Ana Pardo-Saganta, PhDProfessor Lung Inflammation and RepairInstitute for Lung Health - Justus Liebig University
German Center for Lung Research, GIESSEN (Germany)"Coordinated healing: heterotypic cellular interactions in lung injury and repair"host : A. MARAVER (IRCM)Chronic lung disease such as IPF or COPD develops over extended periods of time and arecharacterized by failure in mechanisms of repair (1,2). Both pathologies are considered age-relateddiseases exhibiting most of the hallmarks of aging including stem cell exhaustion and alteredintercellular communication (3). In the last years, novel epithelial progenitor cells have been identifiedand demonstrated to contribute to lung repair. In fact, distinct subpopulations of alveolar type (AT) 2cells have been shown to have higher regenerative capacity (4-8). Recent findings shed light to themechanisms of regeneration of the alveolar epithelium (8-11); however, a better understanding of thecoordinated processes of tissue repair from different stem cell pools after injury is crucial to restorethe delicate lung architecture. Our research focuses on the study of the interplay between theseepithelial progenitor populations and neighboring cell types of their microenvironment in thedevelopment of lung disease.It is now generally accepted that epithelial cell loss or dysfunction drives the development of lungfibrosis (12-15). We have identified an additional function for AT2 cells that in addition to serve asadult stem cells of the alveolar epithelium can play a profibrotic role directly activating adjacentfibroblast. This communication is mediated by the Notch pathway and their blockade seems toattenuate the fibrotic phenotype, revealing a potential therapy for IPF, a fatal disease with no cure, amedian survival of 3-5 years post-diagnosis and whose incidence in increasing in the last years (1).Thus, our findings support the notion that the pathophysiology of pulmonary fibrosis relies in part, onthe Notch-regulated interaction between aberrant cellular populations of the fibrotic lung and thatunravelling this complex microenvironment is critical to find efficient treatments for IPF.References1. Schneider JL, et al. The aging lung: physiology, disease and immunity. Cell. 2021 Apr15;184(8):1990-2019. doi: 10.1016/j.cell.2021.03.005.2. Han S, et al. Alveolar epithelial regeneration in the aging lung. .J Clin Invest. 2023 Oct16;133(20):e170504. doi: 10.1172/JCI1705043. Lopez-Otin C. et al. Hallmarks of aging: An expanding universe. Cell 2023, Jan 19;186(2):243-278.doi: 10.1016/j.cell.2022.11.0014. Zacharias WJ. et al, Nature 2018 Mar 8;555(7695):251-255. doi: 10.1038/nature25786.5. Nabhan AN. et al., Science 2018 Mar 9;359(6380):1118-1123. doi: 10.1126/science.aam66036. Chen et al., Am J Physiol Lung Cell Mol Physiol. 2017 Jul 1;313(1):L41-L51. doi:10.1152/ajplung.00564.2016.7. Ahmadvand N. et al., Eur Respir J. 2021 Nov 4;58(5):2004168. doi: 10.1183/13993003.04168-2020.8. Choi J. et al., Cell Stem Cell 2020 Sep 3;27(3):366-382.e7. doi: 10.1016/j.stem.2020.06.020.9. Kobayashi Y. et al, Nat Cell Biol 2020 Aug;22(8):934-946. doi: 10.1038/s41556-020-0542-8.10. Strunz M. et al., Nat Comm 2020. Jul 16;11(1):3559. doi: 10.1038/s41467-020-17358-3.11. Jiang P. et al., Am J Respir Crit Care Med. 2020 Jun 1;201(11):1443-1447. doi:10.1164/rccm.201909-1726LE.12. Sakai, N. & Tager, A. M. Fibrosis of two: Epithelial cell-fibroblast interactions in pulmonaryfibrosis. Biochim. Biophys. Acta - Mol. Basis Dis. 1832, 911–921 (2013).13. Barkauskas, C. E. & Noble, P. W. Cellular Mechanisms of Tissue Fibrosis. 7. New insights into thecellular mechanisms of pulmonary fibrosis. AJP Cell Physiol. 306, C987–C996 (2014).14. Xie T. et al. Abnormal respiratory progenitors in fibrotic lung injury. Stem Cell Res Ther.;13(1):64(2022).15. Konkimalla A, et al. Lung Regeneration: Cells, Models, and Mechanisms. Cold Spring HarbPerspect Biol.; a040873 (2021).
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