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Dietary fat promotes antibiotic-induced Clostridioides difficile mortality in mice.

NPJ biofilms and microbiomes
April 1, 2022
Keith Z Hazleton et al. (9 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tResearch Support, N.I.H., ExtramuralAnimal Study
Study Details

Study Goal

The researchers aimed to determine how a high-fat/low-fiber "Western-type" diet affects mortality and gut microbiome disruption in a murine model of antibiotic-induced Clostridioides difficile infection (CDI).

Results Summary

Mice fed a high-fat/low-fiber diet had dramatically increased mortality, higher levels of pro-C. difficile bile acids, and greater gut microbiome disruption compared to low-fat/low-fiber and standard chow diets. The high-fat diet was also associated with elevated toxin TcdA levels prior to mortality.

Population

Laboratory mice in an antibiotic-induced CDI model.

Effective Dosage

Not specified (diet composition described as "high-fat/low-fiber" and "low-fat/low-fiber").

Duration

Not specified.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-fat/low-fiber 'Western-type' diet (WD)
increase
mortality
mice in a murine model of antibiotic-induced CDI
-
dramatically increased
#1
high-fat/low-fiber 'Western-type' diet (WD)
neutral
a pro-C. difficile bile acid composition
mice
-
had
#2
high-fat/low-fiber 'Western-type' diet (WD)
increase
primary bile acids
mice
-
higher levels of
#3
high-fat/low-fiber 'Western-type' diet (WD)
decrease
secondary bile acids
mice
-
lower level of
#4
high-fat/low-fiber 'Western-type' diet (WD)
increase
the gut microbiome with antibiotics
mice
-
greater disturbance to
#5
low-fat/low-fiber (LF/LF) diet
increase
the gut microbiome with antibiotics
mice
-
greater disturbance to
#6
high-fat/low-fiber 'Western-type' diet (WD)
increase
toxin TcdA just prior to the onset of mortality
mice
-
had the highest level of
#7
high-fat/low-fiber 'Western-type' diet (WD)
no change
TcdB
mice
-
not of
#8
high-fat/low-fiber 'Western-type' diet (WD)
no change
increased inflammation
mice
-
not of
#9
dietary intervention to decrease fat
decrease
CDI
high-risk individuals
-
may complement previously proposed dietary intervention strategies to prevent
#10
Abstract

Clostridioides difficile infection (CDI) is the leading cause of hospital-acquired diarrhea, and emerging evidence has linked dietary components with CDI pathogenesis, suggesting that dietary modulation may be an effective strategy for prevention. Here, we show that mice fed a high-fat/low-fiber "Western-type" diet (WD) had dramatically increased mortality in a murine model of antibiotic-induced CDI compared to a low-fat/low-fiber (LF/LF) diet and standard mouse chow controls. We found that the WD had a pro- C. difficile bile acid composition that was driven in part by higher levels of primary bile acids that are produced to digest fat, and a lower level of secondary bile acids that are produced by the gut microbiome. This lack of secondary bile acids was associated with a greater disturbance to the gut microbiome with antibiotics in both the WD and LF/LF diet compared to mouse chow. Mice fed the WD also had the highest level of toxin TcdA just prior to the onset of mortality, but not of TcdB or increased inflammation. These findings indicate that dietary intervention to decrease fat may complement previously proposed dietary intervention strategies to prevent CDI in high-risk individuals.

Medical Subject Headings (MeSH)
AnimalsAnti-Bacterial AgentsBacterial ToxinsClostridioidesClostridioides difficileDietary FatsMice
Study Links
Quality Scores
Safety30
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations14
Citations/Year4.7
Relative Citation Ratio1.55
NIH Percentile66.2%
Research Impact Scores
APT Score0.50
Weight Score1.40
Normalized Score0.59
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