Gut microbial dysbiosis activates the classical complement pathway in a short-term morphine treatment model

Nicolas Vitari1,2, Richa Jalodia2, Junyi Tao2

  • 1Department of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, US.

Gut Microbes Reports
|August 18, 2025
PubMed

Insights

Morphine disrupts gut bacteria, triggering a rapid, microbiome-dependent immune response involving complement proteins and antibodies. This innate immune system activation aims to protect the host during early stages of microbial dysbiosis.

Area of Science:

  • Immunology
  • Microbiology
  • Gastroenterology

Background:

  • Intestinal homeostasis relies on antibodies and a microbiome-dependent complement system.
  • Morphine rapidly induces gut microbial dysbiosis, favoring pathogenic bacteria over commensals.

Purpose of the Study:

  • To investigate early immune responses in the gut following short-term morphine administration.
  • To elucidate the role of the microbiome in morphine-induced immune activation.

Main Methods:

  • Utilized a murine model of short-term morphine treatment.
  • Analyzed gene expression of classical complement pathway components.
  • Quantified complement proteins (C1q, C3) and antibodies (IgM, IgG) in ileal luminal content.
  • Assessed neutrophil infiltration and activation.
  • Investigated microbiome dependence by comparing results with and without microbial depletion.

Main Results:

  • Morphine treatment upregulated classical complement pathway genes within 24 hours.
  • Increased levels of complement proteins C1q and C3, and complement-activating antibodies IgM and IgG were observed in the ileum.
  • These increases were dependent on the microbiome; microbial depletion prevented them.
  • Neutrophil infiltration and activation occurred concurrently with microbial dysbiosis.

Conclusions:

  • Demonstrates rapid, microbiome-dependent recruitment of complement system components to the intestine during morphine-induced dysbiosis.
  • Highlights the classical complement system's activation as a protective host response against microbial dysbiosis.
  • Confirms the intricate relationship between the gut microbiome and the intestinal complement system.

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