Lactobacillus reuteri: direct passage from ingested yogurts to urine microbiota

BackgroundSerendipitously, it was observed that fecal transplantation made for Clostridium difficile may cure chronic urinary tract infections. This led us to evaluate the passage in the urine of probiotics contained in yoghurt, which have been claimed to prevent urinary infections. ResultsA commercial yogurt that contained 3 probiotics (Bifidobacterium animalis, Lactobacillus delbrueckiii and Lactobacillus reuteri) was consumed by 28 healthy subjects. We performed by culturomics, urine analysis before and after feeding these yogurts. Genome sequencing of the bacterial strains absent before yogurt consumption and present after consumption was performed. Testing more than 40,000 colonies by MALDI-TOF, we observed in two men and one woman (11% of subjects included), the urine colonization of the same Lactobacillus reuteri present in yogurts, with the same genome with 50 genes never identified in other lactobacilli. ConclusionThis confirms that, as ingested, Lactobacillus salivarius passes into the milk of lactating women, some bacteria, particularly Lactobacillus can colonize body fluids previously considered sterile after ingestion via the digestive route. Although the consequences of this passage remain unknown, we prove for the first time that there is a digestive passage in the urine after consumption of probiotics, including fermented products sold commercially.