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Reduced Paneth cell α-defensins in ileal Crohn's disease

Open access
Wehkamp, Jan, Salzman, Nita H., Porter, Edith, Nuding, Sabine, Weichenthal, Michael, Petras, Robert E., Shen, Bo, Schaeffeler, Elke, Schwab, Matthias, Linzmeier, Rose, Feathers, Ryan W., Chu, Hiutung, Lima, Heriberto, Fellermann, Klaus, Ganz, Tomas, Stange, Eduard F., Bevins, Charles L.·2005·Proceedings of the National Academy of Sciences

Abstract

The pathogenesis of Crohn′s disease (CD), an idiopathic inflammatory bowel disease, is attributed, in part, to intestinal bacteria that may initiate and perpetuate mucosal inflammation in genetically susceptible individuals. Paneth cells (PC) are the major source of antimicrobial peptides in the small intestine, including human α-defensins HD5 and HD6. We tested the hypothesis that reduced expression of PC α-defensins compromises mucosal host defenses and predisposes patients to CD of the ileum. We report that patients with CD of the ileum have reduced antibacterial activity in their intestinal mucosal extracts. These specimens also showed decreased expression of PC α-defensins, whereas the expression of eight other PC products either remained unchanged or increased when compared with controls. The specific decrease of α-defensins was independent of the degree of inflammation in the specimens and was not observed in either CD of the colon, ulcerative colitis, or pouchitis. The functional consequence of α-defensin expression levels was examined by using a transgenic mouse model, where we found changes in HD5 expression levels, comparable to those observed in CD, had a pronounced impact on the luminal microbiota. Thus, the specific deficiency of PC defensins that characterizes ileal CD may compromise innate immune defenses of the ileal mucosa and initiate and/or perpetuate this disease.

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Metadata

Authors
Wehkamp, J., Salzman, N. H., Porter, E., Nuding, S., Weichenthal, M., Petras, R. E., Shen, B., Schaeffeler, E., Schwab, M., Linzmeier, R., Feathers, R. W., Chu, H., Lima, H., Fellermann, K., Ganz, T., Stange, E. F., & Bevins, C. L.
Venue
Proceedings of the National Academy of Sciences
Published
2005-12-05
Volume
102
Issue
50
Pages
18129-18134
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2097121808
Cited by
988
References
47
FWCI
30.42
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Reduced Paneth cell α-defensins in ileal Crohn's disease. https://app.cochat.ai/papers/10.1073/pnas.0505256102
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Wehkamp, J., Salzman, N. H., Porter, E., Nuding, S., Weichenthal, M., Petras, R. E., Shen, B., Schaeffeler, E., Schwab, M., Linzmeier, R., Feathers, R. W., Chu, H., Lima, H., Fellermann, K., Ganz, T., Stange, E. F., & Bevins, C. L. (2005). Reduced Paneth cell α-defensins in ileal Crohn's disease. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.0505256102

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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