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Publication : Maternal aryl hydrocarbon receptor activation protects newborns against necrotizing enterocolitis.

First Author  Lu P Year  2021
Journal  Nat Commun Volume  12
Issue  1 Pages  1042
PubMed ID  33589625 Mgi Jnum  J:304869
Mgi Id  MGI:6513707 Doi  10.1038/s41467-021-21356-4
Citation  Lu P, et al. (2021) Maternal aryl hydrocarbon receptor activation protects newborns against necrotizing enterocolitis. Nat Commun 12(1):1042
abstractText  Necrotizing enterocolitis (NEC) is a disease of premature infants characterized by acute intestinal necrosis. Current dogma suggests that NEC develops in response to post-natal dietary and bacterial factors, and so a potential role for in utero factors in NEC remains unexplored. We now show that during pregnancy, administration of a diet rich in the aryl hydrocarbon receptor (AHR) ligand indole-3-carbinole (I3C), or of breast milk, activates AHR and prevents NEC in newborn mice by reducing Toll-like receptor 4 (TLR4) signaling in the newborn gut. Protection from NEC requires activation of AHR in the intestinal epithelium which is reduced in mouse and human NEC, and is independent of leukocyte activation. Finally, we identify an AHR ligand ("A18") that limits TLR4 signaling in mouse and human intestine, and prevents NEC in mice when administered during pregnancy. In summary, AHR signaling is critical in NEC development, and maternally-delivered, AHR-based therapies may alleviate NEC.
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