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Publication : A revised airway epithelial hierarchy includes CFTR-expressing ionocytes.

First Author  Montoro DT Year  2018
Journal  Nature Volume  560
Issue  7718 Pages  319-324
PubMed ID  30069044 Mgi Jnum  J:265300
Mgi Id  MGI:6199107 Doi  10.1038/s41586-018-0393-7
Citation  Montoro DT, et al. (2018) A revised airway epithelial hierarchy includes CFTR-expressing ionocytes. Nature 560(7718):319-324
abstractText  The airways of the lung are the primary sites of disease in asthma and cystic fibrosis. Here we study the cellular composition and hierarchy of the mouse tracheal epithelium by single-cell RNA-sequencing (scRNA-seq) and in vivo lineage tracing. We identify a rare cell type, the Foxi1(+) pulmonary ionocyte; functional variations in club cells based on their location; a distinct cell type in high turnover squamous epithelial structures that we term 'hillocks'; and disease-relevant subsets of tuft and goblet cells. We developed 'pulse-seq', combining scRNA-seq and lineage tracing, to show that tuft, neuroendocrine and ionocyte cells are continually and directly replenished by basal progenitor cells. Ionocytes are the major source of transcripts of the cystic fibrosis transmembrane conductance regulator in both mouse (Cftr) and human (CFTR). Knockout of Foxi1 in mouse ionocytes causes loss of Cftr expression and disrupts airway fluid and mucus physiology, phenotypes that are characteristic of cystic fibrosis. By associating cell-type-specific expression programs with key disease genes, we establish a new cellular narrative for airways disease.
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