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Cooperative Metabolic Adaptations in the Host Can Favor Asymptomatic Infection and Select for Attenuated Virulence in an Enteric Pathogen
Open accessAbstract
Pathogen virulence exists on a continuum. The strategies that drive symptomatic or asymptomatic infections remain largely unknown. We took advantage of the concept of lethal dose 50 (LD50) to ask which component of individual non-genetic variation between hosts defines whether they survive or succumb to infection. Using the enteric pathogen Citrobacter, we found no difference in pathogen burdens between healthy and symptomatic populations. Iron metabolism-related genes were induced in asymptomatic hosts compared to symptomatic or naive mice. Dietary iron conferred complete protection without influencing pathogen burdens, even at 1000× the lethal dose of Citrobacter. Dietary iron induced insulin resistance, increasing glucose levels in the intestine that were necessary and sufficient to suppress pathogen virulence. A short course of dietary iron drove the selection of attenuated Citrobacter strains that can transmit and asymptomatically colonize naive hosts, demonstrating that environmental factors and cooperative metabolic strategies can drive conversion of pathogens toward commensalism.
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“In fact, dietary iron has been shown to regulate insulin resistance to affect susceptibility to infection, highlighting the importance of evolved co-operative mechanisms (Sanchez et al., 2018).”
From The Microbiota-Gut-Brain Axis (2019) · cites this paper as Sanchez et al., 2018
In the citing paper
“supplementation in experimental mice was recently found to suppress virulence of the rodent enteric pathogen Citrobacter rodentium, essentially converting the pathogen to a commensal microbe (53).”
From The gut microbiota at the intersection of diet and human health (2018) · cites this paper as [53]
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InfluentialIron and Infection: The Clinical Evidence
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“In humans, clinical data support our findings that dietary iron supplementation provides beneficial outcomes, especially in developing countries where low iron status may be prevalent (Loukas et al., 2016; Mwangi et al., 2017; Oppenheimer, 1989, 1998, 2001).”
Loomis, W. P., Johnson, M. L., Brasfield, A., Blanc, M.-P., Yi, J., Miller, S. I., Cookson, B. T., & Hajjar, A. M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0111763 · Cited by 36 · cited 1×
“It is important to note that the strain of mouse used for most of these studies has been C57BL/6 mice, which has a non-functional allele of Nramp1, a divalent metal (iron and manganese) transporter that renders themmore susceptible to infections (Canonne-Hergaux et al., 1999; Fritsche et al., 2012; Loomis et al., 2014…”
Iron and infection in the tropics: paediatric clinical correlates
Oppenheimer, S. (1998) · Annals of Tropical Paediatrics · doi:10.1080/02724936.1998.11747985 · Cited by 26 · cited 1×
“In humans, clinical data support our findings that dietary iron supplementation provides beneficial outcomes, especially in developing countries where low iron status may be prevalent (Loukas et al., 2016; Mwangi et al., 2017; Oppenheimer, 1989, 1998, 2001).”
Beckett, A. C., Piazuelo, M. B., Noto, J. M., Peek, R. M., Washington, M. K., Algood, H. M. S., & Cover, T. L. (2016) · Infection and Immunity · doi:10.1128/iai.00479-16 · Cited by 24 · cited 1×
“In experimental studies, iron-enriched diets conferred protection against certain infections, including Helicobacter pylori and Mycobacterium bovis (Agoro et al., 2017; Beckett et al., 2016) but exacerbated infections with Salmonella (Nairz et al.”
Itoh, K., Matsui, T., Tsuji, K., MITSUOKA, T., & Ueda, K. (1988) · Infection and Immunity · doi:10.1128/iai.56.4.930-935.1988 · Cited by 23 · cited 1×
“CR virulence in germ-free mice is dependent on the dose of pathogen administered to the mice and the mouse strain (Buschor et al., 2017; Itoh et al., 1988).”
Buschor, S., Miguelangel Cuenca, V., Uster, S. S., Schären, O. P., Balmer, M. L., Miani, M. A. T., Schürch, C. M., & Hapfelmeier, S. (2017) · PLoS Pathogens · doi:10.1371/journal.ppat.1006476 · Cited by 23 · cited 1×
“CR virulence in germ-free mice is dependent on the dose of pathogen administered to the mice and the mouse strain (Buschor et al., 2017; Itoh et al., 1988).”
Agoro, R., Benmerzoug, S., Rose, S., Bouyer, M., Gozzelino, R., Garcia, I., Ryffel, B., Quesniaux, V. F. J., & Mura, C. (2017) · The Journal of Infectious Diseases · doi:10.1093/infdis/jix366 · Cited by 22 · cited 1×
“In experimental studies, iron-enriched diets conferred protection against certain infections, including Helicobacter pylori and Mycobacterium bovis (Agoro et al., 2017; Beckett et al., 2016) but exacerbated infections with Salmonella (Nairz et al.”
Li, J., Shi, Y., & Toga, A. W. (2015) · Lecture notes in computer science · doi:10.1007/978-3-319-19992-4_10 · Cited by 12 · cited 1×
“HOMER was used to test for overrepresentation of differentially expressed genes within KEGG (Kanehisa and Goto, 2000) pathways corrected for multiple testing using the Benjamini and Yekutieli general correction for multiple testing (Li et al., 2015).”
MethodEfficacy of Resistance to Francisella Imparted by ITY/NRAMP/SLC11A1 Depends on Route of Infection
Powell, D. A., & Frelinger, J. A. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.00206 · Cited by 7 · cited 1×
“It is important to note that the strain of mouse used for most of these studies has been C57BL/6 mice, which has a non-functional allele of Nramp1, a divalent metal (iron and manganese) transporter that renders themmore susceptible to infections (Canonne-Hergaux et al., 1999; Fritsche et al., 2012; Loomis et al., 2014…”
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1 of the 64 references couldn’t be matched to a known paper.
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Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., et al. (2019) · Physiological Reviews · doi:10.1152/physrev.00018.2018 · Cited by 5,286
The gut microbiota at the intersection of diet and human health
Gentile, C. L., & Weir, T. L. (2018) · Science · doi:10.1126/science.aau5812 · Cited by 1,049
Nutritional immunity: the battle for nutrient metals at the host–pathogen interface
Murdoch, C. C., & Skaar, E. P. (2022) · Nature Reviews Microbiology · doi:10.1038/s41579-022-00745-6 · Cited by 701
The Coming Decade of Cell Death Research: Five Riddles
Green, D. R. (2019) · Cell · doi:10.1016/j.cell.2019.04.024 · Cited by 575
GDF15 Is an Inflammation-Induced Central Mediator of Tissue Tolerance
Luan, H. H., Wang, A., Hilliard, B. K., Carvalho, F., Rosen, C. E., Ahasic, A. M., Herzog, E. L., Kang, I., Pisani, M. A., Yu, S., et al. (2019) · Cell · doi:10.1016/j.cell.2019.07.033 · Cited by 527
“Notably, all of these studies find that metabolic alterations in the setting of infection play a critical role in tolerance (Rao et al., 2017; Sanchez et al., 2018; Wang et al., 2016; Weis et al., 2017).”
Metadata
- Authors
- Sanchez, K. K., Chen, G. Y., Schieber, A. M. P., Redford, S. E., Shokhirev, M. N., Leblanc, M., Lee, Y. M., & Ayres, J. S.
- Affiliations
- Salk Institute for Biological Studies (US)
- Corresponding author
- Ayres, Janelle S.
- ORCID
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 175
- Issue
- 1
- Pages
- 146-158.e15
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC6447043
- OpenAlex
- W2886798301
- Cited by
- 175
- References
- 64
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 23 · 2023: 18 · 2022: 18 · 2021: 29 · 2020: 36 · 2019: 22 · 2018: 7
- FWCI
- 17.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (R01AI114929, CA014195)
- Nomis Foundation
- Searle Scholar Award
- Ray Thomas Edward Foundation
- DARPA (YFA15 D15AP00097)
- Leona M. and Harry B. Helmsley Charitable Trust (2017-PG-MED001)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Escherichia coli research studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Evolution and Genetic Dynamics
- Keywords
- asymptomatic infection, pathogen virulence, Citrobacter, enteric pathogens, dietary iron, insulin resistance, host-pathogen interaction, virulence attenuation, commensalism, host genetic variation, lethal dose 50
- MeSH terms
- Animals, Colitis, Colon, Enterobacteriaceae Infections, Female, Insulin Resistance, Intestine, Small, Iron, Lethal Dose 50, Male, Mice, Inbred C3H, Mice, Inbred DBA, Virulence, Dietary Supplements, Citrobacter rodentium, Mice, Host-Pathogen Interactions, Asymptomatic Infections
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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