For example the Cosmos DB extension is changing "collectionName" to "containerName" and "connectionStringSetting" to "connection", which affect our Cosmos DB types: https://github.com/Azure/azure-functions-nodejs-library/blob/v4.x/types/cosmosDB.d.ts
Obviously we don't want to do a breaking change release of our library every time a binding extension changes something, so we should make a plan for how we want to handle this, ideally before we GA v4. This was brought up in a programming model sync today as the Python folks are also deciding on a plan.