Int J Stem Cells.  2023 Aug;16(3):269-280. 10.15283/ijsc23026.

Peripheral Neuron-Organoid Interaction Induces Colonic Epithelial Differentiation via Non-Synaptic Substance P Secretion

Affiliations
  • 1Department of Biomedical Science, Graduate School, Kyung Hee University, Seoul, Korea
  • 2The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • 3Department of Medicine, Graduate School, Kyung Hee University, Seoul, Korea
  • 4Department of Pathology, College of Medicine, Kyung Hee University, Seoul, Korea
  • 5KHU-KIST Department of Converging Science and Technology, Graduate School, Kyung Hee University, Seoul, Korea

Abstract

Background and Objectives
The colonic epithelial layer is a complex structure consisting of multiple cell types that regulate various aspects of colonic physiology, yet the mechanisms underlying epithelial cell differentiation during development remain unclear. Organoids have emerged as a promising model for investigating organogenesis, but achieving organ-like cell configurations within colonic organoids is challenging. Here, we investigated the biological significance of peripheral neurons in the formation of colonic organoids.
Methods and Results
Colonic organoids were co-cultured with human embryonic stem cell (hESC)-derived peripheralneurons, resulting in the morphological maturation of columnar epithelial cells, as well as the presence of enterochromaffin cells. Substance P released from immature peripheral neurons played a critical role in the development of colonic epithelial cells. These findings highlight the vital role of inter-organ interactions in organoid development and provide insights into colonic epithelial cell differentiation mechanisms.
Conclusions
Our results suggest that the peripheral nervous system may have a significant role in the development of colonic epithelial cells, which could have important implications for future studies of organogenesis and disease modeling.

Keyword

Organogenesis; Colonic organoid; Gut development; Peripheral neuron; Inter-organ crosstalk; Pluripotent stem cell

Figure

  • Fig. 1 Stepwise protocol for generating colonic organoids. (A) Schematic diagram showing the modification of previously reported protocols for colonic organoids, with or without bone morphogenetic protein (BMP) signaling stimulation. (B) Decrease in pluripotency markers OCT4 and NANOG during differentiation process. (C) Expression level of mRNA for SOX17 and FOXA2 on day 3 of differentiation towards definitive endoderm (DE). (D) Immunoblot images of protein expression for SOX17 and FOXA2 on the differentiation stage of DE. GAPDH was used as an internal control. (E) Cells expressing a protein for SOX17 and FOXA2 on the DE stage. (F) Counting results for SOX17 and FOXA2 expressing cells from (E). (G) Expression level of mRNA for CDX1 and KLF5 on day 7 of differentiation towards hindgut (HG) cells. (H) Immunoblot images of protein expression for CDX1 and KLF5 on the differentiation stage of hindgut. GAPDH was used as an internal control. (I) Cells expressing a protein for CDX1 and KLF5 on the hindgut stage. (J) Counting results for CDX1 and KLF5 expressing cells from (I). (K) Schematic diagram showing the embedding process of hindgut cells that formed clusters into an artificial ECM matrix in clump form. (L) BMP4 stimulation during the embedding stage increases expression of hindgut hox genes responsible for posterior development. (M and N) Increase in mRNA and protein expression of colon-restricted chromatin factor SATB2 with BMP4 application. (O) Identification of a cell cluster expressing the SATB2 protein in the inner center of the colonic organoid. Data expressed as mean±SD (n=9, biological repeat). p-values calculated by one-way ANOVA (B, L, M) or unpaired t-test (C, F, G, and J). *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001, ns=not significant. All scale bars=50 μm. DE: definitive endoderm, HG: hindgut, CO: colonic organoid.

  • Fig. 2 Characterization of long-term cultured colonic organoids embedded in an ECM matrix. (A) Morphological changes of colonic organoids during long-term culture. (B) Detection of Mucin proteins (MUC) within the organoids at week 6 using MUC2, MUC3, and MUC4 antibodies. (C) Representative FACS plot for EpCAM-expressing cells of colonic organoids. (D) Immunostaining confirmed the formation of an epithelial layer expressing EpCAM, CD133, or Villin on the outer layer of the organoids. (E) Detection of marker proteins representing various cell types within the epithelial layer, including goblet cells (MUC3, MUC4), enterocytes (Villin), Paneth cells (DEFA5), enteroendocrine cells (CHGA), and colonic stem cells (LGR5). (F) Swelling assay confirming the presence of functional epithelial cells in the organoids treated after forskolin. All scale bars=50 μm. CO: colonic organoid.

  • Fig. 3 Reciprocal interaction between colonic organoid and NCSC-derived peripheral neurons. (A) Schematic representation of co-culture of colon organoids with neural crest stem cells (NCSCs). (B) Representative images of NCSCs showing neuronal differentiation after 7 days of co-culture with colon organoids. (C) Representative FACS plot for NCSCs expressing PHOX2B after co-culture with colonic organoids. (D) Increased expression of PHOX2B and NDRG4 in FACS-isolated NCSCs after co-culture with colon organoids. (E) Enrichment of mRNA expression for LMX1A and CHGA in colon organoids after co-culture with NCSCs. (F) Schematic representation of transwell co-culture system. (G) Percentage of PHOX2B-expressing NCSCs induced by co-culture with colon organoids using direct contact or transwells. (H) Verification of PHOX2B-expressing cells after co-culture with colon organoids. (I) Expression of NDRG4 and LMX1A in colon organoids after co-culture with NCSCs using transwells. (J) Differentiated neuronal cells expressing TUJ1 containing serotonin (lower panel) and epithelial cells of colon organoids labeled with eGFP. Columnar morphology of epithelial cells are indicated by dotted red line in the right panel. (K) Proportion of EpCAM-expressing epithelial cells in colon organoids after co-culture with NCSCs. (L) Representative immunostaining image of Ki-67-expressing proliferating cells within colon organoids after co-culture with NCSCs, and the counting result. (M) Representative FACS plot for the isolation of EpCAM-expressing cells of colonic organoid, and representative images for attached cells after re-plating. (N) SOX9 expression in proliferating cells from EpCAM-expressing cells after 10 days of re-cultivation. Data expressed as mean±SD (n=9, 12 for G, biological repeat). p-values calculated by unpaired t-test (D, E, H, I, K, L) or one-way ANOVA (G). *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001, ns=not significant. All scale bars=50 μm. CO: colonic organoid.

  • Fig. 4 Developing neurons influence colonic organoids. (A) Tracking the expression changes of PHOX2B and NDRG4 in NCSCs and LMX1A in colonic organoids according to the co-culture period of colonic organoids and NCSCs. (B) Immunostaining images of NCSC-derived neurons expressing TUJ1 as a key difference between co-culture time points of 4 and 6 days. (C) Significant increase in substance P in the co-culture medium on day 6 compared day 4, as measured by ELISA. (D) Expression of colonic epithelial cell marker proteins of colonic organoid after substance P administration were validated by immunoblotting. (E) Scattering distribution of cells expressing CHGA in the colonic organoid was confirmed using immunofluorescence staining. (F) Presence of enteroendocrine cells detectable by 5-HT within the colonic organoid, and columnar epithelial cell morphology (red dotted line). (G) The expression of NK1R and NK3R mRNA in colonic organoids was validated using qRT-PCR, with or without treatment with substance P. (H) Protein expression levels of CHGA in colonic organoids were measured using ELISA after inhibition of NK1R with specific antagonists. Data expressed as mean±SD (n=s, biological repeat). p-values calculated by two-way ANOVA (A and C) or one-way ANOVA (G and H). *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001, ns=not significant. Scale bars=25 μm (B and E) or 10 μm (F). CO: colonic organoid, SP: substance P.


Reference

References

1. Frazer LC, Good M. 2022; Intestinal epithelium in early life. Mucosal Immunol. 15:1181–1187. DOI: 10.1038/s41385-022-00579-8. PMID: 36380094. PMCID: PMC10329854.
Article
2. Martini E, Krug SM, Siegmund B, Neurath MF, Becker C. 2017; Mend Your fences: the epithelial barrier and its relationship with mucosal immunity in inflammatory bowel disease. Cell Mol Gastroenterol Hepatol. 4:33–46. DOI: 10.1016/j.jcmgh.2017.03.007. PMID: 28560287. PMCID: PMC5439240.
3. Barker N, van Es JH, Kuipers J, Kujala P, van den Born M, Cozijnsen M, Haegebarth A, Korving J, Begthel H, Peters PJ, Clevers H. 2007; Identification of stem cells in small intestine and colon by marker gene Lgr5. Nature. 449:1003–1007. DOI: 10.1038/nature06196. PMID: 17934449.
Article
4. Lancaster MA, Knoblich JA. 2014; Organogenesis in a dish: modeling development and disease using organoid technologies. Science. 345:1247125. DOI: 10.1126/science.1247125. PMID: 25035496.
Article
5. Fujii M, Matano M, Toshimitsu K, Takano A, Mikami Y, Nishikori S, Sugimoto S, Sato T. 2018; Human intestinal organoids maintain self-renewal capacity and cellular diversity in niche-inspired culture condition. Cell Stem Cell. 23:787–793.e6. DOI: 10.1016/j.stem.2018.11.016. PMID: 30526881.
Article
6. Najjar SA, Davis BM, Albers KM. 2020; Epithelial-neuronal communication in the colon: implications for visceral pain. Trends Neurosci. 43:170–181. DOI: 10.1016/j.tins.2019.12.007. PMID: 31983457. PMCID: PMC7047572.
Article
7. Walsh KT, Zemper AE. 2019; The enteric nervous system for epithelial researchers: basic anatomy, techniques, and interactions with the epithelium. Cell Mol Gastroenterol Hepatol. 8:369–378. DOI: 10.1016/j.jcmgh.2019.05.003. PMID: 31108231. PMCID: PMC6718943.
Article
8. Ten Hove AS, Seppen J, de Jonge WJ. 2021; Neuronal innervation of the intestinal crypt. Am J Physiol Gastrointest Liver Physiol. 320:G193–G205. DOI: 10.1152/ajpgi.00239.2020. PMID: 33296267.
Article
9. Zhang W, Lyu M, Bessman NJ, Xie Z, Arifuzzaman M, Yano H, Parkhurst CN, Chu C, Zhou L, Putzel GG, Li TT, Jin WB, Zhou J, Hu H, Tsou AM, Guo CJ, Artis D. JRI Live Cell Bank. 2022; Gut-innervating nociceptors regulate the intestinal microbiota to promote tissue protection. Cell. 185:4170–4189.e20. DOI: 10.1016/j.cell.2022.09.008. PMID: 36240781.
Article
10. Yang D, Jacobson A, Meerschaert KA, Sifakis JJ, Wu M, Chen X, Yang T, Zhou Y, Anekal PV, Rucker RA, Sharma D, Sontheimer-Phelps A, Wu GS, Deng L, Anderson MD, Choi S, Neel D, Lee N, Kasper DL, Jabri B, Huh JR, Johansson M, Thiagarajah JR, Riesenfeld SJ, Chiu IM. 2022; Nociceptor neurons direct goblet cells via a CGRP-RAMP1 axis to drive mucus production and gut barrier protection. Cell. 185:4190–4205.e25. DOI: 10.1016/j.cell.2022.09.024. PMID: 36243004.
Article
11. Worthington JJ, Reimann F, Gribble FM. 2018; Enteroendocrine cells-sensory sentinels of the intestinal environment and orchestrators of mucosal immunity. Mucosal Immunol. 11:3–20. DOI: 10.1038/mi.2017.73. PMID: 28853441.
Article
12. Nagy N, Goldstein AM. 2017; Enteric nervous system development: a crest cell's journey from neural tube to colon. Semin Cell Dev Biol. 66:94–106. DOI: 10.1016/j.semcdb.2017.01.006. PMID: 28087321. PMCID: PMC5474363.
Article
13. Lyoo KS, Kim HM, Lee B, Che YH, Kim SJ, Song D, Hwang W, Lee S, Park JH, Na W, Yun SP, Kim YJ. 2022; Direct neuronal infection of SARS-CoV-2 reveals cellular and molecular pathology of chemosensory impairment of COVID-19 patients. Emerg Microbes Infect. 11:406–411. DOI: 10.1080/22221751.2021.2024095. PMID: 34962444. PMCID: PMC8803065. PMID: f5c15fb6b0404ecea7026b9d0ae175ef.
Article
14. Crespo M, Vilar E, Tsai SY, Chang K, Amin S, Srinivasan T, Zhang T, Pipalia NH, Chen HJ, Witherspoon M, Gordillo M, Xiang JZ, Maxfield FR, Lipkin S, Evans T, Chen S. 2017; Colonic organoids derived from human induced pluripotent stem cells for modeling colorectal cancer and drug testing. Nat Med. 23:878–884. DOI: 10.1038/nm.4355. PMID: 28628110. PMCID: PMC6055224.
Article
15. Múnera JO, Sundaram N, Rankin SA, Hill D, Watson C, Mahe M, Vallance JE, Shroyer NF, Sinagoga KL, Zarzoso-Lacoste A, Hudson JR, Howell JC, Chatuvedi P, Spence JR, Shannon JM, Zorn AM, Helmrath MA, Wells JM. 2017; Differe-ntiation of human pluripotent stem cells into colonic organoids via transient activation of BMP signaling. Cell Stem Cell. 21:51–64.e6. DOI: 10.1016/j.stem.2017.05.020. PMID: 28648364. PMCID: PMC5531599.
Article
16. Kwon O, Yu WD, Son YS, Jung KB, Lee H, Son MY. 2022; Generation of highly expandable intestinal spheroids composed of stem cells. Int J Stem Cells. 15:104–111. DOI: 10.15283/ijsc21209. PMID: 35220296. PMCID: PMC8889332.
Article
17. Mukherjee-Clavin B, Mi R, Kern B, Choi IY, Lim H, Oh Y, Lannon B, Kim KJ, Bell S, Hur JK, Hwang W, Che YH, Habib O, Baloh RH, Eggan K, Brandacher G, Hoke A, Studer L, Kim YJ, Lee G. 2019; Comparison of three congruent patient-specific cell types for the modelling of a human genetic Schwann-cell disorder. Nat Biomed Eng. 3:571–582. DOI: 10.1038/s41551-019-0381-8. PMID: 30962586. PMCID: PMC6612317.
Article
18. Oh Y, Cho GS, Li Z, Hong I, Zhu R, Kim MJ, Kim YJ, Tampakakis E, Tung L, Huganir R, Dong X, Kwon C, Lee G. 2016; Functional coupling with cardiac muscle promotes maturation of hPSC-derived sympathetic neurons. Cell Stem Cell. 19:95–106. DOI: 10.1016/j.stem.2016.05.002. PMID: 27320040. PMCID: PMC4996639.
Article
19. Gu W, Wang H, Huang X, Kraiczy J, Singh PNP, Ng C, Dagdeviren S, Houghton S, Pellon-Cardenas O, Lan Y, Nie Y, Zhang J, Banerjee KK, Onufer EJ, Warner BW, Spence J, Scherl E, Rafii S, Lee RT, Verzi MP, Redmond D, Longman R, Helin K, Shivdasani RA, Zhou Q. 2022; SATB2 preserves colon stem cell identity and mediates ileum-colon conversion via enhancer remodeling. Cell Stem Cell. 29:101–115.e10. DOI: 10.1016/j.stem.2021.09.004. PMID: 34582804. PMCID: PMC8741647.
Article
20. Dekkers JF, Wiegerinck CL, de Jonge HR, Bronsveld I, Janssens HM, de Winter-de Groot KM, Brandsma AM, de Jong NW, Bijvelds MJ, Scholte BJ, Nieuwenhuis EE, van den Brink S, Clevers H, van der Ent CK, Middendorp S, Beekman JM. 2013; A functional CFTR assay using primary cystic fibrosis intestinal organoids. Nat Med. 19:939–945. DOI: 10.1038/nm.3201. PMID: 23727931.
Article
21. Kim YJ, Lim H, Li Z, Oh Y, Kovlyagina I, Choi IY, Dong X, Lee G. 2014; Generation of multipotent induced neural crest by direct reprogramming of human postnatal fibroblasts with a single transcription factor. Cell Stem Cell. 15:497–506. DOI: 10.1016/j.stem.2014.07.013. PMID: 25158936.
Article
22. Ramalingam S, Daughtridge GW, Johnston MJ, Gracz AD, Magness ST. 2012; Distinct levels of Sox9 expression mark colon epithelial stem cells that form colonoids in culture. Am J Physiol Gastrointest Liver Physiol. 302:G10–G20. DOI: 10.1152/ajpgi.00277.2011. PMID: 21995959. PMCID: PMC3345960.
23. Linan-Rico A, Ochoa-Cortes F, Beyder A, Soghomonyan S, Zuleta-Alarcon A, Coppola V, Christofi FL. 2016; Mechanosensory signaling in enterochromaffin cells and 5-HT release: potential implications for gut inflammation. Front Neurosci. 10:564. DOI: 10.3389/fnins.2016.00564. PMID: 28066160. PMCID: PMC5165017. PMID: 1bf89b535afe480d81ba16b4085a369e.
Article
24. Goode T, O'Connor T, Hopkins A, Moriarty D, O'Sullivan GC, Collins JK, O'Donoghue D, Baird AW, O'Connell J, Shanahan F. 2003; Neurokinin-1 receptor (NK-1R) expression is induced in human colonic epithelial cells by proinflam-matory cytokines and mediates proliferation in response to substance P. J Cell Physiol. 197:30–41. DOI: 10.1002/jcp.10234. PMID: 12942538.
Article
25. Nerurkar NL, Mahadevan L, Tabin CJ. 2017; BMP signaling controls buckling forces to modulate looping morphogenesis of the gut. Proc Natl Acad Sci U S A. 114:2277–2282. DOI: 10.1073/pnas.1700307114. PMID: 28193855. PMCID: PMC5338480.
Article
26. Castillo D, Puig S, Iglesias M, Seoane A, de Bolós C, Munitiz V, Parrilla P, Comerma L, Poulsom R, Krishnadath KK, Grande L, Pera M. 2012; Activation of the BMP4 pathway and early expression of CDX2 characterize non-specialized columnar metaplasia in a human model of Barrett's esophagus. J Gastrointest Surg. 16:227–237. discussion 237DOI: 10.1007/s11605-011-1758-5. PMID: 22076569.
Article
27. Zhou G, Sun YG, Wang HB, Wang WQ, Wang XW, Fang DC. 2009; Acid and bile salt up-regulate BMP4 expression in human esophageal epithelium cells. Scand J Gastroenterol. 44:926–932. DOI: 10.1080/00365520902998661. PMID: 19488929.
Article
28. Moore-Scott BA, Opoka R, Lin SC, Kordich JJ, Wells JM. 2007; Identification of molecular markers that are expressed in discrete anterior-posterior domains of the endoderm from the gastrula stage to mid-gestation. Dev Dyn. 236:1997–2003. DOI: 10.1002/dvdy.21204. PMID: 17576135.
Article
29. Parikh K, Antanaviciute A, Fawkner-Corbett D, Jagielowicz M, Aulicino A, Lagerholm C, Davis S, Kinchen J, Chen HH, Alham NK, Ashley N, Johnson E, Hublitz P, Bao L, Lukomska J, Andev RS, Björklund E, Kessler BM, Fischer R, Goldin R, Koohy H, Simmons A. 2019; Colonic epithelial cell diversity in health and inflammatory bowel disease. Nature. 567:49–55. DOI: 10.1038/s41586-019-0992-y. PMID: 30814735.
Article
30. Dharshika C, Gulbransen BD. 2023; Enteric neuromics: how high-throughput "Omics" deepens our understanding of enteric nervous system genetic architecture. Cell Mol Gastroe-nterol Hepatol. 15:487–504. DOI: 10.1016/j.jcmgh.2022.10.019. PMID: 36368612. PMCID: PMC9792566.
Article
31. Uesaka T, Young HM, Pachnis V, Enomoto H. 2016; Development of the intrinsic and extrinsic innervation of the gut. Dev Biol. 417:158–167. DOI: 10.1016/j.ydbio.2016.04.016. PMID: 27112528.
Article
32. McMahon D. 1974; Chemical messengers in development: a hypothesis. Science. 185:1012–1021. DOI: 10.1126/science.185.4156.1012. PMID: 4152810.
Article
33. LoTurco JJ, Owens DF, Heath MJ, Davis MB, Kriegstein AR. 1995; GABA and glutamate depolarize cortical progenitor cells and inhibit DNA synthesis. Neuron. 15:1287–1298. DOI: 10.1016/0896-6273(95)90008-X. PMID: 8845153.
Article
34. Demarque M, Represa A, Becq H, Khalilov I, Ben-Ari Y, Aniksztejn L. 2002; Paracrine intercellular communication by a Ca2+− and SNARE-independent release of GABA and glutamate prior to synapse formation. Neuron. 36:1051–1061. DOI: 10.1016/S0896-6273(02)01053-X. PMID: 12495621.
Article
35. Ben-Ari Y, Gaiarsa JL, Tyzio R, Khazipov R. 2007; GABA: a pioneer transmitter that excites immature neurons and generates primitive oscillations. Physiol Rev. 87:1215–1284. DOI: 10.1152/physrev.00017.2006. PMID: 17928584.
Article
36. Yun W, Kim YJ, Lee G. 2022; Direct conversion to achieve glial cell fates: oligodendrocytes and Schwann cells. Int J Stem Cells. 15:14–25. DOI: 10.15283/ijsc22008. PMID: 35220289. PMCID: PMC8889328.
Article
37. Wang H, Foong JPP, Harris NL, Bornstein JC. 2022; Enteric neuroimmune interactions coordinate intestinal responses in health and disease. Mucosal Immunol. 15:27–39. DOI: 10.1038/s41385-021-00443-1. PMID: 34471248. PMCID: PMC8732275.
Article
38. Dunlop SP, Jenkins D, Neal KR, Spiller RC. 2003; Relative importance of enterochromaffin cell hyperplasia, anxiety, and depression in postinfectious IBS. Gastroenterology. 125:1651–1659. DOI: 10.1053/j.gastro.2003.09.028. PMID: 14724817.
Article
39. Barbara G, Stanghellini V, De Giorgio R, Cremon C, Cottrell GS, Santini D, Pasquinelli G, Morselli-Labate AM, Grady EF, Bunnett NW, Collins SM, Corinaldesi R. 2004; Acti-vated mast cells in proximity to colonic nerves correlate with abdominal pain in irritable bowel syndrome. Gastro-enterology. 126:693–702. DOI: 10.1053/j.gastro.2003.11.055. PMID: 14988823.
Article
40. Atkinson W, Lockhart S, Whorwell PJ, Keevil B, Houghton LA. 2006; Altered 5-hydroxytryptamine signaling in patients with constipation- and diarrhea-predominant irritable bowel syndrome. Gastroenterology. 130:34–43. DOI: 10.1053/j.gastro.2005.09.031. PMID: 16401466.
Article
41. Barbara G, Wang B, Stanghellini V, de Giorgio R, Cremon C, Di Nardo G, Trevisani M, Campi B, Geppetti P, Tonini M, Bunnett NW, Grundy D, Corinaldesi R. 2007; Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology. 132:26–37. DOI: 10.1053/j.gastro.2006.11.039. PMID: 17241857.
Article
42. Park NY, Koh A. 2022; From the dish to the real world: modeling interactions between the gut and microorganisms in gut organoids by tailoring the gut milieu. Int J Stem Cells. 15:70–84. DOI: 10.15283/ijsc21243. PMID: 35220293. PMCID: PMC8889331.
Article
43. Lee H, Son MY. 2021; Current challenges associated with the use of human induced pluripotent stem cell-derived organoids in regenerative medicine. Int J Stem Cells. 14:9–20. DOI: 10.15283/ijsc20140. PMID: 33632980. PMCID: PMC7904522.
Article
Full Text Links
  • IJSC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr