Club cell

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Club cell
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Identifiers
Latin exocrinocytus bronchiolaris
TH H3.05.02.0.00008
Anatomical terms of microanatomy

Club cells, also known as bronchiolar exocrine cells, [1] are low columnar/cuboidal cells with short microvilli, found in the small airways (bronchioles) of the lungs. [2] They were formerly known as Clara cells.

Contents

Club cells are found in the ciliated simple epithelium. These cells may secrete glycosaminoglycans to protect the bronchiole lining. Bronchiolar cells gradually increase in number as the number of goblet cells decrease.

One of the main functions of club cells is to protect the bronchiolar epithelium. They do this by secreting a small variety of products, including club cell secretory protein uteroglobin, and a solution similar in composition to pulmonary surfactant. They are also responsible for detoxifying harmful substances inhaled into the lungs. Club cells accomplish this with cytochrome P450 enzymes found in their smooth endoplasmic reticulum. Club cells also act as a stem cell, multiplying and differentiating into ciliated cells to regenerate the bronchiolar epithelium. [3]

Function

The respiratory bronchioles represent the transition from the conducting portion to the respiratory portion of the respiratory system. The narrow channels are usually less than 2 mm in diameter and they are lined by a simple cuboidal epithelium, consisting of ciliated cells and non-ciliated club cells, which are unique to bronchioles. In addition to being structurally diverse, club cells are also functionally variable. One major function they carry out is the synthesis and secretion of the material lining the bronchiolar lumen. This material includes glycosaminoglycans, proteins such as lysozymes, and conjugation of the secretory portion of IgA antibodies. These play an important defensive role, and they also contribute to the degradation of the mucus produced by the upper airways. The heterogeneous nature of the dense granules within the club cell's cytoplasm suggests that they may not all have a secretory function. Some of them may contain lysosomal enzymes, which carry out a digestive role, either in defense: Club cells engulf airborne toxins and break them down via their cytochrome P-450 enzymes (particularly CYP4B1, which is only present in the club cells) present in their smooth endoplasmic reticulum; or in the recycling of secretory products. Club cells are mitotically active. They divide and differentiate to form both ciliated and non-ciliated epithelial cells.

Clinical significance

Club cells contain tryptase, which is believed to be responsible for cleaving the hemagglutinin surface protein of influenza A virus, thereby activating it and causing the symptoms of flu. [4] When the l7Rn6 protein is disrupted in mice, these mice display severe emphysema at birth as a result of disorganization of the Golgi apparatus and formation of aberrant vesicular structures within club cells. [5] Malignant club cells are also seen in bronchioalveolar carcinoma of the lung. Serum club cell proteins are used as a biomarker of lung permeability. Exposure to particulate air pollution may compromise the integrity of the lung epithelium and lead to rapid increase in epithelial barrier permeability, as reflected by increased serum club cell concentrations. [6]

History

Club cells were previously called Clara cells, as they were first described by Max Clara (1899–1966), in 1937. Clara was an active member of the Nazi Party and used tissue taken from executed victims of Nazi Germany for his research—including the work that led to his discovery of Clara cells. [7] In May 2012, the editorial boards of most of the major respiratory journals (including the journals of the American Thoracic Society, the European Respiratory Society and the American College of Chest Physicians) concluded that the continued use of Clara's eponym would be equivalent to honoring him; they therefore introduced a name-change policy, which went into effect beginning January 1, 2013. [8] The term "Clara" was used parenthetically after "club cell" for a 2-year period, after which "Clara cell" and "Clara cell secretory protein" were conclusively replaced with "club cell" and "club cell secretory protein", respectively. [9]

See also

Related Research Articles

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<span class="mw-page-title-main">Pulmonary alveolus</span> Hollow cavity found in the lungs

A pulmonary alveolus, also known as an air sac or air space, is one of millions of hollow, distensible cup-shaped cavities in the lungs where pulmonary gas exchange takes place. Oxygen is exchanged for carbon dioxide at the blood–air barrier between the alveolar air and the pulmonary capillary. Alveoli make up the functional tissue of the mammalian lungs known as the lung parenchyma, which takes up 90 percent of the total lung volume.

<span class="mw-page-title-main">Respiratory tract</span> Organs involved in transmission of air to and from the point where gases diffuse into tissue

The respiratory tract is the subdivision of the respiratory system involved with the process of respiration in mammals. The respiratory tract is lined with respiratory epithelium as respiratory mucosa.

<span class="mw-page-title-main">Epithelium</span> Tissue lining the surfaces of organs in animals

Epithelium or epithelial tissue is a thin, continuous, protective layer of compactly packed cells with a little intercellular matrix. Epithelial tissues line the outer surfaces of organs and blood vessels throughout the body, as well as the inner surfaces of cavities in many internal organs. An example is the epidermis, the outermost layer of the skin. Epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. These tissues also lack blood or lymph supply. The tissue is supplied by nerves.

<span class="mw-page-title-main">Bronchus</span> Airway in the respiratory tract

A bronchus is a passage or airway in the lower respiratory tract that conducts air into the lungs. The first or primary bronchi to branch from the trachea at the carina are the right main bronchus and the left main bronchus. These are the widest bronchi, and enter the right lung, and the left lung at each hilum. The main bronchi branch into narrower secondary bronchi or lobar bronchi, and these branch into narrower tertiary bronchi or segmental bronchi. Further divisions of the segmental bronchi are known as 4th order, 5th order, and 6th order segmental bronchi, or grouped together as subsegmental bronchi. The bronchi, when too narrow to be supported by cartilage, are known as bronchioles. No gas exchange takes place in the bronchi.

<span class="mw-page-title-main">Bronchiole</span> Passageways by which air passes through the nose or mouth to the alveoli of the lungs

The bronchioles or bronchioli are the smaller branches of the bronchial airways in the lower respiratory tract. They include the terminal bronchioles, and finally the respiratory bronchioles that mark the start of the respiratory zone delivering air to the gas exchanging units of the alveoli. The bronchioles no longer contain the cartilage that is found in the bronchi, or glands in their submucosa.

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<span class="mw-page-title-main">Ameloblast</span>

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<span class="mw-page-title-main">Goblet cell</span> Epithelial cells that secrete mucins

Goblet cells are simple columnar epithelial cells that secrete gel-forming mucins, like mucin 5AC. The goblet cells mainly use the merocrine method of secretion, secreting vesicles into a duct, but may use apocrine methods, budding off their secretions, when under stress. The term goblet refers to the cell's goblet-like shape. The apical portion is shaped like a cup, as it is distended by abundant mucus laden granules; its basal portion lacks these granules and is shaped like a stem.

<span class="mw-page-title-main">Tryptase</span> Class of enzymes

Tryptase is the most abundant secretory granule-derived serine proteinase contained in mast cells and has been used as a marker for mast cell activation. Club cells contain tryptase, which is believed to be responsible for cleaving the hemagglutinin surface protein of influenza A virus, thereby activating it and causing the symptoms of flu.

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Simple columnar epithelium is a single layer of columnar epithelial cells which are tall and slender with oval-shaped nuclei located in the basal region, attached to the basement membrane. In humans, simple columnar epithelium lines most organs of the digestive tract including the stomach, and intestines. Simple columnar epithelium also lines the uterus.

<span class="mw-page-title-main">Respiratory epithelium</span> Mucosa that serves to moisten and protect the airways

Respiratory epithelium, or airway epithelium, is a type of ciliated columnar epithelium found lining most of the respiratory tract as respiratory mucosa, where it serves to moisten and protect the airways. It is not present in the vocal cords of the larynx, or the oropharynx and laryngopharynx, where instead the epithelium is stratified squamous. It also functions as a barrier to potential pathogens and foreign particles, preventing infection and tissue injury by the secretion of mucus and the action of mucociliary clearance.

<span class="mw-page-title-main">Simple cuboidal epithelium</span> Tissue type

Simple cuboidal epithelium is a type of epithelium that consists of a single layer of cuboidal (cube-like) cells which have large, spherical and central nuclei.

<span class="mw-page-title-main">Uteroglobin</span> Protein-coding gene in the species Homo sapiens

Uteroglobin, or blastokinin, also known as secretoglobin family 1A member 1 (SCGB1A1), is a protein that in humans is encoded by the SCGB1A1 gene.

<span class="mw-page-title-main">Diffuse panbronchiolitis</span> Inflammatory lung disease

Diffuse panbronchiolitis (DPB) is an inflammatory lung disease of unknown cause. It is a severe, progressive form of bronchiolitis, an inflammatory condition of the bronchioles. The term diffuse signifies that lesions appear throughout both lungs, while panbronchiolitis refers to inflammation found in all layers of the respiratory bronchioles. DPB causes severe inflammation and nodule-like lesions of terminal bronchioles, chronic sinusitis, and intense coughing with large amounts of sputum production.

<span class="mw-page-title-main">Max Clara</span> Austrian scientist (1899–1966)

Max Clara was a German anatomist and Nazi Party member, who conducted research on the corpses of executed prisoners.

<span class="mw-page-title-main">FOXJ1</span> Protein-coding gene in the species Homo sapiens

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References

  1. Peter J. Papadakos; Burkhard Lachmann (29 August 2007). Mechanical Ventilation: Clinical Applications and Pathophysiology. Elsevier Health Sciences. pp. 74–. ISBN   978-0-7216-0186-1 . Retrieved 27 May 2011.
  2. Atkinson JJ, Adair-Kirk TL, Kelley DG, Demello D, Senior RM (2008). "Clara cell adhesion and migration to extracellular matrix". Respir. Res. 9 (1): 1. doi:10.1186/1465-9921-9-1. PMC   2249579 . PMID   18179694.
  3. "Clara cell".
  4. Taubenberger JK (August 1998). "Influenza virus hemagglutinin cleavage into HA1, HA2: No laughing matter". Proc. Natl. Acad. Sci. U.S.A. 95 (17): 9713–5. Bibcode:1998PNAS...95.9713T. doi: 10.1073/pnas.95.17.9713 . PMC   33880 . PMID   9707539.
  5. Fernández-Valdivia R, Zhang Y, Pai S, Metzker ML, Schumacher A (January 2006). "l7Rn6 Encodes a Novel Protein Required for Clara Cell Function in Mouse Lung Development". Genetics. 172 (1): 389–99. doi:10.1534/genetics.105.048736. PMC   1456166 . PMID   16157679.
  6. Provost EB, Chaumont A, Kicinski M, Cox B, Fierens F, Bernard A, Nawrot TS. “Serum levels of club cell secretory protein (Clara) and short- and long-term exposure to particulate air pollution in adolescents” Environ Int. 2014 Apr 4;68C:66-70. doi: 10.1016/j.envint.2014.03.011.
  7. Winkelmann, Andreas; Noack, Thorsten (2010). "The Clara cell - a "Third Reich eponym"?". European Respiratory Journal. 36 (4): 722–7. doi: 10.1183/09031936.00146609 . PMID   20223917.
  8. Irwin, RS; Augustyn N; French CT; Rice J; Tedeschi V; Welch SJ (2013). "Spread the word about the journal in 2013: from citation manipulation to invalidation of patient-reported outcomes measures to renaming the Clara cell to new journal features". Chest. 143 (1): 1–5. doi:10.1378/chest.12-2762. PMID   23276834.
  9. Akram, KM; Lomas NJ; Spiteri MA; Forsyth NR (2013). "Club cells inhibit alveolar epithelial wound repair via TRAIL-dependent apoptosis". Eur Respir J. 41 (3): 683–694. doi: 10.1183/09031936.00213411 . PMID   22790912.