PhD, University of Cincinnati, 2023, Medicine: Molecular and Developmental Biology
Respiratory pathologies are central causes of human morbidity and mortality. While few solutions have been developed to address acute lung injury, much less is known about how to prevent chronic disease/dysfunction or promote functional regeneration. Severe acute lung injuries (caused by influenza, bacterial pneumonia, COVID-19, etc.) lead to Acute Respiratory Distress Syndrome (ARDS), which biologically represents a combination of cell injury/death, barrier dysfunction, and airspace edema, resulting in a dysfunctional gas exchange and hypoxia. Patients with similar medical histories and presentations can have disparate outcomes following ARDS, and very little is known about determinants of this heterogeneity. Here, I will describe our efforts to explore this complex question, first looking at molecular mechanisms of progenitor populations of the alveolar epithelium using in vitro models and genetic knockouts, and second, using a perinatal non-human primate injury model to evaluate longitudinal regenerative impacts after early life injury.
In Chapter 1, I discuss the history of alveolar epithelial regeneration driven by Alveolar Epithelial Progenitor (AEP) cells, framing the challenges facing the field at the outset of this work. In Chapters 2 and 3, I characterize our refined AEP-derived mouse clonal organoid model, wherein a single AEP expands into organoids that recapitulate in vivo epithelial cell type differentiation. Transcriptional regulatory network (TRN) analysis of time-series scRNAseq and scATACseq data from these organoids identified novel transcriptional regulators of each alveolar epithelial cell state. Using a newly optimized genetic perturbation model of progenitors using AAV6.2FF-Cre, we show novel cell-specific functions of the transcription factor Nkx2-1, a known master regulator in lung development. Loss of Nkx2-1 drives irreversible acquisition of a stressed cell state, a hypothesized initiator of many chronic lung diseases. Finally, we c (open full item for complete abstract)
Committee: William Zacharias M.D. Ph.D. (Committee Chair); Claire Chougnet Ph.D. (Committee Member); Leah Claire Kottyan Ph.D. (Committee Member); Aaron Zorn Ph.D. (Committee Member); Jeffrey Whitsett M.D. (Committee Member); Kathryn Wikenheiser-Brokamp M.D. Ph.D. (Committee Member); Emily Miraldi Ph.D. (Committee Member)
Subjects: Developmental Biology