The American Journal of Pathology
Volume 180, Issue 2 , Pages 626-635, February 2012

Probiotic Bacteria Induce Maturation of Intestinal Claudin 3 Expression and Barrier Function

  • Ravi M. Patel

      Affiliations

    • Division of Neonatology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
  • ,
  • Loren S. Myers

      Affiliations

    • Division of Neonatology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
  • ,
  • Ashish R. Kurundkar

      Affiliations

    • Department of Pathology, Emory University School of Medicine, Atlanta, Georgia
  • ,
  • Akhil Maheshwari

      Affiliations

    • Department of Pathology, Emory University School of Medicine, Atlanta, Georgia
  • ,
  • Asma Nusrat

      Affiliations

    • Department of Pediatrics, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama
  • ,
  • Patricia W. Lin

      Affiliations

    • Division of Neonatology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
    • Corresponding Author InformationAddress reprint requests to Patricia W. Lin, M.D., Department of Pediatrics, Division of Neonatology, Emory University School of Medicine, 2015 Uppergate Dr NE, Atlanta, GA 30322

Accepted 31 October 2011. published online 07 December 2011.

An immature intestinal epithelial barrier may predispose infants and children to many intestinal inflammatory diseases, such as infectious enteritis, inflammatory bowel disease, and necrotizing enterocolitis. Understanding the factors that regulate gut barrier maturation may yield insight into strategies to prevent these intestinal diseases. The claudin family of tight junction proteins plays an important role in regulating epithelial paracellular permeability. Previous reports demonstrate that rodent intestinal barrier function matures during the first 3 weeks of life. We show that murine paracellular permeability markedly decreases during postnatal maturation, with the most significant change occurring between 2 and 3 weeks. Here we report for the first time that commensal bacterial colonization induces intestinal barrier function maturation by promoting claudin 3 expression. Neonatal mice raised on antibiotics or lacking the toll-like receptor adaptor protein MyD88 exhibit impaired barrier function and decreased claudin 3 expression. Furthermore, enteral administration of either live or heat-killed preparations of the probiotic Lactobacillus rhamnosus GG accelerates intestinal barrier maturation and induces claudin 3 expression. However, live Lactobacillus rhamnosus GG increases mortality. Taken together, these results support a vital role for intestinal flora in the maturation of intestinal barrier function. Probiotics may prevent intestinal inflammatory diseases by regulating intestinal tight junction protein expression and barrier function. The use of heat-killed probiotics may provide therapeutic benefit while minimizing adverse effects.

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 Supported by Ruth L. Kirschstein National Research Service Award T32 DK007771 from the NIH (R.M.P.), grants from the NIH (R01 HD059142 and HD059142-01S1 to A.M.; R01 DK 059888 to A.N.; and R01 HD059122 to P.W.L.), and a grant from the Emory Digestive Diseases Research Development Center (R24 DK064399).

 CME Disclosure: None of the authors disclosed any relevant financial relationships.

 Supplemental material for this article can be found at http://ajp.amjpathol.org or at doi: 10.1016/j.ajpath.2011.10.025.

 Current address of A.M., Department of Pediatrics, University of Illinois College of Medicine at Chicago, Chicago, Illinois.

PII: S0002-9440(11)01015-7

doi:10.1016/j.ajpath.2011.10.025

Refers to erratum:

  • Corrections

    The American Journal of Pathology March 2012 (Vol. 180, Issue 3, Page 1324)

The American Journal of Pathology
Volume 180, Issue 2 , Pages 626-635, February 2012