We studied the effects of
Lactobacillus acidophilus
(
L. acidophilus
) on the growth performance, intestinal morphology, barrier function, and immune response of broilers challenged with
Escherichia coli
O157 (
E. Coli
). A total of 360 1-day-old Cobb male broilers were tested in a 3 × 2 factorial arrangement with 3 dietary
L. acidophilus
levels (0, 5 × 10
8
CFU/kg, and 10 × 10
8
CFU/kg of diet) and 2 disease challenge treatments (control or
E. coli
challenged). Results showed that
E. coli
challenge decreased the ADG, ADFI, and BW of broilers from 15 to 21 d (
P
< 0.05), increased the jejunum intestinal wall thickness, and significantly increased the mortality rate.
E. coli
challenge significantly (
P
< 0.05) decreased the serum IgA and IgM contents and peripheral blood CD3+ T cell counts (
P
< 0.05), increased the serum CRP, DAO, and LPS levels at 21 d; upregulated the mRNA expression of iNOS, IL-8, IL-1β in the jejunum and iNOS in the spleen, and downregulated the occludin and ZO-1 mRNA expression in the ileum at 21 d compared with uninfected birds (
P
< 0.05). Dietary
L. acidophilus
supplementation consistently showed higher BW, ADG, ADFI, and jejunum and ileum V:C ratio at 14 d and 21 d in the presence and absence of
E. coli
challenge (
P
< 0.05).
L. acidophilus
supplementation reduced the mortality rate caused by
E. coli
challenge (
P
< 0.05), decreased the serum CRP, DAO, and LPS levels at 14 d and 21 d; upregulated the mRNA expression of occludin and ZO-1 in the jejunum and ileum, and downregulated the mRNA expression of iNOS, IL-8, and IL-1β in the jejunum in
E. coli
challenged birds at 21 d (
P
< 0.05). Dietary supplementation with
L. acidophilus
can improve the growth performance, intestinal health, and survival of broilers challenged with
E. coli
.