Cited by 280Wnt/β-catenin signaling in development and cancerGenetics, Aging, and Longevity in Model OrganismsDigestive system and related health

Canonical Wnt Signaling Ameliorates Aging of Intestinal Stem Cells

Open access
Nalapareddy, Kodandaramireddy, Nattamai, Kalpana J., Kumar, Rupali S., Karns, Rebekah, Wikenheiser-Brokamp, Kathryn A., Sampson, Leesa L., Mahe, Maxime M., Sundaram, Nambirajan +5 more·2017·Cell Reports

Abstract

Although intestinal homeostasis is maintained by intestinal stem cells (ISCs), regeneration is impaired upon aging. Here, we first uncover changes in intestinal architecture, cell number, and cell composition upon aging. Second, we identify a decline in the regenerative capacity of ISCs upon aging because of a decline in canonical Wnt signaling in ISCs. Changes in expression of Wnts are found in stem cells themselves and in their niche, including Paneth cells and mesenchyme. Third, reactivating canonical Wnt signaling enhances the function of both murine and human ISCs and, thus, ameliorates aging-associated phenotypes of ISCs in an organoid assay. Our data demonstrate a role for impaired Wnt signaling in physiological aging of ISCs and further identify potential therapeutic avenues to improve ISC regenerative potential upon aging.

AI snapshot

Written from the paper’s full text.

TL;DR

Aging impairs intestinal stem cell (ISC) function and regenerative capacity without reducing ISC number, largely due to declining canonical Wnt signaling. Reactivating canonical Wnt signaling with Wnt3a restores a more youthful organoid-forming phenotype in both murine and human aged ISCs.

Key findings

  • Aged mouse small intestine (20–22 months vs. 2–3 months) showed decreased crypt number but increased crypt length/width, villus length, and cells per crypt; mitotic index declined, BrdU-labeled cells traveled less far into villi at 72 hr, and TUNEL-positive apoptotic crypt cells increased.
  • ISC numbers were unchanged by Lgr5-EGFP and Olfm4 analyses, but ISC function declined: lineage tracing was impaired, and aged organoids had reduced formation after the third passage and severe decline after the fourth split, whereas young organoids formed through the eighth replating.
  • Canonical Wnt signaling declined in aged ISCs: Wnt3 was reduced in ISCs, Paneth cells, and mesenchyme; expression of β-catenin, Ascl2, Lgr5, Myc, Ephb2, and CD44 declined in ISCs, and Ascl2/nuclear β-catenin protein was reduced. Notch1 decreased and Atoh1 increased, with increased Paneth and goblet cell numbers.
  • Wnt3a treatment increased organoid number and lobes/buds from aged mouse crypts almost to young levels and ameliorated the age-related decline in human organoid formation from young (12–16 years) vs. aged (62–77 years) subjects. After 10+10 Gy irradiation, ~50% of aged mice died by day 5 vs. 12% of young mice.

Methods

  • Young (2–4 months) and aged (18–22 months) C57BL/6 mice, plus Lgr5eGFPCreERT2 Rosa26YFP mice aged up to 2 years, were used for histology, immunofluorescence, TUNEL, BrdU tracing, in situ hybridization, FACS of Lgr5eGFPhi ISCs and CD24hi Paneth cells, RNA-seq, qRT-PCR, western blot, irradiation recovery, and organoid assays.
  • Organoid cultures were established from mouse proximal small intestine and human tissue, with Wnt3a (100 ng/mL) added only in rescue experiments; organoid number and lobes/buds were scored on day 6 after plating or passaging.
  • Statistical significance used Student’s t test or Wilcoxon/Mann-Whitney test; error bars indicate SD.

Limitations

  • Stated: the precise molecular mechanisms causing reduced canonical Wnt expression/signaling upon aging, the detailed Notch–Wnt interplay, contributions of extracellular matrix/niche changes, and whether Smad/PPAR signaling is linked to Wnt changes all require further investigation; more detailed clonality experiments comparing labeling protocols are also needed.
  • Stated/evident: human organoid data are limited to young (12–16 years) vs. aged (62–77 years; methods say 62–72 years) subjects, and sample sizes are not reported in the text.
  • Evident: in the main mouse experiments, young mice were male and female C57BL/6 from Charles River, while aged mice were female C57BL/6 from NIA, so sex and source differences may confound aging comparisons; the authors do not discuss this.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.celrep.2017.02.056

Cites

Statistics

Nothing to recompute.

Claims the paper makes

0 of 31 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The average distance traveled by BrdU-positive cells from the crypt base into the villi 72 hr after BrdU administration is larger in young mice than in aged mice.

    “Our data revealed that the average distance of BrdU-positive cells that had traveled from the crypt base into the villi 72 hr post BrdU administration was larger in young mice compared to aged mice (Figures 1K and 1L)”
    Quote in the paperSubstantial claim
  • Findingown data

    Wnt3 expression is reduced in aged ISCs.

    “Quantitative real-time RT-PCR analyses for expression of Wnt1, 2, 2b, 3, 3a, 8a, 8b, 10a, and 10b (Farin et al., 2012) in ISCs demonstrated reduced Wnt3 (Figure 3C) levels in aged ISCs.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Farin et al., 2012 source

      Not checked in the free run.

  • Findingown data

    RNA-seq analysis revealed changes in the gene expression profile in both Lgr5 intestinal stem cells and CD24 hi Paneth cells upon aging.

    “RNA-seq analysis revealed changes in the gene expression profile in both Lgr5 intestinal stem cells as well as in CD24 hi Paneth cells (Figures S3C and S3D).”
    Quote in the paperSubstantial claim
  • Findingown data

    Notch1 expression declines in aged ISCs.

    “We also observed a decline in the expression of Notch1 (Figure 3H) (expression of Notch2, 3, and 4 was not detected in ISCs; data not shown) and an increase in Atonal homolog 1 (Atoh1) (Figure 3I) gene expression.”
    Quote in the paperSubstantial claim
  • Findingown data

    In aged mice compared with young mice, crypt width is increased in the proximal and distal small intestine.

    “Histological H&E analysis of intestinal tissue from young (2–3 months old) and aged mice (20–22 months old) showed a decrease in crypt number accompanied by an increase in crypt length and width in aged compared to young intestine in both the proximal and distal regions (Figures 1A–1H).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. 13
  • May combine two claims. 23
  • The quote only partly states this claim. 1
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Expression of other Wnts (Wnt1, 2, 2b, 3a, 8a, 8b, 10a, and 10b) in ISCs and Paneth cells is below the threshold level.

    “However, expression of other Wnts (like Wnt1, 2, 3a, 8a, 8b, 10a, and 10b) in both ISCs and Paneth cells was below our threshold level (data not shown).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    One week after YFP activation, Lgr5 EGFP-positive cells from young crypts show YFP tracing into the villus, whereas the YFP-marked villus is subtle in aged mice.

    “One week after yellow fluorescent protein (YFP) activation, Lgr5 EGFP-positive cells from crypts of young animals presented with YFP tracing into the villus, whereas the YFP-marked villus was subtle in aged mice (Figures S2B–S2D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    GO terms downregulated in aged ISCs include cell proliferation, extracellular matrix, PPAR and SMAD signaling, and Wnt signaling pathways.

    “Molecular processes identified by Gene Ontology (GO) terminology that were downregulated in aged ISCs included, as anticipated, cell proliferation but also extracellular matrix, PPAR and SMAD signaling, and Wnt signaling pathways (Figure 3A; Figure S4A).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Similar lineage tracing results were obtained with 3 days of YFP activation followed by analysis 1 week after YFP activation.

    “Similar results were obtained with 3 days of YFP activation followed by analysis 1 week after YFP activation (Figures S2E–S2G).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Aging does not significantly change the number of Lgr5-EGFP-positive crypts, the percentage of Lgr5 EGFPhi cells, or the total number of Lgr5EGFPhi ISCs in mice.

    “we did not observe a significant change in the number of crypts positive for Lgr5-EGFP (Figures 2A and 2B) as well as in the percentage of Lgr5 EGFPhi cells (as determined by flow cytometric analyses) (Figure S2A) as well as for the total number of Lgr5EGFPhi ISCs (Figure 2C) at the crypt base at positions 0 to +4 (Barker et al., 2007) in aged compared to young animals.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Barker et al., 2007 source

      Not checked in the free run.

  • May combine two claims.

    Findingown data

    In whole crypts, aging reduces expression of Wnt3, β-catenin, Ascl2, and Lgr5, and also Axin2.

    “Similar data were obtained when young and aged crypts were analyzed for levels of gene expression, like a reduction in the expression of Wnt3, β-catenin, Ascl2, and Lgr5, upon aging, except for Axin2, which was also down in whole-crypt analysis. (Figures S4C and S4D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Ascl2 and nuclear β-catenin protein levels are reduced in aged intestinal crypts.

    “At the protein level, Ascl2 and nuclear β catenin were reduced (Figures S4E and S4F) in aged intestinal crypts.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Young crypt organoids form through the eighth replating, whereas aged organoids show a severe decline in replating efficiency after the fourth split.

    “Finally, organoids derived from crypts of young mice were able to form organoids through the termination of the assay at the eighth replating, whereas organoids from aged mice showed a severe decline in replating efficiency after the fourth split.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    There is a decline in canonical Wnt signaling in ISCs and reduced canonical Wnt expression (primarily Wnt3) in both Paneth cells and mesenchyme.

    “We report here a decline in canonical Wnt signaling in ISCs and reduced canonical Wnt expression (primarily Wnt3) in both Paneth cells and mesenchyme, which might also contribute to the reduced activity of canonical Wnt/Wnt signaling in aged ISCs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Besides a decline in Wnt signaling in aged ISCs, there is a decline in genes regulating extracellular matrix proteins, genes altering cell proliferation, and changes in PPAR and SMAD signaling.

    “Besides a decline in Wnt signaling in aged ISCs, we also observed a decline in genes regulating extra cellular matrix proteins and genes that alter cell proliferation and changes in PPAR and SMAD signaling (Figure 3).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Aging does not change the absolute number of ISCs, though some intestinal stem cell markers (Lrig1 and Tert) decrease in expression.

    “Together, these data imply that aging does not result in a change in the absolute number of ISCs, though some intestinal stem cell markers (Lrig1 and Tert) present with a decrease in expression.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Aging alters crypt and villus architecture, and aged crypts exhibit reduced cell divisions and reduced survival.

    “Taken together, these results indicate that aging alters the crypt and villus architecture and that aged crypts exhibit reduced cell divisions and reduced survival.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The BrdU tracing result is consistent with fewer mitotic events of ISCs and/or reduced transit-amplifying cell proliferation rates upon aging.

    “consistent with fewer mitotic events of ISCs and/or reduced transit-amplifying cell proliferation rates upon aging.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Canonical Wnt signaling declines in ISCs upon aging, linked to a decline in canonical Wnts like Wnt3 in Paneth cells, mesenchyme, and ISCs themselves.

    “Together, these data imply a decline of canonical Wnt signaling in ISCs upon aging, which is linked to a decline in expression of canonical Wnts like Wnt3 in both Paneth cells and the mesenchyme as well as in ISCs themselves.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Aging results in an increase in secretory lineage cells including Paneth and goblet cells, most likely driven by changes in the differentiation potential of aged ISCs.

    “Aging thus also results in an increase in the number of secretary lineage cells, including Paneth cells and goblet cells, most likely driven by changes in the differentiation potential of aged ISCs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Although the number of ISCs is not reduced upon aging, aged ISCs show reduced regeneration upon serial radiation exposure (10+10 Gy) and a decline in organoid formation.

    “Although the number of ISCs was not reduced upon aging, aged ISCs showed reduced regeneration upon serial radiation exposure (10+10 Gy) and a decline in organoid formation.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Irradiation in the intestinal epithelium is accompanied by crypt shrinking because of apoptosis, followed by a burst of proliferative response predominantly from existing/surviving ISCs.

    “Irradiation in the intestinal epithelium is accompanied by crypt shrinking because of apoptosis, followed by a burst of proliferative response predominantly from existing/surviving ISCs (Metcalfe et al., 2014), usually leading to an increase in crypt depth followed by crypt fission.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Metcalfe et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    The increase in Paneth cell number does not compensate for the lower Wnt3 expression because overall Wnt signaling is reduced in aged ISCs.

    “This increase in Paneth cell number, though, does not compensate for the overall lower level of expression of Wnt3 upon aging because overall Wnt signaling is reduced in aged ISCs.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Low levels of p57 have been associated with stem cell hibernation.

    “low levels of p57 have been associated with stem cell hibernation (Yamazaki et al., 2006)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Yamazaki et al., 2006 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    It takes approximately 4-5 days for a progenitor cell derived from an ISC division at the crypt base to reach the tip of the villus.

    “It takes approximately 4–5 days for a progenitor cell derived from an ISC division at the crypt base to reach the tip of the villus (Barker et al., 2008).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Barker et al., 2008 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Tissue damage upon aging affects the extracellular matrix, which further alters stem cell niches regulating stem cell-regenerative functions.

    “Tissue damage upon aging affects the extracellular matrix, which further alters stem cell niches regulating stem cell-regenerative functions (Blau et al., 2015)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Blau et al., 2015 source

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Wnt3 transfer requires direct cell contact and has only a very limited range.

    “Because it was recently reported that Wnt3 transfer requires direct cell contact and has only a very limited range (Farin et al., 2016)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Farin et al., 2016 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Upon aging, there is decreased ISC function and regenerative potential.

    “Our studies further substantiate but also significantly extend these findings by demonstrating that, upon aging, there is decreased ISC function and regenerative potential.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Wnt signaling in the intestinal epithelium is critical for tissue homeostasis in young mice.

    “Wnt signaling in the intestinal epithelium is well studied and critical for tissue homeostasis in young mice (Pinto et al., 2003; van der Flier et al., 2009b).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Pinto et al., 2003 source

      Not checked in the free run.

    • cites van der Flier et al., 2009b

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Ascl2 is a central Wnt-responsive transcription factor.

    “This finding is also in line with recent reports suggesting Ascl2 as a central Wnt-responsive transcription factor (Schuijers et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Schuijers et al., 2015 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Aging of hematopoietic stem cells is associated with low canonical Wnt signaling.

    “Our findings are in line with mechanisms of aging in the HSC compartment (Florian et al., 2013), in which aging of HSCs is also associated with low canonical Wnt signaling (Reya et al., 2003).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Florian et al., 2013 source

      Not checked in the free run.

    • cites Reya et al., 2003 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Previous reports indicated that the number of ISCs and the number of stem cells replaced are age-independent.

    “Previous reports (Kozar et al., 2013) indicated that the number of ISCs and the number of stem cells replaced are age-independent by using a specific labeling technique of intestinal epithelial cells at a young age with a follow-up to 2 years.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kozar et al., 2013 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Ascl2 has a central role in determining intestinal stem cell fate.

    “A contribution of changes in Ascl2 expression to aging is consistent with a report demonstrating a central role for Ascl2 in determining ISC fate (van der Flier et al., 2009b).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites van der Flier et al., 2009b

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The increase in secretory lineage cells in aged intestinal stem cells implies deregulation of stem cell differentiation pathways in aged ISCs, most likely as a response to deregulated Notch signaling (e.g., elevated Atoh1).

    “The increase in the number of secretory lineage cells, namely Paneth and goblet cells, also implies deregulation of stem cell differentiation pathways in aged ISCs, most likely as a response to deregulated Notch signaling, like elevated levels of Atoh1 expression (Kim et al., 2014; Koch et al., 2013; Tian et al., 2015).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Kim et al., 2014 source

      Not checked in the free run.

    • cites Koch et al., 2013 source

      Not checked in the free run.

    • cites Tian et al., 2015 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    Changes in Ascl2 expression contribute to aging of intestinal stem cells, consistent with the central role of Ascl2 in ISC fate.

    “A contribution of changes in Ascl2 expression to aging is consistent with a report demonstrating a central role for Ascl2 in determining ISC fate (van der Flier et al., 2009b).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites van der Flier et al., 2009b

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Low levels of p57 upon aging were also detected in aged hematopoietic stem cells.

    “low levels of p57 upon aging were also detected in aged hematopoietic stem cells (Florian et al., 2012).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Florian et al., 2012 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The finding of lower Wnt signaling upon intestinal stem cell aging is distinct from aging in the muscle stem cell compartment, where elevated Wnts cause aging.

    “Our finding of a lower level of Wnt signaling upon ISC aging is distinct from reports of aging in the muscle stem cell compartment (Brack et al., 2007), in which elevated levels of Wnts were reported to cause aging of muscle stem cells.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Brack et al., 2007 source

      Not checked in the free run.

  • The quote only partly states this claim.

    Interpretationcitation

    The decline in Ascl2 expression upon aging is in line with Ascl2 being a central Wnt-responsive transcription factor.

    “This finding is also in line with recent reports suggesting Ascl2 as a central Wnt-responsive transcription factor (Schuijers et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Schuijers et al., 2015 source

      Not checked in the free run.

33 of 33
  • The paper relies on this without support.

    Before this study, it had not been determined whether changes in Wnt signaling pathways contribute to changes in ISC function upon aging.

    “Whether changes in Wnt signaling pathways contribute to changes in ISC function upon aging has so far not been determined.”
  • The paper relies on this without support.

    The extent to which ISC function alters during physiological aging is still a matter of debate.

    “However, the extent to which ISC function alters during physiological aging is still a matter of debate.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Conflicting age range for older human donors

    Minor

    The results define the older human subjects as 62-77 years old, while the experimental procedures define them as 62-72 years old.

  • Figures 1K and 1L are assigned to two different experiments

    Minor

    The results cite Figures 1K and 1L for BrdU cell migration, then cite the same figures for an ISC lineage-tracing experiment.

2 of 2

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References 38 · Cited by 280

Authors
Nalapareddy, K., Nattamai, K. J., Kumar, R. S., Karns, R., Wikenheiser-Brokamp, K. A., Sampson, L. L., Mahe, M. M., Sundaram, N., Yacyshyn, M.-B., Yacyshyn, B., Helmrath, M. A., Zheng, Y., & Geiger, H.
Affiliations
  • Cincinnati Children's Hospital Medical Center (US)
  • University of Cincinnati (US)
Corresponding author
Geiger, Hartmut
Venue
Cell Reports
Publisher
Elsevier BV
Published
2017-03
Volume
18
Issue
11
Pages
2608-2621
ISSN
2211-1247 (ISSN-L)
OpenAlex
W2596902967
Cited by
280
References
38
Citations by year
2026: 35 · 2025: 43 · 2024: 35 · 2023: 31 · 2022: 39 · 2021: 26 · 2020: 29 · 2019: 17 · 2018: 18 · 2017: 6
FWCI
7.78
Type
journal article
Language
en
Open access
Locations
  • Cell Reports (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion, cc-by-nc-nd)
  • PubMed Central (acceptedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • OPen Access Repositorium der Universität Ulm (OPARU) (Ulm University) (submittedVersion, cc-by-nc-nd)
  • Universität Ulm, Kommunikations- und Informationszentrum (kiz)
Funders
  • NIH (R01DK104814, AG040118, DK078392)
  • Digestive Health Center (DHC)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Wnt/β-catenin signaling in development and cancer
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Digestive system and related health
Keywords
intestinal stem cells, aging, Wnt/β-catenin signaling, intestinal homeostasis, intestinal regeneration, Paneth cells, mesenchyme, stem cell niche, organoids, regenerative capacity
MeSH terms
Animals, Cell Count, Female, Intestine, Small, Organoids, Regeneration, Stem Cells, Biomarkers, Cellular Senescence, Cell Proliferation, Mice, Stem Cell Niche, Wnt Signaling Pathway

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