An adjunct mammary epithelial cell population in parous females: its role in functional adaptation and tissue renewal

TLDR

Mammary gland remodeling after lactation restores a morphology similar to a virgin gland, yet physiological responses to hormones and carcinogens differ between nulliparous and parous females. The study aims to show that a parity‑induced epithelial population underlies the fundamental differences between involuted and virgin mammary glands. This population originates from differentiating cells during pregnancy, forming a new epithelial lineage that persists after involution. The parity‑induced cells survive involution, act as alveolar progenitors, self‑renew, and substantially contribute to ductal morphogenesis and lobulogenesis in subsequent pregnancies.

Abstract

Mammary gland biologists have long assumed that differentiated secretory epithelial cells undergo programmed cell death at the end of lactation and that the alveolar compartment is reconstituted from undifferentiated precursor cells in subsequent pregnancies. It is generally agreed that the remodeled gland in a parous animal resembles that of a mature virgin at the morphological level. However, several physiological differences have been noted in comparing the responses of mammary epithelia from nulliparous versus parous females to hormonal stimulation and carcinogenic agents. We present genetic evidence that an involuted mammary gland is fundamentally different from a virgin gland, despite its close morphological resemblance. This difference results from the formation of a new mammary epithelial cell population that originates from differentiating cells during pregnancy. In contrast to the majority of fully committed alveolar cells, this epithelial population does not undergo cell death during involution or remodeling after lactation. We show that these cells can function as alveolar progenitors in subsequent pregnancies and that they can play an important role in functional adaptation in genetically engineered mice, which exhibit a reversion of a lactation-deficient phenotype in multiparous animals. In transplantation studies, this parity-induced epithelial population shows the capacity for self-renewal and contributes significantly to the reconstitution of the resulting mammary outgrowth (i.e. ductal morphogenesis and lobulogenesis). We propose that this parity-induced population contributes importantly to the biological differences between the mammary glands of parous and nulliparous females.