Open Access Highly Accessed Research article

S-Adenosyl-L-Methionine protects the probiotic yeast, Saccharomyces boulardii, from acid-induced cell death

Vincent Cascio12, Daniel Gittings13, Kristen Merloni1, Matthew Hurton1, David Laprade14 and Nicanor Austriaco1*

Author Affiliations

1 Department of Biology, Providence College, 1 Cunningham Square, Providence, Rhode Island 02918, USA

2 Present Address: Massachusetts General Hospital, 149 13th St., Rm. 6133, Charlestown, MA 02129, USA

3 Present Address: Boston University School of Medicine, 72 E Concord St, Boston, MA 02118, USA

4 Present Address: Tufts University, Miner Hall 222, Medford, MA 02155, USA

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BMC Microbiology 2013, 13:35  doi:10.1186/1471-2180-13-35

Published: 13 February 2013



Saccharomyces boulardii is a probiotic yeast routinely used to prevent and to treat gastrointestinal disorders, including the antibiotic-associated diarrhea caused by Clostridium difficile infections. However, only 1-3% of the yeast administered orally is recovered alive in the feces suggesting that this yeast is unable to survive the acidic environment of the gastrointestinal tract.


We provide evidence that suggests that S. boulardii undergoes programmed cell death (PCD) in acidic environments, which is accompanied by the generation of reactive oxygen species and the appearance of caspase-like activity. To better understand the mechanism of cell death at the molecular level, we generated microarray gene expression profiles of S. boulardii cells cultured in an acidic environment. Significantly, functional annotation revealed that the up-regulated genes were significantly over-represented in cell death pathways Finally, we show that S-adenosyl-L-methionine (AdoMet), a commercially available, FDA-approved dietary supplement, enhances the viability of S. boulardii in acidic environments, most likely by preventing programmed cell death.


In toto, given the observation that many of the proven health benefits of S. boulardii are dependent on cell viability, our data suggests that taking S. boulardii and AdoMet together may be a more effective treatment for gastrointestinal disorders than taking the probiotic yeast alone.

S-Adenosyl-L-Methionine; Saccharomyces boulardii; Probiotic; Acid-induced cell death