1. Introduction
Trillions of microbial cells, located in the intestinal compartment known as the “colonic microbiota”, develop during childhood and adulthood and play important roles in promoting the host´s health [
1]. Several factors, such as birth mode (vaginal or cesarean) and feeding method (breast milk or formula), influence the composition of the gut microbiota [
2]. Cesarean-born neonates have higher bacterial diversity than those born vaginally but are more prone to developing asthma, allergies, and obesity. This has been attributed, at least in part, to the gradual replacement of the
Bacteroides genus, which helps regulate the immune system, by the
Firmicutes genus in the first year of life [
3]. Moreover, formula-fed children have less bacterial diversity and richness in the first 12-24 months than those fed breast milk, with lower levels of
Lactobacillus, Staphylococcus, Megasphaera, and Actinobacteria [
3].
Within the main microbial reservoirs that sustain the early neonate’s colonization, maternal milk is considered the second most abundant source after the mother’s areolar skin, contributing 8×10
5 bacteria daily during lactation, particularly
Lactobacillus, Bifidobacterium, Staphylococcus spp., and
Streptococcus [
4]. Milk components, such as milk oligosaccharides, serve as an energy source for selected bacterial populations, which in turn produce short-chain fatty acids (SCFAs) and other metabolites that act as protectants against pathogens such as
Streptococcus pneumoniae or
Campylobacter jejuni [
5].
However, not only are microbiota and macromolecules in milk delivered from the mother to infants, but so are immune components, including immune cells, regulatory cells, and antibodies [
6]; and hormones like prolactin (PRL), a protein that is known for its stimulatory effect on milk secretion and exerts a wide range of metabolic and immune actions [
7]. Although PRL levels change depending on sex and physiopathological status, it has been recognized that the maintenance of a metabolically beneficial PRL level (HomeoFIT PRL: 7-100 µg/L) [
8] could prevent metabolic diseases development. Whereas too low and too high PRL levels associate with increased prevalence of metabolic diseases [
7,
8]. During lactation, obesity is associated with reduced PRL action since the obese condition lowers the expression of PRL receptors (PRLRs) in mammary epithelial cells, hindering PRL signaling and causing a reduction in the production of milk components like β−casein and α−lactalbumin, leading to lactation insufficiency and precocious mammary gland involution [
9]. Additionally, high-fat diet (HFD) feeding in rats reduces PRL levels in maternal milk, and their pups consuming obesogenic and hypoprolactinemic milk develop exacerbated adiposity, fatty liver, and insulin resistance at weaning, whereas PRL administration to the HFD-fed mothers or directly to the pups ameliorates those metabolic alterations [
10]. PRL treatment in HFD-fed lactating rat dams normalized mammary gland function and restored milk yield and PRL levels [
10]. Therefore, PRL in maternal milk favors metabolic homeostasis in the offspring, whereas lack of adequate PRL actions derived from an obesogenic environment contribute to the development of metabolic diseases.
Previous studies suggested that communication between the endocrine system and microorganisms regulates the host’s hormonal homeostasis [
11]. For instance, germ-free rats have 25% higher PRL levels than gnotobiotic (standard microbiota) animals [
12]. Moreover, a 24 h SCFAs treatment can inhibit
Prl expression in primary dairy cow anterior pituitary cells (DCAPCs)
in vitro [
13], supporting the idea that bacterial metabolites can influence endocrine factors. However, there are no reports about the relationship between the absence of PRLR signaling and gut microbiota composition in neonates, particularly during the weaning period, which is a critical time frame for producing microbial adaptations that shape the neonates’ health and prevent the development of chronic conditions [
14]. Altered microbiota has been implicated in several metabolic diseases such as cardiovascular diseases, obesity, and type 2 diabetes [
15], and microbiota transplantation has been shown to reverse obesity, type 2 diabetes, or being used in the treatment of persistent and severe infections due to
C. difficile [
16].
Since maternal milk is a key regulator of gut microbiota composition, and microbiota protects against the development of metabolic diseases, in this work, we investigated whether PRL/PRL receptor signaling regulates gut microbiota composition in newborn mice at the end of lactation. Our hypothesis was that the absence of PRLR induces changes in gut microbiota diversity and composition, promoting a microbial profile potentially linked to an increased risk of developing metabolic diseases.
4. Discussion
This research was intended to assess the impact of the absence of PRL/PRL receptor signaling in gut microbiota development on mice at weaning. The evaluation was conducted in a well-established PRLR knockout mouse model, originally created through gene targeting in 129svj [
23] and later on C57BL/6 mice, where a 1.5 kb fragment of the targeting vector containing exon 5 was replaced with the similarly sized thymidine-neomycin (Tk-NO) cassette, resulting in an in-frame stop codon mutation [
21]. Immunological characterization of the
Prlr-KO mice has indicated that these mice do not have a defective hematopoietic system [
24] and mice are capable of normal humoral and cell-mediated immune responses after exposure to T-independent/dependent antigens [
25,
26]. Previous results from our research group have shown that
Prlr-KO mice display slightly altered liver growth, with higher liver to body weight (LBW) ratio at 2 weeks of age but lower LBW ratio after 4 weeks of age, compared to WT mice [
22,
23]. Adult
Prlr-KO mice (16-18 weeks) do not show any differences in the visceral and subcutaneous adipose tissue weight or adipocyte area, compared to their WT counterparts. However, when challenged by a high fat diet (HFD) feeding for 8 weeks,
Prlr-KO adult mice showed increased adiposity, characterized by adipocyte hypertrophy, and exacerbated glucose intolerance and insulin resistance compared to HFD-fed WT mice [
27]. Also, streptozotocin (STZ)-induced diabetes in
Prlr-KO adult mice (5-7 weeks old) resulted in increased hyperglycemia and glucose intolerance (p<0.05), and lower insulin levels (p>0.05) than STZ-induced diabetic WT mice [
24], whereas no abnormalities in glucose and insulin levels were observed in non-diabetic
Prlr-KO mice compared to their WT counterparts. Thus,
Prlr-KO mice show increased susceptibility to develop exacerbated metabolic diseases. Despite several metabolic and phenotypic parameters have been described in the
Prlr-KO mice, there are no reports about gut microbiota characterization in this mouse model. The rationale for studying the impact of PRL/PRL receptor signaling on gut microbiota at weaning is that maternal milk is a key regulator of gut microbiota composition and gut microbiota is critical for metabolic homeostasis of the host. Prolactin is a component of maternal milk regulating metabolism in the offspring [
10], and during lactation in rodents, maternal milk is the main source of prolactin, as pituitary prolactin secretion (the primary source of circulating prolactin) starts around weaning [
28,
29].
The time and order in which microbiota colonize the gut, as well as the nutrients/substrates they encounter, are critical and highly contribute to the variation of microbiota between individuals [
30]. Breast milk and the alveolar skin provide an abundant number of microorganisms to neonates, and the proportion of breast milk intake and its replacement with solid foods has a significant impact on microbiota diversity, an event that has been proposed as the major driver in the development of gut microbiota in human adults [
2]. During weaning,
Lactobacillaceae are gradually lost, followed by the expansion of
Clostridiaceae [
14], which are critical bacterial families that prevent colonization by bacterial pathogens [
31]. Since mouse microbiota in early life cannot protect the host against pathogen colonization,
Lactobacillaceae presence is important, as this bacterial family effectively and directly inhibits pathogens, contributes to barrier maintenance, and modulates the host’s immune system [
32].
Along with microbiota and macro or micronutrients, breast milk delivers immune and endocrine factors that contribute to the neonates’ nutrition and development. This supports the concept of breast milk as a biological system [
33,
34]. Among the endocrine factors, PRL is delivered via maternal milk from the mother to the offspring in humans [
35] and rodents [
10], and studies suggest it regulates neonatal metabolic homeostasis [
10], which could involve the modulation of gut microbiota composition and diversity. Although the relationship between microbiota changes and PRL activity has been scarcely explored, variations in PRL levels are linked to metabolic changes potentially implicating microbiota dysbiosis, as this is one of the reasons involved in the development of cardiovascular diseases, obesity and type 2 diabetes [
15]. Moreover, microbiota transplantation has proven to reverse the severity of metabolic diseases [
16]. Few reports have explored the association between endocrine factors and microbiota, and “microbial endocrinology” has been proposed as an emergent research area to study host-microbe interactions and how microbiota impact physiological processes, including endocrine and immune function, which are critical to preventing the development of chronic NCDs [
36]. Here, we evaluated the impact of the absence of PRLR-PRL signaling on the gut microbiota composition of mice at weaning.
Macroscopically, both WT and KO mice displayed similar body weight development throughout lactation. However, at weaning, the
Prlr-KO mice showed significantly higher colon weight, which is an early indicator of a pro-inflammatory state [
37]. Changes in microbiota diversity have been associated with stress during weaning due to ecological mechanisms after the change in nutrient supply or maturation of the immune system (e.g., maternal IgA replacement with endogenous IgA) [
38]. Operational taxonomic units (OTUs) were originally used to group bacterial reads into clusters, considering the microbial sequence identity [
39]. However, the use of denoising methods migrated to identify exact sequence variants or ASVs, allowing to distinguish between the predicted “true” biological variation and those probably generated by sequencing error, and even a single nucleotide variation is defined as a separated ASV [
40]. Hence, ASV variations in the tested animals indicate exact sequence variations interpreted as a differential bacterial composition for each mouse genotype, suggesting that
Prlr -/- mice had a higher abundance of unique members of the bacterial community, but this does not reveal the size of the populations (absolute abundances), as observed by a lower Simpson Evenness and Phylogenetic diversity index in
Prlr -/- mice compared to
Prlr +/+ mice [
41]. Lower microbial diversity and richness are linked to adverse conditions such as increased gut permeability, NCDs (e.g., insulin resistance and obesity), and pro-inflammatory phenotypes [
42]. Since PRL activity is absent in
Prlr-KO animals, it could be feasible that an excess of milk-derived PRL in the colon could influence bacterial populations as both
Prlr-WT and
Prlr-KO mice were subjected to the same potential stressful conditions to the gut microbiota, but differential bacterial profiles could be observed at several taxonomical levels. Another possibility is that PRL is converted into smaller fragments in the intestinal milieu, such as vasoinhibins (Vi) [
43], and that the effects observed in
Prlr-KO mice are the result of both a lack of PRLR signaling and an excess of Vi signaling. Excess Vi could be generated in the intestinal lumen derived from the cleavage of milk PRL or in the circulation of the pups resulting from elevated PRL levels known to be present in
Prlr-KO animals. High PRL levels arose from absent PRLRs, which normally exert a negative feedback loop, stimulating dopamine release and inhibiting PRL production and secretion [
44].
The effect of the hormonal milieu on the gut bacterial composition of newborn Wistar rats was recently evaluated, showing that daily oral administration of leptin and adiponectin decreased the Proteobacteria phylum and
Blautia genus [
45]. However, since a natural Proteobacteria decrease is presented along with intestinal maturation, the tested adipokines could enhance this process [
46]. Moreover, leptin administration decreased
Sutterella and increased
Clostridium genera, while adiponectin decreased
Roseburia and increased
Enterococcus genera [
45]. In another study, leptin concentrations in the maternal milk of women with obesity did not impact the neonates’ microbial diversity or composition, but a higher insulin concentration from the mothers’ milk was correlated with increased taxonomic diversity, particularly with Gammaproteobacteria, and was inversely correlated with
Streptococcaceae [
47]. It has also been reported that several bacterial genera could metabolize hormones such as progesterone or estradiol [
48], and detectable plasmatic levels of progesterone (6-10 ng/mL) and 17β-estradiol (20-40 pg/mL) have been found in female rat pups at weaning [
49], suggesting that colonic hormonal composition might influence bacterial growth based on their metabolism. There are no reports on the impact of PRL on gut microbiota, but germ-free rats were found to contain 25% more PRL plasma levels than gnotobiotic animals [
50]. Moreover, bacterial families such as
Lactobacillaceae (
Lactobacillus gasseri, L. crispatus, and
L. jenesnii),
Peptostreptococcus, Bifidobacteriaceae (
Bifidobacterium longum), and
Streptococcaceae (
Streptococcus agalactiae, Streptococcus anginosus) have been found to successfully grow in human follicular fluid [
51], which contain several hormones, such as progesterone and PRL [
52], advocating for a potential interaction between microbiota and PRL.
Regarding the mechanisms explaining the successful bacterial growth under hormone treatment, it has been found that the absence of estrogen receptor β signaling could differentially impact the overall abundance of bacterial phyla (e.g., Proteobacteria, Bacteroidetes, and Firmicutes) or orders (e.g., Lactobacillales) [
53]. Moreover, the reported ability of
Clostridium scidens to metabolize small traces of bile acids that easily escape from the small intestine into the cecum to produce adverse secondary bile acids, deoxycholic acid, lithocholic acid, and even glucocorticoids acting as signaling hormones in bacteria agrees with a proposed hormonal influence on bacteria [
54]. Other reports indicate that epinephrine and norepinephrine from the host activate the transcription of virulence genes and flagella regulation in enterohemorrhagic
E. coli., involving the participation of a histidine kinase sensor located at the bacterial surface [
55].
Betaproteobacteria or its related order (Burkhoderiales) has been linked to NCD development in human adults. For instance, Betaproteobacteria abundance is increased in humans with type 2 diabetes [
56]. Five-year-old infants resulting from hypertensive pregnancies showed fewer
Alcaligenaceae and
Coriobacteriaceae families than those from normotensive pregnancies [
57]. The
Anaerotruncus genus, which we found increased in
Prlr-KO animals, is a butyrate-producing group of bacteria associated with obesity and correlates negatively with high carbohydrate-based diets but positively with total fat and the consumption of saturated fatty acids [
58]. In rabbits, the
Anaerotruncus genus was found to be negatively correlated with weaning weight [
59].
Particularly for the differentially found species, the significant abundance of
Lachnospiraceae species in the
Prlr-WT mice could predict better intestinal health compared to
Prlr-KO mice since
Lachnospiraceae are largely believed to be health-promoting species critical to maintaining the colonic tissue due to their ability to produce SCFAs, the primary nutrition source for colonocytes [
60], and known metabolites to decrease pro-inflammatory factors, protect the colonic mucosa, and inhibit NLRP3 inflammasome activation and reactive oxygen species (ROS) production [
61]. Increased
Lachnospiraceae abundance in 2-9–week-old children is considered one of the collective microbiota characteristics of appropriate growth after birth, together with augmented microbial diversity, a higher abundance of
Streptococcus and strictly aerobic taxa, and a decrease in
Staphylococcus and
Enterobacteriaceae abundances [
62].
The predicted functional analysis is consistent with maternal milk harboring bacteria linked to carbohydrates, amino acids, and energy metabolism [
63]. Although reports are scarce, a recent article indicated that early exposure of neonates to elevated leptin and insulin concentrations from the maternal milk of women with obesity could impact the neonates’ metagenomic profile, as high leptin concentrations are inversely correlated with bacterial amino acids, carbohydrates, vitamins, and amino acid metabolism [
64]. Products such as polyketides, alkaloids, and terpenoids are only derived from plants and can be formed by microorganisms [
65]. Most terpenoids are terpene derivatives not encoded by microbiome genomes but represent microbial metabolites from dietary products or bile acid derivatives, and some of them are the result of the activity of oxidizing enzymes, such as terpene cyclases or synthases, and the addition of carbohydrates, amino acids, and fatty acid chains into polycyclic terpene backbones [
66,
67]. Some terpenes are widely synthesized by Proteobacteria, Actinobacteria, Firmicutes, and Bacteroidetes and display a wide range of biological properties, but little information regarding their colonic biosynthesis and effect has been reported [
68]. On the other hand, polyketides are secondary metabolites produced mainly by Actinobacteria, Proteobacteria, Bacteroidetes, and Firmicutes, exhibiting antimicrobial properties against selected populations [
69].