<i>Jwa</i> participates the maintenance of intestinal epithelial homeostasis via ERK/FBXW7-mediated NOTCH1/PPARγ/STAT5 axis and acts as a novel putative aging related gene

The intestinal epithelium is a rapid self-renewal and regenerated tissue of which the structural integrity is beneficial for maintaining health. The integrity of intestinal epithelium depends on the balance of cell proliferation, differentiation, migration, and the function of intestinal stem cells, which declines due to genetic defect or aging. Jwa participates in multiple cellular processes; it also responds to oxidative stress and repairs DNA damage. However, whether Jwa plays a role in maintaining the homeostasis of intestinal renewal and regeneration is not clear. In the present study, we firstly described that the deletion of Jwa disturbed the homeostasis of intestinal epithelial renewal and regeneration. Jwa deficiency promoted NOTCH1 degradation in the ERK/FBXW7-mediated ubiquitin-proteasome pathway, thus disturbing the PPARγ/STAT5 axis. These mechanisms might partially contribute to the reduction of intestinal stem cell function and alteration of intestinal epithelial cell lineage distribution, finally suppressing the renewal and regeneration of intestinal epithelium. Moreover, our results also revealed that Jwa was a novel putative aging related gene.

section_content: The intestinal epithelium is the tissue with the largest surface area in the digestive tract, giving it an important role in food digestion and nutrient absorption [1]. In addition, it is also the first defensive line of the body's immune system, which participates in the formation of the intestinal mucosal barrier to prevent harmful microbiomes and toxins in the lumen from entering the blood circulation, and the processes such as immune response and regulation [2] [3] [4]. Therefore, the structural integrity of the intestinal epithelium is beneficial for maintaining health. On the contrary, loss of intestinal epithelial integrity due to tissue degeneration or injury usually causes various of physical disorders and diseases, such as malnutrition, liver diseases, autoimmune diseases, neurological diseases and metabolic diseases [5]. 

The precise regulation of tissue renewal and regeneration is an effective mechanism to prevent and slow down tissue degeneration [6]. In mammals, the intestinal epithelium renews rapidly and usually
section_name: Introduction

section_content: International Publisher turns over within 3-5 days, due to the organized cell proliferation, differentiation, migration, and apoptosis, as well as the regenerative capability of intestinal stem cells (ISCs) [1]. However, these characteristics make intestinal epithelium more susceptible to external environmental factors like ionizing radiation. The high dose radiation exposure can induce intestinal epithelial injury followed by gastrointestinal syndrome (GIS). The ISCs often respond immediately and regenerate quickly to repair the injured intestinal epithelium [7]. However, certain factors that negatively affect the ISCs maintenance, such as genetic defect and aging, can inevitably inhibit renewal and prevent regeneration of intestinal epithelium after injury [7, 8]. 

Jwa gene, also named ADP-ribosylation-like factor 6 interacting protein 5 (Arl6ip5), is initially cloned from human bronchial epithelial (HBE) cells induced by all-trans retinoic acid (ATRA). We have previously demonstrated that JWA is a microtubuleassociated protein participating in multiple cellular processes like cell proliferation, differentiation, migration and apoptosis [9, 10]. Our further studies have indicate that Jwa is an active environmentresponsive gene responding to oxidative stress and participating in DNA single-strand damage repair [11, 12], and exerting neuroprotective role via alleviating oxidative stress and inhibiting inflammation in the mouse model of 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) or paraquat-induced Parkinson's disease [13, 14]. Given the characteristics of intestinal epithelium and the known functions of Jwa gene, we hypothesized that Jwa might play a critical role in maintaining intestinal epithelial renewal, responding to the stimulation of environmental factor such as X-ray to intestinal epithelium and regulating its regeneration after injury. 

In this study, we demonstrated that Jwa is essential for the renewal and regeneration of intestinal epithelium and we also proposed it as a novel putative aging-related gene. Our mechanism exploration further suggested that Jwa regulated intestinal epithelial homeostasis partially through the ERK/FBXW7-mediated NOTCH1/PPARγ/STAT5 axis.
section_name: Ivyspring

section_name: Materials and Methods

section_content: Mouse carrying flox alleles for the exon 2 of Jwa gene (Jwa fl/fl mouse), Jwa knockout (Jwa -/-) and littermate wild type (Jwa +/+ ) mice were described in our previous study [15]. Vil1-cre mouse on a C57BL/6 background was obtained from Shanghai Model Organisms Center (Shanghai, China). Wild type C57BL/6 mice were purchased from SLAC Laboratory Animal Co., Ltd (Shanghai, China). Intestinal epithelial Jwa deletion (Jwa IEC -/-) and littermate wild type (Jwa IEC +/+ ) mice were generated by cross-mating Vil1-cre mouse with Jwa fl/lf mouse. All mice were maintained in the Animal Core Facility of Nanjing Medical University in a specific pathogen-free (SPF) condition. The animal operations were approved by the Institutional Animal Care and Use Committee of Nanjing Medical University.
section_name: Mouse

section_content: Freshly isolated liver tissue was embedded in the Tissue-Tek O. C. T compound (Sakura, Tokyo, Japan) and quick-frozen on dry ice. The 10 μm thickness frozen section was prepared on the CM1950 cryostat (Leica Biosystem, Wetzlar, Germany) and stained using a Senescent cell β-galactosidase staining kit (Servicebio, Wuhan, China) according to the manufacturer's guidelines.
section_name: SA-β-gal staining

section_content: Mouse was orally administrated with 6 mg/kg body weight d-glucose (Macklin, Shanghai, China) dissolved in saline. The blood glucose levels at indicated time points (0, 15, 30, 60, 90 and 120 min) were measured using a handheld blood glucometer (Sinocare, Changsha, China) through tail tips.
section_name: Oral glucose tolerance test

section_content: In vitro intestinal glucose absorption assay was conducted according to previous study [16]. In brief, mouse was fasted for 12 h and euthanized. The intestine was flushed with 37 °C pre-warmed Krebs-Ringer Bicarbonate HEPES (KRBH) buffer (Phygene, Fuzhou, China). A 2 cm segment of jejunum was isolated and injected with 300 μl 37 °C pre-warmed KRBH buffer contained 30 mM d-glucose, the two ends of the segment were tied with suture line. The KRBH buffer contained glucose in the segment was fully collected after incubated in cell incubator for 90 min. The segment was lysed with Cell and Tissue Lysis Buffer for Glucose Assay (Beyotime, Shanghai, China), another jejunum segment not injected with KRBH was used for the basal glucose assay. Glucose contents in the collected KRBH buffer and tissue lysate were measured using the Glucose Assay Kit (Beyotime) according to the manufacturer's guidelines. The consumed glucose in KRBH buffer was calculated and the absorption rated was obtained by dividing with total glucose in KRBH buffer.
section_name: In vitro intestinal glucose absorption assay

section_content: D-xylose is a five-carbon monosaccharide that is absorbed by enterocytes only relied on the intact intestinal mucosa rather than digestive enzymes. It is neither metabolized in vivo nor re-absorbed by the renal tubules, and is excreted unchanged in the urine. Therefore, the D-xylose absorption and excretion test is a reliable method for evaluating intestinal absorption [17]. The assay was based on previous reports with modifications [17] [18] [19]. In brief, mouse was fasted for 4 h and orally administrated with 200 mg/kg body weight d-xylose (Macklin) dissolved in saline, the blood was collected from the post-ocular vein 1 h later, and serum was separated by centrifugating. Meanwhile, urine from mouse was continuous collected for 5 h. D-xylose concentrates in serum and urine were measurement using the D-xylose Assay Kit (Solarbio, Beijing, China) according to manufacturer's protocol. Total d-xylose in urine was calculated, and the excretion rate was obtained by dividing with total oral administrated d-xylose.
section_name: D-xylose absorption and excretion assay

section_content: Mouse was intraperitoneally injected with 100 mg/kg bromodeoxyuridine (BrdU, APExBIO, Houston, TX, USA) dissolved in saline. The jejunum was isolated and fixed in 4% paraformaldehyde 72 h after injection. The BrdU + cells were stained by immunofluorescence using the BrdU antibody.
section_name: BrdU + cell migration assay

section_content: Mouse intestine was isolated and flushed with phosphate-buffered saline (PBS) supplemented with penicillin/streptomycin. The jejunum was opened longitudinally and scraped by coverslip to separate the villus composition, which was washed several times in PBS with penicillin/streptomycin. The remained jejunum was washed several times in PBS and cut into 5 mm pellets, crypts were isolated by shaking the pellets violently in PBS supplemented with 5 mM ethylene diamine tetra acetic acid (EDTA) and filtered through 70 μm cell strainers (NEST, Wuxi, China).
section_name: Intestinal villi and crypts isolation

section_content: Mouse was anesthetized and placed into the RS 2000 Pro X-ray irradiator (Rad Source Technologies, Buford, GA, USA) to receive X-ray exposure (10 Gy, 1. 5 Gy/min), the exposure area was limited to the whole abdomen by the control of built-in beam limiter in the instrument. Mouse was sacrificed on the indicated days after irradiation, the blood and intestine were collected for further experiment.
section_name: X-ray exposure

section_content: Mice were given 15 mg fluorescein isothiocyanate isomer-dextran 4 kDa (FD4, Sigma-Aldrich, St. Louis, MO, USA) by gavage. The serums were collected 4 h after FD4 administration. 

The serum fluorescence intensities (Excitation: 485 nm, Emission: 528 nm) were detected using the Infinite M200 PRO fluorescence microplate reader (TECAN, Männedorf, Switzerland). The concentration of FD4 was calculated via a standard curve prepared with serial dilutions of FD4.
section_name: Intestinal permeability assay

section_content: Isolated tissue was fixed in 4% paraformaldehyde and embedded in paraffin. The 6 μm thickness section was prepared on the Microm HM 340 E rotary microtome (Thermo Scientific, Waltham, MA, USA), and dewaxed in xylene and serial concentrations of ethanol before staining. For hematoxylin-eosin (H&E) and Alcian blue staining, the dewaxed section was stained using the H&E staining kit or Alcian blue staining kit (Servicebio) according to the manufacturer's protocol. For immunohistochemistry, the dewaxed section was boiled in Tris-EDTA antigen retrieval buffer (0. 01 M Tris, 1 mM EDTA, 0. 05% Tween 20, pH 9. 0) for 10 min and incubated with the primary antibody (Supplementary Table S1 ) at 4 ºC overnight after being blocked with 5% bovine serum albumin (BSA). Then the section was incubated with horseradish peroxidase (HRP)-labeled secondary antibody and stained using the Diaminobenzidine (DAB) Color Development Kit (Servicebio). The section was permanently mounted using the glycerol jelly mounting medium (Servicebio) after dehydrated and clarified in ethanol and xylene. For immunofluorescence, the section was incubated with Alexa Fluor dye-labeled secondary antibody and mounted using the ProLong Diamond Antifade Mountant with DAPI (Thermo Scientific). The images were obtained using the Pannoramic MIDI digital slide scanner system (3DHISTECH, Budapest, Hungary).
section_name: Histology, immunohistochemistry, and immunofluorescence

section_content: Freshly isolated mouse jejunum was flushed with PBS, quick-frozen and stored in liquid nitrogen pending process, 3 independent jejunum samples were isolated for each genotype. Total protein was extracted by the lysis buffer (8 M urea and 1% protease inhibitors), protein concentration was determined using a bicinchoninic acid (BCA) assay kit (Beyotime). 100 μg protein per sample was labeled using a TMT10plex Isobaric Mass Tagging Kit (Thermo Scientific) according to the manufacturer's instructions. The labeled mixture was separated by reversed-phase high-performance liquid chromatography (RP-HPLC) using an Agilent 300extend C18 column (5 μm, 4. 6 mm × 250 mm) to obtain peptide fractions. Peptides were separated by ultra HPLC, injected a NSI ion source for ionization, and analyzed on the Q-Exactive Plus mass spectrometry (Thermo Scientific). The raw data was processed by the Proteome Discoverer software (Thermo Scientific) based on the NCBI Protein Reference Sequence Database (txid10090, Mus musculus). Proteins with fold changes exceeding 1. 5 or below 0. 67 were defined as significantly up-regulation or down-regulation. The proteomics analysis was performed by CapitalBio Technology (Beijing, China).
section_name: Proteomics analysis

section_content: Rat small intestinal epithelial crypt (IEC-6) cell (Zhong Qiao Xin Zhou, Shanghai, China) was cultured in Dulbecco's modified eagle medium (DMEM) supplemented with 10% fetal bovine serum (FBS, TransGen Biotech, Beijing, China), 100 U/ml penicillin, 0. 1 mg/ml streptomycin (Beyotime) and 10 μg/ml recombinant human insulin (Zhong Qiao Xin Zhou). For cell transfection, small hairpin RNA (shRNA) plasmids for Jwa (Corues, Nanjing, China), small interfering RNA (siRNA) for Fbxw7 (GenPharma, Shanghai, China) and their nonspecific control were synthesized (Supplementary Table S2 ), the commercial Stat5a overexpression (Stat5a OE) and Hes1 overexpression (Hes1 OE) plasmids were purchased (Youbio, Changsha, China). The plasmids and siRNA were transfected or co-transfected for 48 h using the Lipo8000 transfection reagent (Beyotime) following the manufacturer's protocol. To activate the phosphorylation of ERK1/2 or suppress the expression of PPARγ, the cell was treated with 10 μM Pamoic acid (PA, Macklin) or 10 μM GW9662 (MedChemExpress, Monmouth Junction, NJ, USA) for 24 h. For the Chx-chase assay, the cell was treated with 100 μg/ml cycloheximide (Chx, Selleck) at the indicated time points.
section_name: Cell culture, transfection, and treatment

section_content: 5-ethynyl-2'-deoxyuridine (EdU) incorporation assay was conducted using an EdU Cell Proliferation Kit with Alexa Fluor 555 (Beyotime). In brief, a total of 10 5 cells were seeded in 96 well cell culture plate after transfection and followed by compound treatment. Cells were incubated with 10 μM EuU for 2 h, then were fixed in 4% paraformaldehyde and permeabilized in 0. 3% Triton X-100/PBS solution. EdU and nuclear staining was performed according to the manufacturer's instructions. The images were obtained on a Nikon Ti microscope (Nikon, Tokyo, Japan), EdU positive cell and nuclear were counted for the calculation of cell proliferation percentage.
section_name: EdU incorporation assay

section_content: Total protein was extracted using the RIPA lysis buffer (50 mM Tris, 150 mM NaCl, 1% Triton X-100, 1% sodium deoxycholate, 0. 1% SDS, pH 7. 4) supplemented with 1% protease and phosphatase inhibitor cocktail (NCM, Suzhou, China) and quantified using the BCA kit. Protein (20-40 μg/lane) was separated by sodium dodecyl sulfatepolyacrylamide gel electrophoresis (SDS-PAGE) and blotted onto polyvinylidene fluoride (PVDF) membrane. The membrane was probed with diluted primary antibody (Supplementary Table S1 ) at 4 °C overnight after being blocked in 5% non-fat powder milk. The blot was detected using an Enhanced Chemiluminescence (ECL) detection kit (Vazyme, Nanjing, China) on the Chemiluminescence Image Analysis System (Tanon, Shanghai, China) after the HRP-labeled secondary antibody incubation.
section_name: Immunoblotting

section_content: Total mRNA was isolated using the RNAiso Plus reagent (Takara, Beijing, China) and reverse transcribed using the HiScript II 1st Strand cDNA Synthesis Kit with gDNA wiper (Vazyme). The PCR reaction procedure was carried out on the ABI 7900HT Real-Time PCR System (Applied Biosystems, Carlsbad, CA, USA) with the AceQ qPCR SYBR Green Master Mix (Vazyme) following the manufacturer's instruction. The synthetic cDNA was used as the template in the reaction, the primer pairs were listed in Supplementary Table S3.
section_name: Quantitative reverse transcription and polymerase chain reaction (QRT-PCR)

section_content: The cell was transfected with ubiquitin plasmid and treated with 10 μM MG132 (Selleck) for 6 h. Total protein was then isolated using RIPA lysis buffer. Approximately 500 μg/250 μl protein per sample was incubated with the NOTCH1 antibody at 4 °C overnight and followed by incubated with Protein A/G Plus-Agarose (Beyotime) at 4 °C overnight. After being washed in PBS and centrifuged, the ubiquitin level in the precipitation was detected by immunoblotting.
section_name: In vitro ubiquitination assay

section_content: Data was analyzed on GraphPad Prism 8. 0 software with the two-tail independent samples student's t test for two-group independent data, one-way analysis of variance (ANOVA) followed by Dunnett's t test for multiple-group independent data, log-rank test for survival curve analysis, and Fisher's exact test for the cases of survival and death. The number of sample (n) for animal experiments, and the number of independent replicates for cell experiments were indicated in the figure legends. Data was presented as mean with standard deviation (mean ± SD) in the figures. P < 0. 05 was defined as the statistical difference.
section_name: Statistical analysis

section_name: Results

section_content: In the process of exploring Jwa, we firstly found that the old (24-month) mice had lower JWA levels in spleen, liver and intestine than young (2-month) mice (Fig. 1A, B ). Subsequently, we observed that Jwa -/- mice exhibited thinner bodies (Fig. 1C ) at 6-month-old and lower body weight than littermate wild type (Jwa +/+ ) mice starting from 4-week-old (Fig. 1D ). Moreover, the survival curves depicted that the Jwa -/- mice had significantly lower survival rate than Jwa +/+ mice (Fig. 1E ). Furthermore, there were visible senescence-associated β-galactosidase (SA-β-gal) positive cells in the liver section from 6-month-old Jwa -/-mice rather than Jwa +/+ mice (Fig. 1F ), indicating the cellular senescence. Our results preliminarily suggested that Jwa was a new putative aging-related gene.
section_name: Jwa is a new putative aging-related gene in mice

section_content: We explored the histomorphology of the principal organs of mice and found that the primary alteration due to Jwa deletion was the atrophy of intestinal epithelium without any changes in other organs or tissues (Fig. 2A and Supplementary Fig. S1 ), which showed the reduced length of intestinal villi and crypts (Fig. 2B, C ). To evaluate the intestine epithelium absorption, we performed the oral glucose tolerance test (OGTT) and found that Jwa -/-mice had lower blood glucose level than Jwa +/+ mice after glucose gavage (Fig. 2D, E ), which preliminary revealed the reduction in absorptive function of intestinal epithelium due to Jwa deletion. However, this result might be influenced by in vivo factors such as insulin. Therefore, we performed an in vitro intestinal glucose absorption assay, results showed that there was no difference in the basal intestinal glucose levels between Jwa +/+ and Jwa -/-mice after fasting (Fig. 2F ). After in vitro absorption process, the intestine isolated from Jwa -/-mice exhibited significantly lower glucose level (Fig. 2G ) and absorption rate (Fig. 2H ) than Jwa +/+ mice. Moreover, results of d-xylose absorption and excretion test also showed that Jwa -/-mice had lower serum d-xylose level (Fig. 2I ) and urine d-xylose excretion rate (Fig. 2J ) than Jwa +/+ mice. These results reminded us of the probable alterations of intestinal epithelial structure and function due to the JWA deletion. Furthermore, we observed that Jwa deletion delayed the development of intestinal epithelium in early life of mice, manifested by sluggish villi formation. In brief, on embryo day 12. 5 (E12. 5), the Jwa -/-mice embryo showed thinner stratified epithelium than Jwa +/+ embryo (Fig 2K ); on E14. 5, the Jwa +/+ embryo showed early villus folds rather than the Jwa -/-embryo (Fig 2L ); on E16. 5 (Fig. 2M ), E18. 5 (Fig. 2N ) and postnatal day 1 (PND1) (Fig. 2O ), the Jwa -/-embryo and newborn mice showed shorter villi than Jwa +/+ embryo and newborn mice (Fig. 2P ). However, the body weight on E16. 5, E18. 5 and PND1 showed no significantly difference between Jwa +/+ and Jwa -/- embryo or newborn mice (Fig. 2Q ). All above results suggested that Jwa played a critical role in intestinal epithelial homeostasis maintenance.
section_name: Jwa deletion disrupts intestinal epithelial homeostasis and impedes its development in early life

section_content: Through The Human Protein Atlas database (https://www. proteinatlas. org), we got that the Jwa mRNA and JWA protein expressed widely in the human tissues and organs (Supplementary Fig. S2A, B ). JWA protein was highest existing in the human duodenum and the whole small intestine (Supplementary Fig. S2B, C ). We also detected that the JWA expresses in mouse intestine (Fig. 3A ), especially the middle intestine (jejunum) (Supplementary Fig. S2D, E ). Moreover, we observed that the JWA level was higher in intestinal crypts than villi (Fig. 3A, B ). Therefore, we further hypothesized that Jwa might play a critical role in renewal and regeneration of intestinal epithelium, owing to the ISCs and niche located in the crypts, which are involved in the maintenance of intestinal epithelium.
section_name: JWA expresses higher in intestinal crypts than villi

section_content: To investigate the role of JWA on intestinal epithelial homeostasis maintenance, we constructed Jwa IEC -/-and Jwa IEC +/+ mice (Supplementary Fig. S3A-C ). We confirmed that Jwa was successfully deleted in crypt through RT-PCR, western blot and immunofluorescence (Fig. 3C-E and Supplementary Fig. S3D ). In the mice cohort, we found that most of the Jwa IEC -/-mice died before 10-month-old (Fig. 3F ), and the 10-month survival rate of Jwa IEC -/-mice was significantly lower than Jwa IEC +/+ mice (Fig. 3G ). Like Jwa -/-mice, Jwa IEC -/-mice also showed thinner bodies, lighter weights and more SA-β-gal positive senescent cells in liver than Jwa IEC +/+ mice. However, these phenotypes only manifested at 10-month-old, rather than 2-month-old (Fig. 3H-J ). We dissected the euthanized mice and found that the 10-month-old Jwa IEC -/-mice also showed intestinal congestion and bloat signs (Fig. 3K ). We then observed that Jwa IEC -/- mice had shorted villi and crypts than Jwa IEC +/+ mice, especially at 10-month-old (Fig. 3L-N ). Our results suggested that intestinal epithelial Jwa deletion could disrupt intestinal epithelial homeostasis. Interestingly, intestinal epithelial Jwa deletion also appeared to partially contribute to mouse aging.
section_name: Intestinal epithelial Jwa deletion affects the homeostasis of the intestinal epithelium and promotes mice aging

section_content: Intestinal epithelial integrity depends on the proliferation, differentiation, migration of intestinal epithelial cells (IECs) and function of ISCs. The KI67 staining showed intestinal epithelial Jwa deletion inhibited the proliferation of crypt cells (Fig. 4A, B and Supplementary Fig. S4A ). It also hindered the intestinal epithelium renewal, revealed by BrdU + cell migration assay (Fig. 4C, D ). We next found that intestinal epithelial Jwa deletion markedly reduced the ISCs number at the intestinal crypts, revealed by the decrease of OLFM4 positive cells (Fig. 4E, F and Supplementary Fig. S4B ) and reduction of OLFM4 expression (Supplementary Fig. S4C, D ). Moreover, reduced mRNA levels of ISCs markers such as Lgr5, Olfm4, Smoc2, Ascl2, and Msi1 were detected in crypts from Jwa IEC -/-mice than Jwa IEC +/+ mice (Fig. 4G ). These results further suggested that intestinal epithelial Jwa deletion might suppress the renewal and regeneration of intestinal epithelium through inhibiting cell proliferation and reducing ISCs in crypt.
section_name: Intestinal epithelial Jwa deletion inhibits cell proliferation and reduces intestinal stem cells in crypt

section_content: The distribution balance of IEC lineages also plays an essential role in intestinal epithelial homeostasis maintenance. To explore the impact of intestinal epithelial Jwa deletion on IEC lineages, we examined the levels of various IEC markers. Results showed markedly decreased LYZ positive Paneth cells number in crypts (Fig. 4H, I and Supplementary Fig. S4G ), elevated MUC2 and Alcian blue positive Goblet cells in villi (Fig. 4J, K and Supplementary Fig. S4E, F ) due to intestinal epithelial Jwa deletion. Moreover, the mRNA levels of several mature IEC markers further revealed the disordered composition of intestinal cell types caused by intestinal epithelial Jwa deletion. Such as lower absorptive enterocyte markers (Fig. 4L and Supplementary Fig. S4H ) in villi and Paneth cell markers (Fig. 4M and Supplementary Fig. S4I ) in crypts; higher goblet cell markers (Fig. 4N and Supplementary Fig. S4J ), enteroendocrine cell markers (Fig. 4O and Supplementary Fig. S4K ), and tuft cell markers (Fig. 4P and Supplementary Fig. S4L ) in villi. Our results suggested intestinal epithelial Jwa deletion might lead to differentiation of secretory cell lineage, but inhibited the differentiation of Paneth cells and absorptive cell lineage.
section_name: Intestinal epithelial Jwa deletion skews the distributions of intestinal epithelial cell lineages

section_content: To investigate the regeneration capability of intestinal epithelium, we subjected the wild type mice to whole abdomen X-ray irradiation (WAI) at a dose of 10 Gy. We sacrificed the mice at the indicated time points after WAI and collected crypts for later analysis (Fig. 5A ). We saw the rising of Jwa in both mRNA and protein levels during the recovery period within five days after WAI, and returned to base levels on the seventh day (Fig. 5B, C ). In addition, interestingly, the mRNA levels of ISCs markers Olfm4 and Lgr5 altered consistently with Jwa (Fig. 5C ). These further prompted us that Jwa participated in the ISCs regeneration driven intestinal epithelial repairment. We then exposed both Jwa IEC +/+ and Jwa IEC -/-mice to WAI, and analyzed at the fourth day (Fig. 5D ). As we expected, intestinal epithelial JWA deletion made mice more susceptible to WAI, exacerbated the injury and prevented the regeneration of intestinal epithelium. The body weights of Jwa IEC -/-mice lost faster than Jwa IEC +/+ mice within the four days after WAI (Fig. 5E ). We dissected the mice and found that Jwa IEC -/-mice showed visible intestinal hyperemia and swelling and markedly shorter intestine rather than Jwa IEC +/+ mice (Fig. 5F, G ). We also observed worse damaged crypts and villi (Fig. 5H-J ) and more cleaved CASP3 positive apoptotic cells (Fig. 5K, L ) in intestine sections from Jwa IEC -/-mice, these results revealed more severe intestinal epithelial injury in Jwa IEC -/-mice than Jwa IEC +/+ mice. Moreover, we found fewer KI67 positive regenerative crypts (Fig. 5M, N ) and fewer OLFM4 positive cells (Fig. 5O, P ) in regenerative crypts owing to intestinal epithelial Jwa deletion. Finally, we performed the intestinal epithelial permeability assay in mice after WAI and found that the intestinal epithelial of Jwa IEC -/-mice were more permeable to FD4 than Jwa IEC +/+ mice (Fig. 5Q ). These results suggested intestinal epithelial Jwa deletion exacerbated the injury and prevented intestinal epithelial regeneration after WAI.
section_name: Intestinal epithelial Jwa deletion exacerbates the injury and prevents intestinal epithelial regeneration after X-ray irradiation exposure

section_content: To explore Jwa deletion-induced molecule alterations, we distinguished the differential proteins in jejunum tissues between Jwa +/+ and Jwa -/-mice through proteomics analysis (Supplementary Table S4 ). We discovered that Jwa deletion distinctively down-regulated the protein levels of signal transducer and activator of transcription 5 (STAT5) (Fig. 6A ), which was intimately related to the maintenance of ISCs and intestinal epithelium. We then determined the reduced levels of STAT5 in both jejunum from Jwa -/-mice (Fig. 6B and Supplementary Fig. S5A, B ) and crypts from Jwa IEC -/-mice (Fig. 6C and Supplementary S5C, D). However, phosphorylation ratio of STAT5 in crypts showed no difference between Jwa IEC +/+ and Jwa IEC -/-mice (Fig. 6C and Supplementary S5E), so did the phosphorylation ratio of JAK2 (Supplementary Fig. S5F, G ), the upstream kinase of STAT5. These results reminded that Jwa deficiency only affected the expression of STAT5 rather than phosphorylation. The nuclear transcription factor peroxisome proliferator-activated receptor-gamma (PPARγ) has been reported to play a negative role on ISC maintenance, it also acts as a transcriptional repressor to supervise the expression of STAT5. Our results showed that Jwa deletion did elevate the level of PPARγ (Fig. 6C and Supplementary Fig. S5H ) and the levels of PPARγ targeted fatty acid oxidation genes (Fig. 6D ) in crypts, subsequently reduced the transcription levels of Stat5a and Stat5b (Fig. 6E ). Interestingly, Jwa deletion also increased the transcription level of Pparg (Fig. 6E ). We then searched the JASPAR database (https://jaspar. genereg. net/) for the potential transcript factors (TFs) binding to the promoter region of Pparg. We found that the primary TFs were the hairy and enhancer of splits (Hes), a target genes family of Notch signal (Supplementary Table S5 ). We quantified several Hes genes and found that Jwa deletion drastically reduced the mRNA levels of Hes1 (Fig. 6F ), a transcription repressor of Pparg; these results informed us that Jwa deletion might cause Notch signal inhibition. We then confirmed that Jwa deletion down-regulated the levels of NOTCH1 (i. e., the cleaved NOTCH1) (Fig. 6G and Supplementary Fig. S5I ), NOTCH1 intracellular domain (NICD) (Fig. 6G and Supplementary Fig. S5J ), and HES1 (Fig. 6G and Supplementary Fig. S5K ) in crypts. However, the newly synthesized full-length NOTCH1 (Fig. 6G and Supplementary Fig. S5L ) and the mRNA level of Notch1 (Fig. 6H ) showed no alterations. Furthermore, we knocked down Jwa in IEC-6 cells by transfecting with shJwa plasmid, and observed the similar molecule changes as Jwa deletion crypts (Fig. 6I ), these changes in IEC-6 cells were reversed by Hes1 over-expression (Fig. 6J ) and the PPARγ antagonist GW9662 treatment (Fig. 6K ). Our results suggested that Jwa deficiency disturbed PPARγ/STAT5 axis by inhibiting the Notch signal pathway.
section_name: Jwa deficiency disturbs PPARγ/STAT5 axis through inhibiting Notch signal pathway

section_content: To verify the mechanism underlying the reduction of NOTCH1 caused by Jwa deficiency, we conducted the Chx-chase assay in IEC-6 cells. Results showed that Jwa deficiency accelerated NOTCH1 degradation (Fig. 7A, B ). We then performed the in vitro ubiquitination assay and found that JWA deficiency promoted the degradation of NOTCH1 via ubiquitin-proteasome pathway (Fig. 7C ). To gain insight into the reason for Jwa deficiency-induced NOTCH1 degradation, we predicted the potential E3 ubiquitin ligases acting on NOTCH1 through the UbiBrowser Database. We screened the top five high-confidence scored ligases (Supplementary Fig. S6A ) and verified them in Jwa deficiency crypts and IEC-6 cells. However, Jwa deficiency did not increase their levels in crypts (Supplementary Fig. S6B-G ) or cells (Supplementary Fig. S6H ). We have previously confirmed Jwa as an upstream activator of the ERK1/2. Reportedly, ERK1/2 negatively regulates F-box and WD repeat domain containing-7 (FBXW7), a known E3 ubiquitin ligase targets multiple substrates including NOTCH1. FBXW7 is also a candidate in the predicted list although with low-confidence score. Therefore, we suspected that Jwa deficiency might promote degradation of NOTCH1 through ERK/FBXW7 axis. It was worth noting that we did observe that Jwa deficiency inhibited phosphorylation of ERK1/2 and increased the levels of FBXW7 in both crypts (Fig. 7D and Supplementary Fig. S6I, J ) and cells (Supplementary Fig. S6K ). To further clarify the role of the ERK/FBXW7 signal axis on Jwa deficiency-induced NOTCH1 degradation, we treated the cells with PA to activate the phosphorylation of ERK1/2. The results showed that ERK1/2 activation could effectively inhibit FBXW7 expression, reverse Jwa deficiencyinduced NOTCH1 down-regulation and downstream molecular changes (Fig. 7E and Supplementary Fig. S6L ). Meanwhile, we transfected the cells with siFbxw7 and achieved the same consequent as PA treatment (Fig. 7F and Supplementary Fig. S6M ). Furthermore, we performed the Chx-chase assay and the in vitro ubiquitination assay in PA treated or siFbxw7 transfected cells. Results showed that PA treatment or siFbxw7 transfection could effectively enhance the stability of NOTCH1 and reduce the ubiquitination degradation of NOTCH1 caused by Jwa deficiency (Fig. 7G-L ). Our results suggested that Jwa deficiency inhibited the phosphorylation of ERK1/2 and promoted NOTCH1 degradation through FBXW7-mediated ubiquitin-proteasome pathway. (G, H ) Chx-chase assay of NOTCH1 in IEC-6 cells transfected with shJwa plasmid followed by Pamoic Acid (10 μM) treatment, 3 independent replicates were carried out. (I) In vitro ubiquitination assay of NOTCH1 in IEC-6 cells co-transfected with shJwa followed by Pamoic Acid (10 μM) treatment, 3 independent replicates were carried out. (J, K) Chx-chase assay of NOTCH1 in IEC-6 cells co-transfected with shJwa plasmid and siFbxw7, 3 independent replicates were carried out. (L) In vitro ubiquitination assays of NOTCH1 in IEC-6 cells co-transfected with shJwa and siFbxw7, 3 independent replicates were carried out.
section_name: Jwa deficiency promotes ubiquitination degradation of Notch1 via ERK/FBXW7 axis

section_content: Given the role of cell proliferation, intestinal stem cell and epithelial cell distribution in intestinal epithelial renewal and regeneration, we further conduced the in vitro assays to validate the effects of ERK/FBXW7 and NOTCH1/PPARγ/STAT5 axes on the changes of these issues caused by Jwa deficiency in IEC-6 cells. Results showed that Jwa deficiency significantly inhibited cell proliferation revealed by EdU incorporation assay in IEC-6 cells, which was rescued by Stat5a, Hes1 overexpression, GW9662, PA treatment or siFbxw7 transfection (Fig. 8A, B and Supplementary Fig. S7A-E ). Moreover, Jwa deficiency drastically reduced ISCs marker levels and altered the expression of mature IECs markers in IEC-6 cells, Stat5a, Hes1 overexpression, GW9662, PA treatment or siFbxw7 transfection also reversed these phenotypes (Fig. 8C -G and Supplementary Fig. S7F-J ). These results further revealed that JWA regulated cells proliferation, the expressions of ISC and mature IEC markers through ERK/FBXW7 and NOTCH1/ PPARγ/STAT5 axes in vitro, these might indirectly expound that Jwa partially regulated cell proliferation, ISC maintenance and IEC distribution through this potential mechanism.
section_name: Restoration of the ERK/FBXW7 and NOTCH1/PPARγ/STAT5 axes reverses Jwa deficiency-induced cellular phenotypic changes in vitro.

section_content: Intestinal epithelium is a rapid renewal tissue composed of villi and crypts. The proliferative ISCs that reside in the bottom of crypts are responsible for epithelial maintenance. ISCs generate the transitamplifying progenitor cells that differentiate into mature IECs and migrate up to the villi to replace senescent or damaged IECs and complete epithelial renewal [20]. These characteristics make the intestinal epithelium more susceptible to environmental factors such as ionizing radiation [7]. Since the reduced ISCs activity, the intestinal epithelium regenerates more slowly in old mice than young mice after irradiation-induced injury [8, 21]. The present study showed intestinal epithelial Jwa deletion drastically inhibited the proliferating of crypt cells and reduced the number of Lgr5 + ISCs, thus causing epithelial atrophy, which was more noticeable in elderly mice. Moreover, Jwa also responded to X-ray irradiation and participated in epithelial regeneration. Intestinal epithelial Jwa deletion aggravated injury and prevented regeneration of the epithelium in mice after 10 Gy WAI, suggesting that Jwa was a regulator for intestinal epithelial maintenance. 

Multiple signaling transduction pathways, including Wnt, Notch, EGF, BMI, YAP/TAZ, etc., independently or cooperatively maintain intestinal epithelial homeostasis through ISC-dependent renewal and regeneration [22]. JAK/STAT signaling pathway is a central node that regulates cellular processes through signal transduction [23]. It responds to tissue turnover and regeneration via regulating stem cells, including hematopoietic stem cells [24], embryonic stem cells [25], as well as ISCs [26]. It is also a maintainer for cancer stem cells and promoter for multiple cancers, such as colorectal cancer [27]. STAT5, consisting of the transcription activator STAT5A and STAT5B, is a positive contributor to ISCs and intestinal epithelial regeneration in the dextran sulfate sodium (DSS)-induced colitis, Clostridium difficile infection-induced Ileocolitis, and irradiation-induced intestinal injury mouse models [28, 29]. The present study showed that Jwa deficiency down-regulated STAT5 at both the transcription and translation levels, suggesting that Jwa maintained intestinal epithelium through STAT5 signaling. 

PPARs, consist of three subtypes (α, δ/β, and γ), are nuclear hormone receptors activated by fatty acids and endogenous ligands, and responsible for lipid and glucose metabolism homeostasis [30, 31]. PPARα and PPARδ/β is able to augment ISCs function in high-fat diet, aging and injury, and promotes intestinal tumorigenesis by activating fatty acid oxidation (FAO) [31, 32]. PPARγ can regulate the proliferation and differentiation of intestinal progenitor cells through the region-specific promotion of FAO, and maintains intestinal epithelial renewal [20]. Therefore, it is no doubt that FAO plays a supportive role in ISC maintenance [20, [31] [32] [33]. However, on the other hand, high PPARγ activity also shows the inhibitory effect on Wnt/β-catenin signal pathway and impairs Lgr5 + ISCs function, although the FAO-related genes are induced [34]. The present study showed that Jwa deficiency elevated both transcription and translation levels of PPARγ, and thus causing the elevating of FAO-related genes in crypt. Nonetheless, there were opposite effects of FAO-related genes induction on intestinal phenotypes when Jwa was deleted. This result suggested that Jwa might modulate intestinal phenotypes through other roles of PPARγ, such as its transcriptional regulatory functions. It is reported that PPARγ activation can inhibit various signals, including JAK/STAT [35]. For example, activation of PPARγ can inhibit leukemia stem cells by suppressing STAT5 expression [36]. In the present study, STAT5s were the pronounced down-regulated molecules due to Jwa deletion, therefore, we considered that the elevated PPARγ level due to Jwa deletion mainly exhibited a negative effect on intestinal phenotypes by inhibiting STAT5, whereas the PPARγ-induced FAO has a weak supportive effect. However, more sufficient evidences are required to explain why Jwa deletion-induced FAO has the opposite effect on intestinal phenotypes as previous studies. 

The Notch signal pathway regulates cell proliferation, differentiation, tumorigenesis, and stem cell maintenance [27, 37]. Transcription repressor Hes1 is a target gene of Notch signal and plays an essential role in stem and progenitor cell maintenance; it is reported to prevent hematopoietic stem cell exhaustion by suppressing PPARγ expression [38, 39]. Moreover, NOTCH/HES1 axis inhibition accompanied by PPARγ activation can repress the progression of colorectal cancer via suppressing cancer stem cells [40]. Here we reported that Jwa deficiency inhibited Notch signal through ubiquitin-proteasome pathway-mediated degradation of the NOTCH1 receptor. The down-regulation of Notch target gene Hes1 was also the reason for PPARγ activation due to Jwa deficiency. The E3-ubiquitin ligase FBXW7 targets multiple substrates such as C-JUN, C-MYC, and NOTCH1; it works as a tumor suppressor for colorectal cancer by inhibiting Notch signal. However, FBXW7 deletion alters the maintenance of intestinal stem/progenitor cells and the fate of differentiated cells and induces colorectal tumorigenesis via losing suppression on Notch signal in mice intestine [41, 42]. The tumor suppressor FBXW7 expression is inversely correlated with ERK activation in pancreatic cancer, sustained activation of the RAS-RAF-MEK-ERK pathway phosphorylates FBXW7 at Thr205, and destabilizes FBXW7 [43, 44]. We previously demonstrated that JWA was an upstream activator of the ERK [45, 46]. The present study showed that Jwa deficiency up-regulated FBXW7 expression by inhibiting the phosphorylation of ERK1/2, thus promoting NOTCH1 degradation via ubiquitinproteasome pathway. 

ERK1/2 is a bona fide factor in the regulation of stemness, proliferation and differentiation of stem cells, many studies also demonstrated that ERK1/2 positively regulated the proliferation of IECs. For example, dietary Glu accelerates intestinal epithelial renewal and gut growth through EGFR/ERKpromoted ISC proliferation in porcine intestine [47]. Intestinal claudin-1 overexpression up-regulates the Notch signal via activating ERK1/2 signal, and promotes cell proliferation in both small intestine and colon epitheliums [48]. The EGF family ligand NRG1 was shown to have a remarkable ability to increase the stemness and proliferation of ISCs by activating ERK1/2 phosphorylation [49]. However, ERK1/2 deletion was shown to increase the KI67 + intestinal crypt cells, it appeared to be caused by ERK5 activation due to ERK1/2 deletion. When ERK5 was inhibited, the expression levels of both Mki67 and Lgr5 were both significantly reduced in ERK1/2-deficiency organoids; although they did not show any changes in the condition without ERK5 alteration, targeting both ERK1/2 and ERK5 showed inhibition of colorectal tumor cell proliferation, which was more pronounced when simultaneous suppression of ERK1/2 and ERK5 [50]. This suggests that ERK1/2 may exhibit bidirectional effects on the maintenance of intestinal epithelial homeostasis when regulated by different upstream signaling molecules or targeting different downstream molecules. JWA is also named as the Putative MAPK-activating protein PM27, perhaps including ERK5, which increase the proliferation of IECs. Taken together, we speculated that the Jwa ko-associated phenotypes are partially due to the contribution of the signaling axis downstream of ERK1/2, i. e., Notch signal and PPARγ/STAT5 axis. However, more evidence for the effects of JWA-mediated ERK signal on intestinal epithelial homeostasis should be further investigated. 

Notch signal promotes the IECs differentiation into enterocyte lineage while antagonizing secretory cell fate in intestine [42, 51], which is reversed by FBXW7 deletion [42]. The present study found that intestinal Jwa deletion promoted differentiated IECs into secretory cell lineages and suppressed the absorbing cell lineages. However, Paneth cells were reduced, presumably due to the suppression of Paneth cells by JWA deficiency-caused STAT5 down-regulation [29]. Therefore, the typical phenotype of Notch signal inhibition, co-localization of Paneth cell marker LYZ and Goblet cell marker MUC2 in crypts [20], was not observed in Jwa-deficiency mice. The reason for Jwa deficiency-caused differential regulation on Paneth cells and other secretory cell lineages is an interesting issue worthy of further exploration. 

Aging is one of the main factors of tissue degeneration, including the intestinal epithelium. Taking together our findings of long-term studies on the function of Jwa, such as oxidative stress response, DNA repair and neuroprotection [11] [12] [13] [14]., etc., hinting that Jwa may be associated with aging, which might also be revealed by decreased JWA levels in several organs due to aging and by shortened lifespan and elevated liver senescent cells due to Jwa deletion in the present study. Interestingly, the same phenotypes were also observed in intestinal epithelial Jwa deletion mice. Given that systemic and intestinal epithelial Jwa deletion both induced atrophy of intestinal epithelium and mice aging. Moreover, studies showed that the alterations in intestinal epithelial homeostasis could also influence the lifespan of lower creatures such as C. elegans and Drosophila [52, 53], making the intestine considered a potential target organ for anti-aging [54]. Therefore, we hypothesized that intestinal epithelial atrophy might be one of the reasons for accelerated aging in mice, considering the long-term nutrient malabsorption through depauperated intestinal epithelium, although dietary restriction without malnutrition is beneficial for improving aging and aging-related diseases [55]. However, the present study only preliminary elucidated of Jwa as a putative aging-related gene. How Jwa affects aging and whether the effect is related to the regulation of intestinal epithelial homeostasis requires further in-depth investigation. Moreover, in this study, the investigated mechanisms were partially contributed to the maintenance of intestinal epithelial homeostasis related to Jwa, however, there is no enough evidence whether targeting these mechanisms especially in intestine will altered the aging process. 

In summary, the present study shows that Jwa deficiency promoted NOTCH1 degradation via the ubiquitin-proteasome pathway in the ERK/FBXW7 dependent manner, thus disturbing the PPARγ/STAT5 axis, finally interfered with intestinal epithelial homeostasis by inhibiting cell proliferation, reducing intestinal stem cells, and altering epithelial cell distribution (Fig. 9A ). However, the effects and restoring experiments of these mechanisms were only performed in vitro in the IEC-6 cell line, and more adequate in vivo experiments were required to demonstrate these proposed mechanisms. In one word, these mechanisms, as a consequence of Jwa deficiency, partially resulted in a restricted homeostasis of intestinal epithelial renewal and regeneration after injury (Fig. 9B ). Furthermore, this study also preliminary proposed Jwa as a novel putative aging-related gene. modular calcium-binding protein 2; Ascl2: Achaete-scute family BHLH transcription factor 2; Msi1: Musashi RNA binding protein 1; WAI: Whole abdomen X-ray irradiation; CASP3: CASPASE-3; ERK: Extracellular regulated protein kinases; STAT5: Signal transducer and activator of transcription 5; JAK2: Janus kinase 2; PPARγ: Peroxisome proliferator-activated receptor-gamma; Hes1: Hairy and enhancer of splits 1; NICD: NOTCH1 intracellular domain; FBXW7: F-box and WD repeat domain containing-7; LYZ: Lysozyme; MUC2: Mucin 2; Sis: sucrase isomaltase; Lct: Lactase; Dpp4: Dipeptidyl Peptidase 4; Mmp7: Matrix Metallopeptidase 7; Spink4: Serine Peptidase Inhibitor Kazal Type 4; Tff3: Trefoil Factor 3; Gcg: Glucagon; Ngn3: Neurogenin 3; Reg4: Regenerating Family Member 4; Dclk1: Doublecortin Like Kinase 1; Hck: HCK Proto-Oncogene, Src Family Tyrosine Kinase.
section_name: Discussion

section_name: Acknowledgements

section_content: This study was financially supported by the National Natural Science Foundation of China (Grant number: 81973156, 81673219 ).
section_name: Acknowledgements

section_name: Data availability statement

section_content: The data supporting this study was available upon request.
section_name: Data availability statement

section_name: Abbreviations

section_content: Supplementary methods, figures and tables. https://www. ijbs. com/v18p5503s1. pdf
section_name: Supplementary Material

section_content: JWZ and XLi designed the research; XLi, YZ, LMW and YFW maintained and genotyped the mice; KD, LZ and XLiu assisted with experiments; APL managed the laboratory and assisted JWZ and XLi; YW and HLF assisted with the phenotype analysis; MH and GXD provided advises in aging research field; XLi and JWZ drafted and revised the manuscript; JWZ was the leading principal investigator in this research project.
section_name: Author Contributions

section_content: The authors have declared that no competing interest exists.
section_name: Competing Interests