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Morphine-induced microbial dysbiosis disrupts IgA-bacterial homeostasis


ABSTRACT: Background: Morphine is commonly prescribed to manage moderate to severe pain despite many intestinal side effects including modulation of the immune system, rapid induction of intestinal microbial dysbiosis, and disruption of gut epithelial barrier. Morphine-induced microbial dysbiosis is characterized by decreased relative abundance of commensal bacteria with a corresponding increase in potentially pathogenic bacteria. Immunoglobulin A (IgA) dictates the composition of the intestinal microbiome. Morphine use results in microbial dysbiosis within 24 hours and presents a unique opportunity to observe IgA responses in the initial period of microbial dysbiosis. Methods: Here, we use a mouse model of chronic morphine-induced dysbiosis to gain insight on the function of IgA during the first 72hrs of microbial disruption. IgA concentration and bacterial binding were measured 24, 48, and 72hrs following continuous morphine treatment. IgA-bound bacteria were identified using fluorescence activated cell sorting (FACS) and 16s rRNA sequencing. Results: Compared to placebo-treated animals, unbound IgA concentration increases in ileal luminal content and plasma following 24hrs of morphine exposure and returns to physiologically normal concentration by 72hrs. Importantly, the increased IgA concentration is abrogated if the microbiome is depleted prior to morphine exposure. IgA binding to bacteria decreases at 24hrs of morphine treatment but increases at 48hrs and remains elevated through 72hrs. 16s rRNA sequencing reveals decreased IgA binding to commensal bacterial at 24hrs while potentially pathogenic bacteria are not targeted. At 48hrs however, while IgA binding to commensal bacteria is still reduced, IgA binding to pathogenic bacteria increased. Conclusions: Morphine-induced dysbiosis rapidly disrupts homeostasis between IgA and intestinal bacteria. Over 72hrs of continuous morphine treatment IgA binding to commensal bacteria and unbound IgA correspond inversely. IgA-sequencing reveals dynamic IgA bacterial targeting induced by morphine treatment. Together these data demonstrate the impact of morphine-induced dysbiosis on intestinal IgA-bacterial homeostasis.

ORGANISM(S): mouse gut metagenome

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PROVIDER: S-BSST1193 | biostudies-other |

REPOSITORIES: biostudies-other

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