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Smad4 deficiency in T cells leads to the Th17-associated development of premalignant gastroduodenal lesions in mice
Jennifer Nancy Hahn, Vincent George Falck, Frank Robert Jirik
Jennifer Nancy Hahn, Vincent George Falck, Frank Robert Jirik
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Research Article Gastroenterology

Smad4 deficiency in T cells leads to the Th17-associated development of premalignant gastroduodenal lesions in mice

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Abstract

While there is evidence that specific T cell populations can promote the growth of established tumors, instances where T cell activity causes neoplasms to arise de novo are infrequent. Here, we employed two conditional mutagenesis systems to delete the TGF-β signaling pathway component Smad4 in T cells and observed the spontaneous development of massive polyps within the gastroduodenal regions of mice. The epithelial lesions contained increased levels of transcripts encoding IL-11, IL-6, TGF-β, IL-1β, and TNF-α, and lamina propria cells isolated from lesions contained abundant IL-17A+CD4+ T cells. Furthermore, we found that Smad4 deficiency attenuated TGF-β–mediated in vitro polarization of FoxP3+CD4+ T cells, but not IL-17A+CD4+ T cells, suggesting that the epithelial lesions may have arisen as a consequence of unchecked Th17 cell activity. Proinflammatory cytokine production likely accounted for the raised levels of IL-11, a cytokine known to promote gastric epithelial cell survival and hyperplasia. Consistent with IL-11 having a pathogenic role in this model, we found evidence of Stat3 activation in the gastric polyps. Thus, our data indicate that a chronic increase in gut Th17 cell activity can be associated with the development of premalignant lesions of the gastroduodenal region.

Authors

Jennifer Nancy Hahn, Vincent George Falck, Frank Robert Jirik

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Figure 2

Lck-Cre;Smad4fl/fl mice develop proximal duodenal adenomas.

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Lck-Cre;Smad4fl/fl mice develop proximal duodenal adenomas.
   
(A–C) Pr...
(A–C) Proximal duodenal region of a 12-month-old WT (Smad4fl/fl) mouse (A, scale bar: 0.25 cm) showing normal arrangement of villi (B), and anti-PCNA antibody staining limited to the basal region of villous crypts (C) (scale bars: 250 μm). (D–H) Representative duodenal adenomas in a 12-month-old Lck-Cre;Smad4fl/fl (Lck-Cre) mouse (D; arrows), located immediately distal to the pyloric junction (scale bar: 0.25 cm). The lesions showed elongated distended villi with a crowded glandular architecture (E; bracket) (scale bar: 250 μm), evidence of hematopoietic cell infiltrates (G) (scale bar: 250 μm), and areas of epithelial dysplasia (H, arrows) exhibiting a crowded and abnormal arrangement of nuclei (scale bar: 60 μm). (F) A representative section from an adenoma showing diffuse anti-PCNA antibody staining (scale bar: 250 μm). Images are a representative of 4 control and 4 experimental mice.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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