<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2016.01480</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>High Iron-Sequestrating Bifidobacteria Inhibit Enteropathogen Growth and Adhesion to Intestinal Epithelial Cells <italic>In vitro</italic></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Vazquez-Gutierrez</surname> <given-names>Pamela</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/366975/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>de Wouters</surname> <given-names>Tomas</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/366316/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Werder</surname> <given-names>Julia</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/368513/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Chassard</surname> <given-names>Christophe</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/326387/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lacroix</surname> <given-names>Christophe</given-names></name>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/61700/overview"/>
</contrib>
</contrib-group>
<aff><institution>Laboratory of Food Biotechnology, Institute of Food, Nutrition and Health, ETH Zurich</institution> <country>Z&#x00FC;rich, Switzerland</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: <italic>Marco Ventura, University of Parma, Italy</italic></p></fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>Silvia Arboleya Montes, Teagasc and APC Microbiome Institute, Ireland; Lorena Ruiz, Universidad Complutense de Madrid, Spain</italic></p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: <italic>Christophe Lacroix, <email>christophe.lacroix@hest.ethz.ch</email></italic></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Microbial Symbioses, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>09</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>7</volume>
<elocation-id>1480</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>07</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>09</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016 Vazquez-Gutierrez, de Wouters, Werder, Chassard and Lacroix.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Vazquez-Gutierrez, de Wouters, Werder, Chassard and Lacroix</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>The gut microbiota plays an important role in host health, in particular by its barrier effect and competition with exogenous pathogenic bacteria. In the present study, the competition of <italic>Bifidobacterium pseudolongum</italic> PV8-2 (Bp PV8-2) and <italic>Bifidobacterium kashiwanohense</italic> PV20-2 (Bk PV20-2), isolated from anemic infant gut microbiota and selected for their high iron sequestration properties, was investigated against <italic>Salmonella</italic> Typhimurium (<italic>S</italic>. Typhi) and <italic>Escherichia coli</italic> O157:H45 (EHEC) by using co-culture tests and assays with intestinal cell lines. Single and co-cultures were carried out anaerobically in chemically semi-defined low iron (1.5 &#x03BC;M Fe) medium (CSDLIM) without and with added ferrous iron (30 &#x03BC;M Fe). Surface properties of the tested strains were measured by bacterial adhesion to solvent xylene, chloroform, ethyl acetate, and to extracellular matrix molecules, mucus II, collagen I, fibrinogen, fibronectin. HT29-MTX mucus-secreting intestinal cell cultures were used to study bifidobacteria competition, inhibition and displacement of the enteropathogens. During co-cultures in CSDLIM we observed strain-dependent inhibition of bifidobacterial strains on enteropathogens, independent of pH, organic acid production and supplemented iron. Bp PV8-2 significantly (<italic>P</italic> &#x003C; 0.05) inhibited <italic>S.</italic> Typhi N15 and EHEC after 24 h compared to single culture growth. In contrast Bk PV20-2 showed less inhibition on <italic>S.</italic> Typhi N15 than Bp PV8-2, and no inhibition on EHEC. Affinity for intestinal cell surface glycoproteins was strain-specific, with high affinity of Bp PV8-2 for mucin and Bk PV20-2 for fibronectin. Bk PV20-2 showed high adhesion potential (15.6 &#x00B1; 6.0%) to HT29-MTX cell layer compared to Bp PV8-2 (1.4 &#x00B1; 0.4%). In competition, inhibition and displacement tests, Bp PV8-2 significantly (<italic>P</italic> &#x003C; 0.05) reduced <italic>S.</italic> Typhi N15 and EHEC adhesion, while Bk PV20-2 was only active on <italic>S.</italic> Typhi N15 adhesion. To conclude, bifidobacterial strains selected for their high iron binding properties inhibited <italic>S.</italic> Typhi N15 and EHEC in co-culture experiments and efficiently competed with the enteropathogens on mucus-producing HT29-MTX cell lines. Further studies in complex gut ecosystems should explore host protection effects of Bp PV8-2 and Bk PV20-2 mediated by nutritional immunity mechanism associated with iron-binding.</p>
</abstract>
<kwd-group>
<kwd>iron sequestration</kwd>
<kwd>bifidobacteria</kwd>
<kwd>enteropathogens</kwd>
<kwd>inhibition</kwd>
<kwd>intestinal cell</kwd>
<kwd>adhesion</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="70"/>
<page-count count="12"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Bifidobacteria are among the first commensal anaerobic bacteria that reach high levels in the infant gut within the first week of life, representing up to 50&#x2013;80% of the gut bacteria (<xref ref-type="bibr" rid="B35">Jost et al., 2012</xref>; <xref ref-type="bibr" rid="B59">Turroni et al., 2012</xref>). The establishment of bifidobacteria in the gut has been associated with a broad range of beneficial effects on host health, such as modulation of intestinal microbiota composition, prevention of infection and immune-modulation (<xref ref-type="bibr" rid="B8">Broekaert and Walker, 2006</xref>; <xref ref-type="bibr" rid="B70">Yatsunenko et al., 2012</xref>). Inhibition of pathogens in the gut by bifidobacteria might be due to production of inhibitory substances, inhibition of epithelial and mucosal invasion of pathogens, competition for limited nutrients and/or the stimulation of mucosal immunity (<xref ref-type="bibr" rid="B40">Marco et al., 2006</xref>; <xref ref-type="bibr" rid="B60">Turroni et al., 2014</xref>). Potential inhibition mechanisms include the production of short-chain fatty acids and subsequent local pH decrease (<xref ref-type="bibr" rid="B25">Fukuda et al., 2011</xref>), or other antimicrobial compounds such as bacteriocins (<xref ref-type="bibr" rid="B15">Cheikhyoussef et al., 2008</xref>; <xref ref-type="bibr" rid="B22">Dobson et al., 2012</xref>; <xref ref-type="bibr" rid="B42">Martinez et al., 2013</xref>). Bifidobacteria can also compete with pathogens for adhesion to intestinal epithelial sites and nutrients, enhancing resistance to colonization of pathogenic bacteria (<xref ref-type="bibr" rid="B19">Collado et al., 2007</xref>; <xref ref-type="bibr" rid="B1">Aires et al., 2010</xref>).</p>
<p>The gut microbiota is constantly challenged by different stress factors, including enteropathogens, such as <italic>Salmonella</italic> and <italic>Escherichia coli</italic> O157:H45 (EHEC; <xref ref-type="bibr" rid="B66">Wardlaw et al., 2010</xref>). Pathogenesis of <italic>Salmonella</italic> requires its adhesion to host cell surfaces followed by invasion of intestinal epithelial cells, leading to systemic spreading (<xref ref-type="bibr" rid="B48">Sansonetti, 2004</xref>; <xref ref-type="bibr" rid="B32">Haraga et al., 2008</xref>; <xref ref-type="bibr" rid="B49">Santos et al., 2009</xref>). EHEC pathophysiology is attributed to the effects of shiga toxins encoded on the pO157 plasmid, survival to harsh conditions and the formation of attaching-and-effacing lesions on epithelial cells (<xref ref-type="bibr" rid="B45">Muller et al., 2009</xref>; <xref ref-type="bibr" rid="B43">Melton-Celsa et al., 2012</xref>; <xref ref-type="bibr" rid="B57">Thiennimitr et al., 2012</xref>). To inhibit pathogen infection in the gut, commensal intestinal microorganisms such as bifidobacteria, should be able to compete for corresponding niches. Bifidobacteria have been reported to occupy attachment sites, therefore preventing pathogen invasion and translocation (<xref ref-type="bibr" rid="B6">Bernet et al., 1994</xref>; <xref ref-type="bibr" rid="B28">Goto and Kiyono, 2012</xref>). The inhibitory activity and mechanisms of bifidobacteria against enteropathogens have been investigated by microbe-microbe and cell-microbe interaction models (<xref ref-type="bibr" rid="B19">Collado et al., 2007</xref>).</p>
<p>Different intestinal epithelial cell lines exhibiting specific characteristics and functions of the gut epithelium are used to study host-pathogen interactions. HT29-MTX cell line is a mucus-secreting clone of the HT-29 intestinal epithelial cell line suitable for mimicking the mucosal surface of the gut epithelium, which acts as the first line of interaction between the microbiota and its host (<xref ref-type="bibr" rid="B38">Lesuffleur et al., 1990</xref>; <xref ref-type="bibr" rid="B26">Gagnon et al., 2013</xref>). The intestinal mucus layer functions as a physical barrier, separating the epithelium from the bacterial load in the intestinal lumen. Mucus is also an important nutrient source for gut microbes and promotes selective adhesion of gut bacteria to the intestinal mucus layer. Interactions with the intestinal mucus layer is a property of commensal gut bacteria that can enhance the barrier function of the intestinal epithelium by limiting access of pathogens to this specific niche. The adherence to intestinal epithelial cells is therefore an important characteristic for beneficial gut bacteria, enhancing persistence in the gut, pathogen exclusion effects and specific bacterial and host-immune system interactions (<xref ref-type="bibr" rid="B33">Izquierdo et al., 2008</xref>; <xref ref-type="bibr" rid="B9">Bron et al., 2012</xref>).</p>
<p>The ability of bacteria to establish in the intestine is heavily dependent on competition for nutrients (<xref ref-type="bibr" rid="B2">Andrews et al., 2003</xref>). For example iron is an essential micronutrient for growth, proliferation, and persistence for most gut bacteria, including bifidobacteria and enteropathogens (<xref ref-type="bibr" rid="B60">Turroni et al., 2014</xref>). Pathogens such as <italic>S.</italic> Typhi and EHEC are known to possess efficient iron sequestration mechanisms that contribute to their pathogenicity and competitiveness in the gut (<xref ref-type="bibr" rid="B4">Berkley et al., 2005</xref>; <xref ref-type="bibr" rid="B66">Wardlaw et al., 2010</xref>; <xref ref-type="bibr" rid="B12">Cassat and Skaar, 2013</xref>; <xref ref-type="bibr" rid="B44">Monack and Hultgren, 2013</xref>; <xref ref-type="bibr" rid="B68">Winter et al., 2013</xref>). These systems have been directly linked to the ability of strains with high iron sequestration properties to establish efficiently in the gut (<xref ref-type="bibr" rid="B67">Weinberg, 2009</xref>; <xref ref-type="bibr" rid="B36">Kortman et al., 2012</xref>). In a previous study we reported isolation of 56 bifidobacterial strains from stools of breast fed, iron-deficient and anemic Kenyan infants (<xref ref-type="bibr" rid="B64">Vazquez-Gutierrez et al., 2015c</xref>). Isolated strains were characterized and compared to public culture collection strains. <italic>Bifidobacterium kashiwanohense</italic> PV20-2 (Bk PV20-2) and <italic>Bifidobacterium pseudolongum</italic> PV8-2 (Bp PV8-2) were selected for their high siderophore activity (iron-chelating molecules) and iron internalization. Analysis of the complete genome allowed to identify ferrous and specific ferric iron operons in both strains (<xref ref-type="bibr" rid="B62">Vazquez-Gutierrez et al., 2015a</xref>,<xref ref-type="bibr" rid="B63">b</xref>,<xref ref-type="bibr" rid="B64">c</xref>). Furthermore, a ferrous iron-binding protein and other proteins with adhesive properties were identified in the extracellular fraction of Bk PV20-2 together with. In the extracellular proteome of Bp PV8-2 a ferric iron-binding protein belonging to the ferric iron transport operon was shown. In the present study, the inhibitory activity of Bp PV8-2 and Bk PV20-2 was investigated during co-cultures with <italic>S.</italic> Typhi N15 and EHEC as a function of iron concentrations (1.5 and 30 &#x03BC;M). Surface properties were tested by bacterial adhesion to solvent (BATS) and extracellular matrix molecules (ECMs) and the competition for epithelial binding sites was studied in HT29-MTX intestinal cellular model.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Bacterial Strains and Growth Conditions</title>
<p><italic>Bifidobacterium pseudolongum</italic> DSMZ20099 (Bp DSMZ20099) and <italic>B. kashiwanohense</italic> DSMZ21854 (Bk DSMZ21854) were obtained from the German collection of microorganisms (DSMZ; Leibniz, Germany). <italic>B. pseudolongum</italic> PV8-2 (Bp PV8-2) and <italic>B. kashiwanohense</italic> PV20-2 (Bk PV20-2), were obtained from the culture collection of the Laboratory of Food Biotechnology (ETH Zurich, Switzerland). <italic>Salmonella enterica</italic> ssp. <italic>enterica</italic> serovar Typhimurium N15 (<italic>S.</italic> Typhi N15) a clinical isolate obtained from the National Centre for Enteropathogenic Bacteria and <italic>Listeria</italic> (NENT, University of Zurich, Switzerland) and <italic>E. coli</italic> O157:H45 (EHEC) were kindly provided by Prof. Roger Stephan. Bifidobacteria were routinely cultured in de Man, Rogosa, and Sharpe (MRS) broth (Biolife, Italy) supplemented with 0.05% of <sc>L</sc>-cysteine hydrochloride monohydrate (cys; Sigma-Aldrich, Switzerland). Enteropathogens were cultured in Luria-Bertani (LB) broth (Becton Dickinson, Switzerland) unless otherwise specified. Cells suspensions and serial dilutions were carried out in peptone water at pH 6.5, containing 1.5 g/L peptone water (CDH Bioscience, India) and 0.6 g/L cys (peptone-cys). Bifidobacterial viable cell counts were determined on MRS-cys agar (Becton Dickinson, Switzerland) plates, incubated for 72 h under anaerobiosis in anaerobic jars. <italic>S.</italic> Typhi and EHEC enumeration was done in Mac-Conkey agar (Oxoid, Switzerland) incubated 24 h at 37&#x00B0;C. A chemically semidefined low iron medium (CSDLIM) with a low iron concentration of 1.5 &#x03BC;M was used for co-culture interaction assays. The CSDLIM medium was previously used to test siderophore production with the CAS assay (<xref ref-type="bibr" rid="B64">Vazquez-Gutierrez et al., 2015c</xref>). Iron supplementation of the CSDLIM medium was achieved by adding 30 &#x03BC;M of ferrous iron (Sigma-Aldrich, Switzerland), corresponding to the iron concentration previously reported to increase <italic>Salmonella</italic> and EHEC pathogenicity (<xref ref-type="bibr" rid="B13">Cernat and Scott, 2012</xref>; <xref ref-type="bibr" rid="B36">Kortman et al., 2012</xref>). Iron concentration in CSDLIM was measured by graphic furnace atomic absorption spectrometry (<xref ref-type="bibr" rid="B64">Vazquez-Gutierrez et al., 2015c</xref>).</p>
</sec>
<sec><title>Inhibitory Activity of <italic>B. pseudolongum</italic> PV8-2 and <italic>B. kashiwanohense</italic> PV20-2 during Co-cultures with Enteropathogens</title>
<p>Growth interactions of bifidobacteria and enteropathogens were investigated in CSDLIM with and without added ferrous iron as follow. The corresponding strains were first cultured twice at 37&#x00B0;C in MRS-cys for 24 h and LB broth for 12 h, respectively. Bacterial cells were harvested by centrifugation (Biofuge Primo, Heraeus, Switzerland) at 4&#x00B0;C, 16,000 &#x00D7; <italic>g</italic> for 10 min. The supernatant was discarded and the pellet was resuspended in peptone-cys water to an OD<sub>600 nm</sub> of 1.0. Hungate tubes containing 10 mL of CSDLIM with headspace filled with CO<sub>2</sub> were inoculated with log<sub>10</sub> 6.5 &#x00B1; 0.05 CFU/mL Bp PV8-2, log<sub>10</sub> 6.6 &#x00B1; 0.13 CFU/mL Bk PV20-2, log<sub>10</sub> 5.5 &#x00B1; 0.06 CFU <italic>S.</italic> Typhi N15/mL and log<sub>10</sub> 5.4 &#x00B1; 0.15 CFU/mL EHEC for both mono- and co-cultures. Hungate tubes were incubated at 37&#x00B0;C for 24 h and samples were taken at 0, 12, and 24 h from the same tube through septum for absorbance determination at OD<sub>600 nm</sub> (Biowave, CO8000, Biochrom, Ltd, England), pH and viable cell counts. Short chain fatty acid (SCFA) concentrations were measured by high performance liquid chromatography (HPLC; Thermo Fisher Scientific, Switzerland) as previously described (<xref ref-type="bibr" rid="B17">Cleusix et al., 2008</xref>). Briefly, 1 mL culture samples were centrifuged for 12 min at 10,000 &#x00D7; <italic>g</italic> and 4&#x00B0;C. Supernatant was filtered with a 0.45 &#x03BC;m nylon membrane (Infochroma AG, Switzerland) directly into HPLC vials. Analysis was performed at a flow rate of 0.4 mL/min with 10 mM sulphuric acid as eluent with an injection volume of 20 &#x03BC;L. Mean metabolite concentrations were expressed in millimolar (mM). Three independent repetitions of mono- and co-cultures in CSDLIM with and without ferrous iron supplementation (30 &#x03BC;M ferrous iron) were carried out.</p>
<p>To test the effects of pH decrease and SCFA on enteropathogens growth inhibition, <italic>S.</italic> Typhi N15 and EHEC were incubated at 37&#x00B0;C for 12 h, at pH 4.5 (pH measured at the end of co-cultures) and SCFA concentrations where enteropathogen counts began to decrease during co-cultures. After centrifugation at 4&#x00B0;C and 16,000 &#x00D7; <italic>g</italic> for 10 min, cell pellets were suspended in peptone-cys water and adjusted to OD<sub>600 nm</sub> 1.0. Then hungate tubes containing 10 mL of CSDLIM pH 4.5, 7 mM lactate and 13 mM acetate, were inoculated with log<sub>10</sub> 5.4 &#x00B1; 0.06 CFU/mL <italic>S.</italic> Typhi N15 and log<sub>10</sub> 5.3 &#x00B1; 0.13 CFU/mL EHEC, which were the viable cell counts reached in co-cultures after 12 h incubation. Hungate tubes were incubated for 24 h at 37&#x00B0;C and 1 mL sample was taken every 4 h to determine pH, absorbance at 600 nm and viable cell counts. The experiment was performed in three independent replicates in CSDLIM with and without ferrous iron supplementation.</p>
</sec>
<sec><title>Surface Properties of Bifidobacterial Strains</title>
<p>The BATS assay was used to investigate cell surface properties of bifidobacterial strains according to <xref ref-type="bibr" rid="B69">Xu et al. (2009)</xref>, with slight modifications. Surface hydrophobicity, electron donor and acceptor properties were determined based on the affinity of bifidobacteria to xylene (apolar solvent), chloroform (polar acidic solvent) and ethyl-acetate (polar basic solvent). Bifidobacteria were cultured in MRS-cys and CDSLIM as described above. Briefly, cell pellets were re-suspended in phosphate-buffered saline (PBS), pH 7.3 to an OD<sub>600 nm</sub> of 1.0. A volume of 3 mL of cell suspension was mixed with 1 mL of either xylene, chloroform (electron-acceptor), or ethyl-acetate (electron-donor; Sigma-Aldrich, Switzerland). The mixture was vortexed for 1 min and allowed to stand for 5 min to allow separation into two distinct phases. Then 1 mL of the aqueous phase was carefully collected with a pipette and OD<sub>600 nm</sub> was measured using a UV-Visible spectrophotometer CARY 1Bio (Varian, Switzerland). The decrease in absorbance of the aqueous phase after contact with solvent was used as a measure of the cell surface hydrophobicity or electron-donor/electron-acceptor interaction. BATS was expressed by BATS (%) = (1 &#x2013; A<sub>5 min</sub>/A<sub>0 min</sub>) &#x00D7; 100, where A<sub>0 min</sub> and A<sub>5 min</sub> were the absorbance before and after extraction with the solvents, respectively (<xref ref-type="bibr" rid="B69">Xu et al., 2009</xref>). Three independent replicates of the experiment were carried out.</p>
</sec>
<sec><title>Adhesion to Different Intestinal Cell Surface Molecules</title>
<p>The adhesion affinities of bacteria to the ECMs of intestinal epithelial cells were tested as described previously (<xref ref-type="bibr" rid="B54">Sillanpaa et al., 2008</xref>), with slight modifications. Briefly, a solution of type II mucus (Sigma-Aldrich, Switzerland) at 50 &#x03BC;g/mL was prepared in Tris-HCl (0.1 M, pH 8). Collagen I, fibrinogen and fibronectin (all from Sigma-Aldrich, Switzerland) were resuspended at 10 &#x03BC;g/mL in PBS (Gibco, Switzerland), pH 7.5. Bovine serum albumin (BSA; Sigma-Aldrich, Switzerland) was resuspended at 50 &#x03BC;g/mL in Tris-HCl and used as control for unspecific adhesion to protein surfaces. 100 &#x03BC;L of each suspension were applied to wells of a MaxiSorp<sup>TM</sup> 96-well microtiter plate (Nunc, Switzerland) and kept overnight at 4&#x00B0;C for adsorption. After removal of the liquid, adsorbed molecules were fixed for 10 min at 65&#x00B0;C and subsequently blocked with 100 &#x03BC;L PBS 1% tween 20 per well for 1 h at 37&#x00B0;C. Before application of bacteria, plates were washed three times with 100 &#x03BC;L PBS 0.005% tween 20 to remove unbound ECM, filled with 100 &#x03BC;L PBS and used within 24 h storage at 4&#x00B0;C.</p>
<p>Bifidobacteria and enteropathogen strains were first cultured in MRSc or LB media, respectively, then transferred and grown in CDLSIM, as presented above. Briefly, cell pellets (24&#x00B0;C, 16,000 &#x00D7; <italic>g</italic> during 10 min) were re-suspended in PBS at pH 5.5 and pH 7.5 to OD<sub>600 nm</sub> of 1.0. 100 &#x03BC;l of bacterial suspension was applied in triplicates to coated plates and incubated for 1 h at 37&#x00B0;C to induce bacterial adhesion. Wells were washed three times with 100 &#x03BC;L PBS 0.005% Tween 20 to remove unattached bacteria and dried for 10 min at 65&#x00B0;C. Adhered bacteria were stained with 100 &#x03BC;L crystal violet (1 mg/mL, Sigma-Aldrich, Switzerland) per well for 45 min at room temperature. Crystal violet retained by fixed bacteria after three washing steps with 100 &#x03BC;L PBS was resolubilized in 100 &#x03BC;L citrate buffer (50 mM; pH 4) under continuous shaking at 37&#x00B0;C for 1 h. Absorbance of solubilized crystal violet was measured at OD<sub>595 nm</sub> using a Powerwave XS spectrophotometer (Bio Tek, Switzerland). The experiment was carried out in three independent replicates.</p>
</sec>
<sec><title><italic>In vitro</italic> Antagonism of Bifidobacteria against Pathogen Adhesion to HT29-MTX Cells</title>
<p>The mucus-secreting intestinal epithelial cell line HT29-MTX was used to investigate adhesion properties of bifidobacteria and enteropathogens, as described previously with slight modifications (<xref ref-type="bibr" rid="B26">Gagnon et al., 2013</xref>). Briefly, HT29-MTX cells were seeded in 24-well tissue culture plates (Bioswisstec, Switzerland) at a concentration of 4 &#x00D7; 10<sup>4</sup> cells/well, and grown in Dulbecco&#x2019;s Modified Eagle Medium (DMEM; Sigma-Aldrich, Switzerland) supplemented with 20% fetal bovine serum (Invitrogen, Switzerland), 1% penicillin/streptomycin (Life Technologies, Switzerland), and 1% non-essential amino acids (Life Technologies, Switzerland), at 37&#x00B0;C and 10% CO<sub>2</sub> in a humidified incubator (RB150, Revco, Switzerland). Culture medium was changed every other day and experiments were performed 21 days post-seeding on fully differentiated, confluent monolayers with mucus secretion verified using Alcian blue (stains acid mucopolysaccharides) and periodic acid Schiff (stains hexose and sialic acid-containing mucosubstances). After full differentiation the medium was exchanged to antibiotic free medium for 24 h. Tested bacterial cultures were grown in CDLSIM medium and prepared as described above. Bacterial cultures were washed with sterile 0.85% NaCl, and resuspended in DMEM for application to the cell monolayers. Cell monolayers were carefully washed with 500 &#x03BC;L of warm PBS. For all tests, bifidobacteria were added at log<sub>10</sub> 7.7 &#x00B1; 0.12 CFU/mL and <italic>S.</italic> Typhi N15 and EHEC were added at approximately log<sub>10</sub> 6.3 &#x00B1; 0.05 CFU/mL in DMEM to the HT29-MTX monolayer. After 2 h incubation at 37&#x00B0;C, HT29-MTX monolayers were washed twice with PBS to remove non-attached bacteria and detached using 0.25% trypsin-EDTA solution (Life Technologies, Switzerland). Bacterial cell counts were determined as described above. Adhesion was expressed as the percent ratio of adhered bacteria to number of bacteria added to the HT29-MTX cells monolayer. Experiments were performed in triplicates on three consecutive passages of the HT29-MTX cell line.</p>
<p>To determine the inhibition of pathogen adhesion by bifidobacteria the method of <xref ref-type="bibr" rid="B26">Gagnon et al. (2013)</xref> was used with slight modifications. Briefly, bifidobacteria were applied to the cell monolayer for 1 h. Then the well was washed once with PBS to remove non-adhering cells and the tested pathogen was added for a further incubation of 1 h. Enumeration of adhered bacteria was performed after serial dilution on respective media. To examine if adhered pathogenic bacteria could be displaced by the addition of bifidobacteria, enteropathogens were incubated 1 h and, after PBS washing, bifidobacteria were added and incubated 1 h. To investigate the ability of bifidobacteria to competitively exclude enteropathogens, bifidobacteria and pathogenic bacteria were added simultaneously to the HT29-MTX monolayer and incubated for 2 h. All incubations were done at 37&#x00B0;C and 10% CO<sub>2</sub>. HT29-MTX monolayers were washed twice with PBS to remove non-attached bacteria, and treated with a 0.25% trypsin-EDTA solution for 15 min, for bifidobacteria and enteropathogens enumeration as stated earlier. Activity of bifidobacteria strains to compete with, displace and inhibit the adhesion of <italic>S.</italic> Typhi N15 and EHEC to the intestinal epithelial cell line HT29-MTX was expressed by the adhesion ratio. This corresponded to the ratio of the percentage of adhered bifidobacteria or pathogenic bacteria following simultaneous addition divided by the percentage of adhesion of the bacteria added alone to the cell culture (<xref ref-type="bibr" rid="B51">Serafini et al., 2013</xref>). All the above tests were carried out in triplicates on three consecutive passages of the HT29-MTX cell line.</p>
</sec>
<sec><title>Statistical Analysis</title>
<p>To assess differences between treatments in inhibitory activity in mono- and co-culture experiments, and surface properties of bifidobacteria strains, the means of three independent repetitions were compared using un-paired Student&#x2019;s <italic>t</italic>-test. ANOVA with <italic>post hoc</italic> Tukey test was used to assess significant affinity of bifidobacteria and pathogens to ECM when compared to PBS control (<italic>P</italic>-value &#x003C; 0.05). Significant differences in competition, inhibition and displacement experiments were tested by comparing the means of three independent repetition of the HT29-MTX cell line using un-paired Student&#x2019;s <italic>t</italic>-test. Statistical significance was established at <italic>P</italic>-value &#x003C; 0.05 and SPSS software 17.0 (SPSS, Inc., Chicago, IL, USA) was used.</p>
</sec>
</sec>
<sec><title>Results</title>
<sec><title>Inhibitory Activity of <italic>B. pseudolongum</italic> PV8-2 and <italic>B. kashiwanohense</italic> PV20-2 against Enteropathogens</title>
<p>The inhibitory activities of Bp PV8-2 and Bk PV20-2 against <italic>S.</italic> Typhi N15 and EHEC were tested in co-culture experiments and compared to mono-cultures of the same strains (<bold>Figures <xref ref-type="fig" rid="F1">1</xref></bold> and <bold><xref ref-type="fig" rid="F2">2</xref></bold>). Mono-cultures of Bp PV8-2 reached maximum viable cell counts of log<sub>10</sub> 8.1 &#x00B1; 0.1 CFU/mL with and without iron supplementation, and pH of 4.5 &#x00B1; 0.06 and 4.2 &#x00B1; 0.01 after 24 h incubation in CDSLIM medium, respectively. In decreasing concentration the main organic acids produced were acetate, lactate and formate (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>). Iron supplementation significantly (<italic>P</italic> &#x003C; 0.05) increased production of all metabolites, by 12, 17, and 29% for acetate, lactate and formate, respectively, when compared to cultures in unsupplemented media. Similarly, Bk PV20-2 in mono-cultures reached viable cells counts of log<sub>10</sub> 7.7 &#x00B1; 0.2 CFU/mL with and without iron, and pH was 5.3 &#x00B1; 0.04 and 4.7 &#x00B1; 0.01, respectively. Organic acid productions were also significantly (<italic>P</italic> &#x003C; 0.05) increased with iron, by 27% for acetate and 20% for lactate. No significant effect of iron on growth or metabolite production was observed during mono-cultures of enteropathogens. EHEC reached cell counts of log<sub>10</sub> 7.9 &#x00B1; 0.1 CFU/mL after 12 h and remained stable until 24 h of culture. pH after 24 h was 4.88 &#x00B1; 0.01 and 5.05 &#x00B1; 0.02, with and without iron supplementation, respectively. Main metabolites were lactate and acetate for S. Typhi N15 and EHEC (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p><bold>Viable cell counts during mono- (dashed lines) and co-cultures (continuous lines) in low iron CSDLIM medium: <bold>(A)</bold> <italic>Bifidobacterium pseudolongum</italic> PV8-2 (Bp PV8-2) and <italic>S.</italic> Typhimurium N15 (<italic>S.</italic> Typhi N15); <bold>(B)</bold> Bp PV8-2 and <italic>Escherichia coli</italic> O157:H45 (EHEC); <bold>(C)</bold> <italic>Bifidobacterium kashiwanohense</italic> PV20-2 (Bk PV20-2) and <italic>S.</italic> Typhi N15; <bold>(D)</bold> Bk PV20-2 and EHEC.</bold> <inline-graphic xlink:href="fmicb-07-01480-i001.jpg"/> Bp PV8-2, <inline-graphic xlink:href="fmicb-07-01480-i002.jpg"/> Bp PV8-2 in co-culture, <inline-graphic xlink:href="fmicb-07-01480-i003.jpg"/> <italic>S.</italic> Typhi N15, <inline-graphic xlink:href="fmicb-07-01480-i004.jpg"/> <italic>S.</italic> Typhi N15 in co-culture, <inline-graphic xlink:href="fmicb-07-01480-i005.jpg"/> Bk PV20-2, <inline-graphic xlink:href="fmicb-07-01480-i006.jpg"/> Bk PV20-2 in co-culture, <inline-graphic xlink:href="fmicb-07-01480-i007.jpg"/> EHEC, <inline-graphic xlink:href="fmicb-07-01480-i008.jpg"/> EHEC in co-culture. Stars (<sup>&#x2217;</sup>) denote a significant (<italic>P</italic> &#x003C; 0.05) difference compared with mono-cultures (mean &#x00B1; SD, <italic>n</italic> = 3).</p></caption>
<graphic xlink:href="fmicb-07-01480-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p><bold>Viable cell counts during co-cultures in iron supplemented (30 &#x03BC;M) CSDLIM medium: <bold>(A)</bold> <italic>B. pseudolongum</italic> PV8-2 (Bp PV8-2) and <italic>S.</italic> Typhimurium N15 (<italic>S.</italic> Typhi N15); <bold>(B)</bold> Bp PV8-2 and <italic>E. coli</italic> O157:H45 (EHEC); <bold>(C)</bold> <italic>B. kashiwanohense</italic> PV20-2 (Bk PV20-2) and <italic>S.</italic> Typhi N15; <bold>(D)</bold> Bk PV20-2 and EHEC.</bold> <inline-graphic xlink:href="fmicb-07-01480-i001.jpg"/> Bp PV8-2, <inline-graphic xlink:href="fmicb-07-01480-i002.jpg"/> Bp PV8-2 in co-culture, <inline-graphic xlink:href="fmicb-07-01480-i003.jpg"/> <italic>S.</italic> Typhi N15, <inline-graphic xlink:href="fmicb-07-01480-i004.jpg"/> <italic>S.</italic> Typhi N15 in co-culture, <inline-graphic xlink:href="fmicb-07-01480-i005.jpg"/> Bk PV20-2, <inline-graphic xlink:href="fmicb-07-01480-i006.jpg"/> Bk PV20-2 in co-culture, <inline-graphic xlink:href="fmicb-07-01480-i007.jpg"/> EHEC, <inline-graphic xlink:href="fmicb-07-01480-i008.jpg"/> EHEC in co-culture. Stars (<sup>&#x2217;</sup>) denote a significant (<italic>P</italic> &#x003C; 0.05) difference compared with mono-cultures (mean &#x00B1; SD, <italic>n</italic> = 3).</p></caption>
<graphic xlink:href="fmicb-07-01480-g002.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>pH and concentrations of metabolites (mM) in culture supernatant measured with HPLC after 24 h incubation of mono- and co-cultures of <italic>Bifidobacterium pseudolongum</italic> PV8-2 in CSDLIM media (mean &#x00B1; SD, <italic>n</italic> = 3).</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2</th>
<th valign="top" align="center">Acetate</th>
<th valign="top" align="center">Lactate</th>
<th valign="top" align="center">Formate</th>
<th valign="top" align="center">pH</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" colspan="4"><bold>with iron supplementation</bold></td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2</td>
<td valign="top" align="left">20.81 &#x00B1; 0.35</td>
<td valign="top" align="left">8.04 &#x00B1; 0.34</td>
<td valign="top" align="left">3.85 &#x00B1; 0.23</td>
<td valign="top" align="left">4.50 &#x00B1; 0.06</td>
</tr>
<tr>
<td valign="top" align="left"><italic>S.</italic> Typhimurium N15</td>
<td valign="top" align="left">5.26 &#x00B1; 0.09</td>
<td valign="top" align="left">14.82 &#x00B1; 0.26</td>
<td valign="top" align="center">-</td>
<td valign="top" align="left">4.87 &#x00B1; 0.02</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2/<italic>S</italic>. Typhimurium N15</td>
<td valign="top" align="left">21.81 &#x00B1; 0.82</td>
<td valign="top" align="left">10.15 &#x00B1; 0.57</td>
<td valign="top" align="left">3.20 &#x00B1; 0.30</td>
<td valign="top" align="left">4.19 &#x00B1; 0.02</td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> O157:H45</td>
<td valign="top" align="left">5.55 &#x00B1; 0.07</td>
<td valign="top" align="left">12.72 &#x00B1; 0.21</td>
<td valign="top" align="center">-</td>
<td valign="top" align="left">4.88 &#x00B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2/<italic>E. coli</italic> O157:H45</td>
<td valign="top" align="left">21.90 &#x00B1; 0.75</td>
<td valign="top" align="left">9.87 &#x00B1; 0.30</td>
<td valign="top" align="left">4.79 &#x00B1; 0.21</td>
<td valign="top" align="left">4.15 &#x00B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left" colspan="4"><bold>with iron supplementation (30 &#x03BC;M)</bold></td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2</td>
<td valign="top" align="left">23.28 &#x00B1; 0.36&#x002A;</td>
<td valign="top" align="left">9.43 &#x00B1; 0.20&#x002A;</td>
<td valign="top" align="left">4.96 &#x00B1; 0.75&#x002A;</td>
<td valign="top" align="left">4.20 &#x00B1; 0.01&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left">S. Typhimurium N15</td>
<td valign="top" align="left">5.47 &#x00B1; 0.28</td>
<td valign="top" align="left">14.07 &#x00B1; 0.56</td>
<td valign="top" align="center">-</td>
<td valign="top" align="left">5.16 &#x00B1; 0.06</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2/<italic>S.</italic> Typhimurium N15</td>
<td valign="top" align="left">21.92 &#x00B1; 0.72</td>
<td valign="top" align="left">10.64 &#x00B1; 0.36</td>
<td valign="top" align="left">2.53 &#x00B1; 0.25</td>
<td valign="top" align="left">4.21 &#x00B1; 0.02</td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> O157:H45</td>
<td valign="top" align="left">5.93 &#x00B1; 0.14</td>
<td valign="top" align="left">11.87 &#x00B1; 0.09</td>
<td valign="top" align="center">-</td>
<td valign="top" align="left">5.05 &#x00B1; 0.02</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. pseudolongum</italic> PV8-2/<italic>E. coli</italic> O157:H45</td>
<td valign="top" align="left">22.81 &#x00B1; 0.82</td>
<td valign="top" align="left">9.73 &#x00B1; 0.43</td>
<td valign="top" align="left">4.82 &#x00B1; 0.33</td>
<td valign="top" align="left">4.18 &#x00B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>Stars (&#x002A;) denote a significant (<italic>P</italic> &#x003C; 0.05) difference in the respective metabolite production of cultures performed in iron supplemented compared with unsupplemented medium.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<p>Viable cell counts of <italic>S.</italic> Typhi N15 significantly decreased (<italic>P</italic> &#x003C; 0.05) by log<sub>10</sub> 2.5 &#x00B1; 0.1 CFU/mL in co-culture with Bp PV8-2 and by log<sub>10</sub> 1.1 &#x00B1; 0.1 CFU/mL with Bk PV20-2 after 24 h when compared with mono-cultures of <italic>S.</italic> Typhi N15 (<bold>Figures <xref ref-type="fig" rid="F1">1A,C</xref></bold>). pH after 24 h of co-cultures of <italic>S.</italic> Typhi N15 with Bp PV8-2 was 4.19 &#x00B1; 0.02 and 4.21 &#x00B1; 0.02 and with Bk PV20-2 4.62 &#x00B1; 0.01 and 4.59 &#x00B1; 0.01, with or without iron supplementation, respectively. EHEC counts significantly decreased after 12 h when co-cultured with Bp PV8-2 compare to monocultures (<bold>Figure <xref ref-type="fig" rid="F1">1B</xref></bold>). No significant differences were observed when co-culturing EHEC with Bk PV20-2. Metabolites produced during co-cultures of <italic>S.</italic> Typhi N15 and EHEC with Bp PV8-2 were in decreasing order acetate, lactate and formate (<bold>Table <xref ref-type="table" rid="T1">1</xref></bold>), whereas with Bk PV20-2 only acetate and lactate were identified (<bold>Tables <xref ref-type="table" rid="T1">1</xref></bold> and <bold><xref ref-type="table" rid="T2">2</xref></bold>). No significant differences in metabolites were observed following iron supplementation of the media. No significant effect of iron supplementation was detected on EHEC growth during co-cultures (<bold>Figures <xref ref-type="fig" rid="F1">1</xref></bold> and <bold><xref ref-type="fig" rid="F2">2</xref></bold>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>pH and concentrations of metabolites (mM) in culture supernatant measured with HPLC after 24 h incubation of mono- and co-cultures of <italic>Bifidobacterium kashiwanohense</italic> PV20-2 in CSDLIM media (mean &#x00B1; SD, <italic>n</italic> = 3).</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2</th>
<th valign="top" align="center">Acetate</th>
<th valign="top" align="center">Lactate</th>
<th valign="top" align="center">pH</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" colspan="4"><bold>without iron supplementation</bold></td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2</td>
<td valign="top" align="center">8.69 &#x000B1; 0.55</td>
<td valign="top" align="center">5.08 &#x000B1; 0.20</td>
<td valign="top" align="center">5.30 &#x000B1; 0.04</td>
</tr>
<tr>
<td valign="top" align="left"><italic>S.</italic> Typhimurium N15</td>
<td valign="top" align="center">5.26 &#x000B1; 0.09</td>
<td valign="top" align="center">14.82 &#x000B1; 0.26</td>
<td valign="top" align="center">4.87 &#x000B1; 0.02</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2/<italic>S.</italic> Typhimurium N15</td>
<td valign="top" align="center">10.18 &#x000B1; 0.40</td>
<td valign="top" align="center">10.04 &#x000B1; 0.29</td>
<td valign="top" align="center">4.62 &#x000B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> O157:H45</td>
<td valign="top" align="center">5.55 &#x000B1; 0.07</td>
<td valign="top" align="center">12.72 &#x000B1; 0.21</td>
<td valign="top" align="center">4.88 &#x000B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2/<italic>E. coli</italic> O157:H45</td>
<td valign="top" align="center">9.55 &#x000B1; 0.29</td>
<td valign="top" align="center">9.18 &#x000B1; 0.28</td>
<td valign="top" align="center">4.64 &#x000B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left" colspan="4"><bold>with iron supplementation (30 &#x03BC;M)</bold></td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2</td>
<td valign="top" align="center">11.00 &#x000B1; 0.09&#x002A;</td>
<td valign="top" align="center">6.08 &#x000B1; 0.06&#x002A;</td>
<td valign="top" align="center">4.70 &#x000B1; 0.01&#x002A;</td>
</tr>
<tr>
<td valign="top" align="left"><italic>S.</italic> Typhimurium N15</td>
<td valign="top" align="center">5.47 &#x000B1; 0.28</td>
<td valign="top" align="center">14.07 &#x000B1; 0.56</td>
<td valign="top" align="center">5.16 &#x000B1; 0.06</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2/<italic>S.</italic> Typhimurium N15</td>
<td valign="top" align="center">12.67 &#x000B1; 0.34&#x002A;</td>
<td valign="top" align="center">8.63 &#x000B1; 0.17&#x002A;</td>
<td valign="top" align="center">4.59 &#x000B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left"><italic>E. coli</italic> O157:H45</td>
<td valign="top" align="center">5.93 &#x000B1; 0.14</td>
<td valign="top" align="center">11.87 &#x000B1; 0.09</td>
<td valign="top" align="center">5.05 &#x000B1; 0.02</td>
</tr>
<tr>
<td valign="top" align="left"><italic>B. kashiwanohense</italic> PV20-2/<italic>E. coli</italic> O157:H45</td>
<td valign="top" align="center">12.29 &#x000B1; 0.16&#x002A;</td>
<td valign="top" align="center">8.02 &#x000B1; 0.27&#x002A;</td>
<td valign="top" align="center">4.61 &#x000B1; 0.01</td>
</tr>
<tr>
<td valign="top" align="left"></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>Stars (&#x002A;) denote a significant (<italic>P</italic> &#x003C; 0.05) difference in the respective metabolite production of cultures performed in iron supplemented compared with unsupplemented medium.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<p><italic>Salmonella</italic> Typhi and EHEC were tested for the inhibitory conditions observed after 12 h of co-culture with bifidobacterial strains. CDSLIM medium was supplemented with 13 mM of acetate and 7 mM of lactate at pH 4.5 and growth tested for 24 h. <italic>S.</italic> Typhi N15 and EHEC viable cell counts remained constant (log<sub>10</sub> 5.4 &#x00B1; 0.12 CFU/mL) during 24 h. In contrast a significant viability decrease of <italic>S.</italic> Typhi N15 (Bp PV8-2 and Bk PV20-2) and EHEC (Bp PV8-2) was measured during co-cultures with both bifidobacteria between 12 and 24 h for both iron levels (<bold>Figures <xref ref-type="fig" rid="F1">1A&#x2013;C</xref></bold> and <bold><xref ref-type="fig" rid="F2">2A&#x2013;C</xref></bold>).</p>
</sec>
<sec><title>Surface Properties of Bifidobacteria Strains</title>
<p>Physico-chemical characteristics of bifidobacteria cell surfaces, such as hydrophobicity, electron-donor and electron-acceptor properties, are related to adhesion to intestinal epithelial cells. The affinity of bifidobacteria strains to different solvents, xylene, chloroform and ethyl-acetate, was determined using the BATS assay to quantify surface hydrophobicity. Bp PV8-2 showed similar surface properties as the type strain DSMZ20099 (<bold>Figure <xref ref-type="fig" rid="F3">3</xref></bold>). Under iron-limited conditions affinity to hydrophobic xylene was 84.4 &#x00B1; 3.6% for Bp PV8-2 and 88.3 &#x00B1; 11.6% for Bp DSMZ20099. Affinity to chloroform, an acidic solvent, was 99.2 &#x00B1; 1% for Bp PV8-2 and 98.4 &#x00B1; 3.5% for Bp DSMZ20099. No hydrophobic, electron donor/acceptor properties were observed for Bk PV20-2 (<bold>Figure <xref ref-type="fig" rid="F3">3B</xref></bold>), whereas Bk DSMZ21854 showed hydrophobic and electron-donor properties only when grown in CDSLIM (<bold>Figure <xref ref-type="fig" rid="F3">3D</xref></bold>). Electron-acceptor properties were not observed for any of the strains tested. Bifidobacteria strains showed less affinity to all solvents when grown in MRS-cys compared to CDSLIM.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p><bold>Adhesion affinity of <bold>(A)</bold> <italic>B. pseudolongum</italic> PV8-2, <bold>(B)</bold> <italic>B. pseudolongum</italic> DSMZ20099, <bold>(C)</bold> <italic>B. kashiwanohense</italic> PV20-2, and <bold>(D)</bold> <italic>B. kashiwanohense</italic> DSMZ21854 to xylene (hydrophobicity) and chloroform (electron-donor properties).</bold> Bifidobacterial strains were grown in MRS-cys and in CSDLIM without and with iron supplementation (mean &#x00B1; SD, <italic>n</italic> = 3). [Fe-: without iron supplementation (1.5 &#x03BC;M), Fe<sup>2+</sup>: with iron supplementation (30 &#x03BC;M).]</p></caption>
<graphic xlink:href="fmicb-07-01480-g003.tif"/>
</fig>
</sec>
<sec><title>Adhesion to Different Intestinal Cell Surface Molecules</title>
<p>The intestinal epithelial cell surface is covered by glycoproteins, such as type II mucus, collagen, fibrinogen and fibronectin, and can serve as attachment sites for microbes. The affinity of bacteria to glycoproteins can therefore influence strain capacity to compete for epithelial binding sites. No significant adhesion to the unspecific protein binding control BSA nor to collagen I was shown for the tested strains when compared with the uncoated control wells (<bold>Figures <xref ref-type="fig" rid="F4">4A,B</xref></bold>). Bp PV8-2, showed significant (<italic>P</italic> &#x003C; 0.05) adhesion at pH 5.5 to type II mucin and Bk PV20-2 and Bk DSMZ21854 to fibronectin when compared with the uncoated control (<bold>Figure <xref ref-type="fig" rid="F4">4A</xref></bold>). <italic>S.</italic> Typhi N15 showed significant (<italic>P</italic> &#x003C; 0.05) adhesion to type II mucin, fibronectin, and fibrinogen. EHEC bound to type II mucin and fibronectin when compared with the uncoated control. At pH 7.5, all strains showed similar affinity to glycoproteins, BSA and the uncoated control (<bold>Figure <xref ref-type="fig" rid="F4">4B</xref></bold>), except <italic>S.</italic> Typhi N15 that showed significantly (<italic>P</italic> &#x003C; 0.05) higher adhesion to mucin II, fibrinogen, and fibronectin.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p><bold>Adhesion of bifidobacteria and enteropathogens strains: (A) to intestinal epithelial surface molecules (EMC) at pH 5.5 (mean &#x00B1; SD, <italic>n</italic> = 3).</bold> <bold>(B)</bold> To intestinal EMC at pH 7.5 (mean &#x00B1; SD, <italic>n</italic> = 3). Stars denote significant (<italic>P</italic> &#x003C; 0.05) adhesion to EMC compared with PBS.</p></caption>
<graphic xlink:href="fmicb-07-01480-g004.tif"/>
</fig>
</sec>
<sec><title><italic>In vitro</italic> Inhibition of Bifidobacteria Strains against <italic>S.</italic> Typhimurium N15 and EHEC</title>
<p>The ability to adhere to mucus and epithelial cells is an important feature for the barrier effect of bifidobacteria. The adhesion ratios of Bk PV20-2 and Bk DSMZ21854 to mucus-secreting HT29-MTX were significantly higher (15.6 &#x00B1; 6.0% and 12.7 &#x00B1; 2.4%, respectively) when compared to both Bp PV8-2 and Bp DSMZ20099 (1.4 &#x00B1; 0.4% and 1.3 &#x00B1; 0.3%, respectively). Very high adhesion ratios of <italic>S.</italic> Typhi N15 and EHEC were measured, with 87.8 &#x00B1; 17.5% and 137.6 &#x00B1; 51.7%, respectively, likely reflecting growth of the enteropathogens during the test.</p>
<p>The ability of bifidobacteria strains, to compete, displace and inhibit the adhesion of enteropathogens was tested on the HT29-MTX epithelial cell model. Both strains exhibited competitive abilities when added together with <italic>S.</italic> Typhi N15 in the competition assay, as shown by adhesion ratios significantly higher than 1 (1.88 &#x00B1; 0.64 for Bp PV8-2 and 1.76 &#x00B1; 0.51 for Bk PV20-2; <bold>Figures <xref ref-type="fig" rid="F5">5A,B</xref></bold>). In contrast, adhesion ratios lower than 1 (<italic>P</italic> &#x003C; 0.05) were measured for <italic>S.</italic> Typhi N15 in competition with Bp PV8-2 (0.67 &#x00B1; 0.08) and Bk PV20-2 (0.80 &#x00B1; 0.22), indicating that enteropathogen adhesion was decreased in the presence of both bifidobacteria. In the displacement assay, Bp PV8-2 and Bk PV20-2 strains induced the release of <italic>S.</italic> Typhi N15 bound to HT29-MTX, indicated by adhesion ratios of 0.43 &#x00B1; 0.15 and 0.44 &#x00B1; 0.13, respectively. The inhibition assay showed that adhered bifidobacteria prevented the attachment of <italic>S.</italic> Typhi N15 and stably occupied a sufficient number of adhesion sites on the surface of HT29-MTX cells. Bp PV8-2 showed the highest degree of inhibition of <italic>S.</italic> Typhi N15 (0.08 &#x00B1; 0.04) compared to Bk PV20-2 (0.21 &#x00B1; 0.12).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p><bold>Adhesion ratios of bifidobacteria and enteropathogens measured during competition, displacement and inhibition tests performed with mucus-producing HT29-MTX cell line: (A) <italic>B. pseudolongum</italic> PV8-2 (Bp PV8-2) and <italic>S.</italic> Typhimurium N15 (<italic>S.</italic> Typhi N15); (B) <italic>B. kashiwanohense</italic> PV20-2 (Bk PV20-2) and <italic>E. coli</italic> O157:H45 (EHEC); (C) Bk PV20-2 and <italic>S.</italic> Typhi N15; (D) Bk PV20-2 and EHEC.</bold> The adhesion ratio corresponded to the ratio of the percentage of adhered bifidobacteria or pathogenic bacteria following simultaneous addition divided by the percentage of adhesion of the <italic>Bifidobacterium</italic> strain or pathogenic bacteria added alone to the cell culture. Dotted line (adhesion ratio = 1) indicates no effect of interactions of tested cultures. Columns with a star (&#x002A;) indicate significantly different (<italic>P</italic> &#x003C; 0.05) values when compared to 1 (mean &#x00B1; SD, <italic>n</italic> = 3).</p></caption>
<graphic xlink:href="fmicb-07-01480-g005.tif"/>
</fig>
<p>Bk PV20-2 was not able to competitively exclude EHEC in the competition assay, as indicated in <bold>Figure <xref ref-type="fig" rid="F5">5D</xref></bold>. In the displacement assay with EHEC added first, Bp PV8-2 showed low adhesion ratio of 0.16 &#x00B1; 0.03 compared with 0.51 &#x00B1; 0.31 for EHEC which was not significantly different from 1 (<bold>Figure <xref ref-type="fig" rid="F5">5C</xref></bold>). This data suggest that Bp PV8-2 could not displace previously adhered EHEC. In the inhibition assay (<bold>Figure <xref ref-type="fig" rid="F5">5D</xref></bold>), EHEC adhesion could be significantly (<italic>P</italic> &#x003C; 0.05) decreased by the presence of adhered Bp PV8-2. Bk PV20-2 did not reduce adhesion of EHEC when added simultaneously (competition assay) or after the addition of EHEC (displacement assay).</p>
</sec>
</sec>
<sec><title>Discussion</title>
<sec><title>Inhibitory Activity of <italic>B. pseudolongum</italic> PV8-2 and <italic>B. kashiwanohense</italic> PV20-2 against Enteropathogens</title>
<p>Bifidobacteria play an essential role in the development and homeostasis of the host&#x2019;s immune system in infants where they represent one of the first commensal anaerobic bacteria colonizing the gut (<xref ref-type="bibr" rid="B30">Gupta and Garg, 2009</xref>). Efficient competition for iron is a key factor for bacterial growth, persistence and establishment in the intestine (<xref ref-type="bibr" rid="B2">Andrews et al., 2003</xref>). In our previous research, <italic>B. pseudolongum</italic> PV8-2 and <italic>B. kashiwanohense</italic> PV20-2 isolated from anemic infants in Kenya were therefore selected for this study based on their high iron sequestration capacity (<xref ref-type="bibr" rid="B64">Vazquez-Gutierrez et al., 2015c</xref>). Their inhibitory activities against two strains of enteropathogens, <italic>S.</italic> Typhi N15 and <italic>E. coli</italic> O157:H45 which are known to efficiently bind iron, were tested <italic>in vitro</italic>. Bifidobacteria may exert inhibitory activity against enteropathogens by production of organic acids, competition for essential growth nutrients, production of antibacterial peptides and co-aggregation with pathogens (<xref ref-type="bibr" rid="B58">Turroni et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Butel, 2014</xref>; <xref ref-type="bibr" rid="B65">Ventura et al., 2014</xref>). Organic acids can prevent infections of pathogens by lowering the intestinal pH and hence restricting colonization of pathogenic bacteria that are sensitive to low pH (<xref ref-type="bibr" rid="B5">Bernet et al., 1993</xref>; <xref ref-type="bibr" rid="B39">Lievin et al., 2000</xref>; <xref ref-type="bibr" rid="B53">Shu et al., 2000</xref>; <xref ref-type="bibr" rid="B27">Gopal et al., 2001</xref>; <xref ref-type="bibr" rid="B52">Shu and Gill, 2001</xref>; <xref ref-type="bibr" rid="B31">Hammami et al., 2013</xref>).</p>
<p>Co-cultivation experiments revealed the inhibitory effects of Bp PV8-2 and Bk PV20-2 against <italic>S.</italic> Typhi N15 and EHEC. Both enteropathogens were not affected by incubation at low pH and organic acid concentrations produced by the bifidobacteria strains during co-cultures. While growth of EHEC was inhibited by Bp PV8-2 and slightly reduced by Bk PV 20-2 (not significantly), <italic>S.</italic> Typhi N15 was significantly reduced by both bifidobacterial strains during co-cultures compared with single cultures. The reduction of viability of enteropathogens in co-cultures could be the result of different factors combined, such as the fitness of the strain under test conditions, and high iron sequestration mechanisms and the production of inhibitory substances by bifidobacteria (<xref ref-type="bibr" rid="B3">Bailey et al., 2011</xref>). Additionally, lactate and acetate, may also function as a permeabilizer of the outer membrane of Gram-negative bacteria and may thus accentuate the effects of other inhibitory substances, such as bacteriocins (<xref ref-type="bibr" rid="B46">Oh et al., 2009</xref>).</p>
<p>For example, the extracellular proteome of Bp PV8-2 showed the expression of a lysozyme that might contribute to the inhibitory activity of the strain (<xref ref-type="bibr" rid="B61">Vazquez-Gutierrez, 2014</xref>), and the effect might be increased by the production of organic acids (<xref ref-type="bibr" rid="B56">Tejero-Sarinena et al., 2012</xref>). Both <italic>Bifidobacterium</italic> strains tested were less efficient against EHEC, possibly because EHEC has the ability to survive in many adverse conditions when it enters starvation, allowing EHEC to adapt to very harsh conditions with almost no available nutrients, including iron (<xref ref-type="bibr" rid="B16">Chekabab et al., 2013</xref>).</p>
</sec>
<sec><title>Adhesion and Competition at the Intestinal Epithelium</title>
<p>The potential of Bp PV8-2 and Bk PV 20-2 to compete for adhesion sites was tested. Occupation of adhesion sites can reduce pathogen adhesion to intestinal epithelium and is mediated by bacterial surface properties like hydrophobicity and cell surface proteins (<xref ref-type="bibr" rid="B7">Botes et al., 2008</xref>; <xref ref-type="bibr" rid="B69">Xu et al., 2009</xref>). Bp PV8-2 had high affinity for the non-polar solvent xylene, indicating that this strain has hydrophobic cell surface properties. In contrast Bk PV20-2 was hydrophilic and showed no acid-base properties. The growth medium of bifidobacteria had a strong effect on strain surface property, in contrast with iron availability which did not affect the surface characteristics. Affinity to solvents data indicated that Bp PV8-2 has similar physico-chemical cell surface properties to type strain Bp DSMZ20099. In contrast, affinities to solvents of Bk PV20-2 and Bk DSMZ21854 were similar when both strains were grown in MRS-cys but very different when grown in CSDLIM, emphasizing the influence of growth conditions on surface properties of bacterial strains (<xref ref-type="bibr" rid="B69">Xu et al., 2009</xref>). <xref ref-type="bibr" rid="B11">Canzi et al. (2005)</xref> reported that even very close genetically related bifidobacteria strains can exhibit significantly different adhesion activities to hydrocarbons (xylene and hexadecane), supporting high strain specificity (<xref ref-type="bibr" rid="B21">Del Re et al., 2000</xref>).</p>
<p>Adhesion affinity to different binding sites of the intestinal epithelium was subsequently quantified by the adhesion affinity to a representative set of surface glycoproteins. Specific binding affinity to type II mucin was low for all strains, consistent with the findings of <xref ref-type="bibr" rid="B18">Collado et al. (2005)</xref> who observed weak adherence of bifidobacterial strains of human origin to human intestinal mucus glycoproteins. Bk PV20-2 and Bk DSMZ21854 showed affinity for fibronectin. Bk strains shared the binding affinity to fibronectin with both enteropathogens (<xref ref-type="bibr" rid="B24">Fujiwara et al., 2001</xref>), suggesting possible competition for intestinal binding sites by Bk PV20-2 that could prevent infections (<xref ref-type="bibr" rid="B18">Collado et al., 2005</xref>; <xref ref-type="bibr" rid="B55">Sperandio, 2012</xref>). Adhesion to extracellular glycoproteins of all strains was increased at pH 5.5 compared with pH 7.5. The acid environment resulting from the colonization of bifidobacteria could further support the competition for the epithelial binding sites, emphasizing the importance of the combined effect of physico-chemical affinity and surface properties (<xref ref-type="bibr" rid="B20">de Wouters et al., 2015</xref>; <xref ref-type="bibr" rid="B34">Jans et al., 2016</xref>).</p>
<p>Competition between bifidobacteria strains and enteropathogens by competition, displacement and inhibition was then studied on a differentiated, mucus-secreting HT29-MTX cells monolayer. In agreement with adhesion tests with single surface molecules, Bp strains showed only modest adhesion abilities to mucus-secreting HT29-MTX cells compared with Bk strains, <italic>S.</italic> Typhi N15 and EHEC. The high adhesion properties of both enteropathogens may reflect growth of the strain during the incubation test with cell layers as previously reported for <italic>Salmonella</italic> in a similar cell test (<xref ref-type="bibr" rid="B23">Dostal et al., 2014</xref>). Several studies suggest correlation between adhesion to intestinal cells and cell surface hydrophobicity measured with the BATS assay (<xref ref-type="bibr" rid="B41">Marin et al., 1997</xref>; <xref ref-type="bibr" rid="B21">Del Re et al., 2000</xref>), a result which was not confirmed in other studies (<xref ref-type="bibr" rid="B50">Savage, 1992</xref>; <xref ref-type="bibr" rid="B47">Ouwehand et al., 1999</xref>; <xref ref-type="bibr" rid="B11">Canzi et al., 2005</xref>; <xref ref-type="bibr" rid="B20">de Wouters et al., 2015</xref>). Even though hydrophobicity did not correlate with adhesion properties, BATS assay showed that cell surface properties of Bp PV8-2 and Bk PV20-2 are different, indicating strain-specificity. Bk PV20-2 strain showed no hydrophobic affinity suggesting that adhesion might be mediated by adhesion-like factors (<xref ref-type="bibr" rid="B58">Turroni et al., 2009</xref>; <xref ref-type="bibr" rid="B65">Ventura et al., 2014</xref>).</p>
<p>Adhesion properties of beneficial bifidobacteria to the mucosa have been shown to promote gut residence time, pathogen exclusion, protection of epithelial cells and immune modulation. Our data indicated that the degree of competition was dependent on bifidobacteria and enteropathogen strain. While both bifidobacteria strains were able to competitively exclude <italic>S.</italic> Typhi N15, only Bp PV8-2 was able to decrease the adhesion capacity of EHEC. In the presence of Bk PV20-2 adhesion of EHEC was increased, suggesting a sharing of metabolic activities leading to enhanced adhesion (<xref ref-type="bibr" rid="B18">Collado et al., 2005</xref>). Previous studies reported increased enteropathogen adhesion by bifidobacteria. For example under similar experimental conditions, <xref ref-type="bibr" rid="B51">Serafini et al. (2013)</xref> investigated antagonistic effects of <italic>Bifidobacterium bifidum</italic> PRL2010 against various enteropathogens, including <italic>S.</italic> Typhi and EHEC on HT-29 cells not secreting mucus (<xref ref-type="bibr" rid="B29">Gueimonde et al., 2006</xref>; <xref ref-type="bibr" rid="B51">Serafini et al., 2013</xref>). Our data suggests a direct competition for binding sites that protect the host against invasion of enteropathogens which might also be influenced by strain fitness related to iron sequestration mechanisms (<xref ref-type="bibr" rid="B14">Chauviere et al., 1992</xref>; <xref ref-type="bibr" rid="B37">Lee and Puong, 2002</xref>). Both Bp PV8-2 and Bk PV20-2 resulted in marked reductions in adhesion of <italic>S.</italic> Typhi N15 and EHEC, indicating that colonization with these potential probiotic candidates selected for high iron sequestration mechanisms might offer at least partial protection from infection with enteropathogenic bacteria (<xref ref-type="bibr" rid="B19">Collado et al., 2007</xref>). Further experiments have to be performed <italic>in vivo</italic> to support these effects.</p>
</sec>
</sec>
<sec><title>Conclusion</title>
<p>Ability of commensals such as bifidobacteria to restrain pathogen growth in the intestine is strongly affected by niche and nutrient competition. Our study showed that <italic>B. pseudolongum</italic> PV8-2 and <italic>B. kashiwanohense</italic> PV20-2, selected for their high iron sequestration mechanisms, exhibited strain-dependent inhibitory activity against <italic>S.</italic> Typhi N15 and EHEC. These strains may be potential probiotic candidates especially for inhibiting iron-dependent enteric pathogens such as enterobacteriaceae in the gut. The biological significance of such competitive probiotics and their potential as preventive or curative probiotics should be further investigated <italic>in vitro</italic> in presence of complex gut microbiota and <italic>in vivo</italic> with animal models.</p>
</sec>
<sec><title>Author Contributions</title>
<p>PV-G, TW, CC, and CL designed the experiment. PV-G, JW performed and analyzed the experiments. TW, CC, and CL supervised the experiments. PV-G, JW, TW, CC, and CL wrote the manuscript. All authors read and approved the final manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<ack>
<p>This research was supported by own resources at ETH Zurich, Zurich Switzerland.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aires</surname> <given-names>J.</given-names></name> <name><surname>Anglade</surname> <given-names>P.</given-names></name> <name><surname>Baraige</surname> <given-names>F.</given-names></name> <name><surname>Zagorec</surname> <given-names>M.</given-names></name> <name><surname>Champomier-Verges</surname> <given-names>M. C.</given-names></name> <name><surname>Butel</surname> <given-names>M. J.</given-names></name></person-group> (<year>2010</year>). <article-title>Proteomic comparison of the cytosolic proteins of three <italic>Bifidobacterium longum</italic> human isolates and B. longum NCC2705.</article-title> <source><italic>BMC Microbiol.</italic></source> <volume>10</volume>:<issue>29</issue>. <pub-id pub-id-type="doi">10.1186/1471-2180-10-29</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Andrews</surname> <given-names>S. C.</given-names></name> <name><surname>Robinson</surname> <given-names>A. K.</given-names></name> <name><surname>Rodriguez-Quinones</surname> <given-names>F.</given-names></name></person-group> (<year>2003</year>). <article-title>Bacterial iron homeostasis.</article-title> <source><italic>FEMS Microbiol. Rev.</italic></source> <volume>27</volume> <fpage>215</fpage>&#x2013;<lpage>237</lpage>. <pub-id pub-id-type="doi">10.1016/S0168-6445(03)00055-X</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bailey</surname> <given-names>J. R.</given-names></name> <name><surname>Probert</surname> <given-names>C. S.</given-names></name> <name><surname>Cogan</surname> <given-names>T. A.</given-names></name></person-group> (<year>2011</year>). <article-title>Identification and characterisation of an iron-responsive candidate probiotic.</article-title> <source><italic>PLoS ONE</italic></source> <volume>6</volume>:<issue>e26507</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0026507</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berkley</surname> <given-names>J. A.</given-names></name> <name><surname>Lowe</surname> <given-names>B. S.</given-names></name> <name><surname>Mwangi</surname> <given-names>I.</given-names></name> <name><surname>Williams</surname> <given-names>T.</given-names></name> <name><surname>Bauni</surname> <given-names>E.</given-names></name> <name><surname>Mwarumba</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Bacteremia among children admitted to a rural hospital in Kenya.</article-title> <source><italic>N. Engl. J. Med.</italic></source> <volume>352</volume> <fpage>39</fpage>&#x2013;<lpage>47</lpage>. <pub-id pub-id-type="doi">10.1056/Nejmoa040275</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bernet</surname> <given-names>M. F.</given-names></name> <name><surname>Brassart</surname> <given-names>D.</given-names></name> <name><surname>Neeser</surname> <given-names>J. R.</given-names></name> <name><surname>Servin</surname> <given-names>A. L.</given-names></name></person-group> (<year>1993</year>). <article-title>Adhesion of human bifidobacterial strains to cultured human intestinal epithelial-cells and inhibition of enteropathogen-cell interactions.</article-title> <source><italic>Appl. Environ. Microbiol.</italic></source> <volume>59</volume> <fpage>4121</fpage>&#x2013;<lpage>4128</lpage>.</citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bernet</surname> <given-names>M. F.</given-names></name> <name><surname>Brassart</surname> <given-names>D.</given-names></name> <name><surname>Neeser</surname> <given-names>J. R.</given-names></name> <name><surname>Servin</surname> <given-names>A. L.</given-names></name></person-group> (<year>1994</year>). <article-title><italic>Lactobacillus acidophilus</italic> LA 1 binds to cultured human intestinal cell lines and inhibits cell attachment and cell invasion by enterovirulent bacteria.</article-title> <source><italic>Gut</italic></source> <volume>35</volume> <fpage>483</fpage>&#x2013;<lpage>489</lpage>. <pub-id pub-id-type="doi">10.1136/gut.35.4.483</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Botes</surname> <given-names>M.</given-names></name> <name><surname>Loos</surname> <given-names>B.</given-names></name> <name><surname>van Reenen</surname> <given-names>CA</given-names></name> <name><surname>Dicks</surname> <given-names>L. M.</given-names></name> <name><surname>Dicks</surname> <given-names>L. M.</given-names></name></person-group> (<year>2008</year>). <article-title>Adhesion of the probiotic strains <italic>Enterococcus mundtii</italic> ST4SA and <italic>Lactobacillus plantarum</italic> 423 to Caco-2 cells under conditions simulating the intestinal tract, and in the presence of antibiotics and anti-inflammatory medicaments.</article-title> <source><italic>Arch. Microbiol.</italic></source> <volume>190</volume> <fpage>573</fpage>&#x2013;<lpage>584</lpage>. <pub-id pub-id-type="doi">10.1007/s00203-008-0408-0</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Broekaert</surname> <given-names>I. J.</given-names></name> <name><surname>Walker</surname> <given-names>W. A.</given-names></name></person-group> (<year>2006</year>). <article-title>Probiotics and chronic disease.</article-title> <source><italic>J. Clin. Gastroenterol.</italic></source> <volume>40</volume> <fpage>270</fpage>&#x2013;<lpage>274</lpage>. <pub-id pub-id-type="doi">10.1097/00004836-200603000-00021</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bron</surname> <given-names>P. A.</given-names></name> <name><surname>van Baarlen</surname> <given-names>P.</given-names></name> <name><surname>Kleerebezem</surname> <given-names>M.</given-names></name></person-group> (<year>2012</year>). <article-title>Emerging molecular insights into the interaction between probiotics and the host intestinal mucosa.</article-title> <source><italic>Nat. Rev. Microbiol.</italic></source> <volume>10</volume> <fpage>66</fpage>&#x2013;<lpage>78</lpage>. <pub-id pub-id-type="doi">10.1038/nrmicro2690</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Butel</surname> <given-names>M. J.</given-names></name></person-group> (<year>2014</year>). <article-title>Probiotics, gut microbiota and health.</article-title> <source><italic>Med. Mal. Infect.</italic></source> <volume>44</volume> <fpage>1</fpage>&#x2013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1016/j.medmal.2013.10.002</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Canzi</surname> <given-names>E.</given-names></name> <name><surname>Guglielmetti</surname> <given-names>S.</given-names></name> <name><surname>Mora</surname> <given-names>D.</given-names></name> <name><surname>Tamagnini</surname> <given-names>I.</given-names></name> <name><surname>Parini</surname> <given-names>C.</given-names></name></person-group> (<year>2005</year>). <article-title>Conditions affecting cell surface properties of human intestinal bifidobacteria.</article-title> <source><italic>Antonie Van Leeuwenhoek.</italic></source> <volume>88</volume>(<issue>3</issue>&#x2013;<issue>4</issue>), <fpage>207</fpage>&#x2013;<lpage>219</lpage>. <pub-id pub-id-type="doi">10.1007/s10482-005-6501-3</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cassat</surname> <given-names>J. E.</given-names></name> <name><surname>Skaar</surname> <given-names>E. P.</given-names></name></person-group> (<year>2013</year>). <article-title>Iron in infection and immunity.</article-title> <source><italic>Cell Host Microb.</italic></source> <volume>13</volume> <fpage>509</fpage>&#x2013;<lpage>519</lpage>. <pub-id pub-id-type="doi">10.1016/j.chom.2013.04.010</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cernat</surname> <given-names>R. C.</given-names></name> <name><surname>Scott</surname> <given-names>K. P.</given-names></name></person-group> (<year>2012</year>). <article-title>Evaluation of novel assays to assess the influence of different iron sources on the growth of <italic>Clostridium difficile</italic>.</article-title> <source><italic>Anaerobe</italic></source> <volume>18</volume> <fpage>298</fpage>&#x2013;<lpage>304</lpage>. <pub-id pub-id-type="doi">10.1016/j.anaerobe.2012.04.007</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chauviere</surname> <given-names>G.</given-names></name> <name><surname>Coconnier</surname> <given-names>M. H.</given-names></name> <name><surname>Kerneis</surname> <given-names>S.</given-names></name> <name><surname>Darfeuille-Michaud</surname> <given-names>A.</given-names></name> <name><surname>Joly</surname> <given-names>B.</given-names></name> <name><surname>Servin</surname> <given-names>A. L.</given-names></name></person-group> (<year>1992</year>). <article-title>Competitive exclusion of diarrheagenic <italic>Escherichia coli</italic> (ETEC) from human enterocyte-like Caco-2 cells by heat-killed <italic>Lactobacillus</italic>.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>70</volume> <fpage>213</fpage>&#x2013;<lpage>217</lpage>. <pub-id pub-id-type="doi">10.1016/0378-1097(92)90700-X</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cheikhyoussef</surname> <given-names>A.</given-names></name> <name><surname>Pogori</surname> <given-names>N.</given-names></name> <name><surname>Chen</surname> <given-names>W.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name></person-group> (<year>2008</year>). <article-title>Antimicrobial proteinaceous compounds obtained from bifidobacteria: from production to their application.</article-title> <source><italic>In. J. Food Microbiol.</italic></source> <volume>125</volume> <fpage>215</fpage>&#x2013;<lpage>222</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijfoodmicro.2008.03.012</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chekabab</surname> <given-names>S. M.</given-names></name> <name><surname>Paquin-Veillette</surname> <given-names>J.</given-names></name> <name><surname>Dozois</surname> <given-names>C. M.</given-names></name> <name><surname>Harel</surname> <given-names>J.</given-names></name></person-group> (<year>2013</year>). <article-title>The ecological habitat and transmission of <italic>Escherichia coli</italic> O157:H7.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>341</volume> <fpage>1</fpage>&#x2013;<lpage>12</lpage>. <pub-id pub-id-type="doi">10.1111/1574-6968.12078</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cleusix</surname> <given-names>V.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Vollenweider</surname> <given-names>S.</given-names></name> <name><surname>Le Blay</surname> <given-names>G.</given-names></name></person-group> (<year>2008</year>). <article-title>Glycerol induces reuterin production and decreases <italic>Escherichia coli</italic> population in an in vitro model of colonic fermentation with immobilized human feces.</article-title> <source><italic>FEMS Microbiol. Ecol.</italic></source> <volume>63</volume> <fpage>56</fpage>&#x2013;<lpage>64</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6941.2007.00412.x</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Collado</surname> <given-names>M. C.</given-names></name> <name><surname>Gueimonde</surname> <given-names>M.</given-names></name> <name><surname>Hernandez</surname> <given-names>M.</given-names></name> <name><surname>Sanz</surname> <given-names>Y.</given-names></name> <name><surname>Salminen</surname> <given-names>S.</given-names></name></person-group> (<year>2005</year>). <article-title>Adhesion of selected <italic>Bifidobacterium</italic> strains to human intestinal mucus and the role of adhesion in enteropathogen exclusion.</article-title> <source><italic>J. Food Prot.</italic></source> <volume>68</volume> <fpage>2672</fpage>&#x2013;<lpage>2678</lpage>.</citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Collado</surname> <given-names>M. C.</given-names></name> <name><surname>Meriluoto</surname> <given-names>J.</given-names></name> <name><surname>Salminen</surname> <given-names>S.</given-names></name></person-group> (<year>2007</year>). <article-title>Role of commercial probiotic strains against human pathogen adhesion to intestinal mucus.</article-title> <source><italic>Lett. Appl. Microbiol.</italic></source> <volume>45</volume> <fpage>454</fpage>&#x2013;<lpage>460</lpage>. <pub-id pub-id-type="doi">10.1111/j.1472-765X.2007.02212.x</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>de Wouters</surname> <given-names>T.</given-names></name> <name><surname>Jans</surname> <given-names>C.</given-names></name> <name><surname>Niederberger</surname> <given-names>T.</given-names></name> <name><surname>Fischer</surname> <given-names>P.</given-names></name> <name><surname>Ruhs</surname> <given-names>P. A.</given-names></name></person-group> (<year>2015</year>). <article-title>Adhesion potential of intestinal microbes predicted by physico-chemical characterization methods.</article-title> <source><italic>PLoS ONE</italic></source> <volume>10</volume>:<issue>e0136437</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0136437</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Del Re</surname> <given-names>B.</given-names></name> <name><surname>Sgorbati</surname> <given-names>B.</given-names></name> <name><surname>Miglioli</surname> <given-names>M.</given-names></name> <name><surname>Palenzona</surname> <given-names>D.</given-names></name></person-group> (<year>2000</year>). <article-title>Adhesion, autoaggregation and hydrophobicity of 13 strains of <italic>Bifidobacterium longum</italic>.</article-title> <source><italic>Lett. Appl. Microbiol.</italic></source> <volume>31</volume> <fpage>438</fpage>&#x2013;<lpage>442</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2672.2000.00845.x</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dobson</surname> <given-names>A.</given-names></name> <name><surname>Cotter</surname> <given-names>P. D.</given-names></name> <name><surname>Ross</surname> <given-names>R. P.</given-names></name> <name><surname>Hill</surname> <given-names>C.</given-names></name></person-group> (<year>2012</year>). <article-title>Bacteriocin production: a probiotic trait?</article-title> <source><italic>Appl. Environ. Microbiol.</italic></source> <volume>78</volume> <fpage>1</fpage>&#x2013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.1128/AEM.05576-11</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dostal</surname> <given-names>A.</given-names></name> <name><surname>Gagnon</surname> <given-names>M.</given-names></name> <name><surname>Chassard</surname> <given-names>C.</given-names></name> <name><surname>Zimmermann</surname> <given-names>M. B.</given-names></name> <name><surname>O&#x2019;Mahony</surname> <given-names>L.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title><italic>Salmonella</italic> adhesion, invasion and cellular immune responses are differentially affected by iron concentrations in a combined in vitro gut fermentation-cell model.</article-title> <source><italic>PLoS ONE</italic></source> <volume>9</volume>:<issue>e93549</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0093549</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fujiwara</surname> <given-names>S.</given-names></name> <name><surname>Hashiba</surname> <given-names>H.</given-names></name> <name><surname>Hirota</surname> <given-names>T.</given-names></name> <name><surname>Forstner</surname> <given-names>J. F.</given-names></name></person-group> (<year>2001</year>). <article-title>Inhibition of the binding of enterotoxigenic <italic>Escherichia coli</italic> Pb176 to human intestinal epithelial cell line HCT-8 by an extracellular protein fraction containing BIF of <italic>Bifidobacterium longum</italic> SBT2928: suggestive evidence of blocking of the binding receptor gangliotetraosylceramide on the cell surface.</article-title> <source><italic>Int. . J. Food Microbiol.</italic></source> <volume>67</volume> <fpage>97</fpage>&#x2013;<lpage>106</lpage>.</citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fukuda</surname> <given-names>S.</given-names></name> <name><surname>Toh</surname> <given-names>H.</given-names></name> <name><surname>Hase</surname> <given-names>K.</given-names></name> <name><surname>Oshima</surname> <given-names>K.</given-names></name> <name><surname>Nakanishi</surname> <given-names>Y.</given-names></name> <name><surname>Yoshimura</surname> <given-names>K.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>Bifidobacteria can protect from enteropathogenic infection through production of acetate.</article-title> <source><italic>Nature</italic></source> <volume>469</volume> <fpage>543</fpage>&#x2013;<lpage>547</lpage>. <pub-id pub-id-type="doi">10.1038/Nature09646</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gagnon</surname> <given-names>M.</given-names></name> <name><surname>Zihler Berner</surname> <given-names>A.</given-names></name> <name><surname>Chervet</surname> <given-names>N.</given-names></name> <name><surname>Chassard</surname> <given-names>C.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name></person-group> (<year>2013</year>). <article-title>Comparison of the Caco-2, HT-29 and the mucus-secreting HT29-MTX intestinal cell models to investigate <italic>Salmonella</italic> adhesion and invasion.</article-title> <source><italic>J. Microbiol. Methods</italic></source> <volume>94</volume> <fpage>274</fpage>&#x2013;<lpage>279</lpage>. <pub-id pub-id-type="doi">10.1016/j.mimet.2013.06.027</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gopal</surname> <given-names>P. K.</given-names></name> <name><surname>Prasad</surname> <given-names>J.</given-names></name> <name><surname>Smart</surname> <given-names>J.</given-names></name> <name><surname>Gill</surname> <given-names>H. S.</given-names></name></person-group> (<year>2001</year>). <article-title>In vitro adherence properties of <italic>Lactobacillus rhamnosus</italic> DR20 and <italic>Bifidobacterium lactis</italic> DR10 strains and their antagonistic activity against an enterotoxigenic <italic>Escherichia coli</italic>.</article-title> <source><italic>Int. J. Food Microbiol.</italic></source> <volume>67</volume> <fpage>207</fpage>&#x2013;<lpage>216</lpage>. <pub-id pub-id-type="doi">10.1016/S0168-1605(01)00440-8</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Goto</surname> <given-names>Y.</given-names></name> <name><surname>Kiyono</surname> <given-names>H.</given-names></name></person-group> (<year>2012</year>). <article-title>Epithelial barrier: an interface for the cross-communication between gut flora and immune system.</article-title> <source><italic>Immunol. Rev.</italic></source> <volume>245</volume> <fpage>147</fpage>&#x2013;<lpage>163</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-065X.2011.01078.x</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gueimonde</surname> <given-names>M.</given-names></name> <name><surname>Jalonen</surname> <given-names>L.</given-names></name> <name><surname>He</surname> <given-names>F.</given-names></name> <name><surname>Hiramatsu</surname> <given-names>M.</given-names></name> <name><surname>Salminen</surname> <given-names>S.</given-names></name></person-group> (<year>2006</year>). <article-title>Adhesion and competitive inhibition and displacement of human enteropathogens by selected lactobacilli.</article-title> <source><italic>Food Res. Int.</italic></source> <volume>39</volume> <fpage>467</fpage>&#x2013;<lpage>471</lpage>. <pub-id pub-id-type="doi">10.1016/j.foodres.2005.10.003</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gupta</surname> <given-names>V.</given-names></name> <name><surname>Garg</surname> <given-names>R.</given-names></name></person-group> (<year>2009</year>). <article-title>Probiotics.</article-title> <source><italic>Indian J. Med. Microbiol.</italic></source> <volume>27</volume> <fpage>202</fpage>&#x2013;<lpage>209</lpage>. <pub-id pub-id-type="doi">10.4103/0255-0857.53201</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hammami</surname> <given-names>R.</given-names></name> <name><surname>Fernandez</surname> <given-names>B.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Fliss</surname> <given-names>I.</given-names></name></person-group> (<year>2013</year>). <article-title>Anti-infective properties of bacteriocins: an update.</article-title> <source><italic>Cell. Mol. Life Sci.</italic></source> <volume>70</volume> <fpage>2947</fpage>&#x2013;<lpage>2967</lpage>. <pub-id pub-id-type="doi">10.1007/s00018-012-1202-3</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haraga</surname> <given-names>A.</given-names></name> <name><surname>Ohlson</surname> <given-names>M. B.</given-names></name> <name><surname>Miller</surname> <given-names>S. I.</given-names></name></person-group> (<year>2008</year>). <article-title><italic>Salmonella</italic>e interplay with host cells.</article-title> <source><italic>Nat. Rev. Microbiol.</italic></source> <volume>6</volume> <fpage>53</fpage>&#x2013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1038/nrmicro1788</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Izquierdo</surname> <given-names>E.</given-names></name> <name><surname>Medina</surname> <given-names>M.</given-names></name> <name><surname>Ennahar</surname> <given-names>S.</given-names></name> <name><surname>Marchioni</surname> <given-names>E.</given-names></name> <name><surname>Sanz</surname> <given-names>Y.</given-names></name></person-group> (<year>2008</year>). <article-title>Resistance to simulated gastrointestinal conditions and adhesion to mucus as probiotic criteria for <italic>Bifidobacterium longum</italic> strains.</article-title> <source><italic>Curr. Microbiol.</italic></source> <volume>56</volume> <fpage>613</fpage>&#x2013;<lpage>618</lpage>. <pub-id pub-id-type="doi">10.1007/s00284-008-9135-7</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jans</surname> <given-names>C.</given-names></name> <name><surname>de Wouters</surname> <given-names>T.</given-names></name> <name><surname>Bonfoh</surname> <given-names>B.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Kaindi</surname> <given-names>D. W. M.</given-names></name> <name><surname>Anderegg</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Phylogenetic, epidemiological and functional analyses of the <italic>Streptococcus bovis/Streptococcus equinus</italic> complex through an overarching MLST scheme.</article-title> <source><italic>BMC Microbiol.</italic></source> <volume>16</volume>:<issue>117</issue>. <pub-id pub-id-type="doi">10.1186/s12866-016-0735-2</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jost</surname> <given-names>T.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Braegger</surname> <given-names>C. P.</given-names></name> <name><surname>Chassard</surname> <given-names>C.</given-names></name></person-group> (<year>2012</year>). <article-title>New insights in gut microbiota establishment in healthy breast fed neonates.</article-title> <source><italic>PLoS ONE</italic></source> <volume>7</volume>:<issue>e44595</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0044595</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kortman</surname> <given-names>G. A.</given-names></name> <name><surname>Boleij</surname> <given-names>A.</given-names></name> <name><surname>Swinkels</surname> <given-names>D. W.</given-names></name> <name><surname>Tjalsma</surname> <given-names>H.</given-names></name></person-group> (<year>2012</year>). <article-title>Iron availability increases the pathogenic potential of <italic>Salmonella typhimurium</italic> and other enteric pathogens at the intestinal epithelial interface.</article-title> <source><italic>PLoS ONE</italic></source> <volume>7</volume>:<issue>e29968</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0029968</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>Y. K.</given-names></name> <name><surname>Puong</surname> <given-names>K. Y.</given-names></name></person-group> (<year>2002</year>). <article-title>Competition for adhesion between probiotics and human gastrointestinal pathogens in the presence of carbohydrate.</article-title> <source><italic>Br. J. Nutr.</italic></source> <volume>88(Suppl. 1)</volume>, <fpage>S101</fpage>&#x2013;<lpage>S108</lpage>. <pub-id pub-id-type="doi">10.1079/BJN2002635</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lesuffleur</surname> <given-names>T.</given-names></name> <name><surname>Barbat</surname> <given-names>A.</given-names></name> <name><surname>Dussaulx</surname> <given-names>E.</given-names></name> <name><surname>Zweibaum</surname> <given-names>A.</given-names></name></person-group> (<year>1990</year>). <article-title>Growth adaptation to methotrexate of HT-29 human colon carcinoma cells is associated with their ability to differentiate into columnar absorptive and mucus-secreting cells.</article-title> <source><italic>Cancer Res.</italic></source> <volume>50</volume> <fpage>6334</fpage>&#x2013;<lpage>6343</lpage>.</citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lievin</surname> <given-names>V.</given-names></name> <name><surname>Peiffer</surname> <given-names>I.</given-names></name> <name><surname>Hudault</surname> <given-names>S.</given-names></name> <name><surname>Rochat</surname> <given-names>F.</given-names></name> <name><surname>Brassart</surname> <given-names>D.</given-names></name> <name><surname>Neeser</surname> <given-names>J. R.</given-names></name><etal/></person-group> (<year>2000</year>). <article-title><italic>Bifidobacterium</italic> strains from resident infant human gastrointestinal microflora exert antimicrobial activity.</article-title> <source><italic>Gut</italic></source> <volume>47</volume> <fpage>646</fpage>&#x2013;<lpage>652</lpage>. <pub-id pub-id-type="doi">10.1136/gut.47.5.646</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Marco</surname> <given-names>M. L.</given-names></name> <name><surname>Pavan</surname> <given-names>S.</given-names></name> <name><surname>Kleerebezem</surname> <given-names>M.</given-names></name></person-group> (<year>2006</year>). <article-title>Towards understanding molecular modes of probiotic action.</article-title> <source><italic>Curr. Opin. Biotechnol.</italic></source> <volume>17</volume> <fpage>204</fpage>&#x2013;<lpage>210</lpage>. <pub-id pub-id-type="doi">10.1016/j.copbio.2006.02.005</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Marin</surname> <given-names>M. L.</given-names></name> <name><surname>Benito</surname> <given-names>Y.</given-names></name> <name><surname>Pin</surname> <given-names>C.</given-names></name> <name><surname>Fernandez</surname> <given-names>M. F.</given-names></name> <name><surname>Garcia</surname> <given-names>M. L.</given-names></name> <name><surname>Selgas</surname> <given-names>M. D.</given-names></name><etal/></person-group> (<year>1997</year>). <article-title>Lactic acid bacteria: hydrophobicity and strength of attachment to meat surfaces.</article-title> <source><italic>Lett. Appl. Microbiol.</italic></source> <volume>24</volume> <fpage>14</fpage>&#x2013;<lpage>18</lpage>. <pub-id pub-id-type="doi">10.1046/j.1472-765X.1997.00334.x</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Martinez</surname> <given-names>F. A.</given-names></name> <name><surname>Balciunas</surname> <given-names>E. M.</given-names></name> <name><surname>Converti</surname> <given-names>A.</given-names></name> <name><surname>Cotter</surname> <given-names>P. D.</given-names></name> <name><surname>de Souza Oliveira</surname> <given-names>R. P.</given-names></name></person-group> (<year>2013</year>). <article-title>Bacteriocin production by <italic>Bifidobacterium</italic> spp. A review.</article-title> <source><italic>Biotechnol. Adv.</italic></source> <volume>31</volume> <fpage>482</fpage>&#x2013;<lpage>488</lpage>. <pub-id pub-id-type="doi">10.1016/j.biotechadv.2013.01.010</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Melton-Celsa</surname> <given-names>A.</given-names></name> <name><surname>Mohawk</surname> <given-names>K.</given-names></name> <name><surname>Teel</surname> <given-names>L.</given-names></name> <name><surname>O&#x2019;Brien</surname> <given-names>A.</given-names></name></person-group> (<year>2012</year>). <article-title>Pathogenesis of Shiga-toxin producing <italic>Escherichia coli</italic>.</article-title> <source><italic>Curr. Top. Microbiol. Immunol.</italic></source> <volume>357</volume> <fpage>67</fpage>&#x2013;<lpage>103</lpage>. <pub-id pub-id-type="doi">10.1007/82_2011_176</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Monack</surname> <given-names>D. M.</given-names></name> <name><surname>Hultgren</surname> <given-names>S. J.</given-names></name></person-group> (<year>2013</year>). <article-title>The complex interactions of bacterial pathogens and host defenses.</article-title> <source><italic>Curr. Opin. Microbiol.</italic></source> <volume>16</volume> <fpage>1</fpage>&#x2013;<lpage>3</lpage>. <pub-id pub-id-type="doi">10.1016/j.mib.2013.03.001</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Muller</surname> <given-names>D.</given-names></name> <name><surname>Benz</surname> <given-names>I.</given-names></name> <name><surname>Liebchen</surname> <given-names>A.</given-names></name> <name><surname>Gallitz</surname> <given-names>I.</given-names></name> <name><surname>Karch</surname> <given-names>H.</given-names></name> <name><surname>Schmidt</surname> <given-names>M. A.</given-names></name></person-group> (<year>2009</year>). <article-title>Comparative analysis of the locus of enterocyte effacement and its flanking regions.</article-title> <source><italic>Infect. Immun.</italic></source> <volume>77</volume> <fpage>3501</fpage>&#x2013;<lpage>3513</lpage>. <pub-id pub-id-type="doi">10.1128/IAI.00090-09</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oh</surname> <given-names>D. H.</given-names></name> <name><surname>Pan</surname> <given-names>Y. W.</given-names></name> <name><surname>Berry</surname> <given-names>E.</given-names></name> <name><surname>Cooley</surname> <given-names>M.</given-names></name> <name><surname>Mandrell</surname> <given-names>R.</given-names></name> <name><surname>Breidt</surname> <given-names>F.</given-names></name></person-group> (<year>2009</year>). <article-title><italic>Escherichia coli</italic> O157:H7 Strains isolated from environmental sources differ significantly in acetic acid resistance compared with human outbreak strains.</article-title> <source><italic>J. Food Prot.</italic></source> <volume>72</volume> <fpage>503</fpage>&#x2013;<lpage>509</lpage>.</citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ouwehand</surname> <given-names>A. C.</given-names></name> <name><surname>Kirjavainen</surname> <given-names>P. V.</given-names></name> <name><surname>Gronlund</surname> <given-names>M. M.</given-names></name> <name><surname>Isolauri</surname> <given-names>E.</given-names></name> <name><surname>Salminen</surname> <given-names>S. J.</given-names></name></person-group> (<year>1999</year>). <article-title>Adhesion of probiotic micro-organisms to intestinal mucus.</article-title> <source><italic>Int. Dairy J.</italic></source> <volume>9</volume> <fpage>623</fpage>&#x2013;<lpage>630</lpage>. <pub-id pub-id-type="doi">10.1016/S0958-6946(99)00132-6</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sansonetti</surname> <given-names>P. J.</given-names></name></person-group> (<year>2004</year>). <article-title>War and peace at mucosal surfaces.</article-title> <source><italic>Nat. Rev. Immunol.</italic></source> <volume>4</volume> <fpage>953</fpage>&#x2013;<lpage>964</lpage>. <pub-id pub-id-type="doi">10.1038/Nri1499</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Santos</surname> <given-names>R. L.</given-names></name> <name><surname>Raffatellu</surname> <given-names>M.</given-names></name> <name><surname>Bevins</surname> <given-names>C. L.</given-names></name> <name><surname>Adams</surname> <given-names>L. G.</given-names></name> <name><surname>Tukel</surname> <given-names>C.</given-names></name> <name><surname>Tsolis</surname> <given-names>R. M.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Life in the inflamed intestine, <italic>Salmonella</italic> style.</article-title> <source><italic>Trends Microbiol.</italic></source> <volume>17</volume> <fpage>498</fpage>&#x2013;<lpage>506</lpage>. <pub-id pub-id-type="doi">10.1016/j.tim.2009.08.008</pub-id></citation></ref>
<ref id="B50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Savage</surname> <given-names>D. C.</given-names></name></person-group> (<year>1992</year>). <article-title>Growth phase, cellular hydrophobicity, and adhesion in vitro of lactobacilli colonizing the keratinizing gastric epithelium in the mouse.</article-title> <source><italic>Appl. Environ. Microbiol.</italic></source> <volume>58</volume> <fpage>1992</fpage>&#x2013;<lpage>1995</lpage>.</citation></ref>
<ref id="B51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Serafini</surname> <given-names>F.</given-names></name> <name><surname>Strati</surname> <given-names>F.</given-names></name> <name><surname>Ruas-Madiedo</surname> <given-names>P.</given-names></name> <name><surname>Turroni</surname> <given-names>F.</given-names></name> <name><surname>Foroni</surname> <given-names>E.</given-names></name> <name><surname>Duranti</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Evaluation of adhesion properties and antibacterial activities of the infant gut commensal <italic>Bifidobacterium bifidum</italic> PRL2010.</article-title> <source><italic>Anaerobe</italic></source> <volume>21</volume> <fpage>9</fpage>&#x2013;<lpage>17</lpage>. <pub-id pub-id-type="doi">10.1016/j.anaerobe.2013.03.003</pub-id></citation></ref>
<ref id="B52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shu</surname> <given-names>Q.</given-names></name> <name><surname>Gill</surname> <given-names>H. S.</given-names></name></person-group> (<year>2001</year>). <article-title>A dietary probiotic (<italic>Bifidobacterium lactis</italic> HN019) reduces the severity of <italic>Escherichia coli</italic> O157:H7 infection in mice.</article-title> <source><italic>Med. Microbiol. Immunol.</italic></source> <volume>189</volume> <fpage>147</fpage>&#x2013;<lpage>152</lpage>. <pub-id pub-id-type="doi">10.1007/s430-001-8021-9</pub-id></citation></ref>
<ref id="B53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shu</surname> <given-names>Q.</given-names></name> <name><surname>Lin</surname> <given-names>H.</given-names></name> <name><surname>Rutherfurd</surname> <given-names>K. J.</given-names></name> <name><surname>Fenwick</surname> <given-names>S. G.</given-names></name> <name><surname>Prasad</surname> <given-names>J.</given-names></name> <name><surname>Gopal</surname> <given-names>P. K.</given-names></name><etal/></person-group> (<year>2000</year>). <article-title>Dietary <italic>Bifidobacterium lactis</italic> (HN019) enhances resistance to oral <italic>Salmonella</italic> Typhimurium infection in mice.</article-title> <source><italic>Microbiol. Immunol.</italic></source> <volume>44</volume> <fpage>213</fpage>&#x2013;<lpage>222</lpage>. <pub-id pub-id-type="doi">10.1111/j.1348-0421.2000.tb02486.x</pub-id></citation></ref>
<ref id="B54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sillanpaa</surname> <given-names>J.</given-names></name> <name><surname>Nallapareddy</surname> <given-names>S. R.</given-names></name> <name><surname>Singh</surname> <given-names>K. V.</given-names></name> <name><surname>Ferraro</surname> <given-names>M. J.</given-names></name> <name><surname>Murray</surname> <given-names>B. E.</given-names></name></person-group> (<year>2008</year>). <article-title>Adherence characteristics of endocarditis-derived <italic>Streptococcus gallolyticus</italic> ssp. <italic>gallolyticus (Streptococcus bovis</italic> biotype I) isolates to host extracellular matrix proteins.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>289</volume> <fpage>104</fpage>&#x2013;<lpage>109</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.2008.01378.x</pub-id></citation></ref>
<ref id="B55"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sperandio</surname> <given-names>V.</given-names></name></person-group> (<year>2012</year>). <article-title>Microbiology. Virulence or competition?.</article-title> <source><italic>Science</italic></source> <volume>336</volume> <fpage>1238</fpage>&#x2013;<lpage>1239</lpage>. <pub-id pub-id-type="doi">10.1126/science.1223303</pub-id></citation></ref>
<ref id="B56"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tejero-Sarinena</surname> <given-names>S.</given-names></name> <name><surname>Barlow</surname> <given-names>J.</given-names></name> <name><surname>Costabile</surname> <given-names>A.</given-names></name> <name><surname>Gibson</surname> <given-names>G. R.</given-names></name> <name><surname>Rowland</surname> <given-names>I.</given-names></name></person-group> (<year>2012</year>). <article-title>In vitro evaluation of the antimicrobial activity of a range of probiotics against pathogens: evidence for the effects of organic acids.</article-title> <source><italic>Anaerobe</italic></source> <volume>18</volume> <fpage>530</fpage>&#x2013;<lpage>538</lpage>. <pub-id pub-id-type="doi">10.1016/j.anaerobe.2012.08.004</pub-id></citation></ref>
<ref id="B57"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Thiennimitr</surname> <given-names>P.</given-names></name> <name><surname>Winter</surname> <given-names>S. E.</given-names></name> <name><surname>Baumler</surname> <given-names>A. J.</given-names></name></person-group> (<year>2012</year>). <article-title>Salmonella, the host and its microbiota.</article-title> <source><italic>Curr. Opin. Microbiol.</italic></source> <volume>15</volume> <fpage>108</fpage>&#x2013;<lpage>114</lpage>. <pub-id pub-id-type="doi">10.1016/j.mib.2011.10.002</pub-id></citation></ref>
<ref id="B58"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Turroni</surname> <given-names>F.</given-names></name> <name><surname>Marchesi</surname> <given-names>J. R.</given-names></name> <name><surname>Foroni</surname> <given-names>E.</given-names></name> <name><surname>Gueimonde</surname> <given-names>M.</given-names></name> <name><surname>Shanahan</surname> <given-names>F.</given-names></name> <name><surname>Margolles</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Microbiomic analysis of the bifidobacterial population in the human distal gut.</article-title> <source><italic>ISME J.</italic></source> <volume>3</volume> <fpage>745</fpage>&#x2013;<lpage>751</lpage>. <pub-id pub-id-type="doi">10.1038/ismej.2009.19</pub-id></citation></ref>
<ref id="B59"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Turroni</surname> <given-names>F.</given-names></name> <name><surname>Peano</surname> <given-names>C.</given-names></name> <name><surname>Pass</surname> <given-names>D. A.</given-names></name> <name><surname>Foroni</surname> <given-names>E.</given-names></name> <name><surname>Severgnini</surname> <given-names>M.</given-names></name> <name><surname>Claesson</surname> <given-names>M. J.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Diversity of bifidobacteria within the infant gut microbiota.</article-title> <source><italic>PLoS ONE</italic></source> <volume>7</volume>:<issue>e36957</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0036957</pub-id></citation></ref>
<ref id="B60"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Turroni</surname> <given-names>F.</given-names></name> <name><surname>Ventura</surname> <given-names>M.</given-names></name> <name><surname>Butto</surname> <given-names>L. F.</given-names></name> <name><surname>Duranti</surname> <given-names>S.</given-names></name> <name><surname>O&#x2019;Toole</surname> <given-names>P. W.</given-names></name> <name><surname>Motherway</surname> <given-names>M. O.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Molecular dialogue between the human gut microbiota and the host: a <italic>Lactobacillus</italic> and <italic>Bifidobacterium</italic> perspective.</article-title> <source><italic>Cell. Mol. Life Sci.</italic></source> <volume>71</volume> <fpage>183</fpage>&#x2013;<lpage>203</lpage>. <pub-id pub-id-type="doi">10.1007/s00018-013-1318-0</pub-id></citation></ref>
<ref id="B61"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vazquez-Gutierrez</surname> <given-names>P.</given-names></name></person-group> (<year>2014</year>). <article-title>Screening and Characterization of Bifidobacteria with High Iron Binding Properties.</article-title> <publisher-loc>Z&#x00FC;rich</publisher-loc>: <publisher-name>ETH-Z&#x00FC;rich</publisher-name>.</citation></ref>
<ref id="B62"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vazquez-Gutierrez</surname> <given-names>P.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Chassard</surname> <given-names>C.</given-names></name> <name><surname>Klumpp</surname> <given-names>J.</given-names></name> <name><surname>Jans</surname> <given-names>C.</given-names></name> <name><surname>Stevens</surname> <given-names>M. J.</given-names></name></person-group> (<year>2015a</year>). <article-title>Complete and assembled genome sequence of <italic>Bifidobacterium kashiwanohense</italic> PV20-2 isolated from the feces of an anemic Kenyan infant.</article-title> <source><italic>Genome Announc.</italic></source> <volume>3</volume>:<issue>e1467</issue>&#x2013;<issue>14</issue>. <pub-id pub-id-type="doi">10.1128/genomeA.01467-14</pub-id></citation></ref>
<ref id="B63"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vazquez-Gutierrez</surname> <given-names>P.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Chassard</surname> <given-names>C.</given-names></name> <name><surname>Klumpp</surname> <given-names>J.</given-names></name> <name><surname>Stevens</surname> <given-names>M. J.</given-names></name> <name><surname>Jans</surname> <given-names>C.</given-names></name></person-group> (<year>2015b</year>). <article-title><italic>Bifidobacterium pseudolongum</italic> strain PV8-2 isolated from a stool sample of an anemic Kenyan infant.</article-title> <source><italic>Genome Announc.</italic></source> <volume>3</volume>:<issue>e1469</issue>&#x2013;<issue>14</issue>. <pub-id pub-id-type="doi">10.1128/genomeA.01469-14</pub-id></citation></ref>
<ref id="B64"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vazquez-Gutierrez</surname> <given-names>P.</given-names></name> <name><surname>Lacroix</surname> <given-names>C.</given-names></name> <name><surname>Jaeggi</surname> <given-names>T.</given-names></name> <name><surname>Zeder</surname> <given-names>C.</given-names></name> <name><surname>Zimmerman</surname> <given-names>M. B.</given-names></name> <name><surname>Chassard</surname> <given-names>C.</given-names></name></person-group> (<year>2015c</year>). <article-title>Bifidobacteria strains isolated from stools of iron deficient infants can efficiently sequester iron.</article-title> <source><italic>BMC Microbiol.</italic></source> <volume>15</volume>:<issue>3</issue>. <pub-id pub-id-type="doi">10.1186/s12866-014-0334-z</pub-id></citation></ref>
<ref id="B65"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ventura</surname> <given-names>M.</given-names></name> <name><surname>Turroni</surname> <given-names>F.</given-names></name> <name><surname>Lugli</surname> <given-names>G. A.</given-names></name> <name><surname>van Sinderen</surname> <given-names>D.</given-names></name></person-group> (<year>2014</year>). <article-title>Bifidobacteria and humans: our special friends, from ecological to genomics perspectives.</article-title> <source><italic>J. Sci. Food Agric.</italic></source> <volume>94</volume> <fpage>163</fpage>&#x2013;<lpage>168</lpage>. <pub-id pub-id-type="doi">10.1002/jsfa.6356</pub-id></citation></ref>
<ref id="B66"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wardlaw</surname> <given-names>T.</given-names></name> <name><surname>Salama</surname> <given-names>P.</given-names></name> <name><surname>Brocklehurst</surname> <given-names>C.</given-names></name> <name><surname>Chopra</surname> <given-names>M.</given-names></name> <name><surname>Mason</surname> <given-names>E.</given-names></name></person-group> (<year>2010</year>). <article-title>Diarrhoea: why children are still dying and what can be done.</article-title> <source><italic>Lancet</italic></source> <volume>375</volume> <fpage>870</fpage>&#x2013;<lpage>872</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(09)61798-0</pub-id></citation></ref>
<ref id="B67"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Weinberg</surname> <given-names>E. D.</given-names></name></person-group> (<year>2009</year>). <article-title>Iron availability and infection.</article-title> <source><italic>Biochem. Biophys. Acta</italic></source> <volume>1790</volume> <fpage>600</fpage>&#x2013;<lpage>605</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbagen.2008.07.002</pub-id></citation></ref>
<ref id="B68"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Winter</surname> <given-names>S. E.</given-names></name> <name><surname>Lopez</surname> <given-names>C. A.</given-names></name> <name><surname>Baumler</surname> <given-names>A. J.</given-names></name></person-group> (<year>2013</year>). <article-title>The dynamics of gut-associated microbial communities during inflammation.</article-title> <source><italic>EMBO Rep.</italic></source> <volume>14</volume> <fpage>319</fpage>&#x2013;<lpage>327</lpage>. <pub-id pub-id-type="doi">10.1038/embor.2013.27</pub-id></citation></ref>
<ref id="B69"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>H.</given-names></name> <name><surname>Jeong</surname> <given-names>H. S.</given-names></name> <name><surname>Lee</surname> <given-names>H. Y.</given-names></name> <name><surname>Ahn</surname> <given-names>J.</given-names></name></person-group> (<year>2009</year>). <article-title>Assessment of cell surface properties and adhesion potential of selected probiotic strains.</article-title> <source><italic>Lett. Appl. Microbiol.</italic></source> <volume>49</volume> <fpage>434</fpage>&#x2013;<lpage>442</lpage>. <pub-id pub-id-type="doi">10.1111/j.1472-765X.2009.02684.x</pub-id></citation></ref>
<ref id="B70"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yatsunenko</surname> <given-names>T.</given-names></name> <name><surname>Rey</surname> <given-names>F. E.</given-names></name> <name><surname>Manary</surname> <given-names>M. J.</given-names></name> <name><surname>Trehan</surname> <given-names>I.</given-names></name> <name><surname>Dominguez-Bello</surname> <given-names>M. G.</given-names></name> <name><surname>Contreras</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Human gut microbiome viewed across age and geography.</article-title> <source><italic>Nature</italic></source> <volume>486</volume> <fpage>222</fpage>&#x2013;<lpage>227</lpage>. <pub-id pub-id-type="doi">10.1038/nature11053</pub-id></citation></ref>
</ref-list>
</back>
</article>