Abstract

Patients with liver disease are susceptible to infection with Vibrio vulnificus (V. vulnificus), but the specific reasons remain elusive. Through RNA-seq, we found that when mice with alcoholic liver disease (ALD) were infected with V. vulnificus by gavage, compared with the Pair group, the small intestinal genes affecting intestinal permeability were upregulated; and the number of differentially expressed genes related to immune functions (e.g., such as cell chemotaxis, leukocyte differentiation, and neutrophil degranulation) decreased in the liver, spleen, and blood. Further analysis showed that the number of white blood cells decreased in the Pair group, whereas those in the ALD mice did not change significantly. Interestingly, the blood bacterial load in the ALD mice was about 100 times higher than that of the Pair group. After the ALD mice were infected with V. vulnificus, the concentrations of T cell proliferation-promoting cytokines (IL-2, IL-23) decreased. Therefore, unlike the Pair group, ALD mice had weaker immune responses, lower T cell proliferation-promoting cytokines, and higher bacterial loads post-infection, possibly increasing their susceptibility to V. vulnificus infection. These new findings we presented here may help to advance the current understanding of the reasons why patients with liver disease are susceptible to V. vulnificus infection and provides potential targets for further investigation in the context of treatment options for V. vulnificus sepsis in liver disease patient.

Highlights

  • Vibrio vulnificus (V. vulnificus), a Gram-negative aquatic bacterium, can cause severe gastroenteritis from raw seafood consumption, with sepsis-related mortality rates of 50% [1]

  • The mortality rate for sepsis caused by V. vulnificus infection is about 50%, of which, the morbidity and mortality in alcoholic liver disease (ALD) patients are higher than others [2, 11]

  • Exploring the difference in the immune response between healthy individuals and ALD patients and its impact on the outcome of infection is crucial to understanding the reasons why ALD patients are susceptible to V. vulnificus infection

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Summary

Introduction

Vibrio vulnificus (V. vulnificus), a Gram-negative aquatic bacterium, can cause severe gastroenteritis from raw seafood consumption, with sepsis-related mortality rates of 50% [1]. ALD Mice Infected With V. vulnificus that human infections usually occurred following the consumption of contaminated seafood, which can cause gastroenteritis and septicemia [3,4,5,6,7]. The most common risk factors are liver disease and diabetes [2]. Bross et al (2007) reported that 97% of patients have some form of chronic disease, including liver disease (80%), alcoholism (65%), and diabetes (35%) [11]. Liver disease, especially ALD, is a major susceptible factor for V. vulnificus infection

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