Mechanisms describing the probiotic effects of Lactobacillus strains include upregulation of mucin production in the host cells, interference with host pattern recognition receptors, competition for essential metabolites, production of antibacterial molecules, co-aggregation between bacteria of the microbiota and invading pathogenic bacteria leading to interfere with pathogen adherence to host cells (9-11). Lactobacillus species are known to play a significant role in the protection against many gastro-intestinal and urogenital pathogens (7, 8). However, less is known about their antagonistic capacity to the oral-pharyngeal pathogens. Also, the detailed mechanisms behind the anti-adhesive properties of lactobacilli and its effect on expression of virulence-associated genes are far from fully understood.
Different species of Lactobacillus are part of the microbiota of the mucosal membranes in the pharyngeal tract (6). The study, therefore, aimed to investigate if Lactobacillus strains interfere with the expression of S. pyogenes virulence-associated factors and its ability to adhere to pharyngeal epithelial