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Interleukin-13 disrupts type 2 pneumocyte stem cell activity
Kristen M. Glisinski, Adam J. Schlobohm, Sarah V. Paramore, Anastasiya Birukova, M. Arthur Moseley, Matthew W. Foster, Christina E. Barkauskas
Kristen M. Glisinski, Adam J. Schlobohm, Sarah V. Paramore, Anastasiya Birukova, M. Arthur Moseley, Matthew W. Foster, Christina E. Barkauskas
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Research Article Pulmonology Stem cells

Interleukin-13 disrupts type 2 pneumocyte stem cell activity

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Abstract

The T helper 2 (Th2) inflammatory cytokine interleukin-13 (IL-13) has been associated with both obstructive and fibrotic lung diseases; however, its specific effect on the epithelial stem cells in the gas exchange compartment of the lung (alveolar space) has not been explored. Here, we used in vivo lung models of homeostasis and repair, ex vivo organoid platforms, and potentially novel quantitative proteomic techniques to show that IL-13 disrupts the self-renewal and differentiation of both murine and human type 2 alveolar epithelial cells (AEC2s). Significantly, we find that IL-13 promotes ectopic expression of markers typically associated with bronchiolar airway cells and commonly seen in the alveolar region of lung tissue from patients with idiopathic pulmonary fibrosis. Furthermore, we identify a number of proteins that are differentially secreted by AEC2s in response to IL-13 and may provide biomarkers to identify subsets of patients with pulmonary disease driven by “Th2-high” biology.

Authors

Kristen M. Glisinski, Adam J. Schlobohm, Sarah V. Paramore, Anastasiya Birukova, M. Arthur Moseley, Matthew W. Foster, Christina E. Barkauskas

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Figure 7

Model for the potential role of IL-13 in the pathogenesis of IPF.

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Model for the potential role of IL-13 in the pathogenesis of IPF.
Normal...
Normal lung is capable of epithelial repair, characterized by self-renewal and differentiation of AEC2s. In normal circumstances, injury can be repaired through these mechanisms. In the setting of genetic predisposition, endoplasmic reticulum stress, aging, or, as we propose, high IL-13 levels, AEC2s proliferate but are unable to differentiate normally, leading to denuded basement membrane, proliferation, and differentiation of mesenchymal cell types, and deposition of extracellular matrix. AEC2s are “hyperplastic” in appearance, have reduced expression of lipid biosynthesis genes, and acquire a more bronchiolar phenotype. As such, they are not capable of normal repair and a fibrotic response is perpetuated.

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