Cited by 525Digestive system and related healthCancer Cells and MetastasisWnt/β-catenin signaling in development and cancer

Development of an enhanced human gastrointestinal epithelial culture system to facilitate patient-based assays

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VanDussen, Kelli L, Marinshaw, Jeffrey M, Shaikh, Nurmohammad, Miyoshi, Hiroyuki, Moon, Clara, Tarr, Phillip I, Ciorba, Matthew A, Stappenbeck, Thaddeus S·2015·Gut

Abstract

Objective: The technology for the growth of human intestinal epithelial cells is rapidly progressing. An exciting possibility is that this system could serve as a platform for individualised medicine and research. However, to achieve this goal, human epithelial culture must be enhanced so that biopsies from individuals can be used to reproducibly generate cell lines in a short time frame so that multiple, functional assays can be performed (ie, barrier function and host–microbial interactions). Design: We created a large panel of human gastrointestinal epithelial cell lines (n=65) from patient biopsies taken during routine upper and lower endoscopy procedures. Proliferative stem/progenitor cells were rapidly expanded using a high concentration of conditioned media containing the factors critical for growth (Wnt3a, R-spondin and Noggin). A combination of lower conditioned media concentration and Notch inhibition was used to differentiate these cells for additional assays. Results: We obtained epithelial lines from all accessible tissue sites within 2 weeks of culture. The intestinal cell lines were enriched for stem cell markers and rapidly grew as spheroids that required passage at 1:3–1:4 every 3 days. Under differentiation conditions, intestinal epithelial spheroids showed region-specific development of mature epithelial lineages. These cells formed functional, polarised monolayers covered by a secreted mucus layer when grown on Transwell membranes. Using two-dimensional culture, these cells also demonstrated novel adherence phenotypes with various strains of pathogenic Escherichia coli. Conclusions: This culture system will facilitate the study of interindividual, functional studies of human intestinal epithelial cells, including host–microbial interactions.

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Research works printed but not linked: 67

  1. [1]Maloy KJ Powrie F Intestinal homeostasis and its breakdown in inflammatory bowel disease Nature 2011 474 298 306 21677746
  2. [2]Cao L Kuratnik A Xu W Gibson JD Kolling Ft Falcone ER Development of intestinal organoids as tissue surrogates: Cell composition and the Epigenetic control of differentiation Mol Carcinog 2013 24115167
  3. [3]Fordham RP Yui S Hannan NR Soendergaard C Madgwick A Schweiger PJ Transplantation of expanded fetal intestinal progenitors contributes to colon regeneration after injury Cell Stem Cell 2013 13 734 44 24139758 PMC3858813
  4. [4]Jung P Sato T Merlos-Suarez A Barriga FM Iglesias M Rossell D Isolation and in vitro expansion of human colonic stem cells Nat Med 2011 17 1225 7 21892181
  5. [5]Lahar N Lei NY Wang J Jabaji Z Tung SC Joshi V Intestinal subepithelial myofibroblasts support in vitro and in vivo growth of human small intestinal epithelium PLoS One 2011 6 e26898 22125602 PMC3219641
  6. [6]McCracken KW Howell JC Wells JM Spence JR Generating human intestinal tissue from pluripotent stem cells in vitro Nat Protoc 2011 6 1920 8 22082986 PMC3896236
  7. [7]Miyoshi H Ajima R Luo CT Yamaguchi TP Stappenbeck TS Wnt5a potentiates TGF-beta signaling to promote colonic crypt regeneration after tissue injury Science 2012 338 108 13 22956684 PMC3706630
  8. [8]Miyoshi H Stappenbeck TS In vitro expansion and genetic modification of gastrointestinal stem cells in spheroid culture Nat Protoc 2013 8 2471 82 24232249 PMC3969856
  9. [9]Mustata RC Vasile G Fernandez-Vallone V Strollo S Lefort A Libert F Identification of lgr5-independent spheroid-generating progenitors of the mouse fetal intestinal epithelium Cell Rep 2013 5 421 32 24139799
  10. [10]Ootani A Li X Sangiorgi E Ho QT Ueno H Toda S Sustained in vitro intestinal epithelial culture within a Wnt-dependent stem cell niche Nat Med 2009 15 701 6 19398967 PMC2919216
  11. [13]Spence JR Mayhew CN Rankin SA Kuhar MF Vallance JE Tolle K Directed differentiation of human pluripotent stem cells into intestinal tissue in vitro Nature 2011 470 105 9 21151107 PMC3033971
  12. [14]von Furstenberg RJ Gulati AS Baxi A Doherty JM Stappenbeck TS Gracz AD Sorting mouse jejunal epithelial cells with CD24 yields a population with characteristics of intestinal stem cells Am J Physiol Gastrointest Liver Physiol 2011 300 G409 17 21183658 PMC3064119
  13. [15]Wang F Scoville D He XC Mahe M Box A Perry J Isolation and Characterization of Intestinal Stem Cells Based on Surface Marker Combinations and Colony-Formation Assay Gastroenterology 2013 PMC3781924 23644405
  14. [16]Yin X Farin HF van Es JH Clevers H Langer R Karp JM Niche-independent high-purity cultures of Lgr5 intestinal stem cells and their progeny Nat Methods 2013 PMC3951815 24292484
  15. [17]Klotz C Aebischer T Seeber F Stem cell-derived cell cultures and organoids for protozoan parasite propagation and studying host-parasite interaction Int J Med Microbiol 2012 302 203 9 22898491
  16. [18]Kuratnik A Giardina C Intestinal organoids as tissue surrogates for toxicological and pharmacological studies Biochem Pharmacol 2013 85 1721 6 23623789
  17. [19]Moon C Vandussen KL Miyoshi H Stappenbeck TS Development of a primary mouse intestinal epithelial cell monolayer culture system to evaluate factors that modulate IgA transcytosis Mucosal Immunol 2013 PMC4019725 24220295
  18. [20]Patel KK Miyoshi H Beatty WL Head RD Malvin NP Cadwell K Autophagy proteins control goblet cell function by potentiating reactive oxygen species production EMBO J 2013 PMC3981139 24185898
  19. [21]Ermund A Schutte A Johansson ME Gustafsson JK Hansson GC Studies of mucus in mouse stomach, small intestine, and colon. I. Gastrointestinal mucus layers have different properties depending on location as well as over the Peyer’s patches Am J Physiol Gastrointest Liver Physiol 2013 305 G341 7 23832518 PMC3761247
  20. [22]Stelzner M Helmrath M Dunn JC Henning SJ Houchen CW Kuo C A nomenclature for intestinal in vitro cultures Am J Physiol Gastrointest Liver Physiol 2012 302 G1359 63 22461030 PMC3378093
  21. [23]Barker N van Es JH Kuipers J Kujala P van den Born M Cozijnsen M Identification of stem cells in small intestine and colon by marker gene Lgr5 Nature 2007 449 1003 7 17934449
  22. [24]Tsilingiri K Barbosa T Penna G Caprioli F Sonzogni A Viale G Probiotic and postbiotic activity in health and disease: comparison on a novel polarised ex-vivo organ culture model Gut 2012 61 1007 15 22301383
  23. [25]Kim KA Kakitani M Zhao J Oshima T Tang T Binnerts M Mitogenic influence of human R-spondin1 on the intestinal epithelium Science 2005 309 1256 9 16109882
  24. [26]Korinek V Barker N Moerer P van Donselaar E Huls G Peters PJ Depletion of epithelial stem-cell compartments in the small intestine of mice lacking Tcf-4 Nat Genet 1998 19 379 83 9697701
  25. [27]Kuhnert F Davis CR Wang HT Chu P Lee M Yuan J Essential requirement for Wnt signaling in proliferation of adult small intestine and colon revealed by adenoviral expression of Dickkopf-1 Proc Natl Acad Sci U S A 2004 101 266 71 14695885 PMC314174
  26. [28]Pinto D Gregorieff A Begthel H Clevers H Canonical Wnt signals are essential for homeostasis of the intestinal epithelium Genes Dev 2003 17 1709 13 12865297 PMC196179
  27. [29]van de Wetering M Sancho E Verweij C de Lau W Oving I Hurlstone A The beta-catenin/TCF-4 complex imposes a crypt progenitor phenotype on colorectal cancer cells Cell 2002 111 241 50 12408868
  28. [30]Noah TK Donahue B Shroyer NF Intestinal development and differentiation Exp Cell Res 2011 317 2702 10 21978911 PMC3210330
  29. [31]Stappenbeck TS Paneth cell development, differentiation, and function: new molecular cues Gastroenterology 2009 137 30 3 19497398
  30. [32]Middendorp S Schneeberger K Wiegerinck CL Mokry M Akkerman RD van Wijngaarden S Adult stem cells in the small intestine are intrinsically programmed with their location-specific function Stem Cells 2014 32 1083 91 24496776
  31. [33]Falk P Roth KA Gordon JI Lectins are sensitive tools for defining the differentiation programs of mouse gut epithelial cell lineages Am J Physiol 1994 266 G987 1003 8023947
  32. [34]Atuma C Strugala V Allen A Holm L The adherent gastrointestinal mucus gel layer: thickness and physical state in vivo Am J Physiol Gastrointest Liver Physiol 2001 280 G922 9 11292601
  33. [35]Johansson ME Larsson JM Hansson GC The two mucus layers of colon are organized by the MUC2 mucin, whereas the outer layer is a legislator of host-microbial interactions Proc Natl Acad Sci U S A 2011 108 Suppl 1 4659 65 20615996 PMC3063600
  34. [36]Johansson ME Phillipson M Petersson J Velcich A Holm L Hansson GC The inner of the two Muc2 mucin-dependent mucus layers in colon is devoid of bacteria Proc Natl Acad Sci U S A 2008 105 15064 9 18806221 PMC2567493
  35. [37]Nataro JP Kaper JB Diarrheagenic Escherichia coli Clin Microbiol Rev 1998 11 142 201 9457432 PMC121379
  36. [38]Denno DM Shaikh N Stapp JR Qin X Hutter CM Hoffman V Diarrhea etiology in a pediatric emergency department: a case control study Clin Infect Dis 2012 55 897 904 22700832 PMC3657524
  37. [39]Nataro JP Deng Y Cookson S Cravioto A Savarino SJ Guers LD Heterogeneity of enteroaggregative Escherichia coli virulence demonstrated in volunteers J Infect Dis 1995 171 465 8 7844392
  38. [40]Levine MM Bergquist EJ Nalin DR Waterman DH Hornick RB Young CR Escherichia coli strains that cause diarrhoea but do not produce heat-labile or heat-stable enterotoxins and are non-invasive Lancet 1978 1 1119 22 77415
  39. [41]Riley LW Junio LN Libaek LB Schoolnik GK Plasmid-encoded expression of lipopolysaccharide O-antigenic polysaccharide in enteropathogenic Escherichia coli Infect Immun 1987 55 2052 6 3305360 PMC260655
  40. [42]Woodall LD Russell PW Harris SL Orndorff PE Rapid, synchronous, and stable induction of type 1 piliation in Escherichia coli by using a chromosomal lacUV5 promoter J Bacteriol 1993 175 2770 8 8097517 PMC204584
  41. [43]Bilge SS Vary JC Jr Dowell SF Tarr PI Role of the Escherichia coli O157:H7 O side chain in adherence and analysis of an rfb locus Infect Immun 1996 64 4795 801 8890241 PMC174447
  42. [44]Tarr PI Bilge SS Vary JC Jr Jelacic S Habeeb RL Ward TR Iha: a novel Escherichia coli O157:H7 adherence-conferring molecule encoded on a recently acquired chromosomal island of conserved structure Infect Immun 2000 68 1400 7 10678953 PMC97294
  43. [45]Abner SR Guenthner PC Guarner J Hancock KA Cummins JE Jr Fink A A human colorectal explant culture to evaluate topical microbicides for the prevention of HIV infection J Infect Dis 2005 192 1545 56 16206069
  44. [46]Autrup H Barrett LA Jackson FE Jesudason ML Stoner G Phelps P Explant culture of human colon Gastroenterology 1978 74 1248 57 648817
  45. [47]Losonsky GA Fantry GT Reymann M Lim Y Validation of a gastrointestinal explant system for measurement of mucosal antibody production Clin Diagn Lab Immunol 1999 6 803 7 10548567 PMC95779
  46. [48]Nicotra LL Vu M Harvey BS Smid SD Prostaglandin ethanolamides attenuate damage in a human explant colitis model Prostaglandins Other Lipid Mediat 2013 100–101 22 9 23380599
  47. [49]McGuckin MA Linden SK Sutton P Florin TH Mucin dynamics and enteric pathogens Nat Rev Microbiol 2011 9 265 78 21407243
  48. [50]Dean P Kenny B The effector repertoire of enteropathogenic E. coli: ganging up on the host cell Curr Opin Microbiol 2009 12 101 9 19144561 PMC2697328
  49. [51]Bokete TN Whittam TS Wilson RA Clausen CR O’Callahan CM Moseley SL Genetic and phenotypic analysis of Escherichia coli with enteropathogenic characteristics isolated from Seattle children J Infect Dis 1997 175 1382 9 9180177
  50. [52]Rothbaum R McAdams AJ Giannella R Partin JC A clinicopathologic study of enterocyte-adherent Escherichia coli: a cause of protracted diarrhea in infants Gastroenterology 1982 83 441 54 7044882
  51. [53]Rothbaum RJ Partin JC Saalfield K McAdams AJ An ultrastructural study of enteropathogenic Escherichia coli infection in human infants Ultrastruct Pathol 1983 4 291 304 6359611
  52. [54]Griffin PM Olmstead LC Petras RE Escherichia coli O157:H7-associated colitis. A clinical and histological study of 11 cases Gastroenterology 1990 99 142 9 2188868
  53. [55]Kelly J Oryshak A Wenetsek M Grabiec J Handy S The colonic pathology of Escherichia coli O157:H7 infection Am J Surg Pathol 1990 14 87 92 2403759
  54. [56]Phillips AD Navabpour S Hicks S Dougan G Wallis T Frankel G Enterohaemorrhagic Escherichia coli O157:H7 target Peyer’s patches in humans and cause attaching/effacing lesions in both human and bovine intestine Gut 2000 47 377 81 10940275 PMC1728033
  55. [57]Wright C Herbert G Pilkington R Callaghan M McClean S Real-time PCR method for the quantification of Burkholderia cepacia complex attached to lung epithelial cells and inhibition of that attachment Lett Appl Microbiol 2010 50 500 6 20337933
  56. [58]Candela M Seibold G Vitali B Lachenmaier S Eikmanns BJ Brigidi P Real-time PCR quantification of bacterial adhesion to Caco-2 cells: competition between bifidobacteria and enteropathogens Res Microbiol 2005 156 887 95 16024231
  57. [59]Darfeuille-Michaud A Adherent-invasive Escherichia coli: a putative new E. coli pathotype associated with Crohn’s disease Int J Med Microbiol 2002 292 185 93 12398209
  58. [60]Kaser A Zeissig S Blumberg RS Inflammatory bowel disease Annu Rev Immunol 2010 28 573 621 20192811 PMC4620040
  59. [61]Marteau P Bacterial flora in inflammatory bowel disease Dig Dis 2009 27 Suppl 1 99 103 20203504
  60. [62]Baumgart M Dogan B Rishniw M Weitzman G Bosworth B Yantiss R Culture independent analysis of ileal mucosa reveals a selective increase in invasive Escherichia coli of novel phylogeny relative to depletion of Clostridiales in Crohn’s disease involving the ileum ISME J 2007 1 403 18 18043660
  61. [63]Frank DN St Amand AL Feldman RA Boedeker EC Harpaz N Pace NR Molecular-phylogenetic characterization of microbial community imbalances in human inflammatory bowel diseases Proc Natl Acad Sci U S A 2007 104 13780 5 17699621 PMC1959459
  62. [64]Martinez-Medina M Aldeguer X Gonzalez-Huix F Acero D Garcia-Gil LJ Abnormal microbiota composition in the ileocolonic mucosa of Crohn’s disease patients as revealed by polymerase chain reaction-denaturing gradient gel electrophoresis Inflamm Bowel Dis 2006 12 1136 45 17119388
  63. [65]Boudeau J Glasser AL Masseret E Joly B Darfeuille-Michaud A Invasive ability of an Escherichia coli strain isolated from the ileal mucosa of a patient with Crohn’s disease Infect Immun 1999 67 4499 509 10456892 PMC96770
  64. [66]Burke DA Axon AT Adhesive Escherichia coli in inflammatory bowel disease and infective diarrhoea BMJ 1988 297 102 4 3044496 PMC1833778
  65. [67]Darfeuille-Michaud A Neut C Barnich N Lederman E Di Martino P Desreumaux P Presence of adherent Escherichia coli strains in ileal mucosa of patients with Crohn’s disease Gastroenterology 1998 115 1405 13 9834268
  66. [68]Giaffer MH Holdsworth CD Duerden BI Virulence properties of Escherichia coli strains isolated from patients with inflammatory bowel disease Gut 1992 33 646 50 1612481 PMC1379295
  67. [69]Khor B Gardet A Xavier RJ Genetics and pathogenesis of inflammatory bowel disease Nature 2011 474 307 17 21677747 PMC3204665

Cited by

Sorted by citations

Authors
VanDussen, K. L., Marinshaw, J. M., Shaikh, N., Miyoshi, H., Moon, C., Tarr, P. I., Ciorba, M. A., & Stappenbeck, T. S.
Affiliations
Washington University in St. Louis (US)
Corresponding author
Stappenbeck, Thaddeus S
Venue
Gut
Publisher
BMJ
Published
2014-07-09
Volume
64
Issue
6
Pages
911-920
ISSN
  • 0017-5749 (ISSN-L)
  • 1468-3288
OpenAlex
W2147832388
Cited by
525
References
2
Citations by year
2026: 29 · 2025: 45 · 2024: 53 · 2023: 37 · 2022: 57 · 2021: 64 · 2020: 60 · 2019: 53 · 2018: 50 · 2017: 37 · 2016: 23 · 2015: 14 · 2014: 2
FWCI
16.64
Type
journal article
Language
en
Open access
Locations
  • Gut (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Crohn's and Colitis Foundation of America
  • Crohn's and Colitis Foundation
  • National Institutes of Health
  • National Institute of Allergy and Infectious Diseases (U01AI095550, AI095550, T32AI007163)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R03DK100737, DK100737, DK90251, K08DK089016, R01DK071619, DK089016, U54DK102557, DK102557, DK071619, P30DK052574)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Digestive system and related health
  • Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Wnt/β-catenin signaling in development and cancer
Keywords
human intestinal epithelial cells, patient-derived cell lines, intestinal stem cells, Wnt3a, R-spondin, noggin, Notch signaling inhibition, epithelial differentiation, spheroids, mucus secretion, host-microbe interactions, individualised medicine, endoscopic biopsy
MeSH terms
Analysis of Variance, Animals, Bacterial Adhesion, Biological Assay, Biopsy, Cell Differentiation, Cell Line, Cells, Cultured, Epithelial Cells, Genetic Markers, Humans, Ileum, Intestinal Mucosa, Rectum, RNA, Messenger, Reproducibility of Results, Culture Media, Conditioned, Spheroids, Cellular, Cell Culture Techniques, Mice

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