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1 Division of Gastroenterology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
2 Division of Gastroenterology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
3 Division of Veterinary Clinical Studies, University of Edinburgh, Easter Bush Veterinary Centre, Roslin, Midlothian, United Kingdom
4 Department of Pathobiology, University of Pennsylvania School of Veterinary Medicine, Philadelphia, PA, USA
5 Division of Gastroenterology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA; D2C-023, AstraZeneca LP, Wilmington, DE, USA
* To whom correspondence should be addressed. E-mail: gdwu{at}mail.med.upenn.edu.
Host immune responses to commensal flora and enteric pathogens are known to
influence gene expression in the intestinal epithelium. Although the Cdx family of
caudal-related transcription factors are critical regulators of gene expression in the
intestinal epithelium, the effect of intestinal immune responses on Cdx expression and
function have not been determined. We have shown that both bacterial colonization and
Th2 immune stimulation by intestinal nematode infection induce the expression of the
intestinal goblet cell-specific gene RELM
. In this study, we investigated the
transcriptional regulation of RELM
and its isoforms RELM
and RELM
to ascertain
the role of Cdx in modifying intestinal gene expression associated with both innate and
adaptive immune responses. Analysis of the RELM
promoter showed that Cdx2 plays a
critical role in basal gene activation in vitro. This was confirmed in vivo using transgenic
mice where ectopic gastric and hepatic expression of Cdx2 induces the expression of
RELM
, but not RELM
or RELM
, exclusively in the stomach. Although there was
no quantitative change in colonic Cdx2 mRNA expression, protein distribution, or
phosphorylation of Cdx2, bacterial colonization induced the expression of RELM
, but
not RELM
or RELM
. In contrast, parasitic nematode infections activated the colonic
expression of all three RELM isoforms without any alteration in Cdx2 expression. These
results demonstrated that Cdx2 participates in directing intestine-specific expression of
the RELM
isoform in the presence of commensal bacteria, and that adaptive Th2
immune responses to intestinal nematode infections can activate intestinal goblet cell-specific
gene expression independent of Cdx2.
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