Upon ingestion, probiotics may act to protect the host through a number of protective mechanisms including modulation of genes involved in intestinal innate mucosal defense such as epithelial cell-derived mucin glycoproteins and inhibitor of apoptosis proteins. To determine the specificity of effect and sustainability of response in vivo, Lactobacillus plantarum 299v (Lp299v), Lactobacillus rhamnosus R0011 (LrR0011), and Bifidobacterium bifidum R0071 (BbR0071) were added repeatedly or intermittently to the drinking water of Sprague-Dawley rats. After killing the rats via CO 2 suffocation, Muc2, Muc3, neuronal apoptosis inhibitor protein (NAIP), human inhibitor of apoptosis protein 1/cellular inhibitor of apoptosis 2 (HIAP1/cIAP2), and human inhibitor of apoptosis protein 2/cellular inhibitor of apoptosis 1 (HIAP2/cIAP1) mRNA and protein levels were analyzed via RT-PCR and immunohistochemistry. Live Lp299v, BbR0071, and LrR0011 increased Muc3 protein and mRNA expression in jejunum and ileum. Heat-killed and a nonadherent derivative of Lp299v failed to induce Muc3 expression. Lp299v did induce expression of HIAP2/cIAP1 and NAIP expression. Muc3 mucin expression was elevated for 5 d after oral administration of Lp299v; however, this effect was not sustained despite ongoing daily ingestion of a probiotic. Intermittent pulse ingestion of probiotics, however, was found to repeatedly increase Muc3 expression. We conclude that selected probiotics can induce protective genes of mucosal intestinal epithelial cells, an effect that is reproducible with pulse probiotic administration. (Pediatr Res 69: 206-211, 2011) P robiotics are living organisms that improve the health of the host upon ingestion (1). One mechanism whereby probiotics exert their influence is through enhancement of intestinal barrier function (1). The intestinal mucosal barrier consists of both the intestinal epithelial cell (IEC) and the supramucosal mucus layer whose major organic component is intestinal cell-derived mucins. Mucins are complex glycoproteins that act to limit access to IECs by both by creating a physicochemical barrier and through enteropathogen IEC receptor mimicry (2,3).Probiotics have a multitude of effects in germ-free animals and sterile cell culture system. However, to determine whether mucosal protection can be enhanced exogenously by probiotics, use of specific pathogen-free rats offers a method to study probiotic administration into an established microbial environment.In cell cultures, selected probiotic strains attenuate the stress-induced death of IECs. IEC homeostasis is maintained in the gastrointestinal tract mainly via apoptosis, via important regulators of apoptosis including members of the inhibitor of apoptosis protein (IAP) family (4). IAPs have a number of other roles including regulating proliferation and modulation of inflammatory signaling and immunity (5). IECs that are lost through a physiologic process are replenished at an equally rapid rate in villi crypts, on average every 3-5 d (4,6). With some of t...