Single-cell atlas of the human neonatal small intestine affected by necrotizing enterocolitis

Necrotizing enterocolitis (NEC) is a gastrointestinal complication of premature infants with high rates of morbidity and mortality. A comprehensive view of the cellular changes and aberrant interactions that underlie NEC is lacking. This study aimed at filling in this gap. We combine single-cell RNA...

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Veröffentlicht in:PLoS biology 2023-05, Vol.21 (5), p.e3002124-e3002124
Hauptverfasser: Egozi, Adi, Olaloye, Oluwabunmi, Werner, Lael, Silva, Tatiana, McCourt, Blake, Pierce, Richard W, An, Xiaojing, Wang, Fujing, Chen, Kong, Pober, Jordan S, Shouval, Dror, Itzkovitz, Shalev, Konnikova, Liza
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container_title PLoS biology
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creator Egozi, Adi
Olaloye, Oluwabunmi
Werner, Lael
Silva, Tatiana
McCourt, Blake
Pierce, Richard W
An, Xiaojing
Wang, Fujing
Chen, Kong
Pober, Jordan S
Shouval, Dror
Itzkovitz, Shalev
Konnikova, Liza
description Necrotizing enterocolitis (NEC) is a gastrointestinal complication of premature infants with high rates of morbidity and mortality. A comprehensive view of the cellular changes and aberrant interactions that underlie NEC is lacking. This study aimed at filling in this gap. We combine single-cell RNA sequencing (scRNAseq), T-cell receptor beta (TCRβ) analysis, bulk transcriptomics, and imaging to characterize cell identities, interactions, and zonal changes in NEC. We find an abundance of proinflammatory macrophages, fibroblasts, endothelial cells as well as T cells that exhibit increased TCRβ clonal expansion. Villus tip epithelial cells are reduced in NEC and the remaining epithelial cells up-regulate proinflammatory genes. We establish a detailed map of aberrant epithelial-mesenchymal-immune interactions that are associated with inflammation in NEC mucosa. Our analyses highlight the cellular dysregulations of NEC-associated intestinal tissue and identify potential targets for biomarker discovery and therapeutics.
doi_str_mv 10.1371/journal.pbio.3002124
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subjects Biology and Life Sciences
Biomarkers
Dendritic cells
Development and progression
Diseases
Endothelial Cells
Enterocolitis
Enterocolitis, Necrotizing - genetics
Enterocolitis, Neonatal necrotizing
Enterocolitis, Pseudomembranous
Epithelial cells
Epithelium
Fibroblasts
Gastrointestinal diseases
Gene expression
Gene sequencing
Health aspects
Humans
Infant
Infant, Newborn
Infant, Premature
Infants (Newborn)
Inflammation
Intestinal Mucosa
Intestine
Intestine, Small
Intestines
Ligands
Lymphocytes
Lymphocytes T
Macrophages
Medicine and Health Sciences
Methods and Resources
Morbidity
Mortality
Necrosis
Necrotizing enterocolitis
Neonates
Pediatric research
Premature babies
Premature birth
Research and Analysis Methods
Small intestine
Surgery
T cell receptors
T-cell receptor
Target recognition
Transcriptomics
Villus
title Single-cell atlas of the human neonatal small intestine affected by necrotizing enterocolitis
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