Institute for Research in Biomedicine, Faculty of Biomedical Sciences, Università della Svizzera Italiana (USI), Bellinzona, Switzerland.
Humabs BioMed SA a Subsidiary of Vir Biotechnology Inc., Bellinzona, Switzerland.
Nat Commun. 2024 Oct 4;15(1):8623. doi: 10.1038/s41467-024-52829-x.
Malnutrition is linked to 45% of global childhood mortality, however, the impact of maternal malnutrition on the child's health remains elusive. Previous studies suggested that maternal malnutrition does not affect breast milk composition. Yet, malnourished children often develop a so-called environmental enteropathy, assumed to be triggered by frequent pathogen uptake and unfavorable gut colonization. Here, we show in a murine model that maternal malnutrition induces a persistent inflammatory gut dysfunction in the offspring that establishes during nursing and does not recover after weaning onto standard diet. Early intestinal influx of neutrophils, impaired postnatal development of gut-regulatory functions, and expansion of Enterobacteriaceae were hallmarks of this enteropathy. This gut phenotype resembled those developing under deficient S100a8/a9-supply via breast milk, which is a known key factor for the postnatal development of gut homeostasis. We could confirm that S100a8/a9 is lacking in the breast milk of malnourished mothers and the offspring's intestine. Nutritional supply of S100a8 to neonates of malnourished mothers abrogated the aberrant development of gut mucosal immunity and microbiota colonization and protected them lifelong against severe enteric infections and non-infectious bowel diseases. S100a8 supplementation after birth might be a promising measure to counteract deleterious imprinting of gut immunity by maternal malnutrition.
营养不良与全球 45%的儿童死亡率有关,但母体营养不良对儿童健康的影响仍难以捉摸。先前的研究表明,母体营养不良不会影响母乳成分。然而,营养不良的儿童通常会发展出一种所谓的环境性肠病,据推测是由频繁摄入病原体和肠道定植不良引起的。在这里,我们在小鼠模型中表明,母体营养不良会在后代中诱导持续的炎症性肠道功能障碍,这种障碍在哺乳期形成,在断奶后恢复到标准饮食后无法恢复。早期肠道中性粒细胞的涌入、肠道调节功能的发育后受损以及肠杆菌科的扩张是这种肠病的特征。这种肠道表型类似于通过母乳中 S100a8/a9 供应不足发展的表型,这是肠道内稳态发育的已知关键因素。我们可以证实,营养不良母亲的母乳中缺乏 S100a8/a9,而其后代的肠道中也缺乏 S100a8/a9。对营养不良母亲的新生儿进行 S100a8 营养供应可以消除肠道黏膜免疫和微生物定植的异常发育,并使它们终生免受严重的肠道感染和非传染性肠病的影响。出生后补充 S100a8 可能是一种有前途的措施,可以对抗母体营养不良对肠道免疫的有害影响。