title: Total parenteral nutrition-associated lamina propria inflammation in mice is mediated by a MyD88-dependent mechanism.
abstract: Enteral nutrient deprivation via total parenteral nutrition (TPN) administration leads to local mucosal inflammatory responses, but the underlying mechanisms are unknown. Wild-type (WT) and MyD88(-/-) mice underwent jugular vein cannulation. One group received TPN without chow, and controls received standard chow. After 7 d, we harvested intestinal mucosally associated bacteria and isolated small-bowel lamina propria (LP) cells. Bacterial populations were analyzed using 454 pyrosequencing. LP cells were analyzed using quantitative PCR and multicolor flow cytometry. WT, control mucosally associated microbiota were Firmicutes-dominant, whereas WT TPN mice were Proteobacteria-domiant. Similar changes were observed in MyD88(-/-) mice with TPN administration. UniFrac analysis showed divergent small bowel and colonic bacterial communities in controls, merging toward similar microbiota (but distinct from controls) with TPN. The percentage of LP T regulatory cells significantly decreased with TPN in WT mice. F4/80(+)CD11b(+)CD11c(dull/-) macrophage-derived proinflammatory cytokines significantly increased with TPN. These proinflammatory immunologic changes were significantly abrogated in MyD88(-/-) TPN mice. Thus, TPN administration is associated with significant expansion of Proteobacteria within the intestinal microbiota and increased proinflammatory LP cytokines. Additionally, MyD88 signaling blockade abrogated decline in epithelial cell proliferation and epithelial barrier function loss.
authors.affiliation: Section of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Eiichi A
authors.initials: EA
authors.lastname: Miyasaka
authors.forename: Yongjia
authors.initials: Y
authors.lastname: Feng
authors.forename: Valeriy
authors.initials: V
authors.lastname: Poroyko
authors.forename: Nicole R
authors.initials: NR
authors.lastname: Falkowski
authors.forename: John
authors.initials: J
authors.lastname: Erb-Downward
authors.forename: Merritt G
authors.initials: MG
authors.lastname: Gillilland
authors.forename: Katie L
authors.initials: KL
authors.lastname: Mason
authors.forename: Gary B
authors.initials: GB
authors.lastname: Huffnagle
authors.forename: Daniel H
authors.initials: DH
authors.lastname: Teitelbaum
mesh_terms: D000818:Animals; D005434:Flow Cytometry; D007249:Inflammation / Q000209:etiology / Q000382:microbiology / Q000473:pathology*; D007413:Intestinal Mucosa / Q000276:immunology / Q000382:microbiology* / Q000473:pathology*; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D008856:Microscopy, Fluorescence; D009092:Mucous Membrane / Q000382:microbiology / Q000473:pathology; D053594:Myeloid Differentiation Factor 88 / Q000276:immunology*; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D012150:Polymorphism, Restriction Fragment Length; D060888:Real-Time Polymerase Chain Reaction
chemical_list: C507780:Myd88 protein, mouse; D053594:Myeloid Differentiation Factor 88