Human tracheobronchial epithelial (TBE) basal cells (BCs) function as progenitors in normal tissue. However, mechanistic studies are typically performed in vitro and frequently use BCs recovered from patients who die of nonrespiratory disease. It is not knownwhether the cadaveric epithelium (1) is undergoing homeostatic remodeling and/or repair, or (2) yields BC clones that represent homeostatic processes identifiedin tissue. We sought to compare the phenotype of TBE-BCs with that of BCs cultured under optimal clone-forming conditions. TBE pathology was evaluated using quantitative histomorphometry. The cultured BC phenotype was determined by fluorescence-activated cell sorter analysis. Clone organization and cell phenotype were determined by immunostaining. The cadaveric TBE is 20% normal. In these regions, BCs are keratin (K)-5 1 and tetraspanin CD1511 , and demonstrate a low mitotic index. In contrast, 80% of the cadaveric TBE exhibits homeostatic remodeling/repair processes. In these regions, BCs are K5 1 /K15 1 /K14 1 on Recovery Days 3-13 (5). These injury/repair studies suggested that the human BC phenotype may also vary as a function of tissue homeostasis or wounding. Our primary aim involved determining the K5/K14 profile of human TBE BCs.Keratins are cytoplasmic proteins (6, 7). Consequently, viable respiratory BCs cannot be isolated on the basis of K expression. To overcome this issue, several groups identified cell-surface markers that can be used to separate BCs into subsets, using a fluorescence-activated cell sorter (FACS) (2,3,(8)(9)(10). One of these markers, tissue factor (TF), is a component of the extrinsic coagulation cascade (11), and was originally developed for the isolation of nasal polyp BCs (12). We showed that all Passage 1 TBE BCs that were cultured in bronchial epithelial cell growth medium (BEGM) were TF 1 , and that TF activity was necessary for BC survival in vitro (13). Other TBE BC markers include nerve growth factor receptor (2), podoplanin (14), CD49f (a6 integrin) (8), the tetraspanin CD151 1 (12), and Trp63 (p63) (15). Our secondary aim involved determining whether TF and CD151 were (1) expressed by TBE BCs, and (2) could be used to identify TBE BC subsets.Our previous studies and those of others indicate that TBE repair in mice is mediated by BCs that proliferate and then differentiate to replace ciliated and secretory cell types (2,5,8,14,(16)(17)(18)(19). Human BC progenitor functions can also be evaluated in vitro (20). However, most analyses of human BCs have focused on the BC population as a whole, rather than on the
CLINICAL RELEVANCEHuman basal cells (BCs) function as progenitors for tracheobronchial epithelial repair and regeneration. However, the mechanisms regulating BC function are typically evaluated in vitro. The impact of these mechanistic studies is limited by a lack of cross-referencing in tissue and cultured BC phenotype and function. We show that human tracheobronchial BC phenotypes are heterogeneous in vivo, and become more homogeneous in vitro. Highly ...