Gastroenterology

Gastroenterology

Volume 133, Issue 2, August 2007, Pages 559-573
Gastroenterology

Basic–alimentary tract
Lamina Propria c-kit+ Immune Precursors Reside in Human Adult Intestine and Differentiate Into Natural Killer Cells

https://doi.org/10.1053/j.gastro.2007.05.017Get rights and content

Background & Aims: Recent studies have revealed that murine intestinal mucosa contains several kinds of lineage markers (lin) c-kit+ immune precursor cells. However, immune precursors in the human adult intestine have not been studied extensively. Methods: Lamina propria mononuclear cells and intraepithelial lymphocytes from surgically resected human adult intestine were examined for the surface antigen expression and cytokine profile by immunohistochemistry and flow cytometry. The transcriptional profile of these cells was analyzed by reverse-transcription polymerase chain reaction. The phenotypic and functional characterization of the in vitro differentiating cells from the precursors was examined by flow cytometry. Results: We identified lin c-kit+ cells scattered throughout lamina propria of the human adult intestine. These intestinal immune precursors expressed CD34, CD38, CD33, interleukin-2Rα, and interleukin-7Rα, and they had much more abundant expression of Id2, PU.1, SpiB1, and lymphotoxin than thymocytes. The lin c-kit+ immune precursors mainly differentiated into CD56+ c-kitdim cells during in vitro culture. These in vitro differentiating cells corresponded to intestinal natural killer (NK) cells, which had distinct characteristics from their peripheral counterparts, such as CD83 and integrin αE expression, less cytotoxic activity, and higher interferon-γ production. Furthermore, both c-kitdim cells and NK cells were increased in lamina propria of Crohn’s disease, although there was no change for peripheral blood NK cells. Conclusions: The human intestine may have the unique NK cell differentiation system, which may contribute to maintenance of immune homeostasis in the intestine.

Section snippets

Tissue Samples

Normal intestinal mucosa and MLN were obtained from macroscopically and microscopically unaffected areas of patients with colon cancer. Intestinal mucosa also was obtained from surgically resected specimens from patients with CD or ulcerative colitis (UC), diagnosed on the basis of clinical, radiographic, endoscopic, and histologic findings, according to established criteria.20, 21 In all samples from patients with CD or UC, the degree of inflammation was histologically moderate to severe. All

Presence of Non–Cluster-Forming Lineage Markers (lin) c-kit+ Lymphocytes in the Human Adult Intestine

We first tried to identify c-kit+ cells in the human adult intestine by immunohistochemistry. We could not find any c-kit+ cell clusters such as murine CP cells; however, we found a considerable number of c-kit+ cells scattered in the intraepithelial space, lamina propria, and submucosal layers of both the ileum and colon (Figure 1A and B). The c-kit expression on IELs was dimmer than that on LPMCs (Figure 1B and I). Furthermore, the c-kit+ IELs were found only in the intraepithelial space of

Discussion

The sites of NK cell development in adults are understood poorly.40, 48 Although T/NKPs have been identified only in fetal tissues, the bone marrow is presumed to be the main site of NK cell generation in adults.40, 48 In this study, we have shown that lin c-kit+ cells in human adult intestine could differentiate into c-kitdim cells, which express CD56 during in vitro culture, suggesting that these cells are NK cell precursors. Moreover, further analysis showed that in vitro differentiated

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    Supported in part by grants-in-aid from the Japanese Ministry of Education, Culture and Science, the Japanese Ministry of Health, Labor and Welfare, Keio University and Keio Medical Foundation, Tokyo, Japan.

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