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Updated: Jan 18, 2026

Conditional Reprogramming of Pediatric Human Esophageal Epithelial Cells for Use in Tissue Engineering and Disease Investigation
Published on: March 22, 2017
Energy deficiency selects crowded live epithelial cells for extrusion
Saranne J Mitchell1,2,3,4, Carlos Pardo-Pastor1,2,4,5, Anastassia Tchoumakova1,2,4
1The Randall Centre for Cell & Molecular Biophysics, School of Basic & Medical Biosciences, King's College London, London, UK.
Crowded epithelial cells with low energy are selected for extrusion. Sodium entry via epithelial sodium channels (ENaC) triggers this process, highlighting the role of ion channels in cell turnover.
Area of Science:
- Cell Biology
- Physiology
- Biophysics
Background:
- Epithelial cells form a protective barrier through rapid cell division and death.
- Imbalances in cell division and death can lead to barrier dysfunction or tumor formation.
- Mechanical forces, mediated by Piezo1, influence cell division and crowding-induced cell extrusion.
Purpose of the Study:
- To identify the specific mechanisms that select which crowded cell undergoes extrusion.
- To elucidate the role of cellular energy and membrane potential in this selection process.
- To understand the upstream regulators of Piezo1 in epithelial cell turnover.
Main Methods:
- Investigated cellular responses to crowding in epithelial cells.
- Measured cellular energy (ATP levels) and membrane potential.
- Analyzed ion channel activity, including epithelial sodium channels (ENaC), Kv1.1, Kv1.2, and SWELL1.
- Observed water transport and cell volume changes.
Main Results:
- Crowded cells with the lowest energy and membrane potential are preferentially selected for extrusion.
- Crowding induces sodium entry via ENaC, leading to cell depolarization.
- Cells with limited ATP cannot repolarize and undergo water egress, causing shrinkage and activating extrusion.
- This mechanism acts upstream of Piezo1, involving ENaC as a tension sensor.
Conclusions:
- Cellular energy levels and membrane potential are critical determinants of cell extrusion.
- ENaC acts as a sensor, identifying low-energy cells for extrusion and preventing inappropriate activation of Piezo1.
- Water regulation and specific ion channels are key regulators of epithelial cell turnover and barrier integrity.
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