A new study by The Hospital for Sick Children (SickKids) and the Institut Curie demonstrates how stem cells sense and adapt to their surroundings, with implications for inflammatory bowel disease and colorectal cancer.
Stem
cells constantly adapt to their environment to maintain organ and tissue
health, informed by chemical signals and physical forces. When they do not
function as intended, stem cells can result in a number of health conditions
including inflammatory bowel disease (IBD) and colorectal (bowel) cancer, where
they continue to divide until a tumour forms.
Until
now, how stem cells sense the physical forces around them has remained unclear,
but novel findings in Science led by Dr. Meryem Baghdadi, a former SickKids
postdoctoral researcher, Dr Tae-Hee Kim at SickKids and Dr. Danijela Vignjevic
at Institut Curie, has revealed that stem cells depend on two ion channels,
called PIEZO1 and PIEZO2, for their survival.
"The
physical properties of the environment around stem cells are crucial to our
health," explains Kim, Senior Scientist in the Developmental and Stem Cell
Biology program. "With this knowledge, we can explore ways to promote
gastrointestinal regeneration to not only prevent, but repair damaged stem cells."
In
2018, Dr Xi Huang, Senior Scientist in the Developmental and Stem Cell Biology
program at SickKids, found that PIEZO ion channels influence tumour stiffening
in brain cancer. Inspired by this research, Kim's research team set out to
explore how stem cells in the intestines use PIEZO channels to stay healthy and
function properly.
In a
preclinical model, the study team knocked out (turned off) PIEZO1 and PIEZO2 in
the intestines. The results were dramatic: in the absence of both PIEZO
channels, the stem cells couldn't maintain their necessary functions, leading
to severe illness and rapid death. Although these PIEZO channels were
previously known to have distinct functions, this study has revealed their
unexpected redundancy in stem cell maintenance.
The
Kim and Vignjevic labs identified that PIEZO ion channels were helping stem
cells feel physical changes in their surroundings, like how stiff or stretchy
the environment is. Without these channels, there was an imbalance in two
critical signalling pathways, causing the stem cells to miss important changes
in their environment and improperly differentiate.
"When
PIEZO channels are missing, stem cells can't stay stem cells. Instead, they
turn into other cell types too quickly, leading to serious health problems,"
says Baghdadi.
The
discovery has significant implications for human health, particularly for
conditions with abnormal stem cell activity such as IBD, one of the
fastest-growing conditions in Canada, and bowel cancer, the third most common
cancer in the country.
"More
and more we are finding that our cells are more than just biology, there are
chemical and mechanical signals which are driving cell activity," says
Kim. "How and why our body responds to these signals will open up new
doors of research not just for gut health, but for every aspect of human
health."
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