Lymphatics act as a signaling hub to regulate intestinal stem cell activity


Intestinal epithelium has a complex task to act as a semipermeable barrier that allows the absorption of nutrients and immune sensing, while limiting the transport of potentially harmful antigens and microorganisms. Intestinal stem cells are multipotent adult stem cells, which in mammals reside in the base of the crypts of the adult intestine. They are continuously self-renew by dividing and differentiate into the specialized cells of the intestinal epithelium, which renews throughout life. The intestine’s resident stem cells are responsible for meeting the need for constant repair and replenishment, but each stem cell faces decisions that depend on the overall conditions of the intestine and the needs of the moment. Bad decisions and poor coordination could result in intestinal diseases or cancer.

A new study suggests that stem cells are able to integrate cues from their surroundings and coordinate their behavior across the tissue through networks of vasculature in their close vicinity. Rockefeller scientists found that lymphatic capillaries represent a signaling hub that communicates with stem cells to regulate their activity. With molecular guidance from the lymphatics, the stem cells produce daughter cells to repopulate the intestinal lining or self-renew to restock the stem cell reserve.  The findings, published in the journal Cell Stem Cell, provide new insights about primary intestinal components whose disrupted communication may contribute to intestinal disorders, such as inflammatory bowel disease.

The intestinal stem cells reside in so-called crypts, found at the base of densely packed indentations in the intestinal lining. The stem cells may renew and stay in the crypt, or differentiate into specialized cells, which then migrate out of the crypt to replenish the gut lining. To understand how stem cells balance self-renewal with differentiation, a more complete picture of crypt niches is required.

To zoom in on the crypt, the team used a suite of techniques, including single-cell and spatial transcriptomics, which allowed them to identify cell types at specific locations and study their signaling molecules. The results showed that lymphatic capillaries, which form an intimate connection with the stem cells in the crypt, produce a number of proteins known to be important for stem cell functioning. One previously underappreciated protein, REELIN, emerged as a top candidate for mediating communications between lymphatics and stem cells. By manipulating the amount of REELIN in lab-grown intestinal organoid cultures in some experiments and genetically suppressing it in mice in others, the researchers found that REELIN directly governs the regenerative behavior of intestinal stem cells.

The involvement of the lymphatic system in stem cell functioning is a relatively new concept. A previous study by the Fuchs team revealed that lymphatics are also closely involved with stem cells of the skin and play a key role in hair regeneration. There, however, it is the hair follicle stem cells that signal to lymphatic capillaries. By controlling their interactions with lymphatics, the stem cells synchronize hair regeneration across the tissue. This suggests that lymphatics may be a conserved feature of stem cell niches, but their relationship to stem cells are likely tailored around the needs of each tissue.

Lymphatics act as a signaling hub to regulate intestinal stem cell activity - Medicine Innovates

About the author

Dr. Fuchs is the Rebecca C. Lancefield Professor and a professor of mammalian cell biology and development at The Rockefeller University.

Elaine Fuchs studies adult stem cells that reside in the skin – where they come from and how they make and repair tissues. Fuchs and her team explore how stem cells communicate with neighboring cells, including immune cells, and how this changes in response to wounding and pathogens.  Working with mice, the team employs classical genetics, RNAi, CRISPR-Cas and high throughput genomic technologies to unravel the pathways that balance stem cell maintenance and differentiation in normal tissue and in wound-repair, and to investigate aberrant routes in aging, inflammation and cancers. Their work is advancing our understanding of tissue regeneration, wound healing and inflammatory disorders as well as malignancy and tumor resistance.

About the author

Rachel Niec, MD, Ph.D.

Clinical Scholar

Rachel received her B.A. in Molecular Biology from Mills College in California and completed her MD and PhD in the Tri-Institutional MD-PhD training program at The Rockefeller University, Memorial Sloan Kettering Cancer Center, and Weill Cornell Medicine. Her PhD research with Dr. Alexander Rudensky at Memorial Sloan Kettering focused on regulatory T cell-mediated control of inflammation at barrier surfaces. She is currently board-certified in internal medicine and is completing a research-track fellowship in Gastroenterology at Weill Cornell. In the Fuchs lab, Rachel is interested in exploring immune-epithelial interactions within the skin and gastrointestinal tract.


Niec RE, Chu T, Schernthanner M, Gur-Cohen S, Hidalgo L, Pasolli HA, Luckett KA, Wang Z, Bhalla SR, Cambuli F, Kataru RP, Ganesh K, Mehrara BJ, Pe’er D, Fuchs E. Lymphatics act as a signaling hub to regulate intestinal stem cell activity. Cell Stem Cell. 2022;29(7):1067-1082.e18. doi: 10.1016/j.stem.2022.05.007.

Go To Cell Stem Cell.