Human Milk Oligosaccharides Protect against Necrotizing Enterocolitis by Activating Intestinal Cell DifferentiationShow others and affiliations
2020 (English)In: Molecular Nutrition & Food Research, ISSN 1613-4125, E-ISSN 1613-4133, Vol. 64, no 21, article id 2000519Article in journal (Refereed) Published
Abstract [en]
Scope Necrotizing enterocolitis (NEC) is a devastating gastrointestinal emergency and currently the leading cause of mortality in preterm infants. Recent studies show that human milk oligosaccharides (HMOs) reduce the frequency and incidence of NEC; however, the molecular mechanisms for their protection are largely unexplored. Methods and results To address this gap, a genome-wide profiling of the intestinal epithelial transcriptome in response to HMOs using RNA-sequencing is performed. It is found that HMOs alter the host transcriptome in 225 unique target genes pertaining to cell proliferation and differentiation, including upregulation of stem cell differentiation marker HMGCS2. To validate these results, differentiation in Caco-2Bbe1 (Caco-2) intestinal cells is verified by Alcian Blue staining and transepithelial electrical resistance (TER) recordings. Furthermore, an in vivo model of NEC is also employed whereby neonatal pups are gavage fed HMOs. Interestingly, HMOs-fed pups show enhanced cell MUC2 differentiation and HMGCS2 expression. Conclusions These findings demonstrate HMOs protect against NEC in part by altering the differentiation of the crypt-villus axis. In addition, this study suggests that pooled HMOs directly induce a series of biological processes, which provide mechanistic insights to how HMOs protect the host intestine.
Place, publisher, year, edition, pages
WILEY , 2020. Vol. 64, no 21, article id 2000519
Keywords [en]
human milk oligosaccharides; intestinal cell differentiation; necrotizing enterocolitis; proliferation
National Category
Biochemistry and Molecular Biology
Identifiers
URN: urn:nbn:se:liu:diva-171044DOI: 10.1002/mnfr.202000519ISI: 000574839500001PubMedID: 32926533OAI: oai:DiVA.org:liu-171044DiVA, id: diva2:1485217
Note
Funding Agencies|Restracomp Fellowship; Hospital for Sick Children and Early Career Award Program grant from the Thrasher Research Fund [14503]; University of Toronto Medical School MD/PhD CREMS Scholarship; Ferring Medical Student Research Grant; Canadian Research Chair in Gastrointestinal Disease; Canadian Institute of Health Research (CIHR)Canadian Institutes of Health Research (CIHR) [MOP-89894, IOP-92890]; Canadian Institutes of Health Research (CIHR) Foundation GrantCanadian Institutes of Health Research (CIHR) [353857]; Robert M. Filler Chair of Surgery; Hospital for Sick Children; CIHRCanadian Institutes of Health Research (CIHR) [162208, 149046]; Heart and Stroke Foundation of CanadaHeart & Stroke Foundation of Canada [G-17-0018613]; Natural Sciences and Engineering Research Council of Canada (NSERC)Natural Sciences and Engineering Research Council of Canada [500865]; Operational Funds from the Hospital for Sick Children; Ted Rogers Centre for Health Research
2020-11-012020-11-012021-04-19