RT Journal Article SR Electronic T1 Canonical Wnt signals combined with suppressed TGFβ/BMP pathways promote renewal of the native human colonic epithelium JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 610 OP 621 DO 10.1136/gutjnl-2012-304067 VO 63 IS 4 A1 Reynolds, Amy A1 Wharton, Natalia A1 Parris, Alyson A1 Mitchell, Esther A1 Sobolewski, Anastasia A1 Kam, Christy A1 Bigwood, Loren A1 El Hadi, Ahmed A1 Münsterberg, Andrea A1 Lewis, Michael A1 Speakman, Christopher A1 Stebbings, William A1 Wharton, Richard A1 Sargen, Kevin A1 Tighe, Richard A1 Jamieson, Crawford A1 Hernon, James A1 Kapur, Sandeep A1 Oue, Naohide A1 Yasui, Wataru A1 Williams, Mark R YR 2014 UL http://gut.bmj.com/content/63/4/610.abstract AB Background A defining characteristic of the human intestinal epithelium is that it is the most rapidly renewing tissue in the body. However, the processes underlying tissue renewal and the mechanisms that govern their coordination have proved difficult to study in the human gut. Objective To investigate the regulation of stem cell-driven tissue renewal by canonical Wnt and TGFβ/bone morphogenetic protein (BMP) pathways in the native human colonic epithelium. Design Intact human colonic crypts were isolated from mucosal tissue samples and placed into 3D culture conditions optimised for steady-state tissue renewal. High affinity mRNA in situ hybridisation and immunohistochemistry were complemented by functional genomic and bioimaging techniques. The effects of signalling pathway modulators on the status of intestinal stem cell biology, crypt cell proliferation, migration, differentiation and shedding were determined. Results Native human colonic crypts exhibited distinct activation profiles for canonical Wnt, TGFβ and BMP pathways. A population of intestinal LGR5/OLFM4-positive stem/progenitor cells were interspersed between goblet-like cells within the crypt-base. Exogenous and crypt cell-autonomous canonical Wnt signals supported homeostatic intestinal stem/progenitor cell proliferation and were antagonised by TGFβ or BMP pathway activation. Reduced Wnt stimulation impeded crypt cell proliferation, but crypt cell migration and shedding from the crypt surface were unaffected and resulted in diminished crypts. Conclusions Steady-state tissue renewal in the native human colonic epithelium is dependent on canonical Wnt signals combined with suppressed TGFβ/BMP pathways. Stem/progenitor cell proliferation is uncoupled from crypt cell migration and shedding, and is required to constantly replenish the crypt cell population.