1. Diet-induced obesity precipitates kidney dysfunction and alters inflammatory mediators in mice treated with Shiga Toxin 2.
- Author
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Harrison LM, Gaines DW, Babu US, Balan KV, Reimschuessel R, Do AB, Pereira MR, Bigley EC 3rd, Ferguson M, Mehta A, and Williams KM
- Subjects
- Animals, Blood Glucose, Chemokine CCL2 metabolism, Creatinine blood, Cytokines blood, Disease Models, Animal, Escherichia coli, Female, Hemolytic-Uremic Syndrome chemically induced, Hemolytic-Uremic Syndrome pathology, Hepatitis A Virus Cellular Receptor 1, Inflammation, Interleukin-1alpha blood, Interleukin-1beta metabolism, Interleukin-6 blood, Kidney pathology, Lymphocytes drug effects, Male, Mice, Mice, Inbred C57BL, Necrosis, Neutrophils drug effects, Shiga Toxin 2 immunology, Tumor Necrosis Factor-alpha blood, Weight Gain, Diet adverse effects, Hemolytic-Uremic Syndrome etiology, Inflammation Mediators, Kidney drug effects, Obesity complications, Shiga Toxin 2 toxicity
- Abstract
Shiga Toxin (Stx)-producing E. coli (STEC) continue to be a prominent cause of foodborne outbreaks of hemorrhagic colitis worldwide, and can result in life-threatening diseases, including hemolytic uremic syndrome (HUS), in susceptible individuals. Obesity-associated immune dysfunction has been shown to be a risk factor for infectious diseases, although few studies have addressed the role of obesity in foodborne diseases. We hypothesized that obesity may affect the development of HUS through an alteration of immune responses and kidney function. We combined diet-induced obese (DIO) and HUS mouse models to look for differences in disease outcome between DIO and wild-type (WT) male and female C57 B l/6 mice. Following multiple intraperitoneal injections with endotoxin-free saline or sublethal doses of purified Stx2, we examined DIO and WT mice for signs of HUS development. DIO mice receiving Stx2 injections lost more body weight, and had significantly higher (p < 0.001) BUN, serum creatinine, and neutrophil counts compared to WT mice or DIO mice receiving saline injections. Lymphocyte counts were significantly (p < 0.05) lower in Stx2-treated obese mice compared to WT mice or saline-treated DIO mice. In addition to increased Stx2-induced kidney dysfunction, DIO mouse kidneys also had significantly increased expression of IL-1α, IL-1β, IL-6, TNF-α, MCP-1, and KC RNA compared to saline controls (p < 0.05). Serum cytokine levels of IL-6 and KC were also significantly higher in Stx2-treated mice compared to saline controls, but there were no significant differences between the WT and DIO mice. WT and DIO mice treated with Stx2 exhibited significantly higher degrees of kidney tubular dilation and necrosis as well as some signs of tissue repair/regeneration, but did not appear to progress to the full pathology typically associated with human HUS. Although the combined obesity/HUS mouse model did not manifest into HUS symptoms and pathogenesis, these data demonstrate that obesity alters kidney function, inflammatory cells and cytokine production in response to Stx2, and may play a role in HUS severity in a susceptible model of infection., (Published by Elsevier Ltd.)
- Published
- 2018
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