Age-related decline in goblet cell numbers and mucin content of the human colon: Implications for lower bowel functions in the elderly

Baidoo, N. and Sanger, G. 2024. Age-related decline in goblet cell numbers and mucin content of the human colon: Implications for lower bowel functions in the elderly. Experimental and Molecular Pathology. 139 104923. https://doi.org/10.1016/j.yexmp.2024.104923

TitleAge-related decline in goblet cell numbers and mucin content of the human colon: Implications for lower bowel functions in the elderly
TypeJournal article
AuthorsBaidoo, N. and Sanger, G.
Abstract

Background & aims
Older people experience a greater incidence of lower bowel disorders, including constipation. Causes can include factors associated with growing older, such as use of medications or disease, but compounded by degenerative changes within the bowel wall. It has been suggested that the latter is exacerbated by loss of an effective mucosal barrier to luminal contents. In human colon, little is known about the impact of ageing on key components of this barrier, namely the goblet cells and mucin content.

Methods
Changes in the number of goblet cells and density of mucin content were investigated in macroscopically normal human ascending (AC; n = 13) and descending (DC; n = 14) colon from elderly (≥ 67 years) and younger adults (60 years and below). Samples were serially sectioned and stained for haematoxylin and eosin to assess tissue morphology, and alcian blue periodic acid Schiff (ABPAS) and MUC-2 antibody to identify goblet cells producing mucins. New procedures in visualization and identification of goblet cells and mucin contents were employed to ensure unbiased counting and densitometric analysis.

Results
Compared with the younger adults, the numbers of goblet cells per crypt were significantly lower in the elderly AC (72 ± 1.2 vs 51 ± 0.5) and DC (75 ± 2.6 vs. 54 ± 1.9), although this reduction did not reach statistical significance when assessed per mucosal area (AC: P = 0.068; DC: P = 0.096). In both regions from the elderly, numerous empty vesicles (normally containing mucins) were observed, and some areas of epithelium were devoid of goblet cells. Thus, the density of mucin content per unit mucosal area were significantly reduced with age.

Conclusions
Ageing could result in a reduced number of goblet cells and development of degenerative changes in mucin production. Together, these have implications for the mucus barrier function in the colon of elderly individuals.

KeywordsAgeing
goblet cells
Human colon
Mucins
Mucosal barrier
Alcian Blue periodic acid Schiff
MUC-2
Article number104923
JournalExperimental and Molecular Pathology
Journal citation139
ISSN0014-4800
Year2024
PublisherElsevier
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1016/j.yexmp.2024.104923
PubMed ID39154390
Web address (URL)https://www.sciencedirect.com/science/article/pii/S001448002400042X?via%3Dihub
Publication dates
Published17 Aug 2024
Supplemental file
File Access Level
Open (open metadata and files)
ProjectThe ageing of gastrointestinal tract

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