Liver
kinase B1 (Lkb1), encoded by
serine/threonine kinase (Stk11), is a
serine/threonine kinase and
tumor suppressor that is strongly implicated in
Peutz-Jeghers syndrome (PJS). Numerous studies have shown that mesenchymal-specific Lkb1 is sufficient for the development of PJS-like
polyps in mice. However, the cellular origin and components of these Lkb1-associated
polyps and underlying mechanisms remain elusive. In this study, we generated
tamoxifen-inducible Lkb1flox/flox;Myh11-Cre/ERT2 and Lkb1flox/flox;PDGFRα-Cre/ERT2 mice, performed single-cell
RNA sequencing (
scRNA-seq) and imaging-based lineage tracing, and aimed to investigate the cellular complexity of gastrointestinal
polyps associated with PJS. We found that Lkb1flox/+;Myh11-Cre/ERT2 mice developed gastrointestinal
polyps starting at 9 months after
tamoxifen treatment.
scRNA-seq revealed aberrant stem cell-like characteristics of epithelial cells from
polyp tissues of Lkb1flox/+;Myh11-Cre/ERT2 mice. The Lkb1-associated
polyps were further characterized by a branching smooth muscle core, abundant extracellular matrix deposition, and high immune cell infiltration. In addition, the Spp1-Cd44 or Spp1-Itga8/Itgb1 axes were identified as important interactions among epithelial, mesenchymal, and immune compartments in Lkb1-associated
polyps. These characteristics of gastrointestinal
polyps were also demonstrated in another mouse model,
tamoxifen-inducible Lkb1flox/flox;PDGFRα-Cre/ERT2 mice, which developed obvious gastrointestinal
polyps as early as 2-3 months after
tamoxifen treatment. Our findings further confirm the critical role of mesenchymal Lkb1/Stk11 in gastrointestinal polyposis and provide novel insight into the cellular complexity of Lkb1-associated
polyp biology. © 2024 The Pathological Society of Great Britain and Ireland.