Crypt fusion as a homeostatic mechanism in the human colon.

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Authors

Baker, A-M
Gabbutt, C
Williams, MJ
Cereser, B
Jawad, N
Rodriguez-Justo, M
Jansen, M
Barnes, CP
Simons, BD
McDonald, SA
Graham, TA
Wright, NA

Document Type

Journal Article

Date

2019-11-01

Date Accepted

2019-02-22

Abstract

OBJECTIVE: The crypt population in the human intestine is dynamic: crypts can divide to produce two new daughter crypts through a process termed crypt fission, but whether this is balanced by a second process to remove crypts, as recently shown in mouse models, is uncertain. We examined whether crypt fusion (the process of two neighbouring crypts fusing into a single daughter crypt) occurs in the human colon. DESIGN: We used somatic alterations in the gene cytochrome c oxidase (CCO) as lineage tracing markers to assess the clonality of bifurcating colon crypts (n=309 bifurcating crypts from 13 patients). Mathematical modelling was used to determine whether the existence of crypt fusion can explain the experimental data, and how the process of fusion influences the rate of crypt fission. RESULTS: In 55% (21/38) of bifurcating crypts in which clonality could be assessed, we observed perfect segregation of clonal lineages to the respective crypt arms. Mathematical modelling showed that this frequency of perfect segregation could not be explained by fission alone (p<10-20). With the rates of fission and fusion taken to be approximately equal, we then used the distribution of CCO-deficient patch size to estimate the rate of crypt fission, finding a value of around 0.011 divisions/crypt/year. CONCLUSIONS: We have provided the evidence that human colonic crypts undergo fusion, a potential homeostatic process to regulate total crypt number. The existence of crypt fusion in the human colon adds a new facet to our understanding of the highly dynamic and plastic phenotype of the colonic epithelium.

Citation

Gut, 2019, 68 (11), pp. 1986 - 1993

Source Title

Gut

Publisher

BMJ PUBLISHING GROUP

ISSN

0017-5749

eISSN

1468-3288
1468-3288

Research Team

Genomics & evolut dynam

Notes