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Research Article
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Paneth cell–derived growth factors support tumorigenesis in the small intestine

View ORCID ProfileQing Chen, View ORCID ProfileKohei Suzuki, Luis Sifuentes-Dominguez, Naoteru Miyata, Jie Song, Adam Lopez, View ORCID ProfilePetro Starokadomskyy, Purva Gopal, Igor Dozmorov, Shuai Tan, Bujun Ge, View ORCID ProfileEzra Burstein  Correspondence email
Qing Chen
1Department of General Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, China
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Kohei Suzuki
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Luis Sifuentes-Dominguez
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
3Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, USA
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Naoteru Miyata
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Jie Song
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Adam Lopez
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Petro Starokadomskyy
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Purva Gopal
4Department of Pathology, UT Southwestern Medical Center, Dallas, TX, USA
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Igor Dozmorov
5Department of Immunology, UT Southwestern Medical Center, Dallas, TX, USA
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Shuai Tan
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
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Bujun Ge
7Department of General Surgery, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China
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Ezra Burstein
2Department of Internal Medicine, University of Texas (UT) Southwestern Medical Center, Dallas, TX, USA
6Department of Molecular Biology, UT Southwestern Medical Center, Dallas, TX, USA
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  • ORCID record for Ezra Burstein
  • For correspondence: Ezra.Burstein@UTSouthwestern.edu
Published 28 December 2020. DOI: 10.26508/lsa.202000934
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  • Figure 1.
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    Figure 1. Paneth lineage cells are present in early intestinal neoplastic lesions.

    (A) Immunofluorescence staining for Lysozyme (red, marker for Paneth cells [PCs]) and E-Cadherin (green, outlining the cell contour). Representative images of small intestine (SI) and colon adenomas of 20-wk-old ApcMin mice. PC-like cells, defined as epithelial cells with large lysozyme-positive cytoplasmic granules, are shown. Scale bar, 100 μm. (A, B) Quantification of lysozyme+ area in normal intestinal mucosa (n = 4 mice) and adenomas (as shown in A, n = 5). Data shown are the mean and SEM in each group. Values are represented as fold over the SI mucosa group. *P < 0.05, ***P < 0.001 (unpaired t test between groups as denoted by brackets above the graph). (C) Immunofluorescence staining for Lysozyme (red). Representative images showing PC-like cells in human SI and colon adenomas (n = 4 and 5 in each group, respectively). Scale bar, 100 μm. (C, D) Quantification of lysozyme+ area in human intestinal adenomas (as shown in C), and compared against normal small intestinal mucosa (n = 3 specimens). Data shown are the mean and SEM in each group. Values are represented as fold over the SI mucosa group. *P < 0.05, ***P < 0.001 (unpaired t test between groups as denoted by brackets above the graph). (E) Immunofluorescence staining for Lysozyme (red), UAE-1 lectin (green, marking glycosylated proteins) and E-Cadherin (lavender). Representative images of normal SI mucosa and SI adenoma are shown, highlighting lysozyme+ cells in each tissue. Scale bar, 100 μm for overview panels (left two columns) and 10 μm for inset panels (right three columns).

  • Figure 2.
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    Figure 2. Paneth lineage cells are present in early intestinal neoplastic lesions.

    Representative images of small intestine and colon adenomas of 20-wk-old ApcMin mice. (A) Immunofluorescence staining for Lysozyme (red) and the lineage tracer, membrane-targeted GFP (green), in normal small intestine epithelium of Defa4-Cre, mTmG reporter mice. Scale bar, 100 μm. (B) Immunofluorescence staining for membrane-targeted GFP (green) in intestinal adenomas of Defa4-Cre, mTmG reporter mice carrying the ApcMin allele. Scale bar, 100 μm.

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    Figure 3. Mouse model of Paneth cell (PC) depletion through conditional expression of the α-subunit of diphtheria toxin (DTA).

    (A) Diagram depicting the genetic strategy used to generate intestinal PC depletion (PCdel: Defa4-Cre, Rosa26iDTA/WT) or control animals (WT: Rosa26iDTA/WT). (B) Representative H&E staining images of small intestinal mucosa in wild-type (WT) and PCdel mice. Insets to highlight the crypt base where PCs reside (cells with large granules) are also shown. Scale bar, 100 μm. (C) Immunofluorescence staining for Lysozyme (red) and Lectin. (green). Representative images of small intestinal mucosa of WT and PCdel are shown. Scale bar, 100 μm.

  • Figure S1.
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    Figure S1. Ileal expression of Defa and Lyz1 in PCdel mice.

    (A, B) Defa (A) and Lyz1 (B) mRNA expression determined by RT-qPCR analysis in ileal tissue from WT and PCdel mice (n = 4 per each genotype). ***P < 0.001 (unpaired t test).

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    Figure 4. Paneth cell (PC) deficiency impairs adenoma formation in ApcMin mice.

    (A, B, D, E) Intestinal tumor burden in 20-wk-old ApcMin mice carrying the PCdel genotype or littermate WT control: small intestine (SI) adenoma count (A), SI adenoma size (B), colon adenoma count (D) and colon adenoma size (E) were analyzed. Data represent the aggregate of three independent experiments; ApcMin, PCdel (n = 20), and ApcMin, WT (n = 14) animals. Mean and SEM are graphed, each dot represents an individual animal. ***P < 0.001 (unpaired t test). (C, F) Representative H&E images of adenoma burden in the entire SI (C) and colon (F). Yellow arrows mark intestinal adenomas. Scale bar, 5 mm. (G, H) Expression in SI adenomas of PC-specific genes, Defa (G) and Lyz1 (H) was determined by RT-qPCR analysis (n = 6 per each genotype). Mean and SEM are graphed, each dot represents an individual animal. ***P < 0.001 (unpaired t test).

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    Figure S2. Lysozyme staining in adenomas harvested from ApcMin PCdel mice.

    (A) Representative images of lysozyme immunofluorescence staining in small intestine adenomas of ApcMin PCdel mice compared with ApcMin littermate control mice. (B) Relative quantification of lysozyme+ area (19 adenomas from seven mice per each genotype were used for analysis). Scale bar, 100 μm. *P < 0.05 (unpaired t test).

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    Figure S3. Stem cell formation and cellular proliferation in the small intestine of PCdel mice.

    (A, B) Representative images of immunofluorescence staining of ileal tissue from WT and PCdel mice for Olfm4 (A, intestinal stem cell marker) and Ki67 (B, transient amplifying cells). Scale bar, 100 μm. (C, D) Quantification of Olfm4 (C) positive area per crypt (150 crypts were used for analysis) and Ki67 (D) positive area (n = 24 crypts per group). No statistically significant difference was noted (unpaired t test).

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    Figure S4. Stem cell maintenance and differentiation in PCdel mice.

    (A, B, C, D) mRNA expression of stem cell expressed genes Lgr5 (A), Olfm4 (B), Ascl2 (C), and Bmi1 (D) was determined by qRT-PCR analysis in ileal tissue from WT and PCdel mice (n = 6 per each genotype). No statistically significant difference was noted (unpaired t test). (E, F, G) Representative images of Alcian blue staining (E, Goblet cells), Dclk-1 immunofluorescence staining (F, Tuft cells), and Cga immunofluorescence staining (G, enteroendocrine cells) of ileal tissue from WT and PCdel mice. Scale bar, 100 μm. (H, I, J) Corresponding quantification of Goblet cells (H), Tuft cells (I), and enteroendocrine cells (J) numbers (each dot representing a crypt, n = 3 mice per genotype). No statistically significant differences seen (unpaired t test).

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    Figure 5. 16S microbiome and RNA sequencing analysis.

    Relative expression of Wnt genes in small intestinal adenomas. (A, B) WT and PCdel mice at 16–20 wk were euthanized and stool (WT n = 9, PCdel n = 9), ileal content (WT n = 10, PCdel n = 8), and ileal mucosa (WT n = 10, PCdel n = 8) samples were collected for 16S microbiota analysis. (A, B) PCoA β-diversity plots (A) and phyla-level composition (B) are shown. No statistically significant differences were noted between WT and PCdel groups. (C) Heatmap presentation of top differentially expressed genes from RNA-seq of small intestine adenoma tissues from ApcMin, PCdel, and ApcMin, WT mice. (D) Wnt3 gene expression in small intestine adenomas by RT-qPCR analysis (n = 6 per each genotype). *P < 0.05 (unpaired t test).

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    Figure S5.

    (A) mRNA expression of all 19 Wnt genes was determined by RT-qPCR analysis in small intestine adenomas from ApcMin, WT and ApcMin, PCdel mice (n = 4 per each genotype). Relative expression for Wnt5a in ApcMin, WT mice was set as one. A table depicting the average expression of each gene (as %) is presented below. (B) mRNA expression for each Wnt gene individually, with values in ApcMin, WT set as one. *P < 0.05, **P < 0.005 (unpaired t test).

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    Figure 6. Paneth cell (PC)–derived Wnt3 is required to sustain intestinal adenoma formation.

    (A, B, D, E) PC-specific Wnt3 knockout mice ApcMin PC-Wnt3−/− (n = 9) and littermate ApcMin PC-Wnt3+/− (n = 9) and ApcMin (n = 5) control mice were euthanized at 20 wk of age to determine tumor burden including small intestine (SI) adenoma count (A), SI adenoma size (B), colon adenoma count (D), and colon adenoma size (E). Results represent the aggregate of two independent experiments. *P < 0.05, **P < 0.01 (one-way ANOVA analysis). (C) Representative H&E images of SI adenoma burden. Yellow arrows mark intestinal adenomas. Scale bar, 5 mm. (F) PC morphology was evaluated by immunofluorescence staining for lysozyme (red) and lectin (green) in normal SI of ApcMin PC-Wnt3−/− mice and control to ApcMin PC-Wnt3+/− Scale bar, 100 μm.

  • Figure 7.
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    Figure 7. Paneth cell (PC)–derived Wnt3 is required to sustain intestinal adenoma formation.

    (A) Wnt3 mRNA expression was determined by RT-qPCR in small intestine adenomas from ApcMin PC-Wnt3−/− mice and ApcMin control mice (n = 5 per genotype). *P < 0.05 (unpaired t test). (B) Adenoma-derived organoids from ApcMin PC-Wnt3−/− mice and ApcMin control mice were imaged after 7 d in culture. (C, D) Average area and number of spheroid organoids were also analyzed. (n = 9 adenomas per each genotype.) Scale bar, 500 μm. ***P < 0.001 (unpaired t test).

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    Table 1.

    Primers used in this study.

    Gene targetForward primer sequenceReverse primer sequence
    qPCR
     Defa (global)GGTGATCATCAGACCCCAGCATCAGTAAGAGACTAAAACTGAGGAGCAGC
     Lyz1GAGACCGAAGCACCGACTATGCGGTTTTGACATTGTGTTCGC
     Lgr5ACCTGTGGCTAGATGACAATGCTCCAAAGGCGTAGTCTGCTAT
     Olfm4CAGCCACTTTCCAATTTCACTGGCTGGACATACTCCTTCACCTTA
     Ascl2CCGTGAAGGTGCAAACGTCCCCTGCTACGAGTTCTGGTG
     Bmi1ATCCCCACTTAATGTGTGTCCTCTTGCTGGTCTCCAAGTAACG
     Wnt1CGAAGGCTCCATCGAGTCCGCATCTCAGAGAACACGGTCG
     Wnt2TCGCTGGAACTGCAACACCAGCAGGACTTTAATTCTCCTTGG
     Wnt2bAATTGCACCACACTGGACCGCGAGTGATAGCGTGGACCA
     Wnt3GATGCCCGCTCAGCTATGAACGGAGGCACTGTCGTACTTG
     Wnt3aCTCCTCTCGGATACCTCTTAGTGGCATGATCTCCACGTAGTTCCTG
     Wnt4AGGATGCTCGGACAACATCGCGCATGTGTGTCAAGATGGC
     Wnt5aAGCCTGTAAGTGTCATGGAGTCGCGGCGCTATCATACTTCT
     Wnt5bAGATAGGTAGCCGAGAGACTGCGGTAGCCGTACTCCACGTTG
     Wnt6ACGAGCGGATCTCCTCTACGCGGCACAGACAGTTCTCCT
     Wnt7aCCTGGACGAGTGTCAGTTTCACCCGACTCCCCACTTTGAG
     Wnt7bATCGACTTTTCTCGTCGCTTTCGTGACACTTACATTCCAGCTTC
     Wnt8aCTCCAGACTCTTCGTGGACAGACACTTGCAGGTCCTTTTCGT
     Wnt8bGAATTGCCCCGAGAGAGCTTTGAAGCCCACGTTGTCACTG
     Wnt9aACACCTGGACGACTCTCCCCTTGTCACCACACGACTCTGT
     Wnt9bGGGTGTGTGTGGTGACAATCTGGCACTTGCAGGTTGTTCTC
     Wnt10aCCTGAACACCCGGCCATACTTGTGGAGTCTCATTCGAGCA
     Wnt10bGAAGGGTAGTGGTGAGCAAGAGGTTACAGCCACCCCATTCC
     Wnt11TCATGGGGGCCAAGTTTTCCTTCCAGGGAGGCACGTAGAG
     Wnt16AGAGTGCAACCGGACATCAGCGTAGCAGCACCAGATAAACTT
     GapdhAGGTCGGTGTGAACGGATTTGTGTAGACCATGTAGTTGAGGTCA
    Genotyping
     Defa-Cre alleleGCACGTTCACCGGCATCAACCGATGCAACGAGTGATGAGGTTC
     Wnt3 floxed alleleTTCTTAGATGGGCTTGTGATGTCTGGCTTCAGCATCTGTTACCTTC
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Paneth cells in tumor formation
Qing Chen, Kohei Suzuki, Luis Sifuentes-Dominguez, Naoteru Miyata, Jie Song, Adam Lopez, Petro Starokadomskyy, Purva Gopal, Igor Dozmorov, Shuai Tan, Bujun Ge, Ezra Burstein
Life Science Alliance Dec 2020, 4 (3) e202000934; DOI: 10.26508/lsa.202000934

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Paneth cells in tumor formation
Qing Chen, Kohei Suzuki, Luis Sifuentes-Dominguez, Naoteru Miyata, Jie Song, Adam Lopez, Petro Starokadomskyy, Purva Gopal, Igor Dozmorov, Shuai Tan, Bujun Ge, Ezra Burstein
Life Science Alliance Dec 2020, 4 (3) e202000934; DOI: 10.26508/lsa.202000934
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Volume 4, No. 3
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