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Recapitulating idiopathic pulmonary fibrosis related alveolar epithelial dysfunction in a human iPSC‐derived air‐liquid interface model
Author(s) -
Schruf Eva,
Schroeder Victoria,
Le Huy Q.,
Schönberger Tanja,
Raedel Dagmar,
Stewart Emily L.,
FundelClemens Katrin,
Bluhmki Teresa,
Weigle Sabine,
Schuler Michael,
Thomas Matthew J.,
Heilker Ralf,
Webster Megan J.,
Dass Martin,
Frick Manfred,
Stierstorfer Birgit,
Quast Karsten,
Garnett James P.
Publication year - 2020
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fj.201902926r
Subject(s) - idiopathic pulmonary fibrosis , lung , induced pluripotent stem cell , pathology , respiratory epithelium , progenitor cell , fibrosis , cytokine , pulmonary fibrosis , epithelium , biology , immunology , medicine , microbiology and biotechnology , stem cell , embryonic stem cell , biochemistry , gene
Idiopathic pulmonary fibrosis (IPF) is a fatal disease of unknown cause that is characterized by progressive fibrotic lung remodeling. An abnormal emergence of airway epithelial‐like cells within the alveolar compartments of the lung, herein termed bronchiolization, is often observed in IPF. However, the origin of this dysfunctional distal lung epithelium remains unknown due to a lack of suitable human model systems. In this study, we established a human induced pluripotent stem cell (iPSC)‐derived air‐liquid interface (ALI) model of alveolar epithelial type II (ATII)‐like cell differentiation that allows us to investigate alveolar epithelial progenitor cell differentiation in vitro. We treated this system with an IPF‐relevant cocktail (IPF‐RC) to mimic the pro‐fibrotic cytokine milieu present in IPF lungs. Stimulation with IPF‐RC during differentiation increases secretion of IPF biomarkers and RNA sequencing (RNA‐seq) of these cultures reveals significant overlap with human IPF patient data. IPF‐RC treatment further impairs ATII differentiation by driving a shift toward an airway epithelial‐like expression signature, providing evidence that a pro‐fibrotic cytokine environment can influence the proximo‐distal differentiation pattern of human lung epithelial cells. In conclusion, we show for the first time, the establishment of a human model system that recapitulates aspects of IPF‐associated bronchiolization of the lung epithelium in vitro .

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