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Updated: May 10, 2026

Three-dimensional Quantification of Intestinal Mucus Using Whole-mount Tissue Imaging
Published on: September 12, 2025
Mucosal barrier in ulcerative colitis and Crohn's disease
A E Dorofeyev1, I V Vasilenko, O A Rassokhina
1National Medical University, Donetsk 83003, Ukraine.
Mucin expression differs in ulcerative colitis (UC) and Crohn's disease (CD). Altered MUC2, MUC3, MUC4, and TFF3 levels correlate with disease activity in these inflammatory bowel diseases.
Area of Science:
- Gastroenterology
- Immunology
- Molecular Biology
Background:
- The gastrointestinal mucus layer is crucial for innate defense, secretion regulation, and maintaining colon integrity.
- Understanding mucin expression in the colon mucosa aids in comprehending the protective barrier's function in ulcerative colitis (UC) and Crohn's disease (CD).
Purpose of the Study:
- To investigate and compare mucin expression patterns (MUC2, MUC3, MUC4, TFF3) in the colon mucosa of patients with UC and CD.
- To correlate mucin expression with disease activity and inflammatory extent in these conditions.
Main Methods:
- Histological analysis of colon mucosa from 77 UC and CD patients.
- Standard histological staining (hematoxylin-eosin, alcian blue) and PAS-reaction for mucus characterization.
- Immunohistochemistry using antibodies against MUC2, MUC3, MUC4, and TFF3.
Main Results:
- All Crohn's disease (CD) patients showed moderate MUC2/MUC3 and high MUC4/TFF3 expression, with intensive MUC4/TFF3 labeling in a significant portion.
- Ulcerative colitis (UC) patients exhibited low or absent expression of MUC2, MUC3, and MUC4, while TFF3 showed high/medium intensity.
- Mucin expression alterations were most pronounced in patients with severe UC and CD.
Conclusions:
- Distinct mucin synthesis, secretion, and expression profiles exist between UC and CD patients.
- MUC2, MUC3, MUC4, and TFF3 expression levels correlate with disease activity and inflammatory extent in the large intestine.
- Severe UC and CD present with the most significant alterations in mucin expression patterns.
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