Irritable bowel syndrome (IBS) is a
gastrointestinal disorder characterized by chronic
abdominal pain, discomfort, and bloating. Interestingly, there is now evidence of the presence of a low-grade inflammatory status in many IBS patients, including histopathological and mucosal
cytokine levels in the colon, as well as the presence of IBS-like symptoms in quiescent
inflammatory bowel disease (IBD). The use of a genetically engineered food-grade bacterium, such as Lactococcus lactis, secreting the anti-inflammatory
cytokine IL-10 has been proven by many pre-clinical studies to be a successful therapy to treat colon
inflammation. In this study, we first reproduced the recovery-recurrence periods observed in IBS-patients in a new chronic model characterized by 2 episodes of DiNitro-
BenzeneSulfonic-acid (
DNBS)-challenge and we tested the effects of a recombinant strain of L. lactis secreting
IL-10 under a Stress-Inducible Controlled Expression (SICE) system. In vivo gut permeability, colonic
serotonin levels,
cytokine profiles, and spleen cell populations were then measured as readouts of a low-grade
inflammation. In addition, since there is increasing evidence that gut microbiota tightly regulates gut barrier function,
tight junction proteins were also measured by qRT-PCR after administration of recombinant L. lactis in
DNBS-treated mice. Strikingly,
oral administration of L. lactis secreting active
IL-10 in mice resulted in significant protective effects in terms of permeability, immune activation, and gut-function parameters. Although genetically engineered bacteria are, for now, used only as a "proof-of-concept," our study validates the interest in the use of the novel SICE system in L. lactis to express therapeutic molecules, such as
IL-10, locally at mucosal surfaces.