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Abstract
Introduction. Neonatal infection with Cronobacter sakazakii can cause severe intestinal damage and necrotizing enterocolitis (NEC). The inflammasome and Toll-like receptors mediate intestinal damage caused by other intestinal pathogens causing NEC, but the exact mechanism is unclear.
Aim. We evaluated the molecular mechanisms underlying C. sakazakii -induced NEC.
Methodology. The effects of C. sakazakii treatment on two cell lines and a Sprague–Dawley rat model of NEC were evaluated by a cell death assay, western blot and real-time PCR analyses of the NLRP3 inflammasome and downstream factors, and observation of cell and intestinal damage.
Results. C. sakazakii caused cellular damage in vitro, as well as intestinal damage in an animal model. NLRP3, caspase-1, TLR4 and MyD88, as well as the downstream factor IL-1β, were upregulated in C. sakazakii -infected J774A.1 and HT-29 cells. Western blotting showed that C. sakazakii-infected J774A.1 and HT-29 cells and the NEC rat model had higher expression levels of N-terminal gasdermin D (GSDMD) compared with those in the control groups. C. sakazakii and its components promote NF-κB expression via the TLR4/MyD88 signalling pathway, thereby regulating the NLRP3 inflammasome and mediating GSDMD cleavage, resulting in pyroptosis-induced intestinal damage.
Conclusion. We found that C. sakazakii upregulates NF-κB via TLR4/MyD88 to promote activation of the NLRP3 inflammasome, leading to the up-regulation of downstream caspase-1, release of IL-1β, GSDMD-mediated pyroptosis and development of NEC. These findings clarify the mechanisms by which C. sakazakii contributes to NEC.
- Received:
- Accepted:
- Published Online:
Funding
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Youth Project of The Dean’s Fund of Nanfang Hospital of Southern Medical University
(Award 2017C50)
- Principle Award Recipient: Wei Shen
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Guangdong Basic and Applied Basic Research Foundation
(Award 2019A1515011759)
- Principle Award Recipient: Hongying Fan
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Science and Technology Program of Guangdong
(Award 2018B020205002)
- Principle Award Recipient: Hongying Fan
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National Natural Science Foundation of China
(Award 31872630)
- Principle Award Recipient: Hongying Fan