Department of Surgery, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, United States.
Division of Pulmonary, Critical Care & Sleep Medicine, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, United States.
Elife. 2024 Jun 10;12:RP91876. doi: 10.7554/eLife.91876.
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 using genetic mouse models, we dissected the roles of bone morphogenetic protein (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.
异常的肺发育可能导致先天性肺囊肿,其发生机制在很大程度上尚不清楚。尽管囊状病变被认为是直接由气道上皮细胞生长中断引起的,但肺间充质细胞发育缺陷在多大程度上导致异常气道上皮细胞生长和随后的囊状病变尚未得到彻底研究。在本研究中,我们使用遗传小鼠模型,解析了骨形态发生蛋白(BMP)受体 1a(Bmpr1a)介导的 BMP 信号在产前肺发育过程中对肺间质的作用,发现间质中 BMP 信号的缺失破坏了正常的肺分支形态发生,导致产前肺囊状病变的形成。在间质 基因敲除肺的囊状气道中,发现气道平滑肌细胞和上皮下弹性纤维严重缺乏。此外,在间质 基因敲除肺中还检测到 BMP 配体的间质异位表达以及 Sox2-Sox9 近端-远端轴的气道上皮扰动。然而,从肺间质中删除 Smad1/5(两种主要的 BMP 信号转导下游效应子)并不能模拟间质 基因敲除肺中观察到的囊状异常,这表明存在一种 Smad 非依赖性机制导致产前肺囊状病变。这些发现首次揭示了间质 BMP 信号在肺发育中的作用以及先天性肺囊肿的潜在发病机制。
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