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Am J Physiol Gastrointest Liver Physiol (November 20, 2008). doi:10.1152/ajpgi.90225.2008
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Submitted on March 7, 2008
Revised on October 2, 2008
Accepted on November 18, 2008

Requirement of Notch activation during regeneration of the intestinal epithelia

Ryuichi Okamoto1, Kiichiro Tsuchiya, Yasuhiro Nemoto1, Junko Akiyama1, Tetsuya Nakamura1, Takanori Kanai1, and Mamoru Watanabe1*

1 Tokyo Medical and Dental University

* To whom correspondence should be addressed. E-mail: mamoru.gast{at}tmd.ac.jp.

Notch signaling regulates cell differentiation and proliferation, contributing to the maintenance of diverse tissues including the intestinal epithelia. However, its role in tissue regeneration is less understood. Here, we show that Notch signaling is activated in a greater number of intestinal epithelial cells in the inflamed mucosa of colitis. Inhibition of Notch activation in vivo using a gamma-secretase inhibitor resulted in a severe exacerbation of the colitis, due to the loss of the regenerative response within the epithelial layer. Activation of Notch supported epithelial regeneration by suppressing goblet cell differentiation, but it also promoted cell proliferation, as shown in in vivo and in vitro studies. By utilizing Tetracycline-dependent gene expression and microarray analysis, we identified a novel group of genes that are regulated downstream of Notch1 within intestinal epithelial cells, including PLA2G2A, an anti-microbial peptide secreted by Paneth cells. Finally, we show that these functions of activated Notch1 are present in the mucosa of ulcerative colitis, mediating cell proliferation, goblet cell depletion and ectopic expression of PLA2G2A, thereby contributing to the regeneration of the damaged epithelia. This study showed the critical involvement of Notch signaling during intestinal tissue regeneration, regulating differentiation, proliferation and anti-microbial response of the epithelial cells. Thus, Notch signaling is a key intracellular molecular pathway for the proper reconstruction of the intestinal epithelia.







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