TY - JOUR TI - Candida tropicalis Infection Modulates the Gut Microbiome and Confers Enhanced Susceptibility to Colitis in Mice AU - Di Martino, Luca AU - De Salvo, Carlo AU - Buela, Kristine-Ann AU - Hager, AU - Christopher AU - Ghannoum, Mahmoud AU - Osme, Abdullah AU - Butto, Ludovica AU - and Bamias, Giorgos AU - Pizarro, Theresa T. AU - Cominelli, Fabio JO - CMGH Cellular and Molecular Gastroenterology and Hepatology PY - 2022 VL - 13 TODO - 3 SP - 901-923 PB - W B SAUNDERS CO-ELSEVIER INC SN - 2352-345X TODO - 10.1016/j.jcmgh.2021.11.008 TODO - C tropicalis; Colitis; A muciniphila; Mycobiome TODO - BACKGROUND & AIMS: We previously showed that abundance of Candida tropicalis is significantly greater in Crohn’s disease patients compared with first-degree relatives without Crohn’s disease. The aim of this study was to determine the effects and mechanisms of action of C tropicalis infection on intestinal inflammation and injury in mice. METHODS: C57BL/6 mice were inoculated with C tropicalis, and colitis was induced by administration of dextran sodium sulfate in drinking water. Disease severity and intestinal permeability subsequently were evaluated by endoscopy, histology, quantitative reverse-transcription polymerase chain reaction, as well as 16S ribosomal RNA and NanoString analyses (NanoString Technologies, Seattle, WA). RESULTS: Infected mice showed more severe colitis, with alterations in gut mucosal helper T cells (Th)1 and Th17 cytokine expression, and an increased frequency of mesenteric lymph node-derived group 2 innate lymphoid cells compared with uninfected controls. Gut microbiome composition, including changes in the mucin-degrading bacteria, Akkermansia muciniphila and Ruminococcus gnavus, was altered significantly, as was expression of several genes affecting intestinal epithelial homeostasis in isolated colonoids, after C tropicalis infection compared with uninfected controls. In line with these findings, fecal microbiome transplantation of germ-free recipient mice using infected vs uninfected donors showed altered expression of several tight-junction proteins and increased susceptibility to dextran sodium sulfate-induced colitis. CONCLUSIONS: C tropicalis induces dysbiosis that involves changes in the presence of mucin-degrading bacteria, leading to altered tight junction protein expression with increased intestinal permeability and followed by induction of robust Th1/Th17 responses, which ultimately lead to an accelerated proinflammatory phenotype in experimental colitic mice. ER -