Volume 35, Issue 5 pp. 806-814
Gastroenterology

Modulations of probiotics on gut microbiota in a 5-fluorouracil-induced mouse model of mucositis

Chun-Yan Yeung

Corresponding Author

Chun-Yan Yeung

Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan

Department of Medicine, MacKay Medical College, New Taipei City, Taiwan

Correspondence

Chuen-Bin Jiang and Hung-Chang Lee, Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, MacKay Medical College, Taipei, Taiwan.

Email: [email protected]

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Jen-Shiu Chiang Chiau

Jen-Shiu Chiang Chiau

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan

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Mei-Lein Cheng

Mei-Lein Cheng

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan

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Wai-Tao Chan

Wai-Tao Chan

Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan

Department of Medicine, MacKay Medical College, New Taipei City, Taiwan

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Szu-Wen Chang

Szu-Wen Chang

Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan

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Yuan-Hao Chang

Yuan-Hao Chang

Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan

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Chuen-Bin Jiang

Chuen-Bin Jiang

Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan

Department of Medicine, MacKay Medical College, New Taipei City, Taiwan

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Hung-Chang Lee

Hung-Chang Lee

Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan

Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan

Department of Medicine, MacKay Medical College, New Taipei City, Taiwan

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First published: 01 November 2019
Citations: 34
Declaration of conflict of interest: The authors declare that they have no competing interests.

Abstract

Background and Aim

Intestinal mucositis remained one of the most deleterious complications in cancer patients undergoing chemotherapy. 5-FU treatment was reported to affect the abundance of gut microbiota and cause mucositis, which might be ameliorated by probiotics. We investigate the potential changes of 5-FU treatment and the modulations of probiotics on gut microbiota in a mouse model.

Methods

Male BALB/c mice received either 5-FU or saline (S). They were separated and fed saline, Lactobacillus casei variety rhamnosus (Lcr) and Lactobacillus reuteri DSM 17938 (BG). Lcr and BG were simultaneously administered with 5-FU for 5 days. Stool specimens were collected for DNA extraction and pyrosequenced for bioinformatic analysis.

Results

Fecal microbial communities were obviously diverse. Bacteroides and Bacteroidaceae were the most abundant microbiota in FU.BG group while S24_7 was the most in S.S group. At phylum and class levels, abundances of Betaproteobacteria, Erysipelotrichi, Gammaproteobacteria, and Verrucomicrobia were significantly increased in the FU groups. Probiotics supplementation did increase the abundances of Enterobacteriales and Turicibacterales. We demonstrated that probiotics did modulate the abundance and diversity of gut microbiota. Bacterial motility proteins were found enriched and upregulated in the S.BG group. No mortality was noted. No bacterial translocation was found in spleen and blood among the six groups.

Conclusion

Gut microbiota of mice undergoing chemotherapy exhibited a distinct disruption in bacterial composition. Probiotic did modulate the abundance and diversity of gut microbiota. This is the first study to analyze the effects and safety of Lactobacillus strains on 5-FU-induced mucositis systematically and assess changes in the intestinal microbiota after probiotic intervention.

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