Abstract | OBJECTIVES:
Therapy with broad-spectrum antibiotics is a common practice for premature infants. This treatment can reduce the biodiversity of the fecal microbiota and may be a factor in the cause of necrotizing enterocolitis. In contrast, probiotic treatment of premature infants reduces the incidence of necrotizing enterocolitis. We hypothesized that 1 mechanism for these observations is the influence of bacteria on postnatal development of the mucosal immune system. MATERIALS AND METHODS: Expression of immune molecules and microbial sensors was investigated in the postnatal mouse gastrointestinal tract by real-time polymerase chain reaction. Subsequently, 2-week-old specific pathogen-free and microbial-reduced (MR; antibiotic treated) mice were compared for immune molecule and microbial sensor expression, mesenteric lymph node T-cell numbers and activation, intestinal barrier function/permeability, systemic lymphocyte numbers, and T-cell phenotype commitment. RESULTS:
Toll-like receptor 2, 4, and 5 expression was highest in 2-week-old specific pathogen-free mice, and this expression was decreased in MR mice. There was no difference in intestinal tight-junctional function, as evaluated by fluorescein isothiocyanate-dextran uptake, but MR mice had increased bacterial translocation across the intestinal epithelial barrier. MR mice had significantly fewer splenic B cells and mesenteric lymph node CD4+ T cells, but there were normal numbers of splenic T cells. These systemic T cells from MR mice produced more interleukin-4 and less interferon-gamma and IL-17, indicative of maintenance of the fetal, T-helper cell type 2 phenotype. CONCLUSIONS: The present study shows that intestinal commensal microbiota have an influence on early postnatal immune development. Determining specific bacteria and/or bacterial ligands critical for this development could provide insight into the mechanisms by which broad-spectrum antibiotics and/or probiotic therapy influence the development of the mucosal immune system and mucosal-related diseases.
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Authors | Reed A Dimmitt, Elizabeth M Staley, Gin Chuang, Scott M Tanner, Thomas D Soltau, Robin G Lorenz |
Journal | Journal of pediatric gastroenterology and nutrition
(J Pediatr Gastroenterol Nutr)
Vol. 51
Issue 3
Pg. 262-73
(Sep 2010)
ISSN: 1536-4801 [Electronic] United States |
PMID | 20639773
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Bacterial Agents
- Cytokines
- Interleukin-17
- Toll-Like Receptors
- Interleukin-4
- Interferon-gamma
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Topics |
- Animals
- Animals, Newborn
- Anti-Bacterial Agents
(pharmacology)
- Bacterial Translocation
- CD4-Positive T-Lymphocytes
(metabolism)
- Cytokines
(metabolism)
- Gastrointestinal Tract
(drug effects, immunology, microbiology)
- Immune System
(cytology, physiology)
- Interferon-gamma
(metabolism)
- Interleukin-17
(metabolism)
- Interleukin-4
(metabolism)
- Intestinal Mucosa
(drug effects, immunology)
- Lymph Nodes
(immunology)
- Mice
- Mice, Inbred C57BL
- Reverse Transcriptase Polymerase Chain Reaction
- Spleen
(immunology)
- T-Lymphocytes
(metabolism)
- Toll-Like Receptors
(metabolism)
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