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Updated: Apr 3, 2026

Intestinal Epithelial Regeneration in Response to Ionizing Irradiation
Published on: July 27, 2022
Type 3 innate lymphoid cells maintain intestinal epithelial stem cells after tissue damage
Patricia Aparicio-Domingo1, Monica Romera-Hernandez1, Julien J Karrich1
1Department of Hematology and Department of Pediatrics, Division of Gastroenterology and Nutrition, Erasmus University Medical Center, 3015 CN Rotterdam, Netherlands.
Type 3 innate lymphoid cells (ILC3s) are crucial for intestinal healing after chemotherapy damage. These cells protect intestinal stem cells, preventing severe tissue damage and promoting mucosal repair.
Area of Science:
- Immunology
- Gastroenterology
- Stem Cell Biology
Background:
- The intestinal epithelial barrier is vital for preventing inflammation and requires continuous stem cell proliferation.
- Anticancer therapies can damage the gut lining due to high cell turnover, causing side effects.
- Mechanisms of mucosal protection and healing after intestinal damage are not fully understood.
Purpose of the Study:
- To investigate the role of Type 3 innate lymphoid cells (ILC3s) in intestinal epithelial repair after damage.
- To determine if ILC3s are necessary for maintaining intestinal stem cells following chemotherapy-induced injury.
Main Methods:
- Utilized ILC3-deficient Lgr5 reporter mice to study stem cell maintenance.
- Induced small intestinal tissue damage using the chemotherapeutic agent methotrexate.
- Analyzed epithelial activation, proliferation, and tissue pathology in the presence and absence of ILC3s and IL-22.
Main Results:
- ILC3s are required for epithelial activation and proliferation after methotrexate-induced intestinal damage.
- Absence of ILC3s leads to increased pathology and severe damage to intestinal crypts.
- Maintenance of intestinal stem cells is severely impaired without ILC3s or IL-22.
Conclusions:
- Type 3 innate lymphoid cells play a critical role in protecting the intestinal epithelium.
- ILC3s preserve intestinal stem cells, thereby limiting tissue damage and promoting mucosal healing.
- This study reveals a novel protective function of ILC3s in the context of chemotherapy-induced gut injury.
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