Figure 2.

Schematic representation of the different associations of gel forming mucins with intestinal bacteria. Pathogens can be bound by proteolytically degraded mucin in the lumen (1), as mucins contain similar carbohydrate structures as found on the epithelium and thus be expelled. Similarly pathogens might be bound by the mucins in the mucus layer and therefore not reach the epithelium. When pathogens reach the epithelium they can bind to receptors (often carbohydrate structures) and might translocate across the epithelium (2). Normally, this will primarily occur when the mucus layer is gone as in severe pathology or concern microbes that can achieve mobility through the mucus layer, such as H. pylori in gastric mucus. Commensal bacteria can be present as planktonic bacteria in the lumen, live bound to the mucins in the mucus layer or live protected within the mucus without direct interactions (3). Commensal bacteria might compete with pathogens for binding sites on the mucins, thereby denying access to the pathogens (1 vs. 3). Some commensal as well as some pathogenic bacteria are able to proteolytically degrade mucins (4). Commensals, pathogens and probiotics are able to use mucins as energy source by degrading the O-glycans (5); the latter could happen within the mucus layer as well as in the lumen. The released monosaccharides are amongst others converted by commensal and probiotic bacteria into secondary metabolites (6), such as short chain fatty acids (SCFA), which are, e.g., essential for the colonic epithelium as an energy source. Please notice the scale of the components of the drawing. Mucin molecules (polymers) are several micrometers long, and are thus in the same range of size as the bacteria. In contrast, the epithelial cells are about 20 µm tall, whereas the mucus layer in, e.g., the colon can reach up to 800 µm in thickness.