The role of intestinal bacteria in induction and repression of ulcer formation in the ileum of rats treated with one of the nonsteroidal antiinflammatory drugs (NSAIDs), 5-bromo-2-(4-fluorophenyl)-3-(4-methylsulfonylphenyl) thiophene (BFMeT), was examined in this study. BFMeT was administered by intragastric gavage once at doses of 500-1, 500mg/kg of body weight to Wistar rats treated with and without antibiotics (bacitracin, neomycin, streptomycin), germ-free rats and gnotobiotic rats, and 72hr later their gastrointestinal tracts were examined for ulcer formation. A single oral administration of BFMeT induced ileal ulcers in specific pathogen-free rats. However, the rats given antibiotics to reduce the intestinal bacteria had no ulcers. BFMeT-treated germ-free rats and gnotobiotic rats mono-associated with
Bifidobacterium adolescentis or
Lactobacillus acidophilus also had no intestinal ulcers. However, the drug induced ileal ulcers in gnotobiotic rats mono-associated with
Eubacterium limosum or
Escherichia coli. An overnight culture of
B. adolescentis or
L. acidophilus or yogurt containing
Bifidobacterium breve and
Streptococcus thermophilus, when given as drinking water, inhibited ulcer formation in the ileum of rats treated with BFMeT. Gram staining of the ileal contents of normal rats revealed that 97.4% of the stained microorganisms were Gram-positive rods and only 1.2% were Gram-negative rods. In the group of rats with ulcers induced by BFMeT, the Gram-positive rods decreased by 56.4% and the Gram-negative rods including
Escherichia coli, Klebsiella, Proteus and
Bacteroides increased by 37.3%. However, in the group of rats administered the
Bifidobacterium culture, the
Lactobacillus culture or yogurt, the percentages of the Gram-negative rods were decreased. Although
Lactobacillus was a major bacterium in the ileum of normal rats, the Gram-negative facultatively anaerobic rods
E. coli, Klebsiella and
Proteus were increased in the ulcerated ileum of rats treated with BFMeT, suggesting that these bacteria are associated with ulcer formation in rats treated with NSAIDs, and that
Lactobacillus and
Bifidobacterium inhibit it by repressing the growth of ulcer-inducing bacteria.
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