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Abstract

Lactobacillus salivarius AR809 is a newly discovered probiotic strain from a healthy human pharynx and has potential ability to adhere to the pharyngeal epithelium and inhibit Staphylococcus aureus (S. aureus)-induced inflammatory response. Pharyngeal spray administration of AR809 exhibited protective effects in a S. aureus-induced mouse model of pharyngitis. The inhibitory effect and underlying molecular mechanism of AR809 on S. aureus-stimulated pharyngitis were further investigated. AR809 significantly increased phagocytosis and bactericidal activity, reduced the production of inflammatory mediators (intracellular reactive oxygen species (ROS), prostaglandin E2 (PGE2), cyclooxygenase-2 (COX-2), nitric oxide (NO), inducible NOS (iNOS)) and the expression of inflammatory cytokines (tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β)), and induced macrophages to adopt the M2 phenotype. AR809 also attenuated S. aureus-induced phosphorylations of protein kinase B (Akt) and rapamycin (mTOR), and elevated the autophagic protein (light chain 3 from II (LC3-II) and Beclin-1) level. Furthermore, AR809 inhibited nuclear transcription factor kappa-B (NF-κB) activation by suppressing the nuclear translocation of NF-κB p65. Likewise, 740Y-P (a PI3K activator) decreased the anti-inflammatory effect of AR809 against S. aureus-induced inflammatory response, while AR809 treatments with wortmannin (a PI3K inhibitor) markedly reversed this inflammatory response. AR809 prevents S. aureus-induced pharyngeal inflammatory response, possibly by regulating TLR/PI3K/Akt/mTOR signalling pathway-related autophagy and TLR/PI3K/Akt/IκB/NF-κB pathway activity, and therefore has potential for use in preventing pharyngitis and other inflammatory diseases.

Research Insights

SupplementHealth OutcomeEffect TypeEffect Size
Lactobacillus SalivariusEnhanced AutophagyBeneficial
Moderate
Lactobacillus SalivariusImproved Pharyngeal HealthBeneficial
Large
Lactobacillus SalivariusReduced Inflammatory ResponseBeneficial
Large
Lactobacillus SalivariusSuppressed NF-κB ActivationBeneficial
Large
Lactobacillus salivarius BLIS K12Enhanced AutophagyBeneficial
Moderate
Lactobacillus salivarius BLIS K12Inhibited NF-κB ActivationBeneficial
Moderate
Lactobacillus salivarius BLIS K12Reduced Inflammatory ResponseBeneficial
Large
Lactobacillus salivarius SD-5208Improved Autophagy RegulationBeneficial
Large
Lactobacillus salivarius SD-5208Improved Immune ResponseBeneficial
Large
Lactobacillus salivarius SD-5208Reduced Inflammatory ResponseBeneficial
Large
Lactobacillus salivarius SD-5851Enhanced AutophagyBeneficial
Moderate
Lactobacillus salivarius SD-5851Reduced Inflammatory ResponseBeneficial
Large
Lactobacillus salivarius SD-5851Reduced Severity of S. aureus-induced PharyngitisBeneficial
Moderate
Lactobacillus salivarius SD-5851Suppressed NF-κB ActivationBeneficial
Large
Lactobacillus salivarius UALs07Increased M2 Macrophage Phenotype AdoptionBeneficial
Moderate
Lactobacillus salivarius UALs07Reduced Immunosuppression in PharyngitisBeneficial
Large
Lactobacillus salivarius UALs07Reduced Inflammatory Cytokines ExpressionBeneficial
Moderate
Lactobacillus salivarius UALs07Reduced Pro-Inflammatory Mediator ProductionBeneficial
Moderate
Lactobacillus salivarius VPro 15Improved Autophagy RegulationBeneficial
Large
Lactobacillus salivarius VPro 15Increased M2 Macrophage Phenotype AdoptionBeneficial
Moderate
Lactobacillus salivarius VPro 15Reduced Proinflammatory MediatorsBeneficial
Large
Lactobacillus salivarius VPro 15Suppressed NF-κB ActivationBeneficial
Large
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