Persistent infection with Crohn's disease-associated adherent-invasive Escherichia coli leads to chronic inflammation and intestinal fibrosis

Nat Commun. 2013:4:1957. doi: 10.1038/ncomms2957.

Abstract

Crohn's disease is a chronic inflammatory condition of the gastrointestinal tract in which alterations to the bacterial community contribute to disease. Adherent-invasive Escherichia coli are associated with human Crohn's disease; however, their role in intestinal immunopathology is unclear because of the lack of an animal model compatible with chronic timescales. Here we establish chronic adherent-invasive Escherichia coli infection in streptomycin-treated conventional mice (CD1, DBA/2, C3H, 129e and C57BL/6), enabling the study of host response and immunopathology. Adherent-invasive Escherichia coli induces an active T-helper 17 response, heightened levels of proinflammatory cytokines and fibrotic growth factors, with transmural inflammation and fibrosis. Depletion of CD8+ T cells increases caecal bacterial load, pathology and intestinal fibrosis in C57BL/6 mice, suggesting a protective role. Our findings provide evidence that chronic adherent-invasive Escherichia coli infections result in immunopathology similar to that seen in Crohn's disease. With this model, research into the host and bacterial genetics associated with adherent-invasive Escherichia coli-induced disease becomes more widely accessible.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacterial Adhesion*
  • Bacterial Load
  • CD8-Positive T-Lymphocytes / metabolism
  • Cecum / microbiology
  • Cecum / pathology
  • Cell Count
  • Chronic Disease
  • Colon / microbiology
  • Colon / pathology
  • Crohn Disease / complications
  • Crohn Disease / immunology
  • Crohn Disease / microbiology*
  • Crohn Disease / pathology
  • Escherichia coli / physiology*
  • Escherichia coli Infections / complications
  • Escherichia coli Infections / immunology
  • Escherichia coli Infections / microbiology
  • Escherichia coli Infections / pathology*
  • Fibrosis
  • Gene Expression Regulation
  • Humans
  • Inflammation / complications
  • Inflammation / immunology
  • Inflammation / microbiology
  • Inflammation / pathology*
  • Intestines / immunology
  • Intestines / microbiology*
  • Intestines / pathology*
  • Mice
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Staining and Labeling
  • Th1 Cells / immunology
  • Th17 Cells / immunology

Substances

  • RNA, Messenger