Using gnotobiotic mice to decipher effects of gut microbiome repair in undernourished children on tuft and goblet cell function

ABSTRACT Studies have implicated perturbations in the postnatal development of the gut microbiome as a contributing factor to childhood undernutrition. Compared to a standard ready-to-use supplementary food, a microbiome-directed complementary food (MDCF-2) designed to repair these perturbations produced superior improvements in ponderal and linear growth in clinical trials of Bangladeshi children with moderate acute malnutrition. Here, ‘reverse translation’ experiments are performed where intact fecal microbiomes collected from trial participants prior to and at the end of treatment are introduced into female gnotobiotic mice just after delivery of their pups. Pups received diets designed to resemble those consumed by children in the trials to recreate “unrepaired” and “repaired” gut ecosystems. Analyses of the abundances of bacterial strains (metagenome-assembled genomes), their expressed…