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内源性透明质酸促进肠道稳态并预防小鼠坏死性小肠结肠炎。

Endogenous Hyaluronan Promotes Intestinal Homeostasis and Protects against Murine Necrotizing Enterocolitis.

机构信息

Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.

出版信息

Cells. 2024 Jul 11;13(14):1179. doi: 10.3390/cells13141179.

Abstract

Necrotizing enterocolitis (NEC) is a complex, multifactorial gastrointestinal disorder predominantly affecting preterm infants. The pathogenesis of this condition involves a complex interplay between intestinal barrier dysfunction, microbial dysbiosis, and an altered immune response. This study investigates the potential role of endogenous hyaluronan (HA) in both the early phases of intestinal development and in the context of NEC-like intestinal injury. We treated neonatal CD-1 mouse pups with PEP1, a peptide inhibiting HA receptor interactions, from postnatal days 8 to 12. We evaluated postnatal intestinal developmental indicators, such as villi length, crypt depth, epithelial cell proliferation, crypt fission, and differentiation of goblet and Paneth cells, in PEP1-treated animals compared with those treated with scrambled peptide. PEP1 treatment significantly impaired intestinal development, as evidenced by reductions in villi length, crypt depth, and epithelial cell proliferation, along with a decrease in crypt fission activity. These deficits in PEP1-treated animals correlated with increased susceptibility to NEC-like injuries, including higher mortality rates, and worsened histological intestinal injury. These findings highlight the role of endogenous HA in supporting intestinal development and protecting against NEC.

摘要

坏死性小肠结肠炎(NEC)是一种复杂的、多因素的胃肠道疾病,主要影响早产儿。这种疾病的发病机制涉及肠道屏障功能障碍、微生物失调和免疫反应改变之间的复杂相互作用。本研究调查了内源性透明质酸(HA)在肠道早期发育和 NEC 样肠道损伤中的潜在作用。我们用 PEP1(一种抑制 HA 受体相互作用的肽)处理新生 CD-1 小鼠幼崽,从出生后第 8 天到第 12 天。我们评估了 PEP1 处理组与随机肽处理组相比,新生后肠道发育的指标,如绒毛长度、隐窝深度、上皮细胞增殖、隐窝分裂和杯状细胞和潘氏细胞的分化。PEP1 处理显著损害了肠道发育,表现为绒毛长度、隐窝深度和上皮细胞增殖减少,同时隐窝分裂活性降低。PEP1 处理组的这些缺陷与对 NEC 样损伤的易感性增加相关,包括更高的死亡率和更严重的组织学肠道损伤。这些发现强调了内源性 HA 在支持肠道发育和预防 NEC 中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad5/11274784/45f7f2d5fb85/cells-13-01179-g001.jpg

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