Am. J. Respir. Cell Mol. Biol., Vol 13, No. 6, Dec 1995, 648-656.
Distinct expression patterns of CD44 isoforms during human lung development and in pulmonary fibrosis
M Kasper, U Gunthert, P Dall, K Kayser, D Schuh, G Haroske and M Muller
Institute of Pathology, Technical University of Dresden, Germany.
The transmembrane glycoprotein CD44 represents a family of molecules, all
encoded by one gene. The variability of the isoforms is generated by
alternative splicing of the nuclear RNA. Apart from the abundant standard
form (CD44s), the variant isoforms (CD44v) are mostly restricted to
epithelia. The present study demonstrates the expression of CD44s and CD44v
isoforms in embryonic and fetal lungs and in normal and pathologically
altered (pulmonary fibrosis after radio- or chemotherapy) human adult
pulmonary tissues. Using double immunofluorescence and avidin biotin
complex (ABC) techniques on paraffin sections, presence of CD44s and CD44v
isoforms (CD44v4, CD44v6, CD44v9) has been analyzed. In normal lung tissue,
CD44s is present at the cell surface of alveolar macrophages, in some
interstitial cells and in epithelial cells. It is also present in
epithelial and non-epithelial cells during lung development. CD44v isoforms
containing exon v6 and v9 encoded epitopes are selectively detectable in
normal epithelial cells with a strong basolateral distribution pattern in
the entire population of type II pneumocytes and in basal cells of the
bronchial epithelium. During development exon v9 encoded isoforms appear at
the pseudoglandular stage, whereas CD44v6 has only been found at the
saccular stage. Examination of 12 fibrotic lung samples has revealed major
alterations in the CD44 expression in comparison to normal lung tissue.
These changes include cytoplasmic deposits of CD44s in alveolar epithelial
cells and reduced expression of the CD44v6 and CD44v9 isoforms in alveolar
epithelial and bronchial epithelial cells. The results suggest that CD44v
isoforms may be utilized by type II pneumocytes in epithelial-mesenchymal
interactions and in the maintenance of the pulmonary
histoarchitecture.(ABSTRACT TRUNCATED AT 250 WORDS)
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Copyright © 1995 American Thoracic Society.
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