Neonatal Enteropathogenic Escherichia coli Infection Disrupts Microbiota-Gut-Brain Axis Signaling

Carly Hennessey1, Ciara E Keogh1, Mariana Barboza1

  • 1Department of Anatomy, Physiology and Cell Biology, School of Veterinary Medicine, University of California, Davis, Davis, California, USA.

Insights

Early-life infections with enteropathogenic Escherichia coli (EPEC) in mice impair the microbiota-gut-brain axis, leading to cognitive deficits and gut inflammation in adulthood. This highlights the long-term impact of infant diarrheal diseases.

Area of Science:

  • Microbiology
  • Neuroscience
  • Gastroenterology
  • Developmental Biology

Background:

  • Diarrheal diseases are a major cause of mortality in young children globally.
  • Early-life infections can lead to developmental issues, including cognitive deficits, potentially via the microbiota-gut-brain (MGB) axis.
  • The long-term consequences of neonatal enteric pathogen exposure on the MGB axis are not fully understood.

Purpose of the Study:

  • To investigate the long-term effects of neonatal enteropathogenic Escherichia coli (EPEC) infection on the MGB axis in a mouse model.
  • To assess behavioral, neurological, intestinal, and microbiota changes following early-life EPEC exposure.

Main Methods:

  • Neonatal C57BL/6 mice were infected with EPEC (strain e2348/69) or a type III secretion system (T3SS) mutant via orogastric gavage at postnatal day 7.
  • Adult offspring were evaluated using behavioral tests (NOR, L/D box, OFT), intestinal physiology assessments (Ussing chambers, FITC-dextran flux), and gut microbiota analysis (16S rRNA sequencing).
  • Neurogenesis and neuroinflammation markers (Ki67, doublecortin, Iba1) and cytokine/receptor expression (Tnfα, Il12, Il6, Nod1/2, Tlr2/4) were measured.

Main Results:

  • Neonatal EPEC infection, but not the T3SS mutant, induced ileal inflammation and impaired adult recognition memory.
  • Cognitive deficits were associated with increased adult neurogenesis, neuroinflammation (microglia activation), and altered intestinal physiology (increased secretory state and permeability).
  • EPEC infection led to significant gut microbiota dysbiosis, characterized by a decrease in Firmicutes, and increased expression of pro-inflammatory markers in the ileum and colon.

Conclusions:

  • Neonatal infection with pathogenic EPEC has lasting detrimental effects on the microbiota-gut-brain axis into adulthood.
  • Early-life enteric infections can impair cognitive function and alter gut and brain physiology, underscoring the importance of preventing diarrheal diseases in infancy.
  • These findings highlight a critical window in early life where microbial insults can permanently affect neurodevelopment and gut health.