Reporter transgene, knockout, and misexpression studies support the notion that Wnt/β-catenin signaling regulates aspects of branching morphogenesis, regional specialization of the epithelium and mesenchyme, and establishment of progenitor cell pools. As demonstrated for other foregut endoderm-derived organs, β-catenin and the Wnt/β-catenin signaling pathway contribute to control of cellular proliferation, differentiation and migration. However, the contribution of Wnt/β-catenin signaling to these processes is shaped by other signals impinging on target tissues. In this review, we will concentrate on roles for Wnt/β-catenin in respiratory system development, including segregation of the conducting airway and alveolar compartments, specialization of the mesenchyme, and establishment of tracheal asymmetries and tracheal glands.
The Respiratory SystemThe respiratory system is divided into sub-regions that perform specialized functions important for the ultimate goal of delivering oxygen to and removing carbon dioxide from the blood stream. The proximal respiratory system is divided into the nasal and oral cavities and the larynx. The nose and mouth (except in rodents) serve as the primary interface between the respiratory system and the environment, function in humidification of inspired air, and are the first line of defense for protection from injurious agents including pathogens, particles, and chemical or gaseous pollutants. These regions exhibit complex structural and functional characteristics that have been extensively reviewed elsewhere. 1 Little is known of roles for Wnt/ β-catenin signaling in patterning or functional specialization of these tissues. The third component of the proximal respiratory system is the larynx. This region is composed of complex cartilaginous support structures, an epithelial lining, and an extensive muscular and neural network. Although evidence for Wnt/β-catenin signaling during development of this region has been reported 2 high levels of endogenous β-gal activity limit interpretation of studies relying exclusively on LacZ reporter constructs. The larynx is a common target for reconstructive surgery and reparative and signaling mechanisms have been reviewed in the regenerative medicine literature. 3,4 Although the proximal respiratory system plays a critical role in lung diseases that are a direct consequence of environmental exposures as well as those that are exacerbated by environmental triggers, the relative lack of information regarding roles for Wnt/β-catenin in specification and specialization of these prevents further consideration in this review.The distal respiratory system is divided into the conducting airway and alveolar regions. The airway is comprised of a series of dichotomously branched tubes that decrease in caliber from proximal (trachea), through the central airways (bronchi, bronchial and bronchioles) to the distal region (terminal and respiratory bronchioles). In contrast, alveoli are established through post-natal septation of primary sacules. Epithelial ...