Dietary Oligosaccharides Differentially Modulate Microbiome, Enteric Glia, and Epithelial Barrier Function in the Neonatal Jejunum and Colon.

In our pig intestinal ischemia model, a neonatal defect in epithelial barrier restitution in the jejunum can be rescued by ischemic mucosal homogenate from weaned pigs. This is associated with an immature enteric glial cell (EGC) network, a known driver of restitution that matures postnatally partly in response to microbial colonization, which can be modulated with dietary prebiotic fiber. Therefore, we hypothesized that dietary oligosaccharide supplementation accelerates postnatal microbial colonization and EGC network maturation in the jejunum and colon, thus enhancing restitution after ischemic injury. After 24-hours of colostrum, piglets were fed control or oligosaccharide-supplemented formula (control-fed or prebiotic-fed) for 21 days and fecal swabs were sequenced for 16S rDNA. Intestinal samples were collected for western blot, imaging, and EGC culture. Surgically ischemia-injured jejunal and colonic mucosal samples from select day 14 pigs were recovered ex vivo while monitoring epithelial barrier function by transepithelial electrical resistance (TEER). Migration abilities, calcium responses to ATP, paracrine effects on IPEC-J2 cell restitution, and protein secretome were assessed in jejunal and colonic EGC cultures. Colonic microbial taxa changed in a time- and diet-dependent manner with the prebiotic-fed taxa clustering by day 7 and becoming progressively more tightly clustered over time (P<.050). TEER and histology of uninjured jejunum and colon were unaffected by diet. Following ischemia, low initial TEER recovered to control levels in the control-fed colon but not prebiotic-fed colon (diet and injury interaction, P=.038), while diet had no effect on jejunal TEER recovery. Prebiotic-fed colon had lower levels of the EGC markers glial fibrillary acidic protein (GFAP) and S-100B at day 21 (P<.050), and subjectively reduced density of GFAP and S-100B EGC were noted in preliminary volume imaging of prebiotic-fed jejunal submucosa at days 14 and 21. EGC from prebiotic-fed colonic submucosa showed decreased chemotactic motility toward sterile-filtered colonic contents (P=.010), decreased intracellular calcium response to ATP (P=.0075), and their co-culture with IPEC-J2 enhanced epithelial restitution versus monoculture (P=.032). Oppositely, EGC from prebiotic-fed jejunal submucosa showed increased intracellular calcium response (P=.050) and their co-culture with IPEC-J2 did not enhance restitution as efficiently (P=.33) as those from control-fed jejunal submucosa (P=.019). For future study, prebiotic-fed colonic submucosal EGC differentially secreted 13 proteins of interest versus control-fed. Preliminary results indicate dietary oligosaccharides in neonates exert different effects in the jejunum versus the colon on EGC network development and phenotype, and on epithelial restitution in vivo and in vitro. Ongoing work to understand microbiome- EGC-epithelial interactions during postnatal development may lead to novel preventative and clinical practices to improve intestinal health in vulnerable neonates.