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Professor of Paediatric Gastroenterology, Centre for Adult & Paediatric Gastroenterology, Institute of Cell and Molecular Science, Barts and the London, Queen Mary, University of London, London, UK
2To whom correspondence should be addressed. E-mail: i.r.sanderson{at}.qmul.ac.uk.
| ABSTRACT |
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KEY WORDS: intestine epithelium butyrate chemokine gene expression histone acetylation
Genes expressed in the intestinal epithelial cell can be divided into 2 groups. There are the intrinsic proteins, which include those that are important for epithelial function, such as brush border proteins, solute transporters, and brush border enzymes. Proteins necessary for the function of any cell type such as histones, enzymes in the metabolic pathways, and cytoskeletal proteins are also part of this group. The proteins in the second group act as signals between the epithelial cell and other cells of the intestine. These include surface molecules such as class II MHC, and proteins that are released from the epithelium, including chemokines or IGF-binding proteins.
This latter group of signaling proteins enables the epithelial cell to orchestrate events in the intestine. In our research group we have hypothesized that the expression of signaling molecules by the epithelial cell is regulated by changes in the intestinal lumen. By this means, the intestinal lumen acts through the epithelium to alter indirectly events in the intestine, particularly those of the mucosal immune system.
This review will first present evidence that altering the expression of signaling genes in the epithelium affects the mucosal immune system. Secondly, it will describe how changes in the intestinal lumen (influenced by diet) alter the expression of these genes. The effects of the lumen on epithelial cell gene expression can, therefore, be considered as an afferent limb in this process; the effect of the epithelial cell on the mucosal immune system is the efferent limb.
It is also possible that butyrate inhibits cancer invasion by downregulating a series of genes involved in carcinogenesis (13). However, the role of butyrate in cancer prevention is beyond the scope of this review. SCFA are considered here as heralds of bacterial activity, to which the intestine responds in an innate manner, signaling to other cell types. It is the efferent limb that constitutes the epithelial response to changes in the intestinal lumen.
The efferent limb
Evidence for the effect of epithelial cell gene expression on the mucosal immune system has come from the ability to selectively alter the expression of genes in the intestinal epithelial cell by transgenic techniques. We have used chemokine expression by the epithelium as a model to show that the epithelium can orchestrate the mucosal immune system. The chemokine IL-8, which in the human results in recruitment of neutrophils, was the first identified chemotatic cytokine. However, IL-8 is not expressed in the mouse. To examine the effects of chemokines on the mucosal immune system, a system was developed whereby the chemokine macrophage inflammatory protein-2 (MIP-2),3 whose effects are very similar those IL-8 in the human, was linked to an FABPI (fatty acid binding protein of the intestine) promoter (4). The promoter is only active in the epithelial cells of the small intestine and proximal colon. A construct was developed where the FABPI promoter and MIP-2 cDNA was linked to an intron and a polyadenylation site. This construct was injected into mouse oocytes. The epithelium from the first generation of the founder was shown to express MIP-2 mRNA (Fig. 1). Analysis showed effects both on neutrophil and on lymphocyte recruitment. The transgenic mice had an increased recruitment of neutrophils into the lamina propria (Fig. 2) and into the epithelial cell fraction (data not shown). The effects of the chemokine could be seen only in those tissues where the FABPI promoter was active. In the small intestine, where the FABPI promoter is active, the neutrophil recruitment, expressed as myeloperoxidase activity (per unit weight of intestine), was significantly greater in the transgenic mice. In the proximal colon, where the FABPI promoter is also active, there was also an increase in neutrophil infiltration. However, in the distal colon, where the FABPI promoter is inactive, there was no effect. In addition, the liver and the spleen showed no increased infiltration in the transgenic mouse over the normal mouse. The FABPI promoter is not active in these organs.
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Further analysis of the immune system in the MIP-2 transgenic mice demonstrated that the small intestine had increased lymphocyte infiltration, in addition to neutrophils. Lymphocyte numbers in the lamina propria were significantly increased, and there was also a doubling of the numbers of intraepithelial lymphocytes. The increase of intraepithelial lymphocytes was due to an increase in
ß lymphocytes and in 
lymphocytes. Further examination of the receptors on the surface of the intraepithelial lymphocytes showed that they expressed the CXCR2 which is the receptor responsible for MIP-2 activity. Therefore, these experiments show that altering the expression of only 1 chemokine in the epithelium has marked effects on both lymphocyte and neutrophil function. However, changes in the intestinal lumen may affect many chemokines as well as other cytokines that alter immune function. It is likely therefore that the changes in gene expression in the epithelium have far-reaching effects on the rest of the mucosal immune system.
The afferent limb
In the preceding section we gave evidence that the epithelium can orchestrate the events of the mucosal immune system. It is the purpose of this section to show that alterations in the intestinal lumen can affect the expression of these genes. In our laboratory we examined 3 sets of genes in intestinal epithelium (6) and studied how luminal factors can alter their expression. These included the MHC Class II complex (7), the IGF-binding protein complex (8,9), and chemokine expression. In this review we will limit the evidence to the effect of luminal factors on chemokine expression (10,11).
Bacterial fermentation in the small intestine results in SCFA production. Butyrate levels therefore reflect changes in bacterial populations and in the substrates available for bacterial metabolism. Butyrate levels vary greatly in response to external changes. For example, newborn babies have very low butyrate levels in either the small or large intestine. However, within 2 years butyrate levels rise to adult levels (12). Interestingly, butyrate levels are much higher in bottle-fed babies than they are in breast-fed babies during the first 6 months of life (12).
Butyrate levels therefore reflect events in the intestinal lumen and we hypothesized that their concentrations may alter epithelial cell signaling. We therefore examined its effects on IL-8 and monocyte chemotactic protein-1 (MCP-1) expression (11). Increasing the concentration of sodium butyrate increased IL-8 secretion while simultaneously decreasing MCP-1 expression. These effects were seen in resting epithelial cell lines but were much more marked in cells that have been stimulated with a pro-inflammatory agent such as LPS or IL-1ß (Fig. 3).
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Our experiments examine the hypothesis that changes in the intestinal lumen can alter the expression of molecules in the intestine epithelium that direct the mucosal immune system. The intestinal epithelium acts as a relay for transducing the information of the intestinal environment to the mucosal immune system. This mechanism has advantages over other forms of immune surveillance in the gut that require the breach of the mucosal barrier. Such breaches can be manipulated by invading organisms to enter the body. The classic of example of this is the polio virus which enters the intestine through the M cell to the immune system of Peyers patch, which is designed as a sampling system of the mucosal environment.
We believe that these signaling processes are important not only in health but also in the treatment of disease. For example, the primary therapy of children with Crohns disease in the United Kingdom is treatment with enteral feeds (17,18). Although there are many mechanisms by which enteral feeds may have their activity, we think it possible that one of them is by radically altering the luminal environment to such an extent that it varies the signals from the intestinal epithelium to the mucosal immune system.
| FOOTNOTES |
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3 Abbreviations used: FABPI, fatty acid binding protein of the intestine; MCP-1, monocyte chemotactic protein-1; MIP-2, macrophage inflammatory protein-2; TSA, trichostatin A. ![]()
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16. White, N. R., Mulligan, P. & Sanderson, I. R. (2003) Sodium butyrate-medicated SP3 acelylation represses IGFBP-3 expression in intestinal epithelial cells. Gastroenterology 124:A433.
17. Braun, H., Koop, R., Ertmer, A., Nacht, S. & Suske, G. (2001) Transcription factor Sp3 is regulated by acetylation. Nucleic Acids Res. 29:4994-5000.
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