“…Intestinal epithelium regenerates rapidly through the proliferation and produces mature cell lineages (e.g., enterocytes, goblet cells, enteroendocrine cells, and Paneth cells) of intestinal stem cells (ISCs), which are located at the base of the crypt, orchestrated by an ample repertoire of mitogens within the crypt niche and modulated by complex and volatile lumen environment. , Of note, Wnt-driven ISCs exert acute sensibilities under severely stressful conditions to toxins from bacteria or fungi. − For example, heat-stable enterotoxin a (STa) secreted by enterotoxigenic Escherichia coli (ETEC) causes diarrhea in humans (mainly infants) and neonatal animals worldwide by opening ion channels, as well as disrupting ISC expansion by inhibiting Wnt/β-catenin signaling. , Likewise, heat-stable enterotoxin b (STb), another enterotoxin produced by ETEC, is capable of stabilizing in the digestive tract and causing abnormal intestinal function. , Surprisingly, only a few investigations have involved STb stimulating the cystic fibrosis transmembrane regulator (CFTR) by recognizing the sulfatide on the bilayer membranes to induce water and electrolytes into the intestinal lumen. , Current observations of STb damage to the intestine have been limited to describing the crypt-villus axis architecture. It thus remains largely unclear whether ISC fates are perturbed under STb-induced pathological contexts.…”