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Updated: Aug 29, 2025

Modeling Paracrine Noncanonical Wnt Signaling In Vitro
Published on: December 10, 2021
Wnt5a/β-catenin axis is involved in the downregulation of AT2 lineage by PAI-1
Krishan G Jain1, Runzhen Zhao1, Yang Liu1
1Department of Cellular and Molecular Biology, University of Texas at Tyler, Tyler, Texas.
Abstract:
Failure to regenerate injured alveoli functionally and promptly causes a high incidence of fatality in coronavirus disease 2019 (COVID-19). How elevated plasminogen activator inhibitor-1 (PAI-1) regulates the lineage of alveolar type 2 (AT2) cells for re-alveolarization has not been studied. This study aimed to examine the role of PAI-1-Wnt5a-β catenin cascades in AT2 fate. Dramatic reduction in AT2 yield was observed in Serpine1 mice. Elevated PAI-1 level suppressed organoid number, development efficiency, and total surface area in vitro. Anti-PAI-1 neutralizing antibody restored organoid number, proliferation and differentiation of AT2 cells, and β-catenin level in organoids. Both Wnt family member 5A (Wnt5a) and Wnt5a-derived N-butyloxycarbonyl hexapeptide (Box5) altered the lineage of AT2 cells. This study demonstrates that elevated PAI-1 regulates AT2 proliferation and differentiation via the Wnt5a/β catenin cascades. PAI-1 could serve as autocrine signaling for lung injury repair.
Insights
Elevated plasminogen activator inhibitor-1 (PAI-1) impairs alveolar regeneration after lung injury by disrupting alveolar type 2 (AT2) cell fate. Targeting PAI-1 may promote lung repair.
Area of Science:
- Pulmonary Medicine
- Cell Biology
- Regenerative Medicine
Background:
- COVID-19 associated lung injury highlights the critical need for prompt alveolar regeneration.
- The role of plasminogen activator inhibitor-1 (PAI-1) in alveolar type 2 (AT2) cell lineage and re-alveolarization remains largely uncharacterized.
Purpose of the Study:
- To investigate the regulatory mechanisms of elevated PAI-1 on AT2 cell fate and re-alveolarization.
- To elucidate the involvement of PAI-1-Wnt5a-β catenin signaling pathways in AT2 cell lineage determination.
Main Methods:
- Utilized *Serpine1* mice to assess AT2 cell yield in vivo.
- Employed in vitro organoid models to evaluate the impact of PAI-1 on AT2 cell proliferation, differentiation, and development.
- Investigated the effects of anti-PAI-1 neutralizing antibody, Wnt family member 5A (Wnt5a), and Box5 on AT2 cell behavior and signaling.
Main Results:
- A significant reduction in AT2 cell yield was observed in *Serpine1* mice.
- Elevated PAI-1 levels in vitro suppressed organoid formation, developmental efficiency, and total surface area.
- Administration of anti-PAI-1 antibody normalized organoid parameters, AT2 cell proliferation, differentiation, and β-catenin levels.
- Wnt5a and Box5 demonstrated the ability to modulate AT2 cell lineage.
Conclusions:
- Elevated PAI-1 critically regulates AT2 cell proliferation and differentiation through the Wnt5a/β catenin signaling cascade.
- PAI-1 may function as an autocrine signaling molecule essential for lung injury repair and re-alveolarization.
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