Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.

BACKGROUND: Postmortem microbiological examinations are performed in forensic and medical pathology for defining uncertain causes of deaths and for screening of deceased tissue donors. Interpretation of bacteriological data, however, is hampered by false-positive results due to agonal spread of micr...

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Main Authors: Markus M Heimesaat, Silvia Boelke, André Fischer, Lea-Maxie Haag, Christoph Loddenkemper, Anja A Kühl, Ulf B Göbel, Stefan Bereswill
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3395637?pdf=render
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author Markus M Heimesaat
Silvia Boelke
André Fischer
Lea-Maxie Haag
Christoph Loddenkemper
Anja A Kühl
Ulf B Göbel
Stefan Bereswill
author_facet Markus M Heimesaat
Silvia Boelke
André Fischer
Lea-Maxie Haag
Christoph Loddenkemper
Anja A Kühl
Ulf B Göbel
Stefan Bereswill
author_sort Markus M Heimesaat
collection DOAJ
description BACKGROUND: Postmortem microbiological examinations are performed in forensic and medical pathology for defining uncertain causes of deaths and for screening of deceased tissue donors. Interpretation of bacteriological data, however, is hampered by false-positive results due to agonal spread of microorganisms, postmortem bacterial translocation, and environmental contamination. METHODOLOGY/PRINCIPAL FINDINGS: We performed a kinetic survey of naturally occurring postmortem gut flora changes in the small and large intestines of conventional and gnotobiotic mice associated with a human microbiota (hfa) applying cultural and molecular methods. Sacrificed mice were kept under ambient conditions for up to 72 hours postmortem. Intestinal microbiota changes were most pronounced in the ileal lumen where enterobacteria and enterococci increased by 3-5 orders of magnitude in conventional and hfa mice. Interestingly, comparable intestinal overgrowth was shown in acute and chronic intestinal inflammation in mice and men. In hfa mice, ileal overgrowth with enterococci and enterobacteria started 3 and 24 hours postmortem, respectively. Strikingly, intestinal bacteria translocated to extra-intestinal compartments such as mesenteric lymphnodes, spleen, liver, kidney, and cardiac blood as early as 5 min after death. Furthermore, intestinal tissue destruction was characterized by increased numbers of apoptotic cells and neutrophils within 3 hours postmortem, whereas counts of proliferative cells as well as T- and B-lymphocytes and regulatory T-cells decreased between 3 and 12 hours postmortem. CONCLUSIONS/SIGNIFICANCE: We conclude that kinetics of ileal overgrowth with enterobacteria and enterococci in hfa mice can be used as an indicator for compromized intestinal functionality and for more precisely defining the time point of death under defined ambient conditions. The rapid translocation of intestinal bacteria starting within a few minutes after death will help to distinguish between relevant bacteria and secondary contaminants thus providing important informations for routine applications and future studies in applied microbiology, forensic pathology, and criminal medicine.
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spelling doaj.art-e058aae19f484581ad4103782959d4aa2022-12-22T02:34:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0177e4075810.1371/journal.pone.0040758Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.Markus M HeimesaatSilvia BoelkeAndré FischerLea-Maxie HaagChristoph LoddenkemperAnja A KühlUlf B GöbelStefan BereswillBACKGROUND: Postmortem microbiological examinations are performed in forensic and medical pathology for defining uncertain causes of deaths and for screening of deceased tissue donors. Interpretation of bacteriological data, however, is hampered by false-positive results due to agonal spread of microorganisms, postmortem bacterial translocation, and environmental contamination. METHODOLOGY/PRINCIPAL FINDINGS: We performed a kinetic survey of naturally occurring postmortem gut flora changes in the small and large intestines of conventional and gnotobiotic mice associated with a human microbiota (hfa) applying cultural and molecular methods. Sacrificed mice were kept under ambient conditions for up to 72 hours postmortem. Intestinal microbiota changes were most pronounced in the ileal lumen where enterobacteria and enterococci increased by 3-5 orders of magnitude in conventional and hfa mice. Interestingly, comparable intestinal overgrowth was shown in acute and chronic intestinal inflammation in mice and men. In hfa mice, ileal overgrowth with enterococci and enterobacteria started 3 and 24 hours postmortem, respectively. Strikingly, intestinal bacteria translocated to extra-intestinal compartments such as mesenteric lymphnodes, spleen, liver, kidney, and cardiac blood as early as 5 min after death. Furthermore, intestinal tissue destruction was characterized by increased numbers of apoptotic cells and neutrophils within 3 hours postmortem, whereas counts of proliferative cells as well as T- and B-lymphocytes and regulatory T-cells decreased between 3 and 12 hours postmortem. CONCLUSIONS/SIGNIFICANCE: We conclude that kinetics of ileal overgrowth with enterobacteria and enterococci in hfa mice can be used as an indicator for compromized intestinal functionality and for more precisely defining the time point of death under defined ambient conditions. The rapid translocation of intestinal bacteria starting within a few minutes after death will help to distinguish between relevant bacteria and secondary contaminants thus providing important informations for routine applications and future studies in applied microbiology, forensic pathology, and criminal medicine.http://europepmc.org/articles/PMC3395637?pdf=render
spellingShingle Markus M Heimesaat
Silvia Boelke
André Fischer
Lea-Maxie Haag
Christoph Loddenkemper
Anja A Kühl
Ulf B Göbel
Stefan Bereswill
Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.
PLoS ONE
title Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.
title_full Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.
title_fullStr Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.
title_full_unstemmed Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.
title_short Comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice.
title_sort comprehensive postmortem analyses of intestinal microbiota changes and bacterial translocation in human flora associated mice
url http://europepmc.org/articles/PMC3395637?pdf=render
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