The GI Microbiome in Domestic Animals – Contributions to Health and Disease Jan S. Suchodolski, MedVet, DrMedVet, PhD, Diplomate ACVM (Immunology) Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, College Station, TX (jsuchodolski@cvm.tamu.edu) Introduction The intestinal microbiota is defined as the consortium of all living microorganisms (bacteria, fungi, protozoa, and viruses) within the GI tract. Until recently, traditional bacterial culture was the routine method for identification of bacteria in the GI tract of mammals, and this method still is useful when employed for detection of specific enteropathogens (e.g., Salmonella, Campylobacter jejuni). However, it is now well established that the vast majority of intestinal microbes present in the GI tract remain undetected using culture based methods.1 Novel molecular tools (i.e., PCR and high-throughput sequencing) allow for better identification of microbes in complex ecosystems such as the GI tract. Recent studies have revealed that the GI tract of domestic animals (e.g., horses, dogs, and cats) is home to several hundred different bacterial genera and probably more than a thousand bacterial phylotypes.2 The mammalian intestine harbors estimated 1010-1014 microbial cells, approximately 10 times more than the number of host cells. It is, therefore, obvious that this highly complex microbial ecosystem plays a crucial role in host health and disease, as demonstrated in various studies in humans and animal models. We are just at the beginning in being able to comprehensively describe the microbial populations in the GI tract of domestic animals, and how they are influenced by environmental factors. Microbiota in health The exact number of bacterial species in the GI tract remains unclear, partly due the difficulties to comprehensively capture this diverse ecosystem. Recent studies have revealed approximately 200 bacterial phylotypes in the canine jejunum and it is estimated that the canine colon harbors a few hundred to thousand bacterial phylotypes. The phyla Firmicutes, Bacteroidetes, Proteobacteria, Actinobacteria, Spirochaetes, and Fusobacteria constitute almost 99% of all gut microbiota in dogs and cats.2,3 Less abundant phyla are Tenericutes, Verrucomicrobia, Cyanobacteria, and Chloroflexi. The phylum Firmicutes comprises many phylogenetically distinct bacterial groups: Clusters XIVa and IV encompass many important short-chain fatty acid producing bacteria (i.e., Ruminococcus spp., Faecalibacterium spp., Dorea spp.) and are the major groups in the ileum and colon of cats and dogs. In addition to bacteria, the GI tract harbors various fungi, archaea, protozoa, and viruses. Recent molecular studies have provided more in depth analysis about the diversity of these microorganisms in healthy animals, but their interactions, their influences on the host, and their role in disease remain unclear.4 Gut microbes benefit the host through many mechanisms. They may form a defending barrier against transient pathogens, they aid in nutrient breakdown and energy harvest from the diet, they provide nutritional metabolites for enterocytes, and play a crucial role in the regulation of the host immune system (Table 1). The microbial metabolites produced by the resident microbiome are thought to be one of the most important driving forces behind the coevolution of gastrointestinal microbiota with their host. More recent studies are attempting to study the functional properties of the intestinal microbiota using metagenomic (i.e., shot-gun DNA sequencing) and metabolomics approaches to better study the role of the intestinal microbiota in GI health. Metagenomic analysis of the canine fecal microbiome revealed the most represented functional categories of the microbiome as carbohydrate metabolism; protein metabolism; cell wall and capsule; cofactors, vitamins, prosthetic groups and pigments; DNA metabolism; RNA metabolism; amino acids and derivatives; and virulence.3 Microbiota in dogs and cats with gastrointestinal disease Microbial causes of gastrointestinal disease include colonization with invading pathogens, an imbalance (dysbiosis) caused by opportunistic bacterial residents, or an altered cross-talk between the intestinal innate immune system and the commensal microbiota. Recent studies have demonstrated a dysbiosis (defined as changes in the proportions of resident microbial groups within the GI tract) is associated with acute and chronic GI diseases (e.g., idiopathic IBD in dogs and colitis in horses).5-7 A common finding in dogs and cats with GI disease is a decrease in bacterial groups within the Firmicutes and Bacteroidetes, and an increase in Proteobacteria (Fig. 1). In a recent study we evaluated the fecal microbiome of healthy dogs (n=180), dogs with chronic enteropathies (CE; n=87), and dogs with acute hemorrhagic diarrhea (AHD; n=48). Significant differences in the abundance of the evaluated bacterial groups were observed for the disease groups when compared to the healthy dogs. Faecalibacterium spp., Turicibacter spp., and Ruminococcaceae were significantly decreased in CE and AHD (p<0.001 for all). Bacteroidetes were significantly decreased in CE (p<0.001), but not different in AHD (p>0.05). E. coli and C. perfringens were significantly increased in CE (p<0.05 and p<0.001, respectively) and AHD (p<0.001 and p<0.01, respectively). Bifidobacterium spp. and γ-Proteobacteria were significantly increased in CE (p<0.05 for both), but not different in dogs with AHD (p>0.05 for both). Lactobacillus spp. and Streptococcus spp. were significantly increased in dogs with CE (p<0.01 for both) and decreased in dogs with AHD (p<0.05 and p<0.01, respectively). These microbiome changes may lead to altered intestinal barrier function, damage to the intestinal brush border and enterocytes, an increased competition for nutrients and vitamins, and to an increased deconjugation of bile acids. Of interest is that commonly depleted groups in GI disease are Lachnospiraceae, Ruminococcaceae, and Faecalibacterium. These bacterial groups, important producers of short-chain fatty acids, may play an important role in maintenance of gastrointestinal health, as this leads to decreased production of SCFA (e.g., butyrate, acetate), which may impair the capability of the host to down-regulate aberrant intestinal immune response. The importance of some of these bacterial groups that are depleted in IBD have recently been demonstrated in humans. For example, Faecalibacterium prausnitzii is consistently reduced in human IBD and this bacterium has been shown to secrete metabolites with antiinflammatory properties, thereby down-regulating IL-12 and IFNγ and increasing IL-10 secretions.8 To understand the impact of bacterial dysbiosis on host immune and metabolic function, we have recently evaluated the serum metabolic profile of dogs with idiopathic IBD. There were significant differences in the amino acid metabolism between healthy dogs and IBD dogs, showing the microbiome response to the oxidative stress caused by inflammation. The metabolites cysteine, 2- hydroxybutanoic acid, and hexuronic acid increased in host response to oxidative stress. Tryptophan metabolism decreased in IBD, potentially related to an inflammatory cytokine driven increase in the trypthophan cleaving enzyme Indoleamine 2,3- dioxygenase-1. Further studies are warranted to evaluate treatment modalities that may improve the imbalances in host-bacterial metabolite profiles. Conclusions Recent advances in molecular diagnostics have allowed us to gain a better overview about the microbes present in the GI tract. However, our understanding of the complex interactions between microorganism and the host are still very rudimentary. Future studies will need to encompass metagenomics, transcriptomics, and metabolomics to understand the crosstalk between microbes and the host. These may allow us to develop better treatment modalities targeted at modulating the intestinal microbiota. Table 1. Bacterial metabolic pathways important for gastrointestinal health Metabolic endproducts Metabolic activities of intestinal microbiota Effect on host health propionate, acetate, butyrate carbohydrate fermentation anti-inflammatory, energy source of enterocytes, regulation of intestinal motility, amelioration of leaky gut barrier retinoic acid (Vitamin A derivate) vitamin synthesis important for generation of peripheral regulatory T-cells Vitamin K2, B12, biotin, folate vitamin synthesis important co-factors for various metabolic pathways ceramide induces degradation of sphingomyelin via alkaline sphingomyelinase significant role in apoptosis and in the prevention of intestinal epithelial dysplasia and tumourigenesis indole degradation of the amino acid tryptophan increases epithelial-cell tight-junction resistance and attenuates indicators of inflammation secondary bile acids (cholate / deconjugation / dehydroxylation deoxycholate) of bile acids taurine bacterial deconjugation of bile acids decrease in intestinal absorption degradation of oxalate through of oxalate oxalyl CoA decarboxylase intestinal fat absorption facilitates fat absorption from the GI tract, important for liver metabolism decreases in oxalate degarding enzyme associated with increased risk for calcium oxalate urolithiasis ammonia decarboxylation, deamination of amino acids increases associated with encephalopathy D-lactate carbohydrate fermentation increases associated with encephalopathy Figure 1. Predominant bacterial families observed in fecal samples of healthy cats (n=20) and diseased cats (n=50) based on 454-pyrosequencing of the 16S rRNA gene. Cats with diarrhea had significant decreases in Bacteroidaceae, Ruminococcaceae, and Veillonellaceae. Enterobacteriaceae were significantly increased. (Data expressed as % of total 16S rRNA sequences) Other 100% 90% Enterobacteriaceae 80% Helicobacteraceae 70% Erysipelotrichaceae Fusobacteriaceae 60% Clostridiaceae 50% Veillonellaceae 40% Ruminococcaceae 30% Lachnospiraceae 20% Bifidobacteriaceae 10% Prevotellaceae 0% Healthy Cats Cats with Diarrhea Bacteroidaceae References 1. Suchodolski JS. Intestinal Microbiota of Dogs and Cats: a Bigger World than We Thought. Vet Clin North Am Small Anim Pract 2011;41:261-272. 2. Handl S, Dowd SE, Garcia-Mazcorro JF, et al. Massive parallel 16S rRNA gene pyrosequencing reveals highly diverse fecal bacterial and fungal communities in healthy dogs and cats. FEMS Microbiol Ecol 2011;76:301-310. 3. Swanson KS, Dowd SE, Suchodolski JS, et al. Phylogenetic and gene-centric metagenomics of the canine intestinal microbiome reveals similarities with humans and mice. ISME J 2011;5:639-649. 4. Foster ML, Dowd SE, Stephenson C, et al. Characterization of the fungal microbiome (mycobiome) in fecal samples from dogs. Vet Med Int 2013;2013:658373. 5. Costa MC, Arroyo LG, Allen-Vercoe E, et al. Comparison of the fecal microbiota of healthy horses and horses with colitis by high throughput sequencing of the V3-V5 region of the 16S rRNA gene. Plos ONE 2012;7:e41484. 6. Suchodolski JS, Dowd SE, Wilke V, et al. 16S rRNA Gene Pyrosequencing Reveals Bacterial Dysbiosis in the Duodenum of Dogs with Idiopathic Inflammatory Bowel Disease. Plos ONE 2012;7:e39333. 7. Suchodolski JS, Markel ME, Garcia-Mazcorro JF, et al. The fecal microbiome in dogs with acute diarrhea and idiopathic inflammatory bowel disease. Plos ONE 2012;7:e51907. 8. Sokol H, Pigneur B, Watterlot L, et al. Faecalibacterium prausnitzii is an anti-inflammatory commensal bacterium identified by gut microbiota analysis of Crohn disease patients. PNAS 2008;105:1673116736.