Depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis

Tanja Werner, Stefan J. Wagner, Inés Martínez, Jens Walter, Jung Su Chang, Thomas Clavel, Sigrid Kisling, Klaus Schuemann, Dirk Haller

Research output: Contribution to journalArticle

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Abstract

Background: Iron replacement therapy is a common treatment in patients with anaemia and Crohn's disease, but oral iron supplements are less tolerated. The pathogenesis of Crohn's disease is attributed to intestinal bacteria and environmental factors that trigger disease in a genetically predisposed host. The aim of this study was to characterise the interrelationship between luminal iron sulfate, systemic iron, the gut microbiota and the development of chronic ileitis in a murine model of Crohn's disease. Methods: Wild type (WT) and heterozygous TNFΔARE/WT mice were fed with an iron sulfate containing or iron sulfate free diet in combination with intraperitoneal control injections or iron injections for 11 weeks. Results: TNF ΔARE/WT mice develop severe inflammation of the distal ileum but remained completely healthy when transferred to an iron sulfate free diet, even if iron was systemically repleted. Absence of luminal iron sulfate reduced cellular markers of endoplasmic reticulum (ER) stress responses and pro-apoptotic mechanisms in the ileal epithelium. Phenotype or reactivity of major effector intraepithelial CD8αβ+ T cells were not altered in the absence of luminal iron. Interestingly, ER stress mechanisms sensitised the small intestinal epithelial cell (IEC) line Mode-K to cytotoxic function of effector T cells from TNFΔARE/WT mice. Pyrosequencing of 16S rRNA tags of the caecal microbiota revealed that depletion of luminal iron sulfate induced significant compositional alterations, while total microbial diversity (Shannon's diversity index) and number of total operational taxonomic units were not affected. Conclusion: This study showed that an iron sulfate free diet in combination with systemic iron repletion prevents the development of chronic ileitis in a murine model of Crohn's disease. Luminal iron may directly affect IEC function or generate a pathological milieu in the intestine that triggers epithelial cell stress-associated apoptosis through changes in microbial homeostasis. These results suggest that oral replacement therapy with iron sulfate may trigger inflammatory processes associated with progression of Crohn's disease-like ileitis.

Original languageEnglish
Pages (from-to)325-333
Number of pages9
JournalGut
Volume60
Issue number3
DOIs
Publication statusPublished - Mar 2011
Externally publishedYes

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Ileitis
Crohn Disease
Iron
Sulfates
Endoplasmic Reticulum Stress
Gastrointestinal Microbiome
Epithelial Cells
Diet
T-Lymphocytes

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Werner, T., Wagner, S. J., Martínez, I., Walter, J., Chang, J. S., Clavel, T., ... Haller, D. (2011). Depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis. Gut, 60(3), 325-333. https://doi.org/10.1136/gut.2010.216929

Depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis. / Werner, Tanja; Wagner, Stefan J.; Martínez, Inés; Walter, Jens; Chang, Jung Su; Clavel, Thomas; Kisling, Sigrid; Schuemann, Klaus; Haller, Dirk.

In: Gut, Vol. 60, No. 3, 03.2011, p. 325-333.

Research output: Contribution to journalArticle

Werner, T, Wagner, SJ, Martínez, I, Walter, J, Chang, JS, Clavel, T, Kisling, S, Schuemann, K & Haller, D 2011, 'Depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis', Gut, vol. 60, no. 3, pp. 325-333. https://doi.org/10.1136/gut.2010.216929
Werner, Tanja ; Wagner, Stefan J. ; Martínez, Inés ; Walter, Jens ; Chang, Jung Su ; Clavel, Thomas ; Kisling, Sigrid ; Schuemann, Klaus ; Haller, Dirk. / Depletion of luminal iron alters the gut microbiota and prevents Crohn's disease-like ileitis. In: Gut. 2011 ; Vol. 60, No. 3. pp. 325-333.
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