BIOL463-Fall 2015 TEMPLATE FOR PROJECT OUTLINE – Due Oct 23 (please type!) Student’s name: Nolan Shelley Topic chosen: The Role of Basal Cells in Reconstituting Injured Alveolar Epithelial Cells in Mus musculus SPECIFIC QUESTION: Do basal cells, which serve as progenitor cells for the conducting airway epithelium, have the capacity to regenerate alveolar epithelial cells in response to different kinds of lung injury? HYPOTHESIS: Basal cells do have the ability to reconstitute alveolar epithelial cells following injury, particularly in response to influenza infection. EVIDENCE ON WHICH THE HYPOTHESIS IS BASED (INCLUDE REFERENCES): - Lineage tracing has shown that Trp63+Krt14+ lung cells, which contain unique basal cell markers, can emerge in distal lung alveoli, where they are not normally found, in response to severe influenza injury – however, this experiment was highly flawed due to the initiation of lineage-tracing after injury as opposed to before - These cells were shown to generate alveolar cells expressing the AEC1 (alveolar epithelial cell type 1) marker gene Pdpn, though this gene is also expressed in some basal cells, calling into question the legitimacy of this result - Additionally, Trp63+ lung cells have been shown to accumulate in the bronchioles following influenza infection, though there is little evidence for their presence in the bronchioles of normal mice - However, Krt14+ lung cells that underwent lineage tracing were not shown to generate AEC2s (alveolar epithelial cell type 2), which are a critical epithelial lineage of alveoli - Despite the flaws presented above, another experiment shows definitively that Scb1a1 + (which is a marker of secretory club cells) cells in the bronchioles can give rise to AEC2s in response to alveolar damage from bleomycin or influenza infection o Because basal cells have been shown to give rise to such cells in the proximal airways, it is possible that basal cells also give rise to these cells in response to such injury, eventually leading to the regeneration of AEC2s, a hypothesis that has yet to be tested PREDICTION(S): - If the hypothesis is correct, then in response to influenza infection in mice I should be able to observe basal cells give rise to alveolar epithelial cells (AEC1s and AEC2s) over time - If the hypothesis is incorrect, then in response to influenza infection in mice I should not observe any basal cells giving rise to alveolar epithelial cells. In contrast, I would expect a contribution directly from Scgb1a1+ cells as shown in the experiment mentioned above, in addition to BIOL463-Fall 2015 contributions from AEC2s, which have been shown to be progenitor cells of the alveoli during normal adult homeostasis in mice EXPERIMENTAL APPROACH TO TEST PREDICTION (INCLUDE ANY DETAILS THAT YOU HAVE WORKED OUT SO FAR): - Use lineage-tracing methods to determine whether basal cell descendents now exhibit alveolar epithelial cell-like qualities - This method will be elaborated on in the proposal LIST OF RELEVANT PRIMARY AND REVIEW ARTICLES READ, AND SUMMARY OF RELEVANT INFORMATION FROM EACH (this is the start of an annotated bibliography): 1. Kotton, D.N. & Morrisey, E.E. Lung regeneration: mechanisms, applications and emerging stem cell populations. Nature Medicine 20, 822-832 (2014). This was the primary review article I used for my research. It outlines the pathways and progenitor cells involved in lung development and regeneration in response to injury in the mouse. It describes the in vivo research used to construct the models of the adult and developmental mouse lung, including differentiation repertoires of stem cell candidates and the mechanisms of cell-lineage labeling. It also goes into detail with regards to the mechanisms of epithelial regeneration in specific regions of the lung, including the proximal and distal airways, the bronchoalveolar junction and the alveoli. Lastly, it reviews the progress made in de novo regenerative therapies for the mouse, including those that use induced pluripotent stem cells in vitro. It concludes with the current therapeutic approaches being employed for human lung regeneration, such as the implantation of stromal cells isolated from human bone marrow. 2. Hogan, B.L. et al. Repair and regeneration of the respiratory system: complexity, plasticity, and mechanisms of lung stem cell function. Cell Stem Cell 15, 123-138 (2014). This was another review article used for developing my background knowledge on the topic of adult lung regenerative mechanisms in vivo. It starts by providing a very detailed outline of the stages of lung development in the embryo of the mouse, including branching morphogenesis and alveologenesis. It then proceeds to outline the epithelial progenitor cell populations that mediate adult lung homeostasis and regeneration in the various regions of the lung (just like the review article above). It additionally provides comprehensive diagrams of the adult mouse bronchioles and alveoli and their epithelial populations, which complimented the extensive written descriptions very nicely. The article also describes the responses of the various regions of the adult mouse lung to different injury-inducing treatments, including naphthalene and bleomycin. Lastly, like the above article, it goes into the current methods for bioengineering lung tissue, including whole-lung decellularization strategies. 3. Rawlins, E.L. et al. The role of Scb1a1+ Clara cells in the long-term maintenance and repair of lung airway, but not alveolar, epithelium. Cell Stem Cell 4, 525-534 (2009). In this primary research article, the authors performed cell-lineage tracing on Scgb1a1-CreERTM ; Rosa26R-eYFP transgenic mice to track the descendents of Scgb1a1+ (i.e. secretory) cells in the BIOL463-Fall 2015 tracheal and distal airways, and alveoli over time. They analyzed the lungs of these mice during postnatal growth, adult homeostasis, and in response to naphthalene- and hyperoxia-induced injury. They found that while these cells give rise to secretory and ciliated cells in the distal airways during postnatal growth and adult homeostasis, they do not give rise to alveolar epithelial cells. This was also found to hold in response to the given lung injuries, despite previous conjectures that bronchiolar epithelial cells contribute to alveoli during repair. The authors also found that Scgb1a1+ cells contribute only very minimally to epithelial repair in response to tracheal injury and during postnatal growth, supporting the hypothesis that basal cells are the primary contributors to proximal airway epithelial regeneration. 4. Barkauskas, C.E. et al. Type 2 alveolar cells are stem cells in adult lung. J. Clin. Invest. 123, 30253036 (2013). This article describes lineage-tracing experiments using Sftpc-CreERT2;Rosa26R-tdTm doubly transgenic mice to determine the progenitor cells of the alveoli in the adult mouse lung during maintenance and repair. They found that surfactant protein C-positive (Sftpc+) alveolar epithelial type 2 cells (AEC2s) self renew and differentiate over about a year in the adult homeostatic lung, additionally giving rise to AEC1s. Interestingly, authors found that the percentage of lineagelabeled Sftpc+ cells does not increase in response to bleomycin injury, suggesting that a Sftpc- cell population helps to restore the AEC2 population in this instance, potentially including the Scgb1a1+ secretory club cells mentioned in the previous article. Additionally, they found that single lineagelabeled AEC2s grown in culture with Pdgfra+ lung stromal cells give rise to sphere-like colonies, which they termed alveolospheres, containing both AEC2s and AEC1s. 5. Kumar, P.A. et al. Distal airway stem cells yield alveoli in vitro and during lung regeneration following H1N1 influenza infection. Cell 147, 525-538 (2011). In this primary research article, the authors examine the role of basal cells of the proximal airways in response to H1N1 influenza infection. They find that p63-expressing basal cells are intermingled in the bronchiolar epithelium 11 days post-inoculation, and then fall in concentration by 21 days, though they are not present at all in the bronchioles of normal mice. Additionally, basal cells were also found in the damaged lung parenchyma, and formed discrete clusters of pods in the interstitial lung (the area between the pulmonary alveoli and bloodstream). Then, they examined human tracheal airway stem cells in vitro using pedigree tracking and found that they display significantly robust differentiation into ciliated and mucin-producing goblet cells, far greater than that found in distal airway stem cells. Furthermore, they found that mouse basal cells in vitro stain positive for Aqp5, a marker of AEC1, in response to influenza infection. Lastly, using a poorly designed lineage tracing experiment, they found that Krt5+ cells and their descendents migrated from the bronchioles to local sites of interbronchiolar damage in response to influenza-induced injury. 6. Kretzschmar, K. & Watt, F.M. Lineage tracing. Cell 148, 33-45 (2012). This review article outlines the development of lineage tracing as a mechanism for tracking descendents of specific progenitor cells. In particular, it delves into the use of genetic lineage tracing in mice using the Cre-loxP system. It describes the general mechanism employed, involving the placement of the Cre recombinase gene under the control of a lineage-specific promoter in one transgenic line and the production of a reporter gene under the control of a ubiquitous promoter, BIOL463-Fall 2015 flanked by a loxP-STOP-loxP sequence in a second transgenic line. In animals expressing both constructs, Cre specifically activates the reporter in cells that express the lineage-specific promoter by excising the STOP sequence. The article then elaborates on recent improvements in this system, including temporal and spatial control of Cre activity through the use of the human estrogen receptor and tamoxifen, as well as the advent of multicolor reporter constructs for lineage tracing with two or more markers. 7. Li, F. et al. Diversity of epithelial stem cell types in adult lung. Stem Cells International 2015, 728307 (2015). This review article serves as a compliment to the first two references of this annotated bibliography, providing an even more detailed look into the epithelial progenitor cells of the adult mouse lung. In addition to discussing the usual stem cell candidates, such as basal cells in the proximal airway, alveolar type II epithelial cells and naphthalene-resistant variant club cells within neuroepithelial bodies of the distal airways, it also describes a subpopulation of as yet unidentified cells in the ducts of the submucosal glands (in the proximal airway) and secretory cells in the bronchoalveolar duct junction. It provides excellent illustrations of the various cell populations of mouse lung epithelia, and a comprehensive description of potential niches for such progenitor cells, which I could not find in other review articles. Lastly, it discusses lung cancer stem cells and the role of their niches in supporting their capacity for self-renewal proliferation. 8. Beers, M.F. & Morrisey E.E. The three R’s of lung health and disease: repair, remodeling and regeneration. J. Clin. Invest. 121, 2065-2073 (2011). This article aims not to provide an overly thorough overview of lung development, adult lung injury or the pathways involved, but instead to elucidate similarities between what occurs during the development process and injury response required to properly regenerate damaged cell lineages. It outlines the possible avenues for future regenerative therapies, including the activation of local progenitor populations, the insertion of exogenous lung progenitors and the promotion of local proliferation of undamaged epithelium. Furthermore, it outlines the development of parenchymal lung disease, in which the response stage can either result in appropriate repair, as is seen in injury models of the mouse that were examined in the previous references, or in aberrant remodeling, including excessive apoptosis and dysfunctional states of differentiation. HOW DOES THE QUESTION FIT INTO THE BROADER PICTURE, AND WHAT IS ITS IMPACT? - Answering this question will expand upon our knowledge of the reparative mechanisms in the lungs of adult mice in response to various forms of injury - Knowledge of these mechanisms may eventually lead to the potential to regenerate human lung tissue in response to serious injuries like chronic obstructive pulmonary disease (COPD) by understanding the various progenitor cells involved and the signals that stimulate their differentiation - This serves as an alternative mechanism for injury repair, as opposed to de novo production of lung tissue via stem-cell induction, which is another area of active research BIOL463-Fall 2015 POTENTIAL WAYS TO MAKE YOUR QUESTION KNOWN TO THE PUBLIC AT LARGE (OR TO YOUR NONBIOLOGIST FAMILY AND FRIENDS): - Through the understanding that models of injury and disease response in mice have remarkable similarities to these processes in humans, the necessity of understanding the process of tissue regeneration in the lungs of adult mice so as to provide potential avenues for disease treatment in humans becomes very clear ANY OTHER PARTS OF THE PROJECT COMPLETED SO FAR: - I guess everything is relatively well planned out except the annotated bibliography! ANYTHING YOU WOULD LIKE SPECIFIC FEEDBACK ON: - A little late for this now!