Epithelial changes of congenital intestinal obstruction in a rat model

Quentin Ballouhey1,2, Laurent Fourcade1,2, Laurence Richard1,3

  • 1Myelin Maintenance and Peripheral Neuropathies, EA6309, University of Limoges, Limoges, France.

Plos One
|May 1, 2020
PubMed

Insights

Congenital intestinal atresia in rat fetuses accelerated proximal segment maturation and disrupted the distal segment. Epithelial system (ES) gene expression changes suggest their involvement in this condition, beyond the enteric nervous system (ENS).

Area of Science:

  • Developmental biology
  • Gastroenterology
  • Congenital disorders

Background:

  • Intestinal atresia is a rare congenital condition often leading to severe bacterial infections post-surgery.
  • Previous research primarily focused on the enteric nervous system (ENS) in intestinal atresia.
  • This study investigates the potential role of epithelial systems (ES) in the pathophysiology of intestinal atresia.

Purpose of the Study:

  • To explore the involvement of epithelial systems (ES) in the pathophysiology of congenital intestinal atresia.
  • To analyze global gene expression patterns in a rat model of induced intestinal atresia, focusing on ES genes.
  • To compare gene expression in proximal and distal segments of the fetal small intestine.

Main Methods:

  • Transcriptomic analysis of global gene expression in rat fetal small intestines at various developmental stages.
  • Focus on genes related to enterocytes and goblet cells (ES markers).
  • Validation using histochemistry, electron microscopy, and RT-qPCR.

Main Results:

  • Physiological increase in ES markers observed from ED15 to ED21 in control fetuses.
  • Operated fetuses showed significantly higher gene expression variations in the proximal segment (absorption, epithelial barrier) compared to the distal segment.
  • Increased goblet cells and markers were noted in the proximal segment of operated fetuses.

Conclusions:

  • Fetal intestinal obstruction accelerates proximal segment maturation and disrupts the distal intestinal wall.
  • Significant changes in epithelial cells suggest their involvement in intestinal disorders, extending beyond the ENS.
  • Epithelial system alterations are implicated in the pathophysiology of congenital intestinal atresia.
Abstract