title: Targeted epithelial tight junction dysfunction causes immune activation and contributes to development of experimental colitis.
abstract: OBJECTIVE
  Inflammatory bowel disease (IBD) is a multifactorial disease thought to be caused by alterations in epithelial function, innate and adaptive immunity, and luminal microbiota. The specific role of epithelial barrier function remains undefined, although increased activity of intestinal epithelial myosin light chain kinase (MLCK), which is the primary mechanism of tumor necrosis factor-induced barrier dysfunction, occurs in human IBD. Our aim was to determine whether, in an intact epithelium, primary dysregulation of the intestinal epithelial barrier by pathophysiologically relevant mechanisms can contribute to development of colitis.
  
  
  METHODS
  We developed transgenic (Tg) mice that express constitutively active MLCK (CA-MLCK) specifically within intestinal epithelia. Their physiology, immune status, and susceptibility to disease were assessed and compared with non-Tg littermate controls.
  
  
  RESULTS
  CA-MLCK Tg mice demonstrated significant barrier loss but grew and gained weight normally and did not develop spontaneous disease. CA-MLCK Tg mice did, however, develop mucosal immune activation demonstrated by increased numbers of lamina propria CD4(+)lymphocytes, redistribution of CD11c+cells, increased production of interferon-gamma and tumor necrosis factor, as well as increased expression of epithelial major histocompatibility complex class I. When challenged with CD4+CD45+Rb(hi) lymphocytes, Tg mice developed an accelerated and more severe form of colitis and had shorter survival times than non-Tg littermates.
  
  
  CONCLUSIONS
  Primary pathophysiologically relevant intestinal epithelial barrier dysfunction is insufficient to cause experimental intestinal disease but can broadly activate mucosal immune responses and accelerate the onset and severity of immune-mediated colitis.
authors.affiliation: Department of Pathology, The University of Chicago, Chicago, Illinois 60637, USA.
authors.forename: Liping
authors.initials: L
authors.lastname: Su
authors.forename: Le
authors.initials: L
authors.lastname: Shen
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Clayburgh
authors.forename: Sam C
authors.initials: SC
authors.lastname: Nalle
authors.forename: Erika A
authors.initials: EA
authors.lastname: Sullivan
authors.forename: Jon B
authors.initials: JB
authors.lastname: Meddings
authors.forename: Clara
authors.initials: C
authors.lastname: Abraham
authors.forename: Jerrold R
authors.initials: JR
authors.lastname: Turner
mesh_terms: D000818:Animals; D015496:CD4-Positive T-Lymphocytes / Q000473:pathology; D002463:Cell Membrane Permeability / Q000502:physiology; D003092:Colitis / Q000378:metabolism / Q000473:pathology / Q000503:physiopathology*; D004195:Disease Models, Animal; D004847:Epithelial Cells / Q000473:pathology / Q000502:physiology*; D007113:Immunity, Innate / Q000502:physiology*; D007371:Interferon-gamma / Q000378:metabolism; D008285:Major Histocompatibility Complex / Q000502:physiology; D051379:Mice; D008822:Mice, Transgenic; D009092:Mucous Membrane / Q000378:metabolism / Q000473:pathology; D009219:Myosin-Light-Chain Kinase / Q000235:genetics / Q000378:metabolism; D012720:Severity of Illness Index; D019108:Tight Junctions / Q000502:physiology*; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D014409:Tumor Necrosis Factor-alpha; D007371:Interferon-gamma; D009219:Myosin-Light-Chain Kinase