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Publication : Notum produced by Paneth cells attenuates regeneration of aged intestinal epithelium.

First Author  Pentinmikko N Year  2019
Journal  Nature Volume  571
Issue  7765 Pages  398-402
PubMed ID  31292548 Mgi Jnum  J:288656
Mgi Id  MGI:6384891 Doi  10.1038/s41586-019-1383-0
Citation  Pentinmikko N, et al. (2019) Notum produced by Paneth cells attenuates regeneration of aged intestinal epithelium. Nature 571(7765):398-402
abstractText  A decline in stem cell function impairs tissue regeneration during ageing, but the role of the stem-cell-supporting niche in ageing is not well understood. The small intestine is maintained by actively cycling intestinal stem cells that are regulated by the Paneth cell niche(1,2). Here we show that the regenerative potential of human and mouse intestinal epithelium diminishes with age owing to defects in both stem cells and their niche. The functional decline was caused by a decrease in stemness-maintaining Wnt signalling due to production of Notum, an extracellular Wnt inhibitor, in aged Paneth cells. Mechanistically, high activity of mammalian target of rapamycin complex 1 (mTORC1) in aged Paneth cells inhibits activity of peroxisome proliferator activated receptor alpha (PPAR-alpha)(3), and lowered PPAR-alpha activity increased Notum expression. Genetic targeting of Notum or Wnt supplementation restored function of aged intestinal organoids. Moreover, pharmacological inhibition of Notum in mice enhanced the regenerative capacity of aged stem cells and promoted recovery from chemotherapy-induced damage. Our results reveal a role of the stem cell niche in ageing and demonstrate that targeting of Notum can promote regeneration of aged tissues.
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