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New Potentially Probiotic Strains Isolated from Humans – Comparison of Properties with Strains from Probiotic Products and ATCC Collection


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Introduction

Strains belonging to the family Lactobacillaceae are classified in the lactic acid bacteria (LAB) group and have been used for years as food additives (Markowiak and Śliżewska 2017; Zawistowska-Rojek and Tyski 2022). Beside, Bifidobacterium strains are also frequently present in probiotic products (Zawistowska-Rojek and Tyski 2022). Live microorganisms that, when given in an appropriate number, have a beneficial effect on the health of the host, as defined by International Scientific Association for Probiotics and Prebiotics (ISAPP) in 2014, are referred to as probiotics (Hill et al. 2014). In accordance with the Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO) guidelines (FAO/WHO 2002), probiotics should also have the following properties: resistance to low pH in the stomach, resistance to bile acids, adhesion to mucus and human epithelial cells and cell lines, antagonistic activity towards potentially pathogenic bacteria, the ability to limit the adhesion of pathogens to cell surfaces, and bile salt hydrolase activity. Moreover, they should be isolated from humans or animals.

Probiotics which are part of medicines, dietary supplements and fermented foods, are often used during antibiotic therapy to prevent diarrhoea associated with the consumption of antibiotics by normalising intestinal microbiota (Blaabjerg et al. 2017; Zawistowska-Rojek and Tyski 2022). Microorganisms used in food or drugs should have the Generally Recognized as Safe (GRAS) or Qualified Presumption of Safety (QPS) status (FAO/WHO 2002; Markowiak and Śliżewska 2017, Zawistowska-Rojek et al. 2022a). When analysing the safety of a microbial strain, particular attention should be paid to the lack of genes encoding the proteins responsible for resistance to antibiotics, which are located in mobile genetic elements, e.g., plasmids and transposons (Zawistowska-Rojek and Tyski 2018; Colautti et al. 2022).

Probiotic microorganisms produce several substances, e.g., short-chain fatty acids (SCFA) (acetic, propionic, butyric and lactic acid), hydrogen peroxide, bacteriocins, and deconjugated bile acids, which inhibit the growth of other microorganisms. The SCFAs maintain a low pH in the intestinal lumen; bacteriocins, on the other hand, increase cell membrane permeability, leading to cell death (Kerry et al. 2018; Zawistowska-Rojek and Tyski 2022). They also show bactericidal or bacteriostatic activity towards closely related species and other types of bacteria (Hernandez-Gonzalez et al. 2021). Probiotic bacteria exhibit antagonistic action towards numerous bacterial pathogens of the gastrointestinal tract, such as Salmonella enterica, Shigella sonnei, enteropathogenic strains of Escherichia coli, Staphylococcus aureus, Campylobacter jejuni and Clostridioides difficile. They hinder the adhesion of pathogens to the intestinal mucosa as a result of receptor binding competition and inhibit their multiplication through competition for nutrients (Markowiak and Śliżewska 2017; Kerry et al. 2018).

Some of the bacteriocins produced by lactic acid bacteria have inhibitory effects on the growth of closely related microorganisms: lactocycline Q produced by Lactococcus sp. OU12 may inhibit the growth of Lactococcus lactis, Lactobacillus spp., Bacillus and Enterococcus; plantaricin LpU4 produced by the strain Lactiplantibacillus paraplantarum LpU4 inhibits the growth of strains Lactiplantibacillus plantarum, L. lactis, Enterococcus faecalis and Enterococcus faecium (Trejo-Gonzalez et al. 2021); plantaricin JLA-9 produced by L. plantarum JLA-9 inhibits the growth of strains belonging to the Bacillus spp. genus, while fermenticin HV6b produced by Limosilactobacillus fermentum HV6b may inhibit the growth of E. faecalis (Darbandi et al. 2021).

Lactobacillaceae are also characterised by the ability to auto-aggregation. This characteristic is associated with, i.a., exopolysaccharides located on the surface of cells, which can play an essential role in the strength and speed of cell interaction. In addition, it is suggested that the shape of the bacterial cell is also vital for aggregation; longer cells, due to their larger surface area, are characterised by more significant aggregation. Thanks to this, lactic acid bacterial cells can remain in the host’s gastrointestinal tract for a long time (Rajab et al. 2020; Zawistowska-Rojek et al. 2022b). According to some researchers, bacterial auto-aggregation is correlates with these bacteria’s ability to adhere to and colonise the gastrointestinal tract (Hojjati et al. 2020).

The current research aimed to search for new potentially probiotic bacteria and to compare the basic probiotic properties (e.g., survival at low pH, survival in a bile salt environment, antibiotic susceptibility, and the aggregation or growth inhibition of both pathogenic and closely related microorganisms) of bacteria isolated from probiotic products, yoghurts and from clinical material with the properties of probiotic bacteria from the ATCC collection. In addition, the genetic relationship between Lactobacillaceae strains was determined.

Materials and Methods

Bacterial strains. Twenty-four Lactobacillaceae strains used in the study were isolated from various probiotic products available on the Polish market (dietary supplements, food for special medical purposes, medical devices, yoghurts) (Table I). Each probiotic product tested (Probiotic 1–16 and Yoghurt 1–4) was a unique sample; several packages of the same batch or several batches of the same product were not tested. Fifteen strains of Lactobacillaceae isolated from clinical material were analysed (cervix or anus swabs of healthy women). Strains were obtained from the collection of the Department of Pharmaceutical Microbiology of the Medical University of Warsaw (Table II). In addition, Lactobacillus acidophilus ATCC® 4356, Lacticaseibacillus rhamnosus GG ATCC® 53103, and Lactiplantibacillus plantarum ATCC® 14917 were used as reference strains. All strains were identified using API 50 CHL biochemical tests (bioMérieux, France) or MALDI-TOF MS (Brucker System in ALAB Laboratories, Poland). Strains of lactic acid bacteria were cultured in De Man, Rogosa and Sharpe (MRS-Agar, Merck Millipore, Germany) agar in an atmosphere of 5% CO2 at 37°C for 48–72 h.

Lactobacillaceae strains derived from probiotic products.

Source of isolation Lactobacillaceae species declared by the manufacturer Lactobacillaceae species identified by API/MALDI-TOF MS Strain
Dietary supplement L. acidophilus L. acidophilus Probiotic 1
Dietary supplement L. acidophilusL. rhamnosusL. casei L. acidophilusL. rhamnosus Probiotic 2
Dietary supplement L. acidophilus L. acidophilus* Probiotic 3
Dietary supplement L. acidophilus L. acidophilus Probiotic 4
Food for special medical purposes L. acidophilusL. delbrueckii subsp.bulgaricus L. acidophilus Probiotic 5
Dietary supplement L. acidophilusL. paracasei L. acidophilus Probiotic 6
Dietary supplement L. caseiL. acidophilus L. caseiL. acidophilus Probiotic 7
Dietary supplement L. acidophilus L. ultunensis* Probiotic 8
Dietary supplement L. rhamnosus L. rhamnosus* Probiotic 9
Food for special medical purposes L. rhamnosus L. rhamnosus* Probiotic 10
Food for special medical purposes L. rhamnosus L. rhamnosus* Probiotic 11
Medical device L. rhamnosus L. rhamnosus Probiotic 12
Dietary supplement L. rhamnosus L. rhamnosus Probiotic 13
Dietary supplement L. rhamnosusL. plantarum L. rhamnosus Probiotic 14
Dietary supplement L. fermentumL. gasseriL. plantarumL. rhamnosus L. plantarum Probiotic 15
Dietary supplement L. plantarum L. plantarum* Probiotic 16
Yoghurt L. acidophilusL. casei L. acidophilusL. casei Yoghurt 1
Yoghurt L. acidophilusL. casei L. acidophilusL. casei Yoghurt 2
Yoghurt L. acidophilusL. paracasei L. rhamnosus Yoghurt 3
Yoghurt L. casei L. casei Yoghurt 4

* – strains identified by MALDI-TOF MS (ALAB Laboratory, Warsaw, Poland)

Lactobacillaceae strains isolated from clinical material.

Source of isolation Lactobacillaceae strains identified by API/MALDI-TOF MS Strain
L. acidophilus* Clinical 1.1
L. acidophilus Clinical 2.1
L. acidophilus Clinical 14.1
Cervical swabs L. acidophilus Clinical 16.2
L. acidophilus Clinical 18.1
L. acidophilus Clinical 20.3
L. gasseri* Clinical 12.1
L. rhamnosus* Clinical 3.1
Rectal swabs L. rhamnosus* Clinical 1645
L. casei Clinical 9.2
Cervical swabs L. paracasei Clinical 4
L. paracasei Clinical 5.2
Rectal swabs L. plantarum* Clinical 1876
L. plantarum Clinical 1844
Cervical swabs L. plantarum* Clinical 5.1

* – strains identified by MALDI-TOF MS (ALAB Laboratory, Warsaw, Poland)

In the study, 132 strains of potentially pathogenic bacteria from the collection of the Department of Pharmaceutical Microbiology of the Medical University of Warsaw and belonging to the following species: E. coli (n = 11), Klebsiella pneumoniae (n = 12), Proteus mirabilis (n = 10), Serratia marcescens (n = 10), Enterobacter cloaceae (n = 10), Pseudomonas aeruginosa (n = 11), Acinetobacter baumannii (n = 11), Stenotrophomonas maltophilia (n = 12), E. faecalis (n = 15), S. aureus (n = 17) and Staphylococcus epidermidis (n = 13), were used. The strains were identified using the VITEK (bioMérieux, France) system. Potentially pathogenic bacteria were cultured on Tryptic Soy Agar (TSA; Merck Millipore, Germany) at 37°C for 24 h.

All strains were stored in Microbank beads (Pro-Lab Diagnostics, Canada) in a deep freeze at < –70°C.

Pulsed field gel electrophoresis (PFGE). Agarose discs containing the DNA of Lactobacillaceae strains were prepared based on the methodology presented by Gosiewski et al. (2012) and Domingo-Lopes et al. (2017), with some modifications.

SmaI (5’-CCC^GGG-3’) (Thermo Fischer Scientific, USA) and ApaI (5’-GGGCC^C-3’) (Thermo Fischer Scientific, USA) endonuclease were used to differentiate the strains. Digestion was conducted at a temperature of 30°C (SmaI) or 37°C (ApaI) for 16–18 h. Then, electrophoretic separation was performed in the CHEFF III (Bio-Rad, USA) apparatus in 1% agarose (Pulsed Field Certified Agarose, Bio-Rad, USA) gel in 0.5 × TBE under conditions suitable for the strains (Table III). Lambda PFG Ladder (New England Bio-Labs, USA) was used as a molecular weight marker.

Pulsed field gel electrophoresis (PFGE) parameters.

Genus Time Temperature Voltage Pulse length
Lactobacillus 22 h 14°C 6 V 1–6 s
Lacticaseibacillus 22 h 14°C 5 V 1–15 s
Lactiplantibacillus 20.5 h 14°C 5.5 V 1–10 s

The gels were stained in an ethidium bromide 5 μg/ml solution (Sigma-Aldrich, USA). Dendrograms were prepared using the Unweighted Pair Group Method with Aritmetic Mean (UPGMA) method using the GelCompar II 6.6 (Applied Maths, Belgium) program.

Antagonistic activity. The antagonism test of Lactobacillaceae strains towards pathogenic bacteria and closely related bacteria was evaluated using the agar slab method (Ślizewska et al. 2021) on MRS agar.

One ml of lactic acid bacteria suspension (108 CFU/ml) was introduced to the MRS agar and incubated at a temperature of 37°C for 24 h in an atmosphere of 5% CO2. Then, 9 mm diameter agar slabs were cut and put on TSA containing pathogenic bacterial strains (106 CFU/ml). Plates were incubated for 24 h under aerobic conditions, and then growth inhibition zones of pathogenic strains were measured. The antagonism test was performed against 87 Gram-negative bacterial strains from eight species and 45 Gram-positive strains from three species; all tests were performed in triplicate.

To determine clinical isolates auto-antagonism (antagonism to closely related species) (Table II) to probiotic isolates (Table I), 1 ml of Lactobacillaceae strains (108 CFU/ml), isolated from the clinical material, was introduced to the MRS agar medium and then incubated at 37°C for 24 h in an atmosphere of 5% CO2. Subsequently, 9 mm diameter agar slabs were cut out and applied on MRS agar containing Lactobacillaceae isolated from probiotic products (106 CFU/ml). The plates were incubated for 24 h in a 5% CO2 environment, and then the growth inhibition zones of probiotic strains were measured. All tests were performed in triplicate.

Survival of Lactobacillaceae strains at low pH. Lactobacillaceae strains were grown in MRS broth with a pH of 2.0 and 3.0, acidified with 1 M HCl solution. One ml suspension of Lactobacillaceae strains at a density of approximately 108 CFU/ml was added to MRS broth of a suitable acidic pH (2.0 or 3.0), and to MRS broth (pH 6.4) as a control and then incubated in an environment of 5% CO2 at 37°C. After 1 h and 2 h of incubation, decimal dilutions were prepared and 1 ml of suspension was inoculated on MRS Agar. After incubation of the plates in an environment of 5% CO2 at 37°C for 72 h, the number of Lactobacillaceae colonies was counted.

Survival of Lactobacillaceae strains in a presence of bile salt. One hundred μl of the 18–24 h bacterial culture of Lactobacillaceae strains in MRS broth was transferred to MRS broth containing 0.3% bile salt (Oxgall, Difco) (MRSO) and to MRS broth without bile (control), based on the methodology of Liu et al. (2022) with modifications. They were incubated at 37°C in a 5% CO2 for 6 h. Absorbance at 620 nm was measured after the incubation of the MRS broth (A620 MRS Broth) and of the MRS broth with the addition of bile salt (A620 MRSO). The bacterial growth inhibition factor in the bile salt environment (Ch) was calculated using the formula:

C h = A 620 M R S  Broth  A 620 M R S O A 620 M R S  Broth  $$C h=\frac{A_{620} M R S \text { Broth }-A_{620} M R S O}{A_{620} M R S \text { Broth }}$$

Auto-aggregation test. Auto-aggregation analysis was performed following Kos et al. (2003) and Zawistowska-Rojek et al. (2022b) with modifications. Lactobacillaceae strains were cultured for 20 h in MRS broth in an environment of 5% CO2 at 37°C. The bacteria were centrifuged (5,000 × g, 20 min) and washed twice in Phosphate Buffered Saline (PBS; Gibco, Thermo Fisher Scientific, USA). The precipitate was suspended in PBS to standardise the density of the bacterial suspension to 0.25 ± 0.05 at 600 nm (A600). The suspension (4 ml) was vortexed and then incubated for 24 h at 37°C, after which the absorbance was measured again at 600 nm (A24h). Auto-aggregation was expressed by the equation:

 Auto   aggregation  ( % ) = 1 A 24 h A 600 × 100 $$\text { Auto }-\text { aggregation }(\text%)=\left[1-\left(\frac{A_{24 h}}{A_{600}}\right) \times 100\right]$$

Antibiotic susceptibility testing. Antibiotic susceptibility testing of Lactobacillaceae strains was performed in accordance with the tests carried out by Kang et al. (2020) and the guidelines of the European Food Safety Authority (EFSA 2018) with modifications. Using an 18–24 h bacterial culture of the Lactobacillaceae strains, a bacterial suspension was prepared in 0.9% NaCl with a 5 × 105 CFU/ ml density. The minimum inhibitory concentration (MIC) value for the selected antibiotics and chemotherapeutic agents was determined using MRS broth; the plates were incubated for 48 h at 37°C in an atmosphere of 5% CO2. The following antibiotics were used in the study: erythromycin, clindamycin, vancomycin, chloramphenicol, ampicillin, tetracycline, cefotaxime, ceftazidime and ceftriaxone at concentrations from 0.06 mg/l to 256 (or 512) mg/l. The interpretation of the results for ampicillin, vancomycin, erythromycin, clindamycin, tetracycline, chloramphenicol, and imipenem was carried out in accordance with the EFSA Guidelines (EFSA 2018) and the European Committee on Antimicrobial Susceptibility Testing (EUCAST 2021). For the other antibiotics – cefotaxime, ceftazidime and ceftriaxone, there are no antibiotic susceptibility guidelines for the Lactobacillacae family; therefore, only the minimum inhibitory concentration (MIC) is presented.

Statistical analysis. All presented results are expressed as three independent experiments’ mean and standard deviation. A one-way analysis of variance (single-factor ANOVA) was performed, followed by Tukey’s post-hoc test for multiple comparisons. For results that did not show a normal distribution, a non-parametric Kruskal-Wallis test was used, followed by a pairwise comparison. Values of p < 0.05 were considered significant. Statistical analysis was performed using SPSS software (version 28.0.1.0, IBM, USA).

Results

Pulsed Field Gel Electrophoresis (PFGE). The PFGE analysis of 42 Lactobacillaceae strains resulted in 40 different pulsotypes (16 for bacteria of the Lactobacillus, 18 for Lacticaseibacillus, and 6 for Lactiplantibacillus) after application of the SmaI enzyme, and 41 profiles after application of the ApaI enzyme (Fig. 1–3). L. acidophilus isolated from Probiotic 1 and Probiotic 2 has a 100% (SmaI) compliant genetic profile, as do bacteria of the same species derived from Probiotic 3 and Yoghurt 1. Using the ApaI enzyme, 100% compliance was observed for L. acidophilus strains isolated from Yoghurt 1 and Yoghurt 2. A very high percentage of similarity can be observed between some analysed strains belonging to the same species, e.g., strains of Lactobacillus sp. derived from Probiotic 1, 2, 3 as well as from Yoghurt 1 and 2, which show similarity at the level of 98.5% (SmaI enzyme digestion), and 96.3% (ApaI digestion); while strains from Probiotic 7 and 8 demonstrate a similarity of 98% (SmaI) and 93% (ApaI). None of the analysed probiotic and clinical strains showed a similarity above 90% to the reference strain L. acidophilus ATCC® 4356 (Fig. 1). A high level of similarity can also be observed for strains of Lacticaseibacillus (Fig. 2). The strain isolated from Probiotic 9 shows a 99% (SmaI)/95% (ApaI) similarity to the reference strain L. rhamnosus ATCC® 53103; a relative level of similarity can be observed between strains from Probiotic 10 and Probiotic 11. All four described strains show a similarity of 97% (SmaI).

Fig.1

PFGE analysis of bacteria of Lactobacillus sp. The dendrogram shows the percentage similarity of PFGE profiles after DNA digestion with two enzymes: A – SmaI, B – ApaI.

Fig. 2

PFGE analysis of bacteria of Lacticaseibacillus sp. The dendrogram shows the percentage similarity of PFGE profiles after DNA digestion with two enzymes: A – SmaI, B – ApaI.

Fig. 3

PFGE analysis of bacteria of Lactiplantibacillus sp. The dendrogram shows the percentage similarity of PFGE profiles after DNA digestion with two enzymes: A – SmaI, B –ApaI.

For the bacteria of Lactiplantibacillus (Fig. 3), a substantial percentage of similarity was observed between the strain from Probiotic 15 and the reference strain L. plantarum ATCC® 14917 – 99.2% (ApaI) and 95% (SmaI). Clinical strains 1876 and 1844 were also closely related – 99.6% (ApaI) and 96% (SmaI). The most minor degree of similarity and the most remarkable differences between the enzymes used were observed for the clinical strain 5.1; the similarity to the other strains is less than 81% (SmaI), and only 43% for the ApaI enzyme. It can also be observed that strains of the Lactobacillus sp. – Clinical 1.1, 18.1, and 20.3 were not closely related to any of the analysed strains derived from probiotic products (similarity, 83.5%), just like the strains Lacticaseibacillus – Clinical 4 and 5.2 (84.8%).

Antagonistic activity. The tested Lactobacillaceae strains were characterised by a different level of antagonism against pathogenic bacteria (Table IV), depending on the type of lactic acid bacteria and the species of pathogenic bacteria. The weakest antagonistic properties for all tested pathogenic species were shown by bacteria of the Lactobacillus sp. (statistically significant differences compared to the genera of Lacticaseibacillus and Lactiplantibacillus, p < 0.05). Most of the tested strains were characterised by a low level of growth inhibition (mean zone of growth inhibition 10–15 mm) or no growth inhibition (< 10 mm). Only three strains of L. acidophilus (two from probiotic products and one clinical isolate) showed a strong growth inhibition (16–22 mm) concerning E. faecalis strains. However, no statistically significant difference was observed compared to L. acidophilus ATCC® 4356 reference strain. Some of the tested strains derived from probiotic products (Probiotic 5 and 6) and isolated from clinical material (Clinical 2.1, 14.1, 20.3, 12.3), compared to the reference strain L. acidophilus ATCC® 4356, inhibited the growth of E. cloaceae strains to a lower degree (p < 0.05). In turn, Probiotic 7.1 and Clinical 1.1 strains were characterised by a more substantial antagonistic effect towards S. epidermidis than the reference strain. There were no statistically significant differences in the inhibition of pathogenic bacteria growth by Lacticaseibacillus and Lactiplantibacillus strains (p > 0.05). Most of the tested strains of the given genus weakly inhibited the growth of the pathogenic strains (10–15 mm). Lacticaseibacillus bacteria most strongly inhibited the growth of E. faecalis (strong and very strong antagonism). Strong inhibition of S. maltophilia growth was also observed. The L. rhamnosus strain isolated from clinical material (Clinical 3.1) showed a weaker antagonistic effect towards the majority of pathogenic microorganisms tested compared to the reference strain.

Antagonism of Lactobacillaceae strains towards strains of pathogenic species (n = 132).

L. rhamnosus ATCC® 53103 (p < 0.05). Lactiplantibacillus isolates strongly inhibited the growth of P. aeruginosa, S. maltophilia, and E. faecalis. The clinical strain L. plantarum 1844 showed practically no antagonism towards pathogenic microorganisms (growth inhibition zones from 9 to 10.7 mm); its effect was also weaker than the reference strain L. plantarum ATCC® 14917. The weakest inhibitory effect of Lactobacillaceae strains was towards P. mirabilis (weak or no inhibition).

It was also examined whether clinical Lactobacillaceae isolates inhibit the growth of closely related bacteria derived from probiotic products (Fig. 4). The clinical strains of L. acidophilus (n = 6) inhibited all potentially probiotic strains to a weak or strong degree. The clinical strains of L. acidophilus and L. rhamnosus (n = 2) inhibited probiotic bacteria of the Lactobacillus sp. the most, while the weakest – strains of Lactiplantibacillus sp. (p < 0.05). The clinical isolates of L. plantarum (n = 3) inhibited Lactobacillus sp. strains more strongly compared to Lactiplantibacillus sp. (p < 0.05). In turn, no statistically significant differences between the tested types of potentially probiotic bacteria were observed in the antagonistic effect toward the clinical strains of Lacticaseibacillus paracasei (n = 2).

Fig. 4

A, B. Auto-antagonism of clinical Lactobacillaceae isolates towards Lactobacillaceae isolated from probiotic products. The mean growth inhibition zone (mm) ± standard deviation. The test was performed in triplicate.

* – reference strains from ATCC collection: L. acidophilus ATCC® 4356™, L. rhamnosus GG ATCC® 53103™, L. plantarum ATCC® 14917™

Survival of Lactobacillaceae strains at low pH. In most of the tested strains, both those derived from probiotic products and clinical isolates, a significant reduction in growth was observed in pH 2.0 after 1 and 2 hours of incubation (Table V). The reduction of 5–7 log in the number of bacteria after 2 h incubation was observed. After incubation of LAB bacteria at pH 3.0, 30% to almost 100% of the bacteria were alive except for the clinical strain L. paracasei 4, whose only 1% of the population survived. Most Lactobacillus sp. strains survived in higher numbers in pH 3.0 after 2 h incubation than the reference strain L. acidophilus ATCC® 4356. In turn, the tested L. rhamnosus and L. plantarum strains survived at a similar level to the reference strains of the same species. The exception was the clinical strain L. plantarum 1844, whose survived in pH 3.0 in lower numbers than the reference strain (p < 0.05).

Survival in a low pH, in presence of bile salt, and auto-aggregation Lactobacillaceae strains.

Genus Species Strain Survivability in an acid environment Growth inhibition coefficient Auto-aggregation
Control pH 2.0 pH 3.0 0.3% bile salts 24 h
1 h 2 h 2 h
log CFU/ml log CFU/ml % log CFU/ml % log CFU/ml %
Lactobacillus L. acidophilus ATCC® 4356™ 7.05 ± 0.1 0.59 ± 0.11 < 0.01 no growth nd 6.57 ± 1.00 33.6ab 0.28 ± 0.09abcd 67.85% ± 4.70cdefg
L. acidophilus Probiotic 1 6.40 ± 0.52 4.44 ± 1.75 6.4 2.95 ± 2.62 0.6 6.24 ± 0.54 69.5cd 0.20 ± 0.04bcdef 59.21% ± 1.83abc
L. acidophilus Probiotic 2.1 6.18 ± 0.40 5.20 ± 0.78 13.9 1.97 ± 2.31 0.4 6.09 ± 0.36 81.9cde 0.22 ± 0.03bcdef 79.05% ± 6.48h
L. acidophilus Probiotic 3 8.03 ± 0.35 3.70 ± 0.33 < 0.01 0.79 ± 1.36 < 0.01 7.96 ± 0.31 86.4cde 0.32 ± 0.07abc 49.73% ± 3.38a
L. acidophilus Probiotic 4 6.39 ± 1.19 2.24 ± 1.27 0.3 0.67 ± 0.65 < 0.01 6.33 ± 1.19 87.4de 0.41 ± 0.09a 60.95% ± 3.36bcd
L. acidophilus Probiotic 5 6.15 ± 1.12 4.36 ± 1.11 2.6 2.56 ± 0.90 0.1 6.01 ± 1.09 72.7cd 0.16 ± 0.07cdef 65.58% ± 0.89cdef
L. acidophilus Probiotic 6 7.05 ± 1.56 3.77 ± 1.55 13.3 1.04 ± 0.92 < 0.01 7.03 ± 1.53 95.9e 0.28 ± 0.05abcd 82.78% ± 0.72j
L. acidophilus Probiotic 7.1 6.16 ± 0.71 1.61 ± 0.26 < 0.01 1.18 ± 0.14 < 0.01 6.04 ± 0.72 75.9cd 0.37 ± 0.01ab 72.73% ± 3.92efgh
L. ultunensis Probiotic 8 7.04 ± 0.15 4.38 ± 0.78 0.6 0.39 ± 0.26 < 0.01 6.94 ± 0.16 80.4cde 0.25 ± 0.01abcde 75.04% ± 1.29fgh
L. acidophilus Clinical 1.1 8.11 ± 0.16 1.31 ± 1.87 < 0.01 no growth nd 7.99 ± 0.20 77.0cde 0.06 ± 0.03f 63.56% ± 5.25cde
L. acidophilus Clinical 2.1 7.83 ± 0.05 0.06 ± 0.10 < 0.01 0.77 ± 0.008 < 0.01 7.75 ± 0.04 82.7cde 0.06 ± 0.02f 71.04% ± 1.96defgh
L. acidophilus Clinical 14.1 7.41 ± 0.03 2.91 ± 0.60 < 0.01 no growth nd 7.29 ± 0.01 75.3cd 0.12 ± 0.05def 52.34% ± 1.61ab
L. acidophilus Clinical 16.2 6.01 ± 0.97 3.34 ± 1.03 0.6 1.00 ± 1.73 0.1 5.90 ± 0.99 76.9cde 0.14 ± 0.08cdef 67.73% ± 3.39cdefg
L. acidophilus Clinical 18.1 6.94 ± 0.49 0.53 ± 0.50 < 0.01 0.76 ± 0.85 < 0.01 6.62 ± 0.55 47.6b 0.08 ± 0.07ef 80.77% ± 1.24i
L. acidophilus Clinical 20.3 7.21 ± 0.82 3.89 ± 1.80 1.6 no growth nd 6.61 ± 0.65 26.3a 0.18 ± 0.09cdef 69.11% ± 3.12cdefgh
L. gasseri Clinical 12.1 7.02 ± 0.20 5.53 ± 0.50 3.8 5.09 ± 0.15 1.2 7.00 ± 0.16 96.4e 0.12 ± 0.10def 77.04% ± 6.28gh
L. acidophilus Yoghurt 1.1 7.37 ± 0.97 4.52 ± 1.42 13.4 1.77 ± 2.04 0.1 7.26 ± 1.01 78.7cde 0.07 ± 0.01ef 51.78% ± 2.40ab
L. acidophilus Yoghurt 2.1 6.24 ± 0.54 3.33 ± 2.49 3.8 1.46 ± 1.40 < 0.01 6.07 ± 0.51 67.4c 0.07 ± 0.02ef 85.17% ± 0.15k
Lacticaseibacillus L. rhamnosus ATCC® 53103™ 5.65 ± 0.34 No growth nd No growth nd 5.56 ± 0.30 81.3defgh 0.15 ± 0.05abcd 81.54% ± 6.25a
L. rhamnosus Probiotic 9 7.23 ± 0.33 1.91 ± 0.76 < 0.01 0.36 ± 0.62 < 0.01 7.20 ± 0.35 94.8h 0.17 ± 0.07abcd 86.93% ± 3.89a
L. rhamnosus Probiotic 10 7.76 ± 0.14 No growth nd No growth nd 7.64 ± 0.12 76.8defgh 0.33 ± 0.10def 87.31% ± 5.28a
L. rhamnosus Probiotic 11 7.21 ± 0.36 0.61 ± 0.81 < 0.01 No growth < 0.01 7.12 ± 0.37 81.7fgh 0.18 ± 0.07abcd 66.08% ± 1.36b
L. rhamnosus Probiotic 12 7.11 ± 0.58 0.77 ± 0.68 < 0.01 0.10 ± 0.17 < 0.01 7.06 ± 0.61 89.0fgh 0.22 ± 0.02abcd 47.92% ± 2.73def
L. rhamnosus Probiotic 2.2 7.84 ± 0.05 2.14 ± 0.59 < 0.01 0.10 ± 0.17 < 0.01 7.69 ± 0.03 70.9cdef 0.48 ± 0.07f 63.49% ± 2.05bc
L. rhamnosus Probiotic 13 7.94 ± 0.09 0.75 ± 0.65 < 0.01 No growth nd 7.81 ± 0.11 73.7defg 0.21 ± 0.01abcd 59.84% ± 2.50bc
L. rhamnosus Probiotic 14 7.70 ± 0.11 1.71 ± 0.60 < 0.01 0.42 ± 0.49 < 0.01 7.62 ± 0.10 83.1defgh 0.32 ± 0.09cdef 86.56% ± 1.58a
L. rhamnosus Clinical 3.1 7.48 ± 0.22 0.33 ± 0.58 < 0.01 No growth nd 7.44 ± 0.24 90.9defgh 0.21 ± 0.05abcd 64.70% ± 4.68b
L. rhamnosus Clinical 1645 7.44 ± 0.14 1.66 ± 0.03 < 0.01 0.85 ± 0.93 < 0.01 7.40 ± 0.16 89.9gh 0.24 ± 0.09bcde 57.14% ± 1.99bcd
L. rhamnosus Yoghurt 3 7.32 ± 0.06 2.77 ± 0.15 < 0.01 No growth nd 7.24 ± 0.10 83.4fgh 0.14 ± 0.01abc 89.36% ± 3.53g
L. casei Probiotic 7.2 7.73 ± 0.04 1.61 ± 1.46 < 0.01 0.18 ± 0.31 < 0.01 7.68 ± 0.05 88.0b 0.12 ± 0.08ab 47.29% ± 2.78def
L. casei Yoghurt 2.2 7.95 ± 0.20 1.05 ± 1.82 < 0.01 No growth nd 7.67 ± 0.17 52.7defgh 0.17 ± 0.04abcd 47.21% ± 1.25def
L. casei Yoghurt 1.2 7.97 ± 0.26 1.98 ± 1.85 < 0.01 0.57 ± 0.68 < 0.01 7.78 ± 0.25 64.8efgh 0.32 ± 0.08cdef 42.15% ± 4.76ef
L. casei Yoghurt 4 7.52 ± 0.61 1.09 ± 0.67 < 0.01 No growth < 0.01 7.45 ± 0.63 86.4bc 0.14 ± 0.03abcd 39.88% ± 3.88f
L. casei Clinical 9.2 7.27 ± 0.44 5.09 ± 1.37 2.1 1.77 ± 1.56 < 0.01 6.97 ± 0.38 50.4a 0.05 ± 0.06a 77.29% ± 3.43a
L. paracasei Clinical 4 7.42 ± 0.39 No growth nd No growth nd 5.08 ± 0.52 0.7bcde 0.41 ± 0.05ef 65.16% ± 2.57b
L. paracasei Clinical 5.2 8.12 ± 0.75 No growth nd No growth nd 7.95 ± 0.76 67.7bcd 0.28 ± 0.00bcde 52.85% ± 3.85cde
Lactiplantibacillus L. plantarum ATCC® 14917™ 6.96 ± 1.22 1.00 ± 1.73 < 0.01 No growth nd 6.91 ± 1.18 91.0a 0.14 ± 0.04a 59.80% ± 1.63a
L. plantarum Probiotic 15 6.79 ± 0.18 1.65 ± 0.13 < 0.01 0.26 ± 0.24 < 0.01 6.72 ± 0.14 85.7a 0.14 ± 0.02a 37.23% ± 1.75c
L. plantarum Probiotic 16 7.87 ± 0.30 0.38 ± 0.66 < 0.01 0.20 ± 0.35 < 0.01 7.85 ± 0.29 93.9a 0.24 ± 0.05a 52.77% ± 3.41ab
L. plantarum Clinical 1876 7.89 ± 0.31 2.17 ± 0.28 < 0.01 0.85 ± 1.47 < 0.01 7.84 ± 0.32 89.5a 0.13 ± 0.02a 57.17% ± 2.46ab
L. plantarum Clinical 1844 7.64 ± 0.36 2.67 ± 0.16 < 0.01 No growth nd 7.44 ± 0.40 62.1b 0.42 ± 0.05b 39.86% ± 5.04c
L. plantarum Clinical 5.1 7.62 ± 0.14 0.10 ± 0.17 < 0.01 0.10 ± 0.17 < 0.01 7.60 ± 0.15 95.2a 0.15 ± 0.08a 50.70% ± 2.16b

Mean value ± standard deviation.

Letter symbols in the same column for a given microbial family indicate statistically significant differences (p < 0.05).

nd – no data

Survival of Lactobacillaceae strains in the presence of bile salt. All 42 tested strains were characterised by a growth inhibition coefficient below 0.5 (Table V). Lactobacillus strains from probiotic products were less tolerant to bile salts present in the medium (the value of the growth inhibition coefficient ranged from 0.07 to 0.41) compared to clinical isolates of this genus (growth inhibition coefficient in the range of 0.06–0.18). The clinical strains 1.1, 2.1, 18.1 and strains 1.1 and 2.1 isolated from yoghurts had a growth inhibition coefficient lower than the reference strain L. acidophilus ATCC® 4356, at a statistically significant level (p < 0.05). For Lacticaseibacillus strains, significant differences in the growth inhibition coefficient were also observed, depending on the strain tested. The lowest coefficient was shown by the Lacticaseibacillus casei Clinical 9.2 strain (0.05), while the lowest tolerance to the prevailing conditions was demonstrated by the L. rhamnosus Probiotic 2.2 strain (0.48). The Probiotic 2.2 strain isolated from the dietary supplement and the clinical strain Clinical 4 were characterised by a significantly higher value (statistically significant, p < 0.05) of the growth inhibition coefficient compared to the reference strain L. rhamnosus ATCC® 53103. Most Lactiplantibacillus strains had a growth inhibition coefficient in the range of 0.13–0.24 (statistically insignificant differences, p > 0.05). The exception was the L. plantarum Clinical 1844 strain, whose coefficient was 0.42 and significantly higher (p < 0.05) than the coefficient of the reference strain of L. plantarum ATCC® 14917.

Fig. 4

C, D. Auto-antagonism of clinical Lactobacillaceae isolates towards Lactobacillaceae isolated from probiotic products. The mean growth inhibition zone (mm) ± standard deviation. The test was performed in triplicate.

* – reference strains from ATCC collection: L. acidophilus ATCC® 4356™, L. rhamnosus GG ATCC® 53103™, L. plantarum ATCC® 14917™

Auto-aggregation. Lactobacillaceae strains auto-aggregated, which varied depending on the strain tested (Table V). Auto-aggregation values after 24 h incubation ranged from 37% for the strain of L. plantarum isolated from the probiotic product to 89% for L. rhamnosus strain derived from yoghurt. The auto-aggregation values ranged from 50–85%, and 52–81% for Lactobacillus sp. strains from probiotic products and clinical isolates. The three tested strains of L. acidophilus (Probiotic 3, Clinical 14.1, and Yoghurt 1.1) had an auto-aggregation value significantly lower (p < 0.05) than the reference strain L. acidophilus ATCC® 4356.The strains of Probiotic 6 and Yoghurt 2.2 achieved a significantly higher value of this parameter (p < 0.05). Probiotic L. rhamnosus strains reached an auto-aggregation value of 48–89%, while clinical isolates from this species achieved 57–65%. Probiotic 2.2, 11, 12, 13, isolated from probiotic products, and clinical isolates Clinical 3.1 and 1645 had auto-aggregation values significantly lower (p < 0.05) than that reference strain L. rhamnosus ATCC® 53103. L. casei strains from probiotic products presented significantly lower values of auto-aggregation (40–47%) as was also observed for Lactiplantibacillus strains (40–60%). Probiotic 15, Clinical 1844, and Clinical 5.1 had lower values of auto-aggregation compared to the reference strain L. plantarum ATCC® 14917™ (p < 0.05).

Antibiotic susceptibility. The drug susceptibility to antibiotics and chemotherapeutic agents was determined (Table VI). Lactobacillaceae strains possessed different sensitivity to antibiotics depending on the type of bacteria and the strain. L. rhamnosus strain isolated from the medical device (Probiotic 12) was resistant to clindamycin and erythromycin. In addition, both strains of L. paracasei and L. plantarum Clinical 1876 were resistant to erythromycin. Resistance to imipenem was also observed for all Lacticaseibacillus strains, four out of six (67%) strains of Lactiplantibacillus genus and four out of 18 (22%) strains of Lactobacillus. In addition, most strains of Lacticaseibacillus (94%) and Lactiplantibacillus (83%) were resistant to vancomycin.

Antibiotic susceptibility of Lactobacillaceae strains.

Genus Species Strain Antibiotic MIC mg/l
VA E TET CHL AMP CC CTX CAZ CRO IMP
Lactobacillus L. acidophilus ATCC® 4356™ 0.5 0.5 4 4 < 0.25 1 < 0.5 < 0.5 4 4
L. acidophilus Probiotic 1 1 0.5 4 4 0.5 4 < 0.5 4 1 8
L. acidophilus Probiotic 2.1 0.5 0.5 2 4 < 0.25 4 < 0.5 1 1 1
L. acidophilus Probiotic 3 0.5 < 0.06 0.25 4 0.5 0.125 < 0.5 2 1 0.125
L. acidophilus Probiotic 4 0.5 0.5 0.5 4 < 0.25 2 < 0.5 1 8 2
L. acidophilus Probiotic 5 < 0.25 0.25 0.25 2 < 0.25 1 < 0.5 2 < 0.5 < 0.06
L. acidophilus Probiotic 6 1 0.5 1 4 0.5 4 < 0.5 1 2 4
L. acidophilus Probiotic 7.1 0.5 0.5 1 2 < 0.25 4 2 8 4 0.125
L. ultunensis Probiotic 8 0.5 0.5 2 4 < 0.25 4 4 4 8 2
L. acidophilus Clinical 1.1 1 0.25 2 2 < 0.25 4 < 0.5 1 < 0.5 0.125
L. acidophilus Clinical 2.1 1 0.5 0.5 2 1 < 0.06 1 128 2 1
L. acidophilus Clinical 14.1 1 0.5 2 4 < 0.25 1 < 0.5 2 < 0.5 0.5
L. acidophilus Clinical 16.2 1 1 4 4 1 1 1 8 2 8
L. acidophilus Clinical 18.1 1 1 2 4 1 2 < 0.5 8 1 8
L. acidophilus Clinical 20.3 0.5 1 4 4 0.5 0.5 0.5 8 2 1
L. gasseri Clinical 12.1 0.5 1 4 4 0.5 1 1 2 2 0.5
L. acidophilus Yoghurt 1.1 1 1 4 4 0.5 4 < 0.5 4 1 8
L. acidophilus Yoghurt 2.1 0.5 1 2 4 < 0.25 4 < 0.5 1 1 1
Lacticaseibacillus L. rhamnosus ATCC® 53103™ > 256 0.5 4 4 1 2 2 16 16 > 64
L. rhamnosus Probiotic 9 > 256 0.5 2 4 0.5 2 4 2 16 > 64
L. rhamnosus Probiotic 10 > 256 0.5 1 4 1 0.25 2 8 8 32
L. rhamnosus Probiotic 11 > 256 0.5 2 4 1 1 2 4 16 > 64
L. rhamnosus Probiotic 12 > 256 > 256 1 4 0.5 > 64 8 32 32 16
L. rhamnosus Probiotic 2.2 > 256 1 4 4 0.5 2 4 8 32 > 64
L. rhamnosus Probiotic 13 > 256 1 1 4 0.5 1 2 8 16 64
L. rhamnosus Probiotic 14 > 256 1 4 4 0.5 1 4 4 16 > 64
L. rhamnosus Clinical 3.1 > 256 1 2 4 1 1 4 8 32 > 64
L. rhamnosus Clinical 1645 > 256 1 4 4 0.5 2 2 16 16 > 64
L. rhamnosus Yoghurt 3 > 256 1 1 4 0.5 1 4 8 32 32
L. casei Probiotic 7.2 > 256 0.5 0.5 4 0.5 < 0.06 1 8 16 8
L. casei Yoghurt 2.2 > 256 0.5 1 4 0.5 0.125 1 8 16 8
L. casei Yoghurt 1.2 > 256 0.5 0.5 4 0.5 0.125 1 8 16 8
L. casei Yoghurt 4 > 256 0.5 1 4 0.5 0.125 1 8 16 16
L. casei Clinical 9.2 1 0.5 4 4 1 4 2 16 2 > 64
L. paracasei Clinical 4 4 16 4 2 0.5 4 < 0.5 2 1 > 64
L. paracasei Clinical 5.2 4 > 256 4 4 0.5 4 < 0.5 2 < 0.5 > 64
Lactiplantibacillus L. plantarum ATCC® 14917™ > 256 1 32 8 > 0.25 0.5 > 0.5 1 1 > 64
L. plantarum Probiotic 15 > 256 1 16 4 < 0.25 0.125 < 0.5 < 0.5 < 0.5 16
L. plantarum Probiotic 16 > 256 1 32 4 < 0.25 4 < 0.5 2 < 0.5 > 64
L. plantarum Clinical 1876 > 256 2 32 8 < 0.25 4 128 256 128 > 64
L. plantarum Clinical 1844 1 1 2 8 1 0.125 1 8 2 2
L. plantarum Clinical 5.1 > 256 1 16 8 < 0.25 < 0.06 2 2 2 2

Strains resistant to a given compound were darkened (in accordance with EFSA (EFSA 2018) and EUCAST (EUCAST 2021) guidelines).

VA – vancomycin, GEN – gentamycin, E– erythromycin, K– kanamycin, S– streptomycin,

TET – tetracycline, CHL – chloramphenicol, IMP – imipenem, AMP – ampicilin,

CC – clindamycin, CTX – cefotaxime, CAZ – ceftazidime, CRO – ceftriaxone

Discussion

Many probiotic products available on the market, dietary supplements, foods for special medical purposes, and fermented foods contain lactic acid bacteria. Manufacturers, however, very often give only the name of the species, without detailed description of the strain. Probiotics, in addition to the species name, should have a specific description at the strain level, which can be marked with the catalogue number of the recognised culture collection, or with the commercial affiliation of the strain (Binda et al. 2020). The presented study examined the relationship between all analysed strains using the PFGE method. A very high level of similarity between the strains from various probiotic products was observed (e.g., Probiotic 1, Probiotic 2.1, Probiotic 3, Yoghurt 1.1 and Yoghurt 1.2). It may indicate the use of the same probiotic strain by different manufacturers, but in none of the cases was the description of the strain. A similar situation occurs for strains from Probiotic 9, Probiotic 10 and Probiotic 11, which are very similar to the reference strain L. rhamnosus GG (ATCC® 53103). Thus, it can be assumed that this strain is present in these products. A high level of similarity between some clinical isolates and strains isolated from probiotic products (e.g., Clinical 3.1 and Probiotic 14, or Clinical 1645 and Probiotic 12) could also be observed. It may be the result of consumption of the given probiotic product by person from whom the strain was isolated. Domingos-Lopes et al. (2017) analysed 14 different strains of L. paracasei subsp. paracasei and five strains of L. plantarum using the PFGE method, resulting in 11 and five different pulsotypes, respectively. In turn, Yang and Yu (2019) analysing 43 different Lactobacillaceae strains, obtained 24 different profiles; this proves the existence of a large variety of Lactobacillus strains.

One of the properties that probiotic bacteria should present is antagonism towards pathogenic microorganisms. The study showed that bacteria from the Lactobacillus, Lacticaseibacillus, and Lactiplantibacillus inhibited the growth of various pathogenic bacteria – P. aeruginosa, S. marcescens, E. coli, K. pneumoniae, P. mirabilis, S. maltophilia, A. baumannii, E. cloaceae, E. faecalis, S. aureus, and S. epidermidis. The growth inhibition was comparable to the effects of reference strains from the given genera. The observed level of growth inhibition varied depending on the LAB strain used and the pathogenic strain. It was confirmed by other researchers, as it is known that antagonistic properties are strain-dependent (Asadi et al. 2022). In the current study, the most substantial growth inhibition of E. faecalis and S. matophilia clinical isolates was observed for Lacticaseibacillus strains. Asadi et al. (2022) demonstrated the antagonistic effect of L. plantarum, L. acidophilus and L. casei toward E. coli, Salmonella typhi, Shigella dysenteriae, Neisseria gonorrhoea, and Streptococcus agalactiae. In turn, Lashani et al. (2020) showed the inhibitory effect of L. rhamnosus, L. paracasei, and L. plantarum toward B. cereus, S. enteritidis, E. coli, S. flexneri, S. aureus, and L. monocytogenes from food samples. One of the strains tested in the above study – L. plantarum Clinical 1844 did not show antagonistic properties to most strains; it also inhibited their growth to a minimal extent, having a weaker effect than the tested reference strain L. plantarum ATCC® 14917. In addition, the clinical strain L. rhamnosus Clinical 3.1 also showed a weak antagonistic effect compared to the reference strain L. rhamnosus ATCC® 53103. According to Marchwińska and Gwiazdowska (2021), not all lactic acid bacteria inhibit the growth of pathogenic bacteria; 87 out of 376 isolates did not show such properties. Due to the lack of inhibition of the growth of pathogenic microorganisms, these strains do not have all the properties normally associated with probiotic strains.

Lactic acid bacteria have antagonistic effects not only on pathogenic bacteria but also on closely related bacteria. This effect is probably exerted by the bacteriocin often produced by LAB. The current research found that Lactobacillaceae isolated from humans inhibited potentially probiotic bacteria from dietary supplements or food products. The phenomenon of self-antagonism was also described by Pellegrino et al. (2019); Enterococcus mundtii CRL 1656 strain inhibited the growth of Enterococcus hirae 7–3 and Weissella cibaria CRL 1833. Therefore, it is worth considering whether probiotic products containing many different species of lactobacilli do not mutually inhibit the growth of these strains after ingestion.

To consider microorganisms as probiotic, it is also necessary to examine their potential for survival in the gastrointestinal environment; this is why the survivability of strains is determined at low pH, as well as in 0.3% bile salt since this concentration is considered to be present in the human gastrointestinal tract (Liu et al. 2021). Most Lactobacillaceae strains tolerated pH 3.0; the survival rate ranged from 30% to almost 100%. These results are consistent with the data presented by other authors. In most reports, Lactobacillaceae tolerate an acidic environment well (pH 3.0), and significant growth inhibition in a pH 2.0 was observed after 1 h of incubation (Cizeikiene and Jagelaviciute 2021; Liu et al. 2021). It is consistent with the results obtained in this study. However, Śliżewska et al. (2021) showed that L. paracasei ŁOCK 1091, L. pentosus ŁOCK 1094, L. plantarum ŁOCK 0860, L. reuteri ŁOCK 1092, and L. rhamnosus ŁOCK 1087 well survived in pH 2.0 (about 90%), even after 4 hours of incubation.

All 42 tested strains had a growth inhibition coefficient below 0.5 (Table V), indicating good tolerance to bile salts (Liu et al. 2021). Marchwińska and Gwiazdowska (2021) stated that the content of bile salt caused a decrease in bacterial survival; however, for many of the strains studied by these authors, no statistically significant differences in growth were observed in the presence of 0.5 and 1% bile salt. In turn, in the studies carried out by Kowalska et al. (2020) and Śliżewska et al. (2021), most of the tested strains survived in an environment with a concentration of up to 2% bile salt.

The ability to auto-aggregate lactobacilli is an important feature that creates the barrier and hinders pathogenic strains’ adhesion (Klopper et al. 2018). The value of auto-aggregation depends mainly on the incubation time (Piwat et al. 2015;) and on the strain tested (Zawistowska-Rojek et al. 2022b). In the current study, the auto-aggregation values ranged from 37% to 89%, depending on the strain used. The highest values were obtained for Lactobacillus strains, 50–85%. Cizeikiene and Jagelaviciute (2021) demonstrated that the auto-aggregation of L. acidophilus strains at 24 h was 87.5%, while for L. gasseri – 74.2%. A similar range of values in the current study was obtained Lacticaseibacillus strains – 40–89%. The differences in the value of auto-aggregation of individual strains are pretty significant, but similar phenomena could also be found in other works. For Lacticaseibacillus strains, some authors observed auto-aggregation values of 55–57% (Śliżewska et al. 2021), 57–68% (Cizeikiene and Jagelaviciute 2021), or even 93–98% (Kowalska et al. 2020). It confirms that this property is strain-dependent. In turn, Lactiplantibacillus strains in the current study had the lowest value of auto-aggregation, ranging from 40–60%. In other studies, the authors also obtained quite divergent results; for strains L. plantarum, Liu et al. (2022) observed auto-aggregation in the range of 45–90%, Cizeikiene and Jagelaviciute (2021) – 61.0–71.1%, and Śliżewska et al. (2021) – 95.5%.

Lactobacillaceae strains are part of probiotic preparations that are recommended for consumption, especially during antibiotic therapy and immediately after its completion, to prevent the development of antibiotic associated diarrhoea (Markowiak and Śliżewska 2017; Zawistowska-Rojek and Tyski 2022). The susceptibility Lactobacillaceae strains to antibiotics and chemotherapeutic agents is a crucial criterion when introducing microorganisms into the food chain. Numerous data indicate a variable susceptibility of this group of bacteria to antimicrobial agents (Stefańska et al. 2021). Lactic acid bacteria can be a potential reservoir of antibiotic resistance genes that can be transferred to other bacteria by mobile genetic elements (e.g., plasmids and transposons). Therefore, it is essential to determine the drug resistance profile of potentially probiotic strains that may be used in food products (Zawistowska-Rojek and Tyski 2018; Stefańska et al. 2021). All bacterial strains tested in the present study were susceptible to tetracycline, chloramphenicol, and ampicillin, which is consistent with studies conducted by others (Rozman et al. 2020; Nunziata et al. 2022). There are also reports on the strains resistant to these antibiotics, e.g., isolates from animals or fermented milk drinks, which were resistant to ampicillin (Dec et al. 2018; Yang and Yu et al. 2019). Moreover, some lactic acid bacteria often derived from fermented products could be resistant to chloramphenicol (Yang and Yu et al. 2019). Resistance to this antibiotic, which has been evidenced in many Lactobacillaceae species, is usually associated with the presence of the cat gene (Stefańska et al. 2021). This gene is often located on plasmids, potentially allowing the transfer of the resistance gene from lactic acid bacteria to pathogenic bacteria (Nunziata et al. 2022). In turn, resistance to tetracycline, usually located in the tetK, tetW, or tetM genes, could also be passed on to other strains, since these genes are located on mobile genetic elements (Nunziata et al. 2022). Most LABs are also sensitive to clindamycin (Nunziata et al. 2022). In the current study, only one strain of L. rhamnosus isolated from the probiotic product (Probiotic 12) was resistant to this antibiotic, and resistance to erythromycin was also observed. Erythromycin resistance was also found in two clinical strains of L. paracasei and two strains of L. plantarum. Other researchers have also individual cases of resistance to the above antibiotics (Stefańska et al. 2021).

Lactic acid bacteria present a tremendous variation in their sensitivity to vancomycin. Lacticaseibacillus and Lactiplantibacillus strains had naturally occurring resistance to this antibiotic (Zheng et al. 2017); there are no requirements for these groups in the guidelines presented by EFSA (2018). However, for four tested strains (one L. casei, two L. paracasei and one L. plantarum), significantly lower MIC values were obtained compared to the remaining strains (1–4 mg/l); this may suggest the sensitivity of these clinical isolates to the antibiotic mentioned above. In turn, Lactobacillus strains are susceptible to this compound (Goldstein et al. 2015), which was also confirmed in the above analysis. The MIC values of three antibiotics belonging to the third generation of cephalosporins – cefotaxime, ceftazidime, and ceftriaxone were also determined. For most of the tested strains, low MIC values were observed for cephalosporins, except for one clinical isolate of L. plantarum 1876, for which the MIC values of the above antibiotics were 128–256 mg/l; it may suggest resistance of the above strain to this group of antibiotics. It was also noted that second-generation cephalosporins showed higher activity against Lactobacillaceae than third-generation cephalosporins (Salminen et al. 2006). On the other hand, some Lactobacillaceae can be susceptible to cephalosporins (Álvarez-Cisneros and Ponce-Alquicira 2018). It may be assumed that the susceptibility to this group of antibiotics is closely related to the strain. Similar conclusions can be drawn for imipenem. Both in the current study and in the available literature data is a considerable discrepancy between the MIC of imipenem values among lactobacilli (Goldstein et al. 2015). In addition, resistance to streptomycin, kanamycin, gentamycin, and ciprofloxacin (Yang i Yu 2019) is also commonly observed among lactobacilli, but usually, it is not transferred to other microorganisms (Liu et al. 2022). This resistance type has therapeutic and prophylactic benefits when consuming probiotics during antibiotic therapy (Liu et al. 2022).

Conclusions

The presented study compared some of the properties of strains isolated from probiotic products mainly dietary supplements, fermented foods, and medical devices, as well as bacteria belonging to probiotic species of human origin.

Thanks to the strain comparison performed by the PFGE method, it can be noted that some manufacturers use the same strains in their products. Moreover, a very high genetic similarity can be observed between the strains derived from probiotic products and those isolated from humans. The tested strains well tolerated low pH and the bile salt environment. They showed auto-aggregation and antagonized pathogenic microorganisms to varying degrees depending on the tested strain. Most strains displayed probiotic properties comparable to those of the reference strains (L. acidophilus ATCC® 4356, L. rhamnosus ATCC® 53103, and L. plantarum ATCC® 14917), except for the strain L. plantarum Clinical 1844, whose potential probiotic properties were much weaker. An important aspect of the use of probiotics is also their safety profile. Probiotic bacteria should not have antibiotic resistance genes on mobile genetic elements, e.g., plasmids or transposons. Among lactic acid bacteria, genes resistant to tetracycline, erythromycin, or chloramphenicol are most often located on mobile genetic elements. Among the tested isolates, there were no strains resistant to tetracycline or chloramphenicol, while several tested strains were resistant to erythromycin.

When searching for new strains with probiotic properties, it is worth taking a closer look at the clinical isolates of L. acidophilus marked with numbers 1.1, 18.1, and 20.3 in the subsequent studies. These strains are not closely related to known strains derived from probiotic products; they survive in the gastrointestinal tract, are antagonistic to pathogenic species, and are susceptible to antibiotics such as erythromycin, tetracycline or chloramphenicol.

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