Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis

Background: Previous studies in mice indicated that Paneth cells and c-Kit-positive goblet cells represent the stem cell niche of the small intestine and colon, respectively, partly by supporting Wnt and Notch activation. Whether these cell populations play a similar role in human intestinal cancer...

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Autores principales: Erika López-Arribillaga, Bing Yan, Teresa Lobo-Jarne, Yolanda Guillén, Silvia Menéndez, Montserrat Andreu, Anna Bigas, Mar Iglesias, Lluís Espinosa
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a2b2abc47bf94a33859ea7afe20bbba62021-11-25T17:09:06ZAccumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis10.3390/cells101129282073-4409https://doaj.org/article/a2b2abc47bf94a33859ea7afe20bbba62021-10-01T00:00:00Zhttps://www.mdpi.com/2073-4409/10/11/2928https://doaj.org/toc/2073-4409Background: Previous studies in mice indicated that Paneth cells and c-Kit-positive goblet cells represent the stem cell niche of the small intestine and colon, respectively, partly by supporting Wnt and Notch activation. Whether these cell populations play a similar role in human intestinal cancer remains unexplored. Methods: We performed histopathological evaluation and immunohistochemical analysis of early colorectal adenomas and carcinoma adenoma from patients at the Hospital del Mar in Barcelona. We then determined the possible correlation between the different parameters analyzed and with patient outcomes. Results: Paneth cells accumulate in a subset of human colorectal adenomas directly associated with Notch and Wnt/β-catenin activation. Adenoma areas containing Paneth cells display increased vessel density in the lamina propria and higher levels of the stem cell marker EphB2. In an in-house cohort of 200 colorectal adenoma samples, we also observed a significant correlation between the presence of Paneth cells and Wnt activation. Kaplan–Meier analysis indicated that early adenoma patients carrying Paneth cell-positive tumors display reduced disease-free survival compared with patients with Paneth cell-free lesions. Conclusions: Our results indicate that Paneth cells contribute to the initial steps of cancer progression by providing the stem cell niche to adenoma cells, which could be therapeutically exploited.Erika López-ArribillagaBing YanTeresa Lobo-JarneYolanda GuillénSilvia MenéndezMontserrat AndreuAnna BigasMar IglesiasLluís EspinosaMDPI AGarticlecolorectal canceradenomasstem cell nichePaneth cellsWntNotchBiology (General)QH301-705.5ENCells, Vol 10, Iss 2928, p 2928 (2021)
institution DOAJ
collection DOAJ
language EN
topic colorectal cancer
adenomas
stem cell niche
Paneth cells
Wnt
Notch
Biology (General)
QH301-705.5
spellingShingle colorectal cancer
adenomas
stem cell niche
Paneth cells
Wnt
Notch
Biology (General)
QH301-705.5
Erika López-Arribillaga
Bing Yan
Teresa Lobo-Jarne
Yolanda Guillén
Silvia Menéndez
Montserrat Andreu
Anna Bigas
Mar Iglesias
Lluís Espinosa
Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis
description Background: Previous studies in mice indicated that Paneth cells and c-Kit-positive goblet cells represent the stem cell niche of the small intestine and colon, respectively, partly by supporting Wnt and Notch activation. Whether these cell populations play a similar role in human intestinal cancer remains unexplored. Methods: We performed histopathological evaluation and immunohistochemical analysis of early colorectal adenomas and carcinoma adenoma from patients at the Hospital del Mar in Barcelona. We then determined the possible correlation between the different parameters analyzed and with patient outcomes. Results: Paneth cells accumulate in a subset of human colorectal adenomas directly associated with Notch and Wnt/β-catenin activation. Adenoma areas containing Paneth cells display increased vessel density in the lamina propria and higher levels of the stem cell marker EphB2. In an in-house cohort of 200 colorectal adenoma samples, we also observed a significant correlation between the presence of Paneth cells and Wnt activation. Kaplan–Meier analysis indicated that early adenoma patients carrying Paneth cell-positive tumors display reduced disease-free survival compared with patients with Paneth cell-free lesions. Conclusions: Our results indicate that Paneth cells contribute to the initial steps of cancer progression by providing the stem cell niche to adenoma cells, which could be therapeutically exploited.
format article
author Erika López-Arribillaga
Bing Yan
Teresa Lobo-Jarne
Yolanda Guillén
Silvia Menéndez
Montserrat Andreu
Anna Bigas
Mar Iglesias
Lluís Espinosa
author_facet Erika López-Arribillaga
Bing Yan
Teresa Lobo-Jarne
Yolanda Guillén
Silvia Menéndez
Montserrat Andreu
Anna Bigas
Mar Iglesias
Lluís Espinosa
author_sort Erika López-Arribillaga
title Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis
title_short Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis
title_full Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis
title_fullStr Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis
title_full_unstemmed Accumulation of Paneth Cells in Early Colorectal Adenomas Is Associated with Beta-Catenin Signaling and Poor Patient Prognosis
title_sort accumulation of paneth cells in early colorectal adenomas is associated with beta-catenin signaling and poor patient prognosis
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a2b2abc47bf94a33859ea7afe20bbba6
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