PT - JOURNAL ARTICLE AU - Martijn AJ Koppens AU - Hayley Davis AU - Gabriel N Valbuena AU - Eoghan J Mulholland AU - Nadia Nasreddin AU - Mathilde Colombe AU - Agne Antanaviciute AU - Sujata Biswas AU - Matthias Friedrich AU - Lennard Lee AU - Oxford IBD cohort investigators AU - Lai Mun Wang AU - Viktor H Koelzer AU - James E East AU - Alison Simmons AU - Douglas J Winton AU - Simon J Leedham TI - BMP pathway antagonism by <em>Grem1</em> regulates epithelial cell fate in intestinal regeneration AID - 10.1101/2021.01.06.425570 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.01.06.425570 4099 - http://biorxiv.org/content/early/2021/01/07/2021.01.06.425570.short 4100 - http://biorxiv.org/content/early/2021/01/07/2021.01.06.425570.full AB - In the intestine, the homeostatic effect of Bone Morphogenetic Protein (BMP) on cell fate has predominantly been inferred through pathway inactivation. Here, we assessed the impact of autocrine Bmp4 expression on secretory cell fate. Ligand exposure reduced proliferation, expedited terminal differentiation, abrogated long-term secretory cell survival and prevented dedifferentiation. As stem cell plasticity is required for regenerative adaptive reprogramming, we spatiotemporally mapped and functionally explored BMP’s role in epithelial restitution. Following ulceration, physiological attenuation of BMP signalling arose through upregulation of the secreted antagonist, Grem1, from topographically distinct populations of stromal cells. Concomitant expression supported functional compensation, following Grem1 deletion from tissue-resident fibroblasts. BMP pathway manipulation showed that antagonist-mediated BMP attenuation was obligatory, but functionally sub-maximal, as regeneration was impaired or enhanced by epithelial overexpression of Bmp4 or Grem1 respectively. Mechanistically, Bmp4 abrogated regenerative stem cell reprogramming, despite a convergent impact of YAP/TAZ on cell fate in remodelled wounds.Competing Interest StatementSJL has received grant income from UCB. VHK has served as an invited speaker on behalf of Indica Labs.