Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling

Vertical sleeve gastrectomy (VSG) results in an increase in the number of hormone-secreting enteroendocrine cells (EECs) in the intestinal epithelium; however, the mechanism remains unclear. Notably, the beneficial effects of VSG are lost in a mouse model lacking the nuclear bile acid receptor farne...

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Main Authors: Ki-Suk Kim, Bailey C.E. Peck, Yu-Han Hung, Kieran Koch-Laskowski, Landon Wood, Priya H. Dedhia, Jason R. Spence, Randy J. Seeley, Praveen Sethupathy, Darleen A. Sandoval
Format: Article
Language:English
Published: American Society for Clinical investigation 2022-06-01
Series:JCI Insight
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Online Access:https://doi.org/10.1172/jci.insight.154302
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author Ki-Suk Kim
Bailey C.E. Peck
Yu-Han Hung
Kieran Koch-Laskowski
Landon Wood
Priya H. Dedhia
Jason R. Spence
Randy J. Seeley
Praveen Sethupathy
Darleen A. Sandoval
author_facet Ki-Suk Kim
Bailey C.E. Peck
Yu-Han Hung
Kieran Koch-Laskowski
Landon Wood
Priya H. Dedhia
Jason R. Spence
Randy J. Seeley
Praveen Sethupathy
Darleen A. Sandoval
author_sort Ki-Suk Kim
collection DOAJ
description Vertical sleeve gastrectomy (VSG) results in an increase in the number of hormone-secreting enteroendocrine cells (EECs) in the intestinal epithelium; however, the mechanism remains unclear. Notably, the beneficial effects of VSG are lost in a mouse model lacking the nuclear bile acid receptor farnesoid X receptor (FXR). FXR is a nuclear transcription factor that has been shown to regulate intestinal stem cell (ISC) function in cancer models. Therefore, we hypothesized that the VSG-induced increase in EECs is due to changes in intestinal differentiation driven by an increase in bile acid signaling through FXR. To test this, we performed VSG in mice that express EGFP in ISC/progenitor cells and performed RNA-Seq on GFP-positive cells sorted from the intestinal epithelia. We also assessed changes in EEC number (marked by glucagon-like peptide-1, GLP-1) in mouse intestinal organoids following treatment with bile acids, an FXR agonist, and an FXR antagonist. RNA-Seq of ISCs revealed that bile acid receptors are expressed in ISCs and that VSG explicitly alters expression of several genes that regulate EEC differentiation. Mouse intestinal organoids treated with bile acids and 2 different FXR agonists increased GLP-1–positive cell numbers, and administration of an FXR antagonist blocked these effects. Taken together, these data indicate that VSG drives ISC fate toward EEC differentiation through bile acid signaling.
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spelling doaj.art-3196098fe7dd4bbea9182640231251862022-12-22T00:22:48ZengAmerican Society for Clinical investigationJCI Insight2379-37082022-06-01711Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signalingKi-Suk KimBailey C.E. PeckYu-Han HungKieran Koch-LaskowskiLandon WoodPriya H. DedhiaJason R. SpenceRandy J. SeeleyPraveen SethupathyDarleen A. SandovalVertical sleeve gastrectomy (VSG) results in an increase in the number of hormone-secreting enteroendocrine cells (EECs) in the intestinal epithelium; however, the mechanism remains unclear. Notably, the beneficial effects of VSG are lost in a mouse model lacking the nuclear bile acid receptor farnesoid X receptor (FXR). FXR is a nuclear transcription factor that has been shown to regulate intestinal stem cell (ISC) function in cancer models. Therefore, we hypothesized that the VSG-induced increase in EECs is due to changes in intestinal differentiation driven by an increase in bile acid signaling through FXR. To test this, we performed VSG in mice that express EGFP in ISC/progenitor cells and performed RNA-Seq on GFP-positive cells sorted from the intestinal epithelia. We also assessed changes in EEC number (marked by glucagon-like peptide-1, GLP-1) in mouse intestinal organoids following treatment with bile acids, an FXR agonist, and an FXR antagonist. RNA-Seq of ISCs revealed that bile acid receptors are expressed in ISCs and that VSG explicitly alters expression of several genes that regulate EEC differentiation. Mouse intestinal organoids treated with bile acids and 2 different FXR agonists increased GLP-1–positive cell numbers, and administration of an FXR antagonist blocked these effects. Taken together, these data indicate that VSG drives ISC fate toward EEC differentiation through bile acid signaling.https://doi.org/10.1172/jci.insight.154302Cell biologyMetabolism
spellingShingle Ki-Suk Kim
Bailey C.E. Peck
Yu-Han Hung
Kieran Koch-Laskowski
Landon Wood
Priya H. Dedhia
Jason R. Spence
Randy J. Seeley
Praveen Sethupathy
Darleen A. Sandoval
Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
JCI Insight
Cell biology
Metabolism
title Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
title_full Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
title_fullStr Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
title_full_unstemmed Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
title_short Vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
title_sort vertical sleeve gastrectomy induces enteroendocrine cell differentiation of intestinal stem cells through bile acid signaling
topic Cell biology
Metabolism
url https://doi.org/10.1172/jci.insight.154302
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