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Updated: Sep 28, 2026

Important Endpoints and Proliferative Markers to Assess Small Intestinal Injury and Adaptation using a Mouse Model of Chemotherapy-Induced Mucositis
Published on: May 12, 2019
Specific responses in rat small intestinal epithelial mRNA expression and protein levels during chemotherapeutic
Melissa Verburg1, Ingrid B Renes, Danielle J P M Van Nispen
1Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Erasmus University, Rotterdam, The Netherlands.
Abstract:
The rapidly dividing small intestinal epithelium is very sensitive to the cytostatic drug methotrexate. We investigated the regulation of epithelial gene expression in rat jejunum during methotrexate-induced damage and regeneration. Ten differentiation markers were localized on tissue sections and quantified at mRNA and protein levels relative to control levels. We analyzed correlations in temporal expression patterns between markers. mRNA expression of enterocyte and goblet cell markers decreased significantly during damage for a specific period. Of these, sucrase-isomaltase (-62%) and CPS (-82%) were correlated. Correlations were also found between lactase (-76%) and SGLT1 (-77%) and between I-FABP (-52%) and L-FABP (-45%). Decreases in GLUT5 (-53%), MUC2 (-43%), and TFF3 (-54%) mRNAs occurred independently of any of the other markers. In contrast, lysozyme mRNA present in Paneth cells increased (+76%). At the protein level, qualitative and quantitative changes were in agreement with mRNA expression, except for Muc2 (+115%) and TFF3 (+81%), which increased significantly during damage, following independent patterns. During regeneration, expression of each marker returned to control levels. The enhanced expression of cytoprotective molecules (Muc2, TFF3, lysozyme) during damage represents maintenance of goblet cell and Paneth cell functions, most likely to protect the epithelium. Decreased expression of enterocyte-specific markers represents decreased enterocyte function, of which fatty acid transporters were least affected.
Insights
Methotrexate chemotherapy damages the rat jejunum lining, altering gene expression. Cytoprotective molecules increased, while enterocyte markers decreased, with some recovery during regeneration.
Area of Science:
- Gastroenterology
- Molecular Biology
- Pharmacology
Background:
- The small intestinal epithelium rapidly divides and is sensitive to chemotherapy.
- Methotrexate (MTX) is a cytostatic drug commonly used in cancer treatment.
- Understanding MTX-induced intestinal damage is crucial for managing side effects.
Purpose of the Study:
- To investigate the regulation of epithelial gene expression in rat jejunum during MTX-induced damage and regeneration.
- To analyze correlations in temporal expression patterns between differentiation markers.
- To assess changes at both mRNA and protein levels.
Main Methods:
- Localization and quantification of ten differentiation markers in rat jejunum tissue sections.
- Measurement of mRNA and protein levels relative to control groups.
- Analysis of correlations between temporal expression patterns of various markers.
Main Results:
- MTX treatment significantly decreased mRNA expression of enterocyte and goblet cell markers, with specific correlations observed (e.g., sucrase-isomaltase and CPS).
- Fatty acid transporters (I-FABP, L-FABP) and glucose transporters (GLUT5) showed decreased mRNA expression.
- Lysozyme mRNA in Paneth cells increased, while MUC2 and TFF3 mRNA expression changes were independent of other markers. Protein levels generally agreed with mRNA, with notable increases in Muc2 and TFF3 during damage.
- During regeneration, all marker expressions returned to control levels.
Conclusions:
- Enhanced expression of cytoprotective molecules (Muc2, TFF3, lysozyme) during MTX damage likely serves to protect the intestinal epithelium.
- Decreased expression of enterocyte-specific markers reflects reduced enterocyte function, with fatty acid transporters being least affected.
- These findings highlight the complex molecular responses of the small intestine to chemotherapy and the potential for targeted protective strategies.
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