Translocation and dissemination of commensal bacteria in post-stroke infection

D Stanley, LJ Mason, KE Mackin, YN Srikhanta… - Nature medicine, 2016 - nature.com
D Stanley, LJ Mason, KE Mackin, YN Srikhanta, D Lyras, MD Prakash, K Nurgali, A Venegas…
Nature medicine, 2016nature.com
Bacterial infection is highly prevalent in patients who have had a stroke. Despite the
potential contribution of micro-aspiration in post-stroke pneumonia, we found that the
majority of the microorganisms detected in the patients who developed infections after
having a stroke were common commensal bacteria that normally reside in the intestinal
tracts. In a mouse model of ischemic stroke, post-stroke infection was only observed in mice
that were born and raised in specific-pathogen-free facilities; this was not seen in mice that …
Abstract
Bacterial infection is highly prevalent in patients who have had a stroke. Despite the potential contribution of micro-aspiration in post-stroke pneumonia, we found that the majority of the microorganisms detected in the patients who developed infections after having a stroke were common commensal bacteria that normally reside in the intestinal tracts. In a mouse model of ischemic stroke, post-stroke infection was only observed in mice that were born and raised in specific-pathogen-free facilities; this was not seen in mice that were born and raised in germ-free facilities. Using high-throughput 16S rRNA gene amplicon sequencing and bioinformatics analyses, we provide evidence demonstrating that the source of the bacteria forming the microbial community in the lungs of post-stroke mice was indeed the host small intestine. Additionally, stroke-induced gut barrier permeability and dysfunction preceded the dissemination of orally inoculated bacteria to peripheral tissues. This study identifies a novel pathway in which stroke promotes the translocation and dissemination of selective strains of bacteria that originated from the host gut microbiota.
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