-Kit immunoexpression delineates a putative endothelial progenitor cell population in developing human lungs. Am J Physiol Lung Cell Mol Physiol 306: L855-L865, 2014. First published February 28, 2014 doi:10.1152/ajplung.00211.2013.-Expression of c-Kit and its ligand, stem cell factor (SCF), in developing human lung tissue was investigated by immunohistochemistry. Twentyeight human fetal lungs [age range 13 to 38 gestational wk (GW)] and 12 postnatal lungs (age range 1-79 yr) were evaluated. We identified c-Kit ϩ cells in the lung mesenchyme as early as 13 GW. These mesenchymal c-Kit ϩ cells in the lung did not express mast cell tryptase or ␣-smooth muscle actin. However, these cells did express CD34, VEGFR2, and Tie-2, indicating their endothelial lineage. Three-dimensional reconstructions of confocal laser scanning images revealed that c-Kit ϩ cells displayed a closed-end tube formation that did not contain hematopoietic cells. From the pseudoglandular phase to the canalicular phase, c-Kit ϩ cells appeared to continuously proliferate, to connect with central pulmonary vessels, and finally, to develop the lung capillary plexus. The spatial distribution of c-Kitand SCF-positive cells was also demonstrated, and these cells were shown to be in close association. Our results suggest that c-Kit expression in early fetal lungs marks a progenitor population that is restricted to endothelial lineage. This study also suggests the potential involvement of c-Kit signaling in lung vascular development. c-Kit; endothelial cells; lung development C-KIT, A TRANSMEMBRANE TYROSINE kinase receptor, and its ligand, stem cell factor (SCF), exhibit a diverse range of biological functions. The binding of SCF to c-Kit induces receptor dimerization and triggers activation of downstream intracellular signaling, including the PI3K, Jak/STAT, and Ras/Erk pathways, which promote cell survival, gene transcription, and mitogenesis, respectively (21). In addition to cellular functions, the involvement of c-Kit signaling in organ development has also been described (22,23,26,34), indicating important roles for c-Kit signaling in tissue homeostasis. Along with these reports, c-Kit expression has been demonstrated in various tissue-specific stem cells (5, 21) that are considered to be responsible for tissue homeostasis and fetal development (11,19). Exogenous administration of c-Kit ligand, SCF, is also known to induce repair of injured tissues (3,15,31,43). Although limited evidence for it exists, previous investigations have demonstrated an association of c-Kit signaling with lung development and alveolar structural maintenance (6, 24). Despite the substantial importance of c-Kit and its downstream signaling in tissue maintenance, previous studies did not employ c-Kit as a lung stem cell marker because the majority of c-Kit ϩ cells in adult human lungs have been considered to be bone marrow-derived progenitor cells (28,40).Recently, Kajstura et al. demonstrated the existence of multipotent lung endogenous stem cells prospectively isolated fr...