Non-typhoidal salmonellosis (NTS) caused by multidrug-resistant (MDR) is a significant public health concern worldwide. Probiotics offer a potential alternative to antibiotics in many infectious diseases, including NTS. However, using living bacteria raises safety concerns in clinical settings, especially in the immunocompromised host. This study compared the anti- and immunomodulatory effects between viable (probiotics) and heat-killed (paraprobiotics) lactic acid bacteria KUNN19-2 (KUNN19-2), isolated from Thai-style fermented pork (Nham), against several strains of MDR . Only viable KUNN19-2 and its cell-free supernatant directly inhibited growth by spot-on lawn and agar well diffusion assays. A significant reduction in numbers in the co-culture assay with viable KUNN19-2 was observed at 12-14 h after the incubation. Viable and heat-killed KUNN19-2 exhibited moderate adhesion to human colonic epithelium (T84) cells. Pretreatment with either form of KUNN19-2 enhanced macrophage (RAW264.7) phagocytic activity against and upregulated pro-inflammatory genes ( and ) and anti-inflammatory gene () expression, with viable KUNN19-2 showing a more potent effect. Collectively, viable KUNN19-2 can directly inhibit growth. However, viable and heat-killed KUNN19-2 can modulate gut immunity against infection, suggesting that paraprobiotic KUNN19-2 may serve as an alternative treatment against MDR through host immune modulation.

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http://dx.doi.org/10.3390/ijms26051821DOI Listing

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Non-typhoidal salmonellosis (NTS) caused by multidrug-resistant (MDR) is a significant public health concern worldwide. Probiotics offer a potential alternative to antibiotics in many infectious diseases, including NTS. However, using living bacteria raises safety concerns in clinical settings, especially in the immunocompromised host.

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