TY - JOUR KW - Alveolar Epithelial Cells KW - Cell Differentiation KW - Cell Lineage KW - Humans KW - Infant, Newborn KW - Lung KW - NKX2.1 KW - NOTUM KW - organoids KW - Respiratory Tract Diseases KW - WNT KW - alveolar differentiation KW - alveolar patterning KW - distal tip KW - human lung development KW - organoids KW - Stem cell AU - Kyungtae Lim AU - Alex P. A. Donovan AU - Walfred Tang AU - Dawei Sun AU - Peng He AU - J. Patrick Pett AU - Sarah A. Teichmann AU - John C. Marioni AU - Kerstin B. Meyer AU - Andrea H. Brand AU - Emma L. Rawlins AB - Variation in lung alveolar development is strongly linked to disease susceptibility. However, underlying cellular and molecular mechanisms are difficult to study in humans. We have identified an alveolar-fated epithelial progenitor in human fetal lungs, which we grow as self-organizing organoids that model key aspects of cell lineage commitment. Using this system, we have functionally validated cell-cell interactions in the developing human alveolar niche, showing that Wnt signaling from differentiating fibroblasts promotes alveolar-type-2 cell identity, whereas myofibroblasts secrete the Wnt inhibitor, NOTUM, providing spatial patterning. We identify a Wnt-NKX2.1 axis controlling alveolar differentiation. Moreover, we show that differential binding of NKX2.1 coordinates alveolar maturation, allowing us to model the effects of human genetic variation in NKX2.1 on alveolar differentiation. Our organoid system recapitulates key aspects of human fetal lung stem cell biology allowing mechanistic experiments to determine the cellular and molecular regulation of human development and disease. BT - Cell Stem Cell DA - 2023-01-05 DO - 10.1016/j.stem.2022.11.013 IS - 1 LA - eng N2 - Variation in lung alveolar development is strongly linked to disease susceptibility. However, underlying cellular and molecular mechanisms are difficult to study in humans. We have identified an alveolar-fated epithelial progenitor in human fetal lungs, which we grow as self-organizing organoids that model key aspects of cell lineage commitment. Using this system, we have functionally validated cell-cell interactions in the developing human alveolar niche, showing that Wnt signaling from differentiating fibroblasts promotes alveolar-type-2 cell identity, whereas myofibroblasts secrete the Wnt inhibitor, NOTUM, providing spatial patterning. We identify a Wnt-NKX2.1 axis controlling alveolar differentiation. Moreover, we show that differential binding of NKX2.1 coordinates alveolar maturation, allowing us to model the effects of human genetic variation in NKX2.1 on alveolar differentiation. Our organoid system recapitulates key aspects of human fetal lung stem cell biology allowing mechanistic experiments to determine the cellular and molecular regulation of human development and disease. PY - 2023 SP - 20 EP - 37.e9 T2 - Cell Stem Cell TI - Organoid modeling of human fetal lung alveolar development reveals mechanisms of cell fate patterning and neonatal respiratory disease VL - 30 SN - 1875-9777 ER -