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Engineered Bacillus subtilis as oral probiotics to target circulating lactic acid.


ABSTRACT: Lactic acid or lactate, a key byproduct of anaerobic glycolysis, plays pivotal roles in routine metabolism. An increase in lactic acid is observed in various pathological conditions such as cancer, diabetes, genetic mitochondrial disease, and aging. While several groups have proposed small molecule inhibitors to reduce circulating lactic acid, there are few clinically relevant ways to manage acute or chronic elevations in lactic acid in patients. In addition, recent evidence suggests that lactic acid exchanges between the gut, blood, and peripheral tissues, and professional marathon runners harbor specific gut microbial species that more efficiently metabolize lactic acid. Inspired by these findings, this work sought to engineer probiotic B. subtilis strains to express lactate oxidase that could increase circulating lactic acid catabolism after delivery to the gut. After optimization, oral administration of engineered B. subtilis to the gut of mice reduced the elevation in blood lactic acid levels after exogenous lactic acid challenge without affecting normal gut microbiota composition, inflammation or liver enzymes. Taken together, through the oral delivery of engineered probiotics to the gastrointestinal tract, our proof-of-concept study offers a new opportunity to therapeutically target diseases where blood lactic acid is elevated, and provides a new approach to "knocking down" metabolites to help understand the roles of metabolites in host physiological and pathological processes.

SUBMITTER: Yang M 

PROVIDER: S-EPMC10705430 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Engineered <i>Bacillus subtilis</i> as oral probiotics to enhance clearance of blood lactate.

Yang Mengdi M   Hutchinson Noah N   Ye Ningyuan N   Yin Jianing J   Guan Ming M   Wang Zongqi Z   Chen Peiru P   Yang Shaobo S   Crane Justin D JD   Zhang Ke K   He Xuesong X   Li Jiahe J  

bioRxiv : the preprint server for biology 20240512


Elevated lactate concentrations are implicated in various acute and chronic diseases such as sepsis and mitochondrial dysfunction, respectively. Conversely, ineffective lactate clearance is associated with poor clinical prognoses and high mortality in these diseases. While several groups have proposed using small molecule inhibitors and enzyme replacement to reduce circulating lactate, there are few practical and effective ways to manage this condition. Recent evidence suggests that lactate is e  ...[more]

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