Autophagic State Confers Facultative Stem Cell Capacity in The Intestinal Epithelium

Abstract

BackgroundThe intestinal epithelium is a highly proliferative tissue that undergoes complete turnover in 3 to 5 days. The presence of intestinal stem cells expressing the canonical Wnt target gene Lgr5, known as active intestinal stem cells (a‐ISCs), are responsible for generating daughter cells that differentiate into specialized epithelial cells to carryout various functions in the intestine. The proliferative nature of the intestinal epithelium renders it susceptible to DNA damage‐inducing injury, such as high‐dose irradiation and chemotherapy. Although a‐ISCs and early daughter cells are killed by these insults, a radio‐resistant population of facultative intestinal stem cells (f‐ISCs) can regenerate lost a‐ISCs to restore homeostasis following injury. The functional characteristics of f‐ISCs are becoming increasingly understood, however, whether any epithelial cell can act as an f‐ISC is less clear. One reason for this ambiguity is a heavy reliance on Cre‐driven reporter mouse models with low recombination efficiency. Our objective was to find a functional marker to identify f‐ISCs based on cellular state rather than gene expression. The autophagy pathway has been shown to protect against DNA damage and irradiation‐induced apoptosis in the intestinal epithelium. Furthermore, recent studies demonstrate a requirement for the autophagy pathway during cellular de‐differentiation in both gastric chief and pancreatic acinar cells following metaplasia‐inducing injury. Given that autophagy plays roles in both radio‐resistance and cellular plasticity, two integral features of f‐ISCs, we hypothesized that autophagic activity could serve to identify cells with f‐ISC capacity.Methods and ResultsUsing the autophagic vesicle tracer dye CytoID combined with fluorescence‐activated cell sorting, we demonstrate that intestinal epithelial cells with high levels of CytoID exhibit increased organoid‐formation efficiency (OFE) compared to CytoID ‘low’ cells. Single cell sequencing reveals that the CytoID high population is largely composed of secretory cells including Paneth, Goblet, Tuft, and Enteroendocrine cells, whereas the CytoID low population consisted mainly of a‐ISCs and absorptive Enterocytes. Using reporter mice and antibodies against cell surface receptors, we observe that CytoID can identify cells with high OFE within Enteroendocrine, Paneth, and Goblet cell lineages. Finally, we demonstrate that autophagy is required for the enhanced organoid‐formation observed in CytoID high cells by plating these cells in the presence of the lysosomal inhibitor Bafilomycin A1.ConclusionsOur new data support the notion that epithelial cells in a high autophagic state are biased to secretory lineages and that autophagy status functions as a lineage agnostic marker of f‐ISCs. Furthermore, our data suggests that autophagy is required for organoid formation in these lineages.