Microbes and diet reshape the intestine via distinct cellular dynamics

The intestine adapts to environmental stimuli by dynamically altering its size. Infections causes shrinkage and subsequent regrowth to original intestinal dimensions, suggesting homeostasis, whereas diet can induce adaptive changes. Whether diet and infection differ in the kinetics, magnitude, or cellular mechanisms that drive intestinal resizing, and whether intestines use a fixed size "memory" versus an adaption to nutrient availability, still remains unclear.

To determine whether intestinal regrowth after infection reflects a fixed "memory" of a target size (homeostasis) or an adaptation to the nutritional state during regrowth, and to identify the cellular modalities that drive infection- and diet-induced resizing.

Using Drosophila melanogaster as a model, we quantified intestinal size, cell size, cell number, and epithelial turnover in response to dietary shifts and oral bacterial infections, both individually and in combination.

Infection-induced atrophy occurred only when the intestine was initially large, and regrowth required nutrient availability. Distinct cellular mechanisms underpinned changes in intestinal size: diet-induced growth in unchallenged intestines was mediated by enterocyte hypertrophy, whereas post-infection regrowth required intestinal stem cell (ISC) proliferation. Consistently, ISC ablation impaired regrowth only after infection. Bacteria functioned both as pathogens and nutrients, triggering intestinal shrinkage when damaging a large organ, but promoting growth when consumed by nutrient-deprived flies.

Intestinal regrowth after infection reflects a context-dependent, diet-driven adaptation, not a fixed intestinal size memory. Diet and infection engage distinct, stimulus-specific cellular programs to reshape the midgut, revealing a modular logic of organ plasticity with implications for tissue repair and metabolic regulation.