Previous Article | Next Article 
Applied and Environmental Microbiology, December 2003, p. 7545-7548, Vol. 69, No. 12
0099-2240/03/$08.00+0 DOI: 10.1128/AEM.69.12.7545-7548.2003
Copyright © 2003, American
Society for
Microbiology. All Rights Reserved.
Case Study of the Distribution of Mucosa-Associated Bifidobacterium Species, Lactobacillus Species, and Other Lactic Acid Bacteria in the Human Colon
D. S. Nielsen,1 P. L. Møller,1 V. Rosenfeldt,2 A. Pærregaard,2 K. F. Michaelsen,3 and M. Jakobsen1*
Department
of Dairy and Food Science,1
Department of Human
Nutrition, Center for Advanced Food Studies,
Royal Veterinary and Agricultural University, Frederiksberg,3
University Clinic of
Pediatrics, H:S Hvidovre Hospital, Hvidovre,Denmark2
Received 16 April 2003/
Accepted 8 September 2003

ABSTRACT
The
distribution of mucosa-associated bacteria, bifidobacteria
and
lactobacilli and closely related lactic acid bacteria, in
biopsy
samples from the ascending, transverse, and descending
parts of the
colon from four individuals was investigated by
denaturing gradient gel
electrophoresis (DGGE). Bifidobacterial
genus-specific,
Lactobacillus group-specific, and universal
bacterial primers
were used in a nested PCR approach to amplify
a fragment of the 16S
rRNA gene. DGGE profiles of the bifidobacterial
community were
relatively simple, with one or two amplicons
detected at most sampling
sites in the colon. DGGE profiles
obtained with
Lactobacillus
group-specific primers were complex
and varied with host and sampling
site in the colon. The overall
bacterial community varied with host but
not sampling
site.

INTRODUCTION
The human colon harbors a highly complex microbiota. Interactions
between
this microbiota and the host influences the health of the host
in
many ways (
5).
Bifidobacterium spp. and lactic acid bacteria
(LAB),
especially
Lactobacillus spp., are considered normal
residents
of the gastrointestinal tract
(
11,
17). Historically
the
microbiota of the intestine has been examined by culture-dependent
microbiological
methods, but microscopic and culture-independent
molecular methods
have indicated that 60 to 80% of the bacterial
population in
the human intestine have not been cultured yet,
highlighting
the need for methods alternative to the traditional
cultivation-based
methods
(
6,
8,
16). Denaturing gradient
gel electrophoresis
(DGGE) is a culture-independent method based on
sequence-specific
separation of PCR-derived rRNA gene amplicons, which
have proven
useful in analysis of the intestinal microbiota
(
4,
15,
19,
21).
Our present
knowledge of the microbiota associated with the
human colon is based on
analysis of fecal samples, and only
a limited number of studies
characterizing the microbiota associated
with the human colonic mucosa
wall have been carried out. In
culture-based studies
Bacteroides and
Fusobacterium spp. have
been found to
form the predominant bacterial populations on
colonic biopsy samples,
with bifidobacteria and lactobacilli
being detected in various numbers
(
3,
7,
14). In a recent study
Hold
et al. (
6)
investigated the diversity of mucosa-associated bacteria
in the human
colon by 16S rRNA gene clone analysis. According
to their findings the
bacterial community associated with the
human colon wall is dominated
by bacteria closest related to
Bacteroides and
Clostridium spp.
(
6). Zoetendal et al.
(
21)
investigated the
distribution of mucosa-associated bacteria
along the colon using DGGE
and found that the predominant bacterial
community associated with the
colon wall was host specific and
uniformly distributed along the colon.
Furthermore the distribution
of
Lactobacillus-like bacteria
along the colon was investigated.
The
Lactobacillus-like
community was found to be simple, with
only one amplicon predominating
at all sampling sites. In 7
out of 10 individuals no variation in the
Lactobacillus-like
community was seen along the colon, whereas
minor differences
with sampling site were observed in 3 out of 10
individuals
(
21). No
culture-independent studies investigating the distribution
of
Bifidobacterium spp. associated with the human colonic mucosa
wall
have been published so far.
The aim of the present study was
to simultaneously study three groups of bacteria adhering to the colon
wall by DGGE: Bifidobacterium spp., Lactobacillus
spp. and closely related bacteria, and the overall bacterial
population.
Biopsy samples were taken from the ascending,
transverse, and descending parts of the colons of four individuals
(three men aged 36, 41, and 50 years, respectively, and one woman, aged
30 years) who underwent colonoscopy due to previous removal of benign
colonic polyps or a family history of polyps. The volunteers considered
themselves healthy and did not follow any special dietary routines, and
none had recently received any antibiotic treatment. The study was
approved by the Ethical Committee of the Municipality of Copenhagen and
Frederiksberg (KF 01-388-97) and the Danish Medicines Agency.
Evacuation of the colon before the biopsy sampling was induced by two
doses of oral laxatives (10 mg of bisacodyl [Nordic Drugs,
Limhamm, Sweden] and 45 ml of a liquid combination of
K2HPO4 and KH2PO4 orally).
After sampling the biopsy samples were transferred to tubes containing
3 ml of isotonic saline and washed in order to remove any fecal debris.
This washing step was subsequently repeated twice, making it highly
likely that the investigated bacteria were truly associated with the
colon wall. Bacterial cells still adhering to the biopsy samples were
separated from the samples by transferring the samples to a FastPreb
vial (Bio101, Vista, Calif.), adding 1 ml of saline
peptone solution (SPS), and then rigorously shaking the samples (45 s,
speed 4) in a FastPreb instrument (Bio101). To extract bacterial DNA,
0.8 ml of SPS containing a biopsy sample was centrifuged (14,000
x g, 5 min, 4°C). DNA was extracted from the
resulting pellet with a QIAamp DNA stool minikit (Qiagen, Hilden,
Germany) by following the manufacturer's instructions (lysis
temperature, 95°C). The isolated DNA was subsequently amplified
on a Biometra Trio-Thermoblock (Biotron, Göttingen, Germany). PCR
was performed by a nested approach modified from that of Boon et al.
(2). Primers Bif164f and
Bif662r (15), specific
for Bifidobacterium spp., 7f and Lab677r
(4), specific for
Lactobacillus spp. and closely related organisms
(Lactobacillus, Leuconostoc, Weissella,
Pediococcus, and Aerococcus spp., here as a whole
termed Lactobacillus-like), and the universal bacterial
primers 7f and 1510r (15)
were used as first-round primers. In the second PCR round, the obtained
fragments were reamplified with universal bacterial primers P338fGC and
P518r, amplifying the V3 region of the 16S rRNA gene
(2). Primer sequences and
PCR protocols were as stated in the original publications except that
an annealing temperature of 60°C was used with primers Bif164f
and Bif662r. All primers were purchased from DNA Technologies, Aarhus,
Denmark. The final levels of reaction mixture constituents were as
follows: 1.25 U of Taq DNA polymerase (Promega, Madison,
Wis.), 1x PCR buffer (MgCl2 free; Amersham
Biosciences, Piscataway, N.J.), 200 µM (each) deoxynucleotide
triphosphate (Amersham Biosciences), 1.5 mM MgCl2, 0.1
µM (each) primer, 1 µl of DNA template, and sterile
MilliQ water for adjustment of the volume to 50 µl. The DGGE
analysis was basically performed as described by Muyzer et al.
(12) with a DCode System
apparatus (Bio-Rad, Hercules, Calif.). Polyacrylamide gels (8%
[wt/vol] acrylamide-bisacrylamide [37.5:1]) in
1x Tris-acetate-EDTA (TAE) buffer were prepared
with a Bio-Rad gradient delivery system (model 475) by using solutions
containing 40 and 60% denaturant (100% denaturant
corresponds to 7 M urea and 40% [vol/vol] formamide).
Gels were run at 60°C for 16 h at a constant voltage
of 70 V. After electrophoresis gels were stained with SYBR-GOLD
(Molecular Probes, Eugene, Oreg.) for 20 min and photographed. DNA
fragments from selected bands were excised from the DGGE gels and
identified by sequencing basically as described previously
(13) with primers P338fGC
and P518r (2) and a CEQ
2000 dye terminator cycle sequencing kit (Beckman Coulter, Fullerton,
Calif.). Sequences were manually corrected and aligned to 16S rRNA gene
sequences obtained from the GenBank database with the BLAST algorithm
(1). Cluster analysis of
the DGGE profiles was performed basically as outlined previously
(21) with GelCompar,
version 4.0 (Applied Maths, Kortrijk, Belgium). Culture-independent
results were compared with culture-based isolations. Following
separation of the bacterial cells from the biopsy samples as described
above 10-fold dilutions were prepared in SPS. From appropriate
dilutions 100 µl was spread onto MRS agar (Merck, Darmstadt,
Germany) and incubated anaerobically at 37°C for 4 days (GasPak
system; Microbiology Systems, Cockeysville, Md.). Based on colony
morphology and microscopy, assumed Bifidobacterium and
Lactobacillus colonies were restreaked onto MRS for
purification. Isolates were stored at -80°C in MRS
broth (Merck) containing 20% (vol/vol) glycerol. Isolates of
assumed lactobacilli and bifidobacteria were identified by sequencing
the V6 to V8 region of the 16S rRNA gene. DNA was
extracted from overnight cultures by bead beating, and the DNA was
amplified and sequenced with primers 968fGC and 1401r (DNA
Technologies) (20) as
described above. Pure culture DNA was furthermore amplified with
primers P338fGC and 518r
(2) and analyzed by DGGE
to compare their electrophoretic mobilities to the DGGE profiles of the
biopsy samples.
The nested-PCR approach was chosen in order to
obtain stronger bands in the denaturing gradient gels. Furthermore the
chosen approach allows comparison between DGGE patterns obtained with
different specific primers because the same 16S rRNA gene fragment was
amplified in the second PCR round. DGGE of rRNA gene amplicons obtained
with Bifidobacterium-specific primers revealed that the
bifidobacterial community associated with the colonic wall in the four
individuals examined here was simple, with zero to two amplicons being
detected at each sampling site (Fig.
1). Some variations in DGGE patterns were observed with host and sampling
site (Fig. 1), but the
numbers of samples and observed bands are too small to allow definite
conclusions. Due to the simple Bifidobacterium-specific DGGE
profiles, no cluster analysis was performed. Bifidobacterium
longum and Bifidobacterium bifidum were detected at the
same sampling sites by conventional plating methods as well as DGGE
(data not shown). Amplicons most closely related to Bifidobacterium
adolescentis and Bifidobacterium ruminantium
were detected by DGGE but not by conventional plating. Likewise,
Matsuki et al. (9)
frequently detected B. adolescentis in fecal samples by direct
species- and group-specific PCR, but not by conventional plating
followed by specific PCR. No bands were detected in the ascending and
descending parts of the colon from individual 3 and the ascending part
of the colon from individual 4 (Fig.
1). Nevertheless B.
longum was detected in the ascending part of the colon by plating
in both individuals (data not shown). This was probably because B.
longum was present in numbers below the detection limit of the
PCR-DGGE method. All bifidobacterial isolates analyzed by DGGE migrated
as expected compared to identified fragments in the DGGE
patterns of the biopsy specimens (data not shown).
The DGGE
patterns representing the
Lactobacillus-like community
associated
with the human colonic mucosa wall were relatively complex,
with
several amplicons detected at all sampling sites (Fig.
2). Cluster
analysis (Fig.
3) did not reveal any grouping with either host
or sampling site,
indicating that the
Lactobacillus-like community
varies with
host as well as sampling site in the colon in the
four individuals
examined here. In agreement with the specificity
of the chosen primer
all identified bands represented
Lactobacillus,
Leuconostoc,
Weissella, or
Aerococcus spp.
with the exception of a band detected
at all sampling sites in
volunteer 1, which was most closely
related to
Eubacterium
biforme (Fig.
2, band
2). No
Pediococcus spp. were detected. The chosen primer set
specific for
Lactobacillus-like
bacteria was developed and
evaluated by Heilig et al.
(
4), who
also observed the
unintended amplification of
E. biforme-like
amplicons, but
otherwise the primer set was found to be specific
for
Lactobacillus-like bacteria
(
4). Amplicons most
closely
related to the genus
Weissella (Fig.
2, band 7) were detected
in
all parts of the colon in individual 2. A band most closely
related
to
Leuconostoc citreum (Fig.
2, band 10) was likewise
detected
in all parts of the colon in volunteers 3 and 4. Various
Lactobacillus spp. are generally considered to form the major
part of the
fecal LAB community
(
17). Our results
indicate that, as seen
from Fig.
2, LAB other than
Lactobacillus might form a significant
part of the
mucosa-associated LAB, as leuconostocs and not lactobacilli
were
detected in most samples. Using conventional plating
methods
a few
Lactobacillus spp. (
Lactobacillus casei
group and
Lactobacillus ruminis, data not shown) but no
Leuconostoc,
Weissella,
Pediococcus,
or
Aerococcus spp. were isolated. This was probably because
we
aimed specifically at isolating
Lactobacillus spp. All
isolates
migrated as expected when analyzed by DGGE. The
L.
casei group
isolates had a migration pattern different from
those of all
fragments in the DGGE patterns of the biopsy
specimens (data
not shown). This was expected as the
L.
casei group was detected
only by the cultivation-based method.
The fact that only a few
lactobacilli were detected in the
cultivation-based part of
the study could support our observation from
the DGGE profiles
that lactobacilli, at least in the volunteers
examined here,
do not form the major part of the LAB population
associated
with the human colon wall. As mentioned above, in a previous
investigation
of the
Lactobacillus-like community on human
colonic biopsy
samples by DGGE it was reported that the DGGE profiles
were
simple and low in diversity
(
21). The DGGE profiles
obtained
in this study differed from these results, as variations with
sampling
site as well as host were seen (Fig.
2 and
3). Furthermore several
amplicons
predominated in all samples. The same
Lactobacillus-specific
primer was used in both studies, but
differences in, e.g., DNA
extraction methods might explain the
different observations.
Natural variations among the subjects examined,
as previously
reported on the basis of fecal samples, might be another
explanation
(
18).
DGGE profiles
of PCR amplicons derived with universal bacterial
primers were complex
(Fig.
4). Cluster analysis revealed that
the DGGE patterns were host specific and
did not vary with sampling
site (data not shown). This is in agreement
with previous results
(
21).
All obtained
sequences, except the amplicon closely related
to
B. bifidum,
were less than 97% identical to known sequences
(Fig.
4). This implies that the
amplicons represent unknown
species.
Some bifidobacteria and LAB
are believed to possess probiotic,
health-promoting effects. Some
authors consider adherence to
the colon wall a desirable trait of these
probiotic organisms,
as this might enhance their potential to colonize
the colon
(
10). Our
finding that the bifidobacterial and
Lactobacillus-like
microbiota
associated with the human colonic mucosa wall vary with host
and/or
position in the colon raises the question of whether it is at
all
possible to find a common probiotic organism capable of colonizing
all
individuals of a given population? Our results do not give a
conclusive
answer but highlight the need for further characterization
of
the mucosa-associated bacteria in the human
colon.

Nucleotide sequence accession
numbers.
The sequences
determined in this study have been assigned GenBank
accession no.
AY267911
to
AY267947,
AY273784,
and
AY273785.

ACKNOWLEDGMENTS
The
financial support provided by the Danish Dairy Research
Foundation
(Danish Dairy Board) and the Danish Research and
Development Program
for Food Technology is highly
appreciated.

FOOTNOTES
* Corresponding
author. Mailing address: Department of Dairy and Food Science, Royal
Veterinary and Agricultural University, Rolighedsvej 30, 1870
Frederiksberg C, Denmark. Phone: 45 35 28 32 16. Fax: 45 35 28 32 14.
E-mail:
moj{at}kvl.dk.


REFERENCES
1 - Altschul,
S. F., T. L. Madden, A. A.
Schäffer, J. Zhang, Z. Zhang, W. Miller, and D. J.
Lipman. 1997. Gapped BLAST and PSI-BLAST: a new
generation of protein database search programs. Nucleic Acids
Res.
25:3389-3402.[Abstract/Free Full Text]
2 - Boon,
N., W. de Windt, W. Verstraete, and E. M. Top.2002
. Evaluation of nested PCR-DGGE (denaturing gradient
gel electrophoresis) with group-specific 16S rRNA primers for the
analysis of bacterial communities from different wastewater treatment
plants. FEMS Microbiol. Ecol.
39:101-112.[CrossRef]
3 - Croucher,
S. C., A. P. Houston, C. E. Bayliss, and
R. J. Turner. 1983. Bacterial populations
associated with different regions of the human colon wall. Appl.
Environ. Microbiol.
45:1025-1033.[Abstract/Free Full Text]
4 - Heilig,
H. G. H. J., E. G. Zoetendal,
E. E. Vaughan, P. Marteau, A. D. L.
Akkermans, and W. M. de Vos. 2002. Molecular
diversity of Lactobacillus spp. and other lactic acid bacteria
in the human intestine as determined by specific amplification of 16S
ribosomal DNA. Appl. Environ. Microbiol.
68:114-123.[Abstract/Free Full Text]
5 - Hentschel,
U., U. Dobrindt, and M. Steinert. 2003. Commensal
bacteria make a difference. Trends Microbiol.
11:148-150.[CrossRef][Medline]
6 - Hold,
G. L., S. E. Pryde, V. J. Russell, E.
Furrie, and H. J. Flint. 2002. Assessment of
microbial diversity in human colonic samples by 16S rDNA sequence
analysis. FEMS Microbiol. Ecol.
39:33-39.[CrossRef]
7 - Johansson,
M.-L., G. Molin, B. Jeppsson, S. Nobaek, S. Ahrné, and S.
Bengmark. 1993. Administration of different
Lactobacillus strains in fermented oatmeal soup: in vivo
colonization of human intestinal mucosa and effect on the indigenous
flora. Appl. Environ. Microbiol.
59:15-20.[Abstract/Free Full Text]
8 - Langendijk,
P. S., F. Schut, G. J. Jansen, G. C.
Raangs, G. R. Kamphuis, M. H. F.
Wilkinson, and G. W. Welling. 1995.
Quantitative fluorescence in situ hybridization of
Bifidobacterium spp. with genus-specific 16S rRNA-targeted
probes and its application in fecal samples. Appl. Environ.
Microbiol.
61:3069-3075.[Abstract]
9 - Matsuki,
T., K. Watanabe, R. Tanaka, M. Fukuda, and H. Oyaizu.1999
. Distribution of bifidobacterial species in human
intestinal microflora examined with 16S rRNA-gene-targeted
species-specific primers. Appl. Environ. Microbiol.
65:4506-4512.[Abstract/Free Full Text]
10 - Mattila-Sandholm,
T., J. Mättö, and M. Saarela. 1999. Lactic
acid bacteria with health claimsinteractions and interference
with gastrointestinal flora. Int. Dairy J.
9:25-35.
11 - McCartney,
A. L., W. Wenzhi, and G. W. Tannock.1996
. Molecular analysis of the composition of the
bifidobacterial and Lactobacillus microflora in humans.Appl. Environ. Microbiol.
62:4608-4613.[Abstract]
12 - Muyzer,
G., E. C. de Waal, and A. G. Uitterlinden.1993
. Profiling of complex microbial populations by
denaturing gradient gel electrophoresis analysis of polymerase chain
reaction-amplified genes coding for 16S rRNA. Appl. Environ.
Microbiol.
59:695-700.[Abstract/Free Full Text]
13 - Omar,
N. B., and F. Ampe. 2000. Microbial
community dynamics during production of the Mexican fermented maize
dough pozol. Appl. Environ. Microbiol.
66:3664-3673.[Abstract/Free Full Text]
14 - Poxton,
I. R., R. Brown, A. Sawyerr, and A. Ferguson.1997
. Mucosa-associated bacterial flora of the human
colon. J. Med. Microbiol.
46:83-91.
15 - Satokari,
R. M., E. E. Vaughan, W. M. Akkermans-van
Vliet, M. Saarela, and W. M. de Vos. 2001.
Bifidobacterial diversity in human feces detected by genus-specific PCR
and denaturing gradient gel electrophoresis. Appl. Environ.
Microbiol.
67:504-513.[Abstract/Free Full Text]
16 - Suau,
A., R. Bonnet, M. Sutren, J.-J. Godon, G. R. Gibson,
M. D. Collins, and J. Doré. 1999.
Direct analysis of genes encoding 16S rRNA from complex communities
reveals many novel molecular species within the human gut. Appl.
Environ. Microbiol.
65:4799-4807.[Abstract/Free Full Text]
17 - Tannock,
G. W. 1995. Microecology of the
gastrointestinal tract in relation to lactic acid bacteria. Int.
Dairy J.
5:1059-1070.[CrossRef]
18 - Tannock,
G. W., K. Munro, H. J. M. Harmsen,
G. W. Welling, J. Smart, and P. K. Gopal.2000
. Analysis of the fecal microflora of human subjects
consuming a probiotic product containing Lactobacillus
rhamnosus DR20. Appl. Environ. Microbiol.
66:2578-2588.[Abstract/Free Full Text]
19 - Walter,
J., C. Hertel, G. W. Tannock, C. M. Lis, K. Munro,
and W. P. Hammes. 2001. Detection of
Lactobacillus, Pediococcus, Leuconostoc, and
Weissella species in human feces by using group-specific PCR
primers and denaturing gradient gel electrophoresis. Appl.
Environ. Microbiol.
67:2578-2585.[Abstract/Free Full Text]
20 - Zoetendal,
E. G., A. D. L. Akkermans, and
W. M. de Vos. 1998. Temperature gradient gel
electrophoresis analysis of 16S rRNA from human fecal samples reveals
stable host-specific communities of active bacteria. Appl.
Environ. Microbiol.
64:3854-3859.[Abstract/Free Full Text]
21 - Zoetendal,
E. G., A. von Wright, T. Vilpponen-Salmela, K. Ben-Amor,
A. D. L. Akkermans, and W. M. de Vos.2002
. Mucosa-associated bacteria in the human
gastrointestinal tract are uniformly distributed along the colon and
differ from the community recovered from feces. Appl. Environ.
Microbiol.
68:3401-3407.[Abstract/Free Full Text]
Applied and Environmental Microbiology, December 2003, p. 7545-7548, Vol. 69, No. 12
0099-2240/03/$08.00+0 DOI: 10.1128/AEM.69.12.7545-7548.2003
Copyright © 2003, American
Society for
Microbiology. All Rights Reserved.
This article has been cited by other articles:
-
Turroni, F., Foroni, E., Pizzetti, P., Giubellini, V., Ribbera, A., Merusi, P., Cagnasso, P., Bizzarri, B., de'Angelis, G. L., Shanahan, F., van Sinderen, D., Ventura, M.
(2009). Exploring the Diversity of the Bifidobacterial Population in the Human Intestinal Tract. Appl. Environ. Microbiol.
75: 1534-1545
[Abstract]
[Full Text]
-
Scanlan, P. D., Shanahan, F., O'Mahony, C., Marchesi, J. R.
(2006). Culture-Independent Analyses of Temporal Variation of the Dominant Fecal Microbiota and Targeted Bacterial Subgroups in Crohn's Disease. J. Clin. Microbiol.
44: 3980-3988
[Abstract]
[Full Text]
-
Ben-Amor, K., Heilig, H., Smidt, H., Vaughan, E. E., Abee, T., de Vos, W. M.
(2005). Genetic Diversity of Viable, Injured, and Dead Fecal Bacteria Assessed by Fluorescence-Activated Cell Sorting and 16S rRNA Gene Analysis. Appl. Environ. Microbiol.
71: 4679-4689
[Abstract]
[Full Text]