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Publication : An increase in epithelial cell apoptosis is associated with chronic intestinal nematode infection.

First Author  Cliffe LJ Year  2007
Journal  Infect Immun Volume  75
Issue  4 Pages  1556-64
PubMed ID  17242061 Mgi Jnum  J:119507
Mgi Id  MGI:3702357 Doi  10.1128/IAI.01375-06
Citation  Cliffe LJ, et al. (2007) An increase in epithelial cell apoptosis is associated with chronic intestinal nematode infection. Infect Immun 75(4):1556-64
abstractText  It is well established that homeostasis of the intestinal epithelium becomes dysregulated during gastrointestinal helminth infection and is under immune control. An increase in both enterocyte proliferation and the subsequent generation of crypt hyperplasia are hallmarks of chronic infection with Trichuris muris, a large intestinal dwelling nematode. The effect of this parasitic infection on apoptosis induction in the large intestine and its regulation has been neglected. To address this, mice of resistant and susceptible phenotypes were infected with different doses of T. muris, and the levels of epithelial cell apoptosis were determined. It is clear that apoptosis is induced during chronic T. muris infection. This occurs mainly at the base of the cecal crypt, within the stem cell region. The level of apoptosis induced is independent of worm number, suggesting that it is not a consequence of worm-induced damage but rather a mechanism for controlling cell number within the crypt. Neutralization of both gamma interferon and tumor necrosis factor alpha caused a significant reduction in the levels of apoptosis, showing that proinflammatory cytokines generated in response to chronic infection play an important role in apoptosis induction in this system. It is proposed that the generation of proinflammatory cytokines during chronic T. muris infection may play a positive role, by promoting intestinal epithelial cell apoptosis, to counter infection-induced epithelial hyperplasia.
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