PMID- 21995959 OWN - NLM STAT- MEDLINE DCOM- 20120216 LR - 20240629 IS - 1522-1547 (Electronic) IS - 0193-1857 (Print) IS - 0193-1857 (Linking) VI - 302 IP - 1 DP - 2012 Jan 1 TI - Distinct levels of Sox9 expression mark colon epithelial stem cells that form colonoids in culture. PG - G10-20 LID - 10.1152/ajpgi.00277.2011 [doi] AB - Sox9 is an high-mobility group box transcription factor that is expressed in the stem cell zone of the small intestine and colon. We have previously used a Sox9EGFP mouse model to demonstrate that discrete levels of Sox9 expression mark small intestine epithelial stem cells that form crypt/villus-like structures in a three-dimensional culture system (Formeister EJ, Sionas AL, Lorance DK, Barkley CL, Lee GH, Magness ST. Am J Physiol Gastrointest Liver Physiol 296: G1108-G1118, 2009; Gracz AD, Ramalingam S, Magness ST. Am J Physiol Gastrointest Liver Physiol 298: G590-G600, 2010). In the present study, we hypothesized that discrete levels of Sox9 expression would also mark colonic epithelial stem cells (CESCs). Using the Sox9EGFP mouse model, we show that lower levels of Sox9 mark cells in the transit-amplifying progenitor cell zone, while higher levels of Sox9 mark cells in the colonic crypt base. Furthermore, we demonstrate that variable SOX9 levels persist in cells of colonic adenomas from mice and humans. Cells expressing lower Sox9 levels demonstrate gene expression profiles consistent with more differentiated populations, and cells expressing higher Sox9 levels are consistent with less differentiated populations. When placed in culture, cells expressing the highest levels of Sox9 formed "colonoids," which are defined as bodies of cultured colonic epithelial cells that possess multiple cryptlike structures and a pseudolumen. Cells expressing the highest levels of Sox9 also demonstrate multipotency and self-renewal in vitro, indicating functional stemness. These data suggest a dose-dependent role for Sox9 in normal CESCs and cells comprising colon tumors. Furthermore, distinct Sox9 levels represent a new biomarker to study CESC and progenitor biology in physiological and disease states. FAU - Ramalingam, S AU - Ramalingam S AD - Department of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA. FAU - Daughtridge, G W AU - Daughtridge GW FAU - Johnston, M J AU - Johnston MJ FAU - Gracz, A D AU - Gracz AD FAU - Magness, S T AU - Magness ST LA - eng GR - K01 DK080181/DK/NIDDK NIH HHS/United States GR - P30-DK034987/DK/NIDDK NIH HHS/United States GR - 5-P50-CA 106991/CA/NCI NIH HHS/United States GR - K01-DK080181/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111013 PL - United States TA - Am J Physiol Gastrointest Liver Physiol JT - American journal of physiology. Gastrointestinal and liver physiology JID - 100901227 RN - 0 (SOX9 Transcription Factor) RN - 0 (Sox9 protein, mouse) SB - IM MH - Adenoma/genetics/*metabolism MH - Animals MH - Cell Differentiation MH - Cells, Cultured MH - Colon/*metabolism MH - Colonic Neoplasms/genetics/*metabolism MH - Female MH - Gene Expression Profiling MH - Humans MH - Intestinal Mucosa/metabolism MH - Male MH - Mice MH - SOX9 Transcription Factor/*biosynthesis MH - Stem Cells/metabolism PMC - PMC3345960 EDAT- 2011/10/15 06:00 MHDA- 2012/02/18 06:00 PMCR- 2013/01/01 CRDT- 2011/10/15 06:00 PHST- 2011/10/15 06:00 [entrez] PHST- 2011/10/15 06:00 [pubmed] PHST- 2012/02/18 06:00 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - ajpgi.00277.2011 [pii] AID - GI-00277-2011 [pii] AID - 10.1152/ajpgi.00277.2011 [doi] PST - ppublish SO - Am J Physiol Gastrointest Liver Physiol. 2012 Jan 1;302(1):G10-20. doi: 10.1152/ajpgi.00277.2011. Epub 2011 Oct 13.