Journal of Microbiology Research

p-ISSN: 2166-5885    e-ISSN: 2166-5931

2013;  3(2): 71-78

doi:10.5923/j.microbiology.20130302.02

New Face in the Row of Human Therapeutics: Bacteriocins

Samir Giri, Jitendra Singh

School of Biotechnology, Gautam Buddha University, Greater Noida, 201308, Uttar Pradesh, India

Correspondence to: Jitendra Singh, School of Biotechnology, Gautam Buddha University, Greater Noida, 201308, Uttar Pradesh, India.

Email:

Copyright © 2012 Scientific & Academic Publishing. All Rights Reserved.

Abstract

Bacteriocins, are large and functionally diverse family of antimicrobials found in all major lineages of bacteria. Recent studies reveal that these proteinaceous toxins play a significant role in mediating competitive dynamics between bacterial strains and closely related species. The capability of bacteria to effectively outcompete undesired species is often due to, or enhanced by, the production of potent antimicrobial toxins. In this review potential uses of bacteriocins and bacteriocin-producings strains as probiotics, in gastrointestinal tract infection, systemic infection, oral and respiratory tract infection, as anti-neoplastic agent as well as spermicidal and contraceptive agent has been addressed.

Keywords: Bacteriocins, Probiotics, Gastrointestinal tract infection, Systemic infection, Contraceptive, Anti-neopalstic agent

Cite this paper: Samir Giri, Jitendra Singh, New Face in the Row of Human Therapeutics: Bacteriocins, Journal of Microbiology Research, Vol. 3 No. 2, 2013, pp. 71-78. doi: 10.5923/j.microbiology.20130302.02.

1. Introduction

Bacteriocins were initially identified about 100 years ago as a heat-labile product present in cultures of Escherichia coli V and toxic to E. coli S. They were given the name of colicin to identify the producing species[1]. Fredericq confirmed that colicins were proteins that had a limited range of activity owing to the presence or absence of specific receptors on the surface of sensitive cells[2]. Since then, bacteriocins have been found in all major lineages of bacteria and recently their production has been described by some members of the archaea[3, 4, 5]. According to Klaenhammer, 99% of all bacteria possibly will make at least one bacteriocin [6].
Bacteriocins are bacterially produced natural peptides released by different varieties of bacteria and archea that are active against other bacteria and the producer has a specific immunity mechanism[6, 7]. This mechanism provides a competitive advantage in the environment remove competitors and very much helpful to gain resources in a better manner. Bacteriocins are ribosomally synthesized peptides and some of them are extensively post-translationallymodified. A large amount of bacteriocins have a relatively narrow spectrum of antimicrobial activity, i.e., inhibit growth of only certain species, generally those phylogenetically related to the producer strain. On the other hand, some bacteriocins exhibit a much broader spectrum of antimicrobial activity and may extend beyond the borders of bacteria to include protozoa, yeast, fungi, and viruses. A few bacteriocins are cytotoxic, with activity against sperm and tumorcells[8].
Due to the clear ubiquity of bacteriocin production in different bacteria and archea implies its important role in bacterial survival. Bacteriocin possibly will function as colonizing peptides support the introduction or dominance of a producer into an already occupied place. Along with that bacteriocin also work as antimicrobial or killing peptides directly preventing competing strains or pathogens. Lastly bacteriocin may work as signaling peptides either signaling other bacteria through extracellular diffusible signaling molecules (quorum sensing) like in gram negative bacteria N(acyl) homoserine lactone typically serves as a signal molecule, whereas, in gram positive bacteria peptides including some bacteriocins and serve as a signaling agent. In addition of regulating their own synthesis, bacteriocins may also engage in interspecies communication or bacterial cross talk within microbial diversity or recently impact of bacteriocins on signaling cells of host immune system[9, 10, 11, 12, 13, 14].
Bacteriocins are distinguished from classical antibiotics by two main features: bacteriocins are ribosomally synthesized and have a relatively narrow killing spectrum [4]. The bacteriocin family includes a variety of proteins in terms of size, mode of action, microbial target, release, and immunity mechanisms and can be divided into two major groups: those produced by Gram-negative bacteria and Gram-positive bacteria[15, 16].

2. Sources

2.1. Bacteriocins from Different Gram-Negative Bacteria

Recent surveys of E. coli, Salmonella enterica, Hafniaalvei, Citrobacterfreundii, Klebsiellaoxytoca, Klebsiellapneumoniae, and Enterobacter cloacae revealed a certain level of production of bacteriocin from 3-26% of environmental isolates[15, 17]. Colicins, bacteriocins produced by E. coli, are found in 30–50% of the strains isolated from human hosts and are often referred to as virulence factors[18].Some Gram-negative bacteria such as Pseudomonas aeruginosa, show much higher levels of bacteriocin production, in which>90% of both environmental and clinical isolates produce bacteriocins[19].
The colicins of E. coli are the most extensively studied gram-negative bacteriocins, since the time of their discovery. They now serve as a model system for investigating the mechanisms of bacteriocin structure / function, genetic organization, evolution and ecology[20]. Colicins are high molecular weight proteins that can kill target cells by a variety of mechanisms. Colicins are usually encoded on one of two types of colicinogenicplasmids[21]. Type A plasmids are small (6 to 10 kb) and present in numerous copies per cell. They are mobile in the presence of a conjugative plasmid and are amplifiable. Type B are monocopy plasmids of about 40 kb, and carry numerous genes, in addition to that encoding colicin activity and have the ability to conjugate. A close relative to the colicins, the bacteriocins of Serratiamarcesens, is found on both plasmids and the chromosome[22, 23].
A colicin protein consists of three functionally distinct domains: receptor recognition, protein translocation, and killing domain[24]. Besides colicins, E. coli strains and gram-positive bacteria produces a second type of bacteriocin, known as microcins, which are smaller than colicins and have similar properties to bacteriocins, including thermostability, resistance to some proteases, relative hydrophobicity, and resistance to extreme pH[25, 26, 27]. Till date fourteen microcins have been reported, of which only seven have been isolated and fully characterized.

2.2. Bacteriocinsfrom different Gram-Positive Bacteria

Bacteriocins of gram-positive bacteria are evenly abundant and even more diverse than those found in gram-negative bacteria. The Gram-positive bacteriocins are similar to many of the antimicrobial peptides produced by eukaryotes; they are generally cationic, amphiphilic, membrane-permeable peptides, and range in size from 2-6 kDa[28]. They differ from bacteriocins of gram-negative bacteria in essentially two ways[4]. First, the bacteriocins produced by gram-positive bacteria are not necessarily lethal to the producing cell. This critical difference is due to dedicated transport mechanisms encoded by gram-positive bacteria to release the bacteriocin toxin. Normally, their biosynthesis is self-regulated with specifically dedicated transport mechanisms facilitating release. Second, the gram-positive bacteria have evolved bacteriocin-specific regulation whereas bacteriocins of gram-negative bacteria depend on host regulatory networks[29].
Gram-positive bacteriocins, in common, and lantibiotics, in particular, require several more genes for their production than do those of gram-negative bacteria[30]. The nisin gene cluster, for example, includes genes for the prepeptide (nisA), enzymes for modifying amino acids (nisB, nisC), cleavage of the leader peptide (nisP), secretion (nisT), immunity (nisI, nisFEG), and regulation of expression (nisR, nisK). These gene clusters are most often encoded on plasmids but are infrequently found on the chromosome[31]. Several gram-positive bacteriocins, including nisin, are located on transposons[32].
Production of bacteriocins in gram-positive bacteria is generally associated with the shift from log phase to stationary phase. For example, nisin production begins during mid-log phase and increases to a maximum as the cells enter stationary phase[33]. The regulation of expression is not cell cycle dependent, per cell, but rather culture density dependent[34].

3. Therapeutic Applications of Bacteriocins

These days everyone expects to see bacteriocins related to food applications, their many promising uses for the control of undesired microorganisms in the human environment are seriously appreciated. With the advent of multidrug resistant bacteria, it has become a priority to develop alternative medicinal treatments preventive measures against these pathogens. Since the mode of action of bacteriocins is remarkably different from conventional antibiotics, they may be considered as a novel source for the control of microbial pathogens.

3.1. Role of Bacteriocins as Probiotic

The term “probiotic,” which literally means “for life,” has since been employed to describe these health-promoting bacteria. The World Health Organization has defined probiotic bacteria as “live microorganisms which when administrated in adequate amounts confer a health benefit on the host”[35]. Probiotic bacteria (PB) have been historically used to treat a variety of ailments, including infections of mucosal surfaces such as the vagina and the gastrointestinal (GI) tract. However, with the discovery and development of antibiotics in the twentieth century, the perceived value of these traditional therapies diminished. Today, with the decline in efficacy of antibiotics and a dramatic resurgence of infectious disease, physicians, researchers, and the public are reconsidering the possible role of probiotics as an alternative to supplement existing antibiotic dominated therapies[36, 37]. Over the past 15 years, there has been an increase in research on probiotic bacteria and a rapidly growing commercial interest in the use of probiotic bacteria in food, medicine, and as supplements[38, 39]. Conventionally, for the selection of probiotic strains, production of bacteriocin has been considered an important characteristic. In recent time, some of the studies have verified the ability of a strain to compete within complex microbial diversity during the impact of bacteriocin production which is also positively involved in the health of the host. Bacteriocins directly prevent the attack of competing pathogens or adjust the composition of microbiota and influence the immune system of host[40].
A number of probiotic bacteria have been targeted as potential therapeutic agents. Examples include lactic acid bacteria (LAB), Bifidobacteria[41], Saccharomyces[42], Enterics[43], and Streptococci[44]. Potential PB species differ in terms of their bioavailability, metabolic activity, and mode of action. However, to be used in host-associated activities, they all must be non-pathogenic and non-toxic. Antimicrobial activity is thought to be an important means for PB to competitively exclude or inhibit invading bacteria[40, 45]. Some do so by secreting non- specific antimicrobial substances, such as short-chain fatty acids[40] or hydrogen peroxide[46], while others produce toxins with very narrow killing ranges, such as bacteriocins, bacteriocin-like inhibitory substances (BLIS), and bacteriophages[47, 48].
The food industry utilizes bacteriocin to reduce the use of chemical preservatives in foods which have a limited shelf life, or those foodstuffs that present a high risk for pathogen contamination. The best known examples of biopreservation involve bacteriocins[49].

3.2. Role of Bacteriocins in Gastrointestinal Tract

Gastrointestinal tract of human is a complex ecosystem in which a delicate equilibrium exists between the intestinal microflora and the host. The microflora [LAB, lactic acid bacteria] play an important role as a major stimulus for the development of the mucosal immune system[50, 51].Two main genera of lactic acid bacteria dominate the intestinal flora, together with 56 species of Lactobacillus and several species of Bifidobacterium. Most of these species have been shown to produce bacteriocinsin vitro[52, 53, 54]. Lactobacillus salivariusstrain UCC118, which produces an effective broad-spectrum bacteriocin (Abp118) active against the food-borne pathogen Listeria monocytogenes. In mice, the L. salivariusstrain provided protection against L.monocytogenesinfection, while a mutant strain of the same species, impaired in its bacteriocin production as well as protection ability [55].
The release of bacteriocins inhibiting Helicobacter pylori, a human pathogen that causes severe gastroduodenal diseases[56], has been predominantly studied in lactobacilli strains. A bacteriocin like inhibitory substance (BLIS) with anti-H.pyloriactivity was acknowledged in probiotic Lactobacillus johnsoniistrain LA1[57,58] and Lactobacillus acidophilus strain LB[59]. Mutacin B-Ny266, a lantibiotic formed by Streptococcus mutans, inhibit a broad spectrum of multi-resistant pathogens including Staphylococci, Streptococci, and Neisseria strains[60, 61].
Pediocin from Pediococcusacidilactici has a fairly broad inhibitory spectrum and can inhibit Streptococcus aureus, Bacillus spp. Listeria and vegetative cells of Clostridium spp.[62, 63, 64]. A different promising probiont is the bacteriocin producer Enterococcus mundtiistrain ST4SA, active against a number of gram-positive bacteria, including Enterococcus faecalis, Streptococcus pneumoniae, and Staphylococcus aureus, in addition to the gram-negative bacteria P. aeruginosaand K. pneumonia[65].
Thuricin CD from Bacillus thuringeinsis DPC 6431 particularly eliminates Clostridium difficilebacteria from among the trillions of bacteria in a model gut system[66]. Researchers are beginning to classify microbes and human microbial populations that are associated with conditions as wide-ranging as liver, coeliac and inflammatory bowel diseases, obesity, diabetes, irritable bowel syndrome, colon cancer, pouchitis and even mental health. Researchers believe that bacteriocins could be used in the future to design and shape ‘healthy’ bacterial communities. The specific mechanisms by which probiotic bacteria inhibit pathogens such as C. difficile are as yet poorly understood. Recent work revealed that the therapeutic potential of the probiotic strain Lactobacillus salivarius is due, at least in part, to its ability to produce a potent two-peptide bacteriocin, Abp118[67]. In addition, recently showed significant anti-C. difficile potential for yet another bacteriocin, the two-component lantibioticlacticin 3147, produced by Lactococcuslactis. Significantly, and in contrast to conventional broad-spectrum antibiotics, lacticin 3147 completely eliminates 106 c.f.u. C. difficile per ml within 30 min (at concentrations as low as 18 mg per ml) without considerably impacting on the normal resident microflora[68]. While this effort involved in vitro studies in model faecal environments, in vivo sensitivity of the bacteriocin to gastric acidity creates a technological / delivery hurdle which will have to be overcome if this bacteriocin is to achieve its potential as an effective oral therapeutic.
While extensive advancement has been made with respect to our understanding of bacteriocin structure / function, regulation, and immunity, further study is essential to expand a complete understanding of the factors which control bacteriocin production in the GI tract because bacteriocin actively produced in vitro may not necessarily be produced in sufficiently high quantities, or at all, with in the GI tract[40].

3.3. Role of Bacteriocins in Systemic Infection

Systemic infection is one of the most challenging condition in number of disease like HIV, hypertension, atherosclerosis, diabetes mellitus etc. and number of associated bacteria those are mostly involved in the systemic infection like S. aureus, Listeria monocytogenes, and P. aeruginosa. Number of bacteriocin present that play an important role to inhibit the growth of the bacteria like nisin inhibited the growth of P. aeruginosawhen used in the combination with polymyxin E and clarithromycin antibiotics[69]. Nisin and lacticins A164 and BH5 inhibited the growth of H. pylori in vitro and may be used in the treatment of peptic ulcers[70].
Bacteriocin like lantibioticsduramycin, duramycin B and C and cinnamycin inhibit phospholipase A2 indirectly by sequestering the substrate phosphatidylethanolamine and may be used as an anti inflammatorydrug[71]. Phospholipase A2 participate in arachidonic acid cascade leading to the production of potent mediators of inflammation and allergy including the prostaglandins, leukotrienes and hydroxyeicosatetraenoicacids[72, 73]. Cinnamycin like lantibiotics and ancovenin, a type B lantibiotics, inhibit the activity of the angiotensin converting enzyme (ACE). These angiotensin converting enzyme catalyzes the conversion of angiotensin I to angiotensin II and degrade bradykinin in that way regulate the blood pressure and fluid balance[74, 75]. So bacteriocin may thus have potential for treating high blood pressure.

3.4. Role of Bacteriocins in Oral cavity and Respiratory tract

Streptococci, in particular, S. mutansand Streptococcus salivarius, are considered the principal etiological agents of dental caries in humans[76,77]. S.mutansproduces mutacins active against neighboring plaque-forming strains, and a positive relationship exists between bacteriocin production and the ability to colonize the oral cavity. A nonpathogenicmutacin producing strain was constructed for use in dental caries replacement therapy[76].
S. salivariusK12 produces two potent lantibiotics, salivaricin types A and B. This strain is employed to treat infections of the upper respiratory tract caused by streptococcal organisms, including treatment of dental caries caused by S. sobrinusand S. mutans[78]. Streptococcus pyogenesis a common human commensal, with 5–15% of the human population harboring the bacterium, usually in the respiratory tract, without signs of disease. However, strains of S. pyogenescan become pathogenic when host defenses are compromised[79]. S. salivarius, found to produce bacteriocins with anti-S. pyogenesactivity. In the lab, this bacteriocin was capable to kill a range of other human pathogens, including Moraxelacatarrhalisand Haemophillusinfluenza[80].

3.5. Role of Bacteriocins in Female UTI

The healthy human vaginal microbiota is dominated by Lactobacillus crispatus, Lactobacillus jensenii,Lactobacillus iners, and Lactobacillus gasseri[81]. In contrast, thevaginal microbiota of women with bacterial vaginosis is dominated by Gardnerellavaginalis, Mycoplasma hominis, Prevotella, Peptostreptococcus, Mobiluncusspp., andBacteroidesspp., while lactobacilli are found at lower densities[82, 83]. Bacteriocin production by probiotic lactobacilli strains was found to inhibit the growth of some of these infectious pathogens: L. acidophilus and L. jenseniistrain 5L08 showed antagonistic activity against G. vaginalis. L. pentosusstrain NCIMB 41114 was patented for its use as a probiotic agent because it competitively excludes various species of Candida[84]. Most promising vaginal probiont so far is a vaginal isolate of L. salivariusstrain CRL 1328, found to release a BLIS able to inhibit the growth of certain strains of Enterococcus spp., as well as Neisseria gonorrhoeae[85].
Table 1. Different bacteriocins and their applications
     

3.6. Antineoplastic Activity of Bacteriocins

Bacteriocins are antimicrobial peptides also show antineoplastic activity which have been inadequately revealed in the late 70s by using crude bacteriocin preparation toxic to mammalian cells. These days, purified bacteriocins are available and have shown inhibitory properties toward various neoplastic celllines. Pyocin, colicin, pediocin, and microcin are among bacteriocins reported to present such activity. Besides that, custom-made bacteriocins proved to be effective in a glioblastomaxenograft mouse model. Bacteriocins have also been suggested as a cancer treatment. But their status as a form therapeutic agent remains experimental[86].

3.7. Bacteriocins in Contraceptive and Spermicidal Activity

Some of the bacteriocins that are active against vaginal pathogens are also reported as having spermicidal activity. This feature makes them attractive for formulation in feminine health care and contraceptive products. In order to evaluate nisin’s spermicidal activity,Aranha et al, developed a contraceptive model in rats[87]. Nisin, dissolved in saline, was administered into the vagina of the animals for 14 consecutive days. Animals were then immediately allowed to mate, and none of the nisin treated animals became pregnant. No histopathological lesions were observed in the vaginal epithelium, and liver and kidney function remained normal. Fertility was also restored after experiments. According to the authors, 1 mg of nisin was able to completely halter sperm motility[87]. This is an interesting finding, since many commonly used contraceptive products contain Nonoxynol-9 (N-9), a compound harmful to epithelium. But if the concentrations of nisin used in the animal model are extrapolated for human usage, they are well above the limits of what the healthy vaginal microflora can survive. Thus, nisin cannot be practically considered for use in human[88]. Subtilosin, a bacteriocin produced by B. amyloliquefaciens,was also shown to have potent spermicidal activity[89].

4. Conclusions

Bacteriocins are antagonistic to many important human pathogens. Bacteriocins have the ability to target a relatively narrow range of bacteria without affecting much of the natural microbiota of the body, which is an important advantage, especially when compared to other antibiotics. The application of bacteriocins as therapeutic agents is a rapidly developing areatherefore, they work like another tool to combat infections especially important with consideration of the ever-growing problem of antibiotic resistance. Some of bacteriocins and their targets are summarized in Table 1, and in future there is still much to investigate in this field.

References

[1]  Gratia A. Sur unremarquableexempled'antagonisme entre deuxsouches de coilbacille. Comp Rend SocBiol 1925; 93:1040–1041.
[2]  Fredericq P. Sur la pluralité des récepteursd'antibiose de E. coli. CR SocBiol (Paris) 1946; 140:1189– 1194.
[3]  Riley MA, Wertz JE. Bacteriocin diversity: ecological and evolutionary perspectives. Biochimie 2002a; 84:357–364.
[4]  Riley MA, Wertz JE. Bacteriocins: evolution, ecology, and application. Annu Rev Microbiol 2002b; 56:117–137.
[5]  Shand, RF.; Leyva, KJ. Archaeal antimicrobials: an undiscovered country. In: Blum, P., editor. Archaea: new models for prokaryotic biology. Caister Academic; Norfolk: 2008. p. 233-242.
[6]  KlaenhammerTR FEMSMicrobiol Rev (1993). 12:39–85.
[7]  Cotter PD, Hill C, Ross RP Nat Rev Microbiol (2005). 3:777–788.
[8]  Reddy KV, Aranha C, Gupta SM, Yedery RD Evaluation of antimicrobial peptide nisin as a safe vaginal contraceptive agent in rabbits: in vitro and in vivo studies. Reproduction (2004). 128:117–126.
[9]  Czárán TL, Hoekstra RF, PagieL.. Chemical warfare between microbes promotes biodiversity. Proc. Natl. Acad. Sci. U. S. A. 2002.99: 786–790.
[10]  Di Cagno R, et al. Cell-cell communication in sourdough lactic acid bacteria: a proteomic study in Lactobacillus sanfranciscensis CB1. Proteomics 2007. 7:2430 –2446.
[11]  Gobbetti M, De Angelis M, Di Cagno R, Minervini F, Limitone A.. Cell-cell communication in food related bacteria. Int. J. Food Microbiol. 2007.120:34–45.
[12]  Majeed H, Gillor O, Kerr B, Riley MA. Competitive interactions in Escherichia coli populations: the role of bacteriocins. 2011. ISME J. 5:71– 81.
[13]  Meijerink M, et al. Identification of genetic loci in Lactobacillus plantarum that modulate the immune response of dendritic cells using comparative genome hybridization. PLoS One 2010. 5:e10632.
[14]  Sturme MH, et al. Cell to cell communication by autoinducing peptides in gram-positive bacteria. Antonie Van Leeuwenhoek 2002. 81: 233–243.
[15]  Gordon, DM.; Oliver, E.; Littlefield-Wyer, J. The diversity of bacteriocins in Gram-negative bacteria. In: Riley, MA.; Chavan, M., editors. Bacteriocins: ecology and evolution. Springer; Berlin: 2007. p. 5-18.
[16]  Heng, NCK.;Wescombe, PA.; Burton, JP.; Jack, RW.; Tagg, JR. The diversity of bacteriocins in Grampositive bacteria. In: Riley, MA.; Chavan, M., editors. Bacteriocins: ecology and evolution. Springer; Berlin: 2007. p. 45-92.
[17]  Riley MA, Goldstone CM, Wertz JE, Gordon DM. A phylogenetic approach to assessing the targets of microbial warfare. J EvolBiol 2003;16:690–697.
[18]  Riley MA, Gordon DM. A survey of Col plasmids in natural isolates of Escherichia coli and an investigation into the stability of Col-plasmid lineages. J Gen Microbiol 1992; 138:1345–1352.
[19]  Michel-Briand Y, Baysse C. The pyocins of Pseudomonas aeruginosa. Biochimie 2002;84:499–510.
[20]  Cascales E, Buchanan SK, Duche D, Kleanthous C, Lloubes R, Postle K, Riley M, Slatin S, Cavard D. Colicin biology. MicrobiolMolBiol Rev 2007;71:158–229.
[21]  Pugsley, AP.; Oudega, B. Methods for studying colicins and their plasmids. In: Hardy, KG., editor. Plasmids, a practical approach. IRL; Oxford: 1987. p. 105-161.
[22]  Ferrer S, Viejo MB, Guasch JF, Enfedaque J, Regue M. Genetic evidence for an activator required for induction of colicin-like bacteriocin 28b production in Serratiamarcescens by DNA-damaging agents. J Bacteriol 1996;178:951–960.
[23]  Guasch J, Enfedaque J, Ferrer S, Gargallo D, Regue M. Bacteriocin 28b, a chromosomally encoded bacteriocin produced by most Serratiamarcesens biotypes. Res Microbiol 1995;146:477–483.
[24]  Cao Z, Klebba PE. Mechanisms of colicin binding and transport through outer membrane porins. Biochimie 2002;84:399–412.
[25]  Baquero F, Moreno F. The Microcins. FEMS MicrobiolLett 1984;23:117–124.
[26]  Gillor O, Kirkup BC, Riley MA. Colicins and microcins: the next generation antimicrobials. AdvApplMicrobiol 2004;54: 129–146.
[27]  Pons AM, Lanneluc I, Cottenceau G, Sable S. New developments in non-post translationally modified microcins. Biochimie 2002;84:531–537.
[28]  Heng, NCK.;Wescombe, PA.; Burton, JP.; Jack, RW.; Tagg, JR. The diversity of bacteriocins in Grampositive bacteria. In: Riley, MA.;Chavan, M., editors. Bacteriocins: ecology and evolution. Springer; Berlin: 2007. p. 45-92.
[29]  Nes IF, Diep DB, Havarstein LS, Brurberg MB, Eijsink V, Holo H. Biosynthesis of bacteriocins in lactic acid bacteria. Antonie Van Leeuwenhoek 1996;70:113–128.
[30]  Nagao JI, Asaduzzaman SM, Aso Y, Okuda K, Nakayama J, Sonomoto K. Lantibiotics: Insight and foresight for new paradigm. J BiosciBioeng 2006;102:139–149.
[31]  Cheigh CI, Pyun YR. Nisin biosynthesis and its properties. BiotechnolLett 2005;27:1641–1648.
[32]  Kim WS, Dunn NW. Stabilization of the Lactococcuslactisnisin production transposon as a plasmid. FEMS MicrobiolLett 1997;146:285–289.
[33]  Breukink E, de Kruijff B. The lantibioticnisin, a special case or not? BiochimBiophysActa 1999;1462:223–234.
[34]  Dufour A, Hindre T, Haras D, Le Pennec JP. The biology of lantibiotics from the lacticin 481 group is coming of age. FEMS Microbiol Rev 2007;31:134–167.
[35]  FAO/WHO. Evaluation of Health and Nutritional Properties of Probiotics in Food. Córdoba, Argentina: Food and Agriculture Organization of the United Nations and World Health Organisation; 2001. p.1-34.
[36]  Saavedra JM. Clinical applications of probiotic agents. Am J ClinNutr 2001;73:1147S–1151S.
[37]  Senok AC, Ismaeel AY, Botta GA. Probiotics: facts and myths. ClinMicrobiol Infect 2005;11:958–966.
[38]  Morelli L. Probiotics: clinics and/or nutrition. Digest Liver Dis 2002;34:S8–S11.
[39]  Scarpellini E, Cazzato A, Lauritano C, Gabrielli M, Lupascu A, Gerardino L, Abenavoli L, Petruzzellis C, Gasbarrini G, Gasbarrini A. Probiotics: which and when? Dig Dis 2008;26:175 182.
[40]  Cotter PD, Hill C, Ross RP, Dobson A. Bacteriocin Production: a Probiotic Trait? Applied and Environmental Microbiology 2012 p. 1–6.
[41]  Picard C, Fioramonti J, Francois A, Robinson T, Neant F, Matuchansky C. Review article: bifidobacteria as probiotic agents—physiological effects and clinical benefits. Aliment PharmacolTher 2005;22:495–512.
[42]  Czerucka D, Piche T, Rampal P. Review article: yeast as probiotics—Saccharomyces boulardii. Aliment Pharmacol Ther 2007; 26:767–778.
[43]  Sartor RB. Targeting enteric bacteria in treatment of inflammatory bowel diseases: why, how, and when. CurrOpinGastroenterol 2003;19:358–365.
[44]  Meurman JH, Stamatova I. Probiotics: contributions to oral health. Oral Dis 2007;13:443–451.
[45]  Roos K, Holm S. The use of probiotics in head and neck infections. Curr Infect Dis Rep 2002;4:211– 216.
[46]  Eschenbach DA, Davick PR, Williams BL, Klebanoff SJ, Young-Smith K, Critchlow CM, Holmes KK. Prevalence of hydrogen peroxide-producing Lactobacillus species in normal women and women with bacterial vaginosis. J ClinMicrobiol 1989;27:251–256.
[47]  Smith, JL.; Orugunty, R.; Hillman, JD. Lantibiotic production by Streptococcus mutans: their uses in replacement therapy for the prevention of dental caries and as antibiotics for the treatment of various infectious diseases. In: Riley, MA.;Gillor, O., editors. Research and applications in bacteriocins. Horizon Bioscience; Norfolk: 2007. p. 95-115.
[48]  Tagg JR, Dierksen KP. Bacterial replacement therapy: adapting ‘germ warfare’ to infection prevention. Trends Biotechnol 2003;21:217–223.
[49]  Abee T, Krockel L, Hill C Int J Food Microbiol (1995). 28:169–185.
[50]  Deplancke B, Gaskins HR. Redox control of the transsulfuration and glutathione biosynthesis pathways. CurrOpinClinNutrMetab Care 2002;5:85–92.
[51]  Macfarlane GT, Cummings JH. Probiotics, infection and immunity. CurrOpin Infect Dis 2002;15:501– 506.
[52]  Avonts L, De Vuyst L. Antimicrobial potential of probiotic lactic acid bacteria. MededRijksuniv Gent FakL and bouwkd Toegep Biol Wet 2001;66:543–550.
[53]  Carr FJ, Chill D, Maida N. The lactic acid bacteria: a literature survey. Crit Rev Microbiol 2002;28:281– 370.
[54]  Cross ML. Microbes versus microbes: immune signals generated by probiotic lactobacilli and their role in protection against microbial pathogens. FEMS Immunol Med Microbiol 2002;34:245–253.
[55]  Claesson MJ, Li Y, Leahy S, Canchaya C, van Pijkeren JP, Cerdeno-Tarraga AM, Parkhill J, Flynn S, O'Sullivan GC, Collins JK, Higgins D, Shanahan F, Fitzgerald GF, van Sinderen D, O'Toole PW. Multireplicon genome architecture of Lactobacillus salivarius. ProcNatlAcadSci U S A 2006;103:6718–6723.
[56]  Kandulski A, Selgrad M, Malfertheiner P. Helicobacter pylori infection: a clinical overview. Dig Liver Dis 2008;40:619–626.
[57]  Gotteland M, Andrews M, Toledo M, Munoz L, Caceres P, Anziani A, Wittig E, Speisky H, Salazar G. Modulation of Helicobacter pylori colonization with cranberry juice and Lactobacillus johnsonii La1 in children. Nutrition 2008;24:421–426.
[58]  Michetti P, Dorta G, Wiesel PH, Brassart D, Verdu E, Herranz M, Felley C, Porta N, Rouvet M, Blum AL, Corthesy-Theulaz I. Effect of whey-based culture supernatant of Lactobacillus acidophilus (johnsonii) La1 on Helicobacter pylori infection in humans. Digestion 1999; 60:203 209.
[59]  Coconnier MH, Lievin V, Hemery E, Servin AL. Antagonistic activity against Helicobacter infection in vitro and in vivo by the human Lactobacillus acidophilus strain LB. Appl Environ Microbiol 1998;64:4573–4580.
[60]  Mota-Meira M, Lacroix C, LaPointe G, Lavoie MC. Purification and structure of mutacin B-Ny266: a new lantibiotic produced by Streptococcus mutans. FEBS Lett 1997;410:275–279.
[61]  Mota-Meira M, LaPointe G, Lacroix C, Lavoie MC. MICs of mutacin B-Ny266, nisin A, vancomycin, and oxacillin against bacterial pathogens. Antimicrob Agents Chemother 2000;44:24–29.
[62]  Cintas LM, Casaus P, Havarstein LS, Hernandez PE, Nes IF. Biochemical and genetic characterization of enterocin P, a novel sec-dependent bacteriocin from Enterococcus faecium P13 with a broad antimicrobial spectrum. Appl Environ Microbiol 1997;63:4321–4330.
[63]  Nes IF, Holo H. Class II antimicrobial peptides from lactic acid bacteria. Biopolymers 2000;55:50–61.
[64]  vanReenen CA, Dicks LM, Chikindas ML. Isolation, purification and partial characterization of plantaricin 423, a bacteriocin produced by Lactobacillus plantarum. J Appl Microbiol 1998;84:1131–1137.
[65]  Granger M, van Reenen CA, Dicks LM. Effect of gastrointestinal conditions on the growth of Enterococcus mundtii ST4SA, and production of bacteriocin ST4SA recorded by real-time PCR. Int J Food Microbiol 2008;123:277–280.
[66]  M. C. Rea et al. Proc. Natl Acad. Sci. USA 2011. 108, S4639–S4644;
[67]  Corr SC, Li Y, Riedel CU, O'Toole PW, Hill C, Gahan CGM. Bacteriocin production as a mechanism for the antfinfective activity of Lactobacillus salivarius UCC118. Proc Natl Acad Sci U S A 2007;104:7617–7621.
[68]  Rea MC, et al. (2007) Antimicrobial activity of lacticin 3,147 against clinical Clostridium difficile strains. J Med Microbiol (2007). 56:940–946.
[69]  Giacometti A, Cirioni O, Barchiesi F, Fortuna M, Sealise G In vitro activity of cationic peptides alone and in combination with clinically used antimicrobial agents against Pseudomonas aeruginosa. J AntimicrobChemother (1999). 44:641–645.
[70]  Kim TS, Hur JW, Yu MA, Cheigh CI, Kim KN, Hwang JK, Pyun YR Antagonism of Helicobacter pylori by bacteriocins of lactic acid bacteria. J Food Prot (2003). 66:3–12.
[71]  Marki F, Hanni E, Fredenhagen A, van Oostrum J Mode of action of the Lanthioninecontaining peptide antibiotics duramycin, duramycin B and C, and cinnamycin as indirect inhibitors of phospholipase A2. BiochemPharmacol (1991). 42:2027–2035.
[72]  Page CP, Archer CB, Paul W, Morley J Paf-acether: a mediator of inflammation and asthma. Trends Pharm Sci (1984). 5:239–241.
[73]  Zipser RD, Laffi G Prostaglandins, thromboxanes and leukotrienes in clinical medicine. West J Med (1985). 143:485–497.
[74]  Shiba T, Wakamiya T, Fukase K, Ueki Y, Teshima T, Nishikawa M (1991) Structure of the lanthionine peptides nisin, ancovenin and lanthiopeptin. In: Jung G, Sahl HG (eds) Nisin and novel lantibiotics. Escom, Leiden, The Netherlands.
[75]  Zhang R, Xu X, Chen T, Li L, Rao P An assay for angiotensin-converting enzyme using capillary zone electrophoresis. Anal Biochem (2000). 28:286–290.
[76]  Hillman JD, Mo J, McDonell E, Cvitkovitch D, Hillman CH. Modification of an effector strain for replacement therapy of dental caries to enable clinical safety trials. J ApplMicrobiol 2007; 102:1209– 1219.
[77]  Quivey RG Jr, Kuhnert WL, Hahn K. Adaptation of oral streptococci to low pH.AdvMicrobPhysiol 2000; 42:239–274.
[78]  Balakrishnan M, Simmonds RS, Tagg JR. Dental caries is a preventable infectious disease. Aust Dent J 2000;45:235–245.
[79]  Cappelletty D. Microbiology of bacterial respiratory infections. Pediatr Infect Dis J 1998;17:S55–S61.
[80]  Walls T, Power D, Tagg J. Bacteriocin-like inhibitory substance (BLIS) production by the normal flora of the nasopharynx: potential to protect against otitis media? J Med Microbiol 2003;52:829–833.
[81]  Vasquez A, Jakobsson T, Ahrne S, Forsum U, Molin G. Vaginal lactobacillus flora of healthy Swedish women. J ClinMicrobiol 2002;40:2746–2749.
[82]  Falagas ME, Betsi GI, Athanasiou S. Probiotics for the treatment of women with bacterial vaginosis. ClinMicrobiol Infect 2007;13:657–664.
[83]  O'Brien RF. Bacterial vaginosis: many questions—any answers? CurrOpinPediatr 2005;17:473–479.
[84]  Wynne, AG.; Gibson, GR.; Brostoff, J. Composition comprising a Lactobacillus pentosus strain and uses thereof. USA Patent 7125708. 2006.
[85]  Ocana VS, Holgado A, Nader-Macias ME. Characterization of a bacteriocin-like substance produced by a vaginal Lactobacillus salivarius strain. Appl Environ Microbiol 1999;65:5631–5635.
[86]  Cornut, Gilbert BSc, Fortin, Claude MD, FRCPC, Soulières, Denis MD, MSc, FRCPC. Antineoplastic Properties of Bacteriocins: Revisiting Potential Active Agents. American Journal of Clinical Oncology: August 2008 - Volume 31 - Issue 4 - pp 399-404.
[87]  Aranha C, Gupta S, Reddy KV Contraceptive efficacy of antimicrobial peptide nisin:in vitro and in vivo studies. Contraception. (2004). 69(4):333–338.
[88]  Reddy KV, Aranha C, Gupta SM, Yedery RD Evaluation of antimicrobial peptide nisin as a safe vaginal contraceptive agent in rabbits: in vitro and in vivo studies. Reproduction (2004).128:117–126.
[89]  Sutyak KE, Anderson RA, Dover SE, Feathergill KA, Aroutcheva AA, Faro S, Chikindas ML Spermicidal activity of the safe natural antimicrobial peptide subtilosin. Infect Diseases ObstetGynecol (2008b).Article ID 540758, 6 pages.