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Regulation of the double-stranded RNA response through ADAR1 licenses metaplastic reprogramming in gastric epithelium
José B. Sáenz, … , Charles J. Cho, Jason C. Mills
José B. Sáenz, … , Charles J. Cho, Jason C. Mills
Published February 8, 2022
Citation Information: JCI Insight. 2022;7(3):e153511. https://doi.org/10.1172/jci.insight.153511.
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Research Article Cell biology Gastroenterology

Regulation of the double-stranded RNA response through ADAR1 licenses metaplastic reprogramming in gastric epithelium

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Abstract

Cells recognize both foreign and host-derived double-stranded RNA (dsRNA) via a signaling pathway that is usually studied in the context of viral infection. It has become increasingly clear that the sensing and handling of endogenous dsRNA is also critical for cellular differentiation and development. The adenosine RNA deaminase, ADAR1, has been implicated as a central regulator of the dsRNA response, but how regulation of the dsRNA response might mediate cell fate during injury and whether such signaling is cell intrinsic remain unclear. Here, we show that the ADAR1-mediated response to dsRNA was dramatically induced in 2 distinct injury models of gastric metaplasia. Mouse organoid and in vivo genetic models showed that ADAR1 coordinated a cell-intrinsic, epithelium-autonomous, and interferon signaling–independent dsRNA response. In addition, dsRNA accumulated within a differentiated epithelial population (chief cells) in mouse and human stomachs as these cells reprogrammed to a proliferative, reparative (metaplastic) state. Finally, chief cells required ADAR1 to reenter the cell cycle during metaplasia. Thus, cell-intrinsic ADAR1 signaling is critical for the induction of metaplasia. Because metaplasia increases cancer risk, these findings support roles for ADAR1 and the response to dsRNA in oncogenesis.

Authors

José B. Sáenz, Nancy Vargas, Charles J. Cho, Jason C. Mills

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Figure 1

Double-stranded RNA accumulates within inflamed gastric epithelium.

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Double-stranded RNA accumulates within inflamed gastric epithelium.
(A) ...
(A) Representative gastric corpus sections from wild-type mice treated with HD-Tam for the indicated times. Isolated dsRNA signal is shown in the top panels and merged images at the bottom. Scale bars, 20 μm. Images are representative of 3 mice per time point. (B) Quantification of epithelial cells harboring dsRNA. Each data point represents the total dsRNA/E-cadherin double-positive cells within a randomly selected HPF from 3 mice per time point. (C and D) Representative mouse corpus gland bases following 12 hours of HD-Tam demonstrating the accumulation of dsRNA within epithelial cells (C; red) and within chief cells (D; highlighted by GIF in green). Scale bars, 10 μm. (E–H) dsRNA expression in human gastric epithelium. (F) A gastric corpus biopsy from an H. pylori–positive patient with chronic atrophic gastritis demonstrates dsRNA (red) within inflamed epithelial cells (outlined in white) and largely absent from metaplastic cells (yellow arrowheads) showing GSII positivity (green). (G) A metaplastic corpus gland base from an H. pylori–positive patient with chronic atrophic gastritis demonstrates a relative paucity of dsRNA within metaplastic epithelium (marked in green; right panel). (H) This metaplastic corpus gland base from an H. pylori–positive patient with chronic atrophic gastritis shows hybrid features, with dsRNA accumulating in inflamed epithelium but largely excluded from metaplastic cells. Yellow arrowheads point to metaplastic cells at gland bases that express the mucous neck cell marker, GSII (green), and show a relative paucity of dsRNA. No dsRNA is seen in uninflamed gastric epithelial cells in an H. pylori–negative, uninflamed gastric biopsy (E). For G and H, isolated dsRNA and E-cadherin signals are shown in the left panels. Scale bars, 10 μm. HD-Tam, high-dose tamoxifen; GIF, gastric intrinsic factor.

Copyright © 2022 American Society for Clinical Investigation
ISSN 2379-3708

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