Commensal Bacteroidetes protect against Klebsiella pneumoniae colonization and transmission through IL-36 signalling
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Accepted version
Author(s)
Sequeira, Richard P
McDonald, Julie AK
Marchesi, Julian R
Clarke, Thomas B
Type
Journal Article
Abstract
The microbiota primes immune defences but the identity of specific commensal microorganisms that protect against infection is unclear. Conversely, how pathogens compete with the microbiota to establish their host niche is also poorly understood. In the present study, we investigate the antagonism between the microbiota and Klebsiella pneumoniae during colonization and transmission. We discover that maturation of the microbiota drives the development of distinct immune defence programmes in the upper airways and intestine to limit K. pneumoniae colonization within these niches. Immune protection in the intestine depends on the development of Bacteroidetes, interleukin (IL)-36 signalling and macrophages. This effect of Bacteroidetes requires the polysaccharide utilization locus of their conserved commensal colonization factor. Conversely, in the upper airways, Proteobacteria prime immunity through IL-17A, but K. pneumoniae overcomes these defences through encapsulation to effectively colonize this site. Ultimately, we find that host-to-host spread of K. pneumoniae occurs principally from its intestinal reservoir, and that commensal-colonization-factor-producing Bacteroidetes are sufficient to prevent transmission between hosts through IL-36. Thus, our study provides mechanistic insight into when, where and how commensal Bacteroidetes protect against K. pneumoniae colonization and contagion, providing insight into how these protective microorganisms could be harnessed to confer population-level protection against K. pneumoniae infection.
Date Issued
2020-01-06
Date Acceptance
2019-11-07
Citation
Nature Microbiology, 2020, 5, pp.313-313
ISSN
2058-5276
Publisher
Nature Research
Start Page
313
End Page
313
Journal / Book Title
Nature Microbiology
Volume
5
Copyright Statement
© The Author(s), under exclusive licence to Springer Nature Limited 2020. The final publication is available at Springer via https://doi.org/10.1038/s41564-019-0640-1
Sponsor
Wellcome Trust
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31907407
PII: 10.1038/s41564-019-0640-1
Grant Number
107660/Z/15/Z
Subjects
Science & Technology
Life Sciences & Biomedicine
Microbiology
CARBAPENEM-RESISTANT ENTEROBACTERIACEAE
TERM ACUTE-CARE
BACTERIAL-COLONIZATION
EPIDEMIOLOGY
MICROBIOTA
INFECTION
TRACT
PATHOGENS
HEALTHY
0605 Microbiology
1108 Medical Microbiology
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2020-01-06