Sex-dependent gastrointestinal colonization resistance to MRSA is microbiota and Th17 dependent

Alannah Lejeune1,2, Chunyi Zhou1,2, Defne Ercelen3

  • 1Department of Microbiology, New York University School of Medicine, New York, United States.

Elife
|April 8, 2025
PubMed

Insights

Female mice resist gastrointestinal colonization by methicillin-resistant Staphylococcus aureus (MRSA) due to gut microbiota and enhanced Th17 immune responses. This sex-based difference highlights a novel interaction between host immunity and the microbiome in pathogen resistance.

Area of Science:

  • Microbiology
  • Immunology
  • Gastroenterology

Background:

  • Gastrointestinal (GI) colonization by methicillin-resistant Staphylococcus aureus (MRSA) poses significant transmission and invasive disease risks.
  • Factors governing GI MRSA colonization, particularly sex-based differences, are not well understood.
  • Male sex is linked to increased Staphylococcus aureus infections and carriage.

Purpose of the Study:

  • To investigate sexual dimorphism in GI colonization by MRSA using a mouse model.
  • To elucidate the immune and microbial mechanisms underlying sex-based differences in MRSA colonization resistance.

Main Methods:

  • Establishment of a mouse model to study GI MRSA colonization with a focus on sex differences.
  • Assessment of MRSA clearance in male and female mice following oral inoculation.
  • Analysis of immune cell populations (Th17) and neutrophil involvement.
  • Evaluation of the impact of ovariectomy and gonadal status on colonization.

Main Results:

  • Female mice demonstrated rapid clearance of GI MRSA, while male mice exhibited persistent colonization.
  • Colonization resistance in females was dependent on the gut microbiota.
  • Enhanced IL-17A+ CD4+ T cell (Th17) responses and neutrophils mediated resistance in females.
  • Ovariectomy diminished colonization resistance in females, while gonadal status influenced Th17 responses.

Conclusions:

  • A significant sexual dimorphism exists in GI colonization resistance against MRSA.
  • Gut microbiota and Th17-mediated immunity play crucial roles in conferring colonization resistance in females.
  • This study uncovers a novel interplay between sex, gut microbiota, and immunity in controlling MRSA colonization.

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