Enteric nervous system-derived VIP restrains differentiation of LGR5+ stem cells toward the secretory lineage impeding type 2 immune programs

Nat Immunol. 2025 Dec;26(12):2227-2243. doi: 10.1038/s41590-025-02325-1. Epub 2025 Nov 24.

Abstract

Barrier homeostasis relies on a finely tuned interplay between the immune system, epithelial cells and commensal microbiota. Beyond these regulators, the enteric nervous system has recently emerged as a central hub coordinating intestinal immune responses, although its role in epithelial differentiation has remained largely unexplored. Here, we identify a neuroepithelial circuit in which vasoactive intestinal peptide (VIP)-positive enteric neurons act on VIPR1+ epithelial stem cells to restrain both their proliferation and secretory lineage differentiation. Disruption of this pathway leads to an expansion of tuft cells, enhanced interleukin (IL)-25 production, activation of group 2 innate lymphoid cells (ILC2s) and induction of a type 2 immune response resembling worm expulsion. This phenotype occurs independently of the microbiota but is modulated by the IL-25R-ILC2-IL-13 axis and dietary solid food intake. Our findings expose the enteric nervous system as a critical regulator of epithelial fate decisions and immune balance, complementing established mechanisms that safeguard barrier integrity and mucosal homeostasis.

MeSH terms

  • Animals
  • Cell Differentiation / immunology
  • Cell Lineage
  • Enteric Nervous System* / immunology
  • Enteric Nervous System* / metabolism
  • Homeostasis
  • Immunity, Innate
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / metabolism
  • Lymphocytes / immunology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Receptors, G-Protein-Coupled / metabolism
  • Stem Cells* / immunology
  • Stem Cells* / metabolism
  • Vasoactive Intestinal Peptide* / immunology
  • Vasoactive Intestinal Peptide* / metabolism

Substances

  • Vasoactive Intestinal Peptide
  • Receptors, G-Protein-Coupled
  • Lgr5 protein, mouse

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