Defective Humoral Immunity Disrupts Bile Acid Homeostasis Which Promotes Inflammatory Disease of the Small Bowel

Abstract

Abstract Mucosal antibodies maintain gut homeostasis by promoting spatial segregation between host tissues and luminal microbes. Whether and how mucosal antibody responses influence gut health through modulation of microbiota composition is unclear. One critical metabolic function carried out exclusively by bacteria in the gut is bio-transformation of host bile acids (BAs), and dysregulation of BAs metabolism has been linked to numerous inflammatory and metabolic diseases in humans. Here, we use a CD19−/− mouse model of antibody-deficiency to demonstrate that a relationship exists between dysbiosis, defects in BA homeostasis, and enteropathy of the small intestine (SI). SI enteropathy that develops in CD19−/− mice is associated with alterations to the luminal BA pool in the SI, marked by significant reductions in the abundance of conjugated BAs. Manipulation of BA availability, adoptive transfer of functional B cells, and ablation of bacterial bile salt hydrolase (bsh) activity all influence the severity of SI enteropathy in CD19−/− mice. Collectively, results from our experiments support a model whereby mucosal humoral immune responses limit inflammatory disease of the small bowel by regulating bacterial BA metabolism.