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Determination of Tolerable Fatty Acids and Cholera Toxin Concentrations Using Human Intestinal Epithelial Cells and BALB/c Mouse Macrophages
Published on: May 30, 2013
Gastrointestinal carriage of toxigenic bacteria: relation to diarrhea and to serum immune response
Insights
Heat-labile enterotoxigenic (LT+) bacteria exposure in infants correlated with diarrhea episodes. Immune responses to cholera toxin were observed following diarrhea, but not asymptomatic LT+ bacteria carriage.
Area of Science:
- Pediatrics
- Microbiology
- Immunology
Background:
- Enterotoxigenic bacteria are a significant cause of infant diarrhea worldwide.
- Understanding the immune response to these pathogens is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the association between heat-labile enterotoxigenic (LT+) bacteria and infant diarrhea.
- To examine the development of serum antibodies to cholera toxin in response to LT+ bacteria exposure and diarrhea.
Main Methods:
- A prospective cohort study followed infants from birth to two years.
- Fecal samples were analyzed for LT+ bacteria, and weekly questionnaires recorded diarrhea episodes.
- Serum samples were collected at various time points and tested for antibodies to cholera toxin.
Main Results:
- LT+ bacteria were identified in 16% of fecal samples, with LT+ Escherichia coli in 11%.
- Diarrhea episodes were linked to LT+ bacteria isolation, with bacterial species and exposure duration correlating with illness.
- A fourfold rise in antibody titer to cholera toxin followed 53% of diarrhea episodes caused by LT+ bacteria.
Conclusions:
- Exposure to LT+ bacteria is associated with infant diarrhea.
- Immune responses, indicated by antibody titers, are triggered by diarrhea episodes involving LT+ bacteria.
- Asymptomatic carriage of LT+ bacteria did not elicit a significant antibody response.
Abstract:
We followed up a cohort of babies from birth to two years by examination of fecal samples for heat-labile enterotoxigenic (LT+) bacteria and administration of a questionnaire about any episodes of diarrhea each week. We sampled serum at birth, every six months, at the beginning of an episode of diarrhea, and two weeks later. We tested sera for antibody to cholera toxin. We identified LT+ bacteria in 16% of fecal samples, LT+ Escherichia coli in 11%. Thirty-four episodes of diarrhea occurred within a week of isolation of LT+ bacteria. Bacterial species and weeks of exposure to LT+ bacteria correlated with diarrhea. Fourfold rises in antibody titer followed 53% of diarrhea episodes caused by LT+ bacteria. Whether a baby had an immune response was not related to his age, duration of diarrhea, cord serum antibody, previous asymptomatic carriage of LT+ bacteria, or breast-feeding. Second episodes did not boost antibody levels. Rises in antibody titers followed diarrhea without the presence of toxin but did not follow asymptomatic carriage of LT+ bacteria.
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