Patient-specific iPSCs carrying an SFTPC mutation reveal the intrinsic alveolar epithelial dysfunction at the inception of interstitial lung disease (ILD)

Konstantinos-Dionysios Alysandratos1, Darrell N. Kotton1
1Boston University, *Corresponding author
Description Alveolar epithelial type 2 cell (AEC2) dysfunction is implicated in the pathogenesis of adult and pediatric interstitial lung disease (ILD), including idiopathic pulmonary fibrosis (IPF); however, identification of disease-initiating mechanisms has been impeded by inability to access primary AEC2s early on. Here, we present a human in vitro model permitting investigation of epithelial-intrinsic events culminating in AEC2 dysfunction, using patient-specific induced pluripotent stem cells (iPSCs) carrying an AEC2-exclusive disease-associated variant (SFTPCI73T). Comparing syngeneic mutant versus gene-corrected iPSCs after differentiation into AEC2s (iAEC2s), we find that mutant iAEC2s accumulate large amounts of misprocessed and mistrafficked pro-SFTPC protein, similar to in vivo changes, resulting in diminished AEC2 progenitor capacity, perturbed proteostasis, altered bioenergetic programs, time-dependent metabolic reprogramming, and nuclear factor κB (NF-κB) pathway activation. Treatment of SFTPCI73T-expressing iAEC2s with hydroxychloroquine, a medication used in pediatric ILD, aggravates the observed perturbations. Thus, iAEC2s provide a patient-specific preclinical platform for modeling the epithelial-intrinsic dysfunction at ILD inception.
Dataset ID LMEX0000004414
Assay Type Single-cell RNA-seq
Organism Human
Stages Adolescent
Cell Count 7337
Technology 10x Genomics Chromium Single Cell Gene Expression
External databases GEO: GSE160801
FileDescriptionSize
Gene-signatures.txtGene signatures21.0K
iAEC2-Seurat-barcode-metadata.txtSeurat barcode metadata547.4K
iAEC2-metadata.txtSample metadata493.0B
iAEC2-variant-corrected.h5adHDF5 annotated format single-cell data matrix61.9M
pseudobulk_avg_Cell-Type_by_Library.tsvExpression matrix1.0M
LungMAP IDAlt IDSpeciesSexRaceAgeAge Group
LMSP0000001555SPC2Homo sapiensMaleAfrican American14 yearsAdolescent