1. Quantification of crypt and stem cell evolution in the normal and neoplastic human colon
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Ann-Marie Baker, Biancastella Cereser, Samuel Melton, Alexander G. Fletcher, Manuel Rodriguez-Justo, Paul J. Tadrous, Adam Humphries, George Elia, Stuart A.C. McDonald, Nicholas A. Wright, Benjamin D. Simons, Marnix Jansen, Trevor A. Graham, Simons, Benjamin [0000-0002-3875-7071], Apollo - University of Cambridge Repository, and Pathology
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Male ,Colon ,DNA Mutational Analysis ,Receptors, Cell Surface ,Protein Serine-Threonine Kinases ,General Biochemistry, Genetics and Molecular Biology ,Article ,Aberrant Crypt Foci ,Report ,StemCellInstitute ,Animals ,Drosophila Proteins ,Humans ,Hedgehog Proteins ,Stem Cell Niche ,Intestinal Mucosa ,lcsh:QH301-705.5 ,Cell Proliferation ,Base Sequence ,Stem Cells ,Intracellular Signaling Peptides and Proteins ,Cell Differentiation ,digestive system diseases ,Adult Stem Cells ,Adenomatous Polyposis Coli ,lcsh:Biology (General) ,Case-Control Studies ,Mutation - Abstract
Summary Human intestinal stem cell and crypt dynamics remain poorly characterized because transgenic lineage-tracing methods are impractical in humans. Here, we have circumvented this problem by quantitatively using somatic mtDNA mutations to trace clonal lineages. By analyzing clonal imprints on the walls of colonic crypts, we show that human intestinal stem cells conform to one-dimensional neutral drift dynamics with a “functional” stem cell number of five to six in both normal patients and individuals with familial adenomatous polyposis (germline APC−/+). Furthermore, we show that, in adenomatous crypts (APC−/−), there is a proportionate increase in both functional stem cell number and the loss/replacement rate. Finally, by analyzing fields of mtDNA mutant crypts, we show that a normal colon crypt divides around once every 30–40 years, and the division rate is increased in adenomas by at least an order of magnitude. These data provide in vivo quantification of human intestinal stem cell and crypt dynamics., Graphical Abstract, Highlights • Somatic mtDNA mutations for quantitative lineage tracing in human intestine • Human intestinal stem cells evolve according to a neutral drift process • Loss of APC causes an increase in the stem cell loss/replacement rate • Intestinal crypts divide once every 30–40 years in the normal human colon, Baker et al. examine the in vivo stem cell biology of human colonic crypts. They reveal that each crypt contains a small number of functional stem cells and that stem cell division is predominantly symmetric and also quantify perturbation of stem cell architecture within adenomas. Additionally, they measure the division rate of human colonic crypts as once every 30–40 years in the healthy colon and demonstrate that the crypt division rate is increased 10-fold within small adenomas.
- Published
- 2019
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