IN VITRO ASSESSMENT OF PHYSIOLOGICAL PROPERTIES OF ENTEROCOCCUS STRAINS OF HUMAN ORIGIN FOR POSSIBLE PROBIOTIC USE

Objective: The human vagina and gut are known to harbor a wide range of bacteria. Some useful bacteria maintain the vaginal pH around 3–4.5. This acidity of the vagina helps to inhibit pathogenic organisms that cause urogenital infections. The present study involved screening of previously identified Enterococcus strains of human origin for their probiotic physiological properties. Materials and Methods: The strains were screened for their biofilm, antibiofilm, antagonistic, antibiotic resistance, adherence, aggregating, and hydrogen peroxide production abilities. Results: Enterococcus canintestini S26B, Entamoeba dispar S27A, E. dispar S26A, E. dispar S20B, E. canintestini AB2, Enterococcus villorum SB2, and Enterococcus rivorum S22C displayed in vitro probiotic properties. Conclusions: These strains can be used as probiotic candidates and may prove their potential in human or animal feed only after further clinical studies.


INTRODUCTION
The Food and Agriculture Organization (FAO) defines probiotics as "live organisms which, when used in adequate amounts, confer a health benefit on the host" [1]. Probiotic organisms are incorporated in food supplements or used as therapeutic agents to developing a balanced gut microbiota thus boosting the immune system of the host. Bacteria such as bifidobacteria, Escherichia coli, pediococci, yeasts, enterococci, and lactobacilli are widely used as probiotics. The genus Enterococcus belonged to Group-D streptococci and was separated as a new genus in the 1980s. Enterococcus faecium is a reported probiotic strains [2]. Recent studies have proved the beneficial properties of Enterococcus durans, Enterococcus mundtii, Enterococcus faecalis, Enterococcus lactis, etc. [3][4][5]. In general, these strains are combined with other well-known strains in probiotic formulas. Probiotic strain E. faecium SF68 has proved its efficacy in treating antibiotic-associated diarrhea [6]. Although Lactobacillus and Enterococcus species are recently found in nosocomial infection; it has given rise to its safety concern on its use [7,8]. The possession of virulence genes does not necessarily prove the strain to be pathogenic as proposed by the European Food Safety Authority (EFSA). The expression of virulence genes is extremely dependent on environmental conditions [9]. However, some studies have reported that intrinsic resistance to antibiotics could be seen as an advantage for patients with diarrheal infection or patients trying to avoid antibiotic-caused diarrhea. In several studies, vaginal enterococci and lactobacilli have been detected or isolated from meconium, amniotic fluid, placenta, membranes, etc., that have caused no infections in the mother-infant pair [10][11][12].
The human vagina is a diverse source of lactic acid bacteria. They inhibit the pathogenic organisms by producing various organic acids, hydrogen peroxide, and antimicrobial substances called bacteriocins. These bacteria are present in large numbers on the vaginal lateral walls and contribute to the acidity of the vagina. They compete with the other pathogenic organisms and maintain the healthy gut ecosystem. The vaginal microbiota is responsible for the natural oral inoculation of the newborn [13].
To use a bacterial strain as a probiotic candidate, it must be deposited in recognized strain libraries and should have passed the proposed guidelines. FAO has recommended that a probiotic strain used for human/animal consumption must be of human or animal origin, acid and bile tolerant, avirulent, show an antagonistic effect on pathogens, adhere to gastrointestinal tract (GIT), and possess antioxidant activity. These probiotic attributes of strains help in effective colonization in the GIT and balance gut microbiota of the host [1,14].
Probiotic studies have been extensively carried out for lactobacilli, while very few probiotic characteristics are reported of Enterococcus strains [15]. The present study is aimed at the screening of identified Enterococcus isolates of human origin for their tolerance to pancreatic juices, antagonistic activity, adherence to polystyrene plate, microbial adhesion to solvents (MATS), and hydrogen peroxide forming abilities.

Bacterial strains and growth conditions
Healthy human vagina and GIT are important sources of gut-stabilizing beneficial bacteria. Maternal microbiota is the foundation of gut development of the neonate. Hence, the present study included 13 Enterococcus strains isolated from the human vagina and fresh meconium of the neonates. An informed consent was obtained from the healthy individuals and the study was approved by the Ethics Committee of Lokmanya Tilak Municipal Corporation General Hospital, Mumbai, India. The isolates were identified biochemically followed by 16S rRNA sequencing and deposited to the NCBI GenBank Database under accession numbers KX 830968 -KX 830982. All the isolates were grown in Man-Rogosa-Sharpe (MRS) broth (HiMedia, Mumbai)

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at 37°C aerobically. These strains were then maintained and preserved in MRS broth supplemented with 40% glycerol (HiMedia, Mumbai) at −20°C and sub-cultured periodically when needed. The strains were sub-cultured in MRS broth before use for each assay. The well-known commercially used probiotic Lactobacillus casei Shirota strain (L. casei YIT 9029) was used as a reference strain for comparison in all the assays.

Tolerance to pancreatic enzymes
The isolates were checked for their tolerance to pancreatic enzymes. Enzymes such as pepsin (0.5 mg/ml) from porcine pancreas, trypsin (0.5 mg/ml) (HiMedia, Mumbai), and pancreatic α-amylase (220 IU mg/ml) of bovine origin were procured from Advanced Enzymes, Mumbai. The enzymes with desired concentration were suspended in phosphatebuffered saline (PBS, pH 7.4) and were incubated with the strains for 1 h at 30°C followed by incubation at 37°C for an hour. The strain viability was checked by spread plating on MRS agar before and after incubation. MRS broth without enzymes was used as a control in the experiment [16].

Antimicrobial activity
Fresh overnight cultures of lactobacilli grown in MRS broth were centrifuged at 8000 g for 10 min. The cells were digested with simulated gastric juice to imitate passage in vivo stomach and intestinal conditions. Enteric pathogens such as E. coli ATCC 8739, Pseudomonas aeruginosa ATCC 27853, Klebsiella pneumoniae ATCC 13883, and Salmonella typhi ATCC 6539 were included in the study. Actively growing 18 h old pathogenic strains were swabbed (Optical density [OD] 0.5 at 620 nm) on MRS agar plates. Test cultures were spot inoculated in the center of the plate. Plates were incubated for 24 h and zone of inhibition was measured produced by the test culture [3].
Antibiotic susceptibility E-test strips of varied concentrations of the antibiotic ampicillin (0.016-256), gentamycin (0.01-256), streptomycin (0.001-256), tetracycline (0.01-256), chloramphenicol (0.001-256), and vancomycin (0.001-256) in µg/ml units were used and were purchased from HiMedia, Mumbai. Actively growing 18 h old culture of OD 0.4 (560 nm) was swabbed on Mueller-Hinton agar plates. The E-test strips were placed on the plate and incubated for 18 h. The minimum inhibitory concentration (MIC) was interpreted by measuring the zone of inhibition at the given antibiotic concentration, and the strains were considered to be sensitive or resistant by comparing with the breakpoints recommended by EFSA for Enterococcus genus. Strains showing MIC above the breakpoint were termed as resistant strain [17,18].

Screening of virulence factors
The enterococcal strains were screened for the presence of virulence factors such as cyl A; cytolysin expression, van A and van B; vancomycin resistance, gel E; esp; efaAfs; and efaAfm; cell wall adhesin genes. The DNA from an overnight culture was obtained to perform PCR analysis as described by Eaton and Gasson [19].

Biofilm formation
Briefly, 200 µl of each test culture (3×10 7 cfu/ml) was inoculated in 5 ml of MRS broth. Aliquot of 200 µl of the above mixture was placed in 96well microtiter plate (Tarsons, Mumbai) and incubated at 37°C for 24 h and 72 h in static condition. The wells were washed with 200 µl sterile PBS (pH 7). The attached bacteria were stained with 200 µl of 0.1% of crystal violet for 30 min. The excess stain was washed with 200 µl of distilled water per well and the dye bound was extracted with 200 µl of 30% glacial acetic acid. Around 135 µl of above aliquot was extracted in a separate plate and optical absorbance (OD) was determined on an Hitachi Spectrophotometer, pathlength (~0.4 for volume 135 µl). The assay was repeated in triplicates [20].

Antibiofilm activity
The antibiofilm activity was assessed to study the inhibition of biofilmforming pathogenic organisms by the potential probiotics. This activity was determined using the 96-well polystyrene plate method. The pathogenic strains recommended by ATCC for food and water testing such as P. aeruginosa ATCC 27853, E. coli ATCC 8739, K. pneumoniae ATCC 13883, and S. typhi ATCC 6539 were used in the study. 10 µl (10 6 cfu/ml) of each pathogen strain was inoculated into the well. The cell-free supernatant of enterococci strains was obtained by centrifuging the cells at 8000 rpm at 4°C for 10 min. The resulting supernatant was filtered through 0.22 µm Merck-Millipore filter and neutralized to adjust pH 7. The cell-free supernatant of enterococci strains with concentration ranging from 0, 10, 20, 30, and 40 µl was added to each well-containing indicator strain. The total volume of 250 µl was adjusted by adding tryptone soy broth (HiMedia, Mumbai). MRS broth with indicator but without any supernatant was used as control and incubated at 37°C for 24 h. The culture was poured off from wells and washed with 300 µl PBS. The bacteria were fixed with 250 µl of methanol for 15 min. The methanol was removed and the plates were air dried at room temperature. The bacteria were then stained with 250 µl of 1% crystal violet for 5 min. The excess stain was washed with water. The plates were air dried and absorbance was noted at 620 nm [21].

Adherence assay
The cell surface hydrophobicity was assessed by screening the isolates by streaking on CR-MRS agar plates containing 0.01% Congo red and incubated at 37°C for 48 h. The colonies which took up the red dye were considered to be adherent [22].
The same was assessed quantitatively by adhesion of crystal violet stained bacteria to 96 well microtiter plate obtained from Tarsons, Mumbai. Briefly, 100 µl of 5×10 8 cfu/ml, (OD 0.5 650 nm ) test culture was added to each well of a microtiter plate incubate for 2 h at 37°C. The bacteria were washed off with 200 µl PBS. The plates were dried for 1 h at room temperature. 0.2% of crystal violet stain was then added and kept for 15 min. The stain was removed and the wells were washed thrice with PBS. After drying the plates for 15 min at room temperature, absorbance was noted at 595 nm on Hitachi Spectrophotometer. The experiment was conducted in triplicates [23].

Microbial adhesion to solvents (MATS)
The probiotic isolates were screened for their hydrophobic nature. Briefly, 10 ml of 18 h old culture was re-suspended in PBS and set to absorbance 0.4 (590 nm). From this culture suspension, 3 ml was removed separately in a tube and 1 ml of solvents such as chloroform, ethyl acetate, and hexadecane was added. The mixture was vortexed for 3 min and allowed to stand for 30 min to allow phase separation. The aqueous layer approximately 10 µl was removed carefully without disturbing the system and its OD 590 nm was noted. This experiment was performed in triplicates and percentage affinity toward solvents was calculated as follows: Pecent affinity=100×{1−(A 1 /A 0 )}, where A 0 ; initial absorbance, A 1 ; final absorbance at 590 nm [24].

Autoaggregation and coaggregation assay
The test cultures were checked for their autoaggregation and coaggregation abilities with pathogenic bacteria such as E. coli ATCC 8739, P. aeruginosa ATCC 27853, S. typhi ATCC 6539, and K. pneumoniae ATCC 13883. L. casei Shirota was used as a positive control. 24 h old culture was centrifuged at 8000 rpm and washed twice with PBS

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resuspend the cultures in 1 ml of PBS. Pipette out 230 µl of culture from the upper layer in a microtiter plate and check for absorbance at 420 nm on Hitachi Spectrophotometer. The absorbance readings were taken at an hourly interval up to 4 h [26].

Statistical analysis
All the experiments were performed in triplicates. The statistical significance was derived using Analysis of variance in Statistical Package for the Social Sciences software for Windows version (16.0). Post hoc tests like Duncan were approached to show the significance at p<0.05.

RESULTS
The isolates were screened for their tolerance to pancreatic enzymes such as pepsin, trypsin, and alpha-amylase. Table 1 shows the viability of the strains after incubation. All the strains were able to maintain at least 10 5 -10 7 cfu/ml in harsh or bactericidal enzymes such as pepsin, trypsin, and pancreatin

Antimicrobial activity
The antibacterial activity of strains showed a broad-spectrum activity against a set of indicator strains. Table 2 shows the inhibitory activity by spot inoculation test. All of the tested strains show a broad spectrum of activity against indicator strains such as E. coli ATCC 8739, K. pneumoniae ATCC 13883, P. aeruginosa ATCC 27853, and S. typhi ATCC 6539.

Antibiotic susceptibility
The antibiotic susceptibility of the isolates was assessed by the E-test strip method. Table 3 elucidates the sensitivity of the strains to the antibiotics included in the study. Almost all of the isolates were antibiotic sensitive and were within the cutoff values recommended by EFSA. Only two isolates were equal to MIC cutoff value (128 µg/ml) for streptomycin. This value is within the normal value or equal to mean and hence does not need any further investigation regarding its concern in food safety.

Antibiofilm activity
The antibiofilm activity with different volumes of cell-free supernatant of the enterococcal strains was assessed after 24 h incubation with indicator strains. Table 4 shows the antibiofilm activity of the      Table 5 shows the screening of virulent genes among the strains.

Screening of virulence factors
E. phoeniculicola S20A, E. canintestini S18A and E. dispar S 27A were positive for efaAfm gene. Rest all the strains were negative for other tested virulence factors.

Adherence assay
The strains were screened for their ability to take up the congo red dye. Biofilm-forming bacteria are known to give pigmented colonies.
All the strains took up the dye giving pigmented colonies. The strains were further studied for their ability to adhere to the polystyrene plate for 2 h. The adhesion was determined by turbidity caused by crystal violet stain bound to bacteria adhering to the polystyrene plate. The assay revealed the significant differences in the adherence properties of the strains. E. canintestini AB1, E. villorum SB2, E. rivorum S22C, and E. rivorum S14B show the highest adhesion values (Fig. 2). The remaining strains E. phoeniculicola S20A, E. canintestini S18A, E. canintestini S26B, and E. canintestini SB3 show lower adherence abilities. Fig. 3 shows the graph of strain adhesion to solvents. Chloroform proved to be the best solvent for adhesion. Significant strain-solvent interaction (p<0.05) was observed with increase in time. Strains E. dispar S27A, E. villorum SB2, E. canintestini S26B, E. rivorum S14B, and E. dispar S26A showed affinity values above 60% elucidating the monopolarity toward chloroform, while, strains showed lower affinity for ethyl acetate and xylene (≤ 40%). These values were much higher than the reference strain used L. casei Shirota. Fig. 4 shows the H 2 O 2 production profile of enterococcal strains. E. rivorum S22C showed higher ability to produce H 2 O 2 (1.054 mg/ml).

Autoaggregation and coaggregation assay
The autoaggregation was checked by a decrease in the turbidity. The autoaggregation increased with increase in time.
The autoaggregation and coaggregation property varied in between the strains. The autoaggregation property was strain specific. Fig. 5 shows  Fig. 6 shows the coaggregation property of all the strains. The autoaggregation and coaggregation ability significantly (p<0.05) increased with time.

DISCUSSION
The viability of probiotic strains in the presence of digestive enzymes is requisite for survival and healthy functioning of the GIT [4]. The study reveals the viability of Enterococcus strains in the presence of pancreatic enzymes. Similar results were reported in a study conducted on enterococcal isolates from commercial probiotic products. The Enterococcus strains could maintain 10 6 -10 9 cfu/ml of viability [19,9]. The study reveals the harshness of the α-amylase enzyme by reducing the cell viability 2 times the original count. Amylase enzyme is known for disrupting the polysaccharide glucan linkages in the bacterial cell walls. The digestive enzymes degrade the food into macromolecules, and the acids aim to destroy foreign bodies such as bacteria and viruses thereby protecting the lining of the stomach. Hence, it is essential to select probiotic strains that sustain such harsh conditions. The effects of pancreatic enzymes can be reduced by encapsulating the bacteria in several protective substrates such as whey protein, alginate, and locust gums [21,22,28].
Almost all of the strains exhibited broad-spectrum activity against enteric pathogens. The inhibitory zone can be exhibited by the secretion of organic acids, bacteriocins, or hydrogen peroxide production by the enterococci. Enterococcus strains isolated from the cecum of non-broiler chicken have been studied and are known to produce bacteriocins with antimicrobial activity [29,30] The antagonistic activity is related in literature. The present investigation showed that the enterococci in the study had higher inhibitory activity than the results shown by E. durans Lab 18s strain [3]. Hence, there is a possibility that these enterococci and other useful lactic acid bacteria have an important role in pathogen exclusion.
Enterococci are commensals of GIT and urogenital systems of humans and animals. They inhabit environments contaminated by feces, sewage water, as well as fermented foods. Recently, the usage of enterococci in fermented foods and therapeutic use has raised its safety concerns. Some specific strains have known to be the cause of skin infections and diseases due to the disruption of the gut microbiota. Enterococci are opportunistic pathogens and are known to carry virulence factors. Hence, screening and eliminating virulent strains are the need of the hour. Hence, we first checked the safety profile of enterococcal strains by its susceptibility to the antibiotics. The antibiotics used in the study were clinically relevant and often used in the treatment of nosocomial infections. In the present study, none of the strains were resistant to these antibiotics. Vancomycinresistant enterococci are on the rise and the antibiotic is widely used for curing human infections. Many pathogenic strains have evolved harboring the antibiotic resistance genes. Enterococci are known to acquire resistance by carrying these genes located in plasmids and transposons. Some antibiotic-resistant enterococci have been isolated from Brazilian cheeses [4]. According to FAO and EFSA, the possession of virulent genes does not necessarily generalize the organism to be pathogenic, as the expression of these genes is extremely dependent on environmental conditions [18]. However, certain reports have also suggested the use of antibiotic-resistant probiotic bacteria to be beneficial for patients suffering from antibiotic-associated diarrhea [31].
We also checked the presence of virulence determinants by molecular methods. The strains in the present study revealed the absence of the metalloprotease enzyme that hydrolyzes gelatine, casein, and other peptides. In our study, Gel E was absent in all tested strains. A previous study has reported that this factor is more prevalent in clinical isolates than in stool samples of healthy individuals. E. faecium and E. faecalis have been found to carry this gene frequently. Cytolysin is an erythrocyte-lysing protein and is thought to have an important part in human infections. It has been previously found in clinical strains (11-70%) while (0-25%) of stool samples. Three strains were positive for efaAfm and negative for all other virulence determinants (Table 5). These factors cannot be considered as important virulence factors as their prevalence rate is lower in human samples as compared to previous studies. This might be attributed to the differences in the host and distribution in geographical regions. Furthermore, Franz et al. have previously reported that the presence of one or more virulence determinants does not necessarily make a strain pathogenic.
Biofilm formation has been attributed to the production of inhibitory exopolysaccharides by the aggregation substance agg, enterococcal cell-surface protein esp genes, and collagen-binding proteins in several studies conducted in E. faecium and E. faecalis. This factor is condition dependent and necessary in the colonization of this strain into the GIT, in turn, contributing to the inhibition of pathogenic strains by competitive exclusion mechanism. The formation of biofilm also helps in greater inhibitory secondary metabolite production required in the elimination of pathogens. Recent studies have shown that antibioticresistant enterococcal strains such as E. faecalis isolated from hospital patients possess this gene in large numbers. However, the expression of these genes was found to be condition dependent and opportunistic. Thus, careful screening of non-resistant enterococcal strains for biofilm properties in probiotic foods may help in delivering its functions in the GIT [25,26,27].
One of the best ways of checking the inhibitory properties of probiotic strains is by assessing antibiofilm activity against pathogens of GIT. This property of the strains contributes to the exclusion of pathogens from the GIT. The present study revealed that increasing concentrations of supernatant lead to a decrease in the growth of pathogens and thus inhibition of colonization. Similar results were reported for L. pentosus and L. plantarum against B. cereus and P. aeruginosa [21]. The probiotic strains eliminate pathogens by inhibiting their growth and progression toward biofilm formation by secreting various acids and bacteriocins. This ability helps in fighting the infectious agents in the intestine thus flourishing the healthy gut microbiome. Some studies have also reported that the biopolymers or EPS from enterococci have contributed to the inhibition of biofilm formation by the pathogens [33][34][35].
Adhesion is an essential step in the colonization of probiotic bacteria in the GIT. It is essential to know the time of adhesion of beneficial bacteria. Literature has reported that probiotic bacteria that are present in the gut for at least 2-3 h show good adhesion properties. The intestinal microbiota washes out the pathogenic invading bacteria from the GIT. This function prevents the probiotic cells from adhesion [36].

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The cells should not be washed off by the gastric mucosal secretions. Hence, we studied the total adhesion of bacteria in 2 h of incubation. The adhesion property of microbial cells can be evaluated by adhesion to certain substances such as polystyrene, mucus, glass, and plastic. This factor is necessary for host-microbe interactions and pathogen exclusion. It is also necessary that probiotic bacteria should persist in the gut for a longer period of time and provide long-term benefits by eliminating pathogens and creating healthy gut microbiota [22]. The adherence is mediated by cell-signaling pathways with the involvement of various cell-signaling proteins and also lipoteichoic acids of the bacteria. Several bacterial cell surface proteins play an important role in adhesion to mucosal surfaces. They are also considered as virulence factors in progressing infection. The adhesion property of bacteria as previously described helps in colonizing and competitive exclusion of pathogens. Hence, probiotic bacteria used in functional food, must surpass the harsh environment of the GIT and successfully colonize themselves in the gut [37].
Bacterial adhesion can be initiated by hydrophobicity and Lewis-acidbase characteristics. Hence, it is important to study the bacterial cell surface interactions between polar and apolar solvents. Chloroform was used as an acidic solvent and electron acceptor; ethyl acetate as basic solvent with electron donating properties; xylene was used as an apolar solvent in the evaluation of hydrophobicity and hydrophilicity studies [24].
Chloroform, ethyl acetate, and xylene revealed different hydrophobicity degrees with different strains. Similar results were observed while working with L. acidophilus M92 and L. plantarum strains [14,17]. However, the bacterial adhesion to solvents is not a prerequisite factor for cell adhesion. The cell surface hydrophobicity is weak non-specific interactions at first and irreversible. It is then progressed to adhesion by mediating specific signals between the cell surface proteins and lipoteichoic acids. A similar range of hydrophobicity values were reported for E. faecium isolated from Bulgarian feta cheese [38]. The isolated strains displayed much higher hydrophobicity values than E. faecium EM 485 (8.18%) and E. faecium EM 925 (11.33 %) [4]. The stronger the cell surface hydrophobicity, greater will be the adhesion to the mucosal cells. This, in turn, helps in the survival and attachment of the probiotic bacteria in the intestinal tract for longer periods of time. The hydrophobicity factor is not particularly compulsory for cell adhesion but is thought to assist in cell adhesion. This property is seen to vary among various strains among the species [39].
Hydrogen peroxide is an important secondary metabolite produced by all lactic acid bacteria. The present study reveals the hydrogen peroxide producing a potential of the enterococci. Agboola F. M. observed similar results while studying vaginal lactobacillus isolates L. lactis and L. acidophilus (0.0042 g/ml) [40]. It plays an important role in antagonistic activity against pathogens by exerting a strong oxidizing effect on the cell and destructs the cellular proteins. This property of hydrogen peroxide contributes to pathogen exclusion of urogenital infections. In the presence of copper and iron, hydrogen peroxide is known to produce highly reactive OHfree radicals. These radicals attack the polyunsaturated fatty acids on bacterial cell membranes initiating lipid peroxidation. This, in turn, alters the fluidity in membranes leading to cell death of pathogens [41].
The autoaggregation and coaggregation abilities of bacteria are also mediated by cell-signaling pathways. Aggregation and coaggregation were seen in most of the tested enterococci strains in the present study.
In a similar study conducted from Bulgarian feta cheese, much lower aggregation properties were seen in E. faecium and E. faecalis [42]. Furthermore, similar values were reported by L. paracasei ST284BZ and L. pentosus ST712BZ [43]. Similar results were reported by Dos Santos et al., in her study on E. faecium isolated from Brazilian cheese and E. coli (78±2) [4]. Favaro et al. too found a varying degree of percentage of this property in his study [42]. Strains with self-aggregation ability below 10% are considered as non-aggregating [44]. Greater cell surface hydrophobicity can be caused due to the presence of glycoproteins on the cell-surface which result in specific binding self-aggregation of organisms [45]. Self-aggregation may contribute to biofilm formation thus eliminating pathogens by competitive exclusion mechanism. The higher coaggregation ability helps in the excretion of inhibitory substances by the probiotic bacteria thus eliminating the pathogens from the GIT. Furthermore, lower values of the coaggregation may prevent biofilm formation by the pathogens [20,24].

CONCLUSIONS
The present study has reported the possible probiotic potential of Enterococcus strians of human origin. They proved to be anti-pathogenic, adherent, antibiotic sensitive, and tolerant to pancreatic enzymes. Although these bacteria have proved some of their in vitro probiotic properties, it is essential to check their properties in vivo to prove them safe for probiotic purpose. These isolates can be considered as probiotic candidates for human or animal consumption only after required clinical studies.