FGFR signaling establishes spatial gradients of secretory cell identities along the airway proximal-distal axis
Journal article, 2026

Secretory cells are major structural and functional constituents of the lung airways. Their heterogeneity, spatial organization and specification mechanisms are partially understood. Here, we analyze secretory lung cell-types at single-cell resolution. In the airway epithelium, we find opposing, partially overlapping gene-expression gradients along the proximal-distal airway axis superimposed on a general gene program encoding detoxification. One graded program is elevated proximally and relates to innate immunity, whereas the other is enriched distally, encoding lipid metabolism and antigen presentation. Intermediately positioned cells express moderate levels of both graded programs creating a differentiation continuum towards each end. Lineage tracing analysis during development reveals the sequential establishment of the gradients in common epithelial progenitors postnatally. We show that Fgfr2b regulates the airway patterning by inducing and maintaining high levels of lipid biosynthesis and vesicle trafficking in distal airways and down-regulating innate-immunity genes in vivo and in airway organoids. Our analysis offers a framework for studying epithelial and lung tissue organization to better understand cellular roles in tissue-level pathology.

Author

Alexandros Sountoulidis

Stockholm University

Jonas Theelke

Stockholm University

Andreas Liontos

Stockholm University

Alexandra B. Firsova

Stockholm University

Orane Eliot

Stockholm University

Janine Koepke

Univ Giessen & Marburg Lung Ctr

Pamela Millar-Buchner

Univ Giessen & Marburg Lung Ctr

Louise Manneras-Holm

University of Gothenburg

Åsa Björklund

Chalmers, Life Sciences, Systems and Synthetic Biology

Athanasios Fysikopoulos

Univ Giessen & Marburg Lung Ctr

Antonia Kelm

Stockholm University

Eleni Bouloukou

Univ Giessen & Marburg Lung Ctr

Konstantin Gaengel

Uppsala University

Fredrik Backhed

University of Gothenburg

Christer Betsholtz

Uppsala University

Karolinska Institutet

Werner Seeger

Univ Giessen & Marburg Lung Ctr

Saverio Bellusci

Univ Giessen & Marburg Lung Ctr

Christos Samakovlis

Stockholm University

Univ Giessen & Marburg Lung Ctr

Nature Communications

2041-1723 (ISSN) 20411723 (eISSN)

Vol. 17 1 2651

Subject Categories (SSIF 2025)

Cell and Molecular Biology

Respiratory Medicine and Allergy

Immunology in the Medical Area

DOI

10.1038/s41467-026-70842-0

PubMed

41851103

More information

Latest update

3/30/2026