Regulation of Retinoblastoma Protein (Rb) by p21 Is Critical for Adaptation to Massive Small Bowel Resection

Jennifer A. Leinicke, Shannon Longshore, Derek Wakeman, Jun Guo, Brad W. Warner

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background: Adaptation following massive intestinal loss is characterized by increased villus height and crypt depth. Previously, we demonstrated that p21-null mice do not adapt after small bowel resection (SBR). As retinoblastoma protein (Rb) levels are elevated in p21-null crypt cells, we first sought to determine whether Rb is required for normal adaptation. Next, we tested whether Rb expression is responsible for blocked adaptation in p21-nulls. Methods: Genetically manipulated mice and wild-type (WT) littermates underwent either 50% SBR or sham operation. The intestine was harvested at 3, 7, or 28 days later and intestinal adaptation was evaluated. Enterocytes were isolated and protein levels evaluated by Western blot and quantified by optical density. Results: Rb-null mice demonstrated increased villus height, crypt depth, and proliferative rate at baseline, but there was no further increase following SBR. Deletion of one Rb allele lowered Rb expression and restored resection-induced adaptation responses in p21-null mice. Conclusion: Rb is specifically required for resection-induced adaptation. Restoration of adaptation in p21-null mice by lowering Rb expression suggests a crucial mechanistic role for Rb in the regulation of intestinal adaptation by p21.

Original languageEnglish (US)
Pages (from-to)148-155
Number of pages8
JournalJournal of Gastrointestinal Surgery
Issue number1
StatePublished - Jan 2012
Externally publishedYes


  • Adaptation
  • Apoptosis
  • Cyclin-dependent kinase inhibitor
  • Enterocyte proliferation
  • Retinoblastoma protein
  • p21

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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