[HTML][HTML] Alveolar regeneration through a Krt8+ transitional stem cell state that persists in human lung fibrosis

M Strunz, LM Simon, M Ansari, JJ Kathiriya… - Nature …, 2020 - nature.com
Nature communications, 2020nature.com
The cell type specific sequences of transcriptional programs during lung regeneration have
remained elusive. Using time-series single cell RNA-seq of the bleomycin lung injury model,
we resolved transcriptional dynamics for 28 cell types. Trajectory modeling together with
lineage tracing revealed that airway and alveolar stem cells converge on a unique Krt8+
transitional stem cell state during alveolar regeneration. These cells have squamous
morphology, feature p53 and NFkB activation and display transcriptional features of cellular …
Abstract
The cell type specific sequences of transcriptional programs during lung regeneration have remained elusive. Using time-series single cell RNA-seq of the bleomycin lung injury model, we resolved transcriptional dynamics for 28 cell types. Trajectory modeling together with lineage tracing revealed that airway and alveolar stem cells converge on a unique Krt8 + transitional stem cell state during alveolar regeneration. These cells have squamous morphology, feature p53 and NFkB activation and display transcriptional features of cellular senescence. The Krt8+ state appears in several independent models of lung injury and persists in human lung fibrosis, creating a distinct cell–cell communication network with mesenchyme and macrophages during repair. We generated a model of gene regulatory programs leading to Krt8+ transitional cells and their terminal differentiation to alveolar type-1 cells. We propose that in lung fibrosis, perturbed molecular checkpoints on the way to terminal differentiation can cause aberrant persistence of regenerative intermediate stem cell states.
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