MUC17 is an essential small intestinal glycocalyx component that is disrupted in Crohn's disease

Elena Layunta1, Sofia Jäverfelt1, Fleur C van de Koolwijk1

  • 1Department of Medical Biochemistry and Cell Biology, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.

JCI Insight
|December 19, 2024
PubMed

Insights

The membrane mucin MUC17 protects the small intestine from bacteria. Reduced MUC17 in Crohn

Area of Science:

  • Gastroenterology and Immunology
  • Epithelial Biology
  • Microbiome Research

Background:

  • Crohn's disease (CD) involves chronic inflammation of the ileum and colon due to immune dysregulation against gut bacteria.
  • Specific molecular defects at the bacteria-epithelium interface in CD remain incompletely understood.
  • The role of intestinal mucins in maintaining epithelial barrier function and host-microbe interactions requires further elucidation.

Purpose of the Study:

  • To investigate the role of the membrane mucin MUC17 in protecting small intestinal enterocytes.
  • To determine if MUC17 alterations are associated with early epithelial defects in Crohn's disease.
  • To explore the impact of MUC17 deficiency on intestinal homeostasis and host-microbe interactions.

Main Methods:

  • Analysis of MUC17 expression in human Crohn's disease ileum.
  • Generation and characterization of Muc17-deficient mice.
  • Assessment of small intestinal barrier function, bacterial translocation, and epithelial homeostasis in wild-type and Muc17-deficient mice.
  • 16S rRNA gene sequencing to profile the gut microbiota.

Main Results:

  • Reduced MUC17 levels were observed in noninflamed Crohn's disease ileum, correlating with a compromised glycocalyx barrier and increased bacterial contact.
  • Muc17 deletion in mice led to increased susceptibility to atypical bacterial infections in the small intestine but maintained resistance to colitis.
  • Loss of Muc17 resulted in impaired epithelial homeostasis, spontaneous extraintestinal bacterial translocation, and a distinct small intestinal bacterial composition mirroring that found in CD patients.

Conclusions:

  • MUC17 serves as a crucial, region-specific defense mechanism in the small intestine against bacterial invasion.
  • Decreased MUC17 expression may represent an early epithelial defect contributing to the pathogenesis of Crohn's disease.
  • Targeting MUC17 or restoring its function could offer novel therapeutic strategies for Crohn's disease.

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