{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T06:03:12Z","timestamp":1780984992957,"version":"3.54.1"},"reference-count":52,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Immunol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Intestinal mucus and epithelial barrier dysfunction are central features of inflammatory bowel disease (IBD), yet the regulatory mechanisms underlying mucus disruption remain inconsistent across individual studies. Anterior gradient 2 (\n                      <jats:italic>AGR2<\/jats:italic>\n                      ) is an endoplasmic reticulum chaperone required for mucin folding, and its loss in mice causes primary mucus secretory failure and spontaneous colitis. Here, we integrated cross-cohort human transcriptomics with a genetic model of mucus secretory collapse to determine whether mucus dysfunction in IBD reflects intrinsic mucin-folding defects or secondary inflammatory remodeling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We performed a meta-analysis of 26 independent human colonic transcriptomic datasets comprising 1,302 active, untreated samples to derive a consensus mucus-barrier regulatory program in Crohn\u2019s disease (CD) and ulcerative colitis (UC). Random-effects modeling identified differentially expressed genes, which were evaluated using gene set enrichment for biological processes relevant to mucus regulation. To provide a mechanistic benchmark for primary secretory failure, we generated an orthogonal colon proteome from\n                      <jats:italic>Agr2<\/jats:italic>\n                      <jats:sup>-\/-<\/jats:sup>\n                      mice.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across human cohorts, 3,129 genes in CD and 3,729 in UC were differentially expressed, with substantial overlap between diseases. Both conditions showed coordinated upregulation of pathways linked to goblet-cell differentiation, mucin transcription, post-translational glycosylation, secretion, microbial sensing, and endoplasmic reticulum quality control.\n                      <jats:italic>MUC1<\/jats:italic>\n                      ,\n                      <jats:italic>MUC4<\/jats:italic>\n                      ,\n                      <jats:italic>MUC5AC<\/jats:italic>\n                      , and\n                      <jats:italic>MUC5B<\/jats:italic>\n                      were consistently upregulated in active IBD relative to healthy controls.\n                      <jats:italic>MUC2<\/jats:italic>\n                      was strongly elevated in CD. Glycosyltransferases, including\n                      <jats:italic>ST3GAL1<\/jats:italic>\n                      and\n                      <jats:italic>FUT8<\/jats:italic>\n                      , were upregulated, and secretion-associated immune regulators, such as\n                      <jats:italic>NOD2<\/jats:italic>\n                      and\n                      <jats:italic>CASP1<\/jats:italic>\n                      , increased, whereas the barrier lectin\n                      <jats:italic>ZG16<\/jats:italic>\n                      decreased. ER stress components\n                      <jats:italic>HSPA5<\/jats:italic>\n                      ,\n                      <jats:italic>XBP1<\/jats:italic>\n                      , and\n                      <jats:italic>AGR2<\/jats:italic>\n                      were also upregulated compared with controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      Cross-species comparison revealed convergence between IBD and\n                      <jats:italic>Agr2<\/jats:italic>\n                      deficiency in unfolded-protein response and microbial sensing pathways, including lipopolysaccharide and Toll-like receptor signaling. However, cytokine-driven regulatory programs prominent in IBD, including IL-6\u2013STAT3 and IL-17 pathways, were not recapitulated in\n                      <jats:italic>Agr2<\/jats:italic>\n                      <jats:sup>-\/-<\/jats:sup>\n                      mice. These findings indicate that mucus barrier dysfunction in human IBD reflects inflammatory remodeling of epithelial programs rather than primary secretory collapse alone, while sharing conserved ER-stress and microbial response signatures. Integrating human and murine datasets identifies candidate pathways that may stabilize mucin folding, refine glycan composition, and preserve host-microbe spatial segregation in intestinal disease.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fimmu.2026.1813019","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:41:57Z","timestamp":1780983717000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cross-species systems analysis distinguishes inflammatory remodeling from primary mucus secretory failure in inflammatory bowel disease"],"prefix":"10.3389","volume":"17","author":[{"given":"Jessica","family":"Xhumari","sequence":"first","affiliation":[{"name":"Department of Microbiology and Cell Science, Institute of Food and Agricultural Sciences, University of Florida","place":["Gainesville, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Ojeda","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Cell Science, Institute of Food and Agricultural Sciences, University of Florida","place":["Gainesville, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwamayowa S.","family":"Akinsuyi","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Cell Science, Institute of Food and Agricultural Sciences, University of Florida","place":["Gainesville, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz F. W.","family":"Roesch","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Cell Science, Institute of Food and Agricultural Sciences, University of Florida","place":["Gainesville, FL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.5009\/gnl210118","article-title":"Long-term disease course of Crohn\u2019s disease: changes in disease location, phenotype, activities, and predictive factors","volume":"16","author":"Cho","year":"2022","journal-title":"Gut Liver"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.848344","article-title":"The role and function of mucins and its relationship to inflammatory bowel disease","volume":"9","author":"Kang","year":"2022","journal-title":"Front Med (Lausanne)"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3182688e73","article-title":"Mucin function in inflammatory bowel disease: an update","volume":"47","author":"Boltin","year":"2013","journal-title":"J Clin Gastroenterol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1385\/IR:29:1-3:055","article-title":"Intestinal epithelial cell regulation of mucosal inflammation","volume":"29","author":"Yu","year":"2004","journal-title":"Immunol Res"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000033033","article-title":"Comparative study between histochemical mucus volume, histopathological findings, and endocytoscopic scores in patients with ulcerative colitis","volume":"102","author":"Kamitani","year":"2023","journal-title":"Med (Baltimore)"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0808722106","article-title":"The protein disulfide isomerase AGR2 is essential for production of intestinal mucus","volume":"106","author":"Park","year":"2009","journal-title":"Proc Natl Acad Sci"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmgh.2021.07.001","article-title":"Human AGR2 deficiency causes mucus barrier dysfunction and infantile inflammatory bowel disease","volume":"12","author":"Al-Shaibi","year":"2021","journal-title":"Cell Mol Gastroenterol Hepatol"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000000090","article-title":"IBD candidate genes and intestinal barrier regulation","volume":"20","author":"McCole","year":"2014","journal-title":"Inflammation Bowel Dis"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0000000000001246","article-title":"Genetic and transcriptomic basis of intestinal epithelial barrier dysfunction in inflammatory bowel disease","volume":"23","author":"Vancamelbeke","year":"2017","journal-title":"Inflammation Bowel Dis"},{"key":"B10","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1097\/00054725-199902000-00004","article-title":"Abnormalities in mucin gene expression in Crohn\u2019s disease","volume":"5","author":"Buisine","year":"1999","journal-title":"Inflammation Bowel Dis"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1136\/gut.38.4.554","article-title":"MUC2 is the prominent colonic mucin expressed in ulcerative colitis","volume":"38","author":"Tytgat","year":"1996","journal-title":"Gut"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1136\/gut.49.4.544","article-title":"Mucin gene expression in intestinal epithelial cells in Crohn\u2019s disease","volume":"49","author":"Buisine","year":"2001"},{"key":"B13","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.diff.2008.09.008","article-title":"Differences in goblet cell differentiation between Crohn\u2019s disease and ulcerative colitis","volume":"77","author":"Gersemann","year":"2009","journal-title":"Differentiation"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.21625","article-title":"Altered O-glycosylation profile of MUC2 mucin occurs in active ulcerative colitis and is associated with increased inflammation","volume":"17","author":"Larsson","year":"2011","journal-title":"Inflammatory Bowel Dis"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1096\/fj.201600954R","article-title":"Runx2, a novel regulator for goblet cell differentiation and asthma development","volume":"31","author":"Shi","year":"2017","journal-title":"FASEB J"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1002\/path.2863","article-title":"Hypoxia-inducible factor-1 signalling promotes goblet cell hyperplasia in airway epithelium","volume":"224","author":"Polosukhin","year":"2011","journal-title":"J Pathol"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2020.00227","article-title":"Hypoxia inducible factor-1\u03b1: the curator of gut homeostasis","volume":"10","author":"Kumar","year":"2020","journal-title":"Front Cell Infect Microbiol"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1038\/sj.cr.7290271","article-title":"Kr\u00fcppel-like factors 4 and 5: the yin and yang regulators of cellular proliferation","volume":"15","author":"Ghaleb","year":"2005","journal-title":"Cell Res"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2007.02.048","article-title":"Matrix metalloproteinase-9 regulates MUC-2 expression through its effect on goblet cell differentiation","volume":"132","author":"Garg","year":"2007","journal-title":"Gastroenterology"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2020.02054","article-title":"Mucins in intestinal mucosal defense and inflammation: learning from clinical and experimental studies","volume":"11","author":"Grondin","year":"2020","journal-title":"Front Immunol"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1212484110","article-title":"Negative feedback by IRE1\u03b2 optimizes mucin production in goblet cells","volume":"110","author":"Tsuru","year":"2013","journal-title":"Proc Natl Acad Sci"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1172\/JCI33194","article-title":"IL-22 ameliorates intestinal inflammation in a mouse model of ulcerative colitis","volume":"118","author":"Sugimoto","year":"2008","journal-title":"J Clin Invest"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.271.24.13968","article-title":"Receptors for interleukin (IL)-10 and IL-6-type cytokines use similar signaling mechanisms for inducing transcription through IL-6 response elements","volume":"271","author":"Cf","year":"1996","journal-title":"J Biol Chem"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1016\/0014-5793(96)00990-8","article-title":"IL-10 induces DNA binding activity of three STAT proteins (Stat1, Stat3, and Stat5) and their distinct combinatorial assembly in the promoters of selected genes","volume":"394","author":"J","year":"1996","journal-title":"FEBS Lett"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.4049\/jimmunol.170.6.3263","article-title":"Activation of STAT3 by IL-6 and IL-10 in primary human macrophages is differentially modulated by suppressor of cytokine signaling 3 1","volume":"170","author":"Niemand","year":"2003","journal-title":"J Immunol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3892\/etm.2021.10322","article-title":"IL-6\/STAT3 signaling pathway regulates the proliferation and damage of intestinal epithelial cells in patients with ulcerative colitis via H3K27ac","volume":"22","author":"Li","year":"2021","journal-title":"Exp Ther Med"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.4049\/jimmunol.162.10.6233","article-title":"IL-4 induces mucin gene expression and goblet cell metaplasia in vitro and in vivo","volume":"162","author":"Dabbagh","year":"1999","journal-title":"J Immunol"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1006\/bbrc.2000.3107","article-title":"Regulation of IL-1beta-mediated MUC2 gene in NCI-H292 human airway epithelial cells","volume":"274","author":"Kim","year":"2000","journal-title":"Biochem Biophys Res Commun"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1165\/rcmb.2009-0313OC","article-title":"NF-\u03baB mediates IL-1\u03b2\u2013 and IL-17A\u2013induced MUC5B expression in airway epithelial cells","volume":"45","author":"Fujisawa","year":"2011","journal-title":"Am J Respir Cell Mol Biol"},{"key":"B30","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1097\/ACI.0b013e3282f3f488","article-title":"Role of hypoxia in inflammatory upper airway disease","volume":"8","author":"Steinke","year":"2008","journal-title":"Curr Opin Allergy Clin Immunol"},{"key":"B31","doi-asserted-by":"publisher","first-page":"5802","DOI":"10.1038\/s41598-018-24223-3","article-title":"Mucin gel assembly is controlled by a collective action of non-mucin proteins, disulfide bridges, Ca2+-mediated links, and hydrogen bonding","volume":"8","author":"Meldrum","year":"2018","journal-title":"Sci Rep"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1016\/j.mucimm.2023.06.004","article-title":"Sialylation shapes mucus architecture inhibiting bacterial invasion in the colon","volume":"16","author":"Taniguchi","year":"2023","journal-title":"Mucosal Immunol"},{"key":"B33","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1016\/j.cell.2022.02.013","article-title":"Mucus sialylation determines intestinal host-commensal homeostasis","volume":"185","author":"Yao","year":"2022","journal-title":"Cell"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1159\/000201222","article-title":"Increased rate of sialylation of colonic mucin by cultured ulcerative colitis mucosal explants","volume":"56","author":"Parker","year":"2009","journal-title":"Digestion"},{"key":"B35","first-page":"16568","article-title":"Reduced sialylation of airway mucin impairs mucus transport by altering the biophysical properties of mucin","volume-title":"Sci Rep.","author":"Harris","year":"2024"},{"key":"B36","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.chom.2023.01.006","article-title":"Autophagy controls mucus secretion from intestinal goblet cells by alleviating ER stress","volume":"31","author":"Naama","year":"2023","journal-title":"Cell Host Microbe"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1016\/j.cell.2014.01.026","article-title":"NLRP6 inflammasome orchestrates the colonic host-microbial interface by regulating goblet cell mucus secretion","volume":"156","author":"Wlodarska","year":"2014","journal-title":"Cell"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1407597111","article-title":"Microbial-induced meprin \u03b2 cleavage in MUC2 mucin and a functional CFTR channel are required to release anchored small intestinal mucus","volume":"111","author":"Sch\u00fctte","year":"2014","journal-title":"Proc Natl Acad Sci USA"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1016\/j.celrep.2017.10.087","article-title":"Mucus detachment by host metalloprotease meprin \u03b2 requires shedding of its inactive pro-form, which is abrogated by the pathogenic protease RgpB","volume":"21","author":"Wichert","year":"2017","journal-title":"Cell Rep"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1611400113","article-title":"Gram-positive bacteria are held at a distance in the colon mucus by the lectin-like protein ZG16","volume":"113","author":"Bergstr\u00f6m","year":"2016","journal-title":"Proc Natl Acad Sci USA"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1126\/science.aaf7419","article-title":"A sentinel goblet cell guards the colonic crypt by triggering Nlrp6-dependent Muc2 secretion","volume":"352","author":"Birchenough","year":"2016","journal-title":"Science"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050054","article-title":"Aberrant mucin assembly in mice causes endoplasmic reticulum stress and spontaneous inflammation resembling ulcerative colitis","volume":"5","author":"Heazlewood","year":"2008","journal-title":"PloS Med"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbrc.2020.06.156","article-title":"Effects of macromolecular crowding on the folding and aggregation of glycosylated MUC5AC","volume":"529","author":"Jing","year":"2020","journal-title":"Biochem Biophys Res Commun"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.1152\/ajpgi.00221.2021","article-title":"Autophagy is required during high MUC2 mucin biosynthesis in colonic goblet cells to contend metabolic stress","volume":"321","author":"Tiwari","year":"2021","journal-title":"Am J Physiology-Gastrointestinal Liver Physiol"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.1016\/j.ymeth.2004.10.010","article-title":"The ER chaperone and signaling regulator GRP78\/BiP as a monitor of endoplasmic reticulum stress","volume":"35","author":"Lee","year":"2005","journal-title":"Methods"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.1016\/j.ydbio.2009.12.008","article-title":"Disruption of Paneth and goblet cell homeostasis and increased endoplasmic reticulum stress in Agr2-\/- mice","volume":"338","author":"Zhao","year":"2010","journal-title":"Dev Biol"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1016\/j.celrep.2022.111637","article-title":"Agr2-associated ER stress promotes adherent-invasive E. coli dysbiosis and triggers CD103+ dendritic cell IL-23-dependent ileocolitis","volume":"41","author":"Viladomiu","year":"2022","journal-title":"Cell Rep"},{"key":"B48","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1186\/s12859-020-03910-x","article-title":"multiGSEA: a GSEA-based pathway enrichment analysis for multi-omics data","volume":"21","author":"Canzler","year":"2020","journal-title":"BMC Bioinf"},{"key":"B49","doi-asserted-by":"publisher","DOI":"10.1016\/j.lssr.2024.03.003","article-title":"Gut permeability among astronauts during space missions","volume":"41","author":"Akinsuyi","year":"2024","journal-title":"Life Sci Space Res"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1038\/mi.2010.74","article-title":"An intestinal epithelial\u00a0defect conferring ER stress results in inflammation involving both innate\u00a0and\u00a0adaptive immunity","volume":"4","author":"Eri","year":"2011","journal-title":"Mucosal Immunol"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0032084","article-title":"Dextran sodium sulfate (DSS) induces colitis in mice by forming nano-lipocomplexes with medium-chain-length fatty acids in the colon","volume":"7","author":"Laroui","year":"2012","journal-title":"PloS One"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1093\/nar\/gkae1011","article-title":"The PRIDE database at 20 years: 2025 update","volume":"53","author":"Perez-Riverol","year":"2025","journal-title":"Nucleic Acids Res"}],"container-title":["Frontiers in Immunology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2026.1813019\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:41:59Z","timestamp":1780983719000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2026.1813019\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,9]]},"references-count":52,"alternative-id":["10.3389\/fimmu.2026.1813019"],"URL":"https:\/\/doi.org\/10.3389\/fimmu.2026.1813019","relation":{},"ISSN":["1664-3224"],"issn-type":[{"value":"1664-3224","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,9]]},"article-number":"1813019"}}