. J. Syst. Bacteriol. 30:53-68[Abstract/Free Full Text].
12. Kandler, O., and N. Weiss. 1986. Genus Lactobacillus, p. 1209-1234. In P. H. A. Sneath, N. S. Mair, and M. E. Sharp (ed.), Bergey's manual of systematic bacteriology, vol. 2. The Williams & Wilkins Co., Baltimore, Md.
13. Kato, N., C. Y. Ou, H. Kato, S. L. Bartley, V. K. Brown, V. R. Dowell, Jr., and K. Ueno. 1991. Identification of toxigenic Clostridium difficile by the polymerase chain reaction. J. Clin. Microbiol. 29:33-37[Abstract/Free Full Text].
14. Klebanoff, S. J., S. L. Hillier, D. A. Eschenbach, and A. M. Waltersdorph. 1991. Control of the microbial flora of the vagina by H2O2-generating lactobacilli. J. Infect. Dis. 164:94-100[Medline].
15. Nagy, E., L. Petterson, and P. A. Mardh. 1991. Antibiosis between bacteria isolated from the vagina of women with and without signs of bacterial vaginosis. APMIS 99:739-744[Medline].
16. Puapermpoonsiri, S., N. Kato, K. Watanabe, K. Ueno, C. Chongsomchai, and P. Lumbiganon. 1996. Vaginal microflora associated with bacterial vaginosis in Japanese and Thai pregnant women. Clin. Infect. Dis. 23:748-752[Medline].
17. Vandamme, P., B. Pot, M. Gillis, P. De Vos, K. Kersters, and J. Swings. 1996. Polyphasic taxonomy, a consensus approach to bacterial systematics. Microbiol. Rev. 60:407-438[Abstract/Free Full Text].


Journal of Clinical Microbiology, September 1999, p. 3062-3064, Vol. 37, No. 9
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Vitali, B., Pugliese, C., Biagi, E., Candela, M., Turroni, S., Bellen, G., Donders, G. G. G., Brigidi, P. (2007). Dynamics of Vaginal Bacterial Communities in Women Developing Bacterial Vaginosis, Candidiasis, or No Infection, Analyzed by PCR-Denaturing Gradient Gel Electrophoresis and Real-Time PCR. Appl. Environ. Microbiol. 73: 5731-5741 [Abstract] [Full Text]  
  • Falagas, M. E., Betsi, G. I., Athanasiou, S. (2006). Probiotics for prevention of recurrent vulvovaginal candidiasis: a review. J Antimicrob Chemother 58: 266-272 [Abstract] [Full Text]  
  • Boyd, M. A., Antonio, M. A. D., Hillier, S. L. (2005). Comparison of API 50 CH Strips to Whole-Chromosomal DNA Probes for Identification of Lactobacillus Species. J. Clin. Microbiol. 43: 5309-5311 [Abstract] [Full Text]  
  • Martin, R., Olivares, M., Marin, M. L., Fernandez, L., Xaus, J., Rodriguez, J. M. (2005). Probiotic Potential of 3 Lactobacilli Strains Isolated From Breast Milk. J Hum Lact 21: 8-17 [Abstract]  
  • Wilks, M., Wiggins, R., Whiley, A., Hennessy, E., Warwick, S., Porter, H., Corfield, A., Millar, M. (2004). Identification and H2O2 Production of Vaginal Lactobacilli from Pregnant Women at High Risk of Preterm Birth and Relation with Outcome. J. Clin. Microbiol. 42: 713-717 [Abstract] [Full Text]  
  • Rabe, L. K., Hillier, S. L. (2003). Optimization of Media for Detection of Hydrogen Peroxide Production by Lactobacillus Species. J. Clin. Microbiol. 41: 3260-3264 [Abstract] [Full Text]  
  • Antonio, M. A. D., Hillier, S. L. (2003). DNA Fingerprinting of Lactobacilluscrispatus Strain CTV-05 by Repetitive Element Sequence-Based PCR Analysis in a Pilot Study of Vaginal Colonization. J. Clin. Microbiol. 41: 1881-1887 [Abstract] [Full Text]  
  • Vasquez, A., Jakobsson, T., Ahrne, S., Forsum, U., Molin, G. (2002). Vaginal Lactobacillus Flora of Healthy Swedish Women. J. Clin. Microbiol. 40: 2746-2749 [Abstract] [Full Text]  
  • Kilic, A. O., Pavlova, S. I., Alpay, S., Kilic, S. S., Tao, L. (2001). Comparative Study of Vaginal Lactobacillus Phages Isolated from Women in the United States and Turkey: Prevalence, Morphology, Host Range, and DNA Homology. CVI 8: 31-39 [Abstract] [Full Text]  

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Song, Y.-L.
Right arrow Articles by Watanabe, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Song, Y.-L.
Right arrow Articles by Watanabe, K.