The mucus and mucins of the goblet cells and enterocytes provide the first defense line of the gastrointestinal tract and interact with the immune system

The gastrointestinal tract is covered by mucus that has different properties in the stomach, small intestine, and colon. The large highly glycosylated gel‐forming mucins MUC2 and MUC5AC are the major components of the mucus in the intestine and stomach, respectively. In the small intestine, mucus limits the number of bacteria that can reach the epithelium and the Peyer's patches. In the large intestine, the inner mucus layer separates the commensal bacteria from the host epithelium. The outer colonic mucus layer is the natural habitat for the commensal bacteria. The intestinal goblet cells secrete not only the MUC2 mucin but also a number of typical mucus components: CLCA1, FCGBP, AGR2, ZG16, and TFF3. The goblet cells have recently been shown to have a novel gate‐keeping role for the presentation of oral antigens to the immune system. Goblet cells deliver small intestinal luminal material to the lamina propria dendritic cells of the tolerogenic CD103+ type. In addition to the gel‐forming mucins, the transmembrane mucins MUC3, MUC12, and MUC17 form the enterocyte glycocalyx that can reach about a micrometer out from the brush border. The MUC17 mucin can shuttle from a surface to an intracellular vesicle localization, suggesting that enterocytes might control and report epithelial microbial challenge. There is communication not only from the epithelial cells to the immune system but also in the opposite direction. One example of this is IL10 that can affect and improve the properties of the inner colonic mucus layer. The mucus and epithelial cells of the gastrointestinal tract are the primary gate keepers and controllers of bacterial interactions with the host immune system, but our understanding of this relationship is still in its infancy.

[1]  H. Brumer,et al.  A discrete genetic locus confers xyloglucan metabolism in select human gut Bacteroidetes , 2014, Nature.

[2]  F. Bäckhed,et al.  Microbiota-Generated Metabolites Promote Metabolic Benefits via Gut-Brain Neural Circuits , 2014, Cell.

[3]  G. Hansson,et al.  Dynamic Changes in Mucus Thickness and Ion Secretion during Citrobacter rodentium Infection and Clearance , 2013, PloS one.

[4]  Å. Keita,et al.  Mucus Properties and Goblet Cell Quantification in Mouse, Rat and Human Ileal Peyer's Patches , 2013, PloS one.

[5]  D. Philpott,et al.  NOD proteins: regulators of inflammation in health and disease , 2013, Nature Reviews Immunology.

[6]  Hiroyuki Miyoshi,et al.  Autophagy proteins control goblet cell function by potentiating reactive oxygen species production , 2013, The EMBO journal.

[7]  Bihui Huang,et al.  Mucus Enhances Gut Homeostasis and Oral Tolerance by Delivering Immunoregulatory Signals , 2013, Science.

[8]  C. Benoist,et al.  Regulatory T cells in nonlymphoid tissues , 2013, Nature Immunology.

[9]  M. Johansson,et al.  Studies of mucus in mouse stomach, small intestine, and colon. I. Gastrointestinal mucus layers have different properties depending on location as well as over the Peyer's patches. , 2013, American journal of physiology. Gastrointestinal and liver physiology.

[10]  M. Johansson,et al.  Studies of mucus in mouse stomach, small intestine, and colon. II. Gastrointestinal mucus proteome reveals Muc2 and Muc5ac accompanied by a set of core proteins. , 2013, American journal of physiology. Gastrointestinal and liver physiology.

[11]  G. Hansson,et al.  Carbachol-induced MUC17 endocytosis is concomitant with NHE3 internalization and CFTR membrane recruitment in enterocytes. , 2013, American journal of physiology. Cell physiology.

[12]  M. Zarepour,et al.  The Mucin Muc2 Limits Pathogen Burdens and Epithelial Barrier Dysfunction during Salmonella enterica Serovar Typhimurium Colitis , 2013, Infection and Immunity.

[13]  D. Witherden,et al.  Cross‐talk between intraepithelial γδ T cells and epithelial cells , 2013, Journal of leukocyte biology.

[14]  B. Wren,et al.  Altered Innate Defenses in the Neonatal Gastrointestinal Tract in Response to Colonization by Neuropathogenic Escherichia coli , 2013, Infection and Immunity.

[15]  Jonathan R. Brestoff,et al.  Commensal bacteria at the interface of host metabolism and the immune system , 2013, Nature Immunology.

[16]  Bernard Henrissat,et al.  The abundance and variety of carbohydrate-active enzymes in the human gut microbiota , 2013, Nature Reviews Microbiology.

[17]  E. Bennett,et al.  Site-specific O-Glycosylation on the MUC2 Mucin Protein Inhibits Cleavage by the Porphyromonas gingivalis Secreted Cysteine Protease (RgpB) , 2013, The Journal of Biological Chemistry.

[18]  M. Johansson,et al.  The gastrointestinal mucus system in health and disease , 2013, Nature Reviews Gastroenterology &Hepatology.

[19]  Denny G. A. Johansson,et al.  Unfolding dynamics of the mucin SEA domain probed by force spectroscopy suggest that it acts as a cell‐protective device , 2013, The FEBS journal.

[20]  D. Ron,et al.  Negative feedback by IRE1β optimizes mucin production in goblet cells , 2013, Proceedings of the National Academy of Sciences.

[21]  P. Vantourout,et al.  Six-of-the-best: unique contributions of γδ T cells to immunology , 2013, Nature Reviews Immunology.

[22]  D. Ron,et al.  The ER stress transducer IRE1β is required for airway epithelial mucin production , 2012, Mucosal Immunology.

[23]  M. McGuckin,et al.  MUC1 and MUC13 differentially regulate epithelial inflammation in response to inflammatory and infectious stimuli , 2012, Mucosal Immunology.

[24]  Jie-Oh Lee,et al.  Sensing of microbial molecular patterns by Toll‐like receptors , 2012, Immunological reviews.

[25]  C. Nichols,et al.  Self-cleavage of Human CLCA1 Protein by a Novel Internal Metalloprotease Domain Controls Calcium-activated Chloride Channel Activation*♦ , 2012, The Journal of Biological Chemistry.

[26]  N. Rigby,et al.  Lamellar structures of MUC2-rich mucin: a potential role in governing the barrier and lubricating functions of intestinal mucus. , 2012, Biomacromolecules.

[27]  B. Malissen,et al.  Resident and pro-inflammatory macrophages in the colon represent alternative context-dependent fates of the same Ly6Chi monocyte precursors , 2012, Mucosal Immunology.

[28]  V. Tremaroli,et al.  Functional interactions between the gut microbiota and host metabolism , 2012, Nature.

[29]  J. Sheehan,et al.  Molecular organization of the mucins and glycocalyx underlying mucus transport over mucosal surfaces of the airways , 2012, Mucosal Immunology.

[30]  S. Waguri,et al.  Atg16L1, an essential factor for canonical autophagy, participates in hormone secretion from PC12 cells independently of autophagic activity , 2012, Molecular biology of the cell.

[31]  M. Johansson,et al.  Fast Renewal of the Distal Colonic Mucus Layers by the Surface Goblet Cells as Measured by In Vivo Labeling of Mucin Glycoproteins , 2012, PloS one.

[32]  M. Johansson,et al.  Bicarbonate and functional CFTR channel are required for proper mucin secretion and link cystic fibrosis with its mucus phenotype , 2012, The Journal of experimental medicine.

[33]  M. Johansson,et al.  The goblet cell: a key player in ischaemia-reperfusion injury , 2012, Gut.

[34]  L. Tabak,et al.  Control of mucin-type O-glycosylation: a classification of the polypeptide GalNAc-transferase gene family. , 2012, Glycobiology.

[35]  C. Dejong,et al.  Ischaemia-induced mucus barrier loss and bacterial penetration are rapidly counteracted by increased goblet cell secretory activity in human and rat colon , 2012, Gut.

[36]  E. Martens,et al.  How glycan metabolism shapes the human gut microbiota , 2012, Nature Reviews Microbiology.

[37]  B. Johansson,et al.  Calcium and pH-dependent packing and release of the gel-forming MUC2 mucin , 2012, Proceedings of the National Academy of Sciences.

[38]  Rodney D. Newberry,et al.  Goblet cells deliver luminal antigen to CD103+ DCs in the small intestine , 2012, Nature.

[39]  Aparna Gupta,et al.  AGR2 Gene Function Requires a Unique Endoplasmic Reticulum Localization Motif* , 2011, The Journal of Biological Chemistry.

[40]  M. Wise,et al.  Role of Pro-oncogenic Protein Disulfide Isomerase (PDI) Family Member Anterior Gradient 2 (AGR2) in the Control of Endoplasmic Reticulum Homeostasis* , 2011, The Journal of Biological Chemistry.

[41]  Pascale Cossart,et al.  Transcytosis of Listeria monocytogenes across the intestinal barrier upon specific targeting of goblet cell accessible E-cadherin , 2011, The Journal of experimental medicine.

[42]  M. Johansson,et al.  Keeping Bacteria at a Distance , 2011, Science.

[43]  R. Ley,et al.  The Antibacterial Lectin RegIIIγ Promotes the Spatial Segregation of Microbiota and Host in the Intestine , 2011, Science.

[44]  G. Hansson,et al.  CFTR anion channel modulates expression of human transmembrane mucin MUC3 through the PDZ protein GOPC , 2011, Journal of Cell Science.

[45]  S. Mcelroy,et al.  Tumor necrosis factor receptor 1-dependent depletion of mucus in immature small intestine: a potential role in neonatal necrotizing enterocolitis. , 2011, American journal of physiology. Gastrointestinal and liver physiology.

[46]  N. Waterhouse,et al.  The MUC13 cell-surface mucin protects against intestinal inflammation by inhibiting epithelial cell apoptosis , 2011, Gut.

[47]  Wei Sun,et al.  The microbiome and butyrate regulate energy metabolism and autophagy in the mammalian colon. , 2011, Cell metabolism.

[48]  J. Braun,et al.  Loss of intestinal core 1-derived O-glycans causes spontaneous colitis in mice. , 2011, The Journal of clinical investigation.

[49]  Hans Clevers,et al.  Distinct ATOH1 and Neurog3 requirements define tuft cells as a new secretory cell type in the intestinal epithelium , 2011, The Journal of cell biology.

[50]  A. Hayday,et al.  Butyrophilin-like 1 encodes an enterocyte protein that selectively regulates functional interactions with T lymphocytes , 2011, Proceedings of the National Academy of Sciences.

[51]  A. Ouellette Paneth cells and innate mucosal immunity , 2010, Current opinion in gastroenterology.

[52]  Lena Holm,et al.  Bacteria Penetrate the Inner Mucus Layer before Inflammation in the Dextran Sulfate Colitis Model , 2010, PloS one.

[53]  A. Hayday,et al.  Epithelial decision makers: in search of the 'epimmunome' , 2010, Nature Immunology.

[54]  B. Finlay,et al.  The future of mucosal immunology: studying an integrated system-wide organ , 2010, Nature Immunology.

[55]  Gunnar C. Hansson,et al.  The two mucus layers of colon are organized by the MUC2 mucin, whereas the outer layer is a legislator of host–microbial interactions , 2010, Proceedings of the National Academy of Sciences.

[56]  B. Finlay,et al.  Muc2 Protects against Lethal Infectious Colitis by Disassociating Pathogenic and Commensal Bacteria from the Colonic Mucosa , 2010, PLoS pathogens.

[57]  S. Lipkin,et al.  Disruption of Paneth and goblet cell homeostasis and increased endoplasmic reticulum stress in Agr2-/- mice. , 2010, Developmental biology.

[58]  Steffen Jung,et al.  Development of Monocytes, Macrophages, and Dendritic Cells , 2010, Science.

[59]  Jerrold R. Turner,et al.  Intestinal mucosal barrier function in health and disease , 2009, Nature Reviews Immunology.

[60]  M. McGuckin,et al.  MUC1 Limits Helicobacter pylori Infection both by Steric Hindrance and by Acting as a Releasable Decoy , 2009, PLoS pathogens.

[61]  J. Hoffman Practical and Theoretical Considerations , 2009 .

[62]  F. Mantelli,et al.  Association of Cell Surface Mucins with Galectin-3 Contributes to the Ocular Surface Epithelial Barrier* , 2009, The Journal of Biological Chemistry.

[63]  M. Johansson,et al.  Proteomic analyses of the two mucus layers of the colon barrier reveal that their main component, the Muc2 mucin, is strongly bound to the Fcgbp protein. , 2009, Journal of proteome research.

[64]  Yasuhiro Nakagami,et al.  The protein disulfide isomerase AGR2 is essential for production of intestinal mucus , 2009, Proceedings of the National Academy of Sciences.

[65]  S. Tooze,et al.  Early endosomes and endosomal coatomer are required for autophagy , 2009, The Journal of cell biology.

[66]  Sarah L. Brown,et al.  A key role for autophagy and the autophagy gene Atg16l1 in mouse and human intestinal Paneth cells , 2008, Nature.

[67]  A. Velcich,et al.  The inner of the two Muc2 mucin-dependent mucus layers in colon is devoid of bacteria , 2008, Proceedings of the National Academy of Sciences.

[68]  H. Tilg,et al.  XBP1 Links ER Stress to Intestinal Inflammation and Confers Genetic Risk for Human Inflammatory Bowel Disease , 2008, Cell.

[69]  F. Powrie,et al.  Small intestinal CD103+ dendritic cells display unique functional properties that are conserved between mice and humans , 2008, The Journal of experimental medicine.

[70]  M. McGuckin,et al.  Campylobacter jejuni response to human mucin MUC2: modulation of colonization and pathogenicity determinants. , 2008, Journal of medical microbiology.

[71]  V. Korolik,et al.  Mucins in the mucosal barrier to infection , 2008, Mucosal Immunology.

[72]  C. Goodnow,et al.  Aberrant Mucin Assembly in Mice Causes Endoplasmic Reticulum Stress and Spontaneous Inflammation Resembling Ulcerative Colitis , 2008, PLoS medicine.

[73]  J. Riordan,et al.  The C-terminus of the transmembrane mucin MUC17 binds to the scaffold protein PDZK1 that stably localizes it to the enterocyte apical membrane in the small intestine. , 2008, The Biochemical journal.

[74]  S. Gendler,et al.  Structure and function of the cell surface (tethered) mucins. , 2008, Annual review of physiology.

[75]  A. Poustka,et al.  DMBT1 confers mucosal protection in vivo and a deletion variant is associated with Crohn's disease. , 2007, Gastroenterology.

[76]  D. Jonkers,et al.  Review article: the role of butyrate on colonic function , 2007, Alimentary pharmacology & therapeutics.

[77]  T. Samuelsson,et al.  Gel-forming mucins appeared early in metazoan evolution , 2007, Proceedings of the National Academy of Sciences.

[78]  B. Xia,et al.  Increased susceptibility to colitis and colorectal tumors in mice lacking core 3–derived O-glycans , 2007, The Journal of experimental medicine.

[79]  Thomas Lengauer,et al.  A genome-wide association scan of nonsynonymous SNPs identifies a susceptibility variant for Crohn disease in ATG16L1 , 2007, Nature Genetics.

[80]  U. Seidler,et al.  The emerging role of PDZ adapter proteins for regulation of intestinal ion transport. , 2006, American journal of physiology. Gastrointestinal and liver physiology.

[81]  J. Meijerink,et al.  Muc2-deficient mice spontaneously develop colitis, indicating that MUC2 is critical for colonic protection. , 2006, Gastroenterology.

[82]  G. Hansson,et al.  Entamoeba histolytica cysteine proteases cleave the MUC2 mucin in its C-terminal domain and dissolve the protective colonic mucus gel. , 2006, Proceedings of the National Academy of Sciences of the United States of America.

[83]  C. Bevins Paneth cell defensins: key effector molecules of innate immunity. , 2006, Biochemical Society transactions.

[84]  M. Donowitz,et al.  NHERF family and NHE3 regulation , 2005, The Journal of physiology.

[85]  R. Lorenz,et al.  Organizing a mucosal defense , 2005, Immunological reviews.

[86]  H. Cheroutre IELs: enforcing law and order in the court of the intestinal epithelium , 2005, Immunological reviews.

[87]  Benjamin P. Westover,et al.  Glycan Foraging in Vivo by an Intestine-Adapted Bacterial Symbiont , 2005, Science.

[88]  F. Bäckhed,et al.  Host-Bacterial Mutualism in the Human Intestine , 2005, Science.

[89]  W. Guggino,et al.  Modulation of Mature Cystic Fibrosis Transmembrane Regulator Protein by the PDZ Domain Protein CAL* , 2004, Journal of Biological Chemistry.

[90]  M. Johansson,et al.  Novel MUC1 splice variants contribute to mucin overexpression in CFTR-deficient mice. , 2003, American journal of physiology. Gastrointestinal and liver physiology.

[91]  M. Johansson,et al.  An Autocatalytic Cleavage in the C Terminus of the Human MUC2 Mucin Occurs at the Low pH of the Late Secretory Pathway* , 2003, The Journal of Biological Chemistry.

[92]  J. Gum,et al.  The N Terminus of the MUC2 Mucin Forms Trimers That Are Held Together within a Trypsin-resistant Core Fragment* , 2002, The Journal of Biological Chemistry.

[93]  M. Hornef,et al.  Bacterial strategies for overcoming host innate and adaptive immune responses , 2002, Nature Immunology.

[94]  K. Shigemasa,et al.  The CA 125 Gene: A Newly Discovered Extension of the Glycosylated N-Terminal Domain Doubles the Size of This Extracellular Superstructure , 2002, Tumor Biology.

[95]  S. Crawley,et al.  MUC17, a novel membrane-tethered mucin. , 2002, Biochemical and biophysical research communications.

[96]  Kan Yang,et al.  Colorectal Cancer in Mice Genetically Deficient in the Mucin Muc2 , 2002, Science.

[97]  B. Yin,et al.  Molecular Cloning of the CA125 Ovarian Cancer Antigen , 2001, The Journal of Biological Chemistry.

[98]  G. Sutherland,et al.  MUC13, a Novel Human Cell Surface Mucin Expressed by Epithelial and Hemopoietic Cells* , 2001, The Journal of Biological Chemistry.

[99]  L. Holm,et al.  The adherent gastrointestinal mucus gel layer: thickness and physical state in vivo. , 2001, American journal of physiology. Gastrointestinal and liver physiology.

[100]  P. Ricciardi-Castagnoli,et al.  Dendritic cells express tight junction proteins and penetrate gut epithelial monolayers to sample bacteria , 2001, Nature Immunology.

[101]  Judy H. Cho,et al.  Increased sensitivity to dextran sodium sulfate colitis in IRE1beta-deficient mice. , 2001, The Journal of clinical investigation.

[102]  L. Holm,et al.  Acid transport through channels in the mucous layer of rat stomach. , 2000, Gastroenterology.

[103]  W. Guggino,et al.  Accessory Protein Facilitated CFTR-CFTR Interaction, a Molecular Mechanism to Potentiate the Chloride Channel Activity , 2000, Cell.

[104]  D. Gotley,et al.  Two novel mucin genes down-regulated in colorectal cancer identified by differential display. , 1999, Cancer research.

[105]  A. Gruber,et al.  Genomic cloning, molecular characterization, and functional analysis of human CLCA1, the first human member of the family of Ca2+-activated Cl- channel proteins. , 1998, Genomics.

[106]  T. Savidge,et al.  Mucin gene expression in human embryonic and fetal intestine , 1998, Gut.

[107]  L. Vinall,et al.  MUC3 Human Intestinal Mucin , 1997, The Journal of Biological Chemistry.

[108]  A. Oshima,et al.  Human IgGFc Binding Protein (FcγBP) in Colonic Epithelial Cells Exhibits Mucin-like Structure* , 1997, The Journal of Biological Chemistry.

[109]  N. Karlsson,et al.  Molecular characterization of the large heavily glycosylated domain glycopeptide from the rat small intestinal Muc2 mucin , 1996, Glycoconjugate Journal.

[110]  J. Kraehenbuhl,et al.  Epithelial M Cells: Gateways for Mucosal Infection and Immunization , 1996, Cell.

[111]  A. Bernadac,et al.  Expression and glycosylation of the filamentous brush border glycocalyx (FBBG) during rabbit enterocyte differentiation along the crypt-villus axis. , 1995, Journal of cell science.

[112]  L. Holm,et al.  Hydrogen ion concentration in the mucus layer on top of acid-stimulated and -inhibited rat gastric mucosa. , 1994, Gastroenterology.

[113]  Y. Kim,et al.  Molecular cloning of human intestinal mucin (MUC2) cDNA. Identification of the amino terminus and overall sequence similarity to prepro-von Willebrand factor. , 1994, The Journal of biological chemistry.

[114]  K. Klinga-Levan,et al.  Molecular cloning of a cDNA coding for a region of an apoprotein from the 'insoluble' mucin complex of rat small intestine. , 1994, Biochemical and biophysical research communications.

[115]  Bradley S. Turner,et al.  Viscous fingering of HCI through gastric mucin , 1992, Nature.

[116]  D. Swallow,et al.  Molecular cloning of cDNAs derived from a novel human intestinal mucin gene. , 1990, Biochemical and biophysical research communications.

[117]  J. Koninkx,et al.  Biological and pathobiological aspects of the glycocalyx of the small intestinal epithelium. A review. , 1984, The Veterinary quarterly.

[118]  R. Specian,et al.  Mechanism of rapid mucus secretion in goblet cells stimulated by acetylcholine , 1980, The Journal of cell biology.

[119]  J. Dietschy,et al.  Characterization of bile acid absorption across the unstirred water layer and brush border of the rat jejunum. , 1972, The Journal of clinical investigation.

[120]  E. Bennett,et al.  Site-specific O -glycosylation on the MUC2 mucin inhibits cleavage by the Porphyromonas gingivalis secreted cysteine protease (RgpB) , 2013 .

[121]  Supplemental material to : Bacteria penetrate inner colon mucus layer in both murine colitis models and in patients with ulcerative colitis MATERIALS AND METHODS , 2012 .

[122]  A. Hayday,et al.  Butyrophilins: an emerging family of immune regulators. , 2012, Trends in immunology.

[123]  E. Szigethy,et al.  Inflammatory bowel disease. , 2011, Pediatric clinics of North America.

[124]  K. McCoy,et al.  The immune geography of IgA induction and function , 2008, Mucosal Immunology.

[125]  Denny G. A. Johansson,et al.  Autoproteolysis coupled to protein folding in the SEA domain of the membrane-bound MUC1 mucin , 2006, Nature Structural &Molecular Biology.

[126]  B. Stecher,et al.  Streptomycin-Pretreated Mice Serovar Typhimurium Colitis in Salmonella enterica Efficient Induction of Flagella and Chemotaxis Are Required for , 2004 .

[127]  P. Ricciardi-Castagnoli,et al.  Dendritic cells shuttle microbes across gut epithelial monolayers. , 2001, Immunobiology.

[128]  J. Kraehenbuhl,et al.  Minireview Gateways for Mucosal Infection and Immunization , 1996 .

[129]  S. Ito Structure and function of the glycocalyx. , 1969, Federation proceedings.