Hippo signaling impairs alveolar epithelial regeneration in pulmonary fibrosis
Curation statements for this article:-
Curated by eLife
eLife assessment
This is an interesting and potentially significant study that adds important new information to our understanding of the mechanisms of lung epithelial repair after tissue injury. The authors have delineated a novel and non redundant role for the hippo pathway and the down stream regulators Yap/Taz in regulating repair of lung injury. These studies will inform future investigations into the mechanisms of repair of lung injury
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Abstract
Idiopathic pulmonary fibrosis (IPF) consists of fibrotic alveolar remodeling and progressive loss of pulmonary function. Genetic and experimental evidence indicates that chronic alveolar injury and failure to properly repair the respiratory epithelium are intrinsic to IPF pathogenesis. Loss of alveolar type 2 (AT2) stem cells or mutations that either impair their self-renewal and/or impair their differentiation into AT1 cells can serve as a trigger of pulmonary fibrosis. Recent reports indicate increased YAP activity in respiratory epithelial cells in IPF lungs. Individual IPF epithelial cells with aberrant YAP activation in bronchiolized regions frequently co-express AT1, AT2, conducting airway selective markers and even mesenchymal or EMT markers, demonstrating ‘indeterminate’ states of differentiation and suggesting that aberrant YAP signaling might promote pulmonary fibrosis. Yet, Yap and Taz have recently also been shown to be important for AT1 cell maintenance and alveolar epithelial regeneration after Streptococcus pneumoniae -induced injury. To investigate how epithelial Yap/Taz might promote pulmonary fibrosis or drive alveolar epithelial regeneration, we inactivated the Hippo pathway in AT2 stem cells resulting in increased nuclear Yap/Taz, and found that this promotes their alveolar regenerative capacity and reduces pulmonary fibrosis following bleomycin injury by pushing them along the AT1 cell lineage. Vice versa, inactivation of both Yap1 and Wwtr1 (encoding Taz) or Wwtr1 alone in AT2 cell stem cells impaired alveolar epithelial regeneration and resulted in increased pulmonary fibrosis upon bleomycin injury. Interestingly, the inactivation of only Yap1 in AT2 stem cells promoted alveolar epithelial regeneration and reduced pulmonary fibrosis. Together, these data suggest that epithelial Yap promotes, and epithelial Taz reduces pulmonary fibrosis suggesting that targeting Yap but not Taz-mediated transcription might help promote AT1 cell regeneration and treat pulmonary fibrosis.
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Author Response
Reviewer #1 (Public Review):
The manuscript by Warren et al., presents evidence suggesting that aberrant Yap signaling plays a role in epithelial progenitor cell dysregulation in lung fibrosis. This work builds on a body of work in the literature that Hippo signaling is aberrantly regulated in idiopathic pulmonary fibrosis. They use a combination of single nuclear and spatial transcriptomics, together with in vivo conditional genetic perturbations of Hippo signaling in mice, to investigate roles for Yap/Taz signaling in alveolar epithelial homeostasis and remodeling associated with exposure to a fibrosing agent, bleomycin. They show that Taz and Tead1/4 are most abundantly expressed by alveolar type 1 (AT1) cells, but Nf2 immunoreactivity (upstream activator of Hippo) is observed predominantly within airway and AT2 …
Author Response
Reviewer #1 (Public Review):
The manuscript by Warren et al., presents evidence suggesting that aberrant Yap signaling plays a role in epithelial progenitor cell dysregulation in lung fibrosis. This work builds on a body of work in the literature that Hippo signaling is aberrantly regulated in idiopathic pulmonary fibrosis. They use a combination of single nuclear and spatial transcriptomics, together with in vivo conditional genetic perturbations of Hippo signaling in mice, to investigate roles for Yap/Taz signaling in alveolar epithelial homeostasis and remodeling associated with exposure to a fibrosing agent, bleomycin. They show that Taz and Tead1/4 are most abundantly expressed by alveolar type 1 (AT1) cells, but Nf2 immunoreactivity (upstream activator of Hippo) is observed predominantly within airway and AT2 cells. Bleomycin exposure was associated with reduced p-Mst in regenerating alveolar epithelium, that inactivation of Yap/Taz arrested AT2>AT1 differentiation, and inactivation of either Nf2 or Mst1/2 promoted AT1 differentiation after bleomycin exposure and reduced matrix deposition/fibrosis. They go on to show that compromised alveolar regeneration resulting from inactivation of Yap/Taz results in enhanced bronchiolization of injured alveoli. Experiments are well designed and include quantitative endpoints where appropriate, data of high quality, and results are generally supportive of conclusions. These studies provide valuable new data relating to roles for the Hippo pathway in regulation of alveolar homeostasis and epithelial regeneration/remodeling in injury/repair and fibrosis.
We thank the reviewer for their enthusiastic and constructive comments.
Reviewer #2 (Public Review):
The authors explored non-redundant, and potentially contrasting, roles of the Hippo effector transcription factors, YAP and TAZ, in the epithelial regenerative response to non-infectious lung injury. The strength of the work is the use of genetic mouse models that explored inducible loss of function of YAP and/or TAZ in an alveolar epithelial type 2 (AT2) specific manner. The main weakness of the work is that gene(s) inactivation was performed prior to lung injury and, therefore, does not take into account the contextual and dynamic nature of YAP/TAZ signaling; for example, work by other groups have shown that YAP/TAZ is activated early following injury followed by a decrease in activity, thus balancing proliferation and differentiation of AT2 cells (for review, see PMID: 34671628).
We thank the reviewer for their enthusiastic and constructive comments.
We agree that knocking out genes prior to injury might not take into account the contextual and dynamic nature of YAP/TAZ signaling. However, the Hippo pathway allows cells to sense changes in their environment. We have published that in the airway epithelium the Hippo pathway becomes inactivated upon naphthalene injury in surviving airway epithelial cells sensing the loss of their neighbors, to induce Wnt7b expression which then induces Fgf10 expression in airway smooth muscle cells to drive airway epithelial regeneration. Normally when regeneration is complete and cell density is restored the Hippo pathway reactivates and the repair cascade is inactivated. Knocking out Mst1/2 in airway epithelium chronically activates this cascade and leads to overproliferation of the airway epithelium. Interestingly, upon inactivation of Mst1/2 in the airway epithelium some airway epithelial cells also turn into AT1 cells.
However, AT1 cells do not proliferate. As such we believe that inactivation of Mst1/2 or Nf2 in AT2 cells will not result in overproliferation but mainly promote AT1 cell differentiation. That being said there are other pathways and molecules that affect Yap/Taz nuclear localization. So inactivation of Mst1/2 or Nf2 in AT2 cells most likely primes/activates AT2 cells to regenerate AT1 cells but this decision is likely not binary.
Reviewer #3 (Public Review):
The manuscript entitled "Hippo signaling impairs alveolar epithelial regeneration in pulmonary fibrosis" is a rigorous and timely report detailing the significance of Hippo signaling, Taz and Yap in AT2/AT1 differentiation and the subsequent impact on the progression of lung fibrosis versus repair/ regeneration. The authors experimental design and results support their conclusions. The identification of the distinct effects of Taz and Yap in these processes highlight the pathway and specific molecules as potential therapeutic targets.
The major strengths of these studies lie in the rigor of the elegant transgenic developmental/adult injuryrepair mouse models combined with spatial transcriptomics and analyses. The weaknesses include a lack of detail presented in the methods, some legends and discussion.
We thank the reviewer for their enthusiastic and constructive comments. And have addressed the issues raised.
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eLife assessment
This is an interesting and potentially significant study that adds important new information to our understanding of the mechanisms of lung epithelial repair after tissue injury. The authors have delineated a novel and non redundant role for the hippo pathway and the down stream regulators Yap/Taz in regulating repair of lung injury. These studies will inform future investigations into the mechanisms of repair of lung injury
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Reviewer #1 (Public Review):
The manuscript by Warren et al., presents evidence suggesting that aberrant Yap signaling plays a role in epithelial progenitor cell dysregulation in lung fibrosis. This work builds on a body of work in the literature that Hippo signaling is aberrantly regulated in idiopathic pulmonary fibrosis. They use a combination of single nuclear and spatial transcriptomics, together with in vivo conditional genetic perturbations of Hippo signaling in mice, to investigate roles for Yap/Taz signaling in alveolar epithelial homeostasis and remodeling associated with exposure to a fibrosing agent, bleomycin. They show that Taz and Tead1/4 are most abundantly expressed by alveolar type 1 (AT1) cells, but Nf2 immunoreactivity (upstream activator of Hippo) is observed predominantly within airway and AT2 cells. Bleomycin …
Reviewer #1 (Public Review):
The manuscript by Warren et al., presents evidence suggesting that aberrant Yap signaling plays a role in epithelial progenitor cell dysregulation in lung fibrosis. This work builds on a body of work in the literature that Hippo signaling is aberrantly regulated in idiopathic pulmonary fibrosis. They use a combination of single nuclear and spatial transcriptomics, together with in vivo conditional genetic perturbations of Hippo signaling in mice, to investigate roles for Yap/Taz signaling in alveolar epithelial homeostasis and remodeling associated with exposure to a fibrosing agent, bleomycin. They show that Taz and Tead1/4 are most abundantly expressed by alveolar type 1 (AT1) cells, but Nf2 immunoreactivity (upstream activator of Hippo) is observed predominantly within airway and AT2 cells. Bleomycin exposure was associated with reduced p-Mst in regenerating alveolar epithelium, that inactivation of Yap/Taz arrested AT2>AT1 differentiation, and inactivation of either Nf2 or Mst1/2 promoted AT1 differentiation after bleomycin exposure and reduced matrix deposition/fibrosis. They go on to show that compromised alveolar regeneration resulting from inactivation of Yap/Taz results in enhanced bronchiolization of injured alveoli. Experiments are well designed and include quantitative endpoints where appropriate, data of high quality, and results are generally supportive of conclusions. These studies provide valuable new data relating to roles for the Hippo pathway in regulation of alveolar homeostasis and epithelial regeneration/remodeling in injury/repair and fibrosis.
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Reviewer #2 (Public Review):
The authors explored non-redundant, and potentially contrasting, roles of the Hippo effector transcription factors, YAP and TAZ, in the epithelial regenerative response to non-infectious lung injury. The strength of the work is the use of genetic mouse models that explored inducible loss of function of YAP and/or TAZ in an alveolar epithelial type 2 (AT2) specific manner. The main weakness of the work is that gene(s) inactivation was performed prior to lung injury and, therefore, does not take into account the contextual and dynamic nature of YAP/TAZ signaling; for example, work by other groups have shown that YAP/TAZ is activated early following injury followed by a decrease in activity, thus balancing proliferation and differentiation of AT2 cells (for review, see PMID: 34671628).
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Reviewer #3 (Public Review):
The manuscript entitled "Hippo signaling impairs alveolar epithelial regeneration in pulmonary fibrosis" is a rigorous and timely report detailing the significance of Hippo signaling, Taz and Yap in AT2/AT1 differentiation and the subsequent impact on the progression of lung fibrosis versus repair/ regeneration. The authors experimental design and results support their conclusions. The identification of the distinct effects of Taz and Yap in these processes highlight the pathway and specific molecules as potential therapeutic targets.
The major strengths of these studies lie in the rigor of the elegant transgenic developmental/adult injury-repair mouse models combined with spatial transcriptomics and analyses. The weaknesses include a lack of detail presented in the methods, some legends and discussion.
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