Tissue-adapted Tregs harness inflammatory signals to promote intestinal repair from therapy-related injury

Intestinal stem cells (ISCs) promote tissue repair after genotoxic or immune-mediated injury. However, ISCs are particularly sensitive to various stressors and primary targets of overwhelming immune responses, such as interferon γ (IFNγ)-mediated killing. In mouse models of radiation therapy-induced gut damage and in biopsies from patients who underwent allogeneic hematopoietic stem cell transplantation, we observed IFNγ expression by intestinal T<sub>reg</sub> cells. T<sub>reg</sub> cells leverage combined IFNγ and interleukin 10 (IL-10) stimulation of ISCs to nurture the growth of intestinal organoids through the activation of the mTORC1 and Myc pathways. Similarly, T<sub>reg</sub> cells or the combined addition of recombinant IFNγ and IL-10 promoted the regeneration of organoids after irradiation, and both cytokines were essential for ensuring epithelial regeneration following acute intestinal tissue injury in vivo. The exposure of organoids to growth factor-free culture conditions revealed distinct EGF-like properties of IFNγ and Wnt-like properties of IL-10. While IFNγ rapidly induced epithelial proliferation, it depleted the pool of ISCs in vitro. Only the combination of IFNγ and IL-10 led to epithelial proliferation and organoid growth while simultaneously ensuring ISC maintenance over time. Our results reveal a context-dependent role of inflammatory signaling in ISCs, through which T<sub>reg</sub> cells promote epithelial repair following therapy-induced injury.

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Publication Details

Journal
Signal Transduction and Targeted Therapy
Published
2025-11-25
DOI
https://doi.org/10.1038/s41392-025-02476-5
Primary Topic
Cancer Cells and Metastasis
Type
article
Field-Weighted Citation Impact
0.00

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article

Tissue-adapted Tregs harness inflammatory signals to promote intestinal repair from therapy-related injury

Katja Steiger, Markus Tschurtschenthaler, Caroline N. Walther, Lena Klostermeier et al.
Signal Transduction and Targeted Therapy
Cancer Cells and Metastasis
article

Tissue-adapted Tregs harness inflammatory signals to promote intestinal repair from therapy-related injury

Katja Steiger, Markus Tschurtschenthaler, Caroline N. Walther, Lena Klostermeier, Maike Büttner‐Herold, Thomas Engleitner, Sebastian Jarosch, Petra Hoffmann, Laura Lansink Rotgerink, Ernst Holler, Daniel Wolff, Erik Thiele Orberg, Rupert Öllinger, Hendrik Poeck, Michael Rehli, Markus Feuerer, Oliver Kepp, Sarah Diederich, Florian C. Bassermann, Stephanie Elisabeth Combs, Dirk Hans Busch, Sascha Göttert, Marianne Remke, Paul Heinrich, Nicholas Strieder, Sophie M. Nefzger, Julius Fischer, Simon Heidegger, Guido Kroemer, Eva Vonbrunn, Sakhila Ghimire, Matthias Edinger, Roland Rad, Claudia Gebhard, Gabriel Eisenkolb, Laura Joachim, Vincent R. Timnik, Kaiji Fan, Maximilian Giller, Wolfgang Herr, Omer Khalid, Nicole A Schmid, Maria Drießlein
article en

Abstract

Intestinal stem cells (ISCs) promote tissue repair after genotoxic or immune-mediated injury. However, ISCs are particularly sensitive to various stressors and primary targets of overwhelming immune responses, such as interferon γ (IFNγ)-mediated killing. In mouse models of radiation therapy-induced gut damage and in biopsies from patients who underwent allogeneic hematopoietic stem cell transplantation, we observed IFNγ expression by intestinal T<sub>reg</sub> cells. T<sub>reg</sub> cells leverage combined IFNγ and interleukin 10 (IL-10) stimulation of ISCs to nurture the growth of intestinal organoids through the activation of the mTORC1 and Myc pathways. Similarly, T<sub>reg</sub> cells or the combined addition of recombinant IFNγ and IL-10 promoted the regeneration of organoids after irradiation, and both cytokines were essential for ensuring epithelial regeneration following acute intestinal tissue injury in vivo. The exposure of organoids to growth factor-free culture conditions revealed distinct EGF-like properties of IFNγ and Wnt-like properties of IL-10. While IFNγ rapidly induced epithelial proliferation, it depleted the pool of ISCs in vitro. Only the combination of IFNγ and IL-10 led to epithelial proliferation and organoid growth while simultaneously ensuring ISC maintenance over time. Our results reveal a context-dependent role of inflammatory signaling in ISCs, through which T<sub>reg</sub> cells promote epithelial repair following therapy-induced injury.

Signal Transduction and Targeted TherapyVol. 10(1)
Inserm (FR), German Cancer Research Center (DE), Friedrich-Alexander-Universität Erlangen-Nürnberg (DE), Institut Universitaire de France (FR), Université Paris Cité (FR), Université Paris-Saclay (FR), Institut Gustave Roussy (FR), University Hospital Regensburg (DE), Leibniz Association (DE), Sorbonne Université (FR), Universitätsklinikum Erlangen (DE), Centre de Recherche des Cordeliers (FR), Universitäres Kinderwunschzentrum Lübeck (DE), Hôpital Européen Georges-Pompidou (FR), Hôpital Européen (FR), Institute of Clinical Cancer Research (DE), Institute of Medical Microbiology and Hygiene (DE), Leibniz Institute for Immunotherapy, Tumkur University (IN), Technical University of Munich (DE)
Melanoma Research Alliance, Association pour la Recherche sur le Cancer, Wilhelm Sander-Stiftung, European Commission, Deutsche Forschungsgemeinschaft, Else Kröner-Fresenius-Stiftung, José Carreras Leukämie-Stiftung, Deutsche Krebshilfe, Institut National Du Cancer, HORIZON EUROPE European Innovation Council
Openalex Percentile: Top 49%
Cancer Cells and Metastasis
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