- Strunz, Maximilian;
- Simon, Lukas M;
- Ansari, Meshal;
- Kathiriya, Jaymin J;
- Angelidis, Ilias;
- Mayr, Christoph H;
- Tsidiridis, George;
- Lange, Marius;
- Mattner, Laura F;
- Yee, Min;
- Ogar, Paulina;
- Sengupta, Arunima;
- Kukhtevich, Igor;
- Schneider, Robert;
- Zhao, Zhongming;
- Voss, Carola;
- Stoeger, Tobias;
- Neumann, Jens HL;
- Hilgendorff, Anne;
- Behr, Jürgen;
- O’Reilly, Michael;
- Lehmann, Mareike;
- Burgstaller, Gerald;
- Königshoff, Melanie;
- Chapman, Harold A;
- Theis, Fabian J;
- Schiller, Herbert B
The cell type specific sequences of transcriptional programs during lung regeneration have remained elusive. Using time-series single cell RNA-seq of the bleomycin lung injury model, we resolved transcriptional dynamics for 28 cell types. Trajectory modeling together with lineage tracing revealed that airway and alveolar stem cells converge on a unique Krt8 + transitional stem cell state during alveolar regeneration. These cells have squamous morphology, feature p53 and NFkB activation and display transcriptional features of cellular senescence. The Krt8+ state appears in several independent models of lung injury and persists in human lung fibrosis, creating a distinct cell-cell communication network with mesenchyme and macrophages during repair. We generated a model of gene regulatory programs leading to Krt8+ transitional cells and their terminal differentiation to alveolar type-1 cells. We propose that in lung fibrosis, perturbed molecular checkpoints on the way to terminal differentiation can cause aberrant persistence of regenerative intermediate stem cell states.