Cell https://doi.org/10.1016/j.cell.2018.10.008 (2018)

The gut epithelium constantly regenerates through the rapid proliferation and differentiation of intestinal stem cells (ISCs). In Cell, Biton et al. identify two subpopulations of proliferative Lgr5+ ISCs that express major histocompatibility class II (MHCII), process extracellular antigens and activate naive T cells. In intestinal organoid cultures, the addition of regulatory T cells or the anti-inflammatory cytokine IL-10 leads to the expansion of ISC populations; addition of the TH1 subset of helper T cells or the cytokine IFN-γ induces the differentiation of ISCs into Paneth cells; and the addition of TH2 cells or the cytokine IL-13 induces the differentiation of ISCs into tuft cells. In mice, infection with Salmonella enterica or Heligmosomoides polygyrus increases the frequency of MHCII+ ISCs and the number of Paneth cells or tuft cells, respectively. Mice that lack expression of MHCII on Lgr5+ ISCs or T cell–deficient mice have an increased number of ISCs. Regulatory T cell–deficient mice have a lower frequency of quiescent Lgr5+ ISCs, an increased frequency of MHCII+ ISCs and increased proliferation and differentiation of ISCs into Paneth and tuft cells.