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Clinical Implications of Basic Research
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Volume 353:2297-2299 November 24, 2005 Number 21
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Inducing Intestinal Growth
Clara Abraham, M.D., and Judy H. Cho, M.D.

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The small-intestinal epithelium is composed of proliferative-crypt and differentiating-villus compartments. Pluripotent stem cells (believed to reside near crypt bases) give rise to progenitors that proliferate and migrate either toward the villus while differentiating into enterocyte, goblet, and enteroendocrine cells or toward the crypt bases while differentiating into Paneth cells. The signaling pathway mediated by the Wnt–{beta}-catenin cascade has a central role in determining the balance of these different types of cells — in other words, it has an important influence on the cell's tendency to differentiate or proliferate. The discovery by Kim and colleagues1 that R-spondin1, a newly identified . . . [Full Text of this Article]


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From the Department of Medicine, University of Chicago, Chicago.




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