Multifaceted toxin profile, an approach toward a better understanding of probiotic Bacillus cereus

Crit Rev Toxicol. 2019 Apr;49(4):342-356. doi: 10.1080/10408444.2019.1609410. Epub 2019 May 22.

Abstract

Strains of the Bacillus cereus group have been widely used as probiotics for human beings, food animals, plants, and environmental remediation. Paradoxically, B. cereus is responsible for both gastrointestinal and nongastrointestinal syndromes and represents an important opportunistic food-borne pathogen. Toxicity assessment is a fundamental issue to evaluate safety of probiotics. Here, we summarize the state of our current knowledge about the toxins of B. cereus sensu lato to be considered for safety assessment of probiotic candidates. Surfactin-like emetic toxin (cereulide) and various enterotoxins including nonhemolytic enterotoxin, hemolysin BL, and cytotoxin K are responsible for food poisoning outbreaks characterized by emesis and diarrhea. In addition, other factors, such as hemolysin II, Certhrax, immune inhibitor A1, and sphingomyelinase, contribute to toxicity and overall virulence of B. cereus.

Keywords: food-borne pathogen; probiotic; toxin.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bacillus cereus*
  • Depsipeptides*
  • Enterotoxins*
  • Foodborne Diseases*
  • Probiotics*

Substances

  • Depsipeptides
  • Enterotoxins
  • cereulide