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Originally published In Press as doi:10.1074/jbc.M104805200 on June 21, 2001

J. Biol. Chem., Vol. 276, Issue 37, 34363-34370, September 14, 2001
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Investigations of the in Vitro Transport of Human Milk Oligosaccharides by a Caco-2 Monolayer Using a Novel High Performance Liquid Chromatography-Mass Spectrometry Technique*

Mark J. GnothDagger , Silvia Rudloff§, Clemens Kunz§, and Rolf K. H. KinneDagger

From the Dagger  Max-Planck-Institut für molekulare Physiologie, Otto-Hahn-Str. 11, 44227 Dortmund, Germany and the § Institut für Ernährungswissenschaft, Wilhelmstr. 20, 35392 Giessen, Germany

Received for publication, May 25, 2001, and in revised form, June 21, 2001


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Complex lactose-derived oligosaccharides belong to the main components of human milk and are believed to exert multiple functions in the breast-fed infant. Therefore, we investigated the transepithelial transport of human milk oligosaccharides over Caco-2 monolayers. Main human milk oligosaccharides (HMOs) in the apical, basolateral, or intracellular compartment were separated by high performance liquid chromatography using a HypercarbTM column and analyzed on line by mass spectrometry. This method allowed the identification and quantification of these components in intra- and extracellular fractions without prior purification. Using this technique we were able to show that acidic and neutral HMOs cross the epithelial barrier. The transepithelial flux of neutral, but not acidic, oligosaccharides was temperature-sensitive and partly inhibited by brefeldin A and bafilomycin A. Furthermore, net flux from the apical to the basolateral compartment was only observed for the neutral components. Similarly, apical cellular uptake was only found for neutral components but not for acidic oligosaccharides. Intracellular concentrations of neutral HMOs were significantly increased by inhibitors of transcytosis such as brefeldin A, N-ethylmaleimide, or bafilomycin A. The cellular uptake was saturable, and an apparent Km for lacto-N-fucopentaose I of 1.7 ± 0.1 mmol/liter and for lacto-N-tetraose of 1.8 ± 0.4 mmol/liter was determined. Furthermore, the uptake of lacto-N-fucopentaose I could be inhibited by the addition of the stereoisomer lacto-N-fucopentaose II but not by lacto-N-tetraose. These findings suggest that neutral HMOs are transported across the intestinal epithelium by receptor-mediated transcytosis as well as via paracellular pathways, whereas translocation of acidic HMOs solely represents paracellular flux.


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Oligosaccharides are the third most abundant soluble fraction within human milk. With exception of the elephant, no other mammalian milk contains as many lactose-derived complex oligosaccharides (1). Thus far, more than 100 lactose-derived oligosaccharides have been characterized within human milk (2). HMOs1 are postulated to be involved in immunomodulation (3, 4) by acting as soluble receptor analogues for bacterial and viral adhesion molecules in the gastrointestinal and the urogenital tract (5) and to stimulate a bifidus flora within the colon. At present little is known about the metabolism of HMOs in the breast-fed neonate. Recently, we have shown that these oligosaccharides are only minimally digested by enzymes of the upper gastrointestinal tract (6). Furthermore, neutral as well as acidic HMOs could be detected in the urine of breast-fed but not in that of formula-fed infants (7, 8) suggesting that they are absorbed in the intestine. These findings raise the question of how and to what extent these components pass the epithelium of the small intestine. Therefore, we performed in vitro transport studies using the human cell line Caco-2 that displays biochemical and morphological characteristics of differentiated epithelial cells (9, 10). In these experiments net flux of neutral but not acidic HMOs from the apical to the basal side of the epithelium was demonstrated to be associated with cellular uptake from the luminal but not the contraluminal side. The results suggest that neutral HMOs use transcellular as well as paracellular pathways to cross the intestinal epithelium, whereas acidic components only use paracellular pathways.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Materials

Standard oligosaccharides were purchased from Dextra Laboratories (London, United Kingdom). Human milk was obtained from the Children's Hospital in Dortmund, Germany after bacterial screening.

Brefeldin A and bafilomycin A were purchased from Sigma-Aldrich. N-Ethylmaleimide was purchased from Merck.

Isolation of Human Milk Oligosaccharides

HMOs were isolated from human milk as described previously (6). Briefly, human milk was delipidated by centrifugation, and protein was removed by ethanol precipitation. Then lactose and monosaccharides were removed using Sephadex G-25 gel filtration of the aqueous milk phase. HMOs were separated into neutral and acidic fractions by anion-exchange chromatography (Resource Q, Amersham Pharmacia Biotech) of the residual fractions.

Liquid Chromatography-MS Analysis

Complex oligosaccharide fractions were filtered through a 0.2-µm syringe filter (Macherey and Nagel, Düren, Germany) and separated on an HP 1100 HPLC-Tower (Beckman Instruments) using a Hypercarb column (150 × 2.0 mm, 5 µm, ThermoQuest, Kleinostheim, Germany). The following conditions were used. The samples were applied to a column that was equilibrated with eluent A (deionized water, 0.1% formic acid). Elution of the salts was performed by washing the column for 5 min with eluent A followed by a gradient of eluent B (acetonitrile HPLC grade (J. T. Baker Inc.), 0.1% formic acid) from 0 to 18% in 0.5 min. Then the elution of the oligosaccharides was initiated by a gradient of 18-50% eluent B (elution time, 20 min) followed by a gradient of 50-100% eluent B (elution time, 7 min). The flow rate was 0.3 ml/min, and the column was run at room temperature.

On-line analysis was performed by mass spectrometry using an LCQ classic or an LCQ Deca instrument (Finnigan Mat, Bremen, Germany) in the positive ion mode and by photometric detection at 195 nm. Before entering the LCQ classic electrospray ionization-MS the flux was reduced by a splitter to 0.1 ml/min.

Cell Culture

Caco-2 cells were purchased from the Deutsche Sammlung für Microorganismen und Zellkulturen (Braunschweig, Germany). Cells were grown in 75-cm2 tubes (Falcon, Heidelberg, Germany) at 37 °C and 5% CO2 in minimal essential medium (Life Technologies, Inc.) that was supplemented with 10% fetal calf serum, 1% nonessential amino acids, and 1% glutamine. Every 2 days the culture medium was renewed. For transport studies the cells were grown on 0.9-cm2 polyethylene terephthalate filter inserts (0.4-µm average pore size, Becton Dickinson, Heidelberg, Germany) in the medium stated above (11).

Transport Studies

HMO Fractions-- For the transport studies 5 mg/ml of a neutral and/or the same amount of an acidic oligosaccharide fraction were dissolved in transport buffer (127 mmol/liter NaCl, 10 mmol/liter sodium phosphate, 4.7 mmol/liter KCl, 1.2 mmol/liter MgCl2, 1.8 mmol/liter CaCl2, 1 mmol/liter glutamine, 20 mmol/liter HEPES, and 2.2 g/liter NaHCO3), pH 7.4 and filtered through a 0.2-µm filter (Schleicher & Schuell).

Standard Oligosaccharides-- For standard oligosaccharides, 0.5 mg/ml of the purified compounds were used and treated the same way as described above.

Transport of alpha -Methyl-D-glucoside (AMG)-- To study the cellular uptake of AMG the transport buffer described above contained 0.5 mmol/liter AMG and 2 µCi/ml 14C-labeled AMG (specific activity, 234 mCi/mmol; PerkinElmer Life Sciences).

In all transport studies, 200 µl of the desired transport buffer were applied to the apical compartment, and 900 µl of buffer solution were applied to the basolateral compartment. Under these conditions, no hydrostatic gradient exists between the compartments. For transport studies, cells were incubated for 90 min at 37 °C and 5% CO2.

After the incubation the apical and the basolateral media were collected separately, and the cells were washed with 1 ml of phosphate-buffered saline (Life Technologies, Inc.). Then the cells were removed from the filter by a syringe-generated jet stream and suspended in 1 ml of phosphate-buffered saline. After centrifugation for 5 min at 770 × g and 4 °C the resulting pellet was resuspended in 1 ml of distilled H2O, stirred for 10 min at room temperature, and centrifuged for 10 min at 15,000 × g. The resulting supernatant representing the intracellular compartment was dried in a Speedy-Vac (Eppendorf, Hamburg, Germany) at 45 °C.

Measurements of the Transepithelial Electrical Resistance

Measurements of the transepithelial resistance of the cells were performed in phosphate-buffered saline using a special Volt-Ohm-meter with two electrodes (World Precision Instruments, Berlin, Germany).

Statistics

All values given in this article are mean values ± S.D. Student's t test was used for statistical evaluations; a p < 0.05 was considered statistically significant.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Separation and Quantification of HMO Fractions by High Performance Liquid Chromatography-MS-- For the investigation of transcellular transport processes in general one important prerequisite is that the transported components can clearly be identified and quantified within the extracellular and intracellular compartments. Because of the large variety, especially the occurrence of isomeric structures, and the low concentration of some HMOs it is difficult to characterize and quantify the individual components. For this reason we developed an on-line method where HMOs were first separated by HPLC on a graphitized carbon column and subsequently identified by electrospray mass spectrometry. Results of such a separation are shown by way of example in Fig. 1. Neutral HMOs are eluted first and then the acidic components follow with retention times longer than 25 min (Fig. 1). As it is demonstrated for LNFP II in Fig. 1B all components could be unambiguously identified. Furthermore, it was possible to analyze isomeric components within one run because they eluted at different times. Compare alpha 1-3Fuc-Lac (peak 1) and alpha 1-2Fuc-Lac (peak 4) in Fig. 1A. For five injections of a solution that had a concentration of 20 µg/ml LNFP I the standard variation of the peak area was 6.2% for LNT and 4.1% for LNFP I. Because most biological samples contain salts in concentrations of 150 mmol/liter it is noteworthy that the method described here allows the analysis of samples that contain up to 500 mmol/liter NaCl (data not shown).


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Fig. 1.   A, base peak chromatogram of an analysis of total HMOs (5 mg/ml) dissolved in transport buffer using a Hypercarb column. Analysis was performed on a Finnigan LCQ Deca electrospray mass spectrometer. All oligosaccharides were detected in positive ion mode as sodium adducts. B, mass spectrum that covers the elution region of peak 5, which was thus identified as LNFP II. For the other peaks the oligosaccharides as identified by mass spectrum are as follows. Peak 1, alpha 1-3-Fuc-Lac; peak 2, lacto-N-difucohexaose II; peak 3, lacto-N-difucohexaose I + Fuc2-Lac; peak 4, alpha 1-2-Fuc-Lac; peak 5, LNFP II; peak 6, LNFP I; peak 7, LNT; peak 8, mono-lacto-N-fucohexaose; peak 9, alpha 2-6-NeuAc-Lac; peak 10, NeuAc-LNT.

In contrast to other mass spectrometric methods this technique also can be used for quantification. Peak areas of components showed a linear correlation in a concentration range of 1-20 µg/ml (Fig. 2). The use of higher concentrations led to a loss of linearity. Furthermore, this technique can be operated in an automatic mode allowing overnight separation and quantification of 20 samples.


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Fig. 2.   Quantification of HMO components using a five-point calibration curve of neutral and acidic oligosaccharide standards analyzed by liquid chromatography-MS.

Characterization of the Caco-2 Monolayer-- Caco-2 cells are often used as an in vitro model for the human small intestinal epithelium (12). These cells form an intact monolayer and show typical epithelial polarity. To test the integrity of the monolayer, the transepithelial electrical resistance of the cells was measured during cultivation. As shown in Fig. 3, the transepithelial resistance increased from day 1 to day 10 and then remained constant. Therefore, monolayers cultured between 14 and 17 days were used in all experiments. The corresponding transepithelial resistance averaged initially 659.9 ± 94.0 ohms (n = 82). After the transport period a minor drop of these values to 500.1 ± 72.8 ohms (n = 82) was observed.


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Fig. 3.   Transepithelial electrical resistance across the Caco-2 monolayers grown on a filter support as a function of culture time. All values are mean ± S.D. derived from at least 10 experiments.

To determine the polarity of the Caco-2 cells transport studies with AMG were performed. AMG is only transported by the sodium-dependent glucose transporter SGLT1 and not by sodium-independent glucose transporters. In the intact epithelium in vivo, the SGLT1 is exclusively located in the apical but not in the basolateral membrane (13). After 10 days in culture a significant uptake of AMG into the Caco-2 cells was observed only from the apical compartment; virtually no uptake was found from the basolateral side (Fig. 4). Furthermore, this transport was inhibited by the addition of phlorrhizin, a specific inhibitor of SGLT1. Taken together these results demonstrate that the monolayer is polarized after 10 days of culture.


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Fig. 4.   Sidedness of AMG uptake into 10-day-old Caco-2 cells. Uptake was performed as described under "Experimental Procedures."

Transepithelial Flux of Neutral and Acidic HMOs across the Caco-2 Monolayer-- After having established the proper integrity of the monolayer and the differentiation of the epithelial cells we investigated transepithelial fluxes of HMOs. For this purpose cells were exposed to oligosaccharide fractions either at the apical or the basolateral side, and the content in the opposite compartment was investigated after a 90-min incubation time. The results of these studies are summarized in Figs. 5 and 6. After the simultaneous exposure of Caco-2 cells to 5 mg/ml of neutral and acidic HMO fractions for 90 min the flux from the apical to the basolateral compartment was 14.2 ± 2.0 nmol/90 min/filter for the neutral LNT and 6.9 ± 2.6 nmol/90 min/filter for the neutral LNFP I. The fluxes from the basolateral to the apical compartment were significantly lower; they amounted to 7.9 ± 0.4 nmol/90 min/filter for LNT and 3.4 ± 1.2 nmol/90 min/filter for LNFP I. Compared with the flux from the apical to the basal compartment this is a reduction to 53.3 and 58.0%, respectively. Thus, we observed a net flux of 7.3 nmol/90 min/filter for LNT and 4.5 nmol/90 min/filter for LNFP I directed from the apical to the basolateral compartment. In contrast to the neutral HMOs, no net flux was observed for the acidic HMO component 6'-NeuAc-Lac. The apical to basal flux amounted to 5.5 ± 1.6 nmol/90 min/filter, and the basal to apical flux amounted to 5.4 ± 1.0 nmol/90 min/filter.


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Fig. 5.   HPLC-MS analysis of HMOs present in the basolateral compartment after a 90-min exposure of the apical cell side to a mixture of neutral and acidic HMO fractions. A, neutral oligosaccharides. Peak 1, Fuc-Lac; peak 2, Fuc2-Lac; peak 3, LNT; peak 4, LNFP; peak 5, lacto-N-difucohexaose; peak 6, mono-fucosyl-LNH; peak 7, difuco-lacto-N-hexaose; peak 8, tri-fucosyl-LNH; peak 9, lacto-N-fucosyloctaose [+H]; peak 10, F5LNH [+H]. B, acidic HMOs (after retention times of >25 min). Peak 1, NeuAc-Lac; peak 2, Lst; peak 3, NeuAc-LNFP; peak 4, NeuAc2-LNT; peak 5, NeuAc-LNH; peak 6, NeuAc-LNH; peak 7, NeuAc2-LNH; peak 8, NeuAc2-Fuc-LNH. All components were detected as sodium adducts.


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Fig. 6.   Transepithelial flux of HMO components across Caco-2 monolayers during a 90-min incubation. *, significant at p < 0.05. Cells were exposed simultaneously to a mixture of neutral and acidic HMOs at the apical or basolateral side. n indicates the number of all monolayers analyzed.

Mode of Transepithelial Transport-- In pilot experiments we had observed that the reduction of the incubation temperature from 37 °C to 15 °C completely abolished the transepithelial net fluxes, suggesting that endo-/exocytotic processes are involved in the transepithelial transport of neutral HMOs (14). In Fig. 7, a detailed investigation of the temperature dependence of the transepithelial transport of neutral oligosaccharides is shown. Indeed, the transfer of the neutral HMOs was exquisitely temperature-sensitive supporting the hypothesis that neutral components use the transcytotic pathway to cross the cells.


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Fig. 7.   Temperature dependence of transepithelial flux of neutral HMOs after a 90-min exposure of the apical cell side to a mixture of neutral and acidic HMO fractions. The content of the basal compartment was analyzed by high performance anion-exchange chromatography with pulsed amperometric detection.

To further test this hypothesis we used brefeldin A and bafilomycin A, which are two inhibitors of the endo- and transcytotic pathways (see Fig. 8). After the addition of brefeldin A, which inhibits the translocation of early endosomes to late endosomes (15), the apical to basolateral flux was reduced to 61.2% of the control for LNT and 69.9% for LNFP I. This decrease was significant for LNT (p < 0.05). In contrast, only a minor influence was seen on the flux of 6'-NeuAc-Lac. The same effects were observed in the presence of bafilomycin A (Fig. 8), which inhibits the vacuolar proton ATPases and also the transition of earlier to late endosomes (16, 17). These results support the hypothesis of a transcytotic transport of neutral HMOs.


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Fig. 8.   Effect of the inhibitors of the transcytotic pathway, brefeldin A and bafilomycin A, on the transepithelial flux of HMOs from the apical to the basolateral compartment. Cells were exposed to a mixture of neutral and acidic HMOs at the apical side for 90 min. The inhibitors were also added to the apical compartment. Mean values derived from four experiments are shown.

Cellular Uptake of HMOs-- The first step of a receptor-mediated transcytosis is the uptake into the cell. After an incubation of the cells with a mixture of HMOs at the apical side the intracellular compartment contained a significant amount of neutral oligosaccharides but no acidic components (Fig. 9). Cells incubated with the two HMO fractions for only 2 min served as a control. Under these experimental conditions no oligosaccharides were found in the intracellular fractions excluding contamination of the cytoplasmic fractions by HMOs adsorbed to the apical membrane or present in the extracellular space. Furthermore, no new components were generated compared with the initial mixture, which suggests that neutral oligosaccharides are not degraded within the cell (see Fig. 10).


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Fig. 9.   Uptake of HMOs into Caco-2 cells. At the apical side cells were exposed to a mixture of neutral and acidic HMOs for 90 min. The intracellular fraction is depicted. A and B, elution pattern of the HMOs. C, mass spectrum within the range of the acidic HMOs. D, mass spectrum within the range of the neutral HMOs. Peak 1, Fuc-Lac; peak 2, di-fucosyl-Lac; peak 3, LNT; peak 4, LNFP; peak 5, lacto-N-difucohexaose; peak 6, difucosyl-LNH.


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Fig. 10.   Mass spectrum covering the region of the neutral HMOs. A, oligosaccharide mixture to which the cells were exposed at the apical side. B, oligosaccharide components of the intracellular fraction obtained after exposure of the cells to the mixture shown in A for 90 min at 37 °C. Analysis was performed as described under "Experimental Procedures." The apical fractions contained a complete neutral HMO fraction. Peak 1, Fuc-Lac; peak 2, Fuc2-Lac; peak 3, LNT; peak 4, LNFP; peak 5, lacto-N-difucohexaose; peak 6, LNH; peak 7, monofucosyl-LNH, trifucosyl-LNH; peak 8, difuco-lacto-N-hexaose; peak 9, TFLNH; peak 10, trifucosyl-lacto-N-octaose. All components were detected as sodium adducts.

In addition, sidedness of uptake of the neutral HMOs was observed. A significant uptake into the cells was only observed when neutral HMOs were applied at the apical compartment; from the basolateral compartment the uptake of LNFP I or LNT was minimal (Fig. 11).


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Fig. 11.   Sidedness of the uptake of neutral HMOs by Caco-2 cells. Intracellular content of Caco-2 cells after a 2-h incubation with a mixture of neutral and acidic HMOs at the apical or basal cell side. *, significant difference (p < 0.05). Mean values derived from five experiments are shown.

We also investigated the effect of specific inhibitors of the intracellular vesicle trafficking on the uptake of neutral HMOs across the apical membrane. In the presence of brefeldin A the intracellular content of LNFP I increased from 10.7 ± 4.7 to 19.7 ± 9.9 pmol/90 min/µg of protein and of LNT from 6.5 ± 4.2 to 15.2 ± 10.9 pmol/90 min/µg of protein (see Fig. 12).


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Fig. 12.   Intracellular content of main components of the neutral HMO fraction in the absence or presence of 5 µmol/liter brefeldin A. Cells were exposed to the inhibitor at the apical side. Mean values derived from n experiments are shown.

Table I summarizes the results obtained from experiments with other inhibitors of the intracellular vesicular transport. All inhibitors led to an increase of intracellular neutral HMOs. These results strongly indicate that an endocytotic uptake of neutral oligosaccharides is the initial step of the postulated transcytosis.

                              
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Table I
Effect of inhibitors of intracellular vesicle trafficking on the apical uptake of HMO by Caco-2 cells
Cells were incubated for 90 min with HMO fractions. Mean values from five filters are given. NEM, N-ethylmaleimide.

Endocytosis is mostly receptor-mediated. Therefore, we investigated whether cellular uptake of neutral HMOs is saturable. For the two major oligosaccharides of human milk, LNFP I and LNT, the uptake followed Michaelis-Menten kinetics (Fig. 13). For LNFP I, an apparent Km of 1.7 ± 0.1 mmol/liter was found, and for LNT the Km was 1.8 ± 0.4 mmol/liter. Vmax values for LNFP I and LNT were 447.6 ± 177.4 and 729 ± 110 pmol/90 min/filter, respectively.


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Fig. 13.   Kinetics of the intracellular uptake of LNFP I (A). Determination of Km and Vmax by a Lineweaver-Burk plot (B). Mean values derived from three experiments are shown.

Because the uptake of the neutral components was saturable and thus might be receptor-mediated it was of interest to investigate whether this uptake is mediated by one or several receptors. Therefore, we added LNFP II and LNT to a solution of 0.59 mmol/liter LNFP I. After the addition of 0.88 mmol/liter LNFP II the uptake was reduced to 74.6 ± 8.7% (p < 0.05, n = 3). In contrast, there was no decrease of the LNFP I uptake after the addition of 1.0 mmol/liter LNT. Thus, there seem to be different receptors that mediate the uptake of the LNT and LNFP I.

    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Methods-- In the present study a new combination of methods was used that addressed several major problems encountered in studying HMOs in salt-containing physiological fluids. One problem is the salt content of the samples, which increases considerably during the preparation of the oligosaccharide fractions after the transport. This problem was solved by using a Hypercarb column, which allows the removal of salts and the separation of neutral and acidic HMOs in a one-step procedure. A successful separation of glycoproteins and oligosaccharides using the Hypercarb column has already been described by Davies et al. (18). Another major problem is the identification of the various components and their quantification. This problem could be solved by using electrospray mass spectrometry, which allows quantification of the components. The range of linearity of the quantification proved to be sufficient for the low concentrations of HMOs found in the various extracellular and intracellular compartments during the transport studies. A somewhat similar procedure was recently described by Finke et al. (19). These authors (19) used anion-exchange chromatography for the initial separation of HMOs and matrix-assisted laser desorption/ionization-MS for the identification of components. Compared with the method used in the study presented here, however, no quantification of the different components was possible. Furthermore, the two methods were combined in an off-line fashion that does not allow the automatic rapid sample throughput of the on-line analysis used here.

To investigate the transepithelial transport of HMOs we used Caco-2 cells which are a well established in vivo model for the human small intestine (20, 21). The sidedness of the AMG uptake and the magnitude of the transepithelial electrical resistance demonstrated that also in our studies a well differentiated epithelial monolayer was investigated.

Results-- The present study revealed two major points with regard to the transepithelial transport of HMOs. First, both neutral and acidic HMOs can cross the epithelial barrier. The magnitude of this transport is in good agreement with the observations by Kunz et al. (4). Also the in vivo studies by Obermeier et al. (8) indicate that the breast-fed infant can absorb neutral as well as acidic HMOs, which were subsequently detected in their urine.

Second, neutral but not acidic HMOs appear to be translocated across the cells by transcytosis in addition to their passage through the paracellular space. The evidence for the transcytotic pathway is based on the occurrence of a net transport from the apical to the basal compartment, inhibition of this transport by inhibitors of intracellular vesicle trafficking, and saturable, stereospecific apical uptake into the cells. All these data are in accordance with this hypothesis; they seem to be unrelated to experimental conditions or unspecific effects because the same results were not observed for acidic HMOs, which were tested simultaneously with the neutral components.

The apical uptake of the neutral HMOs might be a process similar to that observed for asialoglycoproteins involving a receptor that recognizes glycoproteins only after sialic acid has been removed. This receptor was found to be present in Caco-2 cells (22).

The extent to which transcytosis contributes to the overall transepithelial transport of neutral HMOs can be estimated from the experiments in which the effect of temperature and the action of brefeldin A and bafilomycin A were investigated. In these experiments, an inhibition of about 45% of the transepithelial transport was observed. The basal to apical flux found for neutral HMOs is about 55% of the total apical to basal transepithelial flux. Assuming that the paracellular permeability is the same irrespective of the direction of transport this would imply that about 40% of the transepithelial transport of neutral HMOs would occur via transcytosis and 60% via paracellular pathways. The former value is also quite close to the net transport calculated.

Finally, it has to be considered how the current results can be transferred into the in vivo situation in the intestine of the breast-fed infant. If we assume that also under these conditions neutral and acidic HMOs pass the epithelium via paracellular pathways, this process could explain why Rudloff et al. (7) as well as Obermeier et al. (8) were able to detect both neutral and acidic oligosaccharides in the urine of human milk-fed infants. How the additional transcytosis of neutral HMOs affects their absorption and whether this process might be related to the presentation of these components to lymphatic cells present in the vicinity of the epithelial cells remain to be established.

    ACKNOWLEDGEMENTS

We thank Heino Prinz, Ph.D. and Dörthe Goehrke for excellent assistance in operating the mass spectrometer.

    FOOTNOTES

* The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

To whom correspondence should be addressed. Tel.: 49-231-1332200; Fax: 49-231-1332299; E-mail: rolf.kinne@mpi-dortmund.mpg.de.

Published, JBC Papers in Press, June 21, 2001, DOI 10.1074/jbc.M104805200

    ABBREVIATIONS

The abbreviations used are: HMO, human milk oligosaccharide; AMG, alpha -methyl-D-glucoside; MS, mass spectrometry; LNFP I, lacto-N-fucopentaose I; LNFP II, lacto-N-fucopentaose II; LNT, lacto-N-tetraose; Fuc, fucose; Lac, lactose; HPLC, high performance liquid chromatography; LNH, lacto N-hexaose.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

1. Kunz, C., Rudloff, S., Schad, W., and Braun, D. (1999) Br. J. Nutr. 82, 391-399
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