1. Introduction
The early-lifetime period is critical for the development of immunity and metabolism, since the correct colonization and maturation of GM are delicately controlled by the host, and have a lifelong impact on the health of the host [
1,
2,
3,
4,
5]. The disruption of the neonatal microbiome can result in lifelong changes in the GM composition and has been linked to various conditions such as obesity, asthma, and inflammatory bowel disease (IBD) [
6,
7,
8,
9]. A main factor disturbing the establishment and maturation of the early GM is the exposure to antibiotics through treatment (high dose) or unnoticed subtherapeutic exposure to low-dose antibiotics in contaminated animal foods (for example, meat, eggs, milk, and aquatic products) [
2].
The overuse of antibiotics in young children for medical purposes in the US and China is quite serious [
2,
10], and efforts have been made in recent years by the government to reduce the therapeutic usage of antibiotics [
11]. However, in contrast to therapeutic usage of antibiotics, low-dose antibiotic exposure via contaminated animal food is more inconspicuous and harder to avoid [
1,
4]. In the USA, an estimated number of 17 million kg of antibiotics were used in farm animals as compared to an estimated 4 million kg in humans per year, and a majority of these antibiotics are given in subtherapeutic doses to healthy chicken, cattle, and pigs to promote weight gain [
12].
Penicillin is still one of the main antibiotics being used for animals and it is detected in contaminated food [
2,
13]. Previous studies have shown that short-term low-dose penicillin (LDP) treatment during early lifetime transiently disturbed the fecal microbiota and resulted in metabolic syndrome (MetS) in mice [
1,
14]. However, the underlying mechanisms and differences in microbial composition between intestinal luminal and mucosal samples were still largely unknown [
1].
It has been previously reported that transient high-dose antibiotics treatment during early life resulted in a relatively long-lasting (up to 70 d of age) reduction in fecal sIgA [
15,
16], which is the most abundant immunoglobulin isotype in humans and mice and is a master controller of GM that has a key role in regulating MetS [
17]. However, the prolonged influence of high-dose antibiotics on the intestinal sIgA and its correlation with metabolic disease was not determined [
15,
16].
We aimed to investigate whether the interaction between GM and intestinal IgA response plays a role in mediating the LDP-induced MetS. By using this LDP-induced MetS mouse model [
1], we found that transient LDP treatment persistently reduced fecal sIgA and intestinal IgA
+ B cells. We also found that this persistent influence of LDP on IgA response was both GM- and early life-dependent. Moreover, using sIgA-deficient (
Pigr−/−) mice, we demonstrated that transient LDP treatment increased the ileal bacterial encroachment and translocation, leading to the exaggerated diet-induced MetS in WT mice in a sIgA-dependent manner.
3. Discussion
In this study, we showed that the LDP treatment during early life disturbed GM composition, resulting in a persistent inhibition of the intestinal IgA response and a decrease in intestinal sIgA, which led to a disruption in the ileal bacterial composition, increases in bacterial encroachment and adipose inflammation, and an enhancement of diet-induced MetS.
The intestinal IgA
+ B cell repertoire can be greatly shaped by the routine of GM colonization in GF mice [
23]. Although this has not been verified in the newborn mice, considering their similarities (both firstly experience a GM-induced intestinal IgA
+ B cells differentiation and maturation), similar mechanisms may also be the same in newborns. This influence on IgA repertoire can last for a long time, which may be partially attributed to the long-lived property of IgA
+ B cells [
24,
25]. In line with this, we found that changes in GM during early life led to a persistent inhibition of intestinal IgA response. In addition, our results also demonstrated that IgA
+ B cells differentiation in newborn mice is more sensitive to GM alteration than that in GF mice, since the intestinal SIgA reduction continued until the end of the experiment (25 weeks) in the WT SPF mice (whose GM was disturbed since birth) but disappeared in conventionalized GF mice (received GM at 30 d old) 6 weeks after the GM transfer.
A major role of intestinal SIgA is enhancing the clearance of microbes and preventing the encroachment and translocation of microbes and microbial antigens, therefore protecting the hosts from microbe-induced inflammation [
17]. In accord, we found that the transient LDP-induced dampening of intestinal IgA response increased bacterial encroachment and translocation and serum LPS, which was accompanied by an exacerbation of adipose inflammation. A compromise of the intestinal IgA response has also been reported in high-fat diet (HFD)-induced obese mice [
26]. In addition, deficiency in IgA (
Igha−/−) exacerbates the HFD-induced adipose inflammation and MetS in mice [
26] while an enhancement of IgA response through flagellin immunization can prevent HFD-induced MetS in a B and CD4
+ T cells-dependent manner [
27]. However, as both systemic (serum IgA) and mucosal sIgA were lacking in
Igha−/− mice, it is not clear which kind of IgA plays a major role in regulating metabolism in these studies [
26,
27]. We found that although LDP exposure reduced both the serum IgA and intestinal sIgA in 30-day-old WT mice, only the intestinal sIgA was still affected by the LDP in 25-week-old WT mice. In addition, through using sIgA-selectively deficient mice (
Pigr−/−), we demonstrated that only mucosal sIgA, especially the intestinal sIgA, had a fundamental role in mediating LDP-induced alteration in metabolism.
4. Methods
4.1. Animals
4.1.1. Wild-Type Specific Pathogen Free Animals
Wild-type (WT) C56BL/6J mice purchased at 8 weeks of age (Vital River Laboratory Animal Technology. Co., Ltd., Beijing, China) were randomly paired (1:1) after adapting for one week and fed a standard diet (#12450B, Research Diets, New Brunswick, NJ, USA). Female and male mice were co-housed at a 1:1 ratio for 4 days (one estrous cycle for house mouse), after which the female mice were individually housed. During and after cohousing, pregnancies and due dates were monitored and calculated according to the body weight changes.
Pups (and their mothers) were randomly assigned to two groups: low-dose penicillin (LDP)-free control group (Ctr) that received no antibiotics and LDP-treated control group (LDP) that received antibiotics. Pups were separated from their mothers at 21 days. Pups in every group were from at least three dams. For the LDP groups, dams received antibiotics at a dose of 10 mg/L to deliver approximately 1.5 mg per kg body weight about one week prior to birth and were continuously maintained on penicillin. This specific dosage regimen was effective for inducing metabolic MetS phenotypes in offspring during later developmental stages. [
1]. LDP pups were exposed to penicillin until 30 days of age either through their mother or through drinking water. After the LDP treatment, pups were divided by sexes and kept 2~3/cage. All pups were fed on a normal diet (#D12450B, Research Diets) but transferred to a Western diet (45% energy from lard, D12451, Research Diets) at 6 weeks of age and allowed ad libitum access to food and water.
4.1.2. Germ-Free Animals
For the microbiota transfer to germ-free (GF) animals’ experiment, feces were collected from 30-day-old donors from each group and immediately placed in prereduced anaerobically sterilized PBS, homogenized under anaerobic conditions, settled with gravity for 2 min, and then the supernatant was transferred to even-aged GF C57BL/6 mice. After transfer, the conventionalized GF mice were housed in standard SPF conditions, and food and water were provided ad libitum.
4.1.3. SIgA-Deficient Mice
Pigr+/− males and females, which can produce normal sIgA and therefore have similar GM to WT mice [
6], were used to generate sIgA-deficient pups. Specifically, 8-week-old
Pigr+/− females and males were mated as specified above, the genotypes of pups were identified at 10 days of age, and only
Pigr−/− female and WT mice pups were chosen for the following experiment, as specified above.
4.1.4. Animal Management and Sampling
Mice were housed in standard specific pathogen-free (SPF) conditions (12/12 h light–dark cycle, humidity at 50 ± 15%, with a temperature of 22 ± 2 °C), and food and water were provided ad libitum. The food used in this study was sterilized using radiation (25.0 kGy). Food intake was recorded every week. Body weight was recorded weekly. At the end of the experimental period, the mice were fasted for 12 h, and plasma was collected by eyeball extirpation. The lumen contents of the distal ileum and proximal colon were collected by washing the lumen with sterilized PBS, and the mucosal samples were collected by scraping the intestinal wall with sterilized glass slides. Then, the samples were stored at −80 °C for microbial analysis. The contents of the cecum were collected and stored at −80 °C for the analysis of sIgA. The weights of the liver, inguinal white adipose tissue (iWAT), epididymal white adipose tissue (eWAT), and mesenteric white adipose tissue (mWAT) were measured. Tissues were preserved at −80 °C for gene expression analysis (for ileum, all fat and mesentery were removed, and Peyer’s patches were excised from the ileum), and the liver, iWAT, colon, and ileum were fixed using 4% paraformaldehyde and used for immunofluorescence analysis.
4.2. Ileum Tissue Culture
Mouse ileum was obtained and cultured as previously described with some modification [
21]. Distal ileum samples containing no Peyer’s patches were washed and cultured using RPMI 1640 supplemented with 10% FCS and penicillin/streptomycin 50 mg/mL at 37 °C and 5% CO
2 in 24-well plates. Two ileum samples per well (~3 mm) were cultured for each group (n = 4). Two days after co-culture with antigens, culture medium was collected and supernatants were centrifuged and stored at −80 °C for the analysis of IgA and cells were collected for the analysis gene expression. Four eight-week-old male SPF C57/BL6 mice were used for sampling. The ileum samples of each group were taken from all four mice and comprised the same intestinal regions.
4.3. Isolation and Analysis of Immune Cells from the Intestine
Lymphocytes from the intestinal lamina propira (LP) and Peyer’s Patches (PPs) were isolated by adapting a method previously described [
26]. Distal ileum (~10 cm prior to the cecum) was extracted, removing all mesentery fat as possible and PPs, and collected in ice-cold harvest media (RPMI 1640 (Sigma, St. Louis, MO, USA) supplemented with 5% FBS (Gibco, Waltham, MA, USA), 15 mM HEPES, penicillin–streptomycin (Gibco), pH 7.4). Extracted intestines were cut open longitudinally into 2~3 mm pieces in the wash buffer. Bowel pieces were transferred to an EDTA-containing stripping buffer (Hank’s balanced salt solution (Gibco) supplemented with 2% FBS (Gibco), 1.3 mM EDTA, 15 mM HEPES, penicillin-streptomycin (Gibco), pH 7.4) and shaken vigorously at 37 °C for 20 min, and then vortexed gently for a few seconds. This step was repeated two times. Gut pieces were then washed in cold harvest medium to remove residual EDTA before transfer into a digestion buffer (RPMI 1640 supplemented with 10% FBS (Gibco), 10 mM sodium pyruvate, penicillin–streptomycin antibiotics (Gibco), 15 mM HEPES, collagenase type I (100 U/mL, Sigma), DNase I (0.5 mg/mL, Sangon, Shanghai, China), and 1 mM CaCl
2 and MgCl
2), where it was minced finely with scissors, followed by a 45 min incubation at 37 °C with shaking. The resulting suspension of LP immune cells collected from the previous step were filtered twice through a 100- and 40-μmnylon cell strainer to obtain a single-cell suspension. PPs were mechanically disrupted in the harvest medium, and the homogenate was filtered through a 70 μm cell strainer to obtain a single-cell suspension. Single cells were stimulated with 50 ng/mL phorbolmyristate acetate and 1 μM Ionomycin in the presence of 5 μg/mL Brefeldin A. Following this in vitro stimulation, cells were stained with Fixable Viability Stain 780 (BD), anti-CD45.2, anti-CD4, anti-CD19, anti-CD45R, and anti-Tcrβ before being fixed and permeabilized using Transcription Factor Buffer (BD Pharmingen, San Diego, CA, USA). After fixation and permeabilization, cells were further stained with anti-IgA, anti-Foxp3, and anti-RORγ amtibodies. Cells were acquired on an LSRFortessa
TM Cell Analyzer (BD) and analyzed with FlowJo V10 (Tree Star, Ashland, OR, USA) software.
4.4. Quantitative Real-Time PCR (qPCR) Analysis
Total RNA was extracted using TRIzol
TM reagent (Invitrogen, Waltham, MA, USA) according to the manufacturer’s instructions. Reverse transcription of the total RNA (2.5 μg) was performed with a high-capacity cDNA reverse transcription kit (Promega Biotech Co., Ltd., Madison, WI, USA). qPCR was run in triplicate for each sample and analyzed in a LightCycler 480 real-time PCR system (Roche, Basel, Switzerland). Data were normalized to the internal control β-actin and analyzed using the ΔΔCT method. The expression of genes in iWAT, the liver, ileum and colon, as well as the bacterial and fungal load, were determined through qPCR (the related genes and primers used are shown in
Table S1).
Quantification of the bacterial and fungal loads through qPCR was conducted as previously described [
28]. Briefly, the total bacterial DNA was isolated from the samples with a QIAamp DNA Stool Mini Kit (Qiagen, Hilden, Germany) following the manufacturer’s instructions. For the isolation of fungal DNA, samples were suspended in 50 mM Tris buffer (pH 7.5) supplemented with 1 mM EDTA, 0.2% b-mercaptoethanol and 1000 units/mL of lyticase (Sigma), incubated at 37 °C for 30 min to disrupt fungal cells as described [
29], prior to processing through the QIAamp DNA Stool Mini Kit (Qiagen). The DNA was then subjected to qPCR using a QuantiFast SYBR Green PCR kit (Bio-Rad, Hercules, CA, USA) with specific primers (
Table S1).
4.5. Determination of Body Composition Through MRI
MRI experiments were performed on 25-week-old mice. The body composition was determined using MesoQMR instrument (Testniumag, Shanghai, China) with a 60 mm receiver and 0.5 ± 0.08 T magnetic field strength. To obtain high resolution scanned MRI images, MRI measurements were performed on a 7.0 T Varian MRI instrument (Varian Medical Systems, Palo Alto, CA, USA) using a 40 mm volume and receiver coil at the Institute of Laboratory Animal Sciences, Chinese Academy of Medical Sciences. Prior to the experiments, the mice were initially anesthetized with 2% isoflurane in a dedicated chamber. During the course of MRI, anesthesia levels were reduced to 1.5–1% in a combination of medical air and medical oxygen. The mice were positioned in the prone position, and respiratory-gated image acquisition was performed. MRI images of the mice were analyzed by Argus software v5.0.
4.6. Quantification of SIgA
Intestinal/fecal SIgA levels were determined using ELISA kits (Sigma-Aldrich, St. Louis, MO, USA) according to the manufacturer’s recommendations.
Separation of antigens and determination of IgA to the specific antigens were conducted as described with some modification [
7,
27]. Briefly, to prepare antigens from cecal contents of mice, cecal contents of mice from each group were normalized by bacterial loads (determined by qPCR as previously described [
18]), pooled (n = 3) in PBS (sterilized with a 0.22 μm filter), vortexed for 5 min, and centrifuged for 5 min at 13,000 RPM, 4 °C.
4.7. Immunofluorescence and Immunohistochemistry
Tissue sections for immunohistochemical testing were prepared on poly-L-lysine-pretreated coverslips. Immunohistochemical staining was performed according to a standard protocol using antibodies against F4/80 at a 1:200 dilution. The samples were incubated overnight in a humidified chamber at 4 °C. Secondary antibodies for immunohistochemical staining were purchased from Invitrogen. All images were acquired on an Olympus BX51 system (Olympus, Tokyo, Japan) and processed using ImageJ software, version 1.8.0. Immunostaining for IgA was conducted using FITC-conjugated anti-IgA antibody at a 1:500 dilution. The samples were incubated overnight at 4 °C. Observations and analyses were performed with a Zeiss LSM 700 confocal microscope (Zeiss, Jena, Germany).
4.8. Localization of Bacteria by Fluorescent In Situ Hybridization
The localization of bacteria by fluorescent in situ hybridization (FISH) was conducted as previously described with some modifications [
30]. Briefly, distal ileum (second cm from the caecum) containing fecal material was placed in methanol-Carnoy’s fixative solution (60% methanol, 30% chloroform, 10% glacial acetic acid) for a minimum of 3 h at room temperature. The hybridization step was performed at 50 °C overnight with an modified EUB338 probe [
31] (EUB338-II, 5′-GCAGCCACCCGTAGGTGT-3′, with a 5′ Texas Red label) diluted to a final concentration of 10 mg/mL in hybridization buffer (20 mM Tris-HCl, pH7.4, 0.9 M NaCl, 0.1% SDS, 20% formamide). After washing, Mucin 2 primary antibody was diluted to 1:500 in a block solution and applied overnight at 4 °C. After washing, the block solution containing anti-rabbit FITC-conjugated secondary antibody diluted to 1:1000 was applied to the section for 2 h. After washing, slides were mounted using Prolong anti-fade mounting media (Life Technologies, Carlsbad, CA, USA). Observations were performed with a Zeiss LSM 700 confocal microscope with software Zen 2011 version 7.1. This software was used to determine the distance between bacteria and the epithelial cell monolayer.
4.9. Histology
Tissues fixed in 4% paraformaldehyde were cut into 5 μm sections after being embedded in paraffin. Multiple sections were prepared and stained with hematoxylin and eosin (H&E, Baton Rouge, LA, USA) for general morphological observation.
4.10. GM Analysis
The microbial community of fecal, mucosal, and lumen samples of colon and ileum were analyzed through the sequence of 16S rRNA gene V4 region. Briefly, total genome DNA from samples was extracted using the CTAB/SDS method. DNA concentration and purity was monitored on 1% agarose gels. According to the concentration, DNA was diluted to 1 ng/μL using sterile water. 16S rRNA gene V4 regions were amplified using a specific primer for the V4 region (515F-806R) with the barcode. All PCR reactions were carried out in 30 μL reactions with 15 μL of Phusion® High-Fidelity PCR Master Mix (New England Biolabs, Ipswich, MA, USA); 0.2 μM of forward and reverse primers, and about 10 ng template DNA. Thermal cycling consisted of initial denaturation at 98 °C for 1 min, followed by 30 cycles of denaturation at 98 °C for 10 s, annealing at 50 °C for 30 s, and elongation at 72 °C for 30 s, and finally, at 72 °C for 5 min. The same volume of 1 × loading buffer (contained SYB green) was mixed with PCR products and electrophoresis was operated on 2% agarose gel for detection. PCR products were mixed in equidensity ratios. Then, a mixture of PCR products was purified with a GeneJETTM Gel Extraction Kit (Thermo Scientific, Waltham, MA, USA). Sequencing libraries were generated using Ion Plus Fragment Library Kit 48 rxns (Thermo Scientific) following the manufacturer’s recommendations. The library quality was assessed on the Qubit® 2.0 Fluorometer (Thermo Scientific). Finally, the library was sequenced on an Ion S5TM XL platform and 400 bp/600 bp single-end reads were generated.
Single-end reads were assigned to samples based on their unique barcode and truncated by cutting off the barcode and primer sequence. Quality filtering on the raw reads was performed under specific filtering conditions to obtain the high-quality clean reads according to the Cutadapt (V1.9.1,
http://cutadapt.readthedocs.io/en/stable/, accessed on 26 May 2025) quality-controlled process. The reads were compared with the reference database (Silva database,
https://www.arb-silva.de/, accessed on 26 May 2025)) using UCHIME algorithm (UCHIME Algorithm,
http://www.drive5.com/usearch/manual/uchime_algo.html, accessed on 26 May 2025)) to detect chimera sequences, and then the chimera sequences were removed [
32]. Then, the clean reads were finally obtained.
Alpha diversity is applied in analyzing the complexity of species diversity for a sample through six indices, including Observed-species, Chao1, Shannon, Simpson, ACE, Good-coverage. All these indices in our samples were calculated with QIIME (V1.7.0) and displayed with R software (V2.15.3). Beta diversity analysis was used to evaluate differences in samples in species complexity; beta diversity on both weighted and unweighted unifrac was calculated by QIIME software (V1.7.0). Principal Coordinate Analysis (PCoA) was performed to obtain principal coordinates and visualize from complex, multidimensional data. A distance matrix of weighted or unweighted unifrac among samples obtained before was transformed into a new set of orthogonal axes, by which the maximum variation factor is demonstrated by first principal coordinate, and the second maximum one by the second principal coordinate, and so on. PCoA analysis was displayed by WGCNA package, stat packages, and the ggplot2 package in R software (V2.15.3).
4.11. RNA-Sequencing
Total RNA of the liver and ileum were extracted using TRIzolTM reagent (Invitrogen) according to the manufacturer’s instructions. RNA degradation and contamination was monitored on 1% agarose gels; RNA purity was checked using the NanoPhotometer® spectrophotometer (IMPLEN, Westlake Village, CA, USA); RNA concentration was measured using Qubit® RNA Assay Kit in Qubit® 2.0 Fluorometer (Life Technologies, Carlsbad, CA, USA); RNA integrity was assessed using the RNA Nano 6000 Assay Kit of the Bioanalyzer 2100 system (Agilent Technologies, Santa Clara, CA, USA). Then, a total amount of 3 μg RNA per sample was used as input material for the RNA sample preparations. Sequencing libraries were generated using NEBNext® UltraTM RNA Library Prep Kit for Illumina® (NEB, Ipswich, MA, USA) following the manufacturer’s recommendations and index codes were added to attribute sequences to each sample. Briefly, mRNA was purified from total RNA using poly-T oligo-attached magnetic beads. Fragmentation was carried out using divalent cations under elevated temperatures in NEBNext First Strand Synthesis Reaction Buffer (5X) (New England Biolabs, Ipswich, MA, USA). First strand cDNA was synthesized using random hexamer primer and M-MuLV Reverse Transcriptase (RNase H−). Second strand cDNA synthesis was subsequently performed using DNA Polymerase I and RNase H. Remaining overhangs were converted into blunt ends via exonuclease/polymerase activities. After adenylation of 3′ ends of DNA fragments, NEBNext Adaptors (New England Biolabs, Ipswich, MA, USA)with a hairpin loop structure were ligated to prepare for hybridization. In order to select cDNA fragments of preferentially 250~300 bp in length, the library fragments were purified with the AMPure XP system (Beckman Coulter, Beverly, MA, USA). Then, 3 μL USER Enzyme (NEB, USA) was used with size-selected, adaptor-ligated cDNA at 37 °C for 15 min followed by 5 min at 95 °C before PCR. Then, PCR was performed with Phusion High-Fidelity DNA polymerase, Universal PCR primers and Index (X) Primer. At last, PCR products were purified (AMPure XP system, Beckman Coulter, Beverly, MA, USA) and library quality was assessed on the Agilent Bioanalyzer 2100 system. The clustering of the index-coded samples was performed on a cBot Cluster Generation System using TruSeq PE Cluster Kit v3-cBot-HS (Illumia, San Diego, CA, USA) according to the manufacturer’s instructions. After cluster generation, the library preparations were sequenced on an Illumina Hiseq platform and 125 bp/150 bp paired-end reads were generated.
Raw data (raw reads) of fastq format were firstly processed through in-house perl scripts. In this step, clean data (clean reads) were obtained by removing reads containing adapters, reads containing ploy-N, and low-quality reads from raw data. At the same time, Q20, Q30, and GC content with the clean data were calculated. All the downstream analyses were based on the clean data with high quality. Reference genome and gene model annotation files were downloaded from the genome website directly. The index of the reference genome was built using Hisat2 (V2.0.5) and paired-end clean reads were aligned to the reference genome using Hisat2. We selected Hisat2 as the mapping tool because Hisat2 can generate a database of splice junctions based on the gene model annotation file and thus create a better mapping result than other non-splice mapping tools. featureCounts (V1.5.0-p3) was used to count the read numbers mapped to each gene., and then the FPKM of each gene was calculated based on the length of the gene and reads count mapped to this gene. FPKM, expected number of Fragments Per Kilobase of transcript sequence per Millions base pairs sequenced, considers the effect of sequencing depth and gene length for the reads count at the same time, and is currently the most commonly used method for estimating gene expression levels. Differential expression analysis of two conditions/groups (two biological replicates per condition) was performed using the DESeq2 R package (V1.16.1).
4.12. Statistical Analysis
All data reported in this paper are expressed as the means ± SEMs. Significant differences between the two groups were evaluated with the t-test. A p value of <0.05 was considered statistically significant. All statistics were analyzed by SPSS software 27, and all analyses were performed with GraphPad Prism 7.