Citrobacter rodentium infection provides a valuable model to study enteric bacterial infections as well as host immune responses and colitis in mice. This protocol outlines the measurement of barrier integrity, pathogen load and histological damage allowing for the thorough characterization of pathogen and host contributions to murine infectious colitis.
This protocol outlines the steps required to produce a robust model of infectious disease and colitis, as well as the methods used to characterize Citrobacter rodentium infection in mice. C. rodentium is a gram negative, murine specific bacterial pathogen that is closely related to the clinically important human pathogens enteropathogenic E. coli and enterohemorrhagic E. coli. Upon infection with C. rodentium, immunocompetent mice suffer from modest and transient weight loss and diarrhea. Histologically, intestinal crypt elongation, immune cell infiltration, and goblet cell depletion are observed. Clearance of infection is achieved after 3 to 4 weeks. Measurement of intestinal epithelial barrier integrity, bacterial load, and histological damage at different time points after infection, allow the characterization of mouse strains susceptible to infection.
The virulence mechanisms by which bacterial pathogens colonize the intestinal tract of their hosts, as well as specific host responses that defend against such infections are poorly understood. Therefore the C. rodentium model of enteric bacterial infection serves as a valuable tool to aid in our understanding of these processes. Enteric bacteria have also been linked to Inflammatory Bowel Diseases (IBDs). It has been hypothesized that the maladaptive chronic inflammatory responses seen in IBD patients develop in genetically susceptible individuals following abnormal exposure of the intestinal mucosal immune system to enteric bacteria. Therefore, the study of models of infectious colitis offers significant potential for defining potentially pathogenic host responses to enteric bacteria. C. rodentium induced colitis is one such rare model that allows for the analysis of host responses to enteric bacteria, furthering our understanding of potential mechanisms of IBD pathogenesis; essential in the development of novel preventative and therapeutic treatments.
Infection by enteric bacterial pathogens triggers gastrointestinal (GI) inflammation, as well as intestinal pathology and pathophysiology, including diarrhea and intestinal epithelial barrier dysfunction. The virulence mechanisms by which bacterial pathogens colonize the GI tract of their hosts, as well as specific host responses that defend against such infections are poorly understood, however recent advances in the modeling of enteric bacterial infections have begun to aid our understanding of these processes. Enteric bacteria have also been linked to Inflammatory Bowel Diseases (IBDs). The IBDs Crohn’s Disease (CD) and UC are complex diseases of unknown etiology, characterized by chronic intestinal inflammation and tissue damage. Many mouse models of intestinal inflammation exist, from spontaneous inflammation in genetically modified strains, such as IL10 -/- mice, to chemical challenges with compounds, such as dextran sodium sulfate (DSS) and dinitrobenzene sulfonic acid (DNBS)1. It has been hypothesized that the maladaptive chronic inflammatory responses present in IBD patients develop in genetically susceptible individuals upon abnormal exposure of the intestinal mucosal immune system to enteric bacteria2, therefore the study of models of infectious colitis also offers significant potential for defining potentially pathogenic host responses to enteric bacteria. Citrobacter rodentium induced colitis is one of the rare models of infectious colitis that has been well characterized1,3, allowing for the analysis of host responses to enteric bacteria and further understanding of potential mechanisms of IBD pathogenesis; an essential step in developing novel preventative and therapeutic treatments.
C. rodentium is a gram negative attaching and effacing (A/E), murine specific bacterial pathogen that is closely related to the important human pathogens enteropathogenic E. coli (EPEC) and enterohaemorrhagic E. coli (EHEC)3-8. The family of A/E pathogens intimately attach to the apical host cell membrane of the cecal and colonic epithelium, forming a non-invasive pedestal-like structure on the host cell. Oral challenge with C. rodentium of 108-109 organisms produces a robust model of infectious colitis characterized by colonic hyperplasia or elongation of the crypts, mononuclear immune cell infiltration and goblet cell depletion3,4. The initial site of colonization, a few hours after challenge, is at the cecal patch, followed by progression to the distal colon 2 to 3 days after infection3. In immunocompetent mouse strains, clearance of the pathogen is achieved 3 to 4 weeks after infection1,3,4. However, many genetically modified strains, i.e. gene deficient or knockout (-/-) mice, have been found to display increased susceptibility to infection resulting in exaggerated damage and/or chronic infection and inflammation9-14. Use of this infectious colitis model in these knockout strains, many lacking innate signaling proteins, has been indispensible in revealing several host proteins integral to resolution of intestinal infection and inflammation.
1. Preparation of Citrobacter rodentium Inoculum and Oral Gavage of Mice
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2. Measuring Colonic Epithelial Barrier Permeability in C. rodentium-infected Mice
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3. Measurement of Bacterial Load in Tissues of C. rodentium-infected Mice
4. Histological Assessment and Immunofluorescence Staining of Infected Colon Tissues
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During a standard infection experiment, mice are infected with approximately 2.5 x 108 CFU through gavage of 100 μl overnight C. rodentium culture. Infection of C57BL/6 mice with C. rodentium results in modest and transient weight loss and diarrhea. Although a rare occurrence with C57BL/6 mice, animals may become ill and require euthanization. Therefore, mice should be monitored for degree of weight loss and symptoms of distress such as piloerect fur and hunched posture, to determine the extent to which different strains are affected by the infection.
Results presented in Figures 1 through 4 are representative of an infection done using an overnight culture prepared from a frozen glycerol stock. At 7 days post-infection, mice were anesthetized and blood was collected through cardiac puncture. Figure 1 shows FITC-dextran measured in the serum of C57BL/6 mice, as well as from Toll like receptor 2 (TLR2) knockout mice, which have previously been found to exhibit impaired epithelial barrier integrity during infection9. In the presence of an intact intestinal epithelial barrier, 4 kDa FITC-dextran is poorly permeable through this layer. Therefore, increased levels of FITC-dextran in serum suggest an impairment of intestinal epithelial barrier integrity during infection allowing this molecule to leak across. As a control, serum levels in uninfected mice gavaged with FITC-dextran are also presented.
By one week post-infection, bacterial loads in the colon have been found to peak around 109 CFU/g3,4. Bacterial loads can be measured at desired time points post-infection to confirm infection, as well as to assess if different knockout mice suffer from increased or decreased bacterial burdens. As C. rodentium is a luminal pathogen that can intimately adhere to intestinal epithelial cells, bacterial loads in the luminal contents, cecal, and colonic tissues can be measured. Figure 2 shows typical bacterial loads measured at day 7 post-infection cecal and colonic tissues as well as within the intestinal lumen of C57BL/6 mice.
Most of the pathology observed during C. rodentium infection in C57BL/6 mice occurs in the distal 2 cm of the colon11. Macroscopically by day 7 post-infection, a thickening of the colonic mucosa as well as a shortening in length of the colon is observed, with little overt damage seen in C57BL/6 mice. Normally during infection, C57BL/6 mice suffer only moderate inflammation and pathology characterized histologically by immune cell infiltration, elongation of colonic crypts and goblet cell depletion (Figure 3).
As seen in the H&E sections in Figure 3, several host responses are mounted during infection with C. rodentium. To further characterize these changes, immunofluorescence staining can be utilized to examine changes in proteins of interest, such as markers of proliferation, cell death, or innate and adaptive immune responses. Immunofluorescence staining is also valuable in examining aspects of the bacterial response, such as its localization within the infected tissue. An example of this staining technique, examining a host protein ki67 (red), a marker for cell proliferation and the C. rodentium protein tir, green, to examine bacterial localization at day 12 post-infection is presented in Figure 4.
Figure 1. Measurement of serum FITC-dextran to assess epithelial barrier integrity. Mice were gavaged with 4 kDa FITC-dextran under uninfected conditions and at 7 days post-infection, following which serum FITC-dextran levels were determined. C57BL/6 (WT) mice exhibit a negligible increase in FITC-dextran serum levels at 7 days post-infection compared to uninfected conditions. In contrast, TLR2 -/- mice have significantly increased levels of FTIC-dextran in serum compared to baseline suggesting severely impaired barrier integrity in this strain during C. rodentium infection, as has previously been shown.
Figure 2. C. rodentium load in lumen, cecum, and colon of infected C57BL/6 mice at 7 days post-infection. Lumen, cecal, and colonic tissues were collected, homogenized, and plated in serial-dilution on LB agar. Each circle represents a single sample collected from individual animals. Solid lines indicate the geometric mean while vertical error bars indicate SEM.
Figure 3. Histological analysis of damage caused by C. rodentium infection. By day 7 post-infection moderate immune cell infiltration, as well as elongation of crypts, goblet cell depletion and mild edema is observed compared to control uninfected tissue. Click here to view larger figure.
Figure 4. Immunofluorescence staining on uninfected and day 12 post-infection tissues of C57BL/6 mice. Distal colonic tissue is stained for the host protein ki67 (red) and the C. rodentium protein tir (green).
Citrobacter rodentium infection provides a valuable model for the study of both infectious disease and colitis in mice. This unique model allows for the characterization of both host responses, as well as the pathogenic properties of bacteria. The steps outlined in this protocol detail the successful use of this model.
There are several critical steps in this protocol to keep in mind when inducing colitis and analyzing responses. First, the preparation of a fresh overnight C. rodentium inoculum in LB broth is required for successful infection of mice. As a dose of 108-109 organisms is required to infect most strains of mice, if the inoculum is left in the shaker or on the bench top at room temperature for extended periods, there will not be enough viable organisms remaining in the culture to induce colitis upon infection. It is also important to agitate the bacterial inoculum before loading the syringe for infection, to ensure that each mouse receives an equal dose of bacteria. When collecting tissues upon terminus of the infection, complete submersion of the colonic tissues in an ample volume of 10% formalin is required for proper tissue fixation to occur. It is suggested that tissues be added to formalin in a 5 ml vial, rather than into microcentrifuge tubes as a 10:1 ratio of fixative to tissue is recommended. Proper fixation is essential for later histological analysis, as well as immunofluorescence staining of these tissues. It is also important to keep in mind that different knockout strains will have varying responses upon induction of C. rodentium colitis. When infecting a new strain for the first time, mice should be closely monitored to determine a humane end-point for the experiment, if needed. Time points for analysis of epithelial barrier integrity, bacterial loads, and histology can be defined based on the response of the mouse strain of interest to the infection.
As plating of tissue homogenates on LB plates to determine bacterial loads is not an entirely selective method, performing PCR for a C. rodentium specific gene on bacterial colonies can be done to differentiate C. rodentium from other bacterialcolonies on the plate. Another option is to plate tissue homogenates on MacConkey agar, as this medium is more selective for C. rodentium than LB agar. An alternative approach is to use a streptomycin resistant wild-type C. rodentium strain instead.Substitution with a streptomycin resistant strain will result in the induction of the same colitis model described in this protocol. The benefit of using the streptomycin resistant strain is for easier analysis of bacterial loads, as tissue homogenates from these infections can be plated on LB agar supplemented with streptomycin rather than LB agar alone. This avoids potential growth of commensal microbes on the plate, making the CFU counting process easier and more accurate. Another alternative while measuring bacterial loads, is to incubate plates after plating dilutions of tissue homogenates on LB agar at either 37 °C overnight or at room temperature for 2-3 days, resulting in slower bacterial growth, before counting.
This protocol outlines the steps required to produce a robust model of infectious colitis, as well as the methods used to characterize C. rodentium infection in mice. Aside from using this model to examine pathogen-host interactions and immune responses, it can also be used to study how a bacterial infection can increase the risk of colon cancer. This can be done by exposing C. rodentium infected mice to the carcinogen azoxymethane, or by studying how infection impacts on epithelial cell proliferation, or on genes involved in epithelial cell differentiation or tumor development15. Using the infectious colitis model outlined in this protocol, bacterial numbers can also be assessed at extra-intestinal sites, such as the mesenteric lymph nodes, spleen and liver. Higher numbers in these organs may indicate that the mouse strain being tested is highly susceptible to the infection. Using the immunofluorescence staining technique described, a virtually endless number of mechanisms in response to infection can be explored. Once familiar with the techniques detailed here, the protocol can be modified to collect tissues to measure other endpoints, such as for RNA extraction and assessment of gene expression levels, to more thoroughly characterize responses to C. rodentium infection.
The authors have nothing to disclose.
This work was supported by operating grants to BAV from the Crohn’s and Colitis Foundation of Canada (CCFC) and the Canadian Institutes for Health Research (CIHR). GB was funded by a graduate studentship from CIHR. BAV is the Children with Intestinal and Liver Disorders (CHILD) Foundation Chair of Pediatric IBD Research and the Canada Research Chair in Pediatric Gastroenterology.
Name of Reagent/Material | Company | Catalog Number | Comments |
Luria Broth | ABM | G247 | Add 25 g of LB powder to 1L of water. Autoclave before using. |
Square bottom plate with grid | Fisher | 08-757-11A | |
Falcon culture tube | Sarstedt | 62.515.006 | |
Bulb tipped gastric gavage needle | Fine Science Tools | 18060-20 | |
1 ml syringe | BD Biosciences | 309659 | |
4 kDa FITC-dextran | Sigma | FD-4 | |
Citric acid | Sigma | C7129 | |
Sodium citrate | Fisher | S279-500 | |
Dextrose | Fisher | D16.1 | |
Acid citrate dextrose | 20 mM ctiric acid, 110 mM sodium citrate, 5 mM dextrose | ||
Black 96-well plate | Fisher | 07-200-762 | |
Metal beads (5 mm) | Qiagen | 69989 | |
10% formalin | Fisher | 5F93-4 | |
5 ml vial | DiaMed | STK3205 | |
Hematoxylin | Fisher | H345-23 | |
Eosin | Fisher | E511-100 | |
Xylene | Fisher | HC700-1GAL | |
Tween 20 | Sigma | P5927 | |
Coplin staining jar | VWR | 47751-792 | |
Sodium citrate buffer | 10 mM sodium citrate, 0.05% Tween 20, pH 6.0 | ||
Pap pen | Cedarlane | Mu22 | |
Goat serum | Sigma | G902-3 | |
Bovine Serum Albumin (BSA) | Fisher | BP1600-100 | |
Triton X-100 | Sigma | T8532 | |
Sodium azide | Sigma | SZ002 | |
Blocking buffer | 2% goat serum, 1% BSA, 0.1% triton X-100, 0.05% Tween 20, 0.05% sodium azide, 0.01 M PBS, pH 7.2, mix & store at 4 °C. | ||
Antibody dilution buffer | 0.1% triton X-100, 0.1% BSA, 0.05% sodium azide, 0.04% EDTA | ||
Blocking buffer & Antibody dilution buffer for tir | Same recipes as above, but without addition of detergents (triton X-100 and tween 20) | ||
Prolong Gold Antifade Reagent with DAPI | Invitrogen | P-36931 | |
Coverslips | Fisher | 12.54SE | |
Benchtop incubation shaker | Barnstead Lab Line | Max Q4000 | |
Fluorometer | Perkin Elmer | Victor2D | |
Refrigerated centrifuge | Beckman Coulter | Microfuge 22R | |
Steamer | Black & Decker | ||
Fluorescence microscope | Zeiss | Axio Image.Z1 |