ABCG2pos lung mesenchymal stem cells are a novel pericyte subpopulation that contributes to fibrotic remodeling

Shennea Marriott1, Rubin S Baskir2, Christa Gaskill1

  • 1Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University, Nashville, Tennesse;

Insights

Adult lung mesenchymal stem cells (MSCs) expressing ABCG2 contribute to myofibroblast formation in pulmonary fibrosis. These cells are reduced in fibrotic lungs but increase and promote remodeling after injury, highlighting their role in lung disease progression.

Area of Science:

  • Pulmonary Medicine
  • Stem Cell Biology
  • Pathology

Background:

  • Myofibroblast generation is crucial for adult lung disease pathology.
  • Adult lung tissue harbors perivascular ABCG2-positive mesenchymal stem cells (MSCs) that are myofibroblast precursors.
  • These MSCs are distinct from NG2 pericytes.

Purpose of the Study:

  • To investigate the role of lung MSCs in the detrimental remodeling associated with pulmonary fibrosis (PF) and pulmonary hypertension (PH).
  • To quantify resident lung MSCs in control and PF patient samples.
  • To determine the lineage and localization of ABCG2-positive cells following bleomycin-induced lung injury in mice.

Main Methods:

  • Quantification of ABCG2-positive cells in human lung samples from controls and PF patients.
  • Genetic labeling of lung MSCs in mice for lineage tracing after bleomycin administration.
  • Gene expression analysis of isolated ABCG2-positive MSCs in vivo and in vitro following bleomycin or TGF-β1 treatment.

Main Results:

  • ABCG2-positive cell numbers were decreased in human PF and interstitial lung disease samples compared to controls.
  • Following bleomycin injury in mice, eGFP-labeled lung MSC-derived cells increased and localized to fibrotic and remodeled microvessel areas.
  • In vitro, TGF-β1 treatment induced a profibrotic myofibroblast phenotype in MSCs, with distinct responses observed in ABCG2-positive cells and NG2 pericytes.

Conclusions:

  • ABCG2-positive lung MSCs are a novel cell population implicated in detrimental myofibroblast-mediated remodeling during pulmonary fibrosis.
  • These findings suggest a significant contribution of lung MSCs to the pathogenesis of PF and associated complications.