Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26649570
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26649570
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(12
): e0144634
Nephropedia Template TP
Senger S
; Sapone A
; Fiorentino MR
; Mazzarella G
; Lauwers GY
; Fasano A
PLoS One
2015[]; 10
(12
): e0144634
PMID26649570
show ga
BACKGROUND: In celiac disease (CD), intestinal epithelium damage occurs secondary
to an immune insult and is characterized by blunting of the villi and crypt
hyperplasia. Similarities between Hedgehog (Hh)/BMP4 downregulation, as reported
in a mouse model, and CD histopathology, suggest mechanistic involvement of
Hh/BMP4/WNT pathways in proliferation and differentiation of immature epithelial
cells in the context of human intestinal homeostasis and regeneration after
damage. Herein we examined the nature of intestinal crypt hyperplasia and
involvement of Hh/BMP4 in CD histopathology. METHODS AND FINDINGS:
Immunohistochemistry, qPCR and in situ hybridization were used to study a cohort
of 24 healthy controls (HC) and 24 patients with diagnosed acute celiac disease
(A-CD) intestinal biopsies. In A-CD we observed an increase in cells positive for
Leucin-rich repeat-containing G protein-coupled receptor 5 (LGR5), an epithelial
stem cell specific marker and expansion of WNT responding compartment. Further,
we observed alteration in number and distribution of mesenchymal cells, predicted
to be part of the intestinal stem cells niche. At the molecular level we found
downregulation of indian hedgehog (IHH) and other components of the Hh pathway,
but we did not observe a concurrent downregulation of BMP4. However, we observed
upregulation of BMPs antagonists, gremlin 1 and gremlin 2. CONCLUSIONS: Our data
suggest that acute CD histopathology partially recapitulates the phenotype
reported in Hh knockdown models. Specifically, Hh/BMP4 paradigm appears to be
decoupled in CD, as the expansion of the immature cell population does not occur
consequent to downregulation of BMP4. Instead, we provide evidence that
upregulation of BMP antagonists play a key role in intestinal crypt hyperplasia.
This study sheds light on the molecular mechanisms underlying CD histopathology
and the limitations in the use of mouse models for celiac disease.
|*Down-Regulation
[MESH]
|Animals
[MESH]
|Bone Morphogenetic Protein 4/*metabolism
[MESH]
|Bone Morphogenetic Proteins/metabolism
[MESH]
|Case-Control Studies
[MESH]
|Celiac Disease/metabolism/*pathology
[MESH]
|Cell Differentiation
[MESH]
|Cell Proliferation
[MESH]
|Cytokines
[MESH]
|Epithelial Cells/metabolism
[MESH]
|Hedgehog Proteins/*metabolism
[MESH]
|Humans
[MESH]
|Intercellular Signaling Peptides and Proteins/metabolism
[MESH]