ADMINISTRATION OF DIFFERENT LACTOBACILLUS STRAINS IN FERMENTED OATMEAL SOUP - INVIVO COLONIZATION OF HUMAN INTESTINAL-MUCOSA AND EFFECT ON THE INDIGENOUS FLORA

In vivo colonization by different Lactobacillus strains on human intestinal mucosa of healthy volunteers was studied together with the effect of Lactobacillus administration on different groups of indigenous bacteria. A total of 19 test strains were administered in fermented oatmeal soup containing 5 x 10(6) CFU of each strain per ml by using a dose of 100 ml of soup per day for 10 days. Biopsies were taken from both the upper jejunum and the rectum 1 day before administration was started and 1 and 11 days after administration was terminated. The administration significantly increased the Lactobacillus counts on the jejunum mucosa, and high levels remained 11 days after administration was terminated. The levels of streptococci increased by 10- to 100-fold in two persons, and the levels of sulfite-reducing clostridia in the jejunum decreased by 10- to 100-fold in three of the volunteers 1 day after administration was terminated. In recta, the anaerobic bacterium counts and the gram-negative anaerobic bacterium counts decreased significantly by the end of administration. Furthermore, a decrease in the number of members of the Enterobacteriaceae by 1,000-fold was observed on the rectal mucosa of two persons. Randomly picked Lactobacillus isolates were identified phenotypically by API 50CH tests and genotypically by the plasmid profiles of strains and by restriction endonuclease analysis of chromosomal DNAs. The following five administered Lactobacillus strains were reisolated from the mucosa 1 day after the end of administration: Lactobacillus plantarum 299 and 299v, Lactobacillus casei subsp. rhamnosus 271, Lactobacillus reuteri 108, and Lactobacillus agilis 294. All of these strains were also found 11 days after administration was terminated, although L. plantarum 299 and 299v were dominant.