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Stem cells are undifferentiated cells that divide and produce more stem cells or progenitor cells that differentiate into mature, specialized cell types. All the cells in the body are generated from stem cells in the early embryo, but small populations of stem cells are also present in many adult tissues including the bone marrow, brain, skin, and gut. These adult stem cells typically produce the various cell types found in that tissue—to replace cells that are damaged or to continuously renew the tissue.

The Small Intestine

The epithelium lining the small intestine is continuously renewed by adult stem cells. It is the most rapidly replaced tissue in the human body, with most cells being replaced within 3-5 days. The intestinal epithelium consists of thousands of villi that protrude into the interior of the small intestine—increasing its surface area to aid in the absorption of nutrients.

Intestinal stem cells are located at the base of invaginations called crypts that lie between the villi. They divide to produce new stem cells, as well as daughter cells (called transit amplifying cells) that divide rapidly, move up the villi and differentiate into all the cell types in the intestinal epithelium, including absorptive, goblet, enteroendocrine, and Paneth cells. These mature cells continue to move up the villi as they carry out their functions, except Paneth cells which move back down to reside at the base of the crypt.

When the mature cells reach the top of the villi, they undergo apoptosis—programmed cell death—and are shed. New cells continue to push up from below, continuously replacing the cells that are lost.