杯状细胞胞吐功能缺陷导致小鼠囊性纤维化相关肠道疾病。

Defective goblet cell exocytosis contributes to murine cystic fibrosis-associated intestinal disease.

作者信息

Liu Jinghua, Walker Nancy M, Ootani Akifumi, Strubberg Ashlee M, Clarke Lane L

出版信息

J Clin Invest. 2015 Mar 2;125(3):1056-68. doi: 10.1172/JCI73193. Epub 2015 Feb 2.

Abstract

Cystic fibrosis (CF) intestinal disease is associated with the pathological manifestation mucoviscidosis, which is the secretion of tenacious, viscid mucus that plugs ducts and glands of epithelial-lined organs. Goblet cells are the principal cell type involved in exocytosis of mucin granules; however, little is known about the exocytotic process of goblet cells in the CF intestine. Using intestinal organoids from a CF mouse model, we determined that CF goblet cells have altered exocytotic dynamics, which involved intrathecal granule swelling that was abruptly followed by incomplete release of partially decondensated mucus. Some CF goblet cells exhibited an ectopic granule location and distorted cellular morphology, a phenotype that is consistent with retrograde intracellular granule movement during exocytosis. Increasing the luminal concentration of bicarbonate, which mimics CF transmembrane conductance regulator-mediated anion secretion, increased spontaneous degranulation in WT goblet cells and improved exocytotic dynamics in CF goblet cells; however, there was still an apparent incoordination between granule decondensation and exocytosis in the CF goblet cells. Compared with those within WT goblet cells, mucin granules within CF goblet cells had an alkaline pH, which may adversely affect the polyionic composition of the mucins. Together, these findings indicate that goblet cell dysfunction is an epithelial-autonomous defect in the CF intestine that likely contributes to the pathology of mucoviscidosis and the intestinal manifestations of obstruction and inflammation.

摘要

囊性纤维化(CF)肠道疾病与黏液黏稠症的病理表现相关,黏液黏稠症是指分泌黏稠、黏性的黏液,堵塞上皮内衬器官的导管和腺体。杯状细胞是参与黏蛋白颗粒胞吐作用的主要细胞类型;然而,对于CF肠道中杯状细胞的胞吐过程知之甚少。利用CF小鼠模型的肠道类器官,我们确定CF杯状细胞的胞吐动力学发生了改变,这涉及鞘内颗粒肿胀,随后是部分解聚的黏液的不完全释放。一些CF杯状细胞表现出异位颗粒定位和扭曲的细胞形态,这种表型与胞吐过程中逆行性细胞内颗粒运动一致。增加腔内碳酸氢盐浓度,模拟CF跨膜电导调节因子介导的阴离子分泌,增加了野生型杯状细胞的自发脱颗粒,并改善了CF杯状细胞的胞吐动力学;然而,CF杯状细胞中颗粒解聚和胞吐之间仍然存在明显的不协调。与野生型杯状细胞内的黏蛋白颗粒相比,CF杯状细胞内的黏蛋白颗粒具有碱性pH值,这可能对黏蛋白的多离子组成产生不利影响。总之,这些发现表明杯状细胞功能障碍是CF肠道中的一种上皮自主性缺陷,可能导致黏液黏稠症的病理以及梗阻和炎症的肠道表现。

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