scholarly journals Barrier dysfunction due to distinct defensin deficiencies in small intestinal and colonic Crohn's disease

2008 ◽  
Vol 1 (S1) ◽  
pp. S67-S74 ◽  
Author(s):  
J Wehkamp ◽  
M Koslowski ◽  
G Wang ◽  
E F Stange
2014 ◽  
Vol 307 (5) ◽  
pp. G487-G498 ◽  
Author(s):  
Julia Beisner ◽  
Zora Teltschik ◽  
Maureen J. Ostaff ◽  
Machteld M. Tiemessen ◽  
Frank J. T. Staal ◽  
...  

Wnt signaling regulates small intestinal stem cell maintenance and Paneth cell differentiation. In patients with ileal Crohn's disease (CD), a decrease of Paneth cell α-defensins has been observed that is partially caused by impaired TCF-4 and LRP6 function. Here we show reduced expression of the Wnt signaling effector TCF-1 (also known as TCF-7) in patients with ileal CD. Reporter gene assays and in vitro promoter binding analysis revealed that TCF-1 activates α-defensin HD-5 and HD-6 transcription in cooperation with β-catenin and that activation is mediated by three distinct TCF binding sites. EMSA analysis showed binding of TCF-1 to the respective motifs. In ileal CD patients, TCF-1 mRNA expression levels were significantly reduced. Moreover, we found specifically reduced expression of active TCF-1 mRNA isoforms. Tcf-1 knockout mice exhibited reduced cryptdin expression in the jejunum, which was not consistently seen at other small intestinal locations. Our data provide evidence that TCF-1-mediated Wnt signaling is disturbed in small intestinal CD, which might contribute to the observed barrier dysfunction in the disease.


2000 ◽  
Vol 156 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Yamina Bouatrouss ◽  
F. Elizabeth Herring-Gillam ◽  
Jean Gosselin ◽  
Jacques Poisson ◽  
Jean-François Beaulieu

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