Background
Pulmonary development adheres to orchestrated processes that require precisely regulated reciprocal interactions between developing respiratory epithelium and the surrounding splanchnic mesenchyme. Proper lung development involves both spatial and temporal control of a myriad of factors including transcription factors, growth factors, cell surface receptors, and extracellular matrix constituents. Notably, lung development requires cell migration during branching morphogenesis, cell polarization, and differentiation of specialized cells along the proximal/distal pulmonary axis [
1]. Diverse transcription factors and signaling proteins function in intricate signaling and regulatory mechanisms during pulmonary cell differentiation. Such important contributing molecules include FoxA2, and GATA-6 [
2,
3]. FoxA2 is a transcription factor prominently expressed by the lung that contains a winged helix DNA binding domain [
4]. Necessary for the formation of foregut derivatives, FoxA2 functions in the differentiation of respiratory epithelium and contributes to normal branching morphogenesis and cell commitment [
2]. Later in development, FoxA2 regulates several genes required for lung function after birth including surfactant proteins, TTF-1, Muc5A/C, E-cadherin and Vegfa [
5‐
9]. GATA-6 is a zinc-finger containing transcription factor expressed by respiratory epithelial cells throughout lung morphogenesis. GATA-6 is required for specialization of bronchiolar epithelium [
10] and it contributes to sacculation and alveolarization in concert with numerous other transcriptional regulators [
11,
12]. At precise time points, signaling involving these and other molecules mediate epithelial-mesenchymal interactions and provide signals that induce lung-specific genetic programs vital for proper pulmonary morphogenesis. Importantly, the functional contributions of critical genes during development depend on precise expression patterns that result from mechanisms initiated by signal transduction pathways. Understanding cell populations that co-express important regulatory proteins and specific cell surface receptors may identify relevant receptors that contribute to transcription factor expression and ultimate lung formation.
Neuronal nicotinic acetylcholine receptors (nAChRs) are ligand-gated cation channels that form the principal excitatory neurotransmitter receptors in the peripheral nervous system [
13]. Specifically, nAChRs mediate chemical neurotransmission among neurons, ganglia, interneurons, and the motor endplate. The biology of nAChRs has expanded in recent years due to nAChR localization in several non-neuronal tissues, including the lung [
14,
15]. NAChRs are pentameric oligomers composed of five subunits that surround a central ion channel through which ions flow following ligand binding. Receptor subunits have been identified as either agonist binding (α
2, α
3, α
4, α
6, α
7, α
9 and α
10) or structural (α
5, β
2, β
3 and β
4) [
13,
16]. In the current investigation, the α
5 subunit and cell-specific markers were co-localized in the developing mouse lung by immunohistochemistry so that pulmonary cell types that express α
5 could be identified. These studies involved well-characterized antibodies that identify non-ciliated Clara cells and ciliated epithelial cells in the proximal lung, alveolar type II (ATII) cells that secrete surfactant proteins, and alveolar type I (ATI) cells that contribute abundantly to the respiratory membrane. Because expression corresponded with differentiating lung epithelial cells influenced by FoxA2 and GATA-6, experiments were conducted in order to test the hypothesis that these important pulmonary transcription factors regulate α
5. Although little data regarding the expression pattern and specific contributions of α
5 nAChR subunits previously existed, identification on specific pulmonary cells is an critical first step in eventually assessing possible cholinergic signaling pathways that likely influence normal and abnormal lung formation [
17].
Discussion and Conclusions
Immunostaining for α5 nAChR subunits revealed an interesting pattern of expression during periods of lung formation. Utilization of antibodies for cell-specific markers demonstrated that various pulmonary epithelial cell populations express α5 subunits during distinct periods of lung organogenesis. An intriguing discovery was that α5 expression experienced profound shifts between proximal and distal lung epithelial cells during perinatal milestones. For example, conducting airway epithelial cell expression persisted throughout embryonic and post-natal lung morphogenesis except at PN4 and PN10, a period that is characterized by parenchymal differentiation in the alveolar period of lung formation. Furthermore, staining in the distal lung was evident at E18.5, but noticeably diminished at PN1. Precise regulation of α5 nAChR subunits that stabilize a subset of functional pentameric nAChRs suggests the possibility that nAChR-mediated signaling may participate in specific epithelial cell differentiation trajectories.
Because immunolocalization of α
5 was primarily detected on luminal membranes of various epithelial cell populations, it is likely that α
5 subunits accumulate on the apical surface in order to contribute to functional nAChRs. Furthermore, intense expression at PN20, a period that coincides with the final stages of alveologenesis occurring from PN5-30 in the mouse [
23], suggests α
5 may function in the maintenance of the post-natal lung. It is possible that α
5-containing nAChRs function
in utero by binding ligand and inducing signal transduction required during embryonic development. These possibilities are supported by previous research that identify functional nAChRs in various lung epithelial cells [
24‐
26]. Because α
5 co-localizes with multiple transcription factors essential in lung development such as TTF-1 [
21], FoxA2, and GATA-6, our data clearly suggest that α
5-containing nAChRs may function in mediating paracrine communication between respiratory epithelial cell populations.
Previous work in our laboratory revealed that α
5 is co-expressed with TTF-1 [
21]. TTF-1 is a molecule expressed in lung periphery during early pulmonary development and critical in regulating the expression of genes necessary for branching morphogenesis and cell differentiation [
5,
27,
28]. The importance of TTF-1 is demonstrated by severe hypoplastic lung malformation observed in mice lacking TTF-1 [
29]. The concept that α
5 and TTF-1 cooperate in signaling is supported by site-directed mutagenesis data from our lab that reveal TTF-1 transcriptionally regulates α
5 expression via binding to specific TTF-1 response elements located in the proximal α
5 promoter [
21]. Co-localization of α
5 with cells that express FoxA2 also increases the likelihood that α
5 may function in pulmonary cell differentiation. FoxA2 is a protein that contains a winged double helix DNA binding domain [
4] and it is expressed in an overlapping pattern with TTF-1 [
30]. FoxA2 directly and in combination with GATA-6 influences respiratory epithelial cell differentiation [
2] and it significantly regulates the promoters of α
5 (Figure
6) and TTF-1 [
6]
in vitro. Therefore, it is possible that TTF-1 and FoxA2 co-activate multiple genes that potentially contribute to cell differentiation pathways, including α
5 nAChR subunits. Specifically relevant to the current study is the discovery that a single putative FoxA2 binding site exists in the proximal α
5 promoter and that plausible GATA-6 binding sites are absent. This suggests that possible transactivation by GATA-6 is likely mediated by other DNA-binding proteins such as FoxA2. Importantly, our research may clarify additional functions of TTF-1 and FoxA2 that already are known to interact in the regulation of genes critical to lung function, including CCSP, surfactant proteins, growth factors, and Vegfa/Vegfr2 interactions essential in vasculogenesis [
30].
Despite clear localization of α
5 with TTF-1 [
21] and FoxA2 (Figure
2), as well as cell-specific markers such as CCSP and proSP-C, co-localization was not completely identical. For instance, epithelium specific transcription factors such as TTF-1 and FoxA2 have not been functionally characterized as factors that control mesenchymal gene expression. Therefore, α
5 expression is likely controlled by the activity of many overlapping factors such as TTF-1, FoxA2, Gata-6, NF-1, RAR, and AP-1, and the precise pattern of α
5 expression is plausibly influenced by complex interplay between competing and redundant activators [
31].
At PN1, α
5 co-localized with FoxJ1, a nuclear protein vital in the regulation of multiple genes necessary for ciliogenesis in ciliated cells resident in conducting airways [
32,
33]. The fact that co-localization with FoxJ1 was not observed after PN1 reveals that differentiated ciliated bronchiolar epithelial cells may not require α
5 subunit expression at the onset of alveologenesis. Once α
5 expression returned to the proximal lung at PN20, co-localization was most prominent in non-ciliated Clara cells, suggesting possible roles for α
5-containing nAChR signaling in protective functions and regenerative capacity mediated by Clara cells in the conducting airways [
34].
Cell differentiation and proper organ formation involves complex interrelated mechanisms that can be deleteriously altered when noxious ligands are present. For instance, the availability of nicotine during important periods of lung development can affect normal lung developmental programs. Our data reveal that α
5-containing nAChRs are expressed on ATI, ATII, Clara and ciliated epithelial cells, all of which are affected when nicotine crosses the placenta during development. Specifically, exposure to cigarette smoke during pregnancy adversely affects lung development by significantly reducing branching morphogenesis [
35], increasing rates of respiratory illness [
36], irreversibly altering pulmonary function [
37], and permanently obstructing proximal lung airways [
38]. Important research performed by Carlisle et al. involving the characterization of nAChR subunits in the lungs of never smokers, ex-smokers, and active smokers revealed altered nAChR expression depending on smoke status [
39]. At the protein level, α
5 is up-regulated by pulmonary epithelium in response to chronic nicotine exposure and there were fewer never smokers that express α
5 protein compared to active smokers (p < 0.05) [
39]. Our studies demonstrate that α
5-containing nAChRs are expressed in populations of epithelial cells during normal lung development; however, α
5-containing nAChRs may also function during morphological perturbation of the lung when noxious ligands such as nicotine are present.
In summary, cellular expression of α5 nAChR subunits varies during lung morphogenesis. α5 is expressed in distal lung epithelial cells during development while proximal lung expression markedly alternates between intense prenatal expression, absence at PN4 and PN10, and a return to pronounced expression at PN20. α5 expression was observed in differentiating ATI and ATII cells and proximal Clara and ciliated cells at specific time points of organ formation, and adult expression is consistently identified in respiratory epithelium and Clara cells. The data suggest that expression of α5-containing nAChRs is specifically controlled during lung morphogenesis and that regulation occurs in part by FoxA2 and Gata-6. However, the precise functions of α5 in the maturing lung are still unclear. Experiments aimed at discovering possible roles for α5, including gene targeting in cells that persistently express or block α5 both during and after morphogenesis, are underway and should provide additional clues into the biology of α5 subunits.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
JLP, BRB, and AJG performed immunohistochemistry and assisted in manuscript preparation. CPW generated plasmids and performed the in vitro reporter gene assays. PRR conceived of the study and supervised in its implementation, interpretation, and writing. All authors approved of the final manuscript.