[PDF][PDF] Krt19+/Lgr5− cells are radioresistant cancer-initiating stem cells in the colon and intestine

S Asfaha, Y Hayakawa, A Muley, S Stokes, TA Graham… - Cell stem cell, 2015 - cell.com
Cell stem cell, 2015cell.com
Epithelium of the colon and intestine are renewed every 3 days. In the intestine there are at
least two principal stem cell pools. The first contains rapid cycling crypt-based columnar
(CBC) Lgr5+ cells, and the second is composed of slower cycling Bmi1-expressing cells at
the+ 4 position above the crypt base. In the colon, however, the identification of Lgr5− stem
cell pools has proven more challenging. Here, we demonstrate that the intermediate filament
keratin-19 (Krt19) marks long-lived, radiation-resistant cells above the crypt base that …
Summary
Epithelium of the colon and intestine are renewed every 3 days. In the intestine there are at least two principal stem cell pools. The first contains rapid cycling crypt-based columnar (CBC) Lgr5+ cells, and the second is composed of slower cycling Bmi1-expressing cells at the +4 position above the crypt base. In the colon, however, the identification of Lgr5 stem cell pools has proven more challenging. Here, we demonstrate that the intermediate filament keratin-19 (Krt19) marks long-lived, radiation-resistant cells above the crypt base that generate Lgr5+ CBCs in the colon and intestine. In colorectal cancer models, Krt19+ cancer-initiating cells are also radioresistant, while Lgr5+ stem cells are radiosensitive. Moreover, Lgr5+ stem cells are dispensable in both the normal and neoplastic colonic epithelium, as ablation of Lgr5+ stem cells results in their regeneration from Krt19-expressing cells. Thus, Krt19+ stem cells are a discrete target relevant for cancer therapy.
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