Antibiotics damage the colonic mucus barrier in a microbiota-independent mannerShow others and affiliations
2024 (English)In: Science Advances, E-ISSN 2375-2548, Vol. 10, no 37, article id eadp4119Article in journal (Refereed) Published
Abstract [en]
Antibiotic use is a risk factor for development of inflammatory bowel diseases (IBDs). IBDs are characterized by a damaged mucus layer, which does not separate the intestinal epithelium from the microbiota. Here, we hypothesized that antibiotics affect the integrity of the mucus barrier, which allows bacterial penetrance and predisposes to intestinal inflammation. We found that antibiotic treatment led to breakdown of the colonic mucus barrier and penetration of bacteria into the mucus layer. Using fecal microbiota transplant, RNA sequencing followed by machine learning, ex vivo mucus secretion measurements, and antibiotic treatment of germ-free mice, we determined that antibiotics induce endoplasmic reticulum stress in the colon that inhibits colonic mucus secretion in a microbiota-independent manner. This antibiotic-induced mucus secretion flaw led to penetration of bacteria into the colonic mucus layer, translocation of microbial antigens into circulation, and exacerbation of ulcerations in a mouse model of IBD. Thus, antibiotic use might predispose to intestinal inflammation by impeding mucus production.
Place, publisher, year, edition, pages
American Association for the Advancement of Science (AAAS), 2024. Vol. 10, no 37, article id eadp4119
National Category
Gastroenterology and Hepatology Cell and Molecular Biology
Identifiers
URN: urn:nbn:se:umu:diva-229923DOI: 10.1126/sciadv.adp4119ISI: 001310268400004PubMedID: 39259805Scopus ID: 2-s2.0-85204031252OAI: oai:DiVA.org:umu-229923DiVA, id: diva2:1900752
Funder
Swedish Research Council, 2018-02095Swedish Research Council, 2021-066022024-09-252024-09-252025-02-11Bibliographically approved