1. Differential regulation of claudin-2 and claudin-15 expression in children and adults with malabsorptive disease
- Author
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Jerrold R. Turner, Anne Sailer, Steven P. Nilsen, Sunil Yeruva, and M Lora D M Ong
- Subjects
Adult ,Male ,0301 basic medicine ,endocrine system diseases ,Duodenum ,diarrhea ,Disease ,urologic and male genital diseases ,digestive system ,Inflammatory bowel disease ,Article ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Malabsorption Syndromes ,Downregulation and upregulation ,graft versus host disease ,medicine ,Humans ,Claudin-2 ,Claudin ,Molecular Biology ,Aged ,Aged, 80 and over ,intestinal permeability ,urogenital system ,business.industry ,Common variable immunodeficiency ,common variable immunodeficiency ,Infant ,Differential regulation ,Cell Biology ,Middle Aged ,medicine.disease ,digestive system diseases ,Pathophysiology ,intestinal barrier ,Diarrhea ,030104 developmental biology ,Child, Preschool ,030220 oncology & carcinogenesis ,Claudins ,Immunology ,Female ,medicine.symptom ,business ,celiac disease - Abstract
Intestinal Na+-nutrient cotransport depends on claudin-2 and claudin-15 mediated Na+ recycling. Expression of these proteins is coordinately regulated during postnatal development. While expression of claudin-2 and claudin-15 has been studied in inflammatory bowel disease (IBD) and celiac disease (CD), it has not been assessed in other malabsorptive diseases, and no reports have compared expression in children and adults. We used quantitative immunofluorescence microscopy to assess claudin-2 and claudin-15 expression in duodenal biopsies from children and adults with malabsorptive disease and healthy controls. Consistent with previous work in rodents, claudin-2 expression in healthy children was markedly greater, and claudin-15 expression was less, than that in adults. Claudin-2 expression was increased in adults with CD and downregulated in children with graft-versus-host disease (GVHD). In contrast, claudin-15 expression was reduced in adults with GVHD and common variable immunodeficiency (CVID). These data show that one of the two Na+/water pore-forming claudins is upregulated in CD and downregulated in GVHD and CVID. The specific claudin whose expression changes, however, reflects the age of the patient (child or adult). We conclude that contributions of claudin-2 and claudin-15 to pathophysiology of and responses to diarrhea in children and adults with GVHD and CVID differ from those in CD and IBD.
- Published
- 2020
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