The mucosa of the small intestine is an essential tissue with intrigui
ng biology. It is a paradigm to help understand the development, growt
h, differentiation, and renewal of columnar epithelial surfaces. The m
ucosal epithelium is a dynamic structure that is formed during the int
eraction of yolk sac endoderm with the mesoderm early during fetal dev
elopment. it is continually renewed throughout adult life by multipote
nt stem cells capable of differentiating into several mature lineages.
The cellular processes that lead to the development of the mucosa, su
ch as migration, cell fate determination, proliferation, differentiati
on, and cell death, are recapitulated in the adult mouse throughout li
fe. Current studies have led to a better understanding of the molecula
r events that control these processes, Lineage-specific gene expressio
n occurs under complex control by both positive and negative transcrip
tion control elements and is undoubtedly regulated by extracellular si
gnaling along the crypt-to-villus axis, The intestinal epithelial cell
forms intimate contacts with T lymphocytes, which in turn may regulat
e epithelial cell growth and barrier function, As mature epithelial ce
lls are produced, they express a variety of intestine-specific gene pr
oducts involved in digestive, absorptive, cell migratory, and cell pro
tection functions. To better understand the nature and fate of epithel
ial stem cells, genetic analysis of Caenorhabditis elegans and mice ha
s proven to be fruitful and deserves further analysis.