Summary. All epithelial cells in the small and large intestine are thought to originate from stem cells located towards the base of the crypts of Lieberkü hn. To-date, there are no specific intestinal stem cell markers, hence stem cell properties can only be inferred. A range of experimental techniques have been employed including cell position mapping, radiation regeneration (clonogenic) assays, chimeric and transgenic mice. This review discusses the implications of experiments performed using these techniques in order to deduce the number, location and functional properties of stem cells. Stem cell homeostasis is maintained by cell proliferation and death 'through apoptosis'. The various growth and matrix factors and genes which may control these processes, and be important for stem cell function, are discussed along with their carcinogenic and clinical implications.Keywords: stem cell, intestine, apoptosis, epithelium
Proliferative organization of the intestinal epitheliumThe lumenal surface of the intestine is lined by a simple columnar epithelium. The surface of both the small and large intestine is folded into a number of deep cavities or crypts of Lieberkü hn, which are embedded in connective tissue. In the small intestine the surface area is further increased by finger-like projections, or villi, also covered by epithelium, which protrude into the gut lumen. Although the crypts are approximately 10 × smaller than the villi, they are much more numerous (7 × more in the duodenum, 4 × more in the ileum, Wright & Alison 1984). The effect of these numerous 'pits and projections' is to form a huge surface area. This surface area is further expanded by the presence of a carpet-like covering of microvilli on the apical (lumenal) surface of the columnar epithelial cells.The functional cells of the epithelium are located predominantly towards the lumenal pole of the cryptvillus axis (i.e. on the villi of the small intestine and at the top of the crypts of the large intestine). Once they have fulfilled their differentiated function (brush border enzyme secretion, mucus secretion, nutrient and water absorption) the cells senesce and are sloughed off into the lumen itself, possibly after initiating some aspects of the Int.