# The lysosomal fasting response in intestinal stem cells and cancer

> **NIH NIH R01** · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · 2024 · $606,698

## Abstract

PROJECT SUMMARY
Fasting improves organismal health and tissue homeostasis in part by enhancing stem cell activity. In addition,
stem cells serve as a cell-of-origin in multiple cancer types; however, how fasting influences tissue stem cells
remains poorly understood. Here we propose to dissect the role of lysosomes, a dynamic signaling organelle that
orchestrates and executes key aspects of the intestinal stem cell fasting response and tumorigenesis. Lysosomes
control metabolism in response to nutrient availability, and they contribute to protein and cellular homeostasis
through clearance of aggregation in part through its function called autophagy; a critical need in the field is to
uncover the relevant autophagic cargos and metabolites to understand their regulatory roles in cellular and
organismal physiology. Using the mammalian intestine as a paradigm, we aim to understand how lysosomes
maintain intestinal stem cells (ISCs) and contribute to tumorigenesis, as insights into this biological process can
help develop therapies benefiting human health. Here we focus on two largely redundant transcription factors that
are important for lysosomal biogenesis, called TFE3 and TFEB: Our central hypothesis is that TFE3 and TFEB
orchestrate the lysosome fasting response, and they play a central role in coordinating inter-organellar
communication to maintain ISCs under the fasted state by engaging the PPAR driven, mitochondrial fatty acid
oxidation (FAO) pathway. In Aim 1, we will characterize the intestine-specific deletion phenotypes of Tfe3 Tfeb
double mutants in both fed and fasted conditions and further test the necessity and sufficiency of these transcription
factors in driving the ISC fasting response. In Aim 2, we will investigate the mechanism by which lysosomes support
ISCs by employing multiple molecular approaches. First, we will define the transcription network orchestrated by
TFE3 and TFEB. Next, we will isolate lysosomes from ad libitum or fasted ISCs to discover metabolomic and
protein contents. The advance of our approach is the use of a rapid lysosomal purification method (LysoIP) that
we recently adopted to enable cell-type specific metabolomic and proteomic profiling from in vivo tissues in a cell-
type specific manner. Further, we will interrogate the regulatory relationship between TFE3, TFEB and
mitochondrial FAO, a pathway that we previously identified as essential for ISCs maintenance in fasted conditions.
In Aim 3, we will focus on understanding the role of lysosomes in early intestinal tumorigenesis. To this end, the
well-established Apc model of intestinal tumorigenesis and orthotopic transplantation models will be used to ask if
TFE3 and TFEB can impact intestinal tumor initiation or progression. In addition, we will perform LysoIP from
primary tumors to uncover their lysosomal contents. Finally, to investigate whether the lysosomal fasting response
can be synergistically utilized with conventional chemotherapy, we will perfor...

## Key facts

- **NIH application ID:** 10945493
- **Project number:** 1R01DK140310-01
- **Recipient organization:** MASSACHUSETTS INSTITUTE OF TECHNOLOGY
- **Principal Investigator:** Omer Yilmaz
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $606,698
- **Award type:** 1
- **Project period:** 2024-08-15 → 2028-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10945493

## Citation

> US National Institutes of Health, RePORTER application 10945493, The lysosomal fasting response in intestinal stem cells and cancer (1R01DK140310-01). Retrieved via AI Analytics 2026-06-12 from https://api.ai-analytics.org/grant/nih/10945493. Licensed CC0.

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