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Molecular Medicine |
From the Heart Failure Research Center, Academic Medical Center (M.S.R., N.C.A.H., S.T.-T., W.H.L., A.F.M.M., M.J.B.v.d.H.), University of Amsterdam, The Netherlands.
Correspondence to Maurice J.B. van den Hoff, Academic Medical Center, Department of Anatomy and Embryology, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands. E-mail m.j.vandenhoff{at}amc.uva.nl
| Abstract |
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Key Words: cardiac development outflow tract differentiation cell death
| Introduction |
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Since these initial experiments, 2 independent studies have identified mesodermal cells added to the chicken heart from extracardiac sources between HH12 and 22/24. Mjaatvedt and coworkers13 identified cells in the pharyngeal arches, which they called the anterior heart field, and showed how they contributed to the proximal (conus) and distal (truncus) parts of the outflow tract. Waldo and coworkers14,15 identified cells ventral to the pharynx, and caudal to the developing outflow tract, which they called the secondary heart field, and showed them to be the source of the distal myocardial part of the outflow tract, as well as the nonmyocardial intrapericardial arterial trunks. These workers had previously demonstrated the contribution from the cardiac neural crest to these nonmyocardial components.16 Thompson and coworkers, using radioactive tattoos, had also shown that cells initially located, at HH16, in the outflow tract at the level of the pericardial reflections eventually were found in the subpulmonary infundibular myocardium of the right ventricle.17 None of these studies in avian hearts, however, addressed explicitly the developmental origin of the right ventricular trabecular free wall.
In mouse and human, therefore, it is the proximal outflow tract that is generally presumed to give rise to the right ventricle,5,18 whereas the primordium of this structure in avian hearts is currently believed to be present in the straight heart tube. We have now studied the developmental origin of the right ventricular free wall in chicken, using DiI to follow the fate of the cells initially belonging to the outflow tract. Our findings show that, in chicken as in mouse, part of the right ventricular free wall is derived from myocardium initially belonging to the outflow tract. We submit, therefore, that the developmental origin of the right ventricle is similar, rather than different, in birds and mammals.
| Materials and Methods |
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Visualization of the Myocardial Component of the Heart
Embryos were isolated, staged, and fixed in DMSO/methanol (1:4) for 4 hours.20 Embryos were hydrated in graded series of methanol-PBS and permeabilized by incubation in PBST (0.25% Triton-X100 in PBS). To reduce background staining, they were incubated in PBS-A (1% BSA in PBS) with 5% goat serum. The myocytes were stained using a monoclonal antibody against sarcomeric myosin heavy chain (MF20; Developmental Studies Hybridoma Bank, Iowa, USA) and goat-anti-mouse-Alexa-488 (Molecular Probes). Following extensive washing in PBS-A, analysis was done with CLSM. All images are shown as brightest point projections. The length of the outflow tract was determined using NIH-image (version 1.62).
Visualization of Regions of Increased Cell Death
Hearts were isolated in Earles Balanced Salt Solutions (EBSS, ICN) and transferred to M199 culture medium (Life Technologies) supplemented with the vital dye Lysotracker Red (Molecular Probes).21 After a 30 minute incubation at 37°C, the hearts were washed in EBSS, and fixed in 4% PFA in PBS for 1 hour. After extensive washing in PBS fluorescence was visualized using CLSM.
| Results |
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As a first step to elucidate the absolute changes occurring in the OFT, we visualized the myocardium, measuring its myocardial and nonmyocardial components. At HH12 (n=3), the OFT is myocardial to the pericardial reflections (Figure 2A), and measures 290±25 µm (Figure 3). The myocardial border remains at the level of the pericardial reflections until HH22 (Figure 2AD), during which time the OFT increases more than 4-fold in length, to 1265±147 µm (n=5) (Figure 3). Subsequently, the overall OFT elongates still further, reaching its maximal length at HH26, when it measures 1677±137 µm (n=36) (Figure 3). This corresponds with the appearance of the nonmyocardial component between the distal myocardial border and the pericardial reflection (Figure 2E and F). Between HH26 and HH34, the latest stage analyzed, the nonmyocardial component also elongates (Figure 2GI). Overall lengthening, however, ceases beyond HH26, with elongation of the nonmyocardial component compensated by shortening of the myocardial component (Figure 3) of more than five-fold between HH26 and HH31 (Figure 3). Within this developmental period, the OFT also widens gradually up to HH28 (Figure 3), after which its width remains relatively constant, at 876±93 (n=24). The mechanism of shortening of the myocardial component remains contentious. Some have suggested apoptosis (see review2), others transdifferentiation,24 or absorption into the right ventricle.18,25
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To address the issue of shortening, we labeled small groups of OFT cells using DiI at HH16 (Figure 4) and HH22 (Figure 5) in ovo. At both these stages the myocardial OFT extends to the pericardial reflections (Figure 1AD), still possesses the capacity to lengthen, (Figure 1J), and is not covered with epicardium.26,27 Labels were placed adjacent to the pericardial reflection (position 1), half way along its length (position 2), adjacent to the distal ventricular groove (position 3), and in the ventricle adjacent to distal ventricular groove (position 4). To confirm reliability and reproducibility of labeling, we marked at least ten embryos for each position and developmental stage. After 3 hours of reincubation, we reanalyzed the hearts, all labels remaining in their initial positions (Figure 4 and 5
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Subsequently, labeled hearts were reincubated for longer periods. When considering those labeled at HH16 (Figure 4), cells labeled in the most distal portion of the OFT (Figure 4A position 1, and Figure 4B red dots) were identified in the middle of the OFT after both 24 and 48 hours of re-incubation, but had reached the proximal OFT after 72 hours. After 96 hours of re-incubation, 70% of labeled cells were found in the proximal OFT, and 30% in the ventricle. Cells labeled in the middle portion (Figure 4A position 2, and Figure 4B blue dots) had moved to the proximal OFT after 48 hours of re-incubation, and had reached the ventricle after 72 hours. Of the cells labeled in the proximal OFT (Figure 4A position 3, and Figure 4B green dots), 30% had already reached the ventricle after 24 hours of re-incubation. After longer re-incubations, all the labeled cells had moved to the ventricular portion of the heart, specifically at the right ventricular side of the developing ventricular septum. In line with previous studies in the chicken17 and mouse,28 the labeled cells had not only moved upstream, but had also shifted to the right, showing that myocardium initially forming the OFT had become incorporated into the developing right ventricle.
When considering those cells labeled at HH21, cells marked adjacent to the pericardial reflections remained at the distal myocardial border of the OFT at all time points analyzed (Figure 5A position 1 and Figure 5B red dots). Considering cells labeled at the other positions (Figure 5, position 2 and 3), the results paralleled those obtained after labeling at HH16 (Figure 4). Cells labeled proximally (position 3) at HH21 had migrated to the ventricle after 24 hours of re-incubation. After 72 hours of re-incubation, the labeled cells were found in the ventricle in decreasing numbers of embryos, and after 120 hours of re-incubation (data not shown) none of the labeled cells could be traced back. The labeled cells could have disappeared for several reasons. The label could have become undetectable because of dilution by proliferation of the myocardial cells, the labeled cells might no longer be detectable at the ventricular surface, or the labeled cells might have died. The first option seems unlikely, previous studies having shown that the myocardium of the OFT proliferates very slowly during development.24,29,30 Moreover, if dilution did underlie their disappearance, we would expect the size of the initially labeled group of cells to increase in diameter, with a concomitant decrease in fluorescence. Neither of the two phenomena was observed.
To assess whether the labeled cells had become displaced interiorly, we cleaved the hearts and analyzed them from the endocardial surface, also permitting us to establish the position of the labeled cells relative to the forming ventricular septum. We found that, rather being at the endocardial surface, the marked cells had entered the ventricular trabeculations (Figure 4), as previously shown.31 Moreover, the cells initially labeled in the ventricle adjacent to the distal ventricular groove at HH16 or HH21, were found in the right, rather than the left, ventricular trabeculations (Figure 4, 5, and 6![]()
AC). To investigate further the origin of the ventricular septum and the left ventricle, we labeled cells half way between the distal ventricular groove and the atrioventricular canal. These labeled cells were all found in the left ventricular trabeculations (Figure 6DF). Cells labeled midway between these two positions were found in the ventricular septum (Figure 6GI).
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These observations, in contrast to the general contention that, in the chicken, apoptosis underlies shortening of the myocardial OFT,2 exclude the possibility that labeled cells die during prolonged periods of re-incubation. With this in mind, we re-evaluated the role of cell death in the OFT using Lysotracker Red, which becomes strongly fluorescent when taken up into lysosomes that are enriched in cells processing cellular debris.21 As controls, we included in each analysis a limb of an HH33 chicken embryo, in which the tissue webs are being removed by apoptosis (Figure 5J).32 Very strong staining was observed in the nonmyocardial OFT between HH30 and HH36 (Figure 7EH), suggesting an important role for apoptosis in the formation of the intrapericardial portions of the aorta and pulmonary trunk, and theleft and right brachiocephalic arteries (Figure 7FI). In line with earlier reports (reviewed in2) the myocardial investment of pulmonary trunk showed intense staining before its disappearance(Figure 7EG). Examination of earlier stages showed more stained cells in the OFT between HH24 and HH27 (Figure 7AC) than in the remainder of the heart. A slightly higher density of stained cells was observed at the border between the myocardial and nonmyocardial components, and immediately adjacent to the distal ventricular groove. Although the initial appearance of Lysotracker Red positive cells corresponds with the onset of the shortening of the myocardial OFT, it does not correlate with ongoing shortening of the myocardial OFT (Figure 3), suggesting a limited contribution of apoptosis to this initial shortening.
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| Discussion |
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The developmental origin of the trabecular myocardium of the free wall of the right ventricle, however, has never been studied in detail. In vivo and in vitro studies have shown that, in chicken, there is an additional contribution to the OFT from cells located cranially.13,14 Experiments using Indian ink marks, iron particles, electro-cautery, or radioactive marks, has been interpreted to suggest that the right ventricular trabeculated portion is derived from the primary linear heart tube,11,40 with only the smooth-walled infundibulum originating from the OFT.17 Thus, it is currently presumed that the trabeculated part of the chicken right ventricle is derived from the primary heart field (see review4). If true, then this part of the right ventricle has a different developmental origin in mammals and birds (see reviews4143), and might raise issues with respect to the direct extrapolation of avian findings to mammalian cardiac development.11 The majority of congenital cardiac malformations in humans, however, involve aberrant formation of the arterial pole.44 It was to explore further this issue that we performed these experiments.
It is well accepted that the initial OFT extends proximally from the ventricular trabeculations, marked externally by the distal ventricular groove, to its distal margin at the pericardial reflections.22 This part of the heart increases almost 6-fold in length between HH12 and 26 (Figure 1). At HH26, when at its maximal length, it has an extensive myocardial and a small nonmyocardial component, the latter derived from cells of the cardiac neural crest and secondary heart field.1416,18,24,45 With ongoing development, the myocardial part gradually disappears so that, apart from the myocardial investment of the pulmonary trunk,24,38 the outflow tracts are exclusively nonmyocardial, remodelling into the arterial valves and their supporting sinuses, the intrapericardial portions of the aorta and pulmonary trunk, and the left and right brachiocephalic arteries. The myocardial component is held to disappear because of apoptosis (for review2), transdifferentiation,24,46 absorption into the right ventricle or a combination of the latter three.5,18
To assess the latter two options, we labeled small groups of cells with DiI at HH16 and HH21 in ovo, following them during subsequent development. This approach differs in several ways from earlier studies. We labeled the cells using a vital dye, marking them at various levels in ovo, and determined their subsequent location shortly after labeling, and subsequently every 24 hours. We selected HH16 and HH21 because, at these stages, the OFT is not yet covered with epicardium,26,27 and is myocardial throughout its length (Figure 2), allowing unambiguous labeling of myocardial cells. Our findings revealed that cells labeled adjacent to the pericardial reflection (Figure 4 and 5
) move away from it and displace to the right, finishing close to the distal ventricular groove, or even crossing the groove to contribute to the smooth-walled right ventricular infundibular myocardium. In none of our experiments could we find labeled cells in the nonmyocardial OFT, indicating that transdifferentiation does not contribute substantially to the shortening of the myocardial OFT. These findings are consistent with earlier autoradiographic tattoo analyses.17 The fact that, during re-incubation, the label does not disappear indicates a limited role for apoptosis,2 a conclusion further underscored by our results using Lysotracker Red (Figure 7). Apoptosis does underlie the separation of the nonmyocardial OFT into the discrete intrapericardial arterial vessels, and the disappearance of the myocardial investments of the aorta and pulmonary trunk around HH30, as previously reported.21,47
When tracing them more proximally in the OFT (Figure 4 to 6![]()
), we showed that the marked cells finish in the developing right ventricle. Earlier investigators have analyzed the marked cells before the formation of the ventricular septum,12 invalidating unambiguous ventricular identification. We showed that cardiomyocytes labeled in the region of the distal ventricular groove (Figure 4 and 5
) never passed the ventricular septum, but rather entered the right ventricular trabeculations (Figure 6AC). Only myocytes marked half way between the distal ventricular groove and the atrioventricular canal could be traced to the left ventricle (Figure 6DF). Cells tagged in between these positions were found in the ventricular septum (Figure 6GI). This latter finding was also shown by de la Cruz and coworkers,10 although the contribution of more distal myocardium of the HH16 heart to the trabeculated right ventriclar free wall has not yet been reported. The finding that ventricular cells labeled immediately adjacent to the distal ventricular groove at HH16 contribute to the trabeculations of the right ventricle adjacent to the ventricular septum (Figure 6AC) suggests that not the entire, but a large part of, the trabeculated right ventricular free wall is derived from OFT myocardium.
Our present data, therefore, are in agreement with murine studies (for review5), but in contrast to previous avian studies.10,11,40,48 This discrepancy might be because of the use previously of superficial extracellular deposits.48 Although it is thought that these marks displace along with the surrounding tissue, they could become trapped in the epicardial layer, and hence not be displaced along with the underlying OFT myocardium. The epicardial layer covering the myocardium is derived from the proepicardium, whereas that of the nonmyocardial component is from a cephalic source.27 If the superficial marks are trapped into the epicardial covering, these marks will never reach the ventricular component of the heart.
Taken together, our labeling studies suggest that part of the trabeculated free wall of the right ventricle is derived from myocardium initially belonging to the outflow tract. Since earlier studies have shown that such myocardium is recruited from mesodermal cells located at the cranial side of the heart tube, we propose that this contribution is also derived from the anterior, or secondary, heart field. In keeping with this finding, we submit that the component ballooning from the initial linear heart tube is destined to become the left ventricle, the ventricular septum, and the adjacent trabeculations. Most importantly, our study shows that the right ventricle, in essence, has comparable origins in mammals and birds, allowing direct extrapolation of findings in birds to mammalian cardiac development.
| Acknowledgments |
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Sources of Funding
Our work was supported financially by a grant from the Netherlands Heart Foundation (M96.002).
Disclosures
None.
| Footnotes |
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