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Updated: Jan 27, 2026

Detection of Helicobacter pylori Infection and Antibiotic Resistance via Stool Quantitative Polymerase Chain Reaction Analysis
Published on: May 16, 2025
Antagonistic activity against Helicobacter pylori infection in vitro by a strain of Enterococcus faecium TM39
Cheng-Chih Tsai1, Li-Fang Huang, Chia-Chen Lin
1Department of Food Science, National Chung-Hsing University, Taichung County 400, Taiwan, ROC.
Abstract:
Lactic acid bacteria (LAB) strains from infant feces were screened for anti-Helicobacter pylori use. In the beginning, we selected the strains based on their capability to adhere to the human intestinal epithelial cell (Int-407), colonial enterocyte-like Caco-2 cell, human cervical epithelioid carcinoma cell (HeLa), and human gastric carcinoma cell (TSGH 9201). Then, acid and bile salt tolerance of these LAB strains was evaluated. In addition, the ability of these LAB strains to inhibit the growth of H. pylori and to expel H. pylori cells from TSGH 9201 were studied. The spent culture supernatant (SCS) of a selected strain TM39, i.e., TM39-SCS, significantly inhibited the viability of H. pylori in vitro. It also inhibited the urease activity of H. pylori in vitro. For these antagonistic effects, in addition to pH and lactic acid, some factors in TM39-SCS might play the major role. Treatment of H. pylori with the SCS or cells of strain TM39 significant reduced its binding to TSGH 9201 cells. Although strain TM39 is identified as Enterococcus faecium, it is not vancomycin resistant and is proved to be safe through the invasion study and a 28-day feeding study with Wistar rats.
Insights
Lactic acid bacteria (LAB) from infant feces show potential against Helicobacter pylori. A specific strain, Enterococcus faecium TM39, effectively inhibits H. pylori growth and adhesion, demonstrating safety for potential probiotic use.
Area of Science:
- Microbiology
- Gastroenterology
- Probiotics
Background:
- Helicobacter pylori infection is a significant global health concern.
- Development of novel anti-H. pylori strategies, including probiotics, is crucial.
- Lactic acid bacteria (LAB) are known for their health benefits and potential antimicrobial properties.
Purpose of the Study:
- To screen infant fecal LAB for anti-Helicobacter pylori activity.
- To evaluate the efficacy of a selected LAB strain (Enterococcus faecium TM39) against H. pylori in vitro.
- To assess the safety of the selected LAB strain for potential probiotic application.
Main Methods:
- Screening LAB strains for adherence to intestinal epithelial cells (Int-407, Caco-2, HeLa, TSGH 9201).
- Assessing acid and bile salt tolerance of selected LAB strains.
- Evaluating inhibition of H. pylori growth, urease activity, and cell adhesion by LAB spent culture supernatant (SCS) and cells.
- Conducting in vitro invasion assays and a 28-day rat feeding study to determine safety.
Main Results:
- Selected LAB strains demonstrated adherence to intestinal cells and tolerance to acid and bile salts.
- Spent culture supernatant (SCS) of Enterococcus faecium TM39 significantly inhibited H. pylori viability and urease activity in vitro.
- TM39-SCS and TM39 cells reduced H. pylori binding to TSGH 9201 cells.
- Enterococcus faecium TM39 was confirmed as safe through invasion and feeding studies, and it is not vancomycin-resistant.
Conclusions:
- Enterococcus faecium TM39 exhibits significant anti-Helicobacter pylori properties, including inhibition of growth and adhesion.
- The safety profile of Enterococcus faecium TM39 supports its potential as a probiotic agent for managing H. pylori infections.
- Further research into the specific anti-H. pylori factors present in TM39-SCS is warranted.
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