In order to survive and colonize in the human gastrointestinal tract, probiotic bacteria should express high resistance to low acid in the stomach and high bile content in the small intestine. To ensure that the bacteria can establish, colonize and persist in the colonic habitat, they must not only tolerate bile exposure but also must be able to multiply in the presence of bile. Therefore, such ability was evaluated and considered as the first important requirement to select probiotic bacteria in this study. Bile salt tolerance is considered as one of the most essential properties required for all probiotics to survive in the small intestine (
9,
20,
21). This study isolated 330 strains of LAB and bifidobacteria, which had previously passed through the environmental extremes of the gastrointestinal tracts of infants. Nevertheless, the bile tolerance of fecal LAB and bifidobacteria isolated from infant’s feces varied greatly, and about 43% of the total strains were unable to grow in the presence of 0.3% bile salt. Although many fecal strains lacked the ability to grow in bile-containing media, they could be isolated and recovered from the feces. The results correlated with previous findings regarding the variation of bile tolerance among the same species of enteric
L. acidophilus (
22). The same author also showed that a significant number of lactobacilli increased in calf jejunum when bile resistant strains were fed compared to bile sensitive ones.
Similarly, some strains of LAB and bifidobacteria were not able to survive the extreme acidic conditions of gastric juice
in vitro, even though they previously survived infant gastrointestinal transit. This observation supports the idea that the gastric transit tolerance assayed
in vitro may not always provide the absolute prediction about the in vivo behavior of probiotics. Nevertheless, the higher resistant strains evaluated
in vitro would have a better chance to survive extreme conditions in the stomach in vivo (
23). This is because the environmental conditions in the human gut are heterogeneous and dynamic to a high degree. The fluctuations of acid secretion capacity of the stomach, rates of gastric mobility and emptying gut content, and physical properties of the ingested food could provide protective effects against bacteria (
20). The presence of food was reported to raise the pH level of the stomach from 1.5 - 2 to pH 3 (
24), at which significant survival improvements of various probiotic LAB and bifidobacteria were observed (
15). Charteris et al. (
21) demonstrated that the presence of milk protein and gastric mucin could significantly protect the majority of the tested probiotic LAB and bifidobacteria in a simulated gastric transit. This explains why acid sensitive strains could be isolated from feces in this study.
Although bifidobacteria were slightly less acid resistant than LAB, they were much more tolerant to the sequential exposure of gastric acid and bile. According to Dunne et al. (
25), bifidobacteria isolated from human ileum were less acid and bile resistant than lactobacilli in general. However, commercial
B. bifidum and
B. longum were as acid resistant as lactobacilli, yet their bile tolerance was lower (
14). In this study, all three strains (NIF7AN3, NIF7AN5 and NIF7AN10) of
B. bifidum and
B. longum NIF7AN2 even increased in number after bile exposure. Bifidobacteria are known to possess strategies of response to various environmental stresses including acid and bile through a set of mechanisms (
26). These adaptation mechanisms facilitate their success and survival in the human gut and transient colonization in this competitive niche.
Antimicrobial activity is one of the important properties of probiotic bacteria. Several
Lactobacillus strains from infant feces also produced acid to inhibit the growth of enteropathogens (
3-
6). Acid production was the major cause of the inhibitory activity of the selected strains in this study. Exceptionally,
L. plantarum CIF17AN2 and CIF17AN8 retained their antibacterial activity yet loss of this activity was observed with the treatment of catalase enzyme. Most LABs are lactic acid producers, whereas acetic acid is produced mainly by bifidobacteria. De Keersmaecker et al. (
27) confirmed that lactic acid accumulated by
L. rhamnosus GG strongly inhibited Sal. Typhimurium. The dissociated forms of these organic acids can permeate the outer membrane of Gram-negative bacteria and lower the local pH to inhibit the growth of acid sensitive bacteria. The acidification of cytoplasm and the collapse of the proton motive force resulted in an inhibition of the transport of nutrients (
28).
Bacterial adhesion to host mucin is regarded important in contributing to either the transient or even permanent establishment or colonization of probiotic species in any environmental niche and also enhancement of the ability to stimulate the immune system (
29). All strains of
L. casei,
L. plantarum,
B. longum and
B. bifidum showed good adhesion ability to mucin, while
L. rhamnosus did not do so. The results indicate that the adhesion trait was truly a specific characteristic depending on the individual LAB species as previously noted (
29,
30). On the contrary,
L. rhamnosus GG was reported to adhere significantly better than other LAB strains to the intestinal mucin (
30).
Lactobacillus rhamnosus E-800 and
Lactobacillus GG adhered well to mucin (
29). In addition, the mucin adhesive strains competitively excluded
S. flexneri,
S. typhimurium SA2093,
S. paratyphi A and
S. aureus TISTR from adhesion to porcine mucin. The inhibition of pathogen adhesion to mucin was reported to be able to prevent translocation and subsequently infection (
31).
In conclusion, the human isolates LAB and bifidobacteria identified as L. rhamnosus, L. casei, L. plantarum, B. longum subsp. longum and B. bifidum exhibited high acid and bile tolerance and antibacterial activity against food-borne pathogens. These strains suggest the great potentiality of probiotics in controlling infection by food-borne pathogens in humans. The inhibition of pathogens by LAB was mainly caused by the secretion of antibacterial substances while bifidobacteria effectively inhibited pathogens through their high competitive exclusion activity of mucin adhesion. The combination of these multiple strains in the presence of gut microflora challenged with food-borne pathogens should be further investigated.