Mass & Vazquez-Armendariz
Impact of developmental programming by maternal obesity on alveolar macrophage-epithelial cell interactions in lung development and function

Project hypothesis

Project summary
Lung development and function rely on intricate interactions between immune cells and type II alveolar epithelial cells (AECII). Granulocyte-macrophage colony-stimulating factor (GM-CSF), primarily produced by distal AECII, is essential for the maintenance and functionality of alveolar macrophages (AMs) in the lung. Dysfunction or absence of AMs can lead to surfactant accumulation, causing pulmonary alveolar proteinosis, impaired immune responses to infections, and defective tissue repair and remodelling. In turn, AMs communicate with AECII through the release of cytokines and growth factors, regulating epithelial proliferation and differentiation to maintain alveolar homeostasis. Maternal obesity is an escalating public health concern, with growing evidence indicating its adverse effects on fetal lung development and an increased susceptibility to respiratory diseases in offspring. During perinatal development, maternal metabolic challenges can induce developmental programming in line with the “Developmental Origins of Health and Disease” (DOHaD) concept. Tissue-resident macrophages, such as AMs, are particularly vulnerable to maternal metabolic programming due to their long lifespan and their ability to be influenced by maternal-derived metabolites and cytokines in utero and during lactation. These environmental cues can be epigenetically imprinted onto AMs, leading to long-lasting functional alterations. This intergenerational communication may result in persistent changes in macrophage function and epithelial-immune crosstalk, predisposing offspring to inflammatory lung diseases. Despite these insights, the specific roles of AECII and AMs, and their interdependent interactions in the context of maternal metabolic disorders and their impact on lung development and infection responses remain poorly understood. In this project, we employ in vivo mouse models of maternal obesity and influenza infection, combined with a multilineage lung organoid model, to investigate the long-term effects of metabolic programming. Our goal is to dissect how maternal-derived metabolites and cytokines impact AM-AECII interactions and their responses to infection, shedding light on mechanisms that could inform future therapeutic strategies.