Neutrophil transmigration in inflammatory bowel disease is associated with differential expression of epithelial intercellular junction proteins

Am J Pathol. 2001 Dec;159(6):2001-9. doi: 10.1016/S0002-9440(10)63051-9.


Inflammatory bowel disease (IBD) consisting of ulcerative colitis (UC) and Crohn's (CD) typically displays a waxing and waning course punctuated by disease flares that are characterized by transepithelial migration of neutrophils (PMN) and altered barrier function. Since epithelial barrier function is primarily regulated by the apical most intercellular junction referred to as the tight junction (TJ), our aim was to examine expression of TJ and adherens junction (AJ) proteins in relation to PMN infiltration in mucosal tissue samples from patients with active IBD. Expression of epithelial intercellular TJ proteins (occludin, ZO-1, claudin-1, and JAM) and subjacent AJ (beta-catenin and E-cadherin) proteins were examined by immunoflourescence/confocal microscopy, immunohistochemistry, and Western blotting. Colonic mucosa from patients with UC revealed dramatic, global down-regulation of the key TJ transmembrane protein occludin in regions of actively transmigrating PMN and in quiescent areas in the biopsy samples. Significant decreases in occludin expression were observed at the protein and mRNA levels by Western and Northern blotting. In contrast, expression of other TJ and AJ proteins such as ZO-1, claudin-1, JAM, beta-catenin, and E-cadherin were down-regulated only in epithelial cells immediately adjacent to transmigrating PMN. Analysis of inflamed mucosa from Crohn's disease patients mirrored the results obtained with UC patients. No change in TJ and AJ protein expression was observed in colonic epithelium from patients with collagenous colitis or lymphocytic colitis that are respectively characterized by a thickened subepithelial collagen plate and increased intraepithelial lymphocytes. These results suggest that occludin expression is diminished in IBD by mechanisms distinct from those regulating expression of other intercellular junction proteins. We speculate that down-regulation of epithelial occludin may play a role in enhanced paracellular permeability and PMN transmigration that is observed in active inflammatory bowel disease.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adherens Junctions / metabolism
  • Adherens Junctions / pathology
  • Cadherins / metabolism
  • Cell Adhesion Molecules / metabolism
  • Chronic Disease
  • Claudin-1
  • Cytoskeletal Proteins / metabolism
  • Down-Regulation
  • Epithelial Cells / metabolism
  • Epithelial Cells / pathology
  • Epithelium / metabolism
  • Epithelium / pathology*
  • Gene Expression Regulation
  • Humans
  • Immunoblotting
  • Inflammatory Bowel Diseases / genetics
  • Inflammatory Bowel Diseases / metabolism
  • Inflammatory Bowel Diseases / pathology*
  • Intercellular Junctions / metabolism
  • Intercellular Junctions / pathology*
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology
  • Junctional Adhesion Molecules
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism
  • Neutrophil Infiltration
  • Neutrophils / pathology*
  • Occludin
  • Phosphoproteins / metabolism
  • Proteins / genetics
  • Proteins / metabolism*
  • RNA / genetics
  • RNA / metabolism
  • Tight Junctions / metabolism
  • Tight Junctions / pathology
  • Trans-Activators*
  • Zonula Occludens-1 Protein
  • beta Catenin


  • CLDN1 protein, human
  • CTNNB1 protein, human
  • Cadherins
  • Cell Adhesion Molecules
  • Claudin-1
  • Cytoskeletal Proteins
  • Junctional Adhesion Molecules
  • Membrane Proteins
  • OCLN protein, human
  • Occludin
  • Phosphoproteins
  • Proteins
  • TJP1 protein, human
  • Trans-Activators
  • Zonula Occludens-1 Protein
  • beta Catenin
  • RNA