The Vibrio cholerae O1 serogroup is responsible for pandemic cholera and is divided into the classical and El Tor biotypes. Classical V. cholerae produces acid when using glucose as a carbon source, whereas El Tor V. cholerae produces the neutral product acetoin when using glucose as a carbon source. An earlier study demonstrated that Escherichia coli strains that metabolize glucose to acidic byproducts drastically reduced the survival of V. cholerae strains in vitro. In the present study, zebrafish were fed 1% glucose and either inoculated with single V. cholerae or E. coli strains or coinfected with both V. cholerae and E. coli. A significant decrease in classical biotype colonization was observed after glucose feeding due to acid production in the zebrafish intestine. El Tor colonization was unaffected by glucose alone. However, the El Tor strain exhibited significantly lower colonization of the zebrafish when either of the acid-producing E. coli strains was coinoculated in the presence of glucose. An E. coli sugar transport mutant had no effect on V. cholerae colonization even in presence of glucose. Glucose and E. coli produced a prophylactic effect on El Tor colonization in zebrafish when E. coli was inoculated before V. cholerae infection. Thus, the probiotic feeding of E. coli inhibits V. cholerae colonization in a natural host. This suggests that a similar inhibitory effect could be seen in cholera patients, especially if a glucose-based oral rehydration solution (ORS) is administered in combination with probiotic E. coli during cholera treatment. FIG 2 Effect of glucose feeding on classical and El Tor V. cholerae colonization of zebrafish intestine. Zebrafish were fed 1% glucose for 12 h, and Ļ³5 Ļ« 10 6 CFU/ml of either V. cholerae O395 or N16961 was inoculated in zebrafish. V. cholerae levels were determined by plating of serial dilutions of the intestinal homogenates. *, P Ļ 0.005. Probiotic Inhibition of V. cholerae Colonization Infection and Immunity December 2018 Volume 86 Issue 12 e00486-18 iai.asm.org 3 on July 5, 2020 by guest http://iai.asm.org/ Downloaded from FIG 3 Effect of E. coli strains plus glucose on V. cholerae colonization of zebrafish intestine. Zebrafish were fed 1% glucose for 12 h, and Ļ³5 Ļ« 10 6 CFU/ml of E. coli 40 and N was coinoculated with Ļ³5 Ļ« 10 6 CFU/ml of either V. cholerae O395 or N16961. (A) Coinfection of E. coli with classical V. cholerae strain O395. (B) Coinfection of E. coli with El Tor V. cholerae strain N16961. V. cholerae levels were determined by plating of serial dilutions of the intestinal homogenates. Horizontal bars indicate the mean colonization level for each group, and individual symbols indicate the results for individual fish. ***, P Ļ½ 0.0001; **, P Ļ½ 0.001; NS, nonsignificant differences.Probiotic Inhibition of V. cholerae Colonization Infection and Immunity December 2018 Volume 86 Issue 12 e00486-18 iai.asm.org 5 on July 5, 2020 by guest http://iai.asm.org/ Downloaded from FIG 5 Effect of E. coli feeding plus glucose before V. cholerae infection on N16...