Magdaleno S M, Barrish J, Finegold M J, DeMayo F J
Department of Cell Biology, Baylor College of Medicine, Houston, Texas, USA.
Adv Pediatr. 1998;45:363-96.
Disruption of the lung architecture by genetic events, environmental insults, or transformation can lead to respiratory diseases such as acute respiratory distress syndrome and lung cancer. Identification of the stem cells of the lung and the processes by which they regulate homeostasis may lead to better targets for treatment of these diseases. There are a number of approaches to study stem cell biology. Development of the lung and the major pulmonary cells of the bronchioles and alveolar regions of the lung is discussed in this review. Likewise, identifying the proteins that are critical for cell-specific expression and differentiation may identify approaches for manipulation of gene expression for use as therapy or treatment of lung diseases. Furthermore, strategies for studying stem cells in the lung are addressed by using the mouse as a model system. Gaining a more detailed understanding of the stem cells of the lung may provide new insight into the processes that govern lung biology and may lead to better treatments for lung diseases. Enthusiasm for the use of exogenous stem cells to replace tissue, organs, or other defective or deficient cells is boundless. Before stem cells can be used indiscriminately for these purposes, understanding tissue genetics and immunology is essential. Progress has been made in these areas for pulmonary disease. Attention to these models will be applicable to other organs and diseases.
遗传事件、环境损伤或细胞转化导致的肺结构破坏可引发诸如急性呼吸窘迫综合征和肺癌等呼吸系统疾病。识别肺干细胞及其调节内稳态的过程可能会为这些疾病的治疗带来更好的靶点。研究干细胞生物学有多种方法。本综述讨论了肺的发育以及肺细支气管和肺泡区域的主要肺细胞。同样,识别对细胞特异性表达和分化至关重要的蛋白质可能会确定操纵基因表达以用于治疗或处理肺部疾病的方法。此外,通过使用小鼠作为模型系统来探讨研究肺干细胞的策略。更详细地了解肺干细胞可能会为支配肺生物学的过程提供新的见解,并可能带来更好的肺部疾病治疗方法。使用外源性干细胞替代组织、器官或其他有缺陷或不足细胞的热情是无限的。在干细胞可被随意用于这些目的之前,了解组织遗传学和免疫学至关重要。在这些肺部疾病领域已经取得了进展。关注这些模型将适用于其他器官和疾病。