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Heat-Killed Lactobacillus reuteri GMNL-263 Inhibits Systemic Lupus Erythematosus–Induced Cardiomyopathy in NZB/W F1 Mice

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Abstract

It has been increasingly recognized that accelerated atherosclerosis is a major cause of morbidity and mortality in patients with systemic lupus erythematosus, a multisystem autoimmune disease. In this study, we investigated the anti-apoptotic effects of heat-killed Lactobacillus reuteri GMNL-263 on the cardiac tissue of NZB/W F1 mice. The myocardial architecture of the mice heart was observed and evaluated using different staining techniques such as hematoxylin and eosin, TUNEL assay, Masson’s trichrome, and fluorescent immunohistochemistry. Additionally, the probiotics-related pathway proteins were analyzed via western blot analysis. Our results showed prevention of enlarged interstitial spaces and abnormal myocardial structures in the hearts of NZB/W F1 mice with L. reuteri GMNL-263 feeding. Significant reduction in TUNEL-positive cells, Fas death receptor–related components, and apoptosis was also detected in the cardiac tissues of the NZB/W F1 mice after L. reuteri GMNL-263 feeding compared with the control group. These findings are the first to reveal the protective effects of L. reuteri GMNL-263 against cardiac abnormalities in NZB/W F1 mice and suggest the potential clinical applications of L. reuteri GMNL-263 in the treatment of SLE-related cardiovascular diseases.

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Abbreviations

FADD:

Fas-associated protein with death domain

L. reuteri GMNL-263:

Lactobacillus reuteri GMNL-263

MMP-9:

Matrix metallopeptidase 9

SLE:

Systemic lupus erythematosus

TNF-R1:

Tumor necrosis factor receptor 1

References

  1. Hermansen ML, Lindhardsen J, Torp-Pedersen C, Faurschou M, Jacobsen S (2017) The risk of cardiovascular morbidity and cardiovascular mortality in systemic lupus erythematosus and lupus nephritis: a Danish nationwide population-based cohort study. Rheumatology (Oxford) 56:706–715. https://doi.org/10.1093/rheumatology/kew475

    Article  Google Scholar 

  2. Croca S, Rahman A (2017) Atherosclerosis in systemic lupus erythematosus. Best Pract Res Clin Rheumatol 31:364–372. https://doi.org/10.1016/j.berh.2017.09.012

    Article  PubMed  Google Scholar 

  3. Doria A, Shoenfeld Y, Wu R, Gambari PF, Puato M, Ghirardello A, Gilburd B, Corbanese S, Patnaik M, Zampieri S, Peter JB, Favaretto E, Iaccarino L, Sherer Y, Todesco S, Pauletto P (2003) Risk factors for subclinical atherosclerosis in a prospective cohort of patients with systemic lupus erythematosus. Ann Rheum Dis 62:1071–1077. https://doi.org/10.1136/ard.62.11.1071

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Yelnik CM, Richey M, Haiduc V, Everett S, Zhang M, Erkan D (2016) Cardiovascular disease prevention counseling program for systemic lupus erythematosus patients. Arthritis Care Res (Hoboken) 69:1209–1216. https://doi.org/10.1002/acr.23128

    Article  CAS  Google Scholar 

  5. Petri M, Perez-Gutthann S, Spence D, Hochberg MC (1992) Risk factors for coronary artery disease in patients with systemic lupus erythematosus. Am J Med 93:513–519. https://doi.org/10.1016/0002-9343(92)90578-Y

    Article  CAS  PubMed  Google Scholar 

  6. Carvalho MR, Sato EI, Tebexreni AS, Heidecher RT, Schenkman S, Neto TL (2005) Effects of supervised cardiovascular training program on exercise tolerance, aerobic capacity, and quality of life in patients with systemic lupus erythematosus. Arthritis Rheum 53:838–844. https://doi.org/10.1002/art.21605

    Article  PubMed  Google Scholar 

  7. Costanza AC, Moscavitch SD, Faria Neto HC, Mesquita ET (2015) Probiotic therapy with Saccharomyces boulardii for heart failure patients: a randomized, double-blind, placebo-controlled pilot trial. Int J Cardiol 179:348–350. https://doi.org/10.1016/j.ijcard.2014.11.034

    Article  PubMed  Google Scholar 

  8. Maldonado Galdeano C, Novotny Nunez I, Carmuega E, de Moreno de LeBlanc A, Perdigon G (2015) Role of probiotics and functional foods in health: gut immune stimulation by two probiotic strains and a potential probiotic yoghurt. Endocr Metab Immune Disord Drug Targets 15:37–45. https://doi.org/10.2174/1871530314666141216121349

    Article  CAS  PubMed  Google Scholar 

  9. Nikpour M, Urowitz MB, Gladman DD (2005) Premature atherosclerosis in systemic lupus erythematosus. Rheum Dis Clin N Am 31:329–354. https://doi.org/10.1016/j.rdc.2005.01.001

    Article  Google Scholar 

  10. Hsu TC, Huang CY, Liu CH, Hsu KC, Chen YH, Tzang BS (2017) Lactobacillus paracasei GMNL-32, Lactobacillus reuteri GMNL-89 and L. reuteri GMNL-263 ameliorate hepatic injuries in lupus-prone mice. Br J of Nutr 117:1066–1074. https://doi.org/10.1017/S0007114517001039

    Article  CAS  Google Scholar 

  11. Tzang BS, Liu CH, Hsu KC, Chen YH, Huang CY, Hsu TC (2017) Effects of oral Lactobacillus administration on antioxidant activities and CD4+ CD25+ forkhead box P3 (FoxP3)+ T cells in NZB/W F1 mice. Br J Nutr 118:333–342. https://doi.org/10.1017/S0007114517002112

    Article  CAS  PubMed  Google Scholar 

  12. Hu WS, Rajendran P, Tzang BS, Yeh YL, Shen CY, Chen RJ, Ho TJ, Padma VV, Chen YH, Huang CY (2017) Lactobacillus paracasei GMNL-32 exerts a therapeutic effect on cardiac abnormalities in NZB/W F1 mice. PLoS One 12:e0185098. https://doi.org/10.1371/journal.pone.0185098

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Hsieh FC, Lan CCE, Huang TY, Chen KW, Chai CY, Chen WT, Fang AH, Chen YH, Wu CS (2016) Heat-killed and live Lactobacillus reuteri GMNL-263 exhibit similar effects on improving metabolic functions in high-fat diet-induced obese rats. Food Funct 7:2374–2388. https://doi.org/10.1039/C5FO01396H

    Article  CAS  PubMed  Google Scholar 

  14. Hsieh FC, Lee CL, Chai CY, Chen WT, Lu YC, Wu CS (2013) Oral administration of Lactobacillus reuteri GMNL-263 improves insulin resistance and ameliorates hepatic steatosis in high fructose-fed rats. Nutr Metab (Lond) 10:35. https://doi.org/10.1186/1743-7075-10-35

    Article  CAS  Google Scholar 

  15. Liao PH, Kuo WW, Hsieh DJY, Yeh YL, Day CH, Chen YH, Chang SH, Padma VV, Chen YH, Huang CY (2016) Heat-killed Lactobacillus reuteri GMNL-263 prevents epididymal fat accumulation and cardiac injury in high-calorie diet-fed rats. Int J Med Sci 13:569–577. https://doi.org/10.7150/ijms.15597

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Ting WJ, Kuo WW, Hsieh D, Yeh YL, Day CH, Chen YH, Chen RJ, Padma V, Chen YH, Huang CY (2015) Heat killed Lactobacillus reuteri GMNL-263 reduces fibrosis effects on the liver and heart in high fat diet-hamsters via TGF-β suppression. Int J Mol Sci 16:25881–25896. https://doi.org/10.3390/ijms161025881

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Ting WJ, Kuo WW, Kuo CH, Yeh YL, Shen CY, Chen YH, Ho TJ, Viswanadha VP, Chen YH, Huang CY (2015) Supplementary heat-killed Lactobacillus reuteri GMNL-263 ameliorates hyperlipidaemic and cardiac apoptosis in high-fat diet-fed hamsters to maintain cardiovascular function. Br J Nutr 114:706–712. https://doi.org/10.1017/S0007114515002469

    Article  CAS  PubMed  Google Scholar 

  18. Chiu WC, Yang HH, Chiang SC, Chou YX, Yang HT (2014) Auricularia polytricha aqueous extract supplementation decreases hepatic lipid accumulation and improves antioxidative status in animal model of nonalcoholic fatty liver. Biomedicine (Taipei) 4:12. https://doi.org/10.7603/s40681-014-0012-3

    Article  Google Scholar 

  19. Lee HP, Chen PC, Wang SW, Fong YC, Tsai CH, Tsai FJ, Chung JG, Huang CY, Yang JS, Hsu YM (2019) Plumbagin suppresses endothelial progenitor cell-related angiogenesis in vitro and in vivo. J Funct Foods 52:537–544. https://doi.org/10.1016/j.jff.2018.11.040

    Article  CAS  Google Scholar 

  20. Liu SP, Shibu MA, Tsai FJ, Hsu YM, Tsai CH, Chung JG, Yang JS, Tang CH, Wang S, Li Q (2020) Tetramethylpyrazine reverses high-glucose induced hypoxic effects by negatively regulating HIF-1α induced BNIP3 expression to ameliorate H9c2 cardiomyoblast apoptosis. Nutr Metab (Lond) 17:12. https://doi.org/10.1186/s12986-020-0432-x

    Article  CAS  Google Scholar 

  21. Wu KM, Hsu YM, Ying MC, Tsai FJ, Tsai CH, Chung JG, Yang JS, Tang CH, Cheng LY, Su PH (2019) High-density lipoprotein ameliorates palmitic acid-induced lipotoxicity and oxidative dysfunction in H9c2 cardiomyoblast cells via ROS suppression. Nutr Metab (Lond) 16:36. https://doi.org/10.1186/s12986-019-0356-5

    Article  CAS  Google Scholar 

  22. Liu SC, Tsai CH, Wu TY, Tsai CH, Tsai FJ, Chung JG, Huang CY, Yang JS, Hsu YM, Yin MC (2019) Soya-cerebroside reduces IL-1β-induced MMP-1 production in chondrocytes and inhibits cartilage degradation: implications for the treatment of osteoarthritis. Food Agr Immunol 30:620–632. https://doi.org/10.1080/09540105.2019.1611745

    Article  CAS  Google Scholar 

  23. Ma ZG, Yuan YP, Wu HM, Zhang X, Tang QZ (2018) Cardiac fibrosis: new insights into the pathogenesis. Int J Biol Sci 14:1645–1657. https://doi.org/10.7150/ijbs.28103

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Nikpour M, Urowitz MB, Gladman DD (2009) Epidemiology of atherosclerosis in systemic lupus erythematosus. Curr Rheumatol Rep 11:248–254. https://doi.org/10.1007/s11926-009-0035-z

    Article  PubMed  Google Scholar 

  25. Urowitz MB, Bookman AA, Koehler BE, Gordon DA, Smythe HA, Ogryzlo MA (1976) The bimodal mortality pattern of systemic lupus erythematosus. Am J Med 60:221–225. https://doi.org/10.1016/0002-9343(76)90431-9

    Article  CAS  PubMed  Google Scholar 

  26. Bruce IN (2005) ‘Not only...but also’: factors that contribute to accelerated atherosclerosis and premature coronary heart disease in systemic lupus erythematosus. Rheumatology (Oxford) 44:1492–1502. https://doi.org/10.1093/rheumatology/kei142

  27. Manzi S, Meilahn EN, Rairie JE, Conte CG, Medsger TA Jr, Jansen-McWilliams L, D'Agostino RB, Kuller LH (1997) Age-specific incidence rates of myocardial infarction and angina in women with systemic lupus erythematosus: comparison with the Framingham study. Am J Epidemiol 145:408–415. https://doi.org/10.1093/oxfordjournals.aje.a009122

    Article  CAS  PubMed  Google Scholar 

  28. Mok CC, Kwok CL, Ho LY, Chan PT, Yip SF (2011) Life expectancy, standardized mortality ratios, and causes of death in six rheumatic diseases in Hong Kong, China. Arthritis Rheum 63:1182–1189. https://doi.org/10.1002/art.30277

    Article  CAS  PubMed  Google Scholar 

  29. Urowitz MB, Gladman DD, Tom BD, Ibanez D, Farewell VT (2008) Changing patterns in mortality and disease outcomes for patients with systemic lupus erythematosus. J Rheumatol 35:2152–2158. https://doi.org/10.3899/jrheum.080214

    Article  PubMed  Google Scholar 

  30. Mengheri E (2008) Health, probiotics, and inflammation. J Clin Gastroenterol 42:S177–S178. https://doi.org/10.1097/MCG.0b013e31817eedc4

    Article  PubMed  Google Scholar 

  31. Kopp MV, Salfeld P (2009) Probiotics and prevention of allergic disease. Curr Opin Clin Nutr Metab Care 12:298–303. https://doi.org/10.1097/MCO.0b013e32832989a3

    Article  PubMed  Google Scholar 

  32. Schabussova I, Wiedermann U (2008) Lactic acid bacteria as novel adjuvant systems for prevention and treatment of atopic diseases. Curr Opin Allergy Clin Immunol 8:557–564. https://doi.org/10.1097/ACI.0b013e328317b88b

    Article  PubMed  Google Scholar 

  33. Kaur IP, Kuhad A, Garg A, Chopra K (2009) Probiotics: delineation of prophylactic and therapeutic benefits. J Med Food 12:219–235. https://doi.org/10.1089/jmf.2007.0544

    Article  CAS  PubMed  Google Scholar 

  34. Kosiewicz MM, Zirnheld AL, Alard P (2011) Gut microbiota, immunity, and disease: a complex relationship. Front Microbiol 2:180. https://doi.org/10.3389/fmicb.2011.00180

    Article  PubMed  PubMed Central  Google Scholar 

  35. Dhanasekaran A, Gruenloh SK, Buonaccorsi JN, Zhang R, Gross GJ, Falck JR, Patel PK, Jacobs ER, Medhora M (2008) Multiple antiapoptotic targets of the PI3K/Akt survival pathway are activated by epoxyeicosatrienoic acids to protect cardiomyocytes from hypoxia/anoxia. Am Journal Physiol Heart Circ Physiol 294:H724–H735. https://doi.org/10.1152/ajpheart.00979.2007

    Article  CAS  Google Scholar 

  36. Lin CC, Chen KB, Tsai CH, Tsai FJ, Huang CY, Tang CH, Yang JS, Hsu YM, Peng SF, Chung JG (2019) Casticin inhibits human prostate cancer DU 145 cell migration and invasion via Ras/Akt/NF-κB signaling pathways. J Food Biochem 43:e12902. https://doi.org/10.1111/jfbc.12902

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

We thank the help provided by Dr. Marthandam Asokan Shibu.

Funding

This work is supported in part by the Taiwan Ministry of Health and Welfare Clinical Trial and Research Center of Excellence (MOHW105-TDU-B-212-133019) and in part by grants from China Medical University, Asia University, and China Medical University Hospital (CMU102-ASIA-02 and ASIA-105-CMUH-01).

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Authors

Contributions

Conceptualization, Yu-Lan Yeh, Min-Chi Lu, and Chih-Yang Huang; data curation, Yu-Lan Yeh, Bruce Chi-Kang Tsai, and Bor-Show Tzang; formal analysis, Min-Chi Lu, Bruce Chi-Kang Tsai, and Chih-Yang Huang; funding acquisition, Wei-Wen Kuo and Chih-Yang Huang; project administration, Wei-Wen Kuo and Peng Xiang; resources, Bor-Show Tzang, Shiu-Min Cheng, Xiaoyong Zhang, and Liang-Yo Yang; supervision, Chih-Yang Huang; writing—original draft, Yu-Lan Yeh, Bruce Chi-Kang Tsai, and Bharath Mahalakshmi; writing—review and editing, Wei-Wen Kuo, Peng Xiang, and Chih-Yang Huang.

Corresponding author

Correspondence to Chih-Yang Huang.

Ethics declarations

The Institutional Animal Care and Use Committee at Chung Shan Medical University approved the animal study (approval no. 847), and the Institutional Review Board (IRB) reviewed and approved the IACUC protocols of The Animal Care and Use Committee of the Chung Shan Medical University, Taichung, Taiwan.

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The authors declare that they have no competing interests.

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Yeh, YL., Lu, MC., Tsai, B.CK. et al. Heat-Killed Lactobacillus reuteri GMNL-263 Inhibits Systemic Lupus Erythematosus–Induced Cardiomyopathy in NZB/W F1 Mice. Probiotics & Antimicro. Prot. 13, 51–59 (2021). https://doi.org/10.1007/s12602-020-09668-1

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