A murine model of diarrhea, growth impairment and metabolic disturbances with Shigella flexneri infection and the role of zinc deficiency

ABSTRACT Shigella is one of the major enteric pathogens worldwide. We present a murine model of S. flexneri infection and investigate the role of zinc deficiency (ZD). C57BL/6 mice fed either standard chow (HC) or ZD diets were pretreated with an antibiotic cocktail and received S. flexneri strain 2457T orally. Antibiotic pre-treated ZD mice showed higher S. flexneri colonization than non-treated mice. ZD mice showed persistent colonization for at least 50 days post-infection (pi). S. flexneri-infected mice showed significant weight loss, diarrhea and increased levels of fecal MPO and LCN in both HC and ZD fed mice. S. flexneri preferentially colonized the colon, caused epithelial disruption and inflammatory cell infiltrate, and promoted cytokine production which correlated with weight loss and histopathological changes. Infection with S. flexneri ΔmxiG (critical for type 3 secretion system) did not cause weight loss or diarrhea, and had decreased stool shedding duration and tissue burden. Several biochemical changes related to energy, inflammation and gut-microbial metabolism were observed. Zinc supplementation increased weight gains and reduced intestinal inflammation and stool shedding in ZD infected mice. In conclusion, young antibiotic-treated mice provide a new model of oral S. flexneri infection, with ZD promoting prolonged infection outcomes.

[1]  Mark A. Miller,et al.  Use of quantitative molecular diagnostic methods to investigate the effect of enteropathogen infections on linear growth in children in low-resource settings: longitudinal analysis of results from the MAL-ED cohort study , 2018, The Lancet. Global health.

[2]  R. Guerrant,et al.  Critical Role of Zinc in a New Murine Model of Enterotoxigenic Escherichia coli Diarrhea , 2018, Infection and Immunity.

[3]  Gregory L. Medlock,et al.  A novel mouse model of Campylobacter jejuni enteropathy and diarrhea , 2018, bioRxiv.

[4]  Martin Wu,et al.  Innate Immune Response and Outcome of Clostridium difficile Infection Are Dependent on Fecal Bacterial Composition in the Aged Host , 2018, The Journal of infectious diseases.

[5]  P. Stothard,et al.  Initial Gut Microbial Composition as a Key Factor Driving Host Response to Antibiotic Treatment, as Exemplified by the Presence or Absence of Commensal Escherichia coli , 2017, Applied and Environmental Microbiology.

[6]  B. B. Finlay,et al.  Gut microbiota-mediated protection against diarrheal infections , 2017, Journal of travel medicine.

[7]  H. Koley,et al.  Mice with Streptozotocin-Induced Hyperglycemia are Susceptible to Invasive Enteric Bacterial Infection. , 2017, Japanese journal of infectious diseases.

[8]  Gregory L. Medlock,et al.  Protein- and zinc-deficient diets modulate the murine microbiome and metabolic phenotype12 , 2016, The American journal of clinical nutrition.

[9]  R. Guerrant,et al.  Protein Malnutrition Impairs Intestinal Epithelial Cell Turnover, a Potential Mechanism of Increased Cryptosporidiosis in a Murine Model , 2016, Infection and Immunity.

[10]  Wilbur H. Chen,et al.  Shigella Vaccine Development: Finding the Path of Least Resistance , 2016, Clinical and Vaccine Immunology.

[11]  J. King,et al.  A Review of Dietary Zinc Recommendations , 2016, Food and nutrition bulletin.

[12]  P. Sansonetti,et al.  Shigella Diversity and Changing Landscape: Insights for the Twenty-First Century , 2016, Front. Cell. Infect. Microbiol..

[13]  A. Havt,et al.  Comparisons between myeloperoxidase, lactoferrin, calprotectin and lipocalin-2, as fecal biomarkers of intestinal inflammation in malnourished children , 2016, Journal of translational science.

[14]  K. Holt,et al.  The genomic signatures of Shigella evolution, adaptation and geographical spread , 2016, Nature Reviews Microbiology.

[15]  J. Routy,et al.  The Kynurenine Pathway Is a Double-Edged Sword in Immune-Privileged Sites and in Cancer: Implications for Immunotherapy , 2016, International journal of tryptophan research : IJTR.

[16]  O. Koren,et al.  Chronic Zinc Deficiency Alters Chick Gut Microbiota Composition and Function , 2015, Nutrients.

[17]  L. Magder,et al.  Association Between Shigella Infection and Diarrhea Varies Based on Location and Age of Children. , 2015, The American journal of tropical medicine and hygiene.

[18]  Mark A. Miller,et al.  Pathogen-specific burdens of community diarrhoea in developing countries: a multisite birth cohort study (MAL-ED). , 2015, The Lancet. Global health.

[19]  S. Attridge,et al.  Shigella flexneri cell-to-cell spread, and growth and inflammation in mice, is limited by the outer membrane protease IcsP. , 2015, FEMS microbiology letters.

[20]  Jun Liu,et al.  Visualization of the type III secretion sorting platform of Shigella flexneri , 2015, Proceedings of the National Academy of Sciences.

[21]  A. Havt,et al.  Update on molecular epidemiology of Shigella infection , 2015, Current opinion in gastroenterology.

[22]  H. Agaisse,et al.  The Shigella flexneri Type 3 Secretion System Is Required for Tyrosine Kinase-Dependent Protrusion Resolution, and Vacuole Escape during Bacterial Dissemination , 2014, PloS one.

[23]  J. Bassaganya-Riera,et al.  Zinc deficiency alters host response and pathogen virulence in a mouse model of enteroaggregative escherichia coli-induced diarrhea , 2014, Gut microbes.

[24]  Thomas Brewer,et al.  Zinc deficiency in children with environmental enteropathy—development of new strategies: report from an expert workshop1234 , 2014, The American journal of clinical nutrition.

[25]  Shihab U. Sobuz,et al.  Development and assessment of molecular diagnostic tests for 15 enteropathogens causing childhood diarrhoea: a multicentre study. , 2014, The Lancet. Infectious diseases.

[26]  Y. Ye,et al.  Antimicrobial resistance patterns and characterization of integrons in clinical isolates of Shigella from China. , 2014, Canadian journal of microbiology.

[27]  S. Ryu,et al.  A mouse model of shigellosis by intraperitoneal infection. , 2014, The Journal of infectious diseases.

[28]  N. Carayol,et al.  The inside story of Shigella invasion of intestinal epithelial cells. , 2013, Cold Spring Harbor perspectives in medicine.

[29]  P. Cossart,et al.  The Zebrafish as a New Model for the In Vivo Study of Shigella flexneri Interaction with Phagocytes and Bacterial Autophagy , 2013, PLoS pathogens.

[30]  Inacio Mandomando,et al.  Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, GEMS): a prospective, case-control study , 2013, The Lancet.

[31]  S. Knechtle,et al.  Lymphodepletional strategies in transplantation. , 2013, Cold Spring Harbor perspectives in medicine.

[32]  M. Levine,et al.  Progress and pitfalls in Shigella vaccine research , 2013, Nature Reviews Gastroenterology &Hepatology.

[33]  I. Wilson,et al.  Hippurate: the natural history of a mammalian-microbial cometabolite. , 2013, Journal of proteome research.

[34]  P. Sansonetti,et al.  Shigella: a model of virulence regulation in vivo. , 2012, Gut microbes.

[35]  A. Pal,et al.  Outer Membrane Protein A (OmpA) of Shigella flexneri 2a, Induces Protective Immune Response in a Mouse Model , 2011, PloS one.

[36]  J. A. Cole,et al.  Modulation of Shigella virulence in response to available oxygen in vivo , 2010, Nature.

[37]  J. Utzinger,et al.  Systems metabolic effects of a necator americanus infection in Syrian hamster. , 2009, Journal of proteome research.

[38]  Jeffrey D Goldsmith,et al.  A mouse model of Clostridium difficile-associated disease. , 2008, Gastroenterology.

[39]  D. Sack,et al.  Zinc supplementation in the management of shigellosis in malnourished children in Bangladesh , 2008, European Journal of Clinical Nutrition.

[40]  J. Aranda,et al.  A Meta-analysis of the Effects of Oral Zinc in the Treatment of Acute and Persistent Diarrhea , 2008, Pediatrics.

[41]  C. Sasakawa,et al.  New Animal Model of Shigellosis in the Guinea Pig: Its Usefulness for Protective Efficacy Studies1 , 2007, The Journal of Immunology.

[42]  P. Sansonetti Rupture, invasion and inflammatory destruction of the intestinal barrier by Shigella: the yin and yang of innate immunity. , 2006, The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale.

[43]  G. Rossi,et al.  Mucosal lymphoid infiltrate dominates colonic pathological changes in murine experimental shigellosis. , 2005, The Journal of infectious diseases.

[44]  M. Mathan,et al.  Effects of zinc supplementation as adjunct therapy on the systemic immune responses in shigellosis. , 2005, The American journal of clinical nutrition.

[45]  M. Tanner,et al.  Metabonomic investigations in mice infected with Schistosoma mansoni: an approach for biomarker identification. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[46]  S M Payne,et al.  Complete Genome Sequence and Comparative Genomics of Shigella flexneri Serotype 2a Strain 2457T , 2003, Infection and Immunity.

[47]  T. Ochoa,et al.  Lactoferrin Protects Rabbits from Shigella flexneri-Induced Inflammatory Enteritis , 2002, Infection and Immunity.

[48]  F. Qadri,et al.  Innate Immune Responses in Children and Adults with Shigellosis , 2000, Infection and Immunity.

[49]  M. Levine,et al.  Production of IFN-γ and IL-10 to Shigella Invasins by Mononuclear Cells from Volunteers Orally Inoculated with a Shiga Toxin-Deleted Shigella dysenteriae Type 1 Strain1 , 2000, The Journal of Immunology.

[50]  R. Hammer,et al.  Normal luminal bacteria, especially Bacteroides species, mediate chronic colitis, gastritis, and arthritis in HLA-B27/human beta2 microglobulin transgenic rats. , 1996, The Journal of clinical investigation.

[51]  J. Wallace,et al.  Reactivation of hapten-induced colitis and its prevention by anti-inflammatory drugs. , 1995, The American journal of physiology.

[52]  J. Andersson,et al.  Cytokine secretion in acute shigellosis is correlated to disease activity and directed more to stool than to plasma. , 1995, The Journal of infectious diseases.

[53]  P. G. Reeves,et al.  Interaction of zinc and essential fatty acids in the rat. , 1979, The Journal of nutrition.

[54]  D. Hentges,et al.  Experimental Shigella Infections in Laboratory Animals I. Antagonism by Human Normal Flora Components in Gnotobiotic Mice , 1972, Infection and immunity.

[55]  R. Singh,et al.  Aloe vera (Aloe barbadensis Miller) supplemented probiotic lassi prevents Shigella infiltration from epithelial barrier into systemic blood flow in mice model. , 2017, Microbial pathogenesis.

[56]  R. Stoltzfus,et al.  Interactions between zinc deficiency and environmental enteropathy in developing countries. , 2014, Advances in nutrition.

[57]  K. Eder,et al.  Zinc deficiency and activities of lipogenic and glycolytic enzymes in liver of rats fed coconut oil or linseed oil , 2006, Lipids.