Bone Marrow Stem Cell Contribution to Pulmonary Homeostasis and D
Journal of Bone Research

Journal of Bone Research
Open Access

ISSN: 2572-4916

+44 7868 792050

Review Article - (2015) Volume 3, Issue 3

Bone Marrow Stem Cell Contribution to Pulmonary Homeostasis and Disease

Lindsay T McDonald1,2 and Amanda C LaRue1,2,3*
1Research Services, Ralph H Johnson VAMC, Charleston, SC, USA
2Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, USA
3Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA
*Corresponding Author: Amanda C LaRue, PhD, Research Health Scientist, Acting Associate Chief of Staff for Research, Ralph H. Johnson VAMC, Associate Professor, Department of Pathology and Laboratory Medicine, Associate Director, Hollings Cancer Center FCCS Shared Resource, Medical University of South Carolina, Charleston, SC, United States of America, Fax: (843)876-5381 Email:


The understanding of bone marrow stem cell plasticity and contribution of bone marrow stem cells to pathophysiology is evolving with the advent of innovative technologies. Recent data has led to new mechanistic insights in the field of mesenchymal stem cell (MSC) research, and an increased appreciation for the plasticity of the hematopoietic stem cell (HSC). In this review, we discuss current research examining the origin of pulmonary cell types from endogenous lung stem and progenitor cells as well as bone marrow-derived stem cells (MSCs and HSCs) and their contributions to lung homeostasis and pathology. We specifically highlight recent findings from our laboratory that demonstrate an HSC origin for pulmonary fibroblasts based on transplantation of a clonal population of cells derived from a single HSC. These findings demonstrate the importance of developing an understanding of the sources of effector cells in disease state. Finally, a perspective is given on the potential clinical implications of these studies and others addressing stem cell contributions to lung tissue homeostasis and pathology.

Keywords: Bone marrow stem cells; Mesenchymal stem cells; Hematopoietic stem cells; Pulmonary homeostasis; Tissue regeneration


Chronic lung diseases are extremely debilitating and are associated with high morbidity and mortality. As such, many physicians and scientists have turned to stem cell based therapies in hopes of regeneration and cure for these diseases. Leaders in the field of stem cell research have adopted the idea that the bone marrow harbors two stem cell types, the mesenchymal stem cell(MSC) and the hematopoietic stem cell (HSC). Classically, mesenchymal cell types such as tissue fibroblasts, adipocytes, osteoblasts, and chondrocytes were thought to originate exclusively from the MSC. HSCs have long been recognized as the origin for cells of the blood lineages such as B cells, T cells, and monocytes. This dichotomy was originally established based on embryonic lineage tracing studies and in vitro studies, which demonstrated that bone marrow stromal cells/MSCs could differentiate into cells of embryonic germ layer origin including bone, cartilage, muscle and adipose tissue. The HSC was established as a blood stem cell based on the discovery that rare single cells could give rise to myeloerythroid colonies in the spleens of irradiated transplant mice and that these cells had the capacity to self-renew [1,2]. While this distinction between the MSC and HSC potential persists, technologies have improved and cutting edge techniques have become available, such as single cell RNA isolation and analysis, elaborate lineage tracing methodologies, and improved scanning and imaging instruments. These innovative technologies have led to advances in the field of stem cell biology and have resulted in new questions regarding the lineage and plasticity of bone marrow populations. They have also led to an increased understanding of the contribution of specific populations of stem cells and their progenitors in the pathophysiology directly relevant to lung tissue regeneration and healing. Based on this, several clinical trials have been initiated examining the potential of bone marrow stem cells in lung disease [3,4]. Current experimental efforts rely mainly on MSC-based therapies; however, recent data by our group [5,6] and others [7] suggests that HSC-based treatments may also have clinical applications in the treatment of lung disease [8].

Bone Marrow Stem Cells: MSCs and HSCs

The term MSC was originally coined based on the ability of this bone marrow-derived population to give rise to multiple, mesenchymal tissue types. An MSC is defined as an adherent, fibroblastoid-like cell that has the capacity to differentiate into osteoblasts, adipocytes, and chondrocytes in vitro [9]. Despite the proposed minimal criteria to define MSCs, ongoing limitations in the study of MSCs include a lack of clearly defined and universally agreed upon MSC markers, as well as lack of engraftment in vivo [9]. These limitations have largely confined the evidence for pluripotency to in vitro assays and have consequently led to an evolving nomenclature for the MSC [10]. While early in vitro evidence suggested a stem-like phenotype of MSCs, data to directly demonstrate stem cell capabilities has been lacking, therefore the term MSC was modified to describe this population as “multipotent stromal cells” [10]. Later, the identification of shared marker expression between MSCs and pericytes, which had multipotent differentiation capacity in vitro [11], and the finding that MSCs localize near the vasculature led to the theory that the MSC may be more closely related to, or may in fact, be a pericyte or a sub-population within the pericyte population [11,12]. Further confounding our understanding of MSCs and the MSC/pericyte relationship, our group [13] and others [14] have demonstrated an HSC origin for pericytes, suggesting that the MSC may actually be an intermediate phenotype between the two cell types. Regardless of this relationship, with respect to function, it has been suggested that rather than direct differentiation, the ability of MSCs to contribute to tissue repair may more significantly reflect their ability to produce soluble factors that alter the tissue microenvironment [15]. It is proposed that, in response to signals from the surrounding tissue, the MSC/pericyte becomes activated to promote a regenerative environment supporting differentiation of cell types such as fibroblasts, chondrocytes, and osteoblasts [16,17]. As further indication of the evolving definition [18,19] and increased understanding of the nature of MSCs, Caplan, a premier investigator in the field of MSC research, has hypothesized that the MSC may in fact be more aptly termed a “medicinal signaling cell” [17]. This term reflects the ability of the MSC to secrete bioactive molecules that act to support a regenerative microenvironment [17]. If the primary function of the MSC truly lies in its signaling function, then the identity of the bone marrow stem cell(s) that actually differentiates into mesenchymal cell types remains unclear.

Emerging lineage tracing studies have also informed our understanding of HSC plasticity such that the HSC is no longer thought to exclusively give rise to cells of the blood lineages. An HSC is well defined based on a distinct set of cell surface markers, and in transplantation studies, the stem identity of these cells can be confirmed based on hematopoietic reconstitution. Thus, the ability to clearly define the HSC based on both marker expression and functional assay has allowed for direct lineage tracing studies. These studies have demonstrated that the HSC gives rise to multiple tissue cell types including, pericytes, adipocytes, chondrocytes, osteoblasts, osteocytes, glomerular mesangial cells, hepatic stellate cells, fibrocytes, lung fibroblasts, and other tissue cell types [6,13,14,20-26]. While evidence is mounting for increased plasticity of the HSC, the topic is still debated due to conflicting reports [27,28]. The loss of hematopoietic markers such as the pan leukocyte marker, CD45, in many differentiated cellular populations has led to challenges in tracing cells from origin to maturity without the aid of additional surface markers, genetic markers, or fluorescent labels. In addition, the relative rarity of the HSC-derived populations in normal non-hematopoietic tissues, questions regarding cell fusion events, and the challenges of achieving a high level of engraftment for direct lineage tracing studies have confounded ongoing debates regarding HSC potential. Despite this, HSC based therapies have been a standard of care for over 60 years for hematological malignancies and correction of genetic abnormalities [29]. However, with regard to non-hematologic treatment and regeneration studies, despite the growing evidence for an HSC origin of tissue cell types, the utility of the HSC has been largely unexplored due to adherence to the classical definition of an HSC exclusively giving rise to blood cell types. Therefore, while research has begun to redefine the identity, fate, and roles of bone marrow stem cell populations, continued progress is needed towards expansion of the clinical application of MSC and HSC based therapeutics [29].

Lung Homeostasis

Maintaining a homeostatic balance is an active process in the lung due to the constant exposure to the external environment. In this process, a delicate equilibrium between immune surveillance, inflammation, cellular activation/reaction, and cellular turnover must be achieved. Given this, a high threshold for reactive response is set in order to prevent an excessive response to daily exposures, insults, and minor injury. Despite the continual maintenance required to achieve this balance, the identification of a single, protective, pluripotent lung stem cell has been elusive, although several studies have indicated the presence of endogenous stem/progenitor populations in the lung. For example, basal cells found in the mouse trachea were shown to have the ability to give rise to Clara cells (club cells) and ciliated cells in the lung during postnatal growth and in the adult in steady state and in injury repair [30]. In addition, Clara cells in the proximal airway were shown to give rise to ciliated cells during epithelial homeostasis [31]. Bronchioalveolar stem cells (BASCs) have also been identified that express both Clara cell secretory protein and prosurfactant protein C and participate in lung homeostasis [32]. In the distal lung epithelium, type II pneumocytes have been shown to exhibit plasticity, through lineage tracing studies demonstrating their ability to contribute to the slow turnover of the alveolar epithelium in homeostasis [33]. Further, resident lung mesenchymal stromal cells (LMSCs) have also been identified that share commonalities with bone marrow-derived MSCs, although their roles in homeostasis are not yet fully defined [34-36]. While these studies demonstrate the presence and contribution of resident populations in maintenance of lung steady state, the role of bone marrow-derived stem cells in lung homeostasis is not well studied with the exception of immune cells that participate in routine immune surveillance and response to acute exposures. Although lineage-tracing studies have demonstrated limited contribution of bone marrow-derived stem cell populations to lung [6,37-39], fully understanding the contribution of bone marrow-derived cells to lung homeostasis has been challenging due to lack of experimental models. Further, several studies suggest the requirement of a reactive state (i.e., acute injury) in order to induce bone marrow stem cell-derived cell recruitment to the lung [37,38]. Even in the case of host defense, macrophage clearance of inhaled debris does not appear to be required until challenged by infection, chemical or physical damage, or other acute injury in a reactive homeostatic response [40]. Together, these studies suggest that homeostasis is maintained predominantly through resident cell populations in the lung, with bone marrow-derived cells potentially participating in the reactive response necessary to return to a homeostatic state following acute injury.

Lung Disease

In contrast to homeostasis wherein resident cell populations appear to be primarily responsible for maintenance and cell turnover, studies suggest that in chronic pathological conditions, bone marrowderived populations become more prominent contributors. A unifying feature amongst many chronic lung pathologies is the destruction of normal lung architecture, and such is the case for chronic obstructive pulmonary disease (COPD), asthma, bronchopulmonary dysplasia, and idiopathic pulmonary fibrosis. In diseases such as these, the rapid turnover and increased recruitment of cells to the injury site has aided the study of bone marrow-derived stem cells in lung, suggesting also that bone marrow derived cells are actively recruited as a result of tissue injury [41]. Analysis following stem cell transplantation in humans has shown the presence of bone marrow-derived cells in lung based on sex mismatched transplant [42-44], with evidence demonstrating increased contribution of bone marrow-derived cells associated with cases of severe, chronic injury [42-44]. Additionally, pre-clinical studies in fibrotic lung disease models have demonstrated the presence of collagen I expressing bone marrow-derived cells in lung [45,46]. Bone marrow-derived type I pneumocytes have also been detected in lungs following bleomycin-induced lung injury [47] and type II pneumocytes of bone marrow origin were detected following radiation induced injury [48]. Studies have also demonstrated that contribution of bonemarrow derived cells to lung epithelium is dependent on degree and type of damage induced [48]. These studies suggest that bone marrow contribution to lung tissue is increased by cellular damage that results in elevated cell turnover. While many organs have been demonstrated to possess the capacity to heal and/or regenerate, the lung appears to have a limited capacity for regeneration/restoration of normal architecture, despite the potential contribution of endogenous and bone marrowderived stem and progenitor cells to pulmonary cell types.

Fibroblasts as effectors of lung disease

The loss of normal tissue architecture in lung disease is a process that is predominantly mediated by the balance of turnover and deposition of extracellular matrix and the primary effector cells in these processes are thought to be the fibroblasts. In particular, fibrosis has been shown to be reversible in many organs based on targeting fibroblast populations; however, there is currently a lack of evidence for this reversibility in lung. One complicating factor is that the fibroblasts in lung pathologies are thought to have multiple origins, including resident fibroblasts and those from extra-pulmonary sources [49]. As discussed above, several studies demonstrate a bone marrow contribution of cells in models of lung pathology; however, the stem cell from which these cells are derived is not clearly defined. This is particularly evident in studies of fibroblasts and their bone marrow-derived precursors, fibrocytes, in lung. Fibrocytes are fibroblastic precursor cells that are found in the circulation and in tissues at sites of wound healing [50] that, due to their circulating nature and expression of certain hematopoietic markers, are thought to be of hematopoietic origin [22,24,51]. Based on their similarity to both fibroblasts and MSCs, many others consider fibroblasts and/or fibrocytes to either be derived from MSCs or to be closely related to the MSC [52,53]. While still debated, the origin of the fibrocyte [54] and the lung fibroblast is of particular significance given that understanding the sources of these effector cells may allow for enhanced targeting of this population in many pulmonary diseases that share the a commonality in their altered matrix balance/turnover and eventual loss of normal lung architecture.

An HSC origin for fibroblasts

Recent research in our laboratory, has demonstrated contribution of the HSC to the lung fibroblast population and identified an HSCderived circulating fibroblast precursor (CFP) population in both the blood and lungs [5,6]. Previous studies in our laboratory have suggested that the CFP is derived along the monocyte lineage and contains the fibrocyte population, supporting an HSC origin for fibrocytes/fibroblasts [5,7]. These studies were based on a direct lineage tracing model wherein a single enhanced green fluorescent proteinexpressing (EGFP+) HSC is subjected to short-term culture in vitro to derive a clonal cell population that is then transplanted into lethally irradiated recipient mouse allowing for identification of the HSCderived populations based on expression of EGFP. Using this clonal cell transplantation model, we also demonstrated the persistence of the HSC contribution to the lung fibroblast population, with HSC-derived fibroblasts present up to one year post transplant [6]. This was in agreement with data by Krause et al. which demonstrated persistence of HSC-derived cells, including those in the bronchii and alveoli, in lung for 11 months post-transplant [37]. Further, our findings suggested a functional role for HSC-derived fibroblasts and circulating fibroblast precursors in lung as matrix producing and matrix sensing cells based on expression of collagen I and the collagen receptor discoidin domain receptor-2 (DDR2) [6]. The presence of these circulating fibroblast precursors in both blood and lungs, suggest an ability of the HSCderived population to continuously home from the bone marrow through the blood and to the lung [6]. Together, these findings support an underappreciated contribution of and role for the HSC in lung and indicate that HSCs may contribute significantly to lung pathologies.

Clinical Implications And Perspectives

Increasing appreciation for the plasticity of the HSC and the potential of a MSC intermediate may lead to exciting new therapeutic applications and possibilities in the clinic. Current novel therapeutics for multiple diseases have employed MSC-based therapies, as well as specialized HSC transplantation studies [29]. An understanding of the body as a complex signaling machine with the bone marrow being both a source of cellular effectors and a protective niche/storage site aligns with a holistic clinical approach. In the case of respiratory disease, treating the lungs and the chief clinical complaint may not be sufficient to cure the disease, perhaps because the primary source of the effector cells has not been corrected. From a therapeutic perspective, exclusion of a critical contributing HSC-derived population in previous studies also leaves many stones unturned in the search for disease initiating events, especially in the case of idiopathic pulmonary fibrosis, perhaps the most insidious of the lung diseases. We recognize the bone marrow acts as a protective niche for critical stem cells in the body, without which one cannot survive long term. In the case of pathological conditions, such as cancer, aberrant stem cell/tumor initiating cells have also been reported to reside in the bone marrow, where they are protected. Given this protective environment, it is also possible that an HSC that has been altered by exposure to some initiating pathology may persist, giving rise to altered production of circulating cells that cycle through the activated lung environment and in turn, transmits damage signals back to the bone marrow niche. Thus, in lung pathologies such as pulmonary fibrosis where the loss of normal lung architecture is a defining feature, organ transplantation alone may not be sufficient to re-program fibroblast precursors or other effector/progenitor cells originating from the bone marrow. In this way, lung transplantation alone may result in the preservation of a safe haven for cells primed to contribute to a pro-fibrotic lung environment. Therefore, an adjunct treatment centered on reversing the activated phenotype or skewing the differentiation of stem-cell derived populations away from a fibroblastic/pro-fibrotic pathway towards a regenerative/homeostatic pathway may be beneficial for patients receiving lung transplants.

With respect to regenerative applications of bone marrow-derived stem cells in lung diseases, clinical trials have predominantly focused on the impact of MSC-based therapeutics. While some efficacy has been demonstrated in several lung diseases including pulmonary fibrosis and COPD, these studies have been hampered by a lack of high level of engraftment of the MSC, and the mechanism(s) behind the beneficial effects are unclear. This may suggest that, as Caplan’s group has indicated [17], the MSC is acting as a signaling cell indicating to the surrounding cells, and perhaps signaling back to the stem populations in the bone marrow (i.e., the HSC), that regeneration and restoration of homeostasis is required. This idea harkens back to early stem cell studies that demonstrated that the MSC may act as a supportive cell for the HSC in the bone marrow niche [55]. In this way, the MSC may critically signal for regeneration, whereas the HSC may be the regenerative/reparative cellular source in the disease state. This idea is supported by increasing evidence of HSC engraftment and plasticity in multiple organs [25,26,37]. Importantly, the MSC or HSC-derived populations may also have utility as drug delivery agents to promote restoration and/or regeneration due to their capacity to home to and incorporate into the lung tissue, as well as through their direct crosstalk with the surrounding microenvironment and cellular milieu. Thus, in lung pathophysiology, both the MSC and HSC may play critical roles in promoting homeostasis, in affecting disease, and in potential healing and tissue regeneration (Figure 1).


Figure 1: Bone marrow-derived stem cells in lung pathophysiology.

It is critical that, as knowledge in the field of stem cell biology progresses, so too does our willingness to challenge dogma that may restrict progress. Likely, there is a place for both MSCs and HSCs in the ultimate cure of pulmonary disease as well as other diseases, although the role(s) of each of these stem cells may not be as initially thought. An increasing understanding of all origins of the lung cell populations and the cross-talk and environmental signals that regulate their differentiation and function may, therefore, lead to discovery of previously unrecognized initiating events and may uncover exciting new therapeutic opportunities for lung diseases. We are just beginning to appreciate the plasticity of bone marrow stem cell and signaling cell populations. Recognizing that both the MSC and HSC may be key components towards identifying more effective treatments and adjunct therapies or alternatives to lung transplantation is necessary to improve patient prognosis, quality of life, and survival rates.


This work is supported by grants to Dr. LaRue from the Biomedical Laboratory Research and Development Program of the Department of Veterans Affairs (MERIT Award #BX002277) and the NIH (R01 CA148772).


  1. Becker AJ, McCulloch EA, Till JE (1963) Cytological demonstration of the clonal nature of spleen colonies derived from transplanted mouse marrow cells. Nature 197: 452-454.
  2. Siminovitch L, McCulloch EA, Till JE (1963) Thedistribution of colony-forming cells among spleen colonies. J Cell Physiol 62: 327-336.
  3. Stabler CT, Lecht S, Lazarovici P, Lelkes PI (2015) Mesenchymal stem cells for therapeutic applications in pulmonary medicine. Br Med Bull 114.
  4. Conese M, Piro D, Carbone A, Castellani S, Di Gioia S (2014) Hematopoietic and mesenchymal stem cells for the treatment of chronic respiratory diseases: role of plasticity and heterogeneity. ScientificWorldJournal 2014: 859817.
  5. Abangan RS, Jr., Williams CR, Mehrotra M, Duncan JD, Larue AC (2010) MCP1 directs trafficking of hematopoietic stem cell-derived fibroblast precursors in solid tumor. Am J Pathol 176: 1914-1926.
  6. McDonald LT, Mehrotra M, LaRue AC (2015) Hematopoietic Origin of Murine Lung Fibroblasts. Stem Cells Int 159713.
  7. Abe S, Boyer C, Liu X, Wen FQ, Kobayashi T, et al. (2004) Cells derived from the circulation contribute to the repair of lung injury. Am J RespirCrit Care Med 170: 1158-1163.
  8. Weiss DJ, Bertoncello I, Borok Z, Kim C, Panoskaltsis-Mortari A, et al. (2011) Stem cells and cell therapies in lung biology and lung diseases. Proc Am ThoracSoc 8: 223-272.
  9. Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, et al. (2006) Minimal criteria for defining multipotentmesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy 8: 315-317.
  10. Horwitz EM, Le Blanc K, Dominici M, Mueller I, Slaper-Cortenbach I, et al. (2005) Clarification of the nomenclature for MSC: The International Society for Cellular Therapy position statement. Cytotherapy 7: 393-395.
  11. Crisan M, Yap S, Casteilla L, Chen CW, Corselli M, et al. (2008) A perivascular origin for mesenchymal stem cells in multiple human organs. Cell Stem Cell 3: 301-313.
  12. da Silva Meirelles L, Caplan AI, Nardi NB (2008) In search of the in vivo identity of mesenchymal stem cells. Stem Cells 26: 2287-2299.
  13. Hess DC, Abe T, Hill WD, Studdard AM, Carothers J, et al. (2004) Hematopoietic origin of microglial and perivascular cells in brain. ExpNeurol 186: 134-144.
  14. Bababeygy SR, Cheshier SH, Hou LC, Higgins DM, Weissman IL, et al. (2008) Hematopoietic stem cell-derived pericytic cells in brain tumor angio-architecture. Stem Cells Dev 17: 11-18.
  15. Phinney DG, Prockop DJ (2007) Concise review: mesenchymal stem/multipotent stromal cells: the state of transdifferentiation and modes of tissue repair--current views. Stem Cells 25: 2896-2902.
  16. Prockop DJ (2007) "Stemness" does not explain the repair of many tissues by mesenchymal stem/multipotent stromal cells (MSCs). ClinPharmacolTher 82: 241-243.
  17. Caplan AI, Correa D (2011) The MSC: an injury drugstore. Cell Stem Cell 9: 11-15.
  18. Javazon EH, Beggs KJ, Flake AW (2004) Mesenchymal stem cells: paradoxes of passaging. ExpHematol 32: 414-425.
  19. Bianco P, Robey PG, Simmons PJ (2008) Mesenchymal stem cells: revisiting history, concepts, and assays. Cell Stem Cell 2: 313-319.
  20. Sera Y, LaRue AC, Moussa O, Mehrotra M, Duncan JD, et al. (2009) Hematopoietic stem cell origin of adipocytes. ExpHematol 37: 1108-1120.
  21. Mehrotra M, Williams CR, Ogawa M, LaRue AC (2013) Hematopoietic stem cells give rise to osteo-chondrogenic cells. Blood Cells Mol Dis 50: 41-49.
  22. Ebihara Y, Masuya M, Larue AC, Fleming PA, Visconti RP, et al. (2006) Hematopoietic origins of fibroblasts: II. In vitro studies of fibroblasts, CFU-F, and fibrocytes. ExpHematol 34: 219-229.
  23. Miyata E, Masuya M, Yoshida S, Nakamura S, Kato K, et al. (2008) Hematopoietic origin of hepatic stellate cells in the adult liver. Blood 111: 2427-2435.
  24. Lang H, Ebihara Y, Schmiedt RA, Minamiguchi H, Zhou D, et al. (2006) Contribution of bone marrow hematopoietic stem cells to adult mouse inner ear: mesenchymal cells and fibrocytes. J Comp Neurol 496: 187-201.
  25. Ogawa M, LaRue AC, Mehrotra M (2013) Hematopoietic stem cells are pluripotent and not just "hematopoietic". Blood Cells Mol Dis 51: 3-8.
  26. Theise ND (2010) Stem cell plasticity: recapping the decade, mapping the future. ExpHematol 38: 529-539.
  27. Wagers AJ, Sherwood RI, Christensen JL, Weissman IL (2002) Little evidence for developmental plasticity of adult hematopoietic stem cells. Science 297: 2256-2259.
  28. Wagers AJ, Weissman IL (2004) Plasticity of adult stem cells. Cell 116: 639-648.
  29. Prockop DJ, Prockop SE, Bertoncello I (2014) Are clinical trials with mesenchymal stem/progenitor cells too far ahead of the science? Lessons from experimental hematology. Stem Cells 32: 3055-3061.
  30. Rock JR, Onaitis MW, Rawlins EL, Lu Y, Clark CP, et al. (2009) Basal cells as stem cells of the mouse trachea and human airway epithelium. ProcNatlAcadSci USA 106: 12771-12775.
  31. Rawlins EL, Okubo T, Xue Y, Brass DM, Auten RL, et al. (2009) The role of Scgb1a1+ Clara cells in the long-term maintenance and repair of lung airway, but not alveolar, epithelium. Cell Stem Cell 4: 525-534.
  32. Kim CF, Jackson EL, Woolfenden AE, Lawrence S, Babar I, et al. (2005) Identification of bronchioalveolar stem cells in normal lung and lung cancer. Cell 121: 823-835.
  33. Barkauskas CE, Cronce MJ, Rackley CR, Bowie EJ, Keene DR, et al. (2013) Type 2 alveolar cells are stem cells in adult lung. J Clin Invest 123: 3025-3036.
  34. Hoffman AM, Paxson JA, Mazan MR, Davis AM, Tyagi S, et al. (2011) Lung-derived mesenchymal stromal cell post-transplantation survival, persistence, paracrine expression, and repair of elastase-injured lung. Stem Cells Dev 20: 1779-1792.
  35. Martin J, Helm K, Ruegg P, Varella-Garcia M, Burnham E, et al. (2008) Adult lung side population cells have mesenchymal stem cell potential. Cytotherapy 10: 140-151.
  36. Summer R, Fitzsimmons K, Dwyer D, Murphy J, Fine A (2007) Isolation of an adult mouse lung mesenchymal progenitor cell population. Am J Respir Cell MolBiol 37: 152-159.
  37. Krause DS, Theise ND, Collector MI, Henegariu O, Hwang S, et al. (2001) Multi-organ, multi-lineage engraftment by a single bone marrow-derived stem cell. Cell 105: 369-377.
  38. Theise ND, Henegariu O, Grove J, Jagirdar J, Kao PN, et al. (2002) Radiation pneumonitis in mice: a severe injury model for pneumocyte engraftment from bone marrow. ExpHematol 30: 1333-1338.
  39. Ishizawa K, Kubo H, Yamada M, Kobayashi S, Numasaki M, et al. (2004) Bone marrow-derived cells contribute to lung regeneration after elastase-induced pulmonary emphysema. FEBS Lett 556: 249-252.
  40. Snelgrove RJ, Godlee A, Hussell T (2011) Airway immune homeostasis and implications for influenza-induced inflammation. Trends Immunol 32: 328-334.
  41. Krause DS (2008) Bone marrow-derived cells and stem cells in lung repair. Proc Am ThoracSoc 5: 323-327.
  42. Suratt BT, Cool CD, Serls AE, Chen L, Varella-Garcia M, et al. (2003) Human pulmonary chimerism after hematopoietic stem cell transplantation. Am J RespirCrit Care Med 168: 318-322.
  43. Mattsson J, Jansson M, Wernerson A, Hassan M (2004) Lung epithelial cells and type II pneumocytes of donor origin after allogeneic hematopoietic stem cell transplantation. Transplantation 78: 154-157.
  44. Kleeberger W, Versmold A, Rothämel T, Glöckner S, Bredt M, et al. (2003) Increased chimerism of bronchial and alveolar epithelium in human lung allografts undergoing chronic injury. Am J Pathol 162: 1487-1494.
  45. Hashimoto N, Jin H, Liu T, Chensue SW, Phan SH (2004) Bone marrow-derived progenitor cells in pulmonary fibrosis. J Clin Invest 113: 243-252.
  46. Ishii G, Sangai T, Sugiyama K, Ito T, Hasebe T, et al. (2005) In vivo characterization of bone marrow-derived fibroblasts recruited into fibrotic lesions. Stem Cells 23: 699-706.
  47. Kotton DN, Ma BY, Cardoso WV, Sanderson EA, Summer RS, et al. (2001) Bone marrow-derived cells as progenitors of lung alveolar epithelium. Development 128: 5181-5188.
  48. Herzog EL, Van Arnam J, Hu B, Krause DS (2006) Threshold of lung injury required for the appearance of marrow-derived lung epithelia. Stem Cells 24: 1986-1992.
  49. Lama VN, Phan SH (2006) Theextrapulmonary origin of fibroblasts: stem/progenitor cells and beyond. Proc Am ThoracSoc 3: 373-376.
  50. Bucala R, Spiegel LA, Chesney J, Hogan M, Cerami A (1994) Circulating fibrocytes define a new leukocyte subpopulation that mediates tissue repair. Mol Med 1: 71-81.
  51. Suga H, Rennert RC, Rodrigues M, Sorkin M, Glotzbach JP, et al. (2014) Tracking the elusive fibrocyte: identification and characterization of collagen-producing hematopoietic lineage cells during murine wound healing. Stem Cells 32: 1347-1360.
  52. Haniffa MA, Collin MP, Buckley CD, Dazzi F (2009) Mesenchymal stem cells: the fibroblasts' new clothes? Haematologica 94: 258-263.
  53. Quan TE, Cowper S, Wu SP, Bockenstedt LK, Bucala R (2004) Circulating fibrocytes: collagen-secreting cells of the peripheral blood. Int J Biochem Cell Biol 36: 598-606.
  54. Gomperts BN, Strieter RM (2007) Fibrocytes in lung disease. J LeukocBiol 82: 449-456.
  55. Friedenstein AJ, Chailakhyan RK, Latsinik NV, Panasyuk AF, Keiliss-Borok IV (1974) Stromal cells responsible for transferring the microenvironment of the hemopoietic tissues. Cloning in vitro and retransplantation in vivo. Transplantation 17: 331-340.
Citation: McDonald LT, LaRue AC (2015) Bone Marrow Stem Cell Contribution to Pulmonary Homeostasis and Disease. J Bone Marrow Res 3:162.

Copyright: © 2015 McDonald LT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.