GEMC1 and MCIDAS control multiciliated cell differentiation in a stepwise manner.• p73 plays a major role in multiciliogenesis.• Multiciliated cells activate a cell cycle program to regulate centriole amplification.• PLK4, mother centrioles and deuterosomes are not strictly required for multiciliogenesis.• Centriole numbers scale to cell surface area.
Multiciliated cells in vertebratesMulticiliated cells (MCCs) are specialized epithelial cells that project multiple motile cilia required for respiratory, reproductive, renal and brain functions in many vertebrates [1]. In humans, MCCs are present in the ependyma and choroid plexus of the brain to direct the flow of cerebrospinal fluid, the airways to clear mucus and pathogens, and in the efferent ducts and oviducts for spermatozoa and egg transport, respectively. Depending on the tissue, dozens to hundreds of motile cilia are generated per MCC that can beat in a coordinated, directional manner or generate turbulence through whip-likeThe process of MCC differentiation, or multiciliogenesis, requires the activation of a unique transcriptional program that specifies cell fate and allows the massive amplification of centrioles; barrel-shaped, microtubule based organelles that dock at the cell surface with other factors to provide a basal body (BB) required to support the generation of the ciliary axoneme [3]. As several recent reviews have covered different aspects of multiciliogenesis in great detail [1,[3][4][5][6][7][8][9][10], here we will focus on providing an overview of the transcriptional regulation of multiciliogenesis and how it connects to key cellular processes. In addition, we will highlight recent advances in our understanding of other cell biological aspects of MCC development and the consequences of their dysfunction.
MCC specification: Notch and the Geminin family proteinsThe inhibition of Notch signaling has emerged as a consistent early event in MCC differentiation from the study of frog skin, zebrafish pronephros and murine ependymal, fallopian tube (oviduct) and airway epithelia (Figure 1) [11][12][13][14][15][16][17][18]. The precise details of Notch regulation remain unclear in all cases but the Mir-34/449 family of miRNAs has been implicated in Notch inhibition in frogs, zebrafish and mice and this miRNA family plays redundant roles in MCC formation in several tissues, including the brain, airway and male germline [2,11,13,[19][20][21][22][23]. In the murine airway, progenitor cells give rise to secretory (Clara) or MCC lineages in a Notch dependent manner[24]. Genetic or pharmacological inhibition of Notch causes the trans-differentiation of secretory cells into MCCs, demonstrating a central role for Notch inhibition in initiating the MCC differentiation program in the airway[15]. The full effects of Notch inhibition on transcription have not been clearly elucidated at early steps of MCC differentiation, but fate decisions following Notch inhibition are controlled by the interplay between the Geminin family proteins; Geminin (encoded by GMNN), ...