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Publication : Airway hillocks are injury-resistant reservoirs of unique plastic stem cells.

First Author  Lin B Year  2024
Journal  Nature Volume  629
Issue  8013 Pages  869-877
PubMed ID  38693267 Mgi Jnum  J:349946
Mgi Id  MGI:7660453 Doi  10.1038/s41586-024-07377-1
Citation  Lin B, et al. (2024) Airway hillocks are injury-resistant reservoirs of unique plastic stem cells. Nature 629(8013):869-877
abstractText  Airway hillocks are stratified epithelial structures of unknown function(1). Hillocks persist for months and have a unique population of basal stem cells that express genes associated with barrier function and cell adhesion. Hillock basal stem cells continually replenish overlying squamous barrier cells. They exhibit dramatically higher turnover than the abundant, largely quiescent classic pseudostratified airway epithelium. Hillocks resist a remarkably broad spectrum of injuries, including toxins, infection, acid and physical injury because hillock squamous cells shield underlying hillock basal stem cells from injury. Hillock basal stem cells are capable of massive clonal expansion that is sufficient to resurface denuded airway, and eventually regenerate normal airway epithelium with each of its six component cell types. Hillock basal stem cells preferentially stratify and keratinize in the setting of retinoic acid signalling inhibition, a known cause of squamous metaplasia(2,3). Here we show that mouse hillock expansion is the cause of vitamin A deficiency-induced squamous metaplasia. Finally, we identify human hillocks whose basal stem cells generate functional squamous barrier structures in culture. The existence of hillocks reframes our understanding of airway epithelial regeneration. Furthermore, we show that hillocks are one origin of 'squamous metaplasia', which is long thought to be a precursor of lung cancer.
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