Department of Microbiology and Immunology, Graduate School of Medicine, Osaka University, Suita, Osaka, 565-0871, Japan.
WPI Immunology Frontier Research Center, Osaka University, Suita, Osaka, 565-0871, Japan.
Semin Immunopathol. 2024 Nov 26;47(1):2. doi: 10.1007/s00281-024-01026-5.
In the intestinal tract, where numerous intestinal bacteria reside, intestinal epithelial cells produce and release various antimicrobial molecules that form a complex barrier on the mucosal surface. These barrier molecules can be classified into two groups based on their functions: those that exhibit bactericidal activity through chemical reactions, such as antimicrobial peptides, and those that physically hinder bacterial invasion, like mucins, which lack bactericidal properties. In the small intestine, where Paneth cells specialize in producing antimicrobial peptides, the chemical barrier molecules primarily inhibit bacterial growth. In contrast, in the large intestine, where Paneth cells are absent, allowing bacterial growth, the primary defense mechanism is the physical barrier, mainly composed of mucus, which controls bacterial movement and prevents their invasion of intestinal tissues. The expression of these barrier molecules is regulated by metabolites produced by bacteria in the intestinal lumen and cytokines produced by immune cells in the lamina propria. This regulation establishes a defense mechanism that adapts to changes in the intestinal environment, such as alterations in gut microbial composition and the presence of pathogenic bacterial infections. Consequently, when the integrity of the gut mucosal barrier is compromised, commensal bacteria and pathogenic microorganisms from outside the body can invade intestinal tissues, leading to conditions such as intestinal inflammation, as observed in cases of inflammatory bowel disease.
在肠道中,存在着大量的肠道细菌,肠道上皮细胞会产生并释放各种抗菌分子,这些分子在黏膜表面形成一个复杂的屏障。这些屏障分子可以根据其功能分为两类:一类是通过化学反应表现出杀菌活性的抗菌肽,另一类是物理上阻碍细菌入侵的物质,如缺乏杀菌特性的粘蛋白。在小肠中,潘氏细胞专门产生抗菌肽,化学屏障分子主要抑制细菌生长。相比之下,在大肠中,潘氏细胞不存在,允许细菌生长,主要的防御机制是物理屏障,主要由黏液组成,控制细菌的运动并防止其侵犯肠组织。这些屏障分子的表达受到肠道腔中细菌产生的代谢物和固有层免疫细胞产生的细胞因子的调节。这种调节建立了一种适应肠道环境变化的防御机制,例如肠道微生物组成的改变和致病性细菌感染的存在。因此,当肠道黏膜屏障的完整性受到损害时,肠道内的共生细菌和来自体外的病原微生物可以侵犯肠道组织,导致肠道炎症等疾病,如炎症性肠病。
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