Age-related human small intestine methylation: evidence for stem cell niches
© Kim et al; licensee BioMed Central Ltd. 2005
Received: 01 November 2004
Accepted: 23 June 2005
Published: 23 June 2005
The small intestine is constructed of many crypts and villi, and mouse studies suggest that each crypt contains multiple stem cells. Very little is known about human small intestines because mouse fate mapping strategies are impractical in humans. However, it is theoretically possible that stem cell histories are inherently written within their genomes. Genomes appear to record histories (as exemplified by use of molecular clocks), and therefore it may be possible to reconstruct somatic cell dynamics from somatic cell errors. Recent human colon studies suggest that random somatic epigenetic errors record stem cell histories (ancestry and total numbers of divisions). Potentially age-related methylation also occurs in human small intestines, which would allow characterization of their stem cells and comparisons with the colon.
Methylation patterns in individual crypts from 13 small intestines (17 to 78 years old) were measured by bisulfite sequencing. The methylation patterns were analyzed by a quantitative model to distinguish between immortal or niche stem cell lineages.
Age-related methylation was observed in the human small intestines. Crypt methylation patterns were more consistent with stem cell niches than immortal stem cell lineages. Human large and small intestine crypt niches appeared to have similar stem cell dynamics, but relatively less methylation accumulated with age in the small intestines. There were no apparent stem cell differences between the duodenum and ileum, and stem cell survival did not appear to decline with aging.
Crypt niches containing multiple stem cells appear to maintain human small intestines. Crypt niches appear similar in the colon and small intestine, and the small intestinal stem cell mitotic rate is the same as or perhaps slower than that of the colon. Although further studies are needed, age-related methylation appears to record somatic cell histories, and a somatic epigenetic molecular clock strategy may potentially be applied to other human tissues to reconstruct otherwise occult stem cell histories.
Although there are likely to be many stem cells per crypt [2–4], intestinal stem cells have not been directly isolated or identified, and their properties and numbers are uncertain. Stem cell lineages may be immortal if at least one daughter retains stem cell properties after each division. However, mouse studies are more consistent with periodic losses of crypt stem cell lineages. The primary observation is that heterogeneous crypts created through mutagenesis or with chimeras eventually become homogenous . If stem cell lineages were immortal, heterogeneous crypts would not become homogeneous.
Stem cell turnover by a niche mechanism [5, 6] can explain how heterogeneous crypts become homogeneous (Figure 1). Niche stem cells divide but total niche stem cell numbers remain unchanged as daughter cells constantly leave the niche and differentiate. Usually a stem cell produces one stem cell and one differentiated daughter (~95% of the time in mice ), but sometimes a stem cell lineage may become extinct when both daughter cells leave the niche, balanced by another stem cell lineage that expands when both daughters remain within the niche. Such a niche population-type mechanism (random stem cell loss with replacement) eventually results in the loss of all stem cell lineages except one, allowing heterogeneous crypts to become homogeneous (Figure 1).
Human stem cell studies are difficult because the powerful visible fate-marking strategies of animal models are impractical. Most human crypts are visually homogeneous and therefore consistent with either immortal or niche stem cell mechanisms. A study of human colon crypts after therapeutic radiation was consistent with stem cell niches because the frequencies of mutant heterogeneous crypts progressively declined after radiation . Similar studies have not been performed on human small intestines.
One method that can reconstruct the past without direct serial observations infers ancestry from present day sequences. The past is encoded in sequences because errors may accumulate in a clock-like fashion (the molecular clock hypothesis ) and record relationships between cells and times since the most recent common ancestor or bottleneck. Just as the age of the human race may be inferred by comparing contemporary genomes, so the ages of crypt stem cell populations may in theory be inferred from their sequences. With immortal stem cell lineages, adult crypts will have greater sequence diversity compared to crypts maintained by stem cell niches that periodically "bottleneck" whenever all but one current stem cell lineage are lost. Therefore, crypt diversity measurements potentially reveal whether stem cell lineages are immortal (last bottleneck around birth) or turn over by a niche mechanism (more recent bottlenecks).
Mutations are rare in normal cells, but recent studies illustrate that stem cell ancestries may be automatically recorded by random somatic epigenetic errors that frequently accumulate with aging . Methylation increases with age at certain CpG-rich regions in the colon [11, 12]. This age-related methylation does not resemble a stereotypic developmental process because different cells within the same intestine may have different methylation patterns (5' to 3' order of methylated sites). Such random somatic errors resemble the drift of genomes during species evolution, and by analogy, such drift can be used to reconstruct somatic cell ancestry because methylation exhibits somatic inheritance  and all cells are related. Therefore, somatic methylation patterns potentially encode numbers of divisions since birth, and ancestral relationships among cells within a single crypt or villus. Here we infer from methylation patterns that crypt niches containing multiple stem cells maintain the human small intestine.
Stem cell dynamics from methylation patterns
Stem Cell Niche
Stem Cells per Crypt
Probability of Asymmetric Stem Cell Division (P1)*
0.98 to 0.89
Probability of Symmetric Stem Cell Division: zero (P0) or two (P2) stem cell offspring*
0.02 to 0.11
Methylation Error Rate
2 × 10-5 per CpG site per division**
2 × 10-5 per CpG site per division**
Stem Cell Division Rate
0.75 per day
0.75 per day
A stem cell hierarchy is simulated with small numbers of stem cells that produce differentiated mitotic cells, which subsequently become differentiated non-mitotic cells. For example, if there are two stem cells per crypt, differentiated mitotic cells divide six more times before becoming non-mitotic. Differentiated non-mitotic cells remain through two more divisions with the oldest cells dying after each division cycle to maintain a constant number of crypt cells. In this scenario, there are 512 cells per crypt – two stem cells, 126 differentiated mitotic cells, and 384 differentiated non-mitotic cells. With greater numbers of stem cells, numbers of differentiated mitotic cells and their divisions are correspondingly reduced to maintain a constant size of the mitotic compartment and 512 cells per crypt.
Immortal stem cell lineages were simulated with strictly asymmetric division producing one stem cell and one differentiated daughter (P1 = 1.0). After a given number of stem cell divisions, eight alleles are randomly sampled from each simulated crypt, as in the experimental approach. Niche and immortal scenarios were identical except niche stem cells also exhibit symmetric divisions (P1 < 1.0). Total niche stem cell numbers remain constant because divisions that produce two differentiated daughters are balanced by divisions that produce two stem cell daughters (P0 = P2). Symmetric divisions tend to reduce crypt diversity because methylation patterns can be lost through lineage extinction.
The Paneth cell compartment was not specifically modeled because its dynamics are uncertain and these cells would be rarely sampled because their relative numbers are small (~2–4 Paneth cells per crypt section ). Paneth cell methylation patterns should be similar to those of other differentiated cells because they survive only a few weeks in mice , although human Paneth cells may potentially have different lifetimes.
Percent Methylation. Numbers of methylated tag sites can be summarized by percent methylation. For example the CSX tag "01010101" is 50% methylated. In general, percent methylation reflects numbers of divisions since birth.
Unique Tags per Crypt. Diversity, or numbers of unique tags among the eight tags sampled from a crypt, reflects numbers of stem cells and stem cell lineage survival. Greater numbers of stem cells or longer-lived stem cell lineages would lead to greater crypt tag diversity.
Intracrypt Distance. This is the average number of site differences between crypt tags (Hamming distance). For example, the distance between CSX tags 00000011 and 11000000 is four. Intracrypt distance is another measure of crypt diversity.
Different tags within the same intestine are consistent with stochastic errors that accumulate independently in different cells. To extract ancestral information encoded by seemingly random tags within a single intestine, crypts were modeled assuming stochastic methylation errors and either immortal or niche stem cells (see Methods). The primary difference between the models is that the probability of symmetric division (yielding two stem cell (P2) or two differentiated daughters (P0)) is zero with immortal stem cells, whereas the probability of symmetric division is greater than zero with niche stem cells (Table 2). Greater inter-crypt variability is expected with stem cell niches because both methylation errors and stem cell survival are stochastic.
Crypt methylation patterns encode niche dynamics, but exact niche stem cell numbers and probabilities of symmetric divisions remain uncertain because different combinations yield similar outcomes (Table 3). These niche combinations (4–256 stem cells and P1 from 0.98 to 0.89) are the same in large  and small intestines. For example, assuming that 95% of stem cell divisions yield one stem cell daughter, the crypt of Lieberkühn niche size is 64 stem cells. As in the colon , loss of all niche stem cell lineages except one or a "bottleneck" would recur on average every 3,000 divisions (with a 95% interquantile range of 1,000–7,000 divisions). Small intestinal crypt diversity (unique tags per crypt) did not change with age (Figure 3A), suggesting that niche dynamics or numbers of niche stem cells do not change with aging.
Stem Cell Niche Parameters
P asymmetric (P1)*
P symmetric (P0+P2)
Both immortal and niche stem cell mechanisms can theoretically produce appropriate numbers of differentiated cells consistent with the morphology of normal small intestine. However, the shape of an intestinal somatic cell tree differs whether stem cell lineages are immortal or maintained by niches (Figure 6). Immortal stem cell lineages result in multiple long crypt branches, with the most recent common crypt ancestor present around birth. In contrast, a niche mechanism constantly creates newer more recent common crypt ancestors as most niche stem cell lineages become extinct.
Methylation tags can distinguish between immortal or niche stem cell lineages because random somatic epigenetic errors will accumulate differently. Specifically, a niche mechanism produces more variability between crypts (wider variation in unique tags per crypt within a single intestine) and less intracrypt diversity (smaller average intracrypt distances) than immortal stem cells (Figure 4). Small intestine and colon crypt methylation patterns  were similar and more consistent with stem cell niches. The same stem cell dynamics (Table 3) fit both colon and small intestinal niches. There were no apparent differences between ileal and duodenal crypt niches, and niche stem cell numbers (like the colon ) did not appear to change or decline with age.
Niche stem cells defined by ancestry are physically intangible because common ancestors are defined by past events and no longer exist. Stem cells with immortal lineages are more readily identified because their pasts and futures are predictable. However, niche stem cell fates are unpredictable because all may potentially become common ancestors but only one will. The inability to predict niche survival may help explain why some adult stem cells have been so difficult to isolate or characterize. A niche somatic cell tree has few branches because random stem cell turnover eventually "prunes" all niche lineages except one (Figure 6). Such bottlenecks are predicted by our analysis to recur on average after 3,000 divisions.
Other mechanisms may also be consistent with crypt methylation patterns and the assumptions of our model remain unverified . For example, the observed variability in methylation patterns could also be generated if stem cell numbers were different between crypts within an intestine . Although our bisulfite sequencing appears technically adequate (no evidence of nonconversion of C to T and only rare mutations (<1 per 1,000 bases) at non-CpG sites), it is difficult to check the accuracy and reproducibility of the data. Repeat sampling of a crypt typically yields similar but not identical methylation patterns (data not shown), which may reflect crypt heterogeneity or experimental artifact.
One strategy to test empirically a stochastic model that inherently yields scattered results is to examine similar but biologically distinct entities. Both small intestine and colon crypts are thought to be maintained by stem cell niches [5, 6] and the successful application of our model to the small and large intestines with methylation patterns from CpG-rich sequences on different chromosomes (CSX and MYOD) is empirical support for its ability to infer stem cell dynamics. In addition, small intestinal villi are physically different from crypts and represent mixtures from multiple adjacent crypts. Villi should be more diverse than crypts, yet villi and crypts should have similar numbers of divisions since birth. As one would expect if methylation records somatic cell histories, villus and crypt tag percent methylation were not significantly different, and villi contained significantly more tag diversity than crypts. Therefore, methylation patterns and our model are consistent with colon and small intestine crypt niches, and small intestine villi. Genetic alterations also appear to modulate stem cell dynamics because certain germline APC mutations are associated with significantly more diverse tags in normal-appearing familial adenomatous polyposis colon crypts, consistent with increased niche stem cell survival .
Mouse studies suggest that stem cell division rates are higher in the small intestines than the colon [2, 3, 20]. However, it is difficult with most assays to distinguish between stem and non-stem cell proliferation, and there are few human small intestine stem cell studies. Of interest, neoplasia, as with Min mice , is more frequently observed in the murine small intestines relative to the colon, whereas human small intestinal tumors are a small fraction of colon tumors . In contrast to murine studies, human small intestinal stem cell division rates appeared to be slower or similar to those in the colon because age-related methylation appeared to increase more slowly in the small intestine (Figure 5), although the difference was not significant. Assuming a molecular clock hypothesis  or equivalent CSX methylation error rates throughout the lower gastrointestinal tract, the data are more consistent with equivalent or slightly lower small intestinal stem cell division rates relative to the colon.
Methylation patterns suggest that niches containing multiple stem cells maintain crypts throughout the lower gastrointestinal tract. Small intestine stem cells appear to divide at equivalent or slower rates relative to the colon, and niche dynamics remain stable during aging. Although methylation tags only indirectly track stem cell dynamics and their exact interpretations are uncertain, they potentially allow for the systematic investigation of any intestine without prior experimental intervention. A somatic cell tree must underlie all human tissues and studies based on the hypothesis that certain somatic methylation errors record somatic cell histories may better define how cells divide and die during normal and abnormal aging.
We thank Mario Campuzano for technical assistance and Dr. Robert W. Beart for providing the specimens and clinical information. This work was supported by a grant from the National Institutes of Health (DK61140). ST is a Royal Society-Wolfson Research Merit Award holder and is supported in part by a grant from Cancer Research UK.
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