Innate immunity restricts Citrobacter rodentium A/E pathogenesis initiation to an early window of opportunity

Stefanie Buschor1,2, Miguelangel Cuenca1,2, Stephanie S Uster1

  • 1Institute for Infectious Diseases, University of Bern, Bern, Switzerland.

Plos Pathogens
|June 30, 2017
PubMed

Insights

Citrobacter rodentium establishes infections through local clonal growth, not re-infection. Early infection events within 18 hours dictate disease severity and location, independent of luminal bacteria.

Area of Science:

  • Microbiology
  • Immunology
  • Gastroenterology

Background:

  • Citrobacter rodentium infection in mice models human enteropathogenic E. coli (EPEC) infections.
  • Both pathogens cause diarrheal disease via attachment/effacement (A/E) lesions on the intestinal epithelium.
  • Pathogenesis relies on dynamic microcolonies capable of self-renewal through epithelial re-infection.

Purpose of the Study:

  • To investigate whether sustained A/E lesion pathogenesis results from re-infection by planktonic bacteria or local spread.
  • To elucidate the mechanisms governing the early establishment of C. rodentium infections.
  • To determine the critical time window for C. rodentium colonization and its impact on disease progression.

Main Methods:

  • Utilized a mouse model of Citrobacter rodentium infection.
  • Analyzed the clonal origin and growth patterns of colonic epithelial A/E microcolonies.
  • Investigated the role of TLR-MyD88/Trif-dependent signaling in induced resistance to A/E lesion formation.

Main Results:

  • All colonic epithelial A/E microcolonies are clonal bacterial populations, indicating reliance on local growth.
  • Microcolonies are established exclusively within the first 18 hours of infection in wild-type mice.
  • TLR-MyD88/Trif signaling, induced by virulent C. rodentium, mediates resistance to new lesion formation.

Conclusions:

  • The establishment of C. rodentium infection is restricted to a narrow early window (18 hours).
  • Local clonal growth, not luminal re-infection, is the primary mechanism for A/E microcolony persistence.
  • Early infection events significantly shape the overall disease geography and severity.