Prophylactic treatment with Lactobacillus acidophilus C4 ameliorates functional constipation in mice by enhancing intestinal peristalsis, protecting the intestinal barrier through upregulation of tight junction proteins ZO-1 and occludin, and modulating inflammation by decreasing IL-1β while increasing IL-10.
Key Findings
Results
Prophylactic treatment with L. acidophilus C4 prior to functional constipation onset significantly reduced impairment of defecation function in a mouse model.
L. acidophilus C4 was isolated from the feces of a healthy child prior to this study.
Treatment was administered prophylactically, i.e., before FC onset, in a mouse model of functional constipation.
Defecation function impairment was significantly reduced following treatment with the strain.
Results
L. acidophilus C4 treatment increased intestinal transit rate in constipated mice.
Intestinal transit rate was used as a measure of gastrointestinal motility.
The increase in transit rate indicates enhanced intestinal peristalsis following probiotic treatment.
This finding supports the strain's potential to address the motility deficits characteristic of functional constipation.
Results
L. acidophilus C4 increased the expression of tight junction proteins ZO-1 and occludin, indicating a protective effect on the intestinal barrier.
Both ZO-1 and occludin are key components of intestinal epithelial tight junctions that maintain barrier integrity.
Upregulation of these proteins suggests that L. acidophilus C4 helps restore intestinal barrier function compromised during functional constipation.
This finding was described as evidence of a 'protective effect on the intestinal barrier.'
Results
L. acidophilus C4 modulated the inflammatory response by decreasing the pro-inflammatory cytokine IL-1β and increasing the anti-inflammatory cytokine IL-10.
IL-1β is a pro-inflammatory factor whose reduction indicates a dampened inflammatory response.
IL-10 is an anti-inflammatory cytokine whose increase suggests enhanced anti-inflammatory signaling.
The authors describe this as 'balancing' pro- and anti-inflammatory cytokines, suggesting a regulatory rather than purely suppressive effect on inflammation.
Modulation of this cytokine balance is proposed as one mechanism by which L. acidophilus C4 improves constipation.
Discussion
L. acidophilus C4 exhibits high compatibility with the human intestinal microenvironment, supporting its potential for clinical application.
The strain was originally isolated from the feces of a healthy child, suggesting natural human gut origin.
The authors describe this compatibility as laying 'a foundation for clinical research.'
The strain is characterized as a candidate for development of 'novel interventions for constipation' based on these preclinical findings.
What This Means
This research suggests that a specific strain of the common probiotic bacterium Lactobacillus acidophilus, called C4, which was originally isolated from a healthy child's stool, can help prevent and reduce constipation symptoms in mice. When given to mice before constipation was induced, it improved their ability to defecate and sped up the movement of food through their intestines. The researchers also found that this bacterial strain helped keep the intestinal lining intact by boosting proteins that hold intestinal cells tightly together, which is important for a healthy gut barrier.
Beyond physical gut function, L. acidophilus C4 also appeared to reduce inflammation in the gut. It lowered levels of a protein that promotes inflammation (IL-1β) while raising levels of one that reduces it (IL-10), suggesting the strain helps keep the gut's immune response in balance. Together, these effects on gut movement, barrier integrity, and inflammation provide a multi-pronged explanation for how the strain may relieve constipation.
This research suggests that L. acidophilus C4 could be a promising candidate for developing probiotic-based treatments for functional constipation, a condition that significantly affects quality of life and currently has limited non-pharmaceutical options. Because the strain originates from the human gut, the authors argue it is well-suited for eventual clinical testing in humans, though further research beyond this mouse model would be needed to confirm its safety and effectiveness in people.
Check Your Own Numbers
Upload your bloodwork. We'll cross-reference your results against this study and 4,700 others.
Yan H, Jia Q, Liu J, Hua X, Cui Y, Jian W, et al.. (2026). Lactobacillus acidophilus C4 ameliorates constipation in mice.. Microbiology spectrum. https://doi.org/10.1128/spectrum.02950-25