Background and Aims Differentiation of intestinal epithelial cells involves cell division inhibition, cell lineage choice, and brush border elaboration. Functional myosin Vb (MYO5B) loss causes microvillus inclusion disease (MVID) and induces a variety of deficits in enterocyte function. However, the impact of MYO5B loss on differentiated cell lineage choice had not been investigated. Since intestinal progenitor cells predominantly express MYO5B, we hypothesize that MYO5B deficiency alters stem/progenitor cell function and affects proper cell differentiation. Methods Tamoxifen-induced epithelial-specific MYO5B knockout (VilCreERT2; Myo5bflox/flox) mice were used for immunohistochemical analysis of intestinal tissues, organoid generation from crypts, and RNA-sequencing of isolated epithelial cells. We quantified the population of secretory cell lineages in utilizing whole slide imaging and digital image analysis tools. Neonatal pig intestinal organoids, possessing the Navajo mutation MYO5B(P663L), were analyzed as another MVID model that more closely represents human MVID pathology. Results Consistent with our RNA-sequencing data in epithelial cells that demonstrated decreases in Pou2f3, Spib, Dclk1, Chat, and Pgst1, MYO5B loss induced an 80% reduction in DCLK1-positive tuft cells. The frequency of TFF3-producing goblet cells was also significantly decreased. However, the Paneth cell lineage was increased by MYO5B deficiency along with expansion of the progenitor cell zone that express a Notch-dependent stem cell marker, olfactomedin (OLFM)4, and monocarboxylate transporter (MCT)1. No difference was detected in chromogranin-A-expressing enteroendocrine cells. mRNA expression indicated an increase in Notch receptor and decreases in Wnt family ligands in MYO5B deficient intestine, which may explain the alteration of cell lineages by MYO5B loss. We further investigated the effect of lysophosphatidic acid (LPA) receptor activation on epithelial sensory cell differentiation. Intraperitoneal, but not gavaged, LPA significantly increased tuft cell populations both in control and MYO5B knockout mice without alteration of mRNA expression of tuft cell-specific transcription factors. LPA did not affect hyperproliferative crypts in MYO5B deficient mice. In mouse intestinal organoids, the frequency of tuft cells was significantly decreased by 4-hydroxy-tamoxifen-induced MYO5B loss to values corresponding to undifferentiated enteroids. Intestinal organoids that were generated from MYO5B(P663L) pig jejunum had grater organoid forming rate and more proliferative cell population compared to age-matched wild type pig organoids. Differentiation of secretory cell lineages were inhibited in MYO5B(P663L) organoids similarly to the mouse model. Conclusions Functional MYO5B loss disrupts stem cell characteristics and proper differentiation in the small intestine likely through imbalance of Notch/Wnt signaling. Systemic LPA administration specifically activates tuft cell differentiation independent from MYO5B-mediated signaling pathway.
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