1. INTRODUCTION
The immune system is the first line of defense. It is composed of a complex of cells and molecules that interact to protect against any infection or disease. Inflammation resulting from infection causes a disorder of immune system balance. Therefore, one method for preventing disorders in immune cells is providing immunomodulatory therapy, which restores the immune system’s balance and changes its response by preventing and normalizing abnormal immune cell reactions [1,2]. In recent years, researchers have focused extensively on the natural metabolic products produced by nonpathogenic bacteria (lactic acid bacteria: LAB) and their inclusion in many applications in the food industry. For example, xanthan gum is produced by Xanthomonas campestris and used as a thickener, stabilizer, emulsifier, and gelling agent [3]. Hyaluronic acid, a natural antioxidant, is produced from Streptococcus thermophilus. Reuterin, produced from Limosilactobacillus reuteri, serves as a food preservative and a natural antibacterial against enteric pathogens. Additionally, bacteriocin and antibiotics are also produced from Lactobacillus spp. as food preservatives; it is used instead of chemical preservatives, making them highly attractive in the food industry as an additive [4,5]. Furthermore, exopolysaccharides (EPS) are produced frequently by most LABs, such as Lactobacillus spp., Streptococcus spp. Lactococcus spp., Pediococcus spp., Leuconostoc spp., Bifidobacterium spp., and Weissella [6]. LAB refers to one component of the microbiota found in the mucous membranes of the urinary and gastrointestinal tracts in most organisms. It has a beneficial effect on restoring the intestinal flora, enhancing immunity, and increasing resistance to pathogenic microbes [7].
The term exopolysaccharide (EPS) was coined by the scientist Sutherland in 1978 and has since become a common designation for all types of EPS found outside the microbial cell wall [8]. The study of bacterial EPS began in the mid-nineteenth century with the discovery of dextran, an EPS produced by the bacteria Leuconostoc mesenteroides in wine. Over time, other sugars were discovered, including cellulose, xanthan, inulin, altenam, levan, reuteran, kefiran, alginate, and others [9]. EPS is a metabolic substance that can either be capsule-like and tightly attached to the cell wall or loosely attached and released into the environment. It serves as a key mediator of communication between the host immune system and probiotics, acting as a postbiotic and providing health benefits. Most species of LAB have the ability to produce EPS, including Bifidobacterium spp. [10]. The advantages of EPS derived from LAB strains include its natural origin, safety, and nontoxicity for cells. Other researchers have demonstrated its efficacy in vitro against the proliferation of various cancer cell lines, showing significant cytotoxic properties by inhibiting the formation and growth of tumors in human hepatoma and lung cancer cell lines [11]. Additionally, it exhibits strong cytotoxic effects against HeLa cells and cervical carcinoma cell lines, while being nontoxic to normal healthy cells (HEK-293) [12].
The physiochemical properties display diversity closely related to their chemical and structural composition, molecular weight (MW), electrical charge, and linkage patterns. They can be categorized as either homo-exopolysaccharides (HoEPS), whose subunits consist of one repeated sugar, or hetero-exopolysaccharides (HeEPS), more than one repeated sugar subunit. Furthermore, EPS composition includes a significant proportion of carbohydrates along with noncarbohydrate ingredients such as proteins, phospholipids, and nucleic acids [13]. The characteristics and monosaccharide composition analysis for EPS include size exclusion chromatography (SEC), ion-exchange chromatography, nuclear magnetic resonance (NMR), Fourier transform infrared (FT-IR), scanning electron microscopy (SEM), high-performance liquid chromatography (HPLC), thin layer chromatography (TLC), and transmission electron microscopy (TEM). These are some of the more advanced techniques that can be used to investigate the structure and monomer subunit of EPS [14].
Furthermore, the significance of biomedical activities for EPS is evident in a distinguished number of ways. It serves as an anticancer agent from natural sources, ensuring safety with minimal harmful effects on the immune system. This is crucial for immunopharmacology as an alternative to synthetic anticancer therapies (chemotherapy). EPS also possesses potent immunostimulatory properties that can trigger both humoral and cellular immunological responses against antigens. It achieves this by promoting the proliferation of T/B lymphocytes, enhancing the phagocytic activity of macrophages, and increasing the tumoricidal activity of natural killer (NK) cells. Additionally, the antioxidant activity of EPS surpasses that of synthetic antioxidants, which can potentially lead to cancer and cytotoxicity. EPS also acts as an antibiofilm agent, altering the bacterial coat and preventing the attachment of pathogenic bacteria to surfaces. Moreover, EPS exhibits antibacterial properties against gram-positive and gram-negative dietary pathogens, anti-tumor activities, cholesterol-lowering effects, antidiabetic properties, prebiotic characteristics, and various pharmaceutical applications [13,15,16].
The aim of the study is to isolate and identify Bifidobacterium spp. In addition, the study aims to extract polysaccharides, characterize their sugar moiety subunits, and then determine their characteristics and potential as stimulants, modulators, and regulators of interactions between immune system cells to combat inflammation caused by pathogenic infections, as well as their effects as anti-cytotoxic agents.
3. RESULTS AND DISCUSSION
3.1. Morphological and Genetic Identification of Bifidobacterium Strain
Identification of Bifidobacterium spp. was achieved morphologically on selective Bifidobacterium agar medium according to Parte et al. [28], where the species formed smooth, convex with entire edges, cream to white, glistening, and of soft consistency colonies; furthermore, microscopically, it exhibited gram-positive and non-spore-forming bacilli. The bifidogenic factors produced from the mother’s milk were the only reason for the preponderance of Bifidobacterium spp. in the fecal microbiota of healthy breastfed infants [29]. In addition, the strains were confirmed genetically by using universal 16S rDNA amplification, and then sequenced and aligned with the reference strain in the GenBank. It turns out that the isolate is B. longum subsp. infantis. This species was recorded as the new local isolate in Iraq-Basrah 3 as a new strain, and the accession number assigned in the GenBank is OQ738864.1. The genetic diagnosis is more accurate in diagnosis without loss or avoiding any error in the identification of any bacterial strain.
3.2. Total EPS Quantification and Content of Protein
The total dry weight and yield of crude EPS for B. longum subsp. infantis strain Iraq-Basrah 3 were 2.08 ± 0.41 g/L in the modified MRS medium, with starch being the preferred carbon source using the ethanol precipitation method. Then, the total protein content in crude EPS was displayed (0.6 ± 0.1 µg/mL). High-production EPS yields depend primarily on the choice of a suitable culture medium and its components for production. This finding is in agreement with other research [30], as well as the optimal conditions, and the fact that using starch as a carbon source has an effective role for high-quality products. Furthermore, the methods used for purified EPS have trichloroacetic acid, which precipitates proteins during extraction [31,32].
3.3. In vitro Activity of EPS as Cytotoxic and RBC Membrane Stabilization
The RBC hemolysis test is a method of analyzing RBC eligibility and the toxicity of materials. Validation of the hemocompatibility of the EPS non-hemolytic activity, membrane stabilization, and non-cytotoxicity was assessed under a light microscope. The result in Figure 1 shows the stabilization ability of membrane RBC and demonstrates all concentrations of EPS isolated from B. longum subsp. infantis strain Iraq-Basrah 3. Protection for the RBC membrane against hypotonic-triggered hemolysis, which indicates the EPS is not toxic to RBCs, has the potential to stabilize membrane RBC, and is safe at low concentrations. This result is similar to the previous results identified: 1000 µg/mL of EPS extracted from endophytic fungus Fusarium solani SD5 prevent hyposaline-induced hemolysis of RBC [33], and 100 and 500 μg/mL of EPS produced from halophilic bacterium Virgibacillus dokdonensis also protect RBC hemolysis [34] as well, during their experiment, they showed that EPS does not harm the vitality of healthy Caco-2 cells [35].
Membranes for human RBC are similar to lysosomal membranes and help maintain cell integrity against osmotic stress and heat-induced lysis. Hypotonic solutions can cause excessive fluid accumulation within the cells, leading to membrane rupture and the osmotic loss of cell membranes. Therefore, making the membrane firm can prevent the leakage of fluid and serum proteins into the tissue during the process of enhancing cell permeability and preventing inflammation [36]. Furthermore, the binding of EPS to membrane proteins is considered to be a possible mechanism for the stabilizing characteristic; this could change the RBC membrane’s surface volume ratio, changing the surface charge and calcium flux in the membranes, and inhibiting the aggregating agents [37]. Therefore, this shows that the EPS is active, exhibits potential as a novel biocompatibility agent, and can be used instead of bioactive synthetic molecules such as butylated hydroxytoluene and butylated hydroxyanisole, which have been proven to have toxicity [38].
3.4. Determination of Monosaccharide Subunits for Hydrolyzed EPS
Diagnosis of monomer subunits for EPS produced has been achieved by liquid chromatography (HPLC) on EPS hydrolysate derivatives, and comparison with mixed standard monosaccharide derivatives is displayed in Figures 2A and 2B. There are five peaks in the HPLC results for EPS compared with the retention time of the derivative monosaccharide standard, as shown in Table 2.
| Figure 2: HPLC analysis: A: mixed standard monosaccharide derivatives, B: subunits of EPS derivative hydrolysate, PMP: 1-phenyl-3-methyl-5-pyrazolone.
[Click here to view] |
Table 2: Effect of EPS on serum IL-10 and IL-6 levels of LPS-induced groups.
Cytokines | Grp.1 | Grp.2 | Grp.3 | Grp.4 | Grp.5 |
---|
IL-10 pg/mL↑ | 213.9b ± 88 | 227.4b ± 76 | 366.6a ± 36 | 322.1a ± 31 | 231.7b ± 51 |
IL-6 ng/L↓ | 3.18b ± 1.2 | 20.8a ± 1.5 | 2.75b ± 1.2 | 2.60b ± 1.1 | 20.34a ± 1.3 |
The HPLC result in Figure 2B display that EPS has a five-peak, and the retention time due to the five monosaccharide subunits, compared with the standard retention time for carbohydrates in Figure 2A. This result indicates that this biopolymer is a hetero-polysaccharide secreted by a new local strain, B. longum subsp. infantis strain Iraq-Basrah 3. It depends on the carbon source used in the product medium; previous workers reported the biosynthesis of hetero-polysaccharides from sugar glucose and the glucose portion acted as a carbon source [39]. This result follows the same line of research by previous researchers on wild and mutant Lactobacillus delbrueckii; their EPSs were hetero-polysaccharides, a subunit composite of eight different types of sugars: ribose, xylose, arabinose, rhamnose, fructose, glucose, mannose, and galactose (6).
3.5. Serum IL-10 and IL-6 Cytokines Level Determination
Purified EPS showed potential to reduce the anti-inflammatory cytokine IL-10 and suppress the pro-inflammatory cytokine IL-6 in the serum of rats. In the groups induced with LPS and treated with EPS, there was a significant increase in IL-10 (Grp.3: 366.6 ± 36 pg/mL and Grp.4: 322.1 ± 31 pg/mL) compared to the control group (227.4 ± 88 pg/mL) and a significant decrease in IL-6 (Grp.3: 2.75 ± 1.2 ng/l and Grp.4: 2.60 ± 1.1 ng/l) compared to the control group (20.8 ± 1.5 ng/l). Furthermore, there was no significant difference between the control group and the group treated with yogurt-containing strains that produce EPS, as shown in Table 2.
This novel biopolymer, EPS, is a natural compound that stimulates the immune response against inflammation when used as an immunostimulatory compound. Table 2 exhibits groups induced with LPS and treated with purified EPS Grp.3 and Grp.4 (IP injection and oral administration, respectively), stimulating anti-inflammatory cytokines (IL-10) and suppressing pro-inflammatory cytokines (IL-6). Nevertheless, the mechanisms behind how the EPS stimulates anti-inflammatory activity remain poorly understood.
The innate immune response to microbial infections is known to be critically influenced by toll-like receptor 2 and 4 (TLR2, TLR4), and dysfunction of this receptor is associated with a wide range of diseases. TLR4 activation triggers the mitogen-activated protein kinase (MAPK) and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) pathways, which in turn promote the expression of genes related to inflammation, including cyclooxygenase-2 (COX-2), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and interleukin-1β (IL-1β) [40]. LPS is one of the components of the outer membrane of gram-negative bacteria, which has a molecular pattern associated with pathogenic bacteria and is recognized by TLR, which binds to it when bacteria are degraded in the host, causing inflammation and activation of the innate immune system in response to the inflammatory reactions (pro-inflammatory) caused by LPS, causing fever, diarrhea, and dysfunction of the heart. TLR may therefore be a therapeutic target for the treatment of immune diseases [41,42].
The ability of LPS to stimulate innate immunity by binding to TLR causes a rapid response and secretion of pro-inflammatory cytokines (IL-1 ß, IL-6, and TNF-α) to healthy rats; even in low dosages, within 24 h through two TLR4 signaling pathways: the TIR-domain-containing adapter-inducing interferon-β (TRIF)-dependent pathway and the MyD88-dependent pathway. When these pathways interact, they result in a complex inflammatory response [39,43]. Gavzy et al. [44] demonstrated the synthesis of high-molecular-weight EPS by Bifidobacterium spp., which is mediated by the induction of TLR-2 and the ability to induce Foxp3+Treg cells. This induction increases the production of anti-inflammatory cytokines (IL-10) and suppresses pro-inflammatory cytokines (IL-6). Kwon et al. [45] demonstrated that EPS inhibits the inflammatory response by interacting with TLR4 using TAK-242 (Resatorvid is a TLR4 inhibitor) and blocking the interaction between LPS and TLR4, as well as reducing the expression of genes responsible for secreting pro-inflammatory cytokines such as nitric oxide synthase (iNOS), basic mediator of inflammation; IL-1 ß, IL-6, and TNF-α induced by LPS. This finding agrees with other researchers’ reports that polysaccharides secreted by Bacteroides fragilis can in vivo suppress the pro-inflammatory IL-17 production by intestinal immune cells induced by Helicobacter hepaticus [46].
In Grp.5, inflammatory symptoms were observed, but there were no statistically significant differences (p ≥ 0.05) compared with control groups (Grp.2): increased IL-6 (20.34 ± 1.3) and decreased IL-10 (231.7 ± 51). Grp.5 were treated orally with yogurt fermentation by starter B. longum subsp. infantis strain Iraq-Basrah 3, which produced EPS and was induced with LPS. This increased inflammation due to LPS stimulating pro-inflammatory cytokines (IL-6), while IL-10 cytokines were not affected by yogurt fermentation, indicating no immune stimulation for anti-inflammatory purposes. Several explanations are possible, including (1) the skim milk media and optimal conditions for fermentation are unfavorable for high production of EPS; (2) the amount of EPS produced in yogurt is used again as a prebiotic for starters Bifidobacterium in fermented yogurt; (3) degradation by carbohydrate digestion enzymes produced by the small intestine [47] may not absorb a sufficient amount of EPS into the systematic circulation to stimulate the immune system. Additionally, the acidic environment in the stomach may have a more significant effect on the viable cell count for Bifidobacterium spp. or any microbial species, which may reflect on colonization and adhesion, and the ability to produce EPS during shorter periods, thereby modifying the intestinal flora and stimulating the host’s immunity.
3.6. Hematological Parameters for Rats Treated with EPS and Untreated Groups
The hematological parameters of the rats induced with LPS and treated with EPS and the untreated control rat groups were compared. The level of WBCs, neutrophils, and PCV (5.8 ± 0.2, 3 ± 0.1, 42.6 ± 0.5, 14.2 ± 0.5, respectively) were significantly increased (p ≤ 0.05), while the levels of lymphocytes, monocytes, and PT parameters (1.8 ± 0.1, 0.02 ± 0.006, 325 ± 44.3, respectively) were significantly decreased (p ≤ 0.05) in Grp.5 compared with normal group (Grp.2). In contrast, Grp.3 and Grp.4 showed no effect from inflammation inducement and there were no significant differences in parameter Hb and RBC levels for all groups, as exhibited in Table 3. All hematological parameters for the inducement groups and those treated with EPS (Grp.3 and Grp.4) are in the normal range compared with the normal group (Grp.1), whereas Grp.5 was in the abnormal range, indicating stimulation of inflammation compared with untreated group (Grp.2). This result agrees with previous studies (6). There are no previous studies on the mechanism of the effect of polysaccharides on maintaining physiological blood parameters against inflammation. Blood and bone marrow are composed of a complex mixture of cells that respond to different inflammations, including bacterial endotoxin (lipopolysaccharide) that alters (increase or decrease) most bone marrow cell types by interacting LPS with the cell membrane and affecting the function and growth of cells (18). EPS binding with TLR and blocking the interaction of LPS with TLR [48] leads to engulfment of LPS by macrophages, which improves bone marrow and blood cells.
Table 3: Hematological parameters for treated and untreated groups of rats.
Hematology Parameter | Grp.1 | Grp.2 | Grp.3 | Grp.4 | Grp.5 |
---|
WBC, 103/µL | 2.3b ± 0.3 | 6.4a ± 0.4 | 2.3b ± 0.4 | 2.2b ± 0.3 | 5.8a ± 0.2 |
Neutrophils, 103/µL | 0.7b ± 0.2 | 3.8a ± 0.3 | 0.6b ± 0.2 | 0.7b ± 0.2 | 3a ± 0.1 |
Lymphocytes, 103/µL | 3.1a ± 0.4 | 1.5b ± 0.2 | 2.7a ± 0.3 | 2.6a ± 0.1 | 1.8b ± 0.1 |
Monocytes, 103/µL | 0.08a ± 0.01 | 0.013b ± 0.01 | 0.06a ± 0.01 | 0.06a ± 0.01 | 0.02b ± 0.01 |
RBC, 106/µL | 8.3 ± 0.5 | 8 ± 0.3 | 8.1 ± 0.1 | 8 ± 0.3 | 7.8 ± 0.3 |
HB, g/dl | 14 ± 0.4 | 13.9 ± 0.5 | 14 ± 0.6 | 14 ± 0.2 | 14.2 ± 0.5 |
PT, 103/µL | 573a ± 24.6 | 346b ± 31.9 | 507a ± 18.9 | 506a ± 46.3 | 325b ± 44.3 |
PCV, % | 39b ± 0.4 | 48a ± 0.5 | 38b ± 0.3 | 39b ± 0.2 | 42.6a ± 0.5 |
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