Intestinal infections are common in the GI tract and are usually caused by various microorganisms such as yeasts, molds, parasites, viruses, and bacteria. Viral and bacterial diarrheas are common symptoms of intestinal infection. Unlike viral diarrhea, which usually resolves after a period of illness, bacterial diarrhea (such as that caused by
Shigella,
E. coli,
Salmonella, and
Campylobacter) can sometimes become chronic and prolonged (
19). A study by Assefa and Girma in 2019 on
Salmonella and
Shigella isolates in children with diarrhea showed a significant association between diarrhea in these children and infection by
Salmonella (
20). Another study conducted by Manhique-Coutinho et al. (as cited by Mwape et al.) in 2022 on the frequency of
E. coli strains among children with diarrhea showed that out of 723 analyzed samples, 262 were infected with this pathogen (
21). The gram-positive pathogen
B. cereus has also been identified as a causative agent of some GI diseases, particularly emesis and diarrhea. This microorganism is commonly responsible for foodborne illness. The diarrheal type of
B. cereus is associated with sauces, soups, meat, milk, and vegetables and has been isolated from a wide variety of foods such as seafood, infant foods, ready-to-serve foods, fresh vegetables, rice, and meat and milk products (
22).
For many years, antibiotics have been used to treat chronic bacterial diarrhea, but excessive consumption has led to the development of antibiotic resistance in the bacteria causing diarrhea (
23,
24). Consequently, in recent years, researchers have focused on probiotics as a suitable alternative to antibiotics due to their effectiveness in treating chronic infectious diarrhea caused by bacteria (
2).
In the present study, we aimed to evaluate the antimicrobial efficacy of
B. coagulans against three gram-negative (
E. coli,
S. typhi, and
Sh. flexneri) and one gram-positive (
B. cereus) enteric pathogens that play an important role in the prevalence of bacterial diarrhea.
Bacillus coagulans is a spore-forming probiotic that exhibits characteristics of both the
Bacillus and
Lactobacillus genera. It produces L-lactic acid but does not produce gas from the fermentation of various sugars such as sucrose, raffinose, trehalose, maltose, and mannitol (
14). Upon oral administration, spores of
B. coagulans pass through the stomach and enter the duodenum, where they rapidly germinate and multiply (
25). As a facultative anaerobe, germinated
B. coagulans produces lactic acid in the small intestine and colon (
26). Indeed,
B. coagulans has been shown to improve GI tract ecology by restoring the quantity of favorable bacteria and antagonizing pathogenic microbes (
27). This bacterium is slowly excreted through feces up to seven days after consumption is stopped (Keller, Van Dinter et al. 2017).
The therapeutic effect of
B. coagulans is due to the secretion of coagulin, a type of bacteriocin with antibacterial activity against a broad spectrum of enteric microbes (
14). Therefore, we prepared and used a cell-free supernatant from
B. coagulans culture for our study. Using agar well-diffusion and agar disc-diffusion methods, we evaluated the antimicrobial efficiency of the cell-free supernatant of the probiotic isolate (
B. coagulans) against selected pathogenic bacteria (
E. coli,
S. typhi,
Sh. flexneri, and
B. cereus). The agar well-diffusion testing showed that the probiotic supernatant did not create any zones of inhibition around the wells for
E. coli,
S. typhi,
Sh. flexneri, and
B. cereus, indicating no antibacterial effects of
B. coagulans against these pathogens (
Figure 1A-
D).
Our results were contrary to a study conducted in 2017 by Maranni et al., who investigated the antimicrobial activity of
B. pumilus,
B. coagulans,
B. licheniformis,
B. endophyticus, and
B. amyloliquefaciens against some standard pathogens as well as clinical antibiotic-resistant strains using spotting and well-diffusion methods. Their study showed antimicrobial activity of
Bacillus strains against
Acinetobacter,
E. coli,
Klebsiella,
Salmonella,
Shigella,
Streptococcus, and
Listeria as well as methicillin-resistant
Staphylococcus aureus and vancomycin-resistant enterococci (
28).
Our agar disk-diffusion testing also showed that the cell-free supernatant of
B. coagulans had no antibacterial effects against the four selected pathogens (
E. coli,
S. typhi,
Sh. flexneri, and
B. cereus). This conclusion was drawn because no zones of inhibition were observed around the disks containing the supernatant in any of the tests. In contrast, zones of inhibition were observed around the positive control disks containing ciprofloxacin and sulfamethoxazole (
Figure 2A-
D), indicating the inhibition of growth of
E. coli,
S. typhi,
Sh. flexneri, and
B. cereus by these antibiotics. Consistent with our results, a study conducted in 2016 that investigated the antimicrobial activity of six different
Bacillus strains (including
B. coagulans) against eight food pathogens using the disk-diffusion method found that some of these strains had no antimicrobial effect on
S. typhi and
E. coli (
29).
Similarly, a study conducted by Zhang et al. in 2022 on the antimicrobial effect of
B. coagulans bacteriocin against
Listeria monocytogenes using the MIC method showed that different dilutions of bacteriocin had no antibacterial effect on gram-negative pathogens, while an antibacterial effect of this bacteriocin on the gram-positive
B. cereus was observed (
30). Conversely, our MIC results showed that different concentrations of
B. coagulans supernatant significantly inhibited the growth of the gram-negative pathogens
E. coli (MIC = 25 µg/mL),
S. typhi (MIC = 50 μg/mL), and
Sh. flexneri (MIC = 3.1 μg/mL) (
Figure 3A-
C). However, our results for the gram-positive bacterium
B. cereus were consistent with Zhang et al.'s findings; we observed a significant inhibitory effect of
B. coagulans supernatant on
B. cereus at concentrations of 100 and 25 µg/mL (MIC = 100 µg/mL) (
Figure 3D).
Although the MIC testing demonstrated the antibacterial effects of
B. coagulans supernatant on
E. coli,
S. typhi,
Sh. flexneri, and
B. cereus, the MBC results showed that the minimum inhibitory concentration of the supernatant had no bactericidal effect to completely prevent the growth of these pathogens (
Table 1). This indicates that the concentrations of the supernatant used in this study were not sufficient to investigate its bactericidal effect on the selected pathogens.
5.1. Conclusions and Future Perspective
As an emerging method to control antibiotic-resistant bacteria, the use of probiotics with antibacterial effects has gained increasing attention in recent years. By producing substances such as bacteriocins, probiotics can serve as a suitable alternative to chemical remedies. Several studies have shown that different types of probiotics vary in their effectiveness and secretion of antibacterial substances. An ideal probiotic should be highly safe, functional, and capable of surviving adverse environmental conditions.
In this research, we focused on B. coagulans, a spore-forming, aerobic or facultatively anaerobic, lactic acid-producing, non-pathogenic, and economically important species known for its safety for human consumption. Using agar well-diffusion, agar disc-diffusion, MIC, and MBC methods, we investigated the antimicrobial effects of the cell-free supernatant from B. coagulans cultures against four enteric pathogens (E. coli, S. typhi, Sh. flexneri, and B. cereus) that cause diarrhea.
Although no antimicrobial activity of the probiotic was observed in either the agar well-diffusion or agar disc-diffusion tests, the MIC testing showed a significant antimicrobial effect against all four pathogens. However, no bactericidal effect of this probiotic was observed on the selected pathogens in the MBC testing. The negative results from the agar well-diffusion and agar disc-diffusion tests could be attributed to the lower secretion of antibacterial substances by this probiotic compared to lactic acid bacteria. Furthermore, the culture medium used, the type of pathogens, and the probiotic species significantly impacted the antimicrobial activity observed.
It is important to note that a single study cannot fully reveal all the advantages and beneficial effects of a probiotic strain. Therefore, we believe that further research, including various strains of this probiotic and a wider range of pathogens, could provide more accurate conclusions.