Modulation of acute diarrheal illness by persistent bacterial infection

ME McBee, PZ Zheng, AB Rogers, JG Fox… - Infection and …, 2008 - Am Soc Microbiol
ME McBee, PZ Zheng, AB Rogers, JG Fox, DB Schauer
Infection and immunity, 2008Am Soc Microbiol
Acute diarrheal illness is a global health problem that may be exacerbated by concurrent
infection. Using Citrobacter rodentium, a murine model of attaching and effacing
diarrheagenic Escherichia coli, we demonstrate that persistent Helicobacter hepaticus
infection modulates host responses to diarrheal disease, resulting in delayed recovery from
weight loss and from tissue damage. Chronic colitis in concurrently infected mice is
characterized by macrophage and Foxp3+ regulatory T-cell accumulation. Prolonged …
Abstract
Acute diarrheal illness is a global health problem that may be exacerbated by concurrent infection. Using Citrobacter rodentium, a murine model of attaching and effacing diarrheagenic Escherichia coli, we demonstrate that persistent Helicobacter hepaticus infection modulates host responses to diarrheal disease, resulting in delayed recovery from weight loss and from tissue damage. Chronic colitis in concurrently infected mice is characterized by macrophage and Foxp3+ regulatory T-cell accumulation. Prolonged disease is also associated with increased interleukin-17 expression, which may be due to suppression of gamma interferon during the acute phase of diarrheal infection. This new model of polymicrobial infection provides insight into the mechanism by which subclinical infection can exacerbate morbidity due to an unrelated self-limiting infection.
American Society for Microbiology