Morphological techniques and metabolic cell marker assays were used to stud
y the transdifferentiation of pulmonary type II epithelial cells to type I-
like cells in vitro. In the lung this process is important during remodelli
ng and alveolar repair. Type II cell phenotype was best maintained over eig
ht days when densely packed cells were plated out on a commercially availab
le extracellular matrix. Such cells retained type II cell characteristics (
lamellar bodies, high activities of gamma glutamyl transpeptidase and alkal
ine phosphatase) but expressed low levels of rTl(40) a surface protein mark
er of type I cells. In contrast, low density cultures, irrespective of subs
tratum, exhibited rapid cell spreading, loss of lamellar bodies, loss of ty
pe II cell enzyme markers and expressed high levels of rTl(40). Conditions
have been described whereby the same isolate of type II cells can be used t
o produce differential epithelial phenotypes and use can be made of this fo
r further characterisation or to investigate the effect of toxins on differ
ent lung cell types in vitro. (C) 1999 Elsevier Science Ltd. All rights res
erved.