Title | Protein Malnutrition Alters Tryptophan and Angiotensin-Converting Enzyme 2 Homeostasis and Adaptive Immune Responses in Human Rotavirus-Infected Gnotobiotic Pigs with Human Infant Fecal Microbiota Transplant. | ||
Author | Fischer, David D; Kandasamy, Sukumar; Paim, Francine C; Langel, Stephanie N; Alhamo, Moyasar A; Shao, Lulu; Chepngeno, Juliet; Miyazaki, Ayako; Huang, Huang-Chi; Kumar, Anand; Rajashekara, Gireesh; Saif, Linda J; Vlasova, Anastasia N | ||
Journal | Clin Vaccine Immunol | Publication Year/Month | 2017-Aug |
PMID | 28637803 | PMCID | PMC5583476 |
Affiliation + expend | 1.Department of Veterinary Preventive Medicine Department, Food Animal Health Research Program (FAHRP), The Ohio Agricultural Research and Development Center (OARDC), The Ohio State University, Wooster, Ohio, USA. |
Malnutrition leads to increased morbidity and is evident in almost half of all deaths in children under the age of 5 years. Mortality due to rotavirus diarrhea is common in developing countries where malnutrition is prevalent; however, the relationship between malnutrition and rotavirus infection remains unclear. In this study, gnotobiotic pigs transplanted with the fecal microbiota of a healthy 2-month-old infant were fed protein-sufficient or -deficient diets and infected with virulent human rotavirus (HRV). After human rotavirus infection, protein-deficient pigs had decreased human rotavirus antibody titers and total IgA concentrations, systemic T helper (CD3(+) CD4(+)) and cytotoxic T (CD3(+) CD8(+)) lymphocyte frequencies, and serum tryptophan and angiotensin I-converting enzyme 2. Additionally, deficient-diet pigs had impaired tryptophan catabolism postinfection compared with sufficient-diet pigs. Tryptophan supplementation was tested as an intervention in additional groups of fecal microbiota-transplanted, rotavirus-infected, sufficient- and deficient-diet pigs. Tryptophan supplementation increased the frequencies of regulatory (CD4(+) or CD8(+) CD25(+) FoxP3(+)) T cells in pigs on both the sufficient and the deficient diets. These results suggest that a protein-deficient diet impairs activation of the adaptive immune response following HRV infection and alters tryptophan homeostasis.