Age-associated changes in lineage composition of the enteric nervous system regulate gut health and disease

• DOI: 10.7554/elife.88051
• Publication Date: 2023-08-08T15:30:00Z
• Authors: Subhash Kulkarni; Monalee Saha; Jared Slosberg; Alpana Singh; Sushma Nagaraj; Laren Becker; Chengxiu Zhang; Alicia Bukowski; Zhuolun Wang; Guosheng Liu; Jenna M Leser; Mithra Kumar; Shriya Bakhshi; Matthew J Anderson; Mark Lewandoski; Elizabeth Vincent; Loyal A Goff; Pankaj Jay Pasricha
• Keywords: Adult; 0303 health sciences; peripheral neuroscience; maturation; QH301-705.5; Science; Gene Expression Profiling; aging; Q; R; Enteric Nervous System; 3. Good health; Mesoderm; 03 medical and health sciences; enteric nervous system; mesoderm; Medicine; Humans; Glial Cell Line-Derived Neurotrophic Factor; Biology (General); Gastrointestinal Motility; neural crest; Developmental Biology

The enteric nervous system (ENS), a collection of neural cells contained in the wall of the gut, is of fundamental importance to gastrointestinal and systemic health. According to the prevailing paradigm, the ENS arises from progenitor cells migrating from the neural crest and remains largely unchanged thereafter. Here, we show that the lineage composition of maturing ENS changes with time, with a decline in the canonical lineage of neural-crest derived neurons and their replacement by a newly identified lineage of mesoderm-derived neurons. Single cell transcriptomics and immunochemical approaches establish a distinct expression profile of mesoderm-derived neurons. The dynamic balance between the proportions of neurons from these two different lineages in the post-natal gut is dependent on the availability of their respective trophic signals, GDNF-RET and HGF-MET. With increasing age, the mesoderm-derived neurons become the dominant form of neurons in the ENS, a change associated with significant functional effects on intestinal motility which can be reversed by GDNF supplementation. Transcriptomic analyses of human gut tissues show reduced GDNF-RET signaling in patients with intestinal dysmotility which is associated with reduction in neural crest-derived neuronal markers and concomitant increase in transcriptional patterns specific to mesoderm-derived neurons. Normal intestinal function in the adult gastrointestinal tract therefore appears to require an optimal balance between these two distinct lineages within the ENS.