维生素D受体在维持肠道黏膜屏障完整性中的新作用。
Novel role of the vitamin D receptor in maintaining the integrity of the intestinal mucosal barrier.
作者信息
Kong Juan, Zhang Zhongyi, Musch Mark W, Ning Gang, Sun Jun, Hart John, Bissonnette Marc, Li Yan Chun
机构信息
Department of Medicine, The University of Chicago, Chicago, IL 60637, USA.
出版信息
Am J Physiol Gastrointest Liver Physiol. 2008 Jan;294(1):G208-16. doi: 10.1152/ajpgi.00398.2007. Epub 2007 Oct 25.
Emerging evidence supports a pathological link between vitamin D deficiency and the risk of inflammatory bowel disease (IBD). To explore the mechanism we used the dextran sulfate sodium (DSS)-induced colitis model to investigate the role of the vitamin D receptor (VDR) in mucosal barrier homeostasis. While VDR(+/+) mice were mostly resistant to 2.5% DSS, VDR(-/-) mice developed severe diarrhea, rectal bleeding, and marked body weight loss, leading to death in 2 wk. Histological examination revealed extensive ulceration and impaired wound healing in the colonic epithelium of DSS-treated VDR(-/-) mice. Severe ulceration in VDR(-/-) mice was preceded by a greater loss of intestinal transepithelial electric resistance (TER) compared with VDR(+/+) mice. Confocal and electron microscopy (EM) revealed severe disruption in epithelial junctions in VDR(-/-) mice after 3-day DSS treatment. Therefore, VDR(-/-) mice were much more susceptible to DSS-induced mucosal injury than VDR(+/+) mice. In cell cultures, 1,25-dihydroxy-vitamin D(3) [1,25(OH)(2)D(3)] markedly enhanced tight junctions formed by Caco-2 monolayers by increasing junction protein expression and TER and preserved the structural integrity of tight junctions in the presence of DSS. VDR knockdown with small interfering (si)RNA reduced the junction proteins and TER in Caco-2 monolayers. 1,25(OH)(2)D(3) can also stimulate epithelial cell migration in vitro. These observations suggest that VDR plays a critical role in mucosal barrier homeostasis by preserving the integrity of junction complexes and the healing capacity of the colonic epithelium. Therefore, vitamin D deficiency may compromise the mucosal barrier, leading to increased susceptibility to mucosal damage and increased risk of IBD.
新出现的证据支持维生素D缺乏与炎症性肠病(IBD)风险之间的病理联系。为了探究其机制,我们使用葡聚糖硫酸钠(DSS)诱导的结肠炎模型来研究维生素D受体(VDR)在黏膜屏障稳态中的作用。虽然VDR(+/+)小鼠大多对2.5% DSS有抗性,但VDR(-/-)小鼠出现了严重腹泻、直肠出血和明显体重减轻,在2周内导致死亡。组织学检查显示,经DSS处理的VDR(-/-)小鼠的结肠上皮有广泛溃疡且伤口愈合受损。与VDR(+/+)小鼠相比,VDR(-/-)小鼠在出现严重溃疡之前肠上皮跨膜电阻(TER)的损失更大。共聚焦显微镜和电子显微镜(EM)显示,DSS处理3天后,VDR(-/-)小鼠的上皮连接严重破坏。因此,VDR(-/-)小鼠比VDR(+/+)小鼠更容易受到DSS诱导的黏膜损伤。在细胞培养中,1,25 - 二羟基维生素D(3) [1,25(OH)(2)D(3)]通过增加连接蛋白表达和TER显著增强了Caco - 2单层细胞形成的紧密连接,并在存在DSS的情况下保持了紧密连接的结构完整性。用小干扰(si)RNA敲低VDR可降低Caco - 2单层细胞中的连接蛋白和TER。1,25(OH)(2)D(3)还可以在体外刺激上皮细胞迁移。这些观察结果表明,VDR通过维持连接复合体的完整性和结肠上皮的愈合能力在黏膜屏障稳态中起关键作用。因此,维生素D缺乏可能会损害黏膜屏障,导致对黏膜损伤的易感性增加和IBD风险增加。