Bacteria penetrate the normally impenetrable inner colon mucus layer in both murine colitis models and patients with

Malin E V Johansson1, Jenny K Gustafsson, Jessica Holmén-Larsson

  • 1Department of Medical Biochemistry, University of Gothenburg, , Gothenburg, Sweden.

Gut
|February 22, 2013
PubMed
Abstract

Insights

Human colons possess an inner mucus layer impenetrable to bacteria, unlike mouse models of colitis and active ulcerative colitis (UC) patients where bacteria reach the epithelium. This suggests mucus barrier defects are key in UC pathophysiology.

Area of Science:

  • Gastroenterology
  • Immunology
  • Microbiology

Background:

  • The colon's inner mucus layer typically prevents bacterial contact with the epithelium.
  • Defects in this mucus barrier may contribute to colitis in mice and humans.

Purpose of the Study:

  • To investigate the presence and function of a human inner colon mucus layer.
  • To determine if mucus layer defects are common in spontaneous mouse colitis models and human ulcerative colitis (UC).

Main Methods:

  • Immunostaining for Muc2 mucin in mouse and human colon samples.
  • Analysis of bacterial localization within the mucus layer.
  • Ex vivo penetration assays using fluorescent beads.

Main Results:

  • All tested murine colitis models showed bacteria reaching the epithelium.
  • Human sigmoid colon samples exhibited an impenetrable inner mucus layer.
  • Colon mucus from active UC patients was highly penetrable by bacteria and beads, unlike remission patients and controls.

Conclusions:

  • Normal human colons have an inner mucus layer that effectively blocks bacteria.
  • Defective colon mucus, allowing bacterial penetration, is observed in mouse colitis models and active UC patients.
  • Modulation of colon mucus properties offers a novel perspective on UC pathophysiology.

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