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      Targeting of Mammalian Glycans Enhances Phage Predation in the Gastrointestinal Tract

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          Abstract

          Invasive pathobionts or microbes capable of causing disease can reside deep within the mucosal epithelium of our gastrointestinal tract. Targeted effective antibacterial therapies are needed to combat these disease-causing organisms, many of which may be multidrug resistant.

          ABSTRACT

          The human gastrointestinal mucosal surface consists of a eukaryotic epithelium, a prokaryotic microbiota, and a carbohydrate-rich interface that separates them. In the gastrointestinal tract, the interaction of bacteriophages (phages) and their prokaryotic hosts influences the health of the mammalian host, especially colonization with invasive pathobionts. Antibiotics may be used, but they also kill protective commensals. Here, we report a novel phage whose lytic cycle is enhanced in intestinal environments. The tail fiber gene, whose protein product binds human heparan sulfated proteoglycans and localizes the phage to the epithelial cell surface, positions it near its bacterial host, a type of locational targeting mechanism. This finding offers the prospect of developing mucosal targeting phage to selectively remove invasive pathobiont species from mucosal surfaces.

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          Intestinal mucosal barrier function in health and disease.

          Mucosal surfaces are lined by epithelial cells. These cells establish a barrier between sometimes hostile external environments and the internal milieu. However, mucosae are also responsible for nutrient absorption and waste secretion, which require a selectively permeable barrier. These functions place the mucosal epithelium at the centre of interactions between the mucosal immune system and luminal contents, including dietary antigens and microbial products. Recent advances have uncovered mechanisms by which the intestinal mucosal barrier is regulated in response to physiological and immunological stimuli. Here I discuss these discoveries along with evidence that this regulation shapes mucosal immune responses in the gut and, when dysfunctional, may contribute to disease.
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            The two mucus layers of colon are organized by the MUC2 mucin, whereas the outer layer is a legislator of host-microbial interactions.

            The normal intestinal microbiota inhabits the colon mucus without triggering an inflammatory response. The reason for this and how the intestinal mucus of the colon is organized have begun to be unraveled. The mucus is organized in two layers: an inner, stratified mucus layer that is firmly adherent to the epithelial cells and approximately 50 μm thick; and an outer, nonattached layer that is usually approximately 100 μm thick as measured in mouse. These mucus layers are organized around the highly glycosylated MUC2 mucin, forming a large, net-like polymer that is secreted by the goblet cells. The inner mucus layer is dense and does not allow bacteria to penetrate, thus keeping the epithelial cell surface free from bacteria. The inner mucus layer is converted into the outer layer, which is the habitat of the commensal flora. The outer mucus layer has an expanded volume due to proteolytic activities provided by the host but probably also caused by commensal bacterial proteases and glycosidases. The numerous O-glycans on the MUC2 mucin not only serve as nutrients for the bacteria but also as attachment sites and, as such, probably contribute to the selection of the species-specific colon flora. This observation that normal human individuals carry a uniform MUC2 mucin glycan array in colon may indicate such a specific selection.
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              Gut microbiota: Role in pathogen colonization, immune responses, and inflammatory disease.

              The intestinal tract of mammals is colonized by a large number of microorganisms including trillions of bacteria that are referred to collectively as the gut microbiota. These indigenous microorganisms have co-evolved with the host in a symbiotic relationship. In addition to metabolic benefits, symbiotic bacteria provide the host with several functions that promote immune homeostasis, immune responses, and protection against pathogen colonization. The ability of symbiotic bacteria to inhibit pathogen colonization is mediated via several mechanisms including direct killing, competition for limited nutrients, and enhancement of immune responses. Pathogens have evolved strategies to promote their replication in the presence of the gut microbiota. Perturbation of the gut microbiota structure by environmental and genetic factors increases the risk of pathogen infection, promotes the overgrowth of harmful pathobionts, and the development of inflammatory disease. Understanding the interaction of the microbiota with pathogens and the immune system will provide critical insight into the pathogenesis of disease and the development of strategies to prevent and treat inflammatory disease.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                mBio
                mBio
                mbio
                mbio
                mBio
                mBio
                American Society for Microbiology (1752 N St., N.W., Washington, DC )
                2150-7511
                9 February 2021
                Jan-Feb 2021
                : 12
                : 1
                : e03474-20
                Affiliations
                [a ]Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas, USA
                [b ]Department of Human Genetics, Baylor College of Medicine, Houston, Texas, USA
                [c ]Department of Biochemistry, Emory Comprehensive Glycomics Core, Emory University School of Medicine, Atlanta, Georgia, USA
                [d ]Michael E. Debakey Veterans Affairs Medical Center, Houston, Texas, USA
                [e ]Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
                [f ]Department of Microbiology and Molecular Genetics, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA
                University of Texas Southwestern Medical Center Dallas
                Author notes
                Address correspondence to Anthony W. Maresso, maresso@ 123456bcm.edu .
                Author information
                https://orcid.org/0000-0002-4491-3173
                Article
                mBio03474-20
                10.1128/mBio.03474-20
                7885116
                33563833
                6de71c46-1271-4115-be1e-5deab23e4c91
                Copyright © 2021 Green et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license.

                History
                : 9 December 2020
                : 11 December 2020
                Page count
                supplementary-material: 6, Figures: 6, Tables: 1, Equations: 0, References: 90, Pages: 18, Words: 12240
                Funding
                Funded by: Roderick MacDonald Research Fund;
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                Funded by: Mike Hogg Foundation;
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                Funded by: Baylor College of Medicine Seed Funds;
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                Funded by: U.S. Department of Veterans Affairs (VA), https://doi.org/10.13039/100000738;
                Award ID: VA I01-RX002595
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                Categories
                Research Article
                Therapeutics and Prevention
                Custom metadata
                January/February 2021

                Life sciences
                e. coli,bacteriophage therapy,bacteriophages,multidrug resistance,pathobiont,pathogens
                Life sciences
                e. coli, bacteriophage therapy, bacteriophages, multidrug resistance, pathobiont, pathogens

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