Cell Mol Gastroenterol Hepatol. 2023 Aug 08. pii: S2352-345X(23)00144-3. [Epub ahead of print]
Kristina R Rivera,
R Jarrett Bliton,
Joseph Burclaff,
Michael J Czerwinski,
Jintong Liu,
Jessica M Trueblood,
Caroline M Hinesley,
Keith A Breau,
Halston E Deal,
Shlok Joshi,
Vladimir A Pozdin,
Ming Yao,
Amanda L Ziegler,
Anthony T Blikslager,
Michael A Daniele,
Scott T Magness.
BACKGROUND & AIMS: Hypoxia in the intestinal epithelium can be caused by acute ischemic events or chronic inflammation where immune cell infiltration produces 'inflammatory hypoxia' starving the mucosa of oxygen. The epithelium has the capacity to regenerate after some ischemic and inflammatory conditions suggesting intestinal stem cells (ISCs) are highly tolerant to acute and chronic hypoxia; however, the impact of hypoxia on human ISC (hISC) function has not been reported. Here we present a new microphysiological system (MPS) to investigate how hypoxia affects hISCs from healthy donors and test the hypothesis that prolonged hypoxia modulates how hISCs respond to inflammation-associated interleukins.METHODS: HISCs were exposed to <1.0% oxygen in the MPS for 6-, 24-, 48- & 72-hrs. Viability, HIF1α response, transcriptomics, cell cycle dynamics, and response to cytokines were evaluated in hISCs under hypoxia. HIF-stabilizers and inhibitors were screened to evaluate HIF- dependent responses.
RESULTS: The MPS enables precise, real-time control and monitoring of oxygen levels at the cell surface. Under hypoxia, hISCs maintain viability until 72-hrs, and exhibit peak HIF1α at 24-hrs.hISC activity was reduced at 24-hrs but recovered at 48-hrs. Hypoxia induced increases in the proportion of hISCs in G1 and expression changes in 16 interleukin receptors. PHD inhibition failed to reproduce hypoxia-dependent IL-receptor expression patterns. hISC activity increased when treated IL1ß, IL2, IL4, IL6, IL10, IL13, and IL25 and rescued hISC activity caused by 24- hrs of hypoxia.
CONCLUSIONS: Hypoxia pushes hISCs into a dormant but reversible proliferative state and primes hISCs to respond to a subset of interleukins that preserves hISC activity. These findings have important implications for understanding intestinal epithelial regeneration mechanisms caused by inflammatory hypoxia.
Keywords: Cytokines; Inflammatory hypoxia; Intestinal stem cells; Oxygen Sensor; Stem cell priming; microphysiological system