Peripartum Antibiotics Promote Gut Dysbiosis, Loss of Immune Tolerance, and Inflammatory Bowel Disease in Genetically Prone Offspring

Cell Rep. 2017 Jul 11;20(2):491-504. doi: 10.1016/j.celrep.2017.06.060.

Abstract

Factors affecting the developing neonatal gut microbiome and immune networks may increase the risk of developing complex immune disorders such as inflammatory bowel diseases (IBD). In particular, peripartum antibiotics have been suggested as risk factors for human IBD, although direct evidence is lacking. Therefore, we examined the temporal impact of the commonly used antibiotic cefoperazone on both maternal and offspring microbiota when administered to dams during the peripartum period in the IL-10-deficient murine colitis model. By rigorously controlling for cage, gender, generational, and murine pathobiont confounders, we observed that offspring from cefoperazone-exposed dams develop a persistent gut dysbiosis into adulthood associated with skewing of the host immune system and increased susceptibility to spontaneous and chemically dextran sodium sulfate (DSS)-induced colitis. Thus, early life exposure to antibiotic-induced maternal dysbiosis during a critical developmental window for gut microbial assemblage and immune programming elicits a lasting impact of increased IBD risk on genetically susceptible offspring.

Keywords: complex immune disorders; dysbiosis; host-microbe interactions; immune development; inflammatory bowel diseases; microbial assemblage; microbiome; microbiome intervention; vertical transmission.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Anti-Bacterial Agents / adverse effects*
  • Colitis / chemically induced*
  • Colitis / immunology
  • Dysbiosis / chemically induced*
  • Dysbiosis / immunology
  • Female
  • Immune Tolerance / drug effects*
  • Inflammatory Bowel Diseases / chemically induced*
  • Inflammatory Bowel Diseases / immunology
  • Male
  • Mice
  • Peripartum Period

Substances

  • Anti-Bacterial Agents