Okada Tomoyuki, Kanda Tsutomu, Ueda Naoki, Ikebuchi Yuichiro, Hashiguchi Keiichi, Nakao Kazuhiko, Isomoto Hajime
Division of Medicine and Clinical Science, Faculty of Medicine Tottori University, Yonago, Tottori 683-8504, Japan.
Department of Gastroenterology and Hepatology, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
Biomed Rep. 2020 Apr;12(4):193-198. doi: 10.3892/br.2020.1280. Epub 2020 Feb 20.
Ulcerative colitis (UC) is an idiopathic chronic inflammatory disorder affecting the large intestine, which may involve mucosal degeneration. Glycoproteins, mucin2 (MUC2) and the LY6/PLAUR domain containing 8 (LYPD8) are present on the mucous layer of the colon and can hinder the invasion of bacteria, thus contributing to the prevention of colitis. The present study investigated the expression levels of interleukin-8 (IL-8), MUC2 and LYPD8 on the mucous membranes of patients with UC. A total of 18 patients with UC (6 females and 12 males) were examined. Biopsies of the lesions as well as matching normal membranes were obtained and the mRNA expression levels of IL-8, MUC2 and LYPD8 were compared. LYPD8 expression was downregulated in the lesions and the relapsing-remitting subtype of lesions was associated with higher levels of MUC2 expression compared with single attack and chronic lesions subtypes. A positive correlation between Matts' histopathological grade and IL-8, as well as a negative correlation between Matts' histopathological grade and LYPD8 were observed. The expression levels of LYPD8 were lower in highly active lesions and these levels decreased according to the intensity of the mucosal inflammation. Conversely, an increase in MUC2 expression levels may reflect the recovery of the outer mucus layer in the remission phase. Therefore, the examination of MUC2 and LYPD8 expression levels may be useful indicators of mucosal healing in patients with UC.
溃疡性结肠炎(UC)是一种影响大肠的特发性慢性炎症性疾病,可能涉及黏膜变性。糖蛋白、黏蛋白2(MUC2)和含LY6/PLAUR结构域8(LYPD8)存在于结肠黏液层,可阻碍细菌入侵,从而有助于预防结肠炎。本研究调查了UC患者黏膜中白细胞介素-8(IL-8)、MUC2和LYPD8的表达水平。共检查了18例UC患者(6例女性和12例男性)。获取病变组织及相应正常组织的活检样本,比较IL-8、MUC2和LYPD8的mRNA表达水平。病变组织中LYPD8表达下调,与单次发作和慢性病变亚型相比,病变的复发缓解亚型MUC2表达水平更高。观察到Matts组织病理学分级与IL-8呈正相关,与LYPD8呈负相关。高度活跃病变中LYPD8表达水平较低,且这些水平随黏膜炎症强度降低。相反,MUC2表达水平升高可能反映缓解期外层黏液层的恢复。因此,检测MUC2和LYPD8表达水平可能是UC患者黏膜愈合的有用指标。