Paneth cells in the developing gut: when do they arise and when are they immune competent?

Fardou H Heida1,2, Gaia Beyduz1,2, Marian L C Bulthuis2

  • 1Department of Pediatric Surgery, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Pediatric Research
|April 7, 2016
PubMed

Insights

Paneth cells (PCs) and immune-competent PCs increase with gestational age (GA). Immune-competent PCs emerge by 29 weeks GA, potentially linking to necrotizing enterocolitis (NEC) risk in preterm infants.

Area of Science:

  • Perinatal development
  • Gastrointestinal immunology
  • Developmental biology

Background:

  • Paneth cells (PCs) are crucial for intestinal immunity, but their perinatal development and relation to necrotizing enterocolitis (NEC) remain unclear.
  • Understanding PC emergence and immune competence during gestation is vital for neonatal health.

Purpose of the Study:

  • To determine the gestational timing of Paneth cell (PC) appearance and immune competence.
  • To investigate the relationship between PC development and gestational age (GA).

Main Methods:

  • Analysis of 57 fetal/infant ileum tissue samples (9-40 weeks GA) via hematoxylin-eosin staining and anti-human defensin 5 immunohistochemistry.
  • Semi-quantitative assessment of PC and immune-competent PC numbers per crypt based on GA.

Main Results:

  • Both PC and immune-competent PC numbers significantly increased with advancing GA.
  • Significantly higher PC numbers were found after 37 weeks GA.
  • Immune-competent PCs were notably higher in infants with GA >29 weeks compared to those <29 weeks.

Conclusions:

  • The development of immune-competent Paneth cells (PCs) by 29 weeks gestational age (GA) parallels the increased incidence of necrotizing enterocolitis (NEC) in preterm infants.
  • This finding suggests a potential role for immune-competent PCs in the pathogenesis of NEC.
Abstract

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