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Research Note
Revised

Saccharomyces cerevisiae show low levels of traversal across human endothelial barrier in vitro

[version 2; peer review: 2 approved]
Previously titled: Saccharomyces cerevisiae show low levels of traversal across the human blood brain barrier in vitro
PUBLISHED 12 Sep 2017
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Abstract

Background:  Saccharomyces cerevisiae is generally considered safe, and is involved in the production of many types of foods and dietary supplements. However, some isolates, which are genetically related to strains used in brewing and baking, have shown virulent traits, being able to produce infections in humans, mainly in immunodeficient patients. This can lead to systemic infections in humans.
Methods: In this work, we studied S. cerevisiae isolates in an in vitro human endothelial barrier model, comparing their behaviour with that of several strains of the related pathogens Candida glabrata and Candida albicans.
Results: The results showed that this food related yeast is able to cross the endothelial barrier in vitro. However, in contrast to C. glabrata and C. albicans, S. cerevisiae showed very low levels of traversal.
Conclusions: We conclude that using an in vitro human endothelial barrier model with S. cerevisiae can be useful to evaluate the safety of S. cerevisiae strains isolated from foods.

Keywords

food emerging pathogens, Saccharomyces cerevisiae, blood brain barrier, virulence,

Revised Amendments from Version 1

In this new version, we have considered HUVEC cells as a model of endothelial cells instead of a blood brain barrier.

To read any peer review reports and author responses for this article, follow the "read" links in the Open Peer Review table.

Introduction

Saccharomyces cerevisiae is generally considered safe, and is involved in the production of a variety of foods and dietary supplements. Several types of food and beverage still contain viable yeast cells15. However, in the last years human infections with Saccharomyces cerevisiae have increased68. Consequently, S. cerevisiae is considered an emerging pathogen911. Different parts of the body can be affected in immunocompromised1215 and healthy patients1618. The potential virulence of this yeast has been analysed with different methods in vitro1922 and in vivo2327, for example by measuring epithelial barrier traversal28. These reports have suggested that certain strains can cause disease and death in murine models. However, the bio-therapeutic agent Ultralevure (S. cerevisiae var. boulardii) and other supplements are consumed in high doses, ranging from 107 to 1010 live yeast cells per day and for long periods.

The study of yeast virulence includes studying their behaviour when they encounter endothelial barriers. Opportunistic pathogenic yeasts such as C. glabrata and C. albicans are able to pass the intestinal barrier29,30 and generate systemic infections3133. Also, C. albicans can cross the blood-brain barrier (BBB) to reach the brain34,35. Regarding S. cerevisiae, infections after oral ingestion16 or digestive translocation12,14,36 show that it can reach brain in murine models25. However, few studies have investigated the behaviour of S. cerevisiae when they reach endothelial barriers28.

Methods

Yeast strains and growth media

The yeast strains are described in Table 1. Strains were propagated in YPD media (1% glucose, 1% BactoPeptone, 0.5% yeast extract) for 24 h at 30°C.

Table 1. Yeast strains used in this study.

StrainSpeciesSource
W303 S. cerevisiae From our collection
102 S. cerevisiae Vall d’Hebron Hospital (Barcelona, Spain)19
60S. cerevisiae Vall d’Hebron Hospital (Barcelona, Spain)19
CbS. cerevisiae Vall d’Hebron Hospital (Barcelona, Spain)19
Co C. glabrata Vall d’Hebron Hospital (Barcelona, Spain)
C2 C. glabrata Provided by B. Hube (Friedrich Schiller
University; Jena, Germany)
C4 C. glabrata Provided by B. Hube (Friedrich Schiller
University; Jena, Germany)
C5 C. glabrata Provided by B. Hube (Friedrich Schiller
University; Jena, Germany)
CA-1 C. albicans Statens Serum Institute (Copenhagen,
Denmark)
SC5314C. albicansProvided by A. Yañez22 (Universitat de
Valencia, Spain)
ATCC26555C. albicansProvided by A. Yañez22 (Universitat de
Valencia, Spain)
CBS562 C. albicans From our collection

Growth of mammalian cells

Human umbilical endothelial cells (HUVECs) (Clonetics®) were grown in minimum essential medium (Earle’s salt, 25 mM HEPES and GlutaMAX™, Invitrogen) supplemented with 10% foetal bovine serum (FBS, Cambrex Bio Science), 1% nonessential amino acids (Invitrogen) and 50 μg mL–1 gentamicin (Invitrogen). The cells were grown in 150 cm2 culture flasks (TPP) at 37°C in a humidified atmosphere of 5% CO2 and 95% air until a confluence. Culture medium was changed every second day.

Trans-epithelial electrical resistance (TEER) assay

HUVEC cells (1×105 cells/cm2) were seeded on Transwell® filter inserts (8 μm, Corning Incorporated) in 24-well plates (Corning Incorporated). A volume of 200 μL cell growth medium was added to the apical compartment and 1250 μL to the basolateral compartment. The TEER was measured using the Millicell-ERS Electrical Resistance System (Millipore). The net value of the TEER (Ωcm2) was corrected for background resistance by subtracting the contribution of the cell-free filter and the medium (110 Ωcm2). The TEER was measured before the addition of yeasts.

Determination of permeability coefficient

1 μg/mL of fluorescein (Sigma) was added to the media in the apical compartment of the transwell, with or without established HUVEC monolayers, and fluorescence was measured over time in the media of the apical and basolateral compartment. The apparent permeability, Papp, was defined as (Hilgers et al., 1990):

                                                                                                Papp = (ΔAR/Δt))/CD,0                                                                                                (1)

(ΔAR/Δt) is the rate of drug appearance in the receiver side, S is the surface area of the Transwell (0.33 cm2 for Transwell® inserts (8 μm pore size, Corning) of 6.5-mm insert diameter), and CD,0 is the initial drug concentration in the donor side at time = 0. Values are expressed in cm/s.

Ability to cross the endothelial barrier

HUVEC cells were seeded on Transwell® filter as described above. Yeasts grown overnight at 30°C in YPD were resuspended (106 cells mL–1) in the apical compartment and incubated at 37°C in a humidified atmosphere of 5% CO2 and 95% air. After 12 h, the basolateral compartment medium was replaced. Colony forming units were counted in YPD plate triplicates after two days. Control wells used to evaluate yeast growth showed no significant growth after 12 h. Negative control HUVEC Transwells without adding cells were performed to control TEER stability across the experiment.

Results

Evaluation of the endothelial barrier integrity

To establish an in vitro human endothelial barrier, we used HUVEC monolayers, a methodology that has been widely used37,38. Monolayers were formed in transwells and two different methods were used to determine the robustness, consistency and integrity of the barrier. First, we studied the TEER, indicative of physical separation. After seeding the HUVECs, TEER was measured and we observed increased values over time that were overcoming 450 Ωcm2, which correlates with the establishment of a monolayer barrier. Second, we studied the monolayer permeability. The value obtained was 1.82±0.13 (10-6 cm/s) on average, which indicates an integral barrier with low permeability39.

Study of the ability of yeast species to cross the human endothelial barrier in vitro

To determine whether S. cerevisiae is able to cross the human endothelial barrier, we used an in vitro model of the endothelium with HUVECs40. The number of cells in the basolateral compartment was measured 12 hours after addition of S. cerevisiae, C. albicans and C. glabrata strains to the apical compartment (Figure 1). The results showed that all yeast strains were able to cross the endothelial barrier. While elevated number of cells from C. glabrata and C. albicans strains were able to cross the endothelial barrier, S. cerevisiae values were low. Furthermore, while the S. cerevisiae control strain W303 showed the lowest levels of yeast transcytosis, the other opportunistic pathogenic strains presented higher levels.

To compare the different species, the average level of cell transcytosis for all strains of each species was calculated (Figure 2). After 12 h, Candida species showed a high number of cells in the basolateral chamber (4.9–5.7 Log10 units). On the contrary, we observed that S. cerevisiae showed significantly lower levels (1.0–3.3 Log10 units) than the Candida species.

adc1db17-1044-4cf1-9d74-2cace24fe182_figure1.gif

Figure 1. Number of yeast cells that were able to cross the endothelial barrier.

To perform this assay we established HUVEC monolayers in Transwell® filter inserts in 24 well plates. 24 hours after apical addition of various strains of S. cerevisiae, C. albicans and C. glabrata, yeast cells from the basolateral compartment were incubated on YPD plates and colonies were counted after one day of growth. Values were obtained after plating several dilutions of the basolateral compartment media. Average of three experiments and standard deviation is shown. To determine statistically significant data, Student t-tests were performed in Excel with 0.05 as the p-value.

adc1db17-1044-4cf1-9d74-2cace24fe182_figure2.gif

Figure 2. Box graph comparing the number of cells able to cross the endothelial barrier in the three yeast species.

Dataset 1.Raw data of permeability measurements and cell counts for endothelium traversal.

Discussion

A model for traversal across the e in vitro has been used to study behaviour and pathogenicity mechanisms of yeast strains such as C. albicans34,35. Here, we have shown that S. cerevisiae strains are able to cross the endothelial barrier. This data is in accordance with previous studies, where S. cerevisiae cells were observed in the brain after systemic infections in murine models25. When comparing to other well-known yeast pathogens such as C. glabrata and C. albicans, none of the S. cerevisiae strains were able to cross the endothelial barrier at high levels. Despite S. cerevisiae pathogenicity levels being lower than other opportunistic yeasts, we recommend the potential risk of new S. cerevisiae strains to be evaluated before using them in food production.

Data availability

Dataset 1: Raw data of permeability measurements and cell counts for endothelium traversal. DOI, 10.5256/f1000research.11782.d17755441

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Pérez-Torrado R and Querol A. Saccharomyces cerevisiae show low levels of traversal across human endothelial barrier in vitro [version 2; peer review: 2 approved]. F1000Research 2017, 6:944 (https://doi.org/10.12688/f1000research.11782.2)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Open Peer Review

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ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 2
VERSION 2
PUBLISHED 12 Sep 2017
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Reviewer Report 19 Sep 2017
Felipe H. Santiago-Tirado, Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA 
Approved
VIEWS 10
By stating that their model is an endothelial barrier in vitro model rather than a blood-brain barrier model, the authors have addressed my main concern. Considering that they submitted this work as a 'Note', defined as a small, often preliminary ... Continue reading
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HOW TO CITE THIS REPORT
Santiago-Tirado FH. Reviewer Report For: Saccharomyces cerevisiae show low levels of traversal across human endothelial barrier in vitro [version 2; peer review: 2 approved]. F1000Research 2017, 6:944 (https://doi.org/10.5256/f1000research.13710.r25924)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
Version 1
VERSION 1
PUBLISHED 20 Jun 2017
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Reviewer Report 01 Sep 2017
Felipe H. Santiago-Tirado, Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO, USA 
Approved with Reservations
VIEWS 19
Although the article is interesting and the data clear, I believe the authors are overstating the findings. First, HUVECs are not considered a good model for blood-brain barrier anymore. They used to be a favorite one because they are a ... Continue reading
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CITE
HOW TO CITE THIS REPORT
Santiago-Tirado FH. Reviewer Report For: Saccharomyces cerevisiae show low levels of traversal across human endothelial barrier in vitro [version 2; peer review: 2 approved]. F1000Research 2017, 6:944 (https://doi.org/10.5256/f1000research.12728.r25622)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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15
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Reviewer Report 14 Aug 2017
Rosa de Llanos, School of Applied Sciences, Edinburgh Napier University, Edinburgh, UK 
Approved
VIEWS 15
  1. Introduction:
    I would consider to change the sentence “Consequently, S, cerevisiae is considered an emerging pathogen” with “Consequently, S, cerevisiae is considered an emerging pathogen of low virulence
     
  2. Origin of
... Continue reading
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CITE
HOW TO CITE THIS REPORT
de Llanos R. Reviewer Report For: Saccharomyces cerevisiae show low levels of traversal across human endothelial barrier in vitro [version 2; peer review: 2 approved]. F1000Research 2017, 6:944 (https://doi.org/10.5256/f1000research.12728.r24594)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

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Version 2
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Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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