Abstract

Diarrhea, such as steatorrhea, could result from fat absorption disorders, which could be caused by many factors, including Escherichia coli infection. However, it is not clear how E. coli affects fatty acid absorption in animals. Lipopolysaccharide (LPS), as one of the main pathogenic components of E. coli, is the main cause of the virulence of E. coli. Therefore, we used LPS to explore the underlying mechanism of E. coli that causes the inhibition of fatty acid absorption in the intestine. In this study, we found that LPS caused apoptosis of intestinal epithelial cells in mice. Further, caspase-3 activation caused the inhibition of fatty acid absorption in the intestinal porcine enterocyte cell line (IPEC-J2). However, direct treatment of LPS did not induce any significant change in fatty acid absorption in IPEC-J2. We then prepared conditioned medium of LPS-treated porcine macrophage cell line (3D4/2) for incubating IPEC-J2, as LPS initiates inflammation by activating immune cells. The conditioned medium decreased fatty acid absorption and caspase-3 activation in IPEC-J2. While inhibiting the activation of caspase-3 in IPEC-J2, conditioned medium no longer caused serious deficiency of fatty acid absorption. As IL-1β, IL-6, and TNF-α in conditioned medium increase significantly, IPEC-J2 was treated with IL-1β, IL-6, and TNF-α, respectively. Only TNF-α induced caspase-3 activation in IPEC-J2. Reducing the secretion of TNF-α in 3D4/2, there was no obvious activation of caspase-3 in IPEC-J2, and fatty acid absorption recovered effectively. Based on the above results, we hold the opinion that LPS does not suppress fatty acid absorption directly in the intestine, but may work on macrophages that secrete cytokines, such as TNF-α, inducing caspase-3 activation and finally leading to the inhibition of fatty acid absorption in intestine.

Highlights

  • Diarrhea could be induced by fatty acid (FA) malabsorption, which is one of the main reasons leading to malnutrition in children [1]

  • The results showed that the conditioned medium containing cytokines from LPS-treated macrophages caused apoptosis activation, followed by the decrease of CD36 and fatty acid transporter protein 4 (FATP4) expression, and the inhibition of fatty acid absorption in intestinal epithelial cells

  • We found that PAC-1 activated caspase-3 in IPEC-J2, inducing FA absorption inhibition and a decrease in the protein expression of CD36 and FATP4

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Summary

Introduction

Diarrhea could be induced by fatty acid (FA) malabsorption, which is one of the main reasons leading to malnutrition in children [1]. It was found that children with celiac disease carried more Escherichia coli in their feces [2], and E. coli infection is one of the common causes inducing steatorrhea [3]. The mechanism by which E. coli induces diarrhea by blocking FA absorption is not clear. Lipopolysaccharide (LPS) is found in the outer membrane of many (but not all) gram-negative bacteria, contributing greatly to the structural integrity of the bacteria [4]. LPS mainly comprises three parts: O antigen (or O polysaccharide), core oligosaccharide, and Lipid A [5,6].

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