An experimental mouse model to establish Tropheryma whipplei as a diarrheal agent

Khatoun Al Moussawi1, Nada Malou, Jean-Louis Mege

  • 1Centre National de Recherche Scientifique, Université de la Méditerranée, Marseille, France.

Insights

Tropheryma whipplei causes gastroenteritis, challenging its rare disease status. This ubiquitous bacterium induced diarrhea in mice, with intestinal damage promoting its spread and triggering an immune response.

Area of Science:

  • Microbiology
  • Gastroenterology
  • Immunology

Background:

  • Tropheryma whipplei was historically considered a rare bacterium causing Whipple's disease.
  • Emerging evidence suggests T. whipplei is a common environmental bacterium potentially linked to gastroenteritis.

Purpose of the Study:

  • To develop an animal model to investigate the role of T. whipplei in gastroenteritis.
  • To determine if T. whipplei can induce gastrointestinal symptoms and how intestinal conditions affect its behavior.

Main Methods:

  • Oral administration of T. whipplei to a mouse model.
  • Induction of intestinal mucosal damage using dextran sulfate.
  • Detection of bacterial presence in stools and colon.
  • Measurement of T. whipplei-specific immune responses (IgM, IgG, IgA) using immuno-polymerase chain reaction.

Main Results:

  • Oral T. whipplei induced diarrhea in mice without initial intestinal invasion.
  • Intestinal mucosal damage significantly promoted bacterial persistence in stools and spread to the colon.
  • A specific immune response, including serum IgM, IgG, and fecal IgA, was observed.

Conclusions:

  • Tropheryma whipplei is confirmed as a causative agent of gastroenteritis.
  • Pre-existing intestinal mucosal damage can facilitate T. whipplei invasion into host tissues.

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