Fetal hamster lung explant was cultured in serum-free medium on gestat
ional Day 11-2 days before the appearance of pulmonary neuroendocrine
cells (PNEC)-and the development and differentiation of PNEC from imma
ture fetal lung epithelium was examined through immunostaining for neu
ral cell adhesion molecule (NCAM) to establish an in vitro system to s
tudy the mechanisms involved. PNEC were present in the main bronchus a
fter 2 days of culture. Thereafter, NCAM-positive clusters of PNEC inc
reased and were distributed from the large bronchus to the terminal br
onchiole with a proximal-to-distal wave. To elucidate the role of NCAM
in the fetal development of PNEC, whole fetal lung was cultured on ge
stational Day 11 with an anti-NCAM antibody. This antibody slightly in
hibited the growth and branching morphogenesis of the lung and disturb
ed the formation of PNEC clusters. NCAM may function to form clusters
of PNEC known as neuroepithelial bodies. We cultured fetal lung epithe
lial explant at gestational Day 11 after removing mesenchyme, includin
g nerve tissue, with dispase digestion. Immunohistochemical staining f
or NCAM revealed that PNEC were induced in cultured fetal epithelium w
ithout mesenchymal tissue, but basement membrane Matrigel was necessar
y to maintain cultured epithelium. In conclusion, PNEC derive from imm
ature airway epithelial cells. This organ culture system, therefore, i
s a useful experimental model and should facilitate further investigat
ions of the development and differentiation of PNEC. Mesenchymal and n
eural tissues are not always necessary for the development of PNEC, bu
t matrix substance and/or growth factors may be required to induce or
maintain PNEC.