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Background   Campylobacter jejuni  infection produces a spectrum of clinical presentations in humans – including asymptomatic carriage, watery diarrhea, and bloody diarrhea – and has been epidemiologically associated with subsequent autoimmune neuropathies. This microorganism is genetically variable and possesses genetic mechanisms that may contribute to variability in nature. However, relationships between genetic variation in the pathogen and variation in disease manifestation in the host are not understood. We took a comparative experimental approach to explore differences among different  C. jejuni  strains and studied the effect of diet on disease manifestation in an interleukin-10 deficient mouse model.    Results  In the comparative study, C57BL/6 interleukin-10 -/-  mice were infected with seven genetically distinct  C. jejuni  strains. Four strains colonized the mice and caused disease; one colonized with no disease; two did not colonize. A DNA:DNA microarray comparison of the strain that colonized mice without disease to  C. jejuni  11168 that caused disease revealed that putative virulence determinants, including loci encoding surface structures known to be involved in  C. jejuni  pathogenesis, differed from or were absent in the strain that did not cause disease. In the experimental study, the five colonizing strains were passaged four times in mice. For three strains, serial passage produced increased incidence and degree of pathology and decreased time to develop pathology; disease shifted from watery to bloody diarrhea. Mice kept on an ~6% fat diet or switched from an ~12% fat diet to an ~6% fat diet just before infection with a non-adapted strain also exhibited increased incidence and severity of disease and decreased time to develop disease, although the effects of diet were only statistically significant in one experiment.    Conclusion   C. jejuni  strain genetic background and adaptation of the strain to the host by serial passage contribute to differences in disease manifestations of  C. jejuni  infection in C57BL/6 IL-10 -/-  mice; differences in environmental factors such as diet may also affect disease manifestation. These results in mice reflect the spectrum of clinical presentations of  C. jejuni  gastroenteritis in humans and contribute to usefulness of the model in studying human disease.

Multiple factors interact to produce responses resembling spectrum of human disease in Campylobacter jejuni infected C57BL/6 IL-10-/- mice