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Departments of 1 Medicine, 3 Pathology and Laboratory Medicine, and 6 Biochemistry, Emory University School of Medicine; 2 Nutrition and Health Sciences Program, Emory University, Atlanta, Georgia 30322; 5 Department of Pathology, Amgen Inc., Thousand Oaks, California 91320; and 4 Gastrointestinal Unit and Center for the Study of Inflammatory Bowel Disease, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02115
The trefoil factor family
peptides TFF1, TFF2, and TFF3 are important for gut mucosal protection
and restitution. Keratinocyte growth factor (KGF) stimulates
proliferation and differentiation of epithelial cells with potent
effects on goblet cells. To investigate interactions between food
intake and KGF, rats were fed ad libitum (control), fasted for 72 h, or fasted for 72 h and then refed for 72 h with or without
KGF (3 mg · kg
1 · day
1).
With fasting, goblet cell number in duodenum increased, TFF3 mRNA in
duodenum and jejunum decreased, and TFF3 protein did not change or
increased. KGF during fasting stimulated colonic growth, normalized
TFF3 mRNA in duodenum and jejunum, and broadly upregulated gut goblet
cell number and TFF3 protein expression. With fasting-refeeding, KGF
increased small bowel and colonic mucosal growth, goblet cell number,
and TFF3 protein but had variable effects on TFF3 mRNA. KGF induced
TFF2 mRNA and protein in duodenum and jejunum with both nutritional
regimens. We conclude that nutrient availability modifies rat
intestinal goblet cell number, TFF3 mRNA, and the gut-trophic effects
of KGF in a region-specific manner. KGF enhances TFF2 expression in
proximal small bowel and increases goblet cell number and TFF3 protein
content throughout the intestine independent of food intake.
colon; intestinal mucosa; keratinocyte growth factor
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