Gut Microbiota-Metabolome Changes in Children With Diarrhea by Diarrheagenic E. coli

Pablo Gallardo1, Mariana Izquierdo1, Roberto M Vidal2

  • 1Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Hospital Dr. Luis Calvo Mackenna, Universidad de Chile, Santiago, Chile.

Insights

Diarrheagenic Escherichia coli (DEC) diarrhea in children is linked to distinct gut microbiota and metabolome profiles. Specific bacterial species correlate with altered histamine and L-ornithine levels, offering insights into disease mechanisms.

Area of Science:

  • Microbiology
  • Metabolomics
  • Pediatric Gastroenterology

Background:

  • Diarrheagenic Escherichia coli (DEC) is a major cause of diarrhea in young children globally.
  • DEC virulence is influenced by gut microbiota metabolites and environmental factors.
  • Understanding the interplay between gut microbiota and DEC is crucial for pediatric health.

Purpose of the Study:

  • To investigate differences in gut microbiota composition and metabolome in children with DEC-associated diarrhea versus healthy children.
  • To identify specific microbial and metabolic signatures associated with DEC infections.
  • To explore correlations between gut bacteria and key metabolites.

Main Methods:

  • Analysis of 16S rRNA gene sequences for microbiota composition in stool samples.
  • Prediction of metabolic pathways using PICRUSt2 based on microbial data.
  • Metabolomic profiling of stool samples using Liquid Chromatography-Mass Spectrometry (LC-MS).
  • Correlation analysis between bacterial genera and detected metabolites using MIMOSA2.

Main Results:

  • Significant differences in gut microbiota composition were observed between DEC-positive and healthy children.
  • The DEC group showed a decrease in Firmicutes and an increase in Bacteroidetes and Proteobacteria.
  • Metabolic pathways related to histidine and L-ornithine metabolism differed significantly.
  • Elevated histamine and reduced ornithine levels were found in DEC samples, correlated with specific bacterial species and pathways.

Conclusions:

  • Children with DEC diarrhea exhibit distinct gut microbiota and metabolome profiles compared to healthy children.
  • A strong association exists between specific gut bacteria and metabolites like histamine and L-ornithine in DEC infections.
  • These findings may elucidate signaling molecules and mechanisms in the host-pathogen-microbiota interaction.

Related Concept Videos

Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents01:18

Drugs Affecting GI Tract Motility: Antimicrobials as Antidiarrheal Agents

Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
332
Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
86.0K
Bacterial Flora of the Large Intestine01:29

Bacterial Flora of the Large Intestine

The gut microbiome is formed by a vast and diverse community of bacteria that colonizes our large intestine. These bacteria start residing in the gut from birth and continue diversifying throughout life, influenced by factors such as diet, lifestyle, and stress. The gut bacterial community also includes bacteria from food and those that enter the colon through the anus.
The normal gut flora of the colon plays a critical role in generating essential vitamins such as vitamins K, B5, and B7.
1.1K
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
479
Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents01:20

Drugs Affecting GI Tract Motility: Adsorbents as Antidiarrheal Agents

Diarrhea is characterized by the occurrence of frequent, watery bowel movements. Various factors can trigger diarrhea, including viral or bacterial infections, foodborne illnesses, side effects from certain medications, and underlying digestive disorders. If not adequately managed, diarrhea can lead to complications such as dehydration, electrolyte imbalances, and nutrient deficiencies. Severe diarrhea can lead to significant weight loss, malnutrition, and weakened immune function.
Adsorbents...
469
Stringent Response in E. coli01:23

Stringent Response in E. coli

Bacterial growth is closely tied to nutrient availability, with cells proliferating exponentially under favorable conditions and entering a stationary phase when resources become scarce. This transition is mediated by a regulatory mechanism known as the stringent response, which allows bacteria to adapt to nutrient deprivation by modulating gene expression and metabolic activity.During nutrient scarcity, intracellular amino acid levels decline. It results in the accumulation of uncharged tRNAs...
188