Thein vitroActivity of VaginalLactobacillusWith Probiotic Properties AgainstCandida
Lactobacilli, the predominant vaginal microorganisms in healthy premenopausal women, control other members of the vaginal microflora and thus protect against bacterial vaginosis and urinary tract infections. It has been claimed that some lactobacilli are also protective againstCandidavaginitis. Little is known, however, about the mechanisms by which these lactobacilli can control vaginal populations ofCandidaand prevent vaginitis. To address this question, vaginalLactobacillusstrains with known antagonistic properties against bacteria were tested for their cell surface properties, adhesion to vaginal cell linesin vitroand antagonistic activities againstCandida. A small proportion of the lactobacilli tested adhered strongly to cultured vaginal epithelial cells and inhibited growth ofCandida albicansbut not ofC. pseudotropicalis. This anticandidal activity was in someLactobacillusstrains related to hydrogen peroxide (H2O2) production, but catalase treatment did not suppress this activity in otherLactobacillusstrains, suggesting alternative mechanism(s). Moreover, tested vaginalCandidastrains were resistant to relatively high concentrations ofH2O2that markedly exceeded those produced by even the most activeLactobacillusstrains.