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Molecular Medicine |
From the Institute of Biosciences and Technology (L.C., S.T., A.B.), Texas A&M University Health Science Center, Houston; Program in Cardiovascular Sciences (L.C.), Baylor College of Medicine, Houston, Tex; University Federico II (A.B.), Naples, Italy; Telethon Institute of Genetics and Medicine (A.B.), Naples, Italy; and Institute of Genetics and Biophysics (F.G.F., A.B.), Consiglio Nazionale delle Ricerche, Naples, Italy.
Correspondence to Antonio Baldini, Institute of Genetics and Biophysics, National Research Council, Via Pietro Castellino, 111, 80131 Napoli, Italy. E-mail baldini{at}igb.cnr.it
| Abstract |
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Objective: We asked whether Tbx1 is expressed in multipotent CPCs and, if so, what role it may play in them.
Methods and Results: We used clonal analysis of Tbx1-expressing cells and loss and gain of function models, in vivo and in vitro, to define the role of Tbx1 in CPCs. We found that Tbx1 is expressed in multipotent heart progenitors that, in clonal assays, can give rise to 3 heart lineages expressing endothelial, smooth muscle and cardiomyocyte markers. In multipotent cells, Tbx1 stimulates proliferation, explaining why Tbx1–/– embryos have reduced proliferation in the second heart field. In this population, Tbx1 is expressed while cells are undifferentiated and it disappears with the onset of muscle markers. Loss of Tbx1 results in premature differentiation, whereas gain results in reduced differentiation in vivo. We found that Tbx1 binds serum response factor, a master regulator of muscle differentiation, and negatively regulates its level.
Conclusions: The Tbx1 protein marks CPCs, supports their proliferation, and inhibits their differentiation. We propose that Tbx1 is a key regulator of CPC homeostasis as it modulates positively their proliferation and negatively their differentiation.
Key Words: cardiac progenitor cells cardiac differentiation T-box transcription factors serum response factor
| Introduction |
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Recent data have uncovered that different cell types populating the heart (eg, cardiomyocytes, endothelial cells, smooth muscle cells) may derive from a single progenitor.15–17 How the homeostasis of this population is regulated remains unknown. In this work, we sought to establish if Tbx1 is really expressed in cardiac progenitor cells and through what mechanisms it regulates the function of the SHF. Results indicate that Tbx1 is indeed expressed in multipotent cardiac progenitors, and it enhances their proliferation and inhibits their differentiation, thus ensuring the maintenance of the progenitor population. The mechanisms of cardiac progenitors homeostasis are of relevance for cardiac regeneration as they may indicate strategies to handle and expand cardiac progenitors ex vivo or from reprogrammed cells. In addition, the use of multipotent progenitors in cardiac regeneration would have the theoretical advantage of regenerating several types of damaged cells.
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| Methods |
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Gene Targeting
The allele Tbx1Egfp was generated by homologous recombination in AB2.2 mouse embryonic stem (ES) cells, as shown in Figure 1A. Briefly, an Ires-Egfp cassette was knocked into exon 5 of the Tbx1 locus, in the same site that was previously used to generate the alleles Tbx1Lacz18 and Tbx1Cre.11
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Mouse Mutants and Breeding
All the experiments involving mice were done according to a protocol reviewed and approved by the Institutional Animal Care and Use Committee of Institute of Biosciences and Technology, in compliance with the US Public Health Service Policy on Humane Care and Use of Laboratory Animals. The following mouse mutant lines have been described previously: TbxLacZ/+ (also indicated as Tbx1+/–),18 COET,19 and Mef2c-Cre.20 Mice were genotyped by polymerase chain reaction (PCR) as described in the original reports.
Tissue Culture, Flow Cytometry, Cell Sorting, and Differentiation
Tbx1Egfp/+ ES cells were cultured in undifferentiated state on
-irradiated SNL76 feeder cells. For differentiation, cells were cultured using the "hanging drop" method.21 After 2 days, the aggregates (that we refer to as embryoid bodies or EBs) were resuspended in bacteriologic Petri dishes and cultured for additional 4 to 7.5 days in suspension.
We performed flow cytometric analysis using a 2-laser instrument, FACScan (Beckton Dickinson). We carried out flow sorting of in vitro differentiated Tbx1Egfp/+ cells using a triple-laser instrument (MoFlow, Cytomation, Ft Collins, Colo). We seeded single Tbx1-Egfp+ cells from day 8.5 EBs into individual gelatin-coated wells and cultured them for 2 to 3 weeks. Clones were expanded, stocked, and some of the cells were grown and subjected to a differentiation protocol. Then we carried out immunocytofluorescence staining as indicated. Undifferentiated clones were tested by RT-PCR using the primer pairs listed in the Table.
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Quantitative expression analysis of genes during in vitro ES cell differentiation was carried out at E0, E2, E4, E6, E8.5, and E9.5.
Transfection and Cell Cycle Analysis
For cell cycle analysis, early passages clones were cultured to 80% confluence. Then cells were starved for 8 hours for synchronization and transfected with a Tbx1-expressing plasmid for 24 hours. Then, the growth media was added back for 24 hours, followed by propidium iodide staining for cell cycle analysis using flow cytometry.
C2C12 mouse myoblast cells were cultured to 70% to 80% confluence and transfected with a Tbx1-c-myc–expressing vector DNA.4 Twenty-four hours after transfection, cells were lysed, RNA was isolated for real-time PCR analysis, and proteins were extracted for Western blotting.
Coimmunoprecipitation and Western Blotting
C2C12 cells were transfected with Tbx1-c-myc cDNA plasmid and lysed in immunoprecipitation buffer. For immunoprecipitation assays, we used the ProFound Mammalian coimmunoprecipitation (Co-IP) kit (Pierce, 23605) following the instructions of the manufacturer. C2C12 cells were transfected with the Tbx1-c-myc–expressing plasmid or empty vector for 24 hours, followed by MG132 treatment for 2 hours. Then cells were cultured in fresh media for another 4 hours. Cells were trypsinized, and protein was extracted and processed for Western blotting.
Co-IP with mouse embryo material was carried out with the same procedure described above, except that nuclear extracts were derived from E9.5 wild-type (WT) or Tbx1–/– embryos. Extracts were immunoprecipitated with an anti–serum response factor (Srf) antibody or mouse IgG (controls) and revealed by Western blotting using an anti-Tbx1 antibody.
Immunofluorescence and Immunohistochemistry
For immunofluorescence, cryosections were briefly fixed, permeabilized, and then blocked. Sections were incubated with the primary antibodies, followed by fluorophore-conjugated secondary antibodies. Sections were mounted and photographed under a Zeiss LSM510 laser scanning confocal microscope.
For Immunohistochemistry, we fixed embryos and dehydrated and embedded them in paraffin for histological sections. For antigen retrieval, we boiled sections in sodium citrate buffer. After peroxidase blocking, sections were blocked and incubated with primary antibodies overnight at 4°C. Then sections were treated with biotinylated secondary antibodies at room temperature for 1 hour, followed by treatment with Vectastain Elite ABC reagent (avidin-horseradish peroxidase; Vector Laboratories). Horseradish peroxidase activity was revealed using the DAB kit (Vector laboratories). Sections were dehydrated, counterstained, mounted, and examined under a Zeiss light microscope.
| Results |
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Tbx1 Enhances the Mitotic Activity of Multipotent Cardiac Progenitors
Tbx1 loss of function in mouse embryos is associated with reduced mitotic activity in the mesoderm region that includes the SHF.4,5 Therefore, we tested whether overexpression of Tbx1 can regulate the proliferation of multipotent clones. To this end, we have transfected starved cells from Type II clones (early passages, without further differentiation) with a Tbx1-expression vector, and assayed the cell cycle using a DNA-specific dye and flow cytometry. These 2 clones expressed Tbx1 and cardiac progenitor markers but did not express differentiation markers such as Pecam1, cTnT, and SM-MHC (Figure 3A). Results showed an increased number of mitotic cells compared to cells transfected with an empty vector (Figure 3B and 3C). Consistent results were obtained in 3 repeated experiments and with 2 independent clones. Thus, Tbx1 is sufficient to promote mitotic activity in these cells. To confirm this observation in vivo, we have used a Cre-activatable Tbx1-expressing transgenic line named COET.19 We crossed the COET line with an SHF Cre driver, the Mef2c-Cre transgenic line20 and evaluated cell proliferation in the SHF, compared with controls, Tbx1+/– and Tbx1–/– E9.5 embryos, using an anti–phospho-H3 antibody, which identifies mitotic cells. Results showed a significant increase of the number of mitotic cells in Mef2c-Cre;COET embryos (Online Figure II).
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Tbx1 Negatively Regulates Differentiation in the SHF
The SHF can be defined as a reservoir of cardiac progenitors, which gradually migrate into the heart and contribute to the growth of the outflow tract (OFT) and other regions of the heart.9 Immunostaining of Tbx1 on mouse embryos at different stages (5 to 22 somites) showed overlap with the SHF marker Isl1 (Figure 4D, 4H, and 4L). However, Isl1 immunostaining appeared much more extensive than Tbx1 immunostaining, because it was clearly visible also in the myocardial layer of the OFT (Figure 4C, 4G, and 4K). In contrast, Tbx1 appeared restricted to the SHF, especially at 22 somites (Figure 4F and 4J). To confirm this finding, we costained embryos at 16 and 22 somites with anti-Tbx1 and anti–
-smooth muscle actin (
-SMA) as differentiation marker) antibodies. Results showed that there is essentially no overlap between the 2 markers at both stages (Figure 5A through 5F), confirming that Tbx1 is specific for the (undifferentiated) SHF. Because Tbx1 is only expressed in the undifferentiated domain, we postulated that this factor might also have an inhibitory effect on differentiation. To address this point, we have carried out immunohistochemistry with differentiation markers
-SMA, cardiac actin, MF20, and cTnT in Tbx1–/– embryos. Results showed that indeed the expression domain of these 2 markers was extended dorsally-posteriorly to encroach into the SHF anatomic region (Figure 5G through 5P), consistent with recently reported data.22 Next, we tested whether expansion of Tbx1 expression in the SHF could cause the opposite effect, ie, expansion of the undifferentiated domain ventrally, into the OFT proper. Thus, we have tested Mef2c-Cre;COET transgenic embryos and confirmed that the expression of the Tbx1 protein is indeed extended into the OFT and that the differentiation markers expression domains were displaced ventrally and had little or no overlap with the extended Tbx1 expression (Figure 5Q through 5Z), indicating that Tbx1 regulates negatively muscle cell differentiation in the SHF. Mef2c-Cre;COET mutants at E18.5 also showed developmental defects of the segment of the heart derived from the SHF. Indeed these embryos exhibited a small right ventricle and OFT defects such as ventricular septal defects, double outlet right ventricle, or truncus arteriosus (in 4 mutants analyzed, Online Figure III).
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Tbx1 Regulates the Level of the Srf Protein
Because
-SMA and cardiac actin are targets of the serum response factor (Srf), a myogenic transcription factor,23,24 we tested whether the expression of Srf might also be extended posteriorly in Tbx1–/– embryos. Immunohistochemistry results showed that this is indeed the case (Figure 6A and 6B). Conversely, in the Tbx1 gain of function mutant Mef2c-Cre;COET, Srf expression receded ventrally (Figure 6C and 6D), similarly to the expression of differentiation markers. These data suggest that Tbx1 functions upstream of the muscle differentiation transcription program. To gain further insight into the effect of Tbx1 on muscle differentiation, we carried out cell culture experiments using the myoblast cell line C2C12. Indeed, transfection of a Tbx1 expression vector into these cells reduced the Srf protein level in a dosage-dependent fashion (Figure 6E). In contrast, Srf mRNA level was not affected by Tbx1 expression (Figure 6F), indicating that the reduced level of the protein is not attributable to transcriptional regulation of the Srf gene. Similarly, in situ hybridization on Tbx1 gain and loss of function embryos at E9.5 could not reveal any significant change of Srf RNA expression in the SHF or other tissues (Online Figure IV), thus confirming that Tbx1 does not regulate, directly or indirectly, Srf gene expression. Therefore, we tested whether Tbx1 and Srf proteins may interact. Co-IP experiments in Tbx1-transfected C2C12 cells demonstrated that indeed the 2 proteins coimmunoprecipitate, suggesting that they form a complex (data not shown). To confirm this observation in vivo, we carried out Co-IP of the endogenous proteins from tissues of WT and Tbx1–/– (negative control) embryos at E9.5. Nuclear extracts from embryo tissues were immunoprecipitated using an anti-Srf antibody and revealed using an anti-Tbx1 antibody. Results clearly showed that Tbx1 and Srf are coimmunoprecipitated (Figure 6G). A possible consequence of this interaction might be reduced stability of the proteins. Therefore, we transfected Tbx1 into C2C12 cells with or without treatment with the proteasome inhibitor MG132.25 Results showed that in the presence of MG132, Tbx1 was unable to reduce the level of the Srf protein (Figure 6H), suggesting that the negative regulation of Srf by Tbx1 may be attributable to higher rate of proteasome-mediated degradation.
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| Discussion |
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Furthermore, we show that Tbx1 identifies 3-potent heart progenitors, suggesting that such cells are present in the SHF (Figure 7A). This is consistent with the identification of common progenitors of at least some of the different cell types populating the heart.15–17,34 Our data indicate that Tbx1, at least in the SHF population of heart progenitors, regulates the balance between proliferation and differentiation (Figure 7B).
Finally, our data raise the question of whether the function of Tbx1 that we have identified in cardiac progenitors may also apply to other tissues where Tbx1 is expressed. Indeed, Tbx1 loss of function in mice, and, to a lesser extent, TBX1 haploinsufficiency in DiGeorge syndrome patients, is associated with hypoplasia or aplasia of several organs and tissues. Thus, it is tempting to speculate that dysregulation of the balance between proliferation and differentiation of different types of progenitor cells or stem cells may be a basic pathogenetic mechanism for the loss of function phenotype.
| Acknowledgments |
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Sources of Funding
This study was funded by the NIH grant HL064832 and by the EU AnEUploidy and CardioGeNet programs, and a grant from the Italian Telethon Foundation (to A.B.).
Disclosures
None.
| Footnotes |
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