mortality/aging
• approximately half of homozygotes die before 8 weeks of age
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• increased mortality between the neonatal period and weaning age
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growth/size/body
• significantly reduced body weight in both sexes at 2-7 weeks of age
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• surviving mice exhibit growth retardation
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digestive/alimentary system
• impaired polarized sorting in the small intestine epithelium, as shown by the mislocalization of basolateral membrane proteins, including the low-density lipoprotein receptor (LDLR), EphB2, and E-cadherin
• the apical marker sucrase is mistargeted to the lateral plasma membrane, while both sucrase and villin (an actin-bundle protein normally anchored beneath the apical membrane) show abnormal subcellular localizations
• small vesicular structures, likely endosomes, normally found in the subapical domain and around the Golgi apparatus of control epithelial cells, are scarce; instead, enlarged lysosome-like vacuoles are observed
• partial defect in E-cadherin sorting with abnormal E-cadherin accumulation in cytoplasmic granular structures associated with an increase in the nuclear translocation of free beta-catenin in the intestinal epithelium; however, normal localization of E-cadherin in lung and kidney epithelial cells
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• ~3-fold enlargement of the small intestine relative to heterozygous controls
• significantly increased small intestine weight around weaning (3-5 weeks) and at 7-10 weeks (adults) relative to heterozygous controls
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• marked elongation of the duodenal crypts along with abnormally thicker and shorter villi relative to heterozygous controls
• similar pathology in the jejunum and ileum although phenotype is less severe descending along the anterior-posterior axis of the small intestine
• however, antibotics treatment fails to ameliorate crypt elongation in the upper small intestine
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• significantly increased duodenum crypt length relative to controls
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• significantly increased jejunum crypt length relative to controls
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• multiple duodenal polyps in all mice examined at 11-13 months of age
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• villous dysplasia with abnormally thicker and shorter villi in the duodenum relative to controls
• duodenal villi appear highly disorganized; the luminal surface is extremely flat and individual villi are hardly discernible by EM
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• TEM revealed sparse and disorganized apical microvilli in the small intestine epithelium, unlike the well-ordered brush-like microvilli seen in control epithelium
• ectopic formation of microvillus-like structures is observed at the lateral membrane, unlike in controls
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• significantly reduced villus length in the duodenum, but not in the jejunum or ileum
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• dysplasia of small intestinal villi and microvilli resulting in a digestive and/or absorptive disorder that causes malnutrition
• excessive proliferation of small intestinal epithelial cells due to destabilization of the E-cadherin/beta-catenin complex at the adherens junction and nuclear translocation of beta-catenin
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• crypt hyperplasia due to excessive proliferation of epithelial cells, as shown by abundant Ki67+ cells throughout the elongated crypts in the upper small intestine
• blockade of Notch signaling by the gamma-secretase inhibitor dibenzazepine slightly reduces the number of Ki67+ epithelial cells but fails to ameliorate crypt elongation (hyperplasia)
• in contrast, blockade of beta-catenin signaling by IWR1 treatment significantly decreases the number of Ki67+ cells and ameliorates crypt hyperplasia
• notably, the composition of untreated epithelial cells is grossly normal in all parts of the small intestine
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homeostasis/metabolism
• significant decrease in serum glucose levels at 8-10 weeks of age
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• small but significant increase in total serum cholesterol levels at 8-10 weeks of age
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• significant decrease in serum albumin levels at 8-10 weeks of age
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endocrine/exocrine glands
• marked elongation of the duodenal crypts along with abnormally thicker and shorter villi relative to heterozygous controls
• similar pathology in the jejunum and ileum although phenotype is less severe descending along the anterior-posterior axis of the small intestine
• however, antibotics treatment fails to ameliorate crypt elongation in the upper small intestine
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• significantly increased duodenum crypt length relative to controls
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• significantly increased jejunum crypt length relative to controls
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cellular
• crypt hyperplasia due to excessive proliferation of epithelial cells, as shown by abundant Ki67+ cells throughout the elongated crypts in the upper small intestine
• blockade of Notch signaling by the gamma-secretase inhibitor dibenzazepine slightly reduces the number of Ki67+ epithelial cells but fails to ameliorate crypt elongation (hyperplasia)
• in contrast, blockade of beta-catenin signaling by IWR1 treatment significantly decreases the number of Ki67+ cells and ameliorates crypt hyperplasia
• notably, the composition of untreated epithelial cells is grossly normal in all parts of the small intestine
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