Yoghurts containing probiotics reduce disruption of the small intestinal barrier in methotrexate-treated rats

E Southcott1, K L Tooley, G S Howarth

  • 1Centre for Paediatric and Adolescent Gastroenterology, Women's and Children's Hospital, Children, Youth and Women's Health Service, 72 King William Road, North Adelaide, SA 5006, Australia.

Insights

Commercially available yoghurts with probiotics, cow's milk yoghurt (CY) and sheep's milk yoghurt (SY), helped maintain intestinal barrier function in rats experiencing methotrexate (MTX)-induced mucositis.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Toxicology

Background:

  • Methotrexate (MTX) chemotherapy can induce mucositis, a severe side effect impacting the gastrointestinal tract.
  • Small intestinal permeability is a key indicator of gut barrier integrity.
  • Probiotics are live microorganisms that may confer health benefits, including gut health modulation.

Purpose of the Study:

  • To evaluate the efficacy of commercially available yoghurts containing probiotics in mitigating MTX-induced small intestinal mucositis in a rat model.
  • To assess the impact of specific probiotic strains in cow's milk yoghurt (CY) and sheep's milk yoghurt (SY) on intestinal permeability and histology.

Main Methods:

  • Male Sprague-Dawley rats were divided into four groups: MTX + water, MTX + CY, MTX + SY, and saline control.
  • Probiotic yoghurt or water was administered via gavage twice daily for 12 days.
  • Intestinal permeability was measured using the lactulose/mannitol ratio on multiple days.
  • Histological and biochemical analyses of intestinal sections were performed post-sacrifice.

Main Results:

  • Histological examination showed no significant duodenal damage in rats treated with CY or SY compared to controls.
  • A decreased lactulose/mannitol ratio indicated improved small intestinal barrier function in the yoghurt-treated groups.
  • Probiotic yoghurts demonstrated a protective effect against MTX-induced disruption of intestinal barrier function.

Conclusions:

  • Commercially available yoghurts containing probiotics (CY and SY) show potential in preventing intestinal barrier disruption caused by MTX-induced mucositis.
  • Probiotic-rich yoghurts may serve as a complementary strategy to manage chemotherapy-induced gastrointestinal side effects.
  • Further research is warranted to confirm these findings and explore optimal probiotic formulations for mucositis prevention.

Related Concept Videos

Microbiota Modulation by Antibiotics01:21

Microbiota Modulation by Antibiotics

Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...
Probiotics01:22

Probiotics

Probiotics are live, non-pathogenic microorganisms that confer health benefits by modulating the gut microbiota. The human gastrointestinal tract harbors a complex microbial ecosystem, and the balance of this microbiota is crucial for digestive and systemic health. Among the most extensively studied and utilized probiotics are species formerly classified within the genera Lactobacillus and Bifidobacterium. These organisms not only naturally colonize the human gut but are also consumed through...
Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents01:18

Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents

Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents01:20

Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents

Diarrhea is characterized by the occurrence of frequent, watery bowel movements. Various factors can trigger diarrhea, including viral or bacterial infections, foodborne illnesses, side effects from certain medications, and underlying digestive disorders. If not adequately managed, diarrhea can lead to complications such as dehydration, electrolyte imbalances, and nutrient deficiencies. Severe diarrhea can lead to significant weight loss, malnutrition, and weakened immune function.
Adsorbents...
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...