GENESIS OF MUCOCILIARY RESPIRATORY EPITHELIUM

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These studies aim towards greater understanding of fetal and neonatal development and of maintenance, regeneration and restoration of mammalian tracheobronchial mucociliary epithelium (TBE). The hypotheses that mucous cells play a common and major role during fetal and neonatal development and during maintenance of the adult epithelium and regeneration of the same following injury, to produce and/or restore the mucociliary state, and that vitamin A levels regulate cell division and phenotypic expression of mucous cells, will be tested. The respective roles played by mucous cells and basal cells in regeneration of TBE will be characterized quantitatively in rat tracheas in vivo and human bronchus in vitro, using autoradiographic and stathmokinetic methods. The order of appearance of primordial specialized cells (basal, mucous, ciliated) will be defined in fetal trachea and the development of fetal and neonatal tracheal epithelium will be characterized quantitatively in hamsters using autoradiographic and stathmokinetic techniques. Furthermore, restoration of mucociliary epithelium following oral administration of vitamin A to hamsters previously deprived of the vitamin, will be defined quantitatively and the respective roles of mucous cells and basal cells in restoration of the mucociliary state will be defined. Ciliary activity removes particulates and mucus from the airways; cilia only function efficiently when bathed in mucus secretion. Diverse types of injury cause the formation of widespread metaplastic non-ciliated epithelium of epidermoid character which predisposes to infection. Increased knowledge regarding control of phenotypic expression of cells which constitute this epithelium has significance regarding the introduction of therapeutic measures to restore the mucociliary state following injury and promises to yield more complete understanding of the histogenesis of many bronchial diseases including bronchogenic carcinoma.