Luo Yongfeng, Cao Ke, Chiu Joanne, Chen Hui, Wang Hong-Jun, Thornton Matthew E, Grubbs Brendan H, Kolb Martin, Parmacek Michael S, Mishina Yuji, Shi Wei
Department of Surgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027.
Division of Pulmonary, Critical Care & Sleep Medicine, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
bioRxiv. 2024 Apr 2:2023.09.26.559527. doi: 10.1101/2023.09.26.559527.
Abnormal lung development can cause congenital pulmonary cysts, the mechanisms of which remain largely unknown. Although the cystic lesions are believed to result directly from disrupted airway epithelial cell growth, the extent to which developmental defects in lung mesenchymal cells contribute to abnormal airway epithelial cell growth and subsequent cystic lesions has not been thoroughly examined. In the present study, we dissected the roles of BMP receptor 1a (Bmpr1a)-mediated BMP signaling in lung mesenchyme during prenatal lung development and discovered that abrogation of mesenchymal disrupted normal lung branching morphogenesis, leading to the formation of prenatal pulmonary cystic lesions. Severe deficiency of airway smooth muscle cells and subepithelial elastin fibers were found in the cystic airways of the mesenchymal knockout lungs. In addition, ectopic mesenchymal expression of BMP ligands and airway epithelial perturbation of the Sox2-Sox9 proximal-distal axis were detected in the mesenchymal knockout lungs. However, deletion of Smad1/5, two major BMP signaling downstream effectors, from the lung mesenchyme did not phenocopy the cystic abnormalities observed in the mesenchymal knockout lungs, suggesting that a Smad-independent mechanism contributes to prenatal pulmonary cystic lesions. These findings reveal for the first time the role of mesenchymal BMP signaling in lung development and a potential pathogenic mechanism underlying congenital pulmonary cysts.
异常的肺发育可导致先天性肺囊肿,其发病机制在很大程度上仍不清楚。尽管认为囊性病变直接源于气道上皮细胞生长紊乱,但肺间充质细胞发育缺陷对气道上皮细胞异常生长及随后的囊性病变的影响程度尚未得到充分研究。在本研究中,我们剖析了产前肺发育过程中骨形态发生蛋白受体1a(Bmpr1a)介导的骨形态发生蛋白(BMP)信号在肺间充质中的作用,发现间充质中该信号的缺失破坏了正常的肺分支形态发生,导致产前肺囊性病变的形成。在间充质敲除肺的囊性气道中发现气道平滑肌细胞和上皮下弹性纤维严重缺乏。此外,在间充质敲除肺中检测到BMP配体的异位间充质表达以及Sox2-Sox9近-远轴的气道上皮扰动。然而,从肺间充质中删除Smad1/5这两个主要的BMP信号下游效应器,并未模拟间充质敲除肺中观察到的囊性异常,这表明一种不依赖Smad的机制导致产前肺囊性病变。这些发现首次揭示了间充质BMP信号在肺发育中的作用以及先天性肺囊肿潜在的致病机制。
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