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Cellular Origins of Fibrotic Lung Diseases

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Stem Cells in the Lung

Part of the book series: Stem Cell Biology and Regenerative Medicine ((STEMCELL))

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Abstract

Fibrosis of the lung is a final end point of a variety of pathologic processes targeting the lung, ranging from allo- and autoimmune diseases to occupational lung exposures. Fibrosis entails loss of somatic cell populations such as epithelial cells from their anatomic location along with proliferation, mobilization, infiltration, and differentiation of mesenchymal cells. In this chapter, I will review the present knowledge of the role of various resident progenitor cell populations in the origin of fibrotic lung diseases. Specifically, the origin of myofibroblasts in human fibrotic lungs is addressed.

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References

  1. Cordier JF (2006) Cryptogenic organising pneumonia. Eur Respir J 28:422–446

    Article  PubMed  Google Scholar 

  2. Burnham EL, Janssen WJ, Riches DW, Moss M, Downey GP (2014) The fibroproliferative response in acute respiratory distress syndrome: mechanisms and clinical significance. Eur Respir J 43:276–285

    Article  PubMed Central  PubMed  Google Scholar 

  3. Marshall RP, Bellingan G, Webb S, Puddicombe A, Goldsack N, McAnulty RJ, Laurent GJ (2000) Fibroproliferation occurs early in the acute respiratory distress syndrome and impacts on outcome. Am J Respir Crit Care Med 162:1783–1788

    Article  CAS  PubMed  Google Scholar 

  4. King TE Jr, Pardo A, Selman M (2011) Idiopathic pulmonary fibrosis. Lancet 378:1949–1961

    Article  PubMed  Google Scholar 

  5. Visscher DW, Myers JL (2006) Histologic spectrum of idiopathic interstitial pneumonias. Proc Am Thorac Soc 3:322–329

    Article  PubMed  Google Scholar 

  6. Barker AF, Bergeron A, Rom WN, Hertz MI (2014) Obliterative bronchiolitis. N Engl J Med 370:1820–1828

    Article  CAS  PubMed  Google Scholar 

  7. Hogg JC, Chu F, Utokaparch S, Woods R, Elliott WM, Buzatu L, Cherniack RM, Rogers RM, Sciurba FC, Coxson HO, Pare PD (2004) The nature of small-airway obstruction in chronic obstructive pulmonary disease. N Engl J Med 350:2645–2653

    Article  CAS  PubMed  Google Scholar 

  8. Kasper M, Haroske G (1996) Alterations in the alveolar epithelium after injury leading to pulmonary fibrosis. Histol Histopathol 11:463–483

    CAS  PubMed  Google Scholar 

  9. Kawanami O, Ferrans VJ, Crystal RG (1982) Structure of alveolar epithelial cells in patients with fibrotic lung disorders. Lab Invest 46:39–53

    CAS  PubMed  Google Scholar 

  10. Myers JL, Katzenstein AL (1988) Ultrastructural evidence of alveolar epithelial injury in idiopathic bronchiolitis obliterans-organizing pneumonia. Am J Pathol 132:102–109

    PubMed Central  CAS  PubMed  Google Scholar 

  11. Heppleston AG (1956) The pathology of honeycomb lung. Thorax 11:77–93

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  12. Kelly FL, Kennedy VE, Jain R, Sindhwani NS, Finlen Copeland CA, Snyder LD, Eu JP, Meltzer EB, Brockway BL, Pavlisko E, Stripp BR, Palmer SM (2012) Epithelial clara cell injury occurs in bronchiolitis obliterans syndrome after human lung transplantation. Am J Transplant 12:3076–3084

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Zoz DF, Lawson WE, Blackwell TS (2011) Idiopathic pulmonary fibrosis: a disorder of epithelial cell dysfunction. Am J Med Sci 341:435–438

    Article  PubMed Central  PubMed  Google Scholar 

  14. Barkauskas CE, Cronce MJ, Rackley CR, Bowie EJ, Keene DR, Stripp BR, Randell SH, Noble PW, Hogan BL (2013) Type 2 alveolar cells are stem cells in adult lung. J Clin Invest 123:3025–3036

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  15. Sisson TH, Mendez M, Choi K, Subbotina N, Courey A, Cunningham A, Dave A, Engelhardt JF, Liu X, White ES, Thannickal VJ, Moore BB, Christensen PJ, Simon RH (2010) Targeted injury of type II alveolar epithelial cells induces pulmonary fibrosis. Am J Respir Crit Care Med 181:254–263

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Serrano-Mollar A, Nacher M, Gay-Jordi G, Closa D, Xaubet A, Bulbena O (2007) Intratracheal transplantation of alveolar type II cells reverses bleomycin-induced lung fibrosis. Am J Respir Crit Care Med 176:1261–1268

    Article  CAS  PubMed  Google Scholar 

  17. O’Koren EG, Hogan BL, Gunn MD (2013) Loss of basal cells precedes bronchiolitis obliterans-like pathological changes in a murine model of chlorine gas inhalation. Am J Respir Cell Mol Biol 49:788–797

    Article  PubMed Central  PubMed  Google Scholar 

  18. Perl AK, Riethmacher D, Whitsett JA (2011) Conditional depletion of airway progenitor cells induces peribronchiolar fibrosis. Am J Respir Crit Care Med 183:511–521

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Zuo W, Zhang T, Wu DZ, Guan SP, Liew AA, Yamamoto Y, Wang X, Lim SJ, Vincent M, Lessard M, Crum CP, Xian W, McKeon F (2015) p63(+)Krt5(+) distal airway stem cells are essential for lung regeneration. Nature 517:616–620

    Article  CAS  PubMed  Google Scholar 

  20. Sivakumar P, Ntolios P, Jenkins G, Laurent G (2012) Into the matrix: targeting fibroblasts in pulmonary fibrosis. Curr Opin Pulm Med 18:462–469

    Article  CAS  PubMed  Google Scholar 

  21. Zhang K, Rekhter MD, Gordon D, Phan SH (1994) Myofibroblasts and their role in lung collagen gene expression during pulmonary fibrosis. A combined immunohistochemical and in situ hybridization study. Am J Pathol 145:114–125

    PubMed Central  CAS  PubMed  Google Scholar 

  22. Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D, Deans R, Keating A, Prockop D, Horwitz E (2006) Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy 8:315–317

    Article  CAS  PubMed  Google Scholar 

  23. Pittenger MF, Mackay AM, Beck SC, Jaiswal RK, Douglas R, Mosca JD, Moorman MA, Simonetti DW, Craig S, Marshak DR (1999) Multilineage potential of adult human mesenchymal stem cells. Science 284:143–147

    Article  CAS  PubMed  Google Scholar 

  24. Pereira RF, Halford KW, O’Hara MD, Leeper DB, Sokolov BP, Pollard MD, Bagasra O, Prockop DJ (1995) Cultured adherent cells from marrow can serve as long-lasting precursor cells for bone, cartilage, and lung in irradiated mice. Proc Natl Acad Sci U S A 92:4857–4861

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  25. Prockop DJ (1997) Marrow stromal cells as stem cells for nonhematopoietic tissues. Science 276:71–74

    Article  CAS  PubMed  Google Scholar 

  26. Lama VN, Smith L, Badri L, Flint A, Andrei AC, Murray S, Wang Z, Liao H, Toews GB, Krebsbach PH, Peters-Golden M, Pinsky DJ, Martinez FJ, Thannickal VJ (2007) Evidence for tissue-resident mesenchymal stem cells in human adult lung from studies of transplanted allografts. J Clin Invest 117:989–996

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  27. Bruno S, Bussolati B, Grange C, Collino F, di Cantogno LV, Herrera MB, Biancone L, Tetta C, Segoloni G, Camussi G (2009) Isolation and characterization of resident mesenchymal stem cells in human glomeruli. Stem Cells Dev 18:867–880

    Article  CAS  PubMed  Google Scholar 

  28. Hoogduijn MJ, Crop MJ, Peeters AM, Korevaar SS, Eijken M, Drabbels JJ, Roelen DL, Maat AP, Balk AH, Weimar W, Baan CC (2009) Donor-derived mesenchymal stem cells remain present and functional in the transplanted human heart. Am J Transplant 9:222–230

    Article  CAS  PubMed  Google Scholar 

  29. Peterson RS, Lim L, Ye H, Zhou H, Overdier DG, Costa RH (1997) The winged helix transcriptional activator HFH-8 is expressed in the mesoderm of the primitive streak stage of mouse embryos and its cellular derivatives. Mech Dev 69:53–69

    Article  CAS  PubMed  Google Scholar 

  30. Kalinichenko VV, Lim L, Stolz DB, Shin B, Rausa FM, Clark J, Whitsett JA, Watkins SC, Costa RH (2001) Defects in pulmonary vasculature and perinatal lung hemorrhage in mice heterozygous null for the Forkhead Box f1 transcription factor. Dev Biol 235:489–506

    Article  CAS  PubMed  Google Scholar 

  31. Mahlapuu M, Enerback S, Carlsson P (2001) Haploinsufficiency of the forkhead gene Foxf1, a target for sonic hedgehog signaling, causes lung and foregut malformations. Development 128:2397–2406

    CAS  PubMed  Google Scholar 

  32. Walker N, Badri L, Wettlaufer S, Flint A, Sajjan U, Krebsbach PH, Keshamouni VG, Peters-Golden M, Lama VN (2011) Resident tissue-specific mesenchymal progenitor cells contribute to fibrogenesis in human lung allografts. Am J Pathol 178:2461–2469

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  33. Mandeville I, Aubin J, LeBlanc M, Lalancette-Hebert M, Janelle MF, Tremblay GM, Jeannotte L (2006) Impact of the loss of Hoxa5 function on lung alveogenesis. Am J Pathol 169:1312–1327

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  34. Volpe MV, Pham L, Lessin M, Ralston SJ, Bhan I, Cutz E, Nielsen HC (2003) Expression of Hoxb-5 during human lung development and in congenital lung malformations. Birth Defects Res A Clin Mol Teratol 67:550–556

    Article  CAS  PubMed  Google Scholar 

  35. Mallo M, Wellik DM, Deschamps J (2010) Hox genes and regional patterning of the vertebrate body plan. Dev Biol 344:7–15

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  36. Jun D, Garat C, West J, Thorn N, Chow K, Cleaver T, Sullivan T, Torchia EC, Childs C, Shade T, Tadjali M, Lara A, Nozik-Grayck E, Malkoski S, Sorrentino B, Meyrick B, Klemm D, Rojas M, Wagner DH Jr, Majka SM (2011) The pathology of bleomycin-induced fibrosis is associated with loss of resident lung mesenchymal stem cells that regulate effector T-cell proliferation. Stem Cells 29:725–735

    Article  PubMed Central  PubMed  Google Scholar 

  37. Kumar ME, Bogard PE, Espinoza FH, Menke DB, Kingsley DM, Krasnow MA (2014) Mesenchymal cells. Defining a mesenchymal progenitor niche at single-cell resolution. Science 346:1258810

    Article  PubMed Central  PubMed  Google Scholar 

  38. Ehninger A, Trumpp A (2011) The bone marrow stem cell niche grows up: mesenchymal stem cells and macrophages move in. J Exp Med 208:421–428

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  39. Costa RH, Kalinichenko VV, Lim L (2001) Transcription factors in mouse lung development and function. Am J Physiol Lung Cell Mol Physiol 280:L823–L838

    CAS  PubMed  Google Scholar 

  40. Maeda Y, Dave V, Whitsett JA (2007) Transcriptional control of lung morphogenesis. Physiol Rev 87:219–244

    Article  CAS  PubMed  Google Scholar 

  41. Badri L, Walker NM, Ohtsuka T, Wang Z, Delmar M, Flint A, Peters-Golden M, Toews GB, Pinsky DJ, Krebsbach PH, Lama VN (2011) Epithelial interactions and local engraftment of lung-resident mesenchymal stem cells. Am J Respir Cell Mol Biol 45:809–816

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  42. Marriott S, Baskir RS, Gaskill C, Menon S, Carrier EJ, Williams J, Talati M, Helm K, Alford CE, Kropski JA, Loyd J, Wheeler L, Johnson J, Austin E, Nozik-Grayck E, Meyrick B, West JD, Klemm DJ, Majka SM (2014) ABCG2pos lung mesenchymal stem cells are a novel pericyte subpopulation that contributes to fibrotic remodeling. Am J Physiol Cell Physiol 307:C684–C698

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  43. Volckaert T, Dill E, Campbell A, Tiozzo C, Majka S, Bellusci S, De Langhe SP (2011) Parabronchial smooth muscle constitutes an airway epithelial stem cell niche in the mouse lung after injury. J Clin Invest 121:4409–4419

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  44. Badri L, Murray S, Liu LX, Walker NM, Flint A, Wadhwa A, Chan KM, Toews GB, Pinsky DJ, Martinez FJ, Lama VN (2011) Mesenchymal stromal cells in bronchoalveolar lavage as predictors of bronchiolitis obliterans syndrome. Am J Respir Crit Care Med 183:1062–1070

    Article  PubMed Central  PubMed  Google Scholar 

  45. Badri L, Lama VN (2012) Lysophosphatidic acid induces migration of human lung-resident mesenchymal stem cells through the beta-catenin pathway. Stem Cells 30:2010–2019

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  46. Suratt BT, Cool CD, Serls AE, Chen L, Varella-Garcia M, Shpall EJ, Brown KK, Worthen GS (2003) Human pulmonary chimerism after hematopoietic stem cell transplantation. Am J Respir Crit Care Med 168:318–322

    Article  PubMed  Google Scholar 

  47. Brocker V, Langer F, Fellous TG, Mengel M, Brittan M, Bredt M, Milde S, Welte T, Eder M, Haverich A, Alison MR, Kreipe H, Lehmann U (2006) Fibroblasts of recipient origin contribute to bronchiolitis obliterans in human lung transplants. Am J Respir Crit Care Med 173:1276–1282

    Article  PubMed  Google Scholar 

  48. Yousem SA, Sherer C, Fuhrer K, Cieply K (2013) Myofibroblasts of recipient origin are not the predominant mesenchymal cell in bronchiolitis obliterans in lung allografts. J Heart Lung Transplant 32:266–268

    Article  PubMed  Google Scholar 

  49. Dolgachev VA, Ullenbruch MR, Lukacs NW, Phan SH (2009) Role of stem cell factor and bone marrow-derived fibroblasts in airway remodeling. Am J Pathol 174:390–400

    Article  PubMed Central  PubMed  Google Scholar 

  50. Hashimoto N, Jin H, Liu T, Chensue SW, Phan SH (2004) Bone marrow-derived progenitor cells in pulmonary fibrosis. J Clin Invest 113:243–252

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  51. Kim KK, Kugler MC, Wolters PJ, Robillard L, Galvez MG, Brumwell AN, Sheppard D, Chapman HA (2006) Alveolar epithelial cell mesenchymal transition develops in vivo during pulmonary fibrosis and is regulated by the extracellular matrix. Proc Natl Acad Sci U S A 103:13180–13185

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  52. Moore BB, Kolodsick JE, Thannickal VJ, Cooke K, Moore TA, Hogaboam C, Wilke CA, Toews GB (2005) CCR2-mediated recruitment of fibrocytes to the alveolar space after fibrotic injury. Am J Pathol 166:675–684

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  53. Phillips RJ, Burdick MD, Hong K, Lutz MA, Murray LA, Xue YY, Belperio JA, Keane MP, Strieter RM (2004) Circulating fibrocytes traffic to the lungs in response to CXCL12 and mediate fibrosis. J Clin Invest 114:438–446

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  54. Tanjore H, Xu XC, Polosukhin VV, Degryse AL, Li B, Han W, Sherrill TP, Plieth D, Neilson EG, Blackwell TS, Lawson WE (2009) Contribution of epithelial-derived fibroblasts to bleomycin-induced lung fibrosis. Am J Respir Crit Care Med 180:657–665

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  55. Moore B, Lawson WE, Oury TD, Sisson TH, Raghavendran K, Hogaboam CM (2013) Animal models of fibrotic lung disease. Am J Respir Cell Mol Biol 49:167–179

    Article  CAS  Google Scholar 

  56. Humphreys BD, Lin SL, Kobayashi A, Hudson TE, Nowlin BT, Bonventre JV, Valerius MT, McMahon AP, Duffield JS (2010) Fate tracing reveals the pericyte and not epithelial origin of myofibroblasts in kidney fibrosis. Am J Pathol 176:85–97

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  57. Rock JR, Barkauskas CE, Cronce MJ, Xue Y, Harris JR, Liang J, Noble PW, Hogan BL (2011) Multiple stromal populations contribute to pulmonary fibrosis without evidence for epithelial to mesenchymal transition. Proc Natl Acad Sci U S A 108:E1475–E1483

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  58. Matsubara H, Sakakibara K, Kunimitsu T, Matsuoka H, Kato K, Oyachi N, Dobashi Y, Matsumoto M (2012) Non-small cell lung carcinoma therapy using mTOR-siRNA. Int J Clin Exp Pathol 5:119–125

    PubMed Central  CAS  PubMed  Google Scholar 

  59. Hung C, Linn G, Chow YH, Kobayashi A, Mittelsteadt K, Altemeier WA, Gharib SA, Schnapp LM, Duffield JS (2013) Role of lung pericytes and resident fibroblasts in the pathogenesis of pulmonary fibrosis. Am J Respir Crit Care Med 188:820–830

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  60. Korbling M, Estrov Z (2003) Adult stem cells for tissue repair—a new therapeutic concept? N Engl J Med 349:570–582

    Article  PubMed  Google Scholar 

  61. Lama VN, Phan SH (2006) The extrapulmonary origin of fibroblasts: stem/progenitor cells and beyond. Proc Am Thorac Soc 3:373–376

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  62. Bucala R, Spiegel LA, Chesney J, Hogan M, Cerami A (1994) Circulating fibrocytes define a new leukocyte subpopulation that mediates tissue repair. Mol Med 1:71–81

    PubMed Central  CAS  PubMed  Google Scholar 

  63. Moeller A, Gilpin SE, Ask K, Cox G, Cook D, Gauldie J, Margetts PJ, Farkas L, Dobranowski J, Boylan C, O’Byrne PM, Strieter RM, Kolb M (2009) Circulating fibrocytes are an indicator of poor prognosis in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 179:588–594

    Article  PubMed  Google Scholar 

  64. Kleaveland KR, Velikoff M, Yang J, Agarwal M, Rippe RA, Moore BB, Kim KK (2014) Fibrocytes are not an essential source of type I collagen during lung fibrosis. J Immunol 193:5229–5239

    Article  CAS  PubMed  Google Scholar 

  65. Madsen DH, Ingvarsen S, Jurgensen HJ, Melander MC, Kjoller L, Moyer A, Honore C, Madsen CA, Garred P, Burgdorf S, Bugge TH, Behrendt N, Engelholm LH (2011) The non-phagocytic route of collagen uptake: a distinct degradation pathway. J Biol Chem 286:26996–27010

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  66. Kleaveland KR, Moore BB, Kim KK (2014) Paracrine functions of fibrocytes to promote lung fibrosis. Expert Rev Respir Med 8:163–172

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  67. Ortiz LA, Gambelli F, McBride C, Gaupp D, Baddoo M, Kaminski N, Phinney DG (2003) Mesenchymal stem cell engraftment in lung is enhanced in response to bleomycin exposure and ameliorates its fibrotic effects. Proc Natl Acad Sci U S A 100:8407–8411

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  68. Rojas M, Xu J, Woods CR, Mora AL, Spears W, Roman J, Brigham KL (2005) Bone marrow-derived mesenchymal stem cells in repair of the injured lung. Am J Respir Cell Mol Biol 33:145–152

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  69. Kfoury Y, Scadden DT (2015) Mesenchymal cell contributions to the stem cell niche. Cell Stem Cell 16:239–253

    Article  CAS  PubMed  Google Scholar 

  70. Uccelli A, Moretta L, Pistoia V (2006) Immunoregulatory function of mesenchymal stem cells. Eur J Immunol 36:2566–2573

    Article  CAS  PubMed  Google Scholar 

  71. Bianco P, Cao X, Frenette PS, Mao JJ, Robey PG, Simmons PJ, Wang CY (2013) The meaning, the sense and the significance: translating the science of mesenchymal stem cells into medicine. Nat Med 19:35–42

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  72. McNulty K, Janes SM (2012) Stem cells and pulmonary fibrosis: cause or cure? Proc Am Thorac Soc 9:164–171

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Vibha N. Lama .

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Lama, V.N. (2015). Cellular Origins of Fibrotic Lung Diseases. In: Bertoncello, I. (eds) Stem Cells in the Lung. Stem Cell Biology and Regenerative Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-21082-7_13

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