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Departments of 1 Animal Sciences, 2 Veterinary Pathobiology, and 3 Food Science and Human Nutrition and 4 Division of Nutritional Sciences, University of Illinois, Urbana, Illinois 61801
Total parenteral nutrition (TPN) impairs
small intestine development and is associated with barrier failure,
inflammation, and acidomucin goblet cell expansion in neonatal piglets.
We examined the relationship between intestinal goblet cell expansion
and molecular and cellular indices of inflammation in neonatal piglets receiving TPN, 80% parenteral + 20% enteral nutrition (PEN), or 100% enteral nutrition (control) for 3 or 7 days. Epithelial
permeability, T cell numbers, TNF-
and IFN-
mRNA expression, and
epithelial proliferation and apoptosis were compared with
goblet cell numbers over time. Epithelial permeability was similar to
control in the TPN and PEN jejunum at day 3 but increased in
the TPN jejunum by day 7. By day 3, intestinal T
cell numbers were increased in TPN but not in PEN piglets. However,
goblet cell expansion was established by day 3 in both the
TPN and PEN ileum. Neither TNF-
nor IFN-
mRNA expression in the
TPN and PEN ileum correlated with goblet cell expansion. Thus goblet
cell expansion occurred independently of overt inflammation but in
association with parenteral feeding. These data support the hypothesis
that goblet cell expansion represents an initial defense triggered by
reduced epithelial renewal to prevent intestinal barrier failure.
total parenteral nutrition; goblet cells; sulfomucin; barrier function
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