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Am J Physiol Gastrointest Liver Physiol (October 25, 2007). doi:10.1152/ajpgi.00398.2007
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Submitted on August 31, 2007
Accepted on October 23, 2007

Novel Role of the Vitamin D Receptor in Maintaining the Integrity of the Intestinal Mucosal Barrier

Juan Kong1, Zhongyi Zhang2, Mark W Musch2, Gang Ning3, Jun Sun4, John Hart2, Marc Bissonnette5, and Yan Chun Li5*

1 Medicine, The University of Chicago, Chicago, Illinois, United States; Chicago, Illinois, United States
2 Chicago, Illinois, United States; Medicine, The University of Chicago, Chicago, Illinois, United States
3 The Huck Institute for Life Sciences, The Pennsylvania State University, University Park, Pennsylvania, United States
4 Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, United States
5 Medicine, The University of Chicago, Chicago, Illinois, United States

* To whom correspondence should be addressed. E-mail: cyan{at}medicine.bsd.uchicago.edu.

Emerging evidence supports a pathological link between vitamin D deficiency and the risk of inflammatory bowel disease (IBD). To explore the mechanism we used the dextran sulfate sodium (DSS)-induced colitis model to investigate the role of the vitamin D receptor (VDR) in mucosal barrier homeostasis. While VDR(+/+) mice were mostly resistant to 2.5% DSS, VDR(-/-) mice developed severe diarrhea, rectal bleeding and marked body weight loss, leading to death in 2 weeks. Histological examination revealed extensive ulceration and impaired wound healing in the colonic epithelium of DSS-treated VDR(-/-) mice. Severe ulceration in VDR(-/-) mice was preceded by a greater loss of intestinal transepithelial electric resistance (TER) compared to VDR(+/+) mice. Confocal and electron microscopy revealed severe disruption in epithelial junctions in VDR(-/-) mice after 3-day DSS treatment. Therefore, VDR(-/-) mice were much more susceptible to DSS-induced mucosal injury than VDR(+/+) mice. In cell cultures, 1,25(OH)2D3 markedly enhanced tight junctions formed by Caco-2 monolayers by increasing junction protein expression and TER and preserved the structural integrity of tight junctions in the presence of DSS. VDR knockdown with siRNA reduced the junction proteins and TER in Caco-2 monolayers. 1,25(OH)2D3 can also stimulate epithelial cell migration in vitro. These observations suggest that VDR plays a critical role in mucosal barrier homeostasis by preserving the integrity of junction complexes and the healing capacity of the colonic epithelium. Therefore, vitamin D-deficiency may compromise the mucosal barrier, leading to increased susceptibility to mucosal damage and increased risk of IBD.




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