دورية أكاديمية
Enterotoxigenic Escherichia coli heat-labile toxin drives enteropathic changes in small intestinal epithelia
العنوان: | Enterotoxigenic Escherichia coli heat-labile toxin drives enteropathic changes in small intestinal epithelia |
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المؤلفون: | Sheikh, Alaullah, Tumala, Brunda, Vickers, Tim J, Martin, John C, Rosa, Bruce A, Sabui, Subrata, Basu, Supratim, Simoes, Rita D, Mitreva, Makedonka, Storer, Chad, Tyksen, Erik, Head, Richard D, Beatty, Wandy, Said, Hamid M, Fleckenstein, James M |
المصدر: | 2020-Current year OA Pubs |
بيانات النشر: | Digital Commons@Becker |
سنة النشر: | 2022 |
المجموعة: | Washington University School of Medicine: Digital Commons@Becker |
مصطلحات موضوعية: | Mice, Animals, Enterotoxins, Escherichia coli Proteins, Enterotoxigenic Escherichia coli, Escherichia coli Infections, Diarrhea, Malnutrition, Medicine and Health Sciences |
الوصف: | Enterotoxigenic E. coli (ETEC) produce heat-labile (LT) and/or heat-stable (ST) enterotoxins, and commonly cause diarrhea in resource-poor regions. ETEC have been linked repeatedly to sequelae in children including enteropathy, malnutrition, and growth impairment. Although cellular actions of ETEC enterotoxins leading to diarrhea are well-established, their contributions to sequelae remain unclear. LT increases cellular cAMP to activate protein kinase A (PKA) that phosphorylates ion channels driving intestinal export of salt and water resulting in diarrhea. As PKA also modulates transcription of many genes, we interrogated transcriptional profiles of LT-treated intestinal epithelia. Here we show that LT significantly alters intestinal epithelial gene expression directing biogenesis of the brush border, the major site for nutrient absorption, suppresses transcription factors HNF4 and SMAD4 critical to enterocyte differentiation, and profoundly disrupts microvillus architecture and essential nutrient transport. In addition, ETEC-challenged neonatal mice exhibit substantial brush border derangement that is prevented by maternal vaccination with LT. Finally, mice repeatedly challenged with toxigenic ETEC exhibit impaired growth recapitulating the multiplicative impact of recurring ETEC infections in children. These findings highlight impacts of ETEC enterotoxins beyond acute diarrheal illness and may inform approaches to prevent major sequelae of these common infections including malnutrition that impact millions of children. |
نوع الوثيقة: | text |
وصف الملف: | application/pdf |
اللغة: | unknown |
العلاقة: | https://digitalcommons.wustl.edu/oa_4/805Test; https://digitalcommons.wustl.edu/context/oa_4/article/1803/viewcontent/enterotoxigenic_escherichia_coli_heat_labile.pdfTest |
DOI: | 10.1038/s41467-022-34687-7 |
الإتاحة: | https://doi.org/10.1038/s41467-022-34687-7Test https://digitalcommons.wustl.edu/oa_4/805Test https://digitalcommons.wustl.edu/context/oa_4/article/1803/viewcontent/enterotoxigenic_escherichia_coli_heat_labile.pdfTest |
رقم الانضمام: | edsbas.6FA9985F |
قاعدة البيانات: | BASE |
DOI: | 10.1038/s41467-022-34687-7 |
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