Background & Aims: Trefoil factors (TFFs) are secreted gastrointestinal pro
teins that have been shown to protect and promote healing of the gastrointe
stinal tract. Moreover, pS2/TFF1 is essential for normal differentiation of
the gastric mucosa because deficient mice develop antropyloric adenomas, T
o date, it is unclear how TFFs mediate their functions. Methods: Using the
yeast 2-hybrid system, we attempted to identify murine TFF1 interacting pro
teins by screening a stomach and duodenum complementary DNA (cDNA) expressi
on library. Results: Four positive clones were isolated. Sequence and expre
ssion studies showed that they corresponded to the murine counterpart of hu
man cDNA sequences encoding carboxy-terminal fragments of mMuc2 (489 residu
es) and mMuc5AC (427, 430, and 894 residues) mucin proteins, Mutagenesis ex
periments showed that TFF1 interacts with the 2 mucins through binding with
their VWFC1 and WVFC2 (von Willebrand factor C) cysteine-rich domains. Con
clusions: These results show that the gastrointestinal protective effect of
TFF1, and presumably of the other TFFs, is caused at least partially by th
eir participation, via mucin binding, in the correct organization of the mu
cous layer that protects the apical side of the mucosa from deleterious lum
inal agents.