Go to The Journal of Clinical Investigation
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
  • Physician-Scientist Development
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Immunology
    • Metabolism
    • Nephrology
    • Oncology
    • Pulmonology
    • All ...
  • Videos
  • Collections
    • In-Press Preview
    • Resource and Technical Advances
    • Clinical Research and Public Health
    • Research Letters
    • Editorials
    • Perspectives
    • Physician-Scientist Development
    • Reviews
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • In-Press Preview
  • Resource and Technical Advances
  • Clinical Research and Public Health
  • Research Letters
  • Editorials
  • Perspectives
  • Physician-Scientist Development
  • Reviews
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Transfers
  • Advertising
  • Job board
  • Contact
EPIREGULIN creates a developmental niche for spatially organized human intestinal enteroids
Charlie J. Childs, Emily M. Holloway, Caden W. Sweet, Yu-Hwai Tsai, Angeline Wu, Abigail Vallie, Madeline K. Eiken, Meghan M. Capeling, Rachel K. Zwick, Brisa Palikuqi, Coralie Trentesaux, Joshua H. Wu, Oscar Pellón-Cardenas, Charles J. Zhang, Ian Glass, Claudia Loebel, Qianhui Yu, J. Gray Camp, Jonathan Z. Sexton, Ophir D. Klein, Michael P. Verzi, Jason R. Spence
Charlie J. Childs, Emily M. Holloway, Caden W. Sweet, Yu-Hwai Tsai, Angeline Wu, Abigail Vallie, Madeline K. Eiken, Meghan M. Capeling, Rachel K. Zwick, Brisa Palikuqi, Coralie Trentesaux, Joshua H. Wu, Oscar Pellón-Cardenas, Charles J. Zhang, Ian Glass, Claudia Loebel, Qianhui Yu, J. Gray Camp, Jonathan Z. Sexton, Ophir D. Klein, Michael P. Verzi, Jason R. Spence
View: Text | PDF
Resource and Technical Advance Development Stem cells

EPIREGULIN creates a developmental niche for spatially organized human intestinal enteroids

  • Text
  • PDF
Abstract

Epithelial organoids derived from intestinal tissue, called enteroids, recapitulate many aspects of the organ in vitro and can be used for biological discovery, personalized medicine, and drug development. Here, we interrogated the cell signaling environment within the developing human intestine to identify niche cues that may be important for epithelial development and homeostasis. We identified an EGF family member, EPIREGULIN (EREG), which is robustly expressed in the developing human crypt. Enteroids generated from the developing human intestine grown in standard culture conditions, which contain EGF, are dominated by stem and progenitor cells and feature little differentiation and no spatial organization. Our results demonstrate that EREG can replace EGF in vitro, and EREG leads to spatially resolved enteroids that feature budded and proliferative crypt domains and a differentiated villus-like central lumen. Multiomic (transcriptome plus epigenome) profiling of native crypts, EGF-grown enteroids, and EREG-grown enteroids showed that EGF enteroids have an altered chromatin landscape that is dependent on EGF concentration, downregulate the master intestinal transcription factor CDX2, and ectopically express stomach genes, a phenomenon that is reversible. This is in contrast to EREG-grown enteroids, which remain intestine like in culture. Thus, EREG creates a homeostatic intestinal niche in vitro, enabling interrogation of stem cell function, cellular differentiation, and disease modeling.

Authors

Charlie J. Childs, Emily M. Holloway, Caden W. Sweet, Yu-Hwai Tsai, Angeline Wu, Abigail Vallie, Madeline K. Eiken, Meghan M. Capeling, Rachel K. Zwick, Brisa Palikuqi, Coralie Trentesaux, Joshua H. Wu, Oscar Pellón-Cardenas, Charles J. Zhang, Ian Glass, Claudia Loebel, Qianhui Yu, J. Gray Camp, Jonathan Z. Sexton, Ophir D. Klein, Michael P. Verzi, Jason R. Spence

×

Figure 1

Identification of EREG as a niche cue.

Options: View larger image (or click on image) Download as PowerPoint
Identification of EREG as a niche cue.
(A) Aggregated cell-cell communic...
(A) Aggregated cell-cell communication networks showing the number of interactions (left) or total weighted interaction strengths (right) between all cell types found in 127-day and 132-day fetal tissue single-cell data sets. SEC, subepithelial cells; SMC, smooth muscle cells; Mes, mesenchyme; BEST4+ Ent, BEST4+ enterocytes; goblet, goblet cells; tuft, tuft cells; EEC, enteroendocrine cells; ISC, intestinal stem cells; EC, endothelial cells; Ent, enterocytes. (B) Chord diagram of predicted EGF signaling events throughout the entire data set. (C) Aggregated cell-cell communication networks showing the number of interactions (left) or total weighted interaction strengths (right) between a subset of cell types (stem cells and all other cell types) in 127-day and 132-day fetal tissue single-cell data sets. (D) Chord diagram of predicted EGF signaling events throughout the subsetted data set. (E) UMAP visualization of human fetal small intestinal epithelium (1,009 cells, n = 3 biological replicates, 127-day and 132-day). Epithelial cluster identity was determined by expression of canonical lineage markers. (F) Dot plot visualization of stem cell markers (LGR5, OLFM4), enterocyte markers (FABP2, SI, DPP4), EGF ligands, and EGF family receptors among human fetal epithelial data sets. (G) Co-FISH/immunofluorescence staining for EREG (green), EGF (pink), and ECAD (gray) in human fetal duodenum (127-day). Right of main image: zoomed-in images of villus and crypt regions. (H) Quantification of EREG and EGF mRNA molecules in crypt and villus regions (n = 3 – 127-day specimen, n = 1 – 132-day specimen, and n = 1 – 140-day specimen). Statistical significance was determined using an unpaired Welch’s 2-tailed t test using GraphPad Prism software (crypt significance ***P = 0.0005, villus significance **P = 0.0033). (I) Co-FISH/immunofluorescence staining for EREG (green), stem cell markers (LGR5, OLFM4; pink), and ECAD (gray) in human fetal duodenum (127-day).

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

Sign up for email alerts