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CCR10+ epithelial cells from idiopathic pulmonary fibrosis lungs drive remodeling
David M. Habiel, Milena S. Espindola, Isabelle C. Jones, Ana Lucia Coelho, Barry Stripp, Cory M. Hogaboam
David M. Habiel, Milena S. Espindola, Isabelle C. Jones, Ana Lucia Coelho, Barry Stripp, Cory M. Hogaboam
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Research Article Cell biology Pulmonology

CCR10+ epithelial cells from idiopathic pulmonary fibrosis lungs drive remodeling

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Abstract

Idiopathic pulmonary fibrosis (IPF) is a devastating fibrotic lung disease of unknown etiology and limited therapeutic options. In this report, we characterize what we believe is a novel CCR10+ epithelial cell population in IPF lungs. There was a significant increase in the percentage of CCR10+ epithelial cells in IPF relative to normal lung explants and their numbers significantly correlated to lung remodeling in humanized NSG mice. Cultured CCR10-enriched IPF epithelial cells promoted IPF lung fibroblast invasion and collagen 1 secretion. Single-cell RNA sequencing analysis showed distinct CCR10+ epithelial cell populations enriched for inflammatory and profibrotic transcripts. Consistently, cultured IPF but not normal epithelial cells induced lung remodeling in humanized NSG mice, where the number of CCR10+ IPF, but not normal, epithelial cells correlated with hydroxyproline concentration in the remodeled NSG lungs. A subset of IPF CCR10hi epithelial cells coexpress EphA3 and ephrin A signaling induces the expression of CCR10 by these cells. Finally, EphA3+CCR10hi epithelial cells induce more consistent lung remodeling in NSG mice relative to EphA3–CCR10lo epithelial cells. Our results suggest that targeting epithelial cells, highly expressing CCR10, may be beneficial in IPF.

Authors

David M. Habiel, Milena S. Espindola, Isabelle C. Jones, Ana Lucia Coelho, Barry Stripp, Cory M. Hogaboam

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Figure 6

IPF epithelial cells induce lung remodeling in NSG mice.

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IPF epithelial cells induce lung remodeling in NSG mice.
(A) CRC-culture...
(A) CRC-cultured normal (n = 3) and IPF (n = 4) epithelial cells were dissociated using Accutase solution, stained with fluorescently conjugated anti-EpCAM and -CCR10 antibodies and analyzed by flow cytometry. Shown are representative dot plots of EpCAM+ cells (left) and CCR10+ cells within the EpCAM+ cells (right) from normal (n = 3; top) and IPF (n = 4; bottom) epithelial cell cultures. (B) Shown is the percentage of CCR10+ epithelial cells from normal and IPF epithelial cell cultures. Data shown are the mean ± SEM. n = 3–4/group. *P ≤ 0.05 via unpaired parametric t test. (C–E) Normal and IPF culture–expanded epithelial cells were injected intravenously into NSG mice and allowed to engraft for 63 days, after which the mice were sacrificed, and their lungs were analyzed for remodeling. Representative Masson’s trichrome staining taken at ×50 magnification of NSG mouse lungs, 63 days after normal (C) and IPF (D and E) epithelial cell administration. (F) Depicted is the average hydroxyproline content in the superior and middle lobes in unchallenged, naive, and epithelial cell–challenged NSG mice. Data shown are the mean ± SEM. n = 5 from 1 normal donor lung; n = 10 from 2 IPF patients’ lungs. *P ≤ 0.05 via 1-way ANOVA corrected with Dunnett’s test. (G and H) Cellular suspensions from humanized NSG lung tissues were generated and analyzed by flow cytometry for human EpCAM+CCR10+ cells. Depicted are correlation analyses of hydroxyproline concentration and number of human CD45–EpCAM+CCR10+ cells in NSG lungs humanized with IPF (G) or normal (H) epithelial cells at day 63 after cell injection. n = 5 from 1 normal donor lung; n = 10 from 2 IPF patients’ lungs. P values indicated. IPF, idiopathic pulmonary fibrosis; NSG, NOD Cg-PrkdcSCID IL2rgTm1wilSzi; Hyp, hydroxyproline.

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