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Published ahead of print on September 20, 2007, doi:10.1165/rcmb.2007-0246OC

Am. J. Respir. Cell Mol. Biol., Volume 38, Number 3, March 2008, 269-275

A more recent version of this article appeared on March 1, 2008
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Submitted on June 28, 2007
Revised on September 13, 2007

Development of the Neural Crest-derived Intrinsic Innervation of the Human Lung

Alan J Burns1*, Nikhil Thapar1, and Amanda J Barlow1

1 Neural Development Unit, UCL Institute of Child Health, London, United Kingdom

* To whom correspondence should be addressed. E-mail: A.Burns{at}ich.ucl.ac.uk.

The formation of neural tissue, in association with airway smooth muscle (ASM), is a feature of normal lung development and function. Intrinsic neuronal tissue has recently been shown, in animal models, to be derived from neural crest cells (NCC). Since defects in NCC development underlie a range of disease states (neurocristopathies), it is important to determine the spatiotemporal development of NCC in the human lung as defects in their development could have pathophysiological implications. The aims of this study were to: (i) establish a time course for the formation of ASM and neural tissue within the embryonic and fetal human lung, (ii) investigate whether intrinsic neural tissue within the lung is derived from NCC, and (iii) gain insight into the possible signalling mechanisms underlying the development of the intrinsic lung innervation. Using human lung tissue from weeks 6-12 of gestation we analysed the formation of ASM, NCC, neuronal and glial tissue, and the expression of Gfr{alpha}1, a receptor component of the RET tyrosine kinase signalling pathway. Our results showed that NCC accumulated along the branching airways, in close association with the ASM, and differentiated into neurons and glia. Neural crest-derived neural tissue within the lung strongly expressed membrane bound Gfr{alpha}1, and soluble Gfr{alpha}1 was expressed within the lung mesenchyme, but only at early developmental stages. Together these findings indicate that the intrinsic innervation of the human lung is derived from the neural crest.







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