The formation of granules in the bronchiolar Clara cells of the rat. 1. Electron microscopy,

An update in club cell biology and its potential relevance to chronic obstructive pulmonary disease

Club cells are found in human small airways where they play an important role in immune defense, xenobiotic metabolism, and repair after injury. Over the past few years, data from single-cell RNA sequencing (scRNA-seq) studies has generated new insights into club cell heterogeneity and function. In this review, we integrate findings from scRNA-seq experiments with earlier in vitro, in vivo, and microscopy studies and highlight the many ways club cells contribute to airway homeostasis. We then discuss evidence for loss of club cells or club cell products in the airways of patients with chronic obstructive pulmonary disease (COPD) and discuss potential mechanisms through which this might occur.

Physiological regulation of uteroglobin/CCSP expression

Uteroglobin/CCSP is expressed specifically in the Clara cells. This allows the gene to be used as a marker to identify the elements regulating the physiologic and cell-specific expression of this gene. The regulation of UG/CCSP by IFN-gamma was shown to be at the level of the proximal promoter by the upregulation of HNF3 beta. This has allowed the determination of the factors responsible for the expression of UG/CCSP.

Clara cell proteins

Clara cells are nonciliated, nonmucous, secretory cells of the pulmonary airways. These cells are known to secrete a variety of proteins, including Clara cell 10-kDa protein/uteroglobin. This protein consists of a homodimer of 70-77 amino acid polypeptides arranged in antiparallel fashion. In vitro testing suggests that the protein suppresses inflammation. The physiologic role of the protein remains to be determined.

Comparative ultrastructure of Clara cells in neonatal and older cattle

Calf lungs were fixed with glutaraldehyde and examined by scanning (SEM) and transmission (TEM) electron microscopy to compare the ultrastructure of Clara cells in terminal bronchioles of neonatal calves and older cattle. In the neonatal calf, SEM revealed numerous smooth-surfaced Clara cells protruding above a similar number of ciliated cells, whereas in older animals the surface of Clara cells was lobulated. Thin sections examined by TEM revealed numerous cuboidal to columnar Clara cells with indented nuclei and a pale cytoplasm filled with faintly granular glycogen in the neonatal calf. Some cells were characterized by apical dense and/or pale membrane-bound granules or secretory droplets. Many cells had an apical tubular network of cisternae that were partly smooth and partly decorated with ribosomes. Ultrastructural comparison of Clara cells in a 2-day-old calf with those of 14- and 19-day-old, 4- and 5. 5-month-old, and 3.5-year-old cattle revealed a striking reduction in the amount of glycogen per cell after 14 days. The number of cells with apical granules was small at all ages, and the density of the secretory granules varied greatly in different cells. A variable amount of smooth endoplasmic reticulum (SER) was present but was less prominent than cisternae of ribosomal endoplasmic reticulum (RER). In older cattle, the limited amount of SER compared to the RER and secretory granules suggests that bovine Clara cells are more likely to be secretory than detoxifying.

Serum Clara cell protein levels in lung cancer patients: an assessment of preoperative values and postoperative changes

Serum levels of protein 1 (P1), a Clara cell protein known to have an antiinflammatory effect, were studied in 33 patients with lung cancer before surgery, and 3, 7, 14, 21 days, and 2 months after surgery. The preoperative P1 values of the lung cancer patients were compared with those of 66 healthy controls matched by sex and age. The postoperative changes in P1 which occurred in the lung cancer patients were compared with those in 16 patients who underwent laparotomy for gastric or colon cancer. There was no significant difference in the P1 values between the lung cancer patients and the healthy controls; however, the postoperative P1 values showed a significant decrease 3, 7, (P < 0.001), and 14 days (P < 0.05) postoperatively, recovering to normal within 2 months after surgery. One patient who died of postoperative pneumonia showed decreasing serum P1 levels until death. None of the laparotomy patients showed any decrease in P1 serum levels. Thus, we conclude that: (a) serum P1 levels do not differ between lung cancer patients and healthy individuals; (b) serum P1 levels significantly decrease in the early postoperative period, but recover within 2 months after lung resection; and (c) the postoperative changes that occur in serum P1 levels could provide important information about recovery from intraoperative lung damage.

An ultrastructural study of pulmonary bronchiolar and alveolar epithelium in sheep

The cellular population lining the bronchiolar and alveolar epithelium of the lower respiratory tract of three clinically healthy, purebred Suffolk lambs of both sexes and 3-4 months old was studied using a transmission-electron microscope. The epithelium of primary and secondary bronchioles consisted of four cell types: basal cells, intermediate cells, ciliated cells, and non-ciliated (Clara) cells, whereas the epithelium of terminal and respiratory bronchioles consisted of only two kind of cells: ciliated and Clara cells. The alveolar wall, including alveolar ducts and saccules, was covered by type I and type II pneumocytes. In addition, the presence of pulmonary intravascular macrophages was a constant in most of the alveolar capillaries. The morphologic characteristics of all these cells are described in detail and discussed.

Mouse Clara cell 10-kDa (CC10) protein: cDNA nucleotide sequence and molecular basis for the variation in progesterone binding of CC10 from different species

A protein similar to the rat Clara cell 10-kDa protein (CC10) was isolated from mouse lung homogenate by conventional chromatography. cDNA for the mouse CC10 protein was identified in the mouse lung cDNA library by using radiolabeled rat CC10 cDNA as the probe. The isolated cDNA was sequenced and the deduced primary amino acid sequence was compared to the known sequences of rabbit and hare uteroglobins and human and rat CC10 proteins. The cDNA sequence was confirmed by N-terminal amino acid sequencing of the purified protein. The purified mouse CC10 was tested for its ability to bind progesterone, and the binding was found to be 27% lower than rat CC10 and 48% lower than rabbit uteroglobin. The relative binding of mouse, rat, and human CC10 may reflect subtle structural perturbations. The only notable difference between mouse and rat CC10 is in the beta bend between helices 1 and 2, at residue 16. This difference also exists between rat and human CC10. The mouse CC10 sequence compares favorably with human CC10, which does not bind progesterone; however, the mouse CC10 does not contain M60, which has been proposed to block the binding of progesterone with human CC10. The wide variation in progesterone binding among this family of proteins casts doubt on the importance of such binding as a physiologic function.

Morphological heterogeneity of secretory granules of rat Clara cells: an immunocytochemical study

The secretory granules of rat bronchiolar Clara cells were classified into different types by their ultrastructural appearances followed by immunocytochemistry using anti-rat 10 kDa Clara cell-specific protein (10 kDa CCSP) antibody. One predominant type was the oval to round granule (type A granule), of which the matrix was composed of a map-like mixture of electron-dense and less electron-dense material. Another predominant type was the rod-shaped granule (type B granule). The content of type B granules varied from a finely fibrillar (type B1 granule) to an electron-dense, rod-like (type B3 granule) structure. Various intermediate types (type B2 granule) between type B1 and B3 granules were also found. Small cytoplasmic vesicles were found occasionally in close proximity to type B2 or B3 granule. Another type of granule (type C granule) was large, up to 8 microns in diameter, and contained a moderately electron-dense amorphous matrix. Both type A and C granules stained at a similar density with the antibody. The nascent form of type A granules, which was found in the vicinity to the trans face of the Golgi apparatus, was also labeled. On the other hand, the labeling density of type B granules varied: type B1 granules were almost devoid of immunolabeling, whereas type B3 granules were intensely labeled. Type B2 granules stained with the antibody; however, the labeling density was less than that of type B3 granules. The small cytoplasmic vesicles of type B2 granules were labeled.(ABSTRACT TRUNCATED AT 250 WORDS)

Refined structure of rat Clara cell 17 kDa protein at 3.0 A resolution

The rat Clara cell 17 kDa protein (previously referred to as the rat Clara cell 10 kDa protein) has been reported to inhibit phospholipase A2 and papain, and to also bind progesterone. It has been isolated from rat lung lavage fluid and crystallized in the space group P6(5)22. The structure has been determined to 3.0 A resolution using the molecular replacement method. Uteroglobin, whose amino acid sequence is 55.7% identical, was used as the search model. The structure was then refined using restrained least-squares and simulated annealing methods. The R-factor is 22.5%. The protein is a covalently bound dimer. Two disulfide bonds join the monomers together in an antiparallel manner such that the dimer encloses a large internal hydrophobic cavity. The hydrophobic cavity is large enough to serve as the progesterone binding site, but access to the cavity is limited. Each monomer is composed of four alpha-helices. The main-chain structure of the Clara cell protein closely resembles that of uteroglobin, but the nature of many of the exposed side-chains differ. This is true, particularly in a hypervariable region between residues 23 and 36, and in the H1H4 pocket.

Clara cell 10 kDa protein (CC10): comparison of structure and function to uteroglobin

The cellular localization, functional activities and structures of rat and human Clara cell 10 kDa proteins (CC10) are compared to rabbit uteroglobin. CC10 is present exclusively in the non-ciliated cells of the surface epithelium of the pulmonary airways, whereas uteroglobin is reported to be present in the lung and reproductive organs. There is about 55% identity between the amino acid sequences of rat CC10 and either rabbit uteroglobin or human CC10. The latter two have 61% identity. Using the known structure of uteroglobin as the model, correlations between the structure and function for this group of proteins are made. Substitution of the residues for the rat and human CC10 into the structure of uteroglobin suggests that these proteins may be members of a structurally homologous family. Some of the functional differences may be due to distortion of the hydrophobic pocket in the dimeric protein and a surface hypervariability located on one contiguous helix and beta turn. Rat CC10 and rabbit uteroglobin both, nearly equally, inhibit papain and bind progesterone. Human CC10 does not inhibit papain and has markedly lower progesterone binding (4.6% of rabbit uteroglobin). Antiinflammatory activity of synthetic peptides corresponding to a homologous sequence region of uteroglobin and the two Clara cell proteins was tested. The region chosen has sequence similarity to lipocortin I. The peptides not only failed to inhibit carrageenan-induced foot pad swelling but exacerbated it. All three proteins inhibit pancreatic phospholipase A2. The phospholipase A2 inhibitory effect of CC10 may be important in regulating the inflammatory responses in the lung.

Ultrastructural effects of phosphorothionates and other inhibitors of lung monooxygenases: protection against trialkylphosphorothiolate-induced lung injury

An oral dose (25 mg/kg) of O,O,S-triethylphosphorothiolate (OOSEtO) to rats results in selective injury of type I pneumocytes, degranulation of Clara cells, and pronounced increase in lung weight. A dose (12.5 mg/kg) of the related compound O,O,S-trimethylphosphorothionate (OOSMeS) causes neither injury nor degranulation but, when administered 2 h before OOSEtO (25 mg/kg), protects against all the signs of lung injury that would otherwise result from this dose of the compound. The administration of OOSMeS also results in the formation of large, electron-lucent granules within the apical cytoplasm of the Clara cells. The granules are not birefringent, and histochemical procedures indicate that they do not contain carbohydrate but may consist of lipid accumulated around a proteinaceous core. Similar granules are also observed after administration of p-xylene, pseudocumene, and the pesticide bromophos. These compounds, like OOSMeS, inhibit 7-ethoxycoumarin O-deethylase activity in the lung and are capable of protecting against trialkylphosphorothiolate toxicity. This inhibition of 7-ethoxycoumarin O-deethylase activity suggests loss of pulmonary cytochrome P-450. This loss may account for both the protective action of these compounds and the formation of abnormal granules within Clara cells.

Amino-acid and cDNA nucleotide sequences of human Clara cell 10 kDa protein

A human lung cDNA expression library was screened by using a rabbit antiserum specific for a human Clara cell 10 kDa protein. The cDNA from two positive clones was sequenced by the dideoxy chain termination method. The nucleotide and primary amino-acid sequence deduced therefrom are presented. The N-terminal amino-acid sequence of the Clara cell 10 kDa protein, purified from bronchoalveolar lavage, was also determined. The deduced and experimentally determined sequences were identical where data for both were available. From the amino-acid composition, deduced and experimentally determined amino-acid sequences, it was determined that the 10 kDa protein in bronchoalveolar lavage consists of two identical 70-amino-acid long polypeptide chains joined by two cystine residues. The size of mRNA for the protein was found to be about 0.6 kb and the monomeric nascent protein, obtained by in vitro translation of lung mRNA was about 7.3 kDa in size. The 10 kDa protein recovered from bronchoalveolar lavage has 61% sequence identity with rabbit uteroglobin, the two proteins have common predicted secondary structures with marked surface differences when comparing predicted and actual structure determined by X-ray diffraction. The differences imply similarity of structure but, not identity of function.

Effects of inhalation of 0.25 ppm ozone on the terminal bronchioles of juvenile and adult rats

Cells of the terminal bronchioles are particularly susceptible to the effects of inhalation of low levels of ozone (O3). One-day-old (juvenile) or 6-week-old (adult) rats were exposed to 0.25 ppm O3 for 12 h/day or to continuous room air for 6 weeks. Morphometric analysis of perpendicular cross sections of terminal bronchioles demonstrated that exposure to O3 produced alterations in the surface characteristics of ciliated and nonciliated (Clara) cells in both groups of rats. There were significant losses (20-30%) of the surface area contributed by cilia and the luminal surface of Clara cells was decreased by 16-25%. O3 exposure also produced significant decreases in the number of brush cells per square millimeter of terminal bronchiolar basement membrane. The results of this study indicate that the normal structure of terminal bronchiolar epithelial cells is significantly altered by inhalation of 0.25 ppm O3. No statistically significant interactions between the effects of O3 and animal age at the beginning of the exposure were found.

The ultrastructure of epithelial cells of the distal lung

This review has focused on the structural and functional characteristics of those epithelial cells that line the walls of the lower respiratory bronchioles, alveolar ducts, and alveoli. In all, five cells types were considered: Clara cells, types I, II, and III pneumocytes, and alveolar macrophages. In addition, a very brief mention of the structure and influence of the basement membrane in alveolar development and repair was included, as well as a brief review of the role of epithelial cells in response to selected deleterious influences. No attempt was made to extend this review to cover the structure and functions of the epithelial lining of the conducting portions of the respiratory system, or the exciting and expanding complexities and interrelationships of the septal stroma. Since the volume of literature encircling this subject has virtually exploded during the last 15 years, it becomes almost impossible to review all reports. However, attempts were made to be selective in citations. Insofar as future developments are concerned, much remains to be understood concerning (1) the responses of all cell types to cytotoxic influences, including their respective abilities to repair induced damage, (2) cell-cell and cell-extracellular matrix relationships in response to injury, (3) the uniqueness of the basement membrane in the lung in controlling permeability and gaseous exchange, (4) the role(s) of alveolar macrophages in response to injury and their relationships to the septal macrophage population, (5) the aberrations in the respective cell types that can give rise to neoplastic growth, and (6) the role of the immune system in responding to the general defense of the lung. Indeed much has been learned in the past 2 decades, and it is expected that a review of this sort 1 or 2 decades hence will elucidate many of the functions and structural modifications of the lung.

A morphological study of the effects of ozone on rat lung. I. Short-term exposure

In order to determine the effects of ozone on lungs and the course of cell renewal after damage, young male rats were exposed to 3 ppm of ozone for 4 hr. They were killed at 1, 6, 12, and 18 hr and 1, 2, 3, 4, 7, and 14 days after exposure. One hour before the killing, dividing cells were labeled with tritiated thymidine. Type 1 cells of centriacinar location and bronchiolar cells were severely damaged after exposure. Labeling indices of type 2 cells and bronchiolar nonciliated cells increased 1 day after exposure. Hyperplasia of type 2 cells and bronchiolar nonciliated cells was observed 2 and 3 days after exposure. Ciligenesis of bronchiolar ciliated cells occurred 4 days after exposure. Our study shows that injured type 1 cells are repaired by proliferation of type 2 cells and that injured bronchiolar ciliated and Clara cells are repaired by proliferation of bronchiolar nonciliated cells. These undifferentiated cells are probably progenitors of ciliated cells and Clara cells, and some nonciliated cells are in a transitional form between nonciliated and type 2 cells.

Presence of abundant filaments in apical caps of the nonciliated bronchiolar epithelial (Clara) cells

The nonionic detergent Triton X-100 has often been used for the extraction of cytoplasmic materials. We used the detergent in a vascular perfusion medium when preparing rat lung in order to observe the cytoskeleton of the nonciliated bronchiolar epithelial (Clara) cells. To eliminate some cytoplasmic materials selectively and to maintain good fine cell structure simultaneously, the lungs were perfused sequentially with the detergent (0.2% Triton X-100) alone for 2 min, with a mixture of low-concentration (0.1%) glutaraldehyde and detergent (0.2% Triton X-100) for 15 min, and finally with 2.5% glutaraldehyde for 5-10 min. After fixation, the nonciliated bronchiolar epithelial (Clara) cells were observed by scanning and transmission electron microscopy. At the apical region of the cells, there were central cytoplasmic protuberances (apical caps) filled with microfilaments. These filaments were bound at one end to the cytoplasmic side of the cell membrane and ran into the interior of the cytoplasm at the other end. As a control, the Clara cells were observed by transmission electron microscopy after perfusion with 2.5% glutaraldehyde solution. The luminal surfaces of the cells were covered with short, thick microvilli. The apical caps also had microvillus-like protrusions. These results suggest that the apical cap is not an apocrine droplet but rather is a stable structure involved in the function of the Clara cells.

Immunohistochemical localization of the secretory products of rat Clara cells

We used proteins in rat lung lavage fluid to successfully produce an antiserum against Clara cell secretory products. When used with the immunoperoxidase method, the antiserum specifically stained cells of the bronchiolar lining, which are morphologically consistent with Clara cells, as well as a few columnar cells in the bronchial and tracheal mucosa. B-5-fixed lung tissue furthermore demonstrated the immunoreactive layer over the bronchiolar epithelium. The alveolar and bronchial lining layers, on the other hand, were not immunoreactive, although a trace of granular immunoreactivity was seen in the latter. It was suggested that Clara cells produce and secrete some proteinaceous materials, which are mainly localized in the bronchiolar area after secretion and are seldom transferred into the alveolar lining layer. Our antibody cross-reacted with the Clara cells of mice, but not with those of hamsters, guinea pigs, rabbits, dogs, cats, monkeys, and man. The high degree of specificity of this antisera to Clara cells in formalin-fixed materials should make it a valuable tool for identifying Clara cell change in non-neoplastic lung pathology and in obtaining some insights into cell origin in neoplastic diseases.

Filamentary tubular inclusions in type II pneumocytes of the guinea pig

The type II pneumocytes of guinea pigs were studied with a transmission electron microscope. It was shown that 5-20% of type II cells contained filamentary tubular inclusions. No reports of similar structures in type II cells of any species have been found in the literature to date. These inclusions measured 90 nm in diameter, varying up to 3 micron in length, and were generally present in the basal and lateral portions of the cells with a close association to the lamellar bodies. They were usually straight but could be curved and tended to aggregate into parallel stacks. In cross-sections, these filamentary tubular inclusions were surrounded by a thickened unit membrane and were composed of microfilaments arranged in circular fashion around a central core. In longitudinal sections, they consisted of rod-like bodies with three lines of filaments. The possible function of the filamentary tubular inclusions is also discussed.

Biosynthesis and release of proteins by isolated pulmonary Clara cells

The major proteins synthesized and released by Clara cells were identified and compared with those synthesized and released by mixed lung cells. Highly purified Clara cells (85.9 +/- 2.4%) and mixed lung cells (Clara cells 4%, Type II cells 33%, granulocytes 18%, macrophages 2.7%, ciliated cells 1.2%) were isolated from rabbit lungs, incubated with Ham's F12 medium in collagen/fibronectin-coated plastic culture dishes in the presence of 35S-methionine for periods of 4 and 18 hrs. Radiolabelled proteins were isolated from the cells and from the culture medium, electrophoresed on polyacrylamide gels in the presence of SDS under reducing conditions, and then autoradiographed. After 4 and 18 hr of incubation of the Clara cells the major radiolabelled cell-associated proteins were those with molecular weights of 6, 48, and 180 Kd. The major radiolabelled proteins released by Clara cells into the medium after 4 hrs of incubation had molecular weights of 6, 48, and 180 Kd, accounting for 42, 16, and 10%, respectively, of the total extracellular protein-associated radioactivity. After 18 hr of incubation the 6 and 48 Kd proteins represented 30 and 18% of the total released radioactivity, and the relative amount of the 180 Kd protein had decreased to 3%. With the mixed lung cells, the major proteins released into the medium had molecular weights of 6 and 48 Kd. Under nonreducing conditions the 6 Kd protein released by Clara cells had an apparent molecular weight of 12 Kd. Labelling isolated Clara cells with a mixture of 14C-amino acids also identified this low molecular weight protein as the major secretory product of the Clara cell. The 6 Kd protein did not label when the cells were incubated with 14C-glucosamine indicating that it was not a glycoprotein. These data demonstrate the release of several proteins from isolated Clara cells but the major protein had a molecular weight of 6 Kd.

Ultrastructural and immunohistochemical studies on non-ciliated cells of the tracheal epithelium of normal, phenobarbital-treated and 3-methylcholanthrene-treated mice

Non-ciliated SER-rich cells of the tracheal epithelium of normal, phenobarbital-treated and 3-methylcholanthrene-treated mice were studied ultrastructurally and immunohistochemically. The apical portion of these cells protrudes into the tracheal lumen, especially in the mice treated with the two compounds, and the apical cytoplasm is filled with numerous tubular elements of SER. Besides, the non-ciliated cells of 3-methylcholanthrene-treated mice show a strong positive reaction to the antiserum against microsomal cytochrome P-450 of liver. These findings support the concept that the non-ciliated tracheal cell may be involved in the metabolism of endogeneous and exogeneous chemical compounds.

Ultrastructure of well-differentiated adenocarcinomas of the lung with special reference to bronchioloalveolar carcinoma

The cytologic phenotypes of 20 well-differentiated pulmonary adenocarcinomas were determined by electron microscopy. On examination of more than 100 cells in each case, the tumors were classified according to the predominant cell types. Nine cases (45%) were of mucous cell type, further divided into 7 cases of bronchial surface epithelial cell type, 1 case of bronchial gland cell type, and 1 case of metaplastic bronchiolar goblet cell type. The remainder included 5 cases (25%) of Clara cell type, 2 cases (10%) of type II cell type, and 4 cases (20%) of mixed cell type. The predominant histologic pattern by light microscopy was "typically" bronchioloalveolar (Manning et al.'s type 1) in the metaplastic goblet cell tumor and papillary in most Clara cell-type tumors, while it was glandular in bronchial surface and bronchial gland cell types, although variable in type II cell or mixed cell type. Therefore, bronchioloalveolar carcinomas, when histologically defined inclusive of papillary tumors, present cytologic phenotypes also related to the bronchioloalveolar epithelium, i.e., metaplastic goblet or Clara or type II cell subtypes, which is in accordance with some previous reports. These tumors could be distinguished from the other (glandular) adenocarcinomas that show primarily bronchial mucous cell differentiation.

Application of morphometric methods to study diffuse and focal injury in the lung caused by toxic agents

Morphometric techniques are now being widely applied to a variety of toxicologic problems in order to obtain reproducible and quantitative data about changes in lung structure caused by environmental pollutants. Many environmental pollutants cause lung injury which is concentrated in specific regions of the lung, such as, in small airways and in the proximal portions of alveolar ducts. Morphometric techniques to obtain unbiased estimates of tissue changes occurring in these specific regions are reviewed and contrasted to well-established techniques for morphometric analysis of the distal alveolar regions of the lung. Specific applications of morphometric studies in different toxicologic problems are illustrated and include quantification of the changes in lung tissue and in lung cellular population pattern in response to exposure of small animals to hyperoxic atmospheres and to ozone. Pulmonary oxygen toxicity is an example of a diffuse lesion throughout the distal portion of the acinus whereas ozone exposure is an example of an environmental pollutant causing a greater degree of lung injury in the proximal alveolar region and in the small airways.

Ultrastructural and immunohistochemical studies of bronchiolo-alveolar carcinoma

A detailed ultrastructural study was made of seven cases of bronchiolo-alveolar carcinoma, and the findings were correlated with histochemical and immunohistochemical data. By electron microscopic examination all seven tumors displayed glandular differentiation, manifested by the presence of microvilli and intercellular junctions, with or without mucin production. Variable proportions of tumor cells retained ultrastructural characteristics of alveolar type II cells and Clara cells. In addition, some tumor cells revealed desmosomes and tonofilaments consistent with squamous differentiation. Immunohistochemical evaluation was carried out using a peroxidase-antiperoxidase technique and specific antibodies against surfactant high molecular weight glycoproteins, keratin proteins, IgA + secretory piece, carcinoembryonic antigen (CEA), human chorionic gonadotropin (HCG), and alpha-fetoprotein (AFP). Four tumors with type II cell-like differentiation stained with anti-surfactant glycoprotein sera. All seven tumors stained focally with anti-keratin and IgA + anti-secretory piece antibodies, and diffusely with CEA. These tumors failed to stain with antisera against HCG and AFP. It is concluded that bronciolo-alveolar carcinomas are primarily composed of cells with alveolar and bronchiolar cell differentiation. Adequate criteria were established for ultrastructural identification of tumor cells with differentiation to type II alveolar cell or Clara cell. Moreover, the findings of this study indicate that the surfactant glycoprotein marker, when present in a given tumor either diffusely or focally, is diagnostic of bronchiolo-alveolar carcinoma.

Ultrastructural changes in rat Clara cells induced by a single dose of O,S,S-trimethyl phosphorodithioate

The oral administration of an LD50 dose (25 mg/kg) of O,S,S-trimethyl phosphorodithioate to rats induced immediate, cholinergic symptoms. A delayed respiratory crisis followed, 3-4 days later, involving a pronounced increase in lung weight and extensive injury to the alveolar epithelium. This compound also induced the immediate liberation of secretory granules from the Clara cells. Minor changes in the surface appearance of these cells were also observed but no signs of injury were found in any cells of the bronchiolar epithelium. The complement of secretory granules was monitored, by the morphometric analysis of ultrathin sections. Clara cells from control animals were found to contain 9.55 +/- 1.16 (SEM) granules per cell profile. The Clara cells from dosed animals were largely devoid of granules until the 3rd day after administration. Many of these agranular cells were arranged in clusters and often showed signs of mitotic division. In surviving animals the subsequent replacement of granules resulted in a large increase in the numbers present and many exhibited abnormal morphology. Over twice the normal complement of granules, 22.45 +/- 0.42 (SEM) per cell profile, was found 6 days after dosing. The complement of granules subsequently returned to normal levels and the clusters of Clara cells were resolved within 14 days of dosing.

Goblet and Clara cells of human distal airways: evidence for smoking induced changes in their numbers

The goblet cell and Clara cell populations of human distal airway epithelium were examined. The bronchioles, terminal bronchioles, and respiratory bronchioles of 16 smokers and four non-smokers were studied by both light and electron microscopy in surgically resected specimens. A very significantly (p less than 0.001) greater number of goblet cells were found in the bronchioles of smokers compared than in those of non-smokers but no such difference was evident in terminal/respiratory bronchioles. Clara cell numbers in contrast were lower in the bronchioles (p less than 0.01) and terminal and respiratory bronchioles of smokers (p less than 0.01). Both of these alterations in cell frequency may adversely affect small airway function in smokers.

Clara cell granules of peripheral lung cancers

Thirty-five peripheral carcinomas of human lungs were morphologically examined in comparison with the bronchiolar nonciliated epithelium. Clara cell granules were found not only in 21 cases of papillary adenocarcinoma, including three of classical bronchiolo-alveolar carcinoma, but also two of acinar and four of solid carcinoma. The granules of tumor cells were identical to those of bronchiolar nonciliated cells on histochemical and ultrastructural levels. Most granules consisted of a monotonous and finely granular matrix, but there were variants containing fingerprint-like lamellae and small vesicles. These variants were also found in nonciliated cells of normal bronchiolar epithelium. The amount of granules was related to the degree of tumor differentiation. It is suggested that most peripheral carcinomas of the lungs have a potential for Clara cell differentiation, irrespective of whether they exhibit any histologic appearances.

Morphological alterations of rat lung bronchiolar epithelium produced by various trialkyl phosphorothioates

A single oral administration of O, O, S-trimethyl phosphorothioate (OOS-Me), an impurity in widely used organophosphorus insecticides, causes delayed toxicity (delayed death) which is accompanied by morphological changes in the bronchiolar epithelium of rat lungs. A series of simple O,O-dimethyl and O,O-diethyl S-alkyl phosphorothioate esters, which induce delayed toxicity, were examined for their effect on rat bronchiolar epithelium. The structural analogues synthesized and tested include O, O-dimethyl S-ethyl phosphorothioate, O,O-dimethyl S-isopropyl phosphorothioate, O,O,S-triethyl phosphorothioate, and O,O-diethyl S-methyl phosphorothioate. The present investigation demonstrated that these analogues of OOS-Me which cause delayed toxicity produce body weight loss, accompanied by morphological alterations of terminal bronchiolar epithelium, i.e. loss of the apical bulge of non-ciliated Clara cells. Another impurity which produces delayed toxicity, O,S,S-trimethyl phosphorodithioate, was also capable of producing similar effects at near the LD50 level.

Applications of electron microscopy to diagnostic pulmonary pathology

Viruses and other possible causative agents should be sought light and electron microscopically in all cases of ill-defined diseases including "sarcoid." Ideally, tissue should be prepared for electron microscopic examination as soon as a specimen is obtained; however, when this has not been done, tissue preserved in formalin solution can be used. Viruses, some bacteria, and other agents suspected on the basis of light microscopic findings can be verified electron microscopically by reprocessing paraffin-embedded tissue from areas that show smudge cells, focal necrosis with atypical cellular proliferation, and nuclear inclusions. Electron microscopically, all dying cells show swelling and rupture of cellular organelles and membranes; reactive changes include proliferation of branching tubules and paracrystalline and other types of proteinaceous precipitates (inclusions) in both the nucleus and cytoplasm. Qualitative and quantitative changes of cellular organelles, fibrils, microvilli, and intercellular junctions reflect hyperplasia, metaplasia, or dysplasia of the cell and may enable identification of the diseases, e.g., desquamative interstitial pneumonia. In various conditions, basal laminae become irregular, disruptive, or reduplicated following epithelial necrosis and regeneration. Electron microscopic evidence of immunologic damage to basal lamina and cells and immuno-electron-microscopic features of the lung in general require further studies. Electron microscopic features of transbronchial biopsy specimens may be diagnostic in cases of alveolar proteinosis, histiocytosis X, and amyloidosis. Ultrastructural abnormalities of cilia are common; primary ciliary defects are rare. Finally, light microscopic, scanning electron microscopic, and x-ray energy-dispersive spectrometric examinations of paraffin-embedded sections appear most practical for the pathologic evaluation of cases of pneumoconiosis.

Cytodifferentiation of the nonciliated bronchiolar epithelial (Clara) cell during rabbit lung maturation: an ultrastructural and morphometric study

The nonciliated bronchiolar epithelial (Clara) cell of adult lung is commonly defined by two cellular components: abundant agranular endoplasmic reticulum (AER) and electron-dense ovoid secretory granules. These reflect the Clara cell's proposed functions as the source of bronchiolar surface secretions and the site of xenobiotic metabolism via the cytochrome P-450 monooxygenase system. Since previous studies have indicated that Clara cells may not attain a fully functional state until some weeks after birth, the present study was undertaken to characterize systematically the differentiation of this cell type during lung maturation. Lungs were fixed by airway infusion with glutaraldehyde/paraformaldehyde (550 mOsm, pH 7.4) from at least three male rabbits at each of the following ages: 24, 27, and 30 days fetal, and 0-1 day, 3-4 days, 1, 2, 3, 4, 5, 8, 12, 15, 17, and 25 weeks postnatal; and pieces were processed for transmission electron microscopy by a selective embedding procedure. Quantitation was performed on electron micrographs (at 15,750 X) of cell profiles, which included the base, apex, and nucleus. Volume fractions of constituents of a minimum of 30 cells per animal (8 weeks and younger) and 10 per animal in older groups, were estimated by point counting with a Weibel 168-point test grid. Cell and nuclear size were estimated with a computerized digitizer (Zeiss Videoplan). Nonciliated cells of prenatal animals had large amounts of cytoplasmic glycogen (over 60% of the cell cytoplasm), few mitochondria (less than 15%), little granular endoplasmic reticulum (GER) (20%), minimal AER (less than 5%), and no granules. Postnatal animals 2 weeks of age and younger were similar, except for the presence of secretory granules and slightly more abundant AER (5 to 20%). By 4 weeks postnatal age, nonciliated cells resembled that of older animals with abundant apical AER (over 40%), secretory granules, little glycogen (11%), and GER (10%). We concluded that (1) the Clara cell is immature at birth; (2) differentiation occurs primarily during weeks 3 and 4 of postnatal life; (3) vast amounts of cytoplasmic glycogen are characteristic of the undifferentiated cell; and (4) four cellular constituents, AER, glycogen, mitochondria, and GER, undergo significant shifts in abundance during differentiation. These shifts appear to be in the sequence expected of a cell type undergoing the initiation of biosynthesis of secretory products and biogenesis of agranular endoplasmic reticulum.

Estimation of cell numbers and volumes of bronchiolar epithelium during rabbit lung maturation

To estimate the numbers and volumes of bronchiolar epithelial cells during lung maturation, we examined rabbits at three time points, 30 days gestation and 4 and 17 weeks postnatal age. Morphometric measures (mean caliper diameter, surface area, and volume) of nonciliated and ciliated bronchiolar cell nuclei, using computer modeling from serial sections, showed a significant decrease in nuclear size for both cell types and a significant increase in cell volume for the nonciliated bronchiolar cell during lung maturation. A shape coefficient (beta) proved to be the most efficient estimator of the number of cells per unit volume when it was used with estimates of the number of nuclei per unit area and the volumetric density of nuclei. Two-dimensional estimates of bronchiolar epithelial cell abundance (the number of nuclei per unit length or area) significantly underestimated the percentage of nonciliated bronchiolar cells as compared to three-dimensional estimates for rabbits 17 weeks of age. We have shown an inverse relationship between nonciliated and ciliated bronchiolar cell abundance during lung maturation. Nonciliated cells decreased while ciliated cells increased. We have confirmed that cytodifferentiation of the nonciliated bronchiolar cell occurs within the first 4 weeks of postnatal development. The volume of the nonciliated bronchiolar cell increased about twofold during development. Because of the concomitant decrease in nuclear volume, the cytoplasm of the cell showed an even greater increase in volume. Within the cytoplasm of the nonciliated bronchiolar cell, glycogen significantly decreased, and agranular endoplasmic reticulum (AER) and mitochondria significantly increased in volume during development. The biosynthesis of AER closely correlated with pharmacological studies of xenobiotic metabolism during rabbit lung maturation.

Ultrastructural and histochemical observations of respiratory epithelium and gland

Secretory products of epithelial cells of the human respiratory tract have been studied biochemically and by a variety of histochemical methods for differentiating and characterizing complex carbohydrates at the light and electron microscopic level. By light microscopy a majority of mucous secretory cells of the surface epithelium secret glycoprotein with terminal sialic acid, penultimate galactose residues, and variable sulfate esters. Ultrastructurally the mucous cells of the surface epithelium vary within and between regions of the respiratory tree and comprise a heterogeneous population of cells differing in the fine structure and cytochemistry of their secretory granules. Serous tubules and demilunes in glands of the lamina propria produce a secretion that contains less carbohydrate than that in the nearby mucous cells, resembles the latter in content of sulfate esters, and differs in having little or no sialic acid and no terminal or penultimate galactose. Mucous tubules produce a carbohydrate-rich secretion containing glycoconjugate with terminal sialic acids, penultimate galactose residues, and a variable degree of sulfation like the glycoconjugate of surface mucous cells. Heterogeneity of cells can be demonstrated in the serous and mucous tubules by ultrastructural, morphologic, and cytochemical methods.

Studies on the regulation of secretion in Clara cells with evidence for chemical nonautonomic mediation of the secretory response to increased ventilation in rat lungs

Using electron microscopy and morphometric methods to assess secretion, we previously found that two times tidal volume ventilation of isolated perfused rat lung stimulates secretion by bronchiolar Clara cells; this effect is not prevented by beta-adrenergic blockade (J. Clin. Invest. 1981. 67: 345-351.). In this study we used the isolated perfused rat lung and the anesthetized mechanically ventilated rat, to further study the mechanism by which large tidal volumes stimulate secretion by Clara cells. With the perfused lung we found (a) alpha-adrenergic inhibition did not block the secretory effect of ventilation at two times normal tidal volume; (b) indomethacin completely blocked the secretory action of two times tidal volume ventilation; (c) medium previously used to perfuse lungs ventilated at two times tidal volume, but not medium previously used to ventilate lungs at normal tidal volume, stimulated secretion by Clara cells when used to perfuse fresh lungs ventilated at tidal volume; (d) addition of prostacyclin to the fresh perfusate increased secretion by Clara cells of lungs ventilated at normal tidal volume. In anesthetized mechanically ventilated rats, sighs stimulated secretion by Clara cells; this increased secretion was inhibited by indomethacin but not by cholinergic blockade (bilateral vagotomy). These studies indicate that increased volume ventilation stimulates secretion by Clara cells in vivo and in vitro; they provide evidence that chemical nonadrenergic, noncholinergic mechanisms are involved in this secretion, and that prostaglandins may be the chemical messenger coupling the mechanico-secretory events.

The Clara cell: an electron microscopy examination of the terminal bronchioles of rats and monkeys following inhalation of hexachlorocyclopentadiene

The effects of inhalation of hexachlorocyclopentadiene (Hex) up to 14 wk on the terminal bronchioles of rats and monkeys was examined by electronic microscopy. Exposed rats elicited a concentration-related increase in the incidence of electron-lucent inclusions in the bronchiolar Clara cells when compared to controls. The inclusions in the high-concentration (0.2 ppm) group were round and more abundant than the rod-shaped inclusions observed in the intermediate (0.05 ppm) and low-concentration (0.01 ppm) exposure group. No ultrastructural changes were observed that could be attributed to the inhalation of Hex vapor in exposed monkeys. The origin and significance of these inclusions is discussed in light of the literature.

1,1-Dichloroethylene-induced pulmonary injury

Oral administration of 1,1-dichloroethylene (1,1-DCE) produces acute injury to the lungs of C57Bl/6 mice. The bronchiolar epithelium is most severely affected with damage selective for Clara cells. After a 100 mg kg/dose of 1.1-DCE. Clara cells show extensive dilatation of cisternae and degeneration of the endoplasmic reticulum. At 6 hr after administration of 200 mg 1,1-DCE/kg, both ciliated and Clara cells are necrotic, and bronchiolar epithelial lining exfoliates. By 24 hr. pulmonary edema, hemorrhage, and focal atelectasis are also present. Pulmonary injury, at 24 hr after the high dose, is associated with a significant hypoxia as demonstrated through a decrease in the partial pressure of oxygen in arterial blood. In spite of the severe injury, recovery occurs and airways display an intact epithelial lining with normal parenchymal elements by 7 days.

Filamentary rod-shaped granules in Clara cells of rats

The bronchiolar Clara cells of rats contain characteristic rod-shaped granules always surrounded by a unit membrane. These granules contain thin filaments about 9 to 10 nm in diameter lying in a pale matrix. Our morphological results suggest that the filamentary rod-shaped granules originate from the common, round-to-oval, electron-dense Clara cell granules, as we found different intermediate structures between these two kinds of granules. The electron-dense granules are digested by pepsin, whereas the filamentary rod-shaped granules are apparently not affected. The biochemical nature and the possible function of the filamentary rod-shaped granules are also discussed in relation to the secretory activity of the Clara cells.

The mode of secretion of the Clara cell in rat bronchiole: a freeze-fracture study

Freeze-fracture was used to study the nonciliated epithelial (Clara) cell of rat bronchiole. En face views of the P face of the luminal cell membrane reveal particle-free bulging and circular depressions at the presumptive sites of the membrane fusion between the cell membrane and secretory granule membrane. Cross fracture views of the cytoplasm reveal the membraneous continuity from the secretory granule to the luminal cell membrane with the decrease of the intramembrane particles. These findings indicate that the mode of secretion of the Clara cell is a merocrine secretion by exocytosis.

Mucus secretion by the epithelium of the bronchioles of cigarette smokers

Pieces of tissue were obtained from lungs removed surgically from patients who were long-term cigarette smokers. The lung tissue was placed in culture medium containing 35SO4 or 3H glucosamine and exposed to 95% O2 and 5% CO2 at 37 degree C for varying periods of time. The tissue was then fixed and autoradiographs prepared. Autoradiographs performed after four hours' incubation with the radio-isotope demonstrated a large number of grains in the lumen of the bronchioles with a lesser number of grains over the epithelial cells. Pulse chase studies showed migration of the labelled material from a paranuclear location to the lumen during the four-hour period of incubation. The study provides evidence for mucus secretion by the epithelium of the bronchioles of cigarette smokers.

Heterogeneity of tight junction morphology in extrapulmonary and intrapulmonary airways of the rat

In the present study morphology of tight junctions was related to the various cell types lining extrapulmonary and intrapulmonary airways of the rat. Freeze fracture replicas were prepared from extrapulmonary airway epithelium derived from the cartilagenous and membranous sides of upper, middle, and lower thirds of the trachea. Intrapulmonary airway epithelium was obtained from airways less than 1 mm in diameter. Tight junction fibrils on the P fracture face were organized into three types of patterns. Type 1: parallel sparsely interconnected lumenal fibrils with large ablumenal fibril loops. Type 2: richly interconnected lumenal fibrils with large ablumenal fibril loops. Type 3: narrow network of interconnected fibrils. On the E fracture face complementary grooves were organized in a similar pattern. Ciliated cells on both sides and all levels of the trachea were associated with type 1 junctions. In intrapulmonary airways, however, the junctional pattern of ciliated cells changed to type 2. Brush cells at all levels of the airways were bounded by type 2 and occasionally by type 1 junctions. Secretory cell junctions displayed the following patterns: Mucous cells were bounded solely by type 3, serous cells by either types 2 or 3, and Clara cells predominantly by type 2. Cells tentatively identified as intermediate cells displayed all three junctional patterns. The number of parallel fibrils comprising tight junctions was higher in extrapulmonary as compared to intrapulmonary airways. No difference was seen in the various locations sampled in the trachea. Gap junctions were observed between secretory cells of extrapulmonary but not intrapulmonary airways. These observations are discussed in relation to current physiologic data.

Ultrastructure of the nonciliated bronchiolar epithelial (Clara) cell of mammalian lung: I. A comparison of rabbit, guinea pig, rat, hamster, and mouse

The morphologic characteristics have been used to define the nonciliated bronchiolar epithelial: (1) abundance of agranular endoplasmic reticulum (AER) and (2) numerous membrane-bound ovoid granules. To quantitatively and qualitatively assess the ultrastructural homogeneity of this lung cell type among laboratory mammals used in lung research, we examined tissue from adult male rabbits, guinea pigs, rats, hamsters and mice. Following fixation by airway infusion at constant pressure (30 cm H2O), lungs were processed by a selective embedding technique and bronchioles of known anatomic location were examined by electron microscopy. Nonciliated bronchiolar epithelium of all five species contained avoid granules and abundant AER. Granules were most abundant in the rat (11.1 +/- 8.8 per cell) and least in the hamster (4.4 +/- 5.2 per cell). Granules were largest in hamster (0.72 +/- 0.25 micrometer) versus 0.44 micrometer or less in the other species. Granules were of uniform electron density except in the guinea pig. AER spherical mitochondria with few cristae were present only in mice, rabbit, and guinea pig. We concluded that there was considerable interspecies variation in abundance, size, and morphology of the granules, in abundance and distribution of AER; and in mitochondrial morphology.

Ultrastructure of the nonciliated bronchiolar epithelial (Clara) cell of mammalian lung: II. A comparison of horse, steer, sheep, dog, and cat

Two morphologic characteristics have been used to define the nonciliated bronchiolar epithelial cell: abundant agranular endoplasmic reticulum (AER) and membrane-bound avoid granules. To assess the ultrastructural homogeneity of this cell type in the lungs of large domestic mammals used as experimental models in pulmonary research, we evaluated lungs of horse, steer, sheep, dog, and cat. Bronchioles of known anatomic location were examined by electron microscopy following fixation by airway infusion at standard pressure and processing by selective embedding techniques. Nonciliated bronchiolar epithelium of the horse and sheep had numerous avoid granules (averaging above 15 per cell) and abundant AER. Granules were scarce (averaging less than 2 per cell) in steer and dog and absent in cat. AER was minimal in these species compared to horse and sheep. Glycogen was the dominant cytoplasmic feature in steer, dog, and cat, variable in sheep and rare in horse. Large mitochondria with few cristae and densely staining matrix were present only in cat. We concluded that nonciliated bronchiolar cells of horse and sheep were similar in essential features to this cell type in laboratory mammals, having granules and AER in abundance, while those of steer, dog, and cat were not.

Ultrastructure of the nonciliated bronchiolar epithelial (Clara) cell of mammalian lung. III. A study of man with comparison of 15 mammalian species

Two morphologic characteristics have been used to define the nonciliated bronchiolar epithelial cell: (1) abundance of agranular endoplasmic reticulum (AER) and (2) numerous membrane-bound ovoid granules. In this study, we examined lobectomy specimens from three nonsmoking humans: one male (9.5 yr) and two females (62 and 43 yr) for comparison with lung specimens from mammalian species used as experimental models in lung research. Following fixation by airway infusion at constant pressure (20 cm), lung tissue was processed by a selective embedding technique and bronchioles of known anatomic location were studied by electron microscopy. Nonciliated bronchiolar epithelial cells of man contained numerous membrane-bound granules (averaging 6 per cell) in the apical cytoplasm and abundant granular endoplasmic reticulum (GER), AER was not observed. Granules averaged 0.3 micrometer in diameter and contained a fine granular matrix and parallel tubular arrays. After comparing these features in man with those of fifteen other species, we concluded that there is a great deal of interspecies variability in the cellular morphology of the nonciliated epithelial cell of distal conducting airways in mammalian lung. Three categories of this cell were observed: (1) with abundant granules and AER, characteristic of rabbit, guinea pig, rat, hamster, mouse, horse, sheep, and pig; (2) with abundant granules of GER, but no AER, characteristic of man and other primates; and (3) with few granules, little AER, and abundant glycogen, characteristic of steer, dog, cat, and ferret.

Complex carbohydrates of rat tracheobronchial surface epithelium visualized ultrastructurally

Application of cytochemical methods for complex carbohydrates at the light and electron microscopic levels served further to differentiate secretory cells of the rat tracheobronchial surface epitheliuim into serous and mucous categories, and permitted subclassification of serous cells into four types and of mucous cells into three types. The granules in different serous cells and Clara cells varied in staining with the periodic acid-thiocarbohydrazide-silver proteinate (PA-TCH-SP) method, but generally lacked dialyzed iron (DI) affinity and apparently contained neutral glycoprotein. However, in some focal areas, serous and Clara cell granules showed a pattern of DI staining similar to the PA-TCH-SP reactivity. The PA-TCH-SP and DI methods stained granule glycoconjugate comparably in the three mucous cell types. The lack of high iron diamine (HID) affinity in these sites testified to carboxylated, periodate-reactive mucosubstance, presumably sialylated glycoprotein. The luminal surface of the apical plasmalemma of all surface epithelial cells stained with DI but lacked HID affinity. The PA-TCH-SP technique stained the surface of the apical plasmalemma of mucous cells, serous cells, and Clara cells in decreasing order of intensity. Microvilli of cililated cells were PA-TCH-SP-positive, but cilia were unreactive and apparently contained a glycosaminoglycan rather than the presumed sialylated glycoprotein of the other surfaces. DI and PA-TCH-SP reactivity of the apical far exceeded that of the basolateral plasmalemma in all surface epithelial cells. Two strata, presumed to be the lamina lucida and the lamina diffusa of the basement membrane under all the surface epithelial cells, stained with the DI but not the PA-TCH-SP method and apparently contained glycosaminogycan. Intraepithelial cells, interpreted as globule leukocytes, appeared to represent mast cells infiltrating the epithelium and carrying out endocytic activity.

The Clara cell: a comparative ultrastructural study in mammals

Clara cells in the terminal bronchoiles of mouse, rat, rabbit, calf and human were compared by light, transmission and scanning microscopy, and species-differences were clearly present. Mouse Clara cells were most numerous and mouse and rabbit Clara cells had large dense mitochondria. Rabbit and calf had glycogen in Clara cells and rat Clara cells had the most variability in secretory granules, some of which had a crystalline structure. Calf Clara cells had deeply indented nuclei. Human Clara cells had the most prominent nucleoli and lacked smooth endoplasmic reticulum, which was a prominent feature of most other species. No evidence of apical extrusion or apocrine secretion of Clara cell secretory granules was observed.