Aging impairs protective host defenses against Clostridioides (Clostridium) difficile infection in mice by suppressing neutrophil and IL-22 mediated immunity

Alex-Giovanny Peniche-Trujillo, Jennifer K. Spinler, Prapaporn Boonma, Tor C. Savidge, Sara Dann-Grice

Research output: Contribution to journalArticle

Abstract

Background: Morbidity and mortality associated with Clostridioides (formerly Clostridium) difficile infection (CDI) rises progressively with advanced age (≥65 years) due in part to perturbations of the gut microbiota and immune dysfunction. Epidemiological data of community-acquired CDI suggests increased susceptibility may begin earlier during middle-age (45–64 years) but the causation remains unknown. Methods: Middle-aged (12–14 months) and young (2–4 months) adult mice were infected with C. difficile, and disease severity, gut microbiome and innate immune response were compared. Cytokine reconstitution studies were performed in infected middle-aged mice. Results: Infection of middle-aged mice with C. difficile led to greater disease compared to young controls, which was associated with increases in C. difficile burden and toxin titers, and elevated bacterial translocation. With the exception of an expansion of C. difficile in middle-aged mice, microbiome analysis revealed no age-related differences. In contrast, middle-aged mice displayed a significant defect in neutrophil recruitment to the colon, with diminished levels of innate immune cytokines IL-6, IL-23 and IL-22. Importantly, recombinant IL-22 administration during CDI reduced morbidity and prevented death in middle-aged mice. Conclusion: Increased susceptibility to C. difficile occurs in middle-aged mice modeling the community-acquired CDI demographics and is driven by an impaired innate immune response.

LanguageEnglish (US)
Pages83-91
Number of pages9
JournalAnaerobe
Volume54
DOIs
StatePublished - Dec 1 2018

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Clostridium Infections
Clostridium difficile
Immunity
Neutrophils
Innate Immunity
Cytokines
Morbidity
Bacterial Translocation
Interleukin-23
Neutrophil Infiltration
Microbiota
interleukin-22
Causality
Young Adult
Interleukin-6
Colon
Demography
Mortality
Infection

Keywords

  • Aging
  • C. difficile
  • Clostridioides difficile
  • IL-22
  • Middle-age
  • Neutrophils

ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

Cite this

Aging impairs protective host defenses against Clostridioides (Clostridium) difficile infection in mice by suppressing neutrophil and IL-22 mediated immunity. / Peniche-Trujillo, Alex-Giovanny; Spinler, Jennifer K.; Boonma, Prapaporn; Savidge, Tor C.; Dann-Grice, Sara.

In: Anaerobe, Vol. 54, 01.12.2018, p. 83-91.

Research output: Contribution to journalArticle

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