Vitamin A-deficient hosts become nonsymptomatic reservoirs of Escherichia coli-like enteric infections

KL McDaniel, KH Restori, JW Dodds… - Infection and …, 2015 - Am Soc Microbiol
KL McDaniel, KH Restori, JW Dodds, MJ Kennett, AC Ross, MT Cantorna
Infection and immunity, 2015Am Soc Microbiol
Vitamin A deficiency (A−) remains a public health concern in developing countries and is
associated with increased susceptibility to infection. Citrobacter rodentium was used to
model human Escherichia coli infections. A− mice developed a severe and lethal (40%)
infection. Vitamin A-sufficient (A+) mice survived and cleared the infection by day 25.
Retinoic acid treatment of A− mice at the peak of the infection eliminated C. rodentium within
16 days. Inflammation levels were not different between A+ and A− mouse colons, although …
Abstract
Vitamin A deficiency (A) remains a public health concern in developing countries and is associated with increased susceptibility to infection. Citrobacter rodentium was used to model human Escherichia coli infections. A mice developed a severe and lethal (40%) infection. Vitamin A-sufficient (A+) mice survived and cleared the infection by day 25. Retinoic acid treatment of A mice at the peak of the infection eliminated C. rodentium within 16 days. Inflammation levels were not different between A+ and A mouse colons, although the A mice were still infected at day 37. Increased mortality of A mice was not due to systemic cytokine production, an inability to clear systemic C. rodentium, or increased pathogenicity. Instead, A mice developed a severe gut infection with most of the A mice surviving and resolving inflammation but not eliminating the infection. Improvements in vitamin A status might decrease susceptibility to enteric pathogens and prevent potential carriers from spreading infection to susceptible populations.
American Society for Microbiology