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Applied and Environmental Microbiology, September 1999, p. 4288-4291, Vol. 65, No. 9
0099-2240/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Characterization of Two Bacillus Probiotics

David H. Green,¹ Phil R. Wakeley,¹ Anthony Page,^1, Andrew Barnes,¹ Loredana Baccigalupi,² Ezio Ricca,² and Simon M. Cutting^1,*

School of Biological Sciences, Royal Holloway University of London, Egham, Surrey TW20 0EX, United Kingdom,¹ and Section of Microbiology, Department of General and Environmental Physiology, University Federico II, 80134 Naples, Italy²

Received 19 April 1999/Accepted 1 July 1999

	ABSTRACT

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Bacillus subtilis is currently used as an oral probiotic. We examined two commercial B. subtilis probiotic preparations, Enterogermina and Biosubtyl. Surprisingly, physiological and genetic characterization of the bacteria contained in each of these preparations has shown that neither contains B. subtilis.

	TEXT

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Bacillus subtilis is currently being used for oral bacteriotherapy and bacterioprophylaxis of gastrointestinal disorders (mostly as a direct result of antibiotic treatment), many of which lead to diarrhea. Ingestion of significant quantities of B. subtilis is thought to restore the normal microbial flora following extensive antibiotic use or illness (for a review see reference 16). Probiotic preparations of B. subtilis are sold commercially in most European countries, although little is understood about how these bacteria exert their therapeutic benefit. B. subtilis is a gram-positive, nonpathogenic, spore-forming organism normally found in the soil, and the robustness of spores is thought to enable passage across the gastric barrier, where a proportion of spores germinate in the small intestine and populate, albeit briefly, the intestinal tract (16). In addition, the clinical effects of B. subtilis as an immunostimulatory agent in a variety of diseases (10, 18, 20, 24), as an in vitro and in vivo stimulant of secretory immunoglobulin A (2, 10), and as an in vitro mitogenic agent (6) have been documented. Other topical examples of such probiotic bacteria are the gram-positive lactobacilli and lactococci, which are sold commercially for both human and veterinary use.

Two commercial B. subtilis probiotic preparations are Enterogermina (Sanofi Winthrop, Milan, Italy), sold in Europe, and Biosubtyl (Biophar Co. Ltd., Nha Trang, Vietnam), sold in Southeast Asia. Although numerous reports have documented the clinical effects of oral administration of B. subtilis spores, the bacteria contained in these preparations have not been characterized. In this article we report the preliminary characterization of the bacteria contained in the commercial preparations Enterogermina and Biosubtyl.

Preliminary characterization of strains. Bacteria were recovered from both the Enterogermina and Biosubtyl commercial preparations and were found to contain 2.9 × 10⁸ spores/ml and 1 × 10⁷ spores/g, respectively. Enterogermina is reportedly derived from the penicillin-resistant B. subtilis ATCC 9799 (5), and this strain was used here as a reference in addition to the genetically characterized prototrophic B. subtilis PY79 (27), which is a derivative of the Marburg type strain 168 (4). Initial observation of colonies grown on Luria-Bertani (LB) or Difco sporulation medium (DSM) solid agar showed the recovered Enterogermina or Biosubtyl bacteria to be homogeneous but revealed significant differences from PY79 and ATCC 9799. Biosubtyl produced intensely white, smooth, circular colonies which were markedly mucoid. Enterogermina produced rhizoid colonies, in contrast to PY79 and ATCC 9799, which produced smooth, circular colonies. Growth of Enterogermina in LB medium was found to be significantly reduced, both in growth rate and in maximum cell densities attained, compared to PY79, Biosubtyl, or ATCC 9799 (Fig. 1A).

View larger version (12K): [in this window] [in a new window]   FIG. 1.   Growth of probiotic strains. Bacterial strains were grown at 37°C in LB medium (a), DSM (b), or medium at pH 10.1 (c). B. subtilis PY79 (), Biosubtyl (), Enterogermina (two isolates [ and ]) and ATCC 9799 () were used. For growth in alkaline medium, sodium carbonate was used to adjust the pH to 10.1 in liquid and solid media as described by Horikoshi and Teruhiko (11). OD595, optical density at 595 nm.

As shown in Table 1, we found that the probiotic strains differed from PY79 in production of amylase, maximum growth temperature, and growth at high pH. Biosubtyl was unable to produce amylase, which is an established marker for B. subtilis (23). As will be shown below, an important finding was that Enterogermina can grow in both solid and liquid medium at pH 10.1 (Table 1 and Fig. 1C); neither B. subtilis PY79 nor ATCC 9799 was able to grow under these conditions, although Biosubtyl grew weakly on solid agar but not in liquid media.

View this table: [in this window] [in a new window]   TABLE 1.   Differential characteristics of probiotic strains

Sporulation. Strains were grown in the sporulation medium DSM, which induces spore formation by nutrient exhaustion (19). In this medium, Enterogermina grew at a rate indistinguishable from that of the other strains, although a lag of 2 to 3 h was always observed (Fig. 1B). However, the reference strain ATCC 9799 produced extremely low levels of spores (Table 1), and this finding was verified by observation of sporulating colonies grown on DSM agar. Spores of all strains were ellipsoidal and positioned mid-center. We used electron microscopy of uranyl acetate-stained thin sections (21) to examine mature spores of each strain (Fig. 2). Spores of B. subtilis PY79 possess a well-defined coat morphology comprising a lamellar inner layer and an electron-dense outer coat (1, 8). Our results show clearly that both Enterogermina and Biosubtyl spores exhibited a very different coat structure. Both Enterogermina and Biosubtyl spores possess an outer layer, which appeared loose and was unevenly associated with the electron-dense outer coat. This layer probably constitutes an exosporium, a complex and poorly understood spore structure (1).

View larger version (67K): [in this window] [in a new window]   FIG. 2.   Electron micrographs of mature spores. (A) B. subtilis PY79; (B) Biosubtyl; (C) Enterogermina. Bar, 0.2 µm. oc, outer coat; ex, exosporium.

Antibiotic resistances of Enterogermina. Enterogermina is reported to contain a mixture of four antibiotic strains, each containing a unique spectrum of antibiotic resistance markers (5, 15). Since bacterial therapy is sometimes combined with the administration of antibiotics, these markers have been introduced by Sanofi Winthrop. Enterogermina reportedly originates from B. subtilis ATCC 9799, which is described as a producer of penicillinase. One strain was isolated by single- and multistep selection methods, which conferred chromosomal-borne resistance to erythromycin, lincomycin, cephalosporins, and cycloserine (5). Further derivatives, resistant to chloramphenicol (derivative O/C), novobiocin and rifampin (derivative N/R), tetracycline (derivative T), and streptomycin and neomycin (derivative SIN) were subsequently isolated from this strain (5, 15, 17). The commercial preparation of Enterogermina contains a mixture of equal amounts of all four derivatives (O/C, N/R, T, and SIN). We serially diluted the Enterogermina preparation directly onto selective plates (Oxoid Isosensitest agar), using the MICs defined by Ciffo (5), and were able to isolate individual colonies which carried unique antibiotic resistances to chloramphenicol, rifampin, and neomycin and presumably corresponded to derivatives O/C, N/R, and SIN (Table 1). All individual antibiotic-resistant isolates appeared to be phenotypically identical. However, we were unable to identify derivative T, which confers resistance to tetracycline, and it is possible that this chromosomal-borne mutation has been lost by reversion through repeated passaging. We also confirmed (Table 1) that all Enterogermina isolates are resistant to erythromycin, lincomycin, and penicillin G and that strain ATCC 9799 is resistant to penicillin G.

Deposition of strains. The following strains, classified in this work, were deposited at the Bacillus Genetic Stock Centre, Department of Biochemistry, The Ohio State University: 14A1 (Biosubtyl), 15A1 (Enterogermina O/C), 15A2 (Enterogermina N/R), 15A3 (Enterogermina SIN) and 3A15 (ATCC 9799).

Analysis of 16S rRNA gene sequences. Our preliminary characterizations, based on colony morphology, growth, and sporulation, suggested that Biosubtyl and Enterogermina were significantly different from B. subtilis and might constitute alternative Bacillus species. To establish the relatedness of these strains at the genetic level, we sequenced the entire 16S rRNA genes from strains PY79 and ATCC 9799 and from Biosubtyl and Enterogermina. Sequence analysis of 16S rRNA has been increasingly relied upon to analyze species similarity (3, 14, 25, 26). We used two oligonucleotides to amplify the entire 16S rRNA as follows: P1 (5'-GCGGCGTGCCTAATACATGC anneals to nucleotides 40 to 59) and P2 (5'-CACCTTCCGATACGGCTACC anneals to nucleotides 1532 to 1513 of B. subtilis rrnE). The 1,400-base PCR product was sequenced in its entirety by using an automated sequencer. Phylogenetic analysis (Fig. 3) showed that ATCC 9799 (accession no. AF142574) was a member of the B. subtilis subgroup, although it was distinct from our laboratory type strain PY79. Biosubtyl (accession no. AF142575) was within the B. subtilis group but was more closely aligned with members of the Bacillus pumilus assemblage (13). Interestingly, this association was supported by the failure of Biosubtyl to produce amylase; a marker for discriminating B. subtilis from B. pumilus (23). We suggest that Biosubtyl is more likely to be a strain of B. pumilus. Enterogermina (accession no. AF142576) was unrelated to B. subtilis and its purported parent strain, ATCC 9799, and was aligned instead with members of the Sporolactobacillus group (13) (n. b., we have sequenced three independent isolates of Enterogermina). Enterogermina was most closely related to members of the subgroup Bacillus alcalophilus (13), which can tolerate alkaline environments (23). Our finding that Enterogermina can grow well in an alkaline medium suggests that this probiotic species may be a strain of B. alcalophilus. It was reported previously that Enterogermina cannot be transformed with chromosomal DNA prepared from another B. subtilis strain (15, 17). This result was attributed to the poor competence of Enterogermina, but we suggest that it more likely reflects an interspecies barrier. Our sequence analysis of ATCC 9799 also demonstrates that Enterogermina has rather obscure origins and that it clearly cannot have originated from strain ATCC 9799. 

View larger version (31K): [in this window] [in a new window]   FIG. 3.   Phylogenetic relationship of Biosubtyl and Enterogermina. Phylogenetic relatedness of Biosubtyl and Enterogermina compared to representative Bacillus species. The branching pattern, rooted with Lactococcus casei as the outgroup, was generated by distance-matrix alignment (12) and neighbor joining (22) by using the PHYLIP suite of computer programs (9). Bootstrap values are given for each node having 70% or greater agreement. Group, subgroup, and assemblage associations are derived from sequence identity to the Ribosomal Database Project (13).

In conclusion, we found that two commercial preparations of probiotic bacteria purported to contain B. subtilis contain instead Bacillus species that are closely (Biosubtyl) and distantly (Enterogermina) related to B. subtilis. This finding is medically important and raises the question of whether any nonpathogenic, gram-positive microorganism can serve as a probiotic agent.

	ACKNOWLEDGMENTS

This work was supported by grants from the Medical Research Council (S.C.), The Wellcome Trust (S.C.), and the European Union (S.C. and E.R.).

	FOOTNOTES

^* Corresponding author. Mailing address: School of Biological Sciences, Royal Holloway University of London, Egham, Surrey TW20 0EX, United Kingdom. Phone: 01784-443760. Fax: 01784-434326. E-mail: s.cutting{at}rhbnc.ac.uk.

Present address: Biomedical Imaging Unit, General Hospital, Southampton SO16 6YD, United Kingdom.

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Applied and Environmental Microbiology, September 1999, p. 4288-4291, Vol. 65, No. 9
0099-2240/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

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