Intestinal smooth muscle dysfunction develops postnatally in cystic fibrosis mice

Robert C De Lisle1, Lauren Meldi, Racquel Mueller

  • 1University of Kansas School of Medicine, Anatomy and Cell Biology, Kansas City, KS 66160, USA. rdelisle@kumc.edu

Abstract

Insights

Cystic fibrosis (CF) intestinal smooth muscle dysfunction develops between postnatal days 7 and 14 in mice. This dysfunction is linked to bacterial overgrowth and altered prostaglandin E2 levels, not CFTR absence alone.

Area of Science:

  • Gastroenterology
  • Developmental Biology
  • Genetics

Background:

  • Intestinal dysmotility is a known complication of cystic fibrosis (CF).
  • The precise developmental timing and mechanisms of CF-related intestinal smooth muscle dysfunction remain unclear.
  • Understanding these factors is crucial for managing CF gastrointestinal complications.

Purpose of the Study:

  • To determine the developmental onset of circular smooth muscle dysfunction in the small intestine of CF mice.
  • To investigate the role of CFTR in the development of intestinal smooth muscle dysfunction.

Main Methods:

  • Utilized wild-type (WT) and CFTR knockout (CF) mice from postnatal day 5 (P5) to adulthood.
  • Assessed circular smooth muscle contractile activity in response to cholinergic stimulation.
  • Quantified bacterial overgrowth using 16S rRNA gene quantitative PCR (qPCR).
  • Analyzed intestinal gene expression via RT-qPCR and measured prostaglandin E2 (PGE2) levels using enzyme immunoassay.

Main Results:

  • CF circular smooth muscle function was normal at P5 but impaired by P7 and severely dysfunctional by P14.
  • Bacterial overgrowth was evident in CF intestines by P4 and persisted into adulthood.
  • Increased expression of phospholipase A2 genes (Pla2g4c, Pla2g5) and elevated PGE2 levels were observed in CF mice from P7 onwards.
  • Decreased expression of prostaglandin degradative genes (Hpgd, Ptgr1) was noted in CF mice at later time points.

Conclusions:

  • CFTR absence itself does not directly cause smooth muscle dysfunction.
  • Intestinal smooth muscle dysfunction in CF develops postnatally between P7 and P14.
  • Bacterial overgrowth and altered eicosanoid metabolism likely contribute to the observed dysmotility.