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    M I N I R E V I E W

    A review on the interactions between gut microbiota and innate

    immunity of sh

    Geovanny D. Gomez1 & Jose Luis Balcazar2

    1Mariculture Research Laboratory, Ocean University of China, Qingdao, China; and 2 Instituto de Investigaciones Marinas, Consejo Superior de

    Investigaciones Cientficas (CSIC), Eduardo Cabello, Vigo, Spain

    Correspondence:Jos e Luis Balc azar,

    Instituto de Investigaciones Marinas, Consejo

    Superior de Investigaciones Cientficas (CSIC),

    Eduardo Cabello 6, 36208 Vigo, Spain.

    Tel.: 134 986 214 457; fax:134 986 292

    762; e-mail: [email protected]

    Received 20 April 2007; revised 12 September2007; accepted 12 September 2007.

    First published online 17 December 2007.

    DOI:10.1111/j.1574-695X.2007.00343.x

    Editor: Willem van Leeuwen

    Keywords

    innate immunity; gut microbiota; probiotics;

    fish.

    Abstract

    Although fish immunology has progressed in the last few years, the contribution

    of the normal endogenous microbiota to the overall health status has been so

    far underestimated. In this context, the establishment of a normal or protective

    microbiota constitutes a key component to maintain good health, through

    competitive exclusion mechanisms, and has implications for the development

    and maturation of the immune system. The normal microbiota influences theinnate immune system, which is of vital importance for the disease resistance of

    fish and is divided into physical barriers, humoral and cellular components. Innate

    humoral parameters include antimicrobial peptides, lysozyme, complement

    components, transferrin, pentraxins, lectins, antiproteases and natural antibodies,

    whereas nonspecific cytotoxic cells and phagocytes (monocytes/macrophages and

    neutrophils) constitute innate cellular immune effectors. Cytokines are an integral

    component of the adaptive and innate immune response, particularly IL-1b,

    interferon, tumor necrosis factor-a, transforming growth factor-b and several

    chemokines regulate innate immunity. This review covers the innate immune

    mechanisms of protection against pathogens, in relation with the installation and

    composition of the normal endogenous microbiota in fish and its role on health.

    Knowledge of such interaction may offer novel and useful means designingadequate therapeutic strategies for disease prevention and treatment.

    Introduction

    The health status of aquatic organisms is uniquely related to

    their immediate environments, which can contain very high

    concentrations of microorganisms. Many of these micro-

    organisms are saprophytic, some are pathogenic and both

    types are capable of infecting fish when conditions become

    favorable for multiplication. However, under normal condi-

    tions fish maintain a healthy status by defending themselves

    against these potential invaders using a repertoire of innate

    and specific defense mechanisms (Ellis, 2001).

    The immune systems of fish and higher vertebrates are

    similar and both have two integral components: (1) the

    innate, natural or nonspecific defense system formed by a

    series of cellular and humoral components, and (2) the

    adaptive, acquired or specific immune system characterized

    by the humoral immune response through the production

    of antibodies and by the cellular immune response, which is

    mediated by T-lymphocytes, capable of reacting specifically

    with antigens.

    The innate immune system, unlike the specific immune

    system, lacks the ability to acquire memory and specific

    recognition after an encounter with foreign agents. How-

    ever, this system is quite important in fish since the synthesis

    of antibodies is relatively slow in comparison with antibody

    production in the higher vertebrates. An adaptive immune

    response in ectothermic vertebrates takes considerable time

    (e.g., antibody production in salmonids takes at least 46

    weeks) to respond and is very temperature-dependent (Ellis,

    2001).

    The main function of the innate immune system, i.e., the

    innate immune reactions mediated by monocytes/macro-

    phages, comprises antigen presentation and regulation

    of the functional balance of immune response related to

    cytokine and chemokine receptor profiles. Although the

    host has evolved various tolerogenic mechanisms allowing

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    a peaceful and productive coexistence with its normal

    endogenous microbiota, it remains highly responsive to

    enteropathogenic bacteria. This discriminatory ability re-

    presents a pivotal feature of efficient tolerance and homeo-

    static mechanisms.

    Recently, the use of gnotobiotic animals has shown that

    bacteria have a profound impact on the anatomical, physio-logical and immunological development of the host (Rawls

    et al., 2004). Thus, establishing a healthy microbiota plays an

    important role in the generation of immunophysiologic

    regulation in the host by providing crucial signals for the

    development and maintenance of the immune system

    (Salminenet al., 2005).

    Therefore, the focus of this review will be primarily on

    innate immune mechanisms of protection against pathogens

    as well as on the composition of the gut microbiota in fish,

    and particularly its role in maintaining health of the host.

    Innate immune systemThe primary line of defense in fish is the skin and mucus

    membranes. However, when pathogenic microorganisms

    enter the host, cellular and humoral innate defense mechan-

    isms are activated (Magnadottir, 2006). The most important

    mechanism involved in this defense is phagocytic activity,

    which will be described in detail later.

    Epithelial barriers

    Physical and chemical barriers, such as the dermis, epider-

    mis, scales and mucus, constitute the first line of defense

    against disease-causing microorganisms in fish. The epider-mal cells are capable of reacting against different aggressors

    and the integrity of these cells is fundamental to maintaining

    osmotic equilibrium, as well as impeding the entrance of

    foreign agents (Shephard, 1994).

    Mucus, composed mainly of glycoprotein, prevents the

    colonization of foreign agents. The continuously main-

    tained mucus layer provides a substrate in which the anti-

    bacterial mechanisms can occur by virtue of biologically

    active components including antibodies, antibacterial pep-

    tides, lysozymes, complement proteins, lectins and pentraxins

    (Nowak, 1999; Nagashimaet al., 2001; Hellioet al., 2002).

    Innate humoral immunity

    The body fluids of the fish contain proteins and peptides

    that react against a great variety of microorganisms and

    microbial products. These nitrogenous compounds form

    part of the defense of the innate humoral immunity, and

    consist of antimicrobial peptides, lysozyme, complement,

    transferrin, pentraxins, lectins and antiproteases (Ellis,

    1989).

    Antimicrobial peptides (AMPs)

    AMPs are present in tissues exposed to microorganisms

    such as mucosal surfaces and skin (Cole et al., 1997) and

    immune cells such as mast cells (Silphaduang & Noga, 2001;

    Murrayet al., 2003). One type of AMPs expressed by fish

    mast cells (also known as eosinophilic granule cells) is

    piscidin, which has potent, broad-spectrum antibacterialactivity against fish pathogens (Silphaduang & Noga, 2001).

    Recently, other AMPs present in gill mast cells have been

    identified such as chrysophsin and pleurocidin, which have

    been isolated from red sea bream (Chrysophrys major) and

    winter flounder (Pleuronectes americanus), respectively (Iiji-

    maet al., 2003; Murrayet al., 2003).

    Lysozyme

    Lysozyme is a cationic enzyme widely distributed in the

    serum, mucus, kidney, spleen and intestine of the fish (Lie

    et al., 1989). This enzyme is primarily associated with andsynthesized by monocytesmacrophages and neutrophils

    (Murray & Fletcher, 1976; Nathan, 1987).

    Lysozyme has the capacity to hydrolyze the chemical

    bond between the N-acetylmuramic acid and N-acetylglu-

    cosamine present in the peptidoglycan of bacterial cell walls.

    Lysozyme is able to lyse certain Gram-positive bacteria and,

    in conjunction with complement, even some Gram-negative

    bacteria (Paulsenet al., 2001).

    Complement

    The complement system comprises more than 35 solubleplasma proteins that are key to innate and adaptive im-

    munity. Activation of the complement system initiates a

    cascade of biochemical reactions accompanied by the gen-

    eration of biologically active mediators that result in antigen

    elimination via cell membrane lysis and activation of non-

    specific mediators of inflammation (Holland & Lambris,

    2002). There are three pathways that can activate the

    complement system: the classical pathway, which requires

    the presence of the antigenantibody complex; the lectin

    pathway, which depends on the interaction of lectins such as

    mannose-binding lectin and ficolins with sugar moieties

    found on the surface of microorganisms, and finally the

    alternative pathway, which is activated directly by viruses,

    bacteria, fungi or even tumor cells and is independent of

    antibody (Boshraet al., 2006).

    Transferrin

    Transferrin, a bi-lobed monomeric glycoprotein, is respon-

    sible for the transport and delivery of iron to cells. Binding

    of iron to transferrin creates a bacteriostatic environment by

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    limiting the availability of iron to replicating pathogens.

    Transferrin is also an acute phase protein invoked during an

    inflammatory response to remove iron from damaged tissue

    (Bayne & Gerwick, 2001) and also functions as an activator

    of fish macrophages (Stafford & Belosevic, 2003).

    Interferon

    Interferons (IFNs) are secreted by host cells, including

    macrophages, lymphocytes, natural killer cells and fibro-

    blasts, in response to recognition of viral double-stranded

    RNA intermediates (Halleret al., 2006).

    Two families of interferons can be distinguished on the

    basis of gene sequences, protein structure and functional

    properties. Type I IFNs, represented by the IFN-a and the

    IFN-b, which have a very similar biological activity. The

    IFN-ais synthesized mainly by the leukocytes and IFN-bby

    fibroblasts. Both types of interferons are produced in

    response to viral infections.

    Type II IFN, as represented by IFN-g, is produced by

    natural killer cells and T-lymphocytes in response to IL-12,

    IL-18, mitogens or antigens (Robertsen, 2006). In contrast

    to type I IFNs, IFN-g is a key activator of macrophages for

    increased killing of bacterial, protozoal and viral pathogens.

    Pentraxins: C-reactive protein (CRP) and serum

    amyloid protein (SAP)

    Both CRP and SAP belong to a family of pentameric

    proteins called the pentraxins that bind their ligands in a

    calcium-dependent manner. They are commonly associated

    with the acute phase response.CRP was discovered and named because of its reactivity

    with the phosphorylcholine residues of C-polysaccharide,

    the teichoic acid of Streptococcus pneumoniae (Tillett &

    Francis, 1930). The main biologic function of CRP is the

    ability to recognize pathogens and damaged cells of the host

    and to mediate their elimination by recruiting the comple-

    ment system and phagocytic cells (Volanakis, 2001). In

    rainbow trout, CRP has showed opsonic activity for head

    kidney cells, resulting in enhanced phagocytic and chemo-

    kinetic activities (Kodamaet al., 1999).

    CRP is distinguished from SAP by its binding affinity for

    phosphorylcholine and phosphorylethanolamine. SAP only

    binds to phosphory-ethanolamine and can be purified as a

    result of its affinity for agarose.

    Lectins

    Lectins are usually constitutive proteins or glycoproteins,

    which possess binding activity towards carbohydrate resi-

    dues. They have been grouped into classes based on the

    nature of their carbohydrate ligands, the biological processes

    in which they participate, their subcellular localization and

    their dependence on divalent cations (Drickamer & Taylor,

    1993). A mannose-binding lectin, isolated from the serum

    of Atlantic salmon, has been shown to have opsonizing

    activity for a virulent strain of Aeromonas salmonicida

    (Ottingeret al., 1999).

    Antiproteases

    These antienzymes are characterized by their capacity to

    inhibit the action of proteases that some microorganisms

    utilize to penetrate the host. In teleost fish, an analogous

    protein to a1-antitrypsin was demonstrated (Hjelmeland,

    1983). Another protein, which was demonstrated as homo-

    logous to a2-macroglobulin (Starkey et al., 1982), was

    reportedly capable of inhibiting several types of proteinases,

    including serine-, cysteine-, aspartic- and metallo-protei-

    nases (Alexander & Ingram, 1992).

    In addition, it has been observed that a2-macroglobulin

    present in the serum of rainbow trout is capable of inhibit-

    ing A. salmonicida protease (Ellis, 1987). The combined

    action of antithrombin anda2-macroglobulin in the plasma

    of Atlantic salmon was reported to inhibit the action of

    a serine protease ofA. salmonicida (Salteet al., 1992). The

    differences in the a2-macroglobulin activity between the

    species of rainbow trout and brook trout have been directly

    correlated with their differing resistance to the infection

    caused byA. salmonicida(Freedman, 1991).

    Natural antibodies (NA)

    NA are secreted by B-cells without prior antigen-specific

    activation or antigen-driven selection. A large proportion of

    NA is polyreactive to phylogenetically conserved structures,

    such as nucleic acids, heat shock proteins, carbohydrates

    and phospholipids (Boes, 2000). The importance of NA

    functions in fish may be even greater than for higher

    vertebrates given that fish have neither appreciable affinity

    maturation responses nor class switch capabilities (Magor &

    Magor, 2001).

    Recently, Sinyakovet al. (2002) observed that NA in the

    serum of goldfish (Carassius auratus) can be directly in-

    volved in the first line of resistance against A. salmonicida

    infection. In addition, these authors indicated that NA alsomay influence the level of antibody response since only the

    low NA carriers were capable of developing effective anti-

    body response, and vice versa, the high NA carriers did not

    possess potential for active immunization.

    Innate cellular immunity

    The adaptive immunity effector function is mediated by

    T-lymphocytes, whereas nonspecific cytotoxic cells and

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    phagocytes (monocytes/macrophages and neutrophils) con-

    stitute innate cellular immune effectors.

    Nonspecific cytotoxic cells (NCC)

    The NCC perform functions very similar to those of the

    higher vertebrates, acting on a wide variety of target cells,including allogeneic and xenogeneic tumor cells, virus-

    infected cells and protozoan parasites. NCC may also

    participate in antibacterial immunity by eliciting cytokine

    production and secretion (Jaso-Friedmannet al., 2001).

    Phagocytosis

    The innate cellular immune system is formed by a series of

    cells with essential functions to the host survival. Among

    these cells are the phagocytic cells, monocytes/macrophages

    and neutrophils, which play a fundamental role in protec-

    tion and survival during adverse conditions. For example,antibody production is slow when there is a drop in

    temperature, therefore the host defense will depend almost

    exclusively on the phagocytic capacity.

    Phagocytosis occurs when foreign objects such as bacteria

    adhere to the surface of the phagocyte, mediated by hydro-

    phobic interactions or sugar/lectin interactions (Secombes,

    1996). However, the most active promoter of phagocytosis is

    the C3 component of complement, which is bound to the

    bacterial surface lipopolysaccharide directly via the alterna-

    tive pathway or indirectly via lectin or CRP (Ellis, 2001).

    Antimicrobial response of fish phagocytes

    Fish macrophages and neutrophils produce bactericidal

    reactive oxygen species (ROS) during the respiratory burst

    on contact with the particles or during phagocytosis or upon

    stimulation with a variety of agents. This process involves

    reduction of oxygen (O2) to the anionic radical superoxide

    (O2), which is catalyzed by an NADPH oxidase localized in

    the plasma and phagosomal membranes. Production of

    superoxide anion (O2) results in the spontaneous or en-

    zyme-catalyzed production of an array of reactive oxygen

    products including hydrogen peroxide (H2O2), hydroxyl

    radical (OH ), hypochlorous acid (OCl) and peroxynitrite

    (ONOO), which have potent antimicrobial effects.

    Production of nitric oxide (NO) constitutes another

    bactericidal mechanism, which is catalyzed by a NO

    synthase. Schoor & Plumb (1994) demonstrated inducible

    NO production, using enzyme histochemical techniques,

    from the anterior kidney of channel catfish (Ictalurus

    punctatus) infected with Edwardsiella ictaluri. Recently,

    Stafford et al. (2001) have characterized the molecules

    present in crude leukocyte supernatants that induce NO

    production in goldfish macrophages, suggesting that trans-

    ferrin appears to be an important mediator for the activa-

    tion of both fish macrophages and granulocytes.

    Integration of the immune response -- cytokines

    Communication within the acquired immune system and

    between the innate and acquired systems is brought about bydirect cell-to-cell contact involving adhesion molecules and

    by the production of chemical messengers. Chief among these

    chemical messengers are proteins called cytokines, which can

    induce a broad range of activities via multiple target cell types

    and their redundancy, indicated by the overlap in activities

    among different cytokines (Engelsmaet al., 2002).

    There are three functional categories of cytokines: (1)

    cytokines that regulate innate immune response; (2) cyto-

    kines that regulate adaptive immune response; and (3)

    cytokines that stimulate hematopoiesis.

    Cytokines that regulate innate immunity are produced

    primarily by macrophages although they can also be pro-

    duced by lymphocytes, NCC and other cells. They are

    produced in response to microbial antigens or compounds

    released from damaged cells. Among the mediators of

    inflammation released by activated phagocytes are the cyto-

    kines, particularly IL-1b, an important pro-inflammatory

    cytokine, interferon, tumor necrosis factor-a (TNF-a), trans-

    forming growth factor-b(TGF-b) and several chemokines.

    TNF-ais one of the principal mediators of the inflamma-

    tory response in mammals, transducing differential signals

    that regulate cellular activation and proliferation, cytotoxicity

    and apoptosis. When an inflammatory response is induced,

    the cascade of cytokine secretion begins with the release of

    TNF-a. This stimulates the release of IL-1b, which is thenfollowed by the release of IL-6. The initiation of inflammation

    leads to the release of a myriad of other cytokines, which

    include chemoattractants that signal neutrophils and macro-

    phages to migrate to the site of infection (e.g. chemokines).

    Influence of gut microbiota on thehealth of fish

    As has been indicated previously, fish health status is depen-

    dent on or conditioned to the immediate environment, since

    they are intimately in contact with a wide variety of micro-

    organisms, including pathogenic and opportunistic bacteria

    that may colonize the external and internal body surfaces

    (Ellis, 2001). Thus, the establishment of a normal or protec-

    tive microbiota is a key component in excluding potential

    invaders and maintaining health (Balcazaret al., 2006a). This

    is accomplished through competitive exclusion mechanisms

    and facilitates immune system development and maturation.

    Colonization of the gastrointestinal tract of fish larvae

    starts immediately after hatching and is completed within a

    few hours. Colonizing bacteria can modulate expression of

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    genes in the digestive tract, thus creating a favorable habitat

    for themselves and preventing invasion by other bacteria

    introduced later into the ecosystem (Balcazaret al., 2006b).

    Traditionally, the influences of microbiota on the fish

    host have been obtained from comparisons of the physiolo-

    gical characteristics of germfree and conventional fish, but

    comparative research of this type can now be performed atthe genomic level. The potential for obtaining exciting

    knowledge of mechanistic influences of the microbiota on

    the host by this approach has been demonstrated by the

    pioneering work of Rawls & colleagues (2004), who studied

    the effect of colonization by components of the microbiota

    in zebrafish (Danio rerio). Some genes were always ex-

    pressed, independent of the type of bacteria used, while

    the expression of other genes was bacteria-specific, suggest-

    ing that at least a subset of zebrafish genes is sensitive to

    unknown factors induced by specific bacteria present in the

    gut microbiota.

    Composition of gut microbiota

    The relatively recent introduction of molecular techniques

    for the detection and quantification of microorganisms has

    led to a greater understanding of microbial diversity and its

    role in nature. Several studies involving molecular techni-

    ques have demonstrated that bacteria are the main consti-

    tuent of the gut microbiota in fish (Spanggaardet al., 2000;

    Pond et al., 2006). However, some authors have also

    reported the presence of yeast (Andlid et al., 1998; Gate-

    soupe, 2007).

    Although the composition of endogenous microbiota

    depends on genetic, nutritional and environmental factors,

    it is generally accepted that Gram-negative facultative

    anaerobic bacteria such asAcinetobacter,Alteromonas,Aero-

    monas, Flavobacterium/Cytophaga, Micrococcus, Moraxella,

    Pseudomonasand Vibrioconstitute the predominant endo-

    genous microbiota of a variety of species of marine fish

    (Cahill, 1990; Onarheimet al., 1994; Blanchet al., 1997). In

    contrast to saltwater fish, the endogenous microbiota of

    freshwater fish species tends to be dominated by members

    of the genera Aeromonas, Acinetobacter, Pseudomonas,

    Flavobacterium, representatives of the familyEnterobacter-

    iaceae, and obligate anaerobic bacteria of the generaBacter-

    oides, Clostridium and Fusobacterium (Sakata, 1990; Huber

    et al., 2004; Kimet al., 2007). In addition, various species oflactic acid bacteria have also been demonstrated to comprise

    part of this microbiota (Ring & Gatesoupe, 1998; Balcazar

    et al., 2007a).

    Immunity to bacterial pathogens

    The external surface of fish is covered by a mucus layer,

    which acts as a medium for biologically active molecules

    (e.g. antibacterial peptides, lysozyme, lectins and proteases),

    and functions as the primary barrier to the adhesion and

    penetration of bacterial pathogens. Moreover, the gastro-

    intestinal tract contains a diverse and complex endogenous

    microbiota, acids, bile salts and enzymes that can create a

    hostile environment for many pathogens. In most cases

    these properties are sufficient to protect against bacterial

    pathogens, which often only produce disease when condi-tions become favorable for their multiplication. If bacterial

    pathogens can breach these early lines of defense, cellular

    and humoral mechanisms are activated for preventing

    further spread of the infection. The complement system

    plays an essential role in alerting the host of the presence of

    microbial pathogens, as well as in their clearing. Comple-

    ment can be activated directly by foreign surfaces and

    also indirectly by other factors, principally CRP and lectin.

    Plasma also contains a number of soluble factors like

    antibacterial peptides, proteases and acute-phase proteins

    (pentraxins, transferrin, a2-macroglobulin, complement

    component C3, lysozyme and lectins). At the same time

    the cellular component of innate immunity is activated

    upon the recognition of pathogen-derived pathogen-

    associated molecular patterns, including lipopolysaccharide

    and double-stranded RNA as well as by host-derived cyto-

    kines. The latter group includes typical proinflammatory

    cytokines such as IL-1b, TNF-aand chemokines, which are

    of pivotal importance in recruiting monocytes/macrophages

    and neutrophils to the site of inflammation (Huising et al.,

    2003).

    Probiotics as a strategy for improving health

    The demonstration that the gut microbiota is an importantcomponent of mucosal barrier has resulted in the promo-

    tion of the use of beneficial probiotics. Probiotics have been

    defined by the World Health Organization-Food and Agri-

    culture Organization as live microorganisms which when

    administered in adequate amounts, confer a health benefit

    on the host (FAO/WHO, 2001).

    Probiotic microorganisms consist mostly of strains of

    Bacillus(Salinaset al., 2005; Panigrahiet al., 2007),Carno-

    bacterium (Robertson et al., 2000; Irianto & Austin, 2002;

    Kim & Austin, 2006a) and Lactobacillus (Nikoskelainen

    et al., 2001b; Panigrahi et al., 2004; Vendrell et al., 2007;

    Balcazaret al., 2007c), although the use of other species such

    as Aeromonas and Vibrio has also been explored (Austin

    et al., 1995; Irianto & Austin, 2002; Brunt & Austin, 2005).

    Intake of probiotics has been demonstrated to modify the

    composition of the microbiota, and therefore assist in

    returning a disturbed microbiota (by antibiotics or other

    risk factors) to its normal beneficial composition. Mechan-

    isms that may be implicated include the production of

    antimicrobial substances such as organic acids or bacterio-

    cins (Balcazar et al ., 2006c, 2007b), competition for

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    nutrients or adhesion receptors (Nikoskelainenet al., 2001a;

    Vine et al., 2004; Balcazar et al., 2007b), inhibition of

    virulence gene expression (Defoirdt, 2007), and enhance-

    ment of the immune response (Nikoskelainen et al., 2003;

    Kim & Austin, 2006a; Balcazaret al., 2007c, d).

    There is increasing evidence that probiotics enhance

    innate host resistance to microbial pathogens (Table 1).The findings of Irianto & Austin (2002) demonstrated that

    after feeding rainbow trout with probiotics containing

    Aeromonas hydrophila, Vibrio fluvialis, Carnobacterium sp.

    andMicrococcus luteusfor 2 weeks, stimulation of humoral

    and cellular immunity was detected as demonstrated by an

    increase in lysozyme activity and in the number of erythro-

    cytes, macrophages and lymphocytes. This finding offers an

    important example of the ability of nonpathogenic, endo-

    genous microbial species to enhance the immunological

    functions of the host.

    Probiotic strains have been shown to modulate the innate

    humoral responses and thereby facilitate the exclusion of

    potential pathogens. Panigrahi et al. (2004) fed rainbow

    trout a diet containing the probioticLactobacillus rhamnosus

    JCM1136. Evidence of an enhanced innate immune re-

    sponse was observed, including increased levels of serum

    lysozyme and complement activity. Similar observations

    have been described by Balcazaret al. (2007d), who demon-

    strated a positive effect on humoral immune response

    following probiotic administration (Lactococcus lactis ssp.

    lactis, Leuconostoc mesenteroides and Lactobacillus sakei) inbrown trout (Salmo trutta).

    An enhancement of phagocytic activity, which is respon-

    sible for early activation of the inflammatory response

    before antibody production, has also been reported in fish.

    Pirarat et al. (2006) demonstrated that after feeding tilapia

    (Oreochromis niloticus) withLactobacillus rhamnosusATCC

    53103 for 2 weeks, stimulation of cellular immunity was

    detected as demonstrated by an increase in phagocytic

    activity. Similarly, Balcazar et al. (2006d) observed after

    feeding rainbow trout with probiotics containingLactococ-

    cus lactis ssp. lactis, Leuconostoc mesenteroides and Lactoba-

    cillus sakei for 2 weeks, an enhanced phagocytosis of

    Aeromonas salmonicidaby leukocytes isolated from muco-

    sa-associated lymphoid tissues.

    Table 1. Probiotics used in fish and the effect on their host

    Probiotic strain Host species Effect Reference

    Vibrio fluvialesA3-47S,

    Aeromonas hydroph ilaA3-51,

    Carnobacterium sp. BA211,

    Micrococcus luteusA1-6

    Oncorhynchus

    mykiss

    Immune stimulation and improved survival after

    challenge withAeromonas salmonicida

    Irianto & Austin

    (2002)

    Lactobacillus rhamnosusATCC 53103 Oncorhynchus

    mykiss

    Immune stimulation and improved survival after

    challenge withAeromonas salmonicida

    Nikoskelainenet al.

    (2001b, 2003)

    Lactococcus lactisCECT 539 Scophthalmus

    maximus

    Immune stimulation Villamilet al. (2002)

    Lactobacillus rhamnosusJCM 1136 Oncorhynchus

    mykiss

    Immune stimulation Panigrahiet al. (2004)

    Lactobacillus delbriieckiiCECT 287,

    Bacillus subtilisCECT 35

    Sparus aurata Immune stimulation Salinaset al. (2005)

    Aeromonas sobria GC2 Oncorhynchus

    mykiss

    Immune stimulation and improved survival after

    challenge withLactococcus garvieaeand

    Streptococcus iniae

    Brunt & Austin (2005)

    Bacillus subtilis, Lactobacillus acidophilus,

    Clostridium butyricum, Saccharomyces

    cerevisiae

    Paralichthys

    olivaceus

    Immune stimulation and improved survival after

    challenge withVibrio anguillarum

    Taokaet al. (2006)

    Carnobacterium maltaromaticumB26

    Carnobacterium divergensB33

    Oncorhynchus

    mykiss

    Immune stimulation and improved survival after

    challenge withAeromonas salmonicidaandYersinia

    ruckeri. Expression of cytokine genes

    Kim & Austin

    (2006a, b)

    Lactobacillus rhamnosusATCC 53103 Oreochromis

    niloticus

    Immune stimulation and improved survival after

    challenge withEdwardsiella tarda

    Piraratet al. (2006)

    Lactobacillus rhamnosusATCC 53103

    Bacillus subtilis

    Enterococcus faecium

    Oncorhynchus

    mykiss

    Immune stimulation and expression of cytokine

    genes

    Panigrahiet al. (2007)

    Lactobacillus sakeiCLFP 202,

    Lactococcus lactisCLFP 100

    Leuconostoc mesenteroidesCLFP 196

    Oncorhynchus

    mykiss,Salmo trutta

    Immune stimulation and improved survival

    after challenge withAeromonas salmonicida

    Balc azaret al.

    (2006d, 2007c,

    2007d)

    Lactobacillus plantarumCLFP 238

    Leuconostoc mesenteroidesCLFP 196

    Oncorhynchus

    mykiss

    Competitive exclusion and improved survival

    after challenge withLactococcus garvieae

    Vendrellet al. (2007)

    FEMS Immunol Med Microbiol52(2008) 145154c 2007 Federation of European Microbiological SocietiesPublished by Blackwell Publishing Ltd. All rights reserved

    150 G.D. G omez & J.L. Balc azar

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    Probiotics can also modify the immune response of the

    host by interacting with epithelial cells and by modulating

    the secretion of anti-inflammatory cytokines, which could

    result in a reduction of inflammation. Recently, studies

    showed that IL-1b, IL-8, TNF-a, and TGF-bexpression was

    not induced in rainbow trout gut cells following adminis-

    tration of the probiotic bacteria Carnobacterium maltaro-maticumB26 and Carnobacterium divergensB33. However,

    detection of significantly higher IL-1b and TNF-a expres-

    sion in head kidney cells indicates induction of an anti-

    inflammatory effect (Kim & Austin, 2006b).

    Selecting probiotic strains

    To be a probiotic, a bacterial strain has to fulfil several

    criteria. Potential probiotics must be safe and free of

    plasmid-encoded antibiotic resistance genes, that could be

    passed to pathogenic organisms in the host. They must

    persist in the gastrointestinal tract long enough to elicit an

    effect. Ability to adhere and persist are also closely relatedto potential immune effects. They must have the ability

    to improve host health, they must be amenable

    to industrial processes necessary for commercial production

    and finally they must remain viable in the food product and

    during storage (Verschuere et al., 2000; Vine et al., 2006;

    Balcazaret al., 2006b).

    Concluding remarks

    The maintenance of a healthy status is complex and relies on

    a delicate balance between the immune system and the

    normal endogenous microbiota. The normal microbiota

    confers many benefits to the intestinal physiology of thehost. Some of these benefits include the metabolism of

    nutrients and organic substrates, and the contribution of

    the phenomenon of colonization resistance. However, when

    this balance is upset, pathogens that arrive or that have

    already been present but in numbers too small to cause

    disease take the opportunity to multiply. The chemother-

    apeutic agents may also have a greater effect on the host

    normal microbiota than on the pathogens, thus upsetting

    the balance.

    Therefore, probiotic supplementation can assist in re-

    turning a disturbed microbiota to its normal beneficial

    composition, and influence the fish immune response in

    different ways. They can induce the proportion of phagocy-

    tically active cells and the activation of complement receptor

    expression. They also can modulate the secretion of anti-

    inflammatory cytokines.

    Understanding how the fish immune system generally

    responds to gut microbiota may be an important basis for

    targeting manipulation of the microbial composition. This

    might be of special interest to design adequate therapeutic

    strategies for disease prevention and treatment.

    Acknowledgements

    J.L.B. was supported by a postdoctoral I3P contract from

    Consejo Superior de Investigaciones Cientficas (CSIC). The

    authors thank J. Rhodes, C. Peter and L. Rivera for critical

    reading of the manuscript.

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