Microbial dysbiosis associated with impaired intestinal Na+/H+ exchange accelerates and exacerbates colitis in ex-germ free mice

Mucosal Immunol. 2018 Sep;11(5):1329-1341. doi: 10.1038/s41385-018-0035-2. Epub 2018 Jun 6.

Abstract

Intestinal epithelial Na+/H+ exchange facilitated by the apical NHE3 (Slc9a3) is a highly regulated process inhibited by intestinal pathogens and in inflammatory bowel diseases. NHE3-/- mice develop spontaneous, bacterially mediated colitis, and IBD-like dysbiosis. Disruption of epithelial Na+/H+ exchange in IBD may thus represent a host response contributing to the altered gut microbial ecology, and may play a pivotal role in modulating the severity of inflammation in a microbiome-dependent manner. To test whether microbiome fostered in an NHE3-deficient environment is able to drive mucosal immune responses affecting the onset or severity of colitis, we performed a series of cohousing experiments and fecal microbiome transplants into germ-free Rag-deficient or IL-10-/- mice. We determined that in the settings where the microbiome of NHE3-deficient mice was stably engrafted in the recipient host, it was able accelerate the onset and amplify severity of experimental colitis. NHE3-deficiency was characterized by the reduction in pH-sensitive butyrate-producing Firmicutes families Lachnospiraceae and Ruminococcaceae (Clostridia clusters IV and XIVa), with an expansion of inflammation-associated Bacteroidaceae. We conclude that the microbiome fostered by impaired epithelial Na+/H+ exchange enhances the onset and severity of colitis through disruption of the gut microbial ecology.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Bacteroidaceae / immunology
  • Colitis / metabolism*
  • Dysbiosis / immunology
  • Dysbiosis / metabolism*
  • Dysbiosis / microbiology
  • Epithelial Cells / immunology
  • Epithelial Cells / metabolism
  • Epithelial Cells / microbiology
  • Female
  • Firmicutes / immunology
  • Gastrointestinal Microbiome / immunology*
  • Germ-Free Life
  • Hydrogen-Ion Concentration
  • Immunity / immunology
  • Inflammation / immunology
  • Inflammation / metabolism
  • Inflammation / microbiology
  • Inflammatory Bowel Diseases / immunology
  • Inflammatory Bowel Diseases / metabolism
  • Inflammatory Bowel Diseases / microbiology
  • Interleukin-10 / metabolism
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / microbiology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Sodium-Hydrogen Exchanger 3 / metabolism
  • Sodium-Hydrogen Exchangers / metabolism*

Substances

  • Sodium-Hydrogen Exchanger 3
  • Sodium-Hydrogen Exchangers
  • Interleukin-10