SUMMARYThe alveolar epithelium is composed of two morphologically distinct types of cells, Type I and Type II cells. The thin cytoplasmic extensions of Type I cells cover more than 95% of the internal surface area of the lungs. Type I cells provide the very short diffusion pathway essential for gas exchange. Because there were no biochemical markers specific for human Type I cells, we developed a strategy to produce a monoclonal antibody (MAb) specific for human Type I cells. Isolated human lung cells were used as immunogens; Ͼ5000 clones from seven fusions were screened to identify an MAb specific for a 56-kD protein of Type I cells, HTI 56 . By Western blotting, HTI 56 is unique to the lung. By immunoelectron microscopy, it is localized to the Type I cell apical plasma membrane. The pI of HTI 56 is 2.5-3.5. HTI 56 is glycosylated and has the biochemical characteristics of an integral membrane protein. HTI 56 is detectable by Week 20 of gestation and its expression increases in fetal lung explant culture. HTI 56 should be useful as a marker for human Type I cells both morphologically and biochemically. It may also be useful in studies of disease and as a marker for lung injury. In mammals, the development and maintenance of a normal alveolar epithelium are essential for life. The extremely large alveolar epithelial surface area of the human lung (100-150 M 2 ) is composed of only two morphologically distinct types of cells, Type I and Type II cells. These epithelial cells have been characterized morphologically by their location within the lung and by their unique ultrastructural characteristics. Type I cells are large, with calculated volumes of 0003ف m 3 /cell and diameters of 50-100 m (Stone et al. 1992). Each Type I cell forms very thin (~50 nm) cytoplasmic sheets which extend from the nucleus to cover the surface of one or more alveoli. Type I cells are believed to play an important role in lung function because they cover more than 95% of the alveolar surface, providing the very thin barrier between the air and blood compartments critical for efficient gas exchange. Recently, we have shown that rat Type I cells have the highest osmotic water permeability of any known mammalian cell ). On the basis of these data, the Type I cell probably plays an important role in regulating water transport between the airspace and the vasculature of the lung. Type II cells, which cover the remainder of the alveolar surface, are cuboidal cells approximately 10 m in diameter. The Type II cell has been studied in detail and is known to have a variety of important biological functions. Type II cells synthesize, secrete, and recycle pulmonary surfactant (Wright and Dobbs 1991) and are important for alveolar repair after lung injury (Adamson and Bowden 1974;Evans et al. 1977), as progenitors of both Type I and Type II cells.The lack of specific biochemical markers for Type I and Type II cells has impeded the study of alveolar epithelial development, differentiation, and the response to injury. Over the past several years, we ...