期刊
CELL STEM CELL
卷 26, 期 6, 页码 910-+出版社
CELL PRESS
DOI: 10.1016/j.stem.2020.03.006
关键词
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资金
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) [DK094989, DK105129, DK110406]
- Alvin J. Siteman Cancer Center-Barnes Jewish Hospital Foundation Cancer Frontier Fund
- NIH National Cancer Institute [P30 CA091842]
- Barnard Trust
- National Institute of General Medical Sciences (NIGMS) [GM103757]
- NIDDK award [DK077653]
- National Key R&D Program of China [2017YFC0908300, 2017YFC0908305]
- Liaoning Province Central Guided Local Science and Technology Development Special Fund [2018107004]
- NIH Shared Instrumentation Grant [S10 RR0227552]
- NIDDK [P30 DK052574]
- Washington University School of Medicine
- Children's Discovery Institute of Washington University
- St. Louis Children's Hospital [CDI-CORE-2015-505, CDI-CORE-2019-813]
- Foundation for Barnes-Jewish Hospital [3770, 4642]
- Diabetes Research Center [P30 DK020579]
Cellular metabolism plays important functions in dictating stem cell behaviors, although its role in stomach epithelial homeostasis has not been evaluated in depth. Here, we show that the energy sensor AMP kinase (AMPK) governs gastric epithelial progenitor differentiation. Administering the AMPK activator metformin decreases epithelial progenitor proliferation and increases acid-secreting parietal cells (PCs) in mice and organoids. AMPK activation targets Krppel-like factor 4 (KLF4), known to govern progenitor proliferation and PC fate choice, and PGC1 alpha, which we show controls PC maturation after their specification. PC-specific deletion of AMPK alpha or PGC1 alpha causes defective PC maturation, which could not be rescued by metformin. However, metformin treatment still increases KLF4 levels and suppresses progenitor proliferation. Thus, AMPK activates KLF4 in progenitors to reduce self-renewal and promote PC fate, whereas AMPK-PGC1 alpha activation within the PC lineage promotes maturation, providing a potential suggestion for why metformin increases acid secretion and reduces gastric cancer risk in humans.
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