A genetic mechanism for cecal atresia: the role of the Fgf10 signaling pathway

J Surg Res. 2004 Aug;120(2):201-9. doi: 10.1016/j.jss.2003.12.017.

Abstract

Background: Intestinal atresia represents a significant surgically correctable cause of intestinal obstruction in neonates. Intestinal development proceeds as a tube-like structure with differentiation along its axis. As the intestine differentiates, the cecum develops at the transition from small to large intestine. Fgf10 is known to serve a key role in budding morphogenesis; however, little is known about its role in the development of this transitional structure. Here we evaluate the effect of Fgf10/Fgfr2b invalidation on the developing cecum.

Materials and methods: Wild-type C57Bl/6, Fgf10(-/-), and Fgfr2b(-/-) embryos harvested from timed pregnant mothers were analyzed for cecal phenotype, Fgf10 expression, and differentiation of smooth muscle actin.

Results: Wt cecal development is first evident at E11.5. FGF10 is discreetly expressed in the area of the developing cecum at early stages of development. One hundred percent of Fgf10(-/-) and Fgfr2b(-/-) mutant embryos demonstrate cecal atresia with absence of epithelial and muscular layers. The development of neighboring anatomical structures such as the ileocecal valve is not affected by Fgf10/Fgfr2b invalidation.

Conclusions: FGF10 expression is localized to the cecum early in the normal development of the cecum. Fgf10(-/-) and Fgfr2b(-/-) mutant embryos demonstrate cecal atresia with complete penetrance. Epithelial and muscular layers of the cecum are not present in the atretic cecum. The Fgf10(-/-) and Fgfr2b(-/-) mutants represent a genetically reproducible animal model of autosomal recessive intestinal atresia.

MeSH terms

  • Animals
  • Cecum* / metabolism
  • Embryonic and Fetal Development
  • Fibroblast Growth Factor 10
  • Fibroblast Growth Factors / deficiency
  • Fibroblast Growth Factors / genetics
  • Fibroblast Growth Factors / metabolism*
  • Intestinal Atresia / etiology
  • Intestinal Atresia / metabolism
  • Intestinal Atresia / pathology
  • Intestinal Atresia / physiopathology*
  • Intestinal Mucosa
  • Mice
  • Mice, Knockout
  • Muscle, Smooth / embryology
  • Muscle, Smooth / pathology
  • Mutation
  • Penetrance
  • Peristalsis
  • Receptor, Fibroblast Growth Factor, Type 2
  • Receptors, Fibroblast Growth Factor / deficiency
  • Receptors, Fibroblast Growth Factor / genetics
  • Receptors, Fibroblast Growth Factor / metabolism
  • Signal Transduction*

Substances

  • Fgf10 protein, mouse
  • Fibroblast Growth Factor 10
  • Receptors, Fibroblast Growth Factor
  • Fibroblast Growth Factors
  • Receptor, Fibroblast Growth Factor, Type 2