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Find articles by Robine, S. Find articles by Kedinger, M. Find articles by Gradwohl, G. Mice lacking individual enteroendocrine hormones, their receptors, or combinations of these have shed light on the role of these hormones in the regulation of energy homeostasis.

However, because enteroendocrine hormones have partially overlapping functions, these loss-of-function studies produced only minor phenotypes, and none of the enteroendocrine hormones was shown to be essential for life. Mutant mice were growth retarded and had yellowish stool suggestive of steatorrhea. Furthermore, intestinal epithelium of the mutant mice showed an enlarged proliferative crypt compartment and accelerated cell turnover but no changes to goblet and Paneth cell numbers.

Enterocytes had shorter microvilli, but the expression of the main brush border enzymes was unaffected. Our data help unravel the role of enteroendocrine cells and hormones in lipid absorption and maintenance of the intestinal epithelium.

However, in contrast to many other endocrine glands, enteroendocrine cells are embedded in a majority of nonendocrine cells, including the absorptive enterocytes, goblet, and Paneth cells. At least 10 different enteroendocrine cell types have been identified, and the various hormones produced by these endocrine cells — ghrelin, gastric inhibitory polypeptide GIP , secretin, peptide YY PYY , glucagon-like peptide-1 GLP-1 , GLP-2, neurotensin, serotonin, substance P, cholecystokinin CCK , and motilin — control important physiological functions, such as glycemia, exocrine pancreatic secretion, growth and repair of the gut epithelium, motility of the gut wall, and gastric emptying 1 — 3.

Drucker and colleagues have shown that GLP-2 injection into mice resulted in elongated villi, mainly due to enhanced crypt cell proliferation and decreased enterocyte apoptosis 7. In addition, and as mentioned above, gut peptides have been shown to control gastric emptying, gastric acid secretion, and food intake 8.

For instance, CCK, which when released from I-cells in the small intestine, stimulates gallbladder contraction, exocrine pancreatic secretion, and inhibition of gastric emptying and appetite 9 , Neurogenin 3 Ngn3 has been shown to be the key gene controlling the commitment of pluripotent progenitor cells toward the endocrine cell lineage in the developing pancreas 11 and intestine 12 , Ngn3-deficient mice do not develop any enteroendocrine and pancreatic endocrine cells, and mice show severe diabetes and die shortly after birth 11 , In the stomach, in which Ngn3 also marks all endocrine progenitor cells, endocrine differentiation does not entirely rely on Ngn3, as in the pancreas and intestine.

In fact, serotonin- and ghrelin-expressing cells are still present in newborn Ngn3-knockout mice, whereas all other gastric endocrine cell types are lost 12 , Tracing studies performed in the adult intestine lineage demonstrated that enteroendocrine cells are constantly renewed throughout life from Ngn3-positive cells that are located in the proliferative compartment of the crypt 12 , Interestingly, these studies also showed that some Ngn3-expressing progenitors might differentiate into goblet and Paneth cells NeuroD1, a direct target gene of Ngn3, has been shown to be important for the development of the enteroendocrine cell types CCK and S, expressing the hormones CCK and secretin, respectively However, due to the early postnatal lethality of Ngn3-deficient mice, the role of this gene in the turnover and differentiation of enteroendocrine cell lineage in adult mice could not be studied so far.

We have generated mice carrying a floxed-Ngn3 allele conditionally deleted in the intestine to address its requirement for the development of enteroendocrine progenitors in the adult and to evaluate the consequence of their expected loss on glucose and intestinal cell homeostasis.

Here we show that mice with a specific inactivation of Ngn3 in only the intestine do not develop any enteroendocrine cells and that mice die with a high frequency during their weaning period. Surviving mutant animals are smaller than wild-type littermates, show soft stool, impaired lipid absorption and glucose homeostasis, and an altered intestinal architecture. Results Generation of intestinal-specific Ngn3-knockout mice. In order to specifically ablate Ngn3 in the intestinal epithelium, we used transgenic mice expressing the Cre recombinase, under the control of a 9-kb regulatory region of the murine villin gene vil-cre The 9-kb regulatory region of the villin gene has been shown to target stable and homogeneous expression of the Cre recombinase in small and large intestine along the crypt-villus axis, in the immature, undifferentiated cells of the crypt as well as in differentiated enterocytes In the following, all experiments were done with mice coming from a pure CD1 background.

Figure 1 Generation of animals with a conditional Ngn3 allele. A Schema depicting the Ngn3 locus and the targeting construct. A and B The black boxes indicate the Ngn3 coding sequence.

In order to rule out that the early death of some mutant mice is due to a problem in nursing, we dissected out the whole intestinal tract from dead and living mutant mice.

The macroscopic analyses of the dissected whole intestine clearly showed the presence of milk in the stomach of surviving mutant mice Figure 2 C and mutant mice found dead Figure 2 D. Importantly, surviving mice had soft stool, which did not cease with age.

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However, although the intestinal tract of adult mutant mice seems visually to be shorter than the intestinal tract of control mice, its length is proportional to body weight Supplemental Figure 2. A Photography taken at P3. From P3. The presence of milk in the stomach of mutant mice indicates their ability to suck milk.

Figure 3 Mutant mice gain less body weight than control littermates.

During the first 2 weeks of life, the weight of wild-type control and mutant mice was taken every day left graph and thereafter once a week for a period of 6 more weeks right graph. We have previously shown that at embryonic stages all enteroendocrine cell development is Ngn3 dependent However, since Ngn3 global knockout mice die shortly after birth, we could not analyze whether at adult stages enteroendocrine cell differentiation or the differentiation of the other intestinal cell types from intestinal stem cells is Ngn3 dependent or not.

Figure 4 Conditional inactivation of Ngn3 in only the intestine results in a complete loss of all enteroendocrine cells all along the proximal-distal axis of the intestine. Sections of adult duodenum, jejunum, ileum, and colon were examined for the presence of endocrine cells in control and mutant animals by immunofluorescence.

Images presented are from the jejunum of control A, C, E, G, and I and mutant B, D, F, H, and J animals and are representative for the general loss of all enteroendocrine cells in mutant animals.

The age of the animals analyzed is 10—12 weeks. Intestinal ablation of Ngn3 leads to a perturbed intestinal morphology. Immunohistochemistry staining for total laminin further demonstrates the frequent dilatation of mutant villi and the strong detachment of the epithelium from the basement membrane Figure 5 D.

Published data showing a slight but significant increase of goblet cells in Ngn3 global knockout mice 12 , which die shortly after birth, and cell lineage studies showing that Ngn3 progenitors can also contribute to some goblet and Paneth cells 15 prompted us to look at the distribution of these 2 cell types. The histological analyses of the large intestine revealed a reduction in the length of the glands of up to 1.

In addition, goblet cells seemed to be larger and mostly devoid of mucus in mutant compared with control large intestine Figure 6 , C and D. Figure 5 Intestinal ablation of Ngn3 leads to an altered morphology of the small intestine but normal Paneth and goblet cell differentiation. Sections of adult wild-type and mutant duodenum, jejunum, and ileum were examined for their overall appearance A—D and the presence of Paneth E and F and goblet cells G and H.

Images presented are from the jejunum of control A, C, E, and G and mutant B, D, F, and H animals and are also representative for the phenotype observed in the duodenum and ileum of mutant animals.

C and D Immunofluorescence analyses with an antibody recognizing all laminins, showing the frequent detachment of the intestinal epithelium from the lamina propria in mutant small intestine. E and F Immunohistochemistry with an anti-lysozyme antibody demonstrates normal appearance and location of Paneth cells arrows in E and F in mutant small intestine.

G and H Likewise, periodic acid—Schiff staining shows that intestinal ablation of Ngn3 does not alter the location or number of goblet cells arrows in G and H in mutant animals. For Paneth and goblet cell counts, see Supplemental Figure 5.

Figure 6 The large intestine of mutant mice shows shorter glands. Sections of adult wild-type A and C and mutant B and D large intestine were examined for their overall appearance A and B and the presence of goblet cells C and D.

C and D Periodic acid—Schiff staining of goblet cells. Ngn3-deficient small intestine showed an enlarged multifocal proliferating crypt compartment and an accelerated cell turnover. To evaluate whether this is due to an increase in cell proliferation, we analyzed by immunohistochemistry the proliferation marker Ki However, the enlarged proliferative crypt compartments in mutant mice did not result in longer or more villi.

We came up with 3 possibilities for why mutant mice have shorter villi despite the enlarged transiently proliferating crypt compartment: increased apoptosis, accelerated cell turn over, or both.

Immunohistochemistry staining for the apoptotic cell marker caspase 3 revealed no difference between mutant and wild-type mice data not shown. However, by performing a hour BrdU chase, it became clear that mutant mice have an up to 1. Importantly, at embryonic stage E Figure 7 Altered cell homeostasis in Ngn3-deficient small intestine. A and B Immunofluorescence staining for the proliferative cell marker Ki67 clearly demonstrates an up to 2-fold enlargement of the proliferative crypt compartment dashed bars in A and B in Ngn3-deficient intestine.

C and D Twenty-four hours before dissection, adult control and mutant mice were injected with BrdU, and BrdU-labeled cells were then visualized by immunofluorescence staining. The growth retardation of mutant mice, their frequent death during the weaning period, the appearance of soft yellowish liquid stool, which suggested that they might have steatorrhea, and the perturbed intestinal morphology prompted us to further characterize the ultrastructure of the absorptive cells and look as well at the absorption of lipids.

The presence of ample milk in the stomach of mutant mice Figure 2 C already suggested that the frequent death and growth retardation of the surviving mutant mice results from malabsorption rather than malnutrition. The apical microvilli of the absorptive cells greatly enhance the absorptive surface area of the intestine.

As mentioned above, the yellowish stool during the weaning period of mutant mice, which at postweaning stages still is of a lighter brownish color compared with that of control mice, prompted us to look at the absorption of lipids by the enterocytes.

Oil red O staining of the mutant gut revealed a clear reduction of the presence of lipids in the enterocytes and the lamina propria compared with control samples Figure 9 , A and B, and Supplemental Figure 6. In addition, electron microscopy analyses revealed a strong reduction in the number of chylomicrons, which transport dietary lipids from the intestine to other locations in the body, in the absorptive cells of mutant mice Figure 9 , C and D.

These findings are also in agreement with the reduced levels of total cholesterol, HDL cholesterol, and triglycerides found in mutant mice Figure 10 A. The enteroendocrine hormones CCK and secretin are known to regulate the secretion of digestive enzymes from the pancreatic exocrine cells.

As reduced levels of digestive enzymes, notably that of lipase, could have an effect on lipid absorption, we analyzed the levels of lipase in the blood of mutant and control mice. Control and mutant mice showed similar levels of lipase in the blood Figure 10 B , despite a complete loss of CCK- and secretin-secreting CCK and S cells, respectively.

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In addition, control and mutant mouse pancreas showed no difference in quantity or distribution of zymogen granules in acinar cells Figure 9 , E and F.

Taken together, these results suggest that the reduced numbers of Oil red O—positive lipid droplets and chylomicrons and the reduced serum levels of total cholesterol, HDL cholesterol, and triglycerides found in mutant mice is rather due to impaired lipid absorption than due to impaired lipid digestion. Figure 8 Strong reduction of the intestinal absorptive surface area but normal expression of brush border enzymes and glucose transporters in Ngn3-deficient mice.

Analyses of the lactase activity A and B and immunofluorescence staining for sucrase-isomaltase C and D , the active glucose transporter Glut2 E and F , and the passive glucose transporter SGLT1 G and H did not show any difference between control and mutant tissue, respectively. I and J Ultrastructural analysis of the brush border of the absorptive cells demonstrates a strong reduction of the microvilli length in mutant mice. The dashed lines in A and B indicate the bottom of the crypt compartment.

The age of the mice analyzed in A and B is P1. Oil red O, which stains neutral fats, was used to visualize lipid droplets in control A and mutant B tissue.

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Mutant small intestine clearly shows a strong reduction in the amount of lipid droplets B compared with control tissue A. Arrowheads in B point to some lipid droplets found in mutant tissue. Ultrastructural analysis of the absorptive cells furthermore demonstrates a clear reduction in the number of neutral lipid-containing chylomicrons arrows in C and D in Ngn3—deficient intestine D. E and F Ultrastructural analysis of exocrine pancreas at adult stage shows no difference in the number or quality of zymogen granules arrowheads in acinar cells in control E and mutant animals F.

The age of the mice analyzed is 10—12 weeks.The presence of milk in the stomach of mutant mice indicates their ability to suck milk.

A and B The black boxes indicate the Ngn3 coding sequence. To address this point, we analyzed the expression of the Aquaporins 3 Aqp3 , 4 Aqp4 , and 8 Aqp8 , which are specifically expressed in the epithelium of the colon 28 , 29 , and performed and extensively analyzed the blood serum chemistry.

Despite affecting the lymphocyte homing mechanism and blood filtering capacity of the spleen in a homing in pLNs and Peyer's patches, the spleen lacks high en-. Peristiwa g 30 s pki pdf file. You can: In fact, bile acids owing to their amphipathic nature are essential for the solubilization of dietary lipids and their subsequent absorption in the digestive tract A and B Immunofluorescence staining for the proliferative cell marker Ki67 clearly demonstrates an up to 2-fold enlargement of the proliferative crypt compartment dashed bars in A and B in Ngn3-deficient intestine.

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