Impact of physicochemical parameters of child or adult digestive tract on Cryptosporidium parvum infection

National audience ; Cryptosporidium parvum is responsible for a zoonotic disease affecting both human health and livestock. The parasite infects its host through the oral route and develops in ileal epithelial cells, leading to acute and sometimes lethal diarrhoea. The severity of cryptosporidiosis is closely related to the immune status of its host, young ruminants, infants, and immunocompromised individuals being more susceptible. Other non-immune-related factors, such as digestive physicochemical properties, can also vary widely with age but their contribution to infection establishment in young individuals has never been investigated. In vitro digestion models have been designed and validated to study the fate of orally ingested substances while closely mimicking the physiological processes occurring during digestion. Among the available systems, the dynamic and multicompartmental TNO gastrointestinal model (TIM-1) is currently the most complete simulator of the human upper gastrointestinal tract. The TIM-1 was used for a comparative study of C. parvum infection under adult and young children digestive conditions. The TIM-1 was programmed to reproduce both physicochemical digestive conditions upon simulated ingestion of a glass of mineral water, which was experimentally contaminated with C. parvum oocysts. The parasite excystation kinetics throughout the course of the in vitro digestion was determined by flow cytometry analysis. Parasite invasion ability was assessed after reinoculation of sporozoites collected from the TIM-1 onto HCT-8 cells. A luciferase reporter gene assay was also used to follow sporozoite activity throughout the digestive process. Our data show that the parasite excystation rate is almost maximal in the duodenal compartment, one hour after the beginning of digestion in the TIM-1. However, a higher number of parasites reaches the distal ileal compartment while protected in their oocyst shell upon simulation of child compared to adult digestive conditions. This suggests that a lower ...