Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs

ABSTRACT Malnutrition affects millions of children in developing countries, compromising immunity and contributing to increased rates of death from infectious diseases. Rotavirus is a major etiological agent of childhood diarrhea in developing countries, where malnutrition is prevalent. However, the...

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Autores principales: Anastasia N. Vlasova, Francine C. Paim, Sukumar Kandasamy, Moyasar A. Alhamo, David D. Fischer, Stephanie N. Langel, Loic Deblais, Anand Kumar, Juliet Chepngeno, Lulu Shao, Huang-Chi Huang, Rosario A. Candelero-Rueda, Gireesh Rajashekara, Linda J. Saif
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Publicado: American Society for Microbiology 2017
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spelling oai:doaj.org-article:9291c5cc56e846e5b040c39e7bff20342021-11-15T15:21:45ZProtein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs10.1128/mSphere.00046-172379-5042https://doaj.org/article/9291c5cc56e846e5b040c39e7bff20342017-04-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00046-17https://doaj.org/toc/2379-5042ABSTRACT Malnutrition affects millions of children in developing countries, compromising immunity and contributing to increased rates of death from infectious diseases. Rotavirus is a major etiological agent of childhood diarrhea in developing countries, where malnutrition is prevalent. However, the interactions between the two and their combined effects on immune and intestinal functions are poorly understood. In this study, we used neonatal gnotobiotic (Gn) pigs transplanted with the fecal microbiota of a healthy 2-month-old infant (HIFM) and fed protein-deficient or -sufficient bovine milk diets. Protein deficiency induced hypoproteinemia, hypoalbuminemia, hypoglycemia, stunting, and generalized edema in Gn pigs, as observed in protein-malnourished children. Irrespective of the diet, human rotavirus (HRV) infection early, at HIFM posttransplantation day 3 (PTD3), resulted in adverse health effects and higher mortality rates (45 to 75%) than later HRV infection (PTD10). Protein malnutrition exacerbated HRV infection and affected the morphology and function of the small intestinal epithelial barrier. In pigs infected with HRV at PTD10, there was a uniform decrease in the function and/or frequencies of natural killer cells, plasmacytoid dendritic cells, and CD103+ and apoptotic mononuclear cells and altered gene expression profiles of intestinal epithelial cells (chromogranin A, mucin 2, proliferating cell nuclear antigen, SRY-Box 9, and villin). Thus, we have established the first HIFM-transplanted neonatal pig model that recapitulates major aspects of protein malnutrition in children and can be used to evaluate physiologically relevant interventions. Our findings provide an explanation of why nutrient-rich diets alone may lack efficacy in malnourished children. IMPORTANCE Malnutrition and rotavirus infection, prevalent in developing countries, individually and in combination, affect the health of millions of children, compromising their immunity and increasing the rates of death from infectious diseases. However, the interactions between the two and their combined effects on immune and intestinal functions are poorly understood. We have established the first human infant microbiota-transplanted neonatal pig model of childhood malnutrition that reproduced the impaired immune, intestinal, and other physiological functions seen in malnourished children. This model can be used to evaluate relevant dietary and other health-promoting interventions. Our findings provide an explanation of why adequate nutrition alone may lack efficacy in malnourished children.Anastasia N. VlasovaFrancine C. PaimSukumar KandasamyMoyasar A. AlhamoDavid D. FischerStephanie N. LangelLoic DeblaisAnand KumarJuliet ChepngenoLulu ShaoHuang-Chi HuangRosario A. Candelero-RuedaGireesh RajashekaraLinda J. SaifAmerican Society for Microbiologyarticleintestinal epithelial cellsgnotobiotic pigletshuman infant fecal microbiotahuman rotavirusinnate immunityintestinal epithelial barrierMicrobiologyQR1-502ENmSphere, Vol 2, Iss 2 (2017)
institution DOAJ
collection DOAJ
language EN
topic intestinal epithelial cells
gnotobiotic piglets
human infant fecal microbiota
human rotavirus
innate immunity
intestinal epithelial barrier
Microbiology
QR1-502
spellingShingle intestinal epithelial cells
gnotobiotic piglets
human infant fecal microbiota
human rotavirus
innate immunity
intestinal epithelial barrier
Microbiology
QR1-502
Anastasia N. Vlasova
Francine C. Paim
Sukumar Kandasamy
Moyasar A. Alhamo
David D. Fischer
Stephanie N. Langel
Loic Deblais
Anand Kumar
Juliet Chepngeno
Lulu Shao
Huang-Chi Huang
Rosario A. Candelero-Rueda
Gireesh Rajashekara
Linda J. Saif
Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs
description ABSTRACT Malnutrition affects millions of children in developing countries, compromising immunity and contributing to increased rates of death from infectious diseases. Rotavirus is a major etiological agent of childhood diarrhea in developing countries, where malnutrition is prevalent. However, the interactions between the two and their combined effects on immune and intestinal functions are poorly understood. In this study, we used neonatal gnotobiotic (Gn) pigs transplanted with the fecal microbiota of a healthy 2-month-old infant (HIFM) and fed protein-deficient or -sufficient bovine milk diets. Protein deficiency induced hypoproteinemia, hypoalbuminemia, hypoglycemia, stunting, and generalized edema in Gn pigs, as observed in protein-malnourished children. Irrespective of the diet, human rotavirus (HRV) infection early, at HIFM posttransplantation day 3 (PTD3), resulted in adverse health effects and higher mortality rates (45 to 75%) than later HRV infection (PTD10). Protein malnutrition exacerbated HRV infection and affected the morphology and function of the small intestinal epithelial barrier. In pigs infected with HRV at PTD10, there was a uniform decrease in the function and/or frequencies of natural killer cells, plasmacytoid dendritic cells, and CD103+ and apoptotic mononuclear cells and altered gene expression profiles of intestinal epithelial cells (chromogranin A, mucin 2, proliferating cell nuclear antigen, SRY-Box 9, and villin). Thus, we have established the first HIFM-transplanted neonatal pig model that recapitulates major aspects of protein malnutrition in children and can be used to evaluate physiologically relevant interventions. Our findings provide an explanation of why nutrient-rich diets alone may lack efficacy in malnourished children. IMPORTANCE Malnutrition and rotavirus infection, prevalent in developing countries, individually and in combination, affect the health of millions of children, compromising their immunity and increasing the rates of death from infectious diseases. However, the interactions between the two and their combined effects on immune and intestinal functions are poorly understood. We have established the first human infant microbiota-transplanted neonatal pig model of childhood malnutrition that reproduced the impaired immune, intestinal, and other physiological functions seen in malnourished children. This model can be used to evaluate relevant dietary and other health-promoting interventions. Our findings provide an explanation of why adequate nutrition alone may lack efficacy in malnourished children.
format article
author Anastasia N. Vlasova
Francine C. Paim
Sukumar Kandasamy
Moyasar A. Alhamo
David D. Fischer
Stephanie N. Langel
Loic Deblais
Anand Kumar
Juliet Chepngeno
Lulu Shao
Huang-Chi Huang
Rosario A. Candelero-Rueda
Gireesh Rajashekara
Linda J. Saif
author_facet Anastasia N. Vlasova
Francine C. Paim
Sukumar Kandasamy
Moyasar A. Alhamo
David D. Fischer
Stephanie N. Langel
Loic Deblais
Anand Kumar
Juliet Chepngeno
Lulu Shao
Huang-Chi Huang
Rosario A. Candelero-Rueda
Gireesh Rajashekara
Linda J. Saif
author_sort Anastasia N. Vlasova
title Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs
title_short Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs
title_full Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs
title_fullStr Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs
title_full_unstemmed Protein Malnutrition Modifies Innate Immunity and Gene Expression by Intestinal Epithelial Cells and Human Rotavirus Infection in Neonatal Gnotobiotic Pigs
title_sort protein malnutrition modifies innate immunity and gene expression by intestinal epithelial cells and human rotavirus infection in neonatal gnotobiotic pigs
publisher American Society for Microbiology
publishDate 2017
url https://doaj.org/article/9291c5cc56e846e5b040c39e7bff2034
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