Antimicrobial proteins and peptides are key effectors of innate immunity at mucosal surfaces in adult animals (21), but their role in host defense during perinatal intestinal development is not clearly delineated. Paneth cells are specialized epithelia in the crypts of the small bowel that control the intestinal growth of bacterial pathogens through the secretion of antimicrobial proteins and peptides (11). Paneth cells secrete their antimicrobial-rich granules upon exposure to pathogenic bacteria and bacterial products (1,11,12), and alphadefensins account for 70% of the secreted bactericidal activity of Paneth cells (1).Neonatal necrotizing enterocolitis is a disease mainly of preterm human infants, but its pathogenesis is incompletely understood (8). It is hypothesized that abnormal bacterial colonization of the small bowel plays a role (3). A causative association between Paneth cells and necrotizing enterocolitis has been proposed because preterm infants inadequately express alpha-defensins in the small bowel (10). Additionally, Paneth cells in surgical specimens from human infants with necrotizing enterocolitis have a deficiency in lysozyme (4), a prominent antimicrobial protein in Paneth cell granules (11). The inability of neonatal Paneth cells to control the growth of bacterial pathogens in the lumen of the small bowel is an attractive hypothesis related to the initiation of necrotizing enterocolitis, but there is no in vivo evidence that Paneth cells provide host defense in the neonatal small bowel.This investigation postulated that ablating Paneth cells in neonatal rats would reduce the ability of the neonatal small bowel to clear an infection caused by enteroinvasive Escherichia coli. To test this hypothesis, dithizone was given systemically to neonatal rats. Since dithizone selectively destroys Paneth cells in adult rats (16), we quantified the effects of dithizone on the Paneth cells of neonatal rats. After dithizone treatment, newborn rats were infected with an intragastric dose of Escherichia coli, and the quantitative clearance of this bacterium from the small bowel lumen was measured.Effect of dithizone on Paneth cells in the noninfected neonatal small bowel. For studies that examined the effects of dithizone, specific-pathogen-free Sprague Dawley rats (Harlan, San Diego, CA) were studied between 4 and 5 days of age. The studies described below were approved by the Animal Use Committee of the University of California, Davis.Dithizone (Sigma-Aldrich, St. Louis, MO) was suspended in 25 mM Li 2 CO 3 buffer, stirred for 2 h at 37°C, and then filtered through preweighed Whatman 1 paper (Whatman Inc., Clifton, NJ). The filter paper was completely dried after filtration and was reweighed to determine the mg/ml of dissolved dithizone. The measurement of dissolved dithizone was used to properly dose administration of the dye.Three separate litters of 4-day-old pups were given an intraperitoneal (i.p.) injection of either filter-sterilized dithizone (75 mg/kg of body weight) in mM Li 2 CO 3 buffer, 25 mM...