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Allergen induces pulmonary neuroendocrine cell hyperplasia in a model of asthma
Estelle Kim, Brian K. Wells, Hannah Indralingam, Yujuan Su, Jamie Verheyden, Xin Sun
Estelle Kim, Brian K. Wells, Hannah Indralingam, Yujuan Su, Jamie Verheyden, Xin Sun
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Research Article Cell biology Development Pulmonology

Allergen induces pulmonary neuroendocrine cell hyperplasia in a model of asthma

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Abstract

Asthma is characterized by exacerbated response to triggers such as allergen. While pulmonary neuroendocrine cells (PNECs), a rare population of airway epithelial cells, are essential for amplifying allergen-induced asthma response, how PNECs are regulated to achieve this role remains poorly understood. Here we show that in the adult mouse airway, inactivation of achaete-scute-like protein 1 gene in PNECs led to loss of these cells. Intriguingly, exposure of these mutants to house dust mites (HDM), a common allergen, led to reappearance of PNECs. Similarly, exposure of wild-type mice to HDM led to PNEC hyperplasia, a result of proliferation of existing PNECs and transdifferentiation from club cells. Single-cell RNA-Seq experiments revealed PNEC heterogeneity, including the emergence of an allergen-induced PNEC subtype. Notch signaling was downregulated in HDM-treated airway, and treatment with Notch agonist prevented PNEC hyperplasia. These findings together suggest that HDM-induced PNEC hyperplasia may contribute to exacerbated asthma response.

Authors

Estelle Kim, Brian K. Wells, Hannah Indralingam, Yujuan Su, Jamie Verheyden, Xin Sun

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Figure 1

Ascl1 is required for PNEC maintenance.

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Ascl1 is required for PNEC maintenance.
(A) Schematic of tamoxifen admi...
(A) Schematic of tamoxifen administration to generate Ascl1-mutant mice. (B) Representative images of control (Ascl1creERT2/+ Rosa26tdTomato/+) and mutant (Ascl1cre/fl Rosa26tdTomato/+) lung sections stained with anti-CGRP and anti-TUJ1 antibodies to characterize neuropeptide expression and innervation of tdTomato-lineaged PNECs, respectively. (C and D) Quantification of PNEC numbers based on CGRP staining or Ascl1 lineage at indicated ages. For this and all cell number quantifications that follow, each dot represents the average value across multiple sections representing the full range of depths from 1 lung (20–25 sections per lung, 10–15 sections per trachea), unless otherwise indicated. (E) Representative images of control and mutant trachea sections of Ascl1-lineaged cells. (F) Quantification of Ascl1-lineaged cells in the trachea. (G) Relative transcript level of neuroendocrine markers as assayed by qRT-PCR in P16 whole lungs. (H) Representative images of lung sections stained with anti–cleaved caspase-3 to label apoptotic cells (white arrowheads) in Ascl1-lineaged cells. (I) Close-up of boxed area from mutant lung (P21) from H. One-way ANOVA was used for C and D (n = 3–4 for each group). Student’s t test was used for F (n = 3 for each group). * for P < 0.05, ** for P < 0.01, *** for P < 0.001, and **** for P < 0.0001. Error bars represent mean ± SD. Scale bar size 100 μm for B and E; 50 μm for H and I. TUJ1, beta III tubulin; qRT, quantitative reverse transcription.

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