Host Health Status Research Articles

Do gut microbial communities differ in pediatric IBS and health?

Human gastrointestinal microbial communities are recognized as important determinants of the host health and disease status. We have recently examined the distal gut microbiota of two groups of children: healthy adolescents and those diagnosed with diarrhea-predominant irritable bowel syndrome (IBS). We have revealed the common core of phylotypes shared among all children, identified genera differentially abundant between two groups and surveyed possible relationships among intestinal microbial genera and phylotypes. In this article we explored the use of supervised and unsupervised ordination and classification methods to separate and classify child fecal samples based on their quantitative microbial profile. We observed sample separation according to the participant health status, and this separation could often be attributed to the abundance levels of several specific microbial genera. We also extended our original correlation network analysis of the relative abundances of bacterial genera across samples and determined possible association networks separately for healthy and IBS groups. Interestingly, the number of significant genus abundance associations was drastically lower among the IBS samples, which can potentially be attributed to the existence of multiple routes to microbiota disbalance in IBS or to the loss of microbial interactions during IBS development.

Two-stage reimplantation for periprosthetic knee infection: Influence of host health status and infecting microorganism

BackgroundTwo-stage revision is the gold standard treatment of TKA infection; nevertheless various factors may influence the success rate. The aim of our study was to assess the impact of the number of patient comorbidities together with virulence of infectious organism on prognosis of two-stage revision procedure in chronic peri-prosthetic knee infection; moreover we tried to demonstrate correlation between the presence of positive culture during re-implantation and re-infection rate. MethodsThirty-eight cases of two-staged revision procedures for infected total knee arthroplasty were prospectively followed. The presence of high virulence microorganisms on the culture result and the number (more than three) of comorbidities were used as major risk factors. All cases were divided into three groups: Group 1 (10 patients without major risk factors), Group 2 (18 patients with only one major risk factor), Group 3 (10 patients with both of major risk factors). ResultsAfter a mean follow-up of 65months (range 24–139months), there was infection recurrence in nine cases: four re-infections occurred with the same organism while five patients had re-infection with a different organism. Recurrence was higher in Group 3 (33% of the cases), lower in Group 2 (12% of the cases), whereas no infection occurred in Group 1. Finally in case of positive intraoperative cultures recurrence rate was 83%, whereas when specimens were negative we had only 12.5% of re-infections. ConclusionsEven if standard protocol of two-stage revision has demonstrated good results when treating low-virulence infections or patients without associated risk factors, its application to more challenging condition cannot be assumed. Level of EvidenceLevel IV, therapeutic study. See the Guidelines for Authors for a complete description of level of evidence.

Metabolomic Applications to Decipher Gut Microbial Metabolic Influence in Health and Disease

Dietary preferences and nutrients composition have been shown to influence human and gut microbial metabolism, which ultimately has specific effects on health and diseases’ risk. Increasingly, results from molecular biology and microbiology demonstrate the key role of the gut microbiota metabolic interface to the overall mammalian host’s health status. There is therefore raising interest in nutrition research to characterize the molecular foundations of the gut microbial–mammalian cross talk at both physiological and biochemical pathway levels. Tackling these challenges can be achieved through systems biology approaches, such as metabolomics, to underpin the highly complex metabolic exchanges between diverse biological compartments, including organs, systemic biofluids, and microbial symbionts. By the development of specific biomarkers for prediction of health and disease, metabolomics is increasingly used in clinical applications as regard to disease etiology, diagnostic stratification, and potentially mechanism of action of therapeutical and nutraceutical solutions. Surprisingly, an increasing number of metabolomics investigations in pre-clinical and clinical studies based on proton nuclear magnetic resonance (1H NMR) spectroscopy and mass spectrometry provided compelling evidence that system wide and organ-specific biochemical processes are under the influence of gut microbial metabolism. This review aims at describing recent applications of metabolomics in clinical fields where main objective is to discern the biochemical mechanisms under the influence of the gut microbiota, with insight into gastrointestinal health and diseases diagnostics and improvement of homeostasis metabolic regulation.

1H NMR‐based metabonomic applications to decipher gut microbial metabolic influence on mammalian health

Recent advances in molecular biology and microbiology have increased awareness on the importance of the gut microbiota to the overall mammalian host's health status. There is therefore increasing interest in nutrition research to characterise the molecular foundations of the gut microbial mammalian crosstalk at both physiological and biochemical pathway levels. Tackling these challenges can be achieved through systems biology strategies based on the measurement of metabolites to assess the highly complex metabolic exchanges between diverse biological compartments, including organs, biofluids and microbial symbionts. By opening a direct biochemical window into the metabolome, metabonomics is uniquely suited for the identification of biomarkers providing better understanding of these complex metabolic processes. Recent applications of top-down system biology based on (1)H NMR spectroscopy coupled to advanced chemometric modelling approaches provided compelling evidence that system-wide and organ-specific changes in biochemical processes may be finely tuned by gut microbial activities. This review aims at describing current advances in NMR-based metabonomics where the main objective is to discern the molecular pathways and biochemical mechanisms under the influence of the gut microbiota. Furthermore, emphasis is given on nutritional approaches, where the quest for homeostatic balance is dependent not only on the host but also on the nutritional modulation of the gut microbiota-host metabolic interactions, using, for instance, probiotics and prebiotics.

The Fecal Odor of Sick Hedgehogs (Erinaceus europaeus) Mediates Olfactory Attraction of the Tick Ixodes hexagonus

Parasite loads of animals vary among individuals, but the underlying mechanisms have not been fully identified. Here, we investigated whether health status of hedgehogs (Erinaceus europaeus) is correlated with tick burden, and whether chemical cues linked to the health status of the host mediate attraction of the tick Ixodes hexagonus. An ecological survey conducted over 10 years, involving 226 wild hedgehogs, revealed a strong association between health status and tick burden of hedgehogs, with healthy animals being less likely to carry ticks than unhealthy ones. Behavioral choice tests demonstrated that ticks display a preference for the fecal odor from sick hedgehogs compared with healthy ones. Chemical analysis of fecal odors using gas chromatography-mass spectrometry showed differences in the odor profile between sick and healthy hedgehogs. Sick animals tended to exhibit raised levels of the volatile aromatic heterocyclic compound indole in their feces. Ticks were attracted to indole when given the choice between indole and a solvent control. However, fecal matter from healthy hosts, with the addition of indole, was not attractive to ticks, suggesting that indole interacts with other, undetected compounds in mediating attraction. This study implies that it is the attraction to fecal odor that causes higher tick burdens in sick hedgehogs. Ticks might benefit from this preference by avoiding possible repulsion mechanisms of healthy hosts. We suggest that ticks potentially choose their host based on odor linked to the host's health status.

Through Ageing, and Beyond: Gut Microbiota and Inflammatory Status in Seniors and Centenarians

BackgroundAge-related physiological changes in the gastrointestinal tract, as well as modifications in lifestyle, nutritional behaviour, and functionality of the host immune system, inevitably affect the gut microbiota, resulting in a greater susceptibility to infections.Methodology/Principal FindingsBy using the Human Intestinal Tract Chip (HITChip) and quantitative PCR of 16S rRNA genes of Bacteria and Archaea, we explored the age-related differences in the gut microbiota composition among young adults, elderly, and centenarians, i.e subjects who reached the extreme limits of the human lifespan, living for over 100 years. We observed that the microbial composition and diversity of the gut ecosystem of young adults and seventy-years old people is highly similar but differs significantly from that of the centenarians. After 100 years of symbiotic association with the human host, the microbiota is characterized by a rearrangement in the Firmicutes population and an enrichment in facultative anaerobes, notably pathobionts. The presence of such a compromised microbiota in the centenarians is associated with an increased inflammatory status, also known as inflammageing, as determined by a range of peripheral blood inflammatory markers. This may be explained by a remodelling of the centenarians' microbiota, with a marked decrease in Faecalibacterium prauznitzii and relatives, symbiotic species with reported anti-inflammatory properties. As signature bacteria of the long life we identified specifically Eubacterium limosum and relatives that were more than ten-fold increased in the centenarians.Conclusions/SignificanceWe provide evidence for the fact that the ageing process deeply affects the structure of the human gut microbiota, as well as its homeostasis with the host's immune system. Because of its crucial role in the host physiology and health status, age-related differences in the gut microbiota composition may be related to the progression of diseases and frailty in the elderly population.

Part 1-Prebiotics

In Brief The entire gastrointestinal tract is populated by microorganisms, with the colon being the most populated area of the tract. The sterile newborn gut is colonized at birth and thereafter; this contributes to the normal development of its gut. The bacteria found in the gastrointestinal tract can be classified as either beneficial or harmful to the host, their metabolism contributing largely to this classification; saccharolytic species are considered beneficial as opposed to proteolytic species, which are considered harmful. Prebiotics can stimulate the growth of specific bacteria. They are nondigestible carbohydrates that are selectively fermented by health-promoting bacteria; in other words, because the host cannot digest these carbohydrates, they reach the colon intact, where they are fermented by beneficial bacteria. The functionality of these carbohydrates is dependent on their chemistry and the host health status. Inulin, fructooligosaccharides, and galactooligosaccharides are accepted prebiotics; however, others such as soya-oligosaccharides and xylooligosaccharides are promising prebiotics. Experts explore the role of prebiotics in gut health

Systemic alterations of bovine hemostasis due to Rhipicephalus (Boophilus) microplus infestation

The tick Rhipicephalus (Boophilus) microplus is a hematophagous ectoparasite that causes considerable economic losses to cattle breeding. Although R. microplus saliva contains several molecules that interfere with the blood coagulation process, so far the systemic alterations in the host hemostatic system have not been described. This study aims to determine if R. microplus infestation induces any disturbance to the host’s hemostatic system. To address these questions, six calves were experimentally infested with 20,000 R. microplus larvae and their blood was collected before and 7, 14 and 21 days post-infestation. Collagen and ADP-induced platelet aggregation as well as coagulation (activated partial thromboplastin time and prothrombin time) decreased in infested bovines. Platelet blood count and fibrinogen increased during the course of infestation, probably as a compensatory response. These alterations may play a role in host health status, and show that the host cannot fully counteract the tick anti-hemostatic mechanisms.

Dynamics of Black Band Disease in a Diploria strigosa population subjected to annual upwelling on the northeastern coast of Venezuela

Temporal variability of Black Band Disease (BBD) prevalence, incidence, recurrence, recovery and virulence was estimated in a Diploria strigosa population from an upwelling zone of Venezuela, for 1 year between August 2004 and August 2005. The sampling spanned both upwelling and non-upwelling seasons, and included three samplings, roughly 60 days apart, within each season. The negative effects of BBD epizootiology in the sampling population (El Mercado reef) were positively correlated with sea surface temperature (taken as an upwelling estimator). Disease prevalence, incidence and recurrence decreased significantly during upwelling, and the recovery rate increased. Contrary to expectations, tissue mortality did not decrease significantly during the upwelling season, remaining at 1.2 ± 0.7 mm day−1. BBD prevalence, and the ensuing rates of tissue mortality were higher than values previously reported for other Caribbean reefs, even during upwelling episodes, suggesting that nutrient enrichment of the local waters by upwelling counteracts the expected reductions of the disease prevalence and virulence due to the lower temperature. Colonies which had previously been infected with BBD were up to six times more susceptible to new infections than those which were not infected during the preceding 7 months, suggesting that the infected colonies never healed completely. The high variability between tissue mortality values among coral colonies also suggests that overall host health-status may alter susceptibility to BBD infections.

In vitro studies of Lactobacillus delbrueckii subsp. lactis in Atlantic salmon ( Salmo salar L.) foregut: Tissue responses and evidence of protection against Aeromonas salmonicida subsp. salmonicida epithelial damage

Probiotic bacteria increase the host health status and protect mucosal tissue against pathogen-caused damage in mammalian models. Using an in vitro (intestinal sac) method this study aimed to address (a) the in vitro ability of Lactobacillus delbrueckii subsp. lactis to remain in the gastrointestinal tract of Atlantic salmon ( Salmo salar L.) and (b) its ability to prevent cellular damage caused by successive incubation with Aeromonas salmonicida subsp. salmonicida the causative agent of furunculosis. Short in vitro incubation of salmon foregut with (TRITC)-labelled L. delbrueckii subsp. lactis showed that the probiont was able to colonize the enterocyte surface as studied by confocal microscopy. Furthermore, foregut incubated with the probiotic bacteria only, resulted in a healthy intestinal barrier whereas exposure to A. salmonicida disrupted its integrity. However, pre-treatment of salmon intestine with L. delbrueckii subsp. lactis prevented Aeromonas damaging effects. These results are promising in the context of the use of non-autochthonous probiotic bacteria as prophylactic agents against fish bacterial infections in the gastrointestinal tract.

Effect of extracts of carrot waste on gut microflora

The bacterial community within the gastrointestinal tract (GIT) crucially influences the host health status. To prevent disease and reduce morbidity and mortality, inhibition of pathogenic bacteria proliferation is needed. Bioactive compounds from plants showed an activity on standard gut strains.The aim of the present study was to evaluate the effects of water and ethanol extracts from carrot waste on the growth and viability of gut microbiota in weaning piglets.

Disease risks and overabundance of game species

Different studies have evidenced the relationship between host abundance and health status of wildlife populations. Diseases that benefit from wildlife overabundance can affect not only the fitness and trophy quality of game species, but also public health, livestock health, and the conservation of endangered species. This paper reviews a number of European examples to highlight the relationship between overabundance and disease in game species, and discusses the possibilities of limiting the associated risks. Management tools to estimate overabundance are needed for legislative purposes and for the monitoring of wildlife populations, but artificial feeding interferes in the objective measurement of overabundance. Therefore, we propose a multidisciplinary approach to diagnose if a given wildlife population is overabundant. This includes not only signs such as adverse effects on the soil, vegetation or fauna (first group), poor body condition scores, low trophy scores or low reproductive performance (second group), or increased parasite burdens (third group), but also the measurement of infectious disease prevalences (the fourth group of overabundance signs). This combined assessment of overabundance ideally requires the cooperation of wildlife managers, botanists, and veterinarians. Once a given wildlife population is defined as overabundant, it is difficult to establish palliative management actions. These can consist in banning certain management tools (e.g. feeding) or increasing the hunting harvest, but both of them are difficult to implement in practice. A close monitoring of both wildlife densities and wildlife diseases, the establishment of reference values for all signs of overabundance, and the mapping of the disease and density hotspots will be needed to design adequate risk-control measures for each particular situation.

Basal Root Rot, a new Disease of Teak (Tectona grandis) in Malaysia caused by Phellinus noxius

Basal root rot of teak was first reported from Sabak Bernam, Selangor making this the first report of the disease on teak in Peninsular Malaysia. The fungus found associated with the disease was Phellinus noxious. The disease aggressively killed its host irrespective of the host health status. Bark depression at the root collar which was visible from a distance was the characteristic symptom and the main indicator in identifying the disease in the plantation since above ground symptoms of the canopy could not be differentiated from crowns of healthy trees. However, although above ground symptoms were not easily discernible, the disease was already advanced and the trees mostly beyond treatment; 3.4 % of the trees in the plantation were affected and the disease occurred both on solitary trees and in patches. Below ground, infected trees had rotted root systems, mainly below and around the collar region with brown discolored wood and irregular golden-brown honeycomb-like pockets of fungal hyphae in the wood. Pathogenicity tests showed that the fungus produced symptoms similar to those observed in the plantation and killed two year-old teak plants. The disease killed all the inoculated hosts within three months, irrespective of wounded or unwounded treatments.

Decreased quality of life associated with obesity in school-aged children.

To examine the association between health-related quality of life and body mass index (BMI) in preadolescent school-aged children and to provide the possible risk factors among participant characteristics, BMI status, and health-related quality of life. Cross-sectional analysis of 371 (50% female; 32% minority) children from a community-based sample of 8- to 11-year-olds participating in an ongoing cohort study, excluding those who had sleep apnea or who were born prematurely. Using BMI percentiles for age and sex, 17.5% of the children were considered overweight (BMI > or =95th percentile), 12.4% were at risk for overweight (BMI 85th-94th percentile), 8.1% were relatively underweight (BMI <20th percentile), and the remaining 62.0% were of normal weight (BMI 20th-84th percentile). Health-related quality-of-life scores as determined by the Child Health Questionnaire-Parent Form 50, dichotomized into the bottom quartile or decile. After adjustment for covariates (host factors and health status measurements), overweight children compared with normal weight children scored lower on the Psychosocial Health Summary (odds ratio [OR], 2.0; 95% confidence interval [CI], 1.1-3.6) and on subscales measuring self-esteem (OR, 3.5; 95% CI, 1.9-6.3), physical functioning (OR, 2.8; 95% CI, 1.7-6.8), and effect on the parent's emotional well-being (OR, 2.0; 95% CI, 1.1-3.6). Compared with the normal weight group, children who are at risk for overweight scored significantly lower for physical functioning. Overweight children have an increased odds of low scores for several health-related quality-of-life domains, suggesting the importance in considering such dimensions in programs aimed at further understanding obesity in children.

The influence of bacterial lipopolysaccharide on the thermoregulation of the box turtle Terrapene carolina.

Ectotherms can adjust their thermoregulatory set points in response to bacterial infection; the result may be similar to endothermic fever. We examined the influence of dose on the set point of body temperature (T(b)) in Terrapene carolina. After acclimating postprandial turtles to 20 degrees C, we injected them with two doses of bacterial endotoxin (LPS; lipopolysaccharide from Escherichia coli), 0.0025 or 0.025 mg LPS/g nonshell body mass, or with reptilian saline (control group). We placed the animals singly in linear thigmothermal gradients and recorded their T(b)'s for 48 h. The turtles showed dose-influenced thermal selection. Turtles injected with the high dose had T(b)'s significantly higher than control turtles, whereas low-dose turtles had T(b)'s significantly lower than control turtles. Also, there was a low daily effect on the T(b) of the turtles injected with the high dose. High-dose turtles had significantly higher T(b)'s than the control turtles during the first day but not during the second. Our results support the prediction of Romanovsky and Székely that an infectious agent may elicit opposite thermoregulatory responses depending on quality and quantity of the agent and the host health status.