and Miguel Torres Laura Carramolino, Joana Fuentes, Clara García ...

and Miguel Torres Laura Carramolino, Joana Fuentes, Clara García ... and Miguel Torres Laura Carramolino, Joana Fuentes, Clara García ...

circres.ahajournals.org
from circres.ahajournals.org More from this publisher
18.04.2013 Views

Platelets Play an Essential Role in Separating the Blood and Lymphatic Vasculatures During Embryonic Angiogenesis Laura Carramolino, Joana Fuentes, Clara García-Andrés, Valeria Azcoitia, Dieter Riethmacher and Miguel Torres Circ Res. 2010;106:1197-1201; originally published online March 4, 2010; doi: 10.1161/CIRCRESAHA.110.218073 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 2010 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7330. Online ISSN: 1524-4571 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://circres.ahajournals.org/content/106/7/1197 Data Supplement (unedited) at: http://circres.ahajournals.org/content/suppl/2010/03/04/CIRCRESAHA.110.218073.DC1.html Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Circulation Research can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. Further information about this process is available in the Permissions and Rights Question and Answer document. Reprints: Information about reprints can be found online at: http://www.lww.com/reprints Subscriptions: Information about subscribing to Circulation Research is online at: http://circres.ahajournals.org//subscriptions/ Downloaded from http://circres.ahajournals.org/ by guest on April 17, 2013

Platelets Play an Essential Role in Separating the Blood <strong>and</strong> Lymphatic Vasculatures<br />

During Embryonic Angiogenesis<br />

<strong>Laura</strong> <strong>Carramolino</strong>, <strong>Joana</strong> <strong>Fuentes</strong>, <strong>Clara</strong> <strong>García</strong>-Andrés, Valeria Azcoitia, Dieter Riethmacher<br />

<strong>and</strong> <strong>Miguel</strong> <strong>Torres</strong><br />

Circ Res. 2010;106:1197-1201; originally published online March 4, 2010;<br />

doi: 10.1161/CIRCRESAHA.110.218073<br />

Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231<br />

Copyright © 2010 American Heart Association, Inc. All rights reserved.<br />

Print ISSN: 0009-7330. Online ISSN: 1524-4571<br />

The online version of this article, along with updated information <strong>and</strong> services, is located on the<br />

World Wide Web at:<br />

http://circres.ahajournals.org/content/106/7/1197<br />

Data Supplement (unedited) at:<br />

http://circres.ahajournals.org/content/suppl/2010/03/04/CIRCRESAHA.110.218073.DC1.html<br />

Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published<br />

in Circulation Research can be obtained via RightsLink, a service of the Copyright Clearance Center, not the<br />

Editorial Office. Once the online version of the published article for which permission is being requested is<br />

located, click Request Permissions in the middle column of the Web page under Services. Further information<br />

about this process is available in the Permissions <strong>and</strong> Rights Question <strong>and</strong> Answer document.<br />

Reprints: Information about reprints can be found online at:<br />

http://www.lww.com/reprints<br />

Subscriptions: Information about subscribing to Circulation Research is online at:<br />

http://circres.ahajournals.org//subscriptions/<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013


Brief UltraRapid Communication<br />

Platelets Play an Essential Role in Separating the Blood <strong>and</strong><br />

Lymphatic Vasculatures During Embryonic Angiogenesis<br />

<strong>Laura</strong> <strong>Carramolino</strong>, <strong>Joana</strong> <strong>Fuentes</strong>, <strong>Clara</strong> <strong>García</strong>-Andrés, Valeria Azcoitia,<br />

Dieter Riethmacher, <strong>Miguel</strong> <strong>Torres</strong><br />

Rationale: Several mutations that impair the development of blood lineages in the mouse also impair the formation<br />

of the lymphatic vasculature <strong>and</strong> its separation from the blood vasculature. However, the basis for these defects<br />

has remained unknown because the mutations characterized affect more than one blood lineage.<br />

Objective: We tested the hypothesis that megakaryocytes/platelets are required for the formation of the lymphatic<br />

vasculature <strong>and</strong> its separation from the blood vascular system.<br />

Methods <strong>and</strong> Results: We characterized the vascular patterning defects of mice deficient for the homeodomain<br />

transcription factor Meis1 (myeloid ecotropic viral integration site 1), which completely lack megakaryocyte/<br />

platelets. Meis1 null embryos fail to separate the blood <strong>and</strong> lymphatic vasculature, showing blood-filled<br />

primary lymphatic sacs <strong>and</strong> superficial lymphatic vessels. To test the involvement of megakaryocytes/platelets<br />

in this phenotype, we generated megakaryocyte/platelet-specific deficient mice by targeted lineage<br />

ablation, without affecting other blood lineages. This model reproduces the lymphatic/blood vasculature<br />

separation defects observed in Meis1 mutants. A similar phenotype was induced by antibody-mediated<br />

ablation of circulating platelets in wild type mice. Strong association of platelets with vascular endothelium<br />

at regions of contact between lymphatic sacs <strong>and</strong> veins confirmed a direct role of platelets in the separation<br />

of the 2 vasculatures.<br />

Conclusions: In addition to their known protective function in the response accidental vascular injury, platelets are<br />

also required during embryonic lymphangiogenesis for the separation of the nascent lymphatic vasculature from<br />

blood vessels. (Circ Res. 2010;106:1197-1201.)<br />

Key Words: megakaryocytes platelets lymphatics Meis1 angiogenesis lymphangiogenesis<br />

The mammalian lymphatic vasculature develops at<br />

midgestation from lymphendothelial precursors produced<br />

from embryonic veins. 1 Endothelial cells in different<br />

regions of the cardinal veins start to express the lymphatic<br />

endothelial cell master gene Prox1 at embryonic development<br />

day (E)10.5. 2 This activates expression of lymphaticspecific<br />

molecules <strong>and</strong> the formation of lymphatic sacs<br />

from the vein-derived lymphendothelial precursors, stimulated<br />

by vascular endothelial growth factor-C/vascular<br />

endothelial growth factor receptor 3. 3,4 The mature postnatal<br />

lymphatic vasculature is completely independent of<br />

the blood vascular system, except for the connections of<br />

the thoracic <strong>and</strong> right ducts with the subclavian veins,<br />

through which lymph drains into the blood circulation. At<br />

these junctions, specialized valves prevent blood reflux<br />

into the lymphatic vessels. 5 However, during development,<br />

connections between the venous system <strong>and</strong> the forming<br />

lymphatic vasculature lack valves <strong>and</strong> therefore additional<br />

mechanisms must ensure their separation. Mutations in Syk<br />

<strong>and</strong> Slp-76 6,7 <strong>and</strong> Runx1, 1 all affecting the development of<br />

blood lineages, block separation of the blood <strong>and</strong> lymphatic<br />

vasculature; however, the nature of the cell lineages<br />

involved <strong>and</strong> the mechanisms by which they control<br />

blood/lymphatic vessel separation remains unclear, because<br />

all mutations studied affect more than one blood<br />

lineage. Meis1 (myeloid ecotropic viral integration site 1)<br />

encodes a homeodomain transcription factor important for<br />

definitive hematopoietic stem cell development in the<br />

Original received January 29, 2010; revision received February 15, 2010; accepted February 22, 2010.<br />

From the Departamento de Biología del Desarrollo Cardiovascular (L.C., J.F., C.G.-A., V.A., M.T.), Centro Nacional de Investigaciones<br />

Cardiovasculares, Instituto de Salud Carlos III, Madrid, Spain; <strong>and</strong> Division of Human Genetics (D.R.), School of Medicine, University of Southampton,<br />

United Kingdom.<br />

Brief UltraRapid Communications are designed to be a format for manuscripts that are of outst<strong>and</strong>ing interest to the readership, report definitive<br />

observations, but have a relatively narrow scope. Less comprehensive than Regular Articles but still scientifically rigorous, BURCs present seminal<br />

findings that have the potential to open up new avenues of research. A decision on BURCs is rendered within 7 days of submission.<br />

Correspondence to <strong>Miguel</strong> <strong>Torres</strong>, Centro Nacional de Investigaciones Cardiovasculares, Instituto de Salud Carlos III, 3, Melchor Fernández Almagro,<br />

28029 Madrid, Spain. E-mail mtorres@cnic.es<br />

© 2010 American Heart Association, Inc.<br />

Circulation Research is available at http://circres.ahajournals.org DOI: 10.1161/CIRCRESAHA.110.218073<br />

Downloaded from<br />

http://circres.ahajournals.org/ 1197 by guest on April 17, 2013


1198 Circulation Research April 16, 2010<br />

Non-st<strong>and</strong>ard Abbreviations <strong>and</strong> Acronyms<br />

E embryonic day<br />

Meis1 myeloid ecotropic viral integration site 1<br />

PF4 platelet factor 4<br />

embryo <strong>and</strong> essential for megakaryocyte lineage development.<br />

8 Here, through characterization of Meis1-deficient<br />

mice <strong>and</strong> targeted ablation of megakaryocytes/platelets, we<br />

demonstrate an essential role for platelets in the separation<br />

of the blood <strong>and</strong> lymphatic vasculature.<br />

Methods<br />

Immunohistochemistry <strong>and</strong> immunofluorescence were performed<br />

as previously described. 8 Primary antibodies were as follows:<br />

anti-CD31 (553370) <strong>and</strong> anti-CD41 (553847) (BD Biosciences-<br />

Pharmingen); anti-CD61 (NB100–79980CC, Novus Biologicals);<br />

anti–Lyve-1 (103-PA50S ReliaTech); <strong>and</strong> anti-Meis1. 8 Secondary<br />

antibodies were as follows: biotinylated goat antirat (Ab7096,<br />

Abcam) <strong>and</strong> goat anti-rabbit biotin (111-066-003, Jackson Immunoresearch),<br />

followed by Streptavidin-Alexa 488 (s-11223, Invitrogen)<br />

or -Cy3 (016-160-084, Jackson Immunoresearch). For<br />

immunohistochemistry, we used Vectastain ABC (Vector Laboratories)<br />

with alkaline phosphatase (AK-5000) <strong>and</strong> developed<br />

with FastRed (11496549001, Roche Diagnostic).<br />

Whole mount in situ hybridization was performed using st<strong>and</strong>ard<br />

procedures. Riboprobes were obtained by SP6 polymerase transcription<br />

from cDNA PCR-amplified fragments.<br />

Meis1 mutant mice 8 were backcrossed to C57BL/6J mice<br />

for more than 20 generations. Platelet factor (PF)4-Cre 9 <strong>and</strong><br />

R26:lacZbpAfloxDTA 10 were backcrossed to the C57BL/6J background<br />

for more than 10 generations.<br />

To transiently deplete platelets during gestation, pregnant<br />

C57BL/6J females received IP injections twice, at E11.5 postcoitum<br />

<strong>and</strong> 9 hours later, with 125 g (100 L) of rabbit anti-mouse<br />

thrombocyte antibody (AIA31440 Accurate Chemical).<br />

Animals were housed in accordance with Spanish bioethical<br />

regulations for laboratory animals.<br />

Results <strong>and</strong> Discussion<br />

Meis1-deficient embryos accumulate blood at ectopic foci,<br />

resulting eventually in generalized edema with internal<br />

hemorrhage. 8 The distribution of ectopic blood foci<br />

matches the pattern of nascent lymphatic vessels at E12.5<br />

<strong>and</strong> E13.5 (Figure 1a through 1d), 1 <strong>and</strong> analysis of endothelial<br />

<strong>and</strong> lymphendothelial markers identified the ectopic<br />

blood foci as the recently formed lymphatic sacs, which<br />

were filled with erythrocytes (Figure 1e through 1g <strong>and</strong> 1i<br />

through 1k). Meis1 is not expressed in blood vascular<br />

endothelial cells 8 or lymphatic endothelium (Figure 1h <strong>and</strong><br />

1i), suggesting a nonautonomous involvement of nonvascular<br />

cells. We therefore explored the involvement of<br />

Meis1 blood lineage defects in this phenotype. At the stage<br />

when the first lymphatic defects are observed in Meis1<br />

mutant embryos the only blood cells severely affected are<br />

the megakaryocytes. 8 Expression of the megakaryocytespecific<br />

marker cxcl7 is first detected in WT embryos at<br />

E9.5, in cells distributed throughout the embryo, but not in<br />

the yolk sac (Figure 2a). From E10.5, the yolk sac <strong>and</strong> the<br />

Figure 1. Meis1 plays a nonautonomous role in the separation<br />

of the lymphatic <strong>and</strong> blood vasculatures. a through<br />

d, Ectopic blood foci (arrowheads) are visible in Meis1deficient<br />

fetuses in the region of primary lymphatic sac formation<br />

at E12.5 <strong>and</strong> E13.5. e through g <strong>and</strong> i through k,<br />

Immunofluorescent <strong>and</strong> immunohistochemical detection of<br />

Lyve-1, PECAM, <strong>and</strong> DAPI identifies these ectopic blood foci<br />

as the primary lymphatic sacs. Asterisks mark the lumen of<br />

lymphatic sacs. The jugular lymphatic sac of Meis1-deficient<br />

specimens (i through k), but not WT (e through g), is filled<br />

with primitive erythrocytes (note the highly condensed nuclei<br />

of primitive erythrocytes). h <strong>and</strong> i, Meis1 (red) is not<br />

expressed in WT lymphatic endothelial cells (Lyve-1) (green,<br />

arrowhead).<br />

incipient liver primordium show colonization by cxcl7expressing<br />

cells, which intensifies by E11.5 <strong>and</strong> is accompanied<br />

by expression of cxcl4 (Figure 2b through 2d).<br />

Circulating platelets are detected from E10.5, coinciding<br />

with megakaryocyte liver colonization. 11 By E12.5<br />

megakaryocytes in WT liver have increased considerably<br />

in size <strong>and</strong> intensity of marker expression, including the<br />

platelet antigen CD41 (Figure 2e). In contrast, Meis1deficient<br />

embryos lack cells expressing megakaryocyte<br />

markers at all stages analyzed (Figure 2f through 2j).<br />

Although these results suggest involvement of<br />

megakaryocytes/platelets in the separation of the lymphatic<br />

<strong>and</strong> blood vasculatures, they are not definitive<br />

because Meis1 mutants also show defective generation of<br />

hematopoietic stem cells. 8 We therefore generated<br />

megakaryocyte-deficient mice by targeted ablation of this<br />

lineage, using the Rosa26R-LacZbpa-DTA mouse line,<br />

which conditionally expresses the diphtheria toxin from<br />

the Rosa26 locus upon Cre recombination. 10 The inducer<br />

strain was the PF4-Cre line, which specifically expresses<br />

Cre recombinase in the megakaryocyte lineage (Figure<br />

3a). 9 Early megakaryocyte development in the DTA model<br />

appeared normal up to E11.5 (data not shown), but E12.5<br />

embryos showed strongly reduced megakaryocyte marker<br />

expression (Figure 3d <strong>and</strong> 3g). Megakaryocyte lineage<br />

deletion takes place later in the DTA model than in<br />

Meis1-deficient mice (Figure 3c <strong>and</strong> 3f). Megakaryocytedeficient<br />

mice reproduced the blood-filled lymphatic sacs<br />

seen in Meis1-deficient mice at E13.5 (Figure 3h, 3i, 3l,<br />

<strong>and</strong> 3p). However, unlike Meis1-deficient embryos,<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013


megakaryocyte-depleted fetuses survive to E15.5 <strong>and</strong> do<br />

not show liver hypoplasia (Figure 3h through 3k; Figure 1b<br />

<strong>and</strong> 1d). Blood-filled peripheral lymphatic vessels are still<br />

evident at these later stages (Figure 3i through 3k, 3m<br />

through 3o, <strong>and</strong> 3q through 3s).<br />

To test whether platelets were involved in the observed<br />

defects, we injected pregnant females twice, at 11.5 <strong>and</strong> 12<br />

days postcoitum, with anti-thrombocyte antibody. Treated<br />

fetuses examined at E12.5 showed ectopic blood foci<br />

similar to those observed in Meis1-null <strong>and</strong> PF4-deleted<br />

embryos (Figure 4a through 4c; N6/8), <strong>and</strong> histological<br />

analysis confirmed correspondence of these foci to the<br />

nascent lymphatic sacs (Figure 4d through 4g). Consistently,<br />

circulating platelets, which are abundant in untreated<br />

E12.5 WT embryos, were undetectable in Meis1null<br />

<strong>and</strong> PF4-deleted embryos (Figure 4h through 4m).<br />

<strong>Carramolino</strong> et al Platelets Separate Blood <strong>and</strong> Lymphatic Vasculature 1199<br />

Figure 2. Megakaryocyte<br />

development is abrogated in<br />

Meis1 mutants. Whole mount<br />

in situ hybridization detection<br />

of cxcl7 (pro-platelet basic protein)<br />

(a through c; f through<br />

h) <strong>and</strong> cxcl4 (PF4) (d <strong>and</strong> i) in<br />

WT (a through d) <strong>and</strong> Meis1deficient<br />

embryos (f through i).<br />

The presence of positive cells<br />

in peripheral tissues of WT<br />

embryos is evident from E9.5<br />

(see high-magnification in inset<br />

in a) <strong>and</strong> in the liver from<br />

E10.5 (b through d). Expression<br />

is abolished in Meis1deficient<br />

embryos (f through i).<br />

Arrowheads mark the liver primordium.<br />

e <strong>and</strong> j, Immunofluorescent<br />

detection of CD41 (red) in sections of WT (e) <strong>and</strong> Meis1-deficient E12.5 livers (j). YS indicates yolk sac.<br />

CD41 staining of anti-platelet–treated embryos confirmed<br />

that the megakaryocyte cell population was unaffected<br />

(Figure 4o), but that circulating platelets were agglutinated<br />

in large aggregates. Analysis of the junctions between<br />

primary lymphatic sacs <strong>and</strong> cardinal veins detected platelets<br />

adhering specifically to the lymphatic <strong>and</strong> venous<br />

endothelia at the sites where the 2 vasculatures meet<br />

(Figure 4r, 4s, <strong>and</strong> 4u), but not to endothelia outside this<br />

region (Figure 4r, 4h, <strong>and</strong> 4i).<br />

These results demonstrate a morphogenetic role for<br />

platelets during the process that separates the blood <strong>and</strong><br />

lymphatic vasculatures. Adhesion of platelets to the vascular<br />

wall suggests that they are activated by contact with<br />

the endothelium at the lymphatic/venous interface. Platelets<br />

are not components of lymph <strong>and</strong> therefore might be<br />

activated on contact with lymphendothelial-specific sur-<br />

Figure 3. Targeted ablation of the megakaryocyte lineage disrupts the separation of the lymphatic <strong>and</strong> blood vasculatures.<br />

a, Genetic strategy used to delete the megakaryocyte lineage. b through g, Immunohistochemical detection of CD41 <strong>and</strong> CD61<br />

expression in E12.5 livers of WT, Meis1-deficient (Meis1KO), <strong>and</strong> PF4-Cre; Rosa26R-LacZbpa-DTA mice. h through k, Ectopic<br />

blood foci (arrowheads) are evident in PF4-Cre; Rosa26R-LacZbpa-DTA specimens at E13.5, whereas littermates (h) are normal.<br />

At E14.5 <strong>and</strong> E15.5, blood-filled vasculature reveals the typical arrangement of peripheral lymphatic vessels (i through k). Ectopic<br />

blood is found in the primary jugular lymphatic sacs of E12.5 PF4-Cre; Rosa26R-LacZbpa-DTA fetuses (p <strong>and</strong> l). At E13.5,<br />

ectopic blood is found in the subcutaneous lymphatic vessels of Meis1-deficient fetuses (n <strong>and</strong> r) <strong>and</strong> PF4-Cre; Rosa26R-<br />

LacZbpa-DTA fetuses (o <strong>and</strong> s) but not WT fetuses (m <strong>and</strong> q). Asterisks mark the lumen of lymphatic sacs <strong>and</strong> vessels.<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013


1200 Circulation Research April 16, 2010<br />

face molecules, thus preventing connections between the<br />

lymphatic <strong>and</strong> venous vasculatures by forming a structural<br />

barrier. This model is strongly supported by evidence that<br />

platelets are activated by contact with the lymphendothelial<br />

molecule podoplanin <strong>and</strong> by the occurrence of blood–<br />

lymphatic separation defects in podoplanin-deficient<br />

mice, 12 although additional local signaling roles of platelets<br />

cannot be discarded. We suggest that the known<br />

involvement of Syk <strong>and</strong> Slp-76 in platelet activation 13 <strong>and</strong><br />

the defective megakaryocyte differentiation in Runx1 mutants<br />

14 contribute to the blood/lymphatics separation defects<br />

in these mutants. These results indicate that platelets,<br />

in addition to their role in repairing accidental vascular<br />

injuries, play a morphogenetic role during angiogenesis<br />

that allows the proper separation of blood <strong>and</strong> lymphatic<br />

circulation.<br />

Acknowledgments<br />

We thank Radek Skoda (Basel) for the PF4-Cre mice; Tamara<br />

Córdoba <strong>and</strong> Virginia <strong>García</strong> for mouse care; Silvia Vela for<br />

mouse genotyping; Roisin Doohan for histology; José Manuel<br />

Ligos, Mariano Vitón, <strong>and</strong> Raquel Nieto for FACS; <strong>and</strong> Simon<br />

Bartlett for text editing.<br />

Sources of Funding<br />

The Centro Nacional de Investigaciones Cardiovasculares is<br />

supported by the Spanish Ministry of Science <strong>and</strong> Innovation<br />

<strong>and</strong> the Pro-CNIC Foundation. This work was supported by<br />

Spanish Ministry of Science <strong>and</strong> Innovation (RD06/0010/0008<br />

<strong>and</strong> BFU2009-08331/BMC) <strong>and</strong> the EU COST program<br />

(COST-BM0805).<br />

None.<br />

Disclosures<br />

Figure 4. Platelets are required for the<br />

separation of the lymphatic <strong>and</strong> blood<br />

vasculatures. a through c, Ectopic blood<br />

foci (arrowheads) in the primary lymphatic<br />

sacs of E12.5 fetuses after anti-Platelet<br />

treatment. d through g, Immunohistochemical<br />

detection of Lyve-1 <strong>and</strong> DAPI staining<br />

confirms ectopic blood in lymphatic sacs of<br />

anti-platelet–treated fetuses. h through m,<br />

Immunohistochemical detection of CD41 in<br />

large vessels of E12.5 fetuses shows abundant<br />

platelets in the circulation of WT specimens<br />

(h <strong>and</strong> i) <strong>and</strong> their absence in Meis1deficient<br />

specimens (j <strong>and</strong> k) <strong>and</strong> PF4-Cre;<br />

Rosa26R-LacZbpa-DTA specimens (l <strong>and</strong><br />

m). o <strong>and</strong> p, CD41 staining in E12.5 antiplatelet–treated<br />

fetuses demonstrates preservation<br />

of the liver megakaryocyte population<br />

(o) <strong>and</strong> aggregation of circulating<br />

platelets (p). q through s, Immunofluorescence<br />

detection of PECAM, Lyve-1, <strong>and</strong><br />

CD41 identifies association between platelets<br />

(arrowheads) <strong>and</strong> regions of contact<br />

between the lymphatic <strong>and</strong> venous endothelia.<br />

CV indicates cardinal vein; LS, lymphatic<br />

sac. s shows a high-magnification view;<br />

arrowheads mark platelets. t through v,<br />

CD41 <strong>and</strong> DAPI staining at the venous–lymphatic<br />

junction indicates that the CD41 signal<br />

corresponds to platelets (arrowheads)<br />

<strong>and</strong> not to nucleated CD41-expressing cells.<br />

References<br />

1. Srinivasan RS, Dillard ME, Lagutin OV, Lin FJ, Tsai S, Tsai MJ,<br />

Samokhvalov IM, Oliver G. Lineage tracing demonstrates the venous<br />

origin of the mammalian lymphatic vasculature. Genes Dev. 2007;21:<br />

2422–2432.<br />

2. Wigle JT, Oliver G. Prox1 function is required for the development of the<br />

murine lymphatic system. Cell. 1999;98:769–778.<br />

3. Karkkainen MJ, Haiko P, Sainio K, Partanen J, Taipale J, Petrova TV,<br />

Jeltsch M, Jackson DG, Talikka M, Rauvala H, Betsholtz C, Alitalo K.<br />

Vascular endothelial growth factor C is required for sprouting of the<br />

first lymphatic vessels from embryonic veins. Nat Immunol. 2004;5:<br />

74–80.<br />

4. Wigle JT, Harvey N, Detmar M, Lagutina I, Grosveld G, Gunn MD,<br />

Jackson DG, Oliver G. An essential role for Prox1 in the induction of<br />

the lymphatic endothelial cell phenotype. EMBO J. 2002;21:<br />

1505–1513.<br />

5. Oliver G. Lymphatic vasculature development. Nat Rev. 2004;4:35–45.<br />

6. Abtahian F, Guerriero A, Sebzda E, Lu MM, Zhou R, Mocsai A, Myers<br />

EE, Huang B, Jackson DG, Ferrari VA, Tybulewicz V, Lowell CA,<br />

Lepore JJ, Koretzky GA, Kahn ML. Regulation of blood <strong>and</strong> lymphatic<br />

vascular separation by signaling proteins SLP-76 <strong>and</strong> Syk. Science. 2003;<br />

299:247–251.<br />

7. Sebzda E, Hibbard C, Sweeney S, Abtahian F, Bezman N, Clemens G,<br />

Maltzman JS, Cheng L, Liu F, Turner M, Tybulewicz V, Koretzky GA,<br />

Kahn ML. Syk <strong>and</strong> Slp-76 mutant mice reveal a cell-autonomous hematopoietic<br />

cell contribution to vascular development. Dev Cell. 2006;11:<br />

349–361.<br />

8. Azcoitia V, Aracil M, Martinez AC, <strong>Torres</strong> M. The homeodomain protein<br />

Meis1 is essential for definitive hematopoiesis <strong>and</strong> vascular patterning in<br />

the mouse embryo. Dev Biol. 2005;280:307–320.<br />

9. Tiedt R, Schomber T, Hao-Shen H, Skoda RC. Pf4-Cre transgenic mice<br />

allow the generation of lineage-restricted gene knockouts for studying<br />

megakaryocyte <strong>and</strong> platelet function in vivo. Blood. 2007;109:<br />

1503–1506.<br />

10. Brockschnieder D, Pechmann Y, Sonnenberg-Riethmacher E, Riethmacher<br />

D. An improved mouse line for Cre-induced cell ablation due to<br />

diphtheria toxin A, expressed from the Rosa26 locus. Genesis. 2006;44:<br />

322–327.<br />

11. Tober J, Koniski A, McGrath KE, Vemishetti R, Emerson R, de<br />

Mesy-Bentley KK, Waugh R, Palis J. The megakaryocyte lineage<br />

originates from hemangioblast precursors <strong>and</strong> is an integral com-<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013


ponent both of primitive <strong>and</strong> of definitive hematopoiesis. Blood.<br />

2007;109:1433–1441.<br />

12. Uhrin P, Zaujec J, Breuss JM, Olcaydu D, Chrenek P, Stockinger H,<br />

Fuertbauer E, Moser M, Haiko P, Fassler R, Alitalo K, Binder BR,<br />

Kerjaschki D. Novel function for blood platelets <strong>and</strong> podoplanin in<br />

developmental separation of blood <strong>and</strong> lymphatic circulation. Blood.<br />

January 2010; doi: 10.1182/blood-2009-04-216069.<br />

What Is Known?<br />

● The lymphatic vasculature emerges during mammalian embryonic<br />

development from preexisting blood vessels through a centripetal<br />

sprouting process.<br />

● The separation of the blood <strong>and</strong> lymphatic circulations is linked to the<br />

differentiation of the blood lineages, but until now, it was unknown<br />

which lineage controls blood/lymphatic vessel separation.<br />

What New Information Does This Article Contribute?<br />

● Using 3 independent methods to eliminate the megakaryocyte/platelet<br />

lineage in mice, we show that platelets are required for the<br />

separation of the blood <strong>and</strong> lymphatic vasculatures.<br />

● This novel action of platelets involves their specific activation <strong>and</strong><br />

adhesion with the endothelium at the junctions between blood <strong>and</strong><br />

lymphatic vasculatures.<br />

<strong>Carramolino</strong> et al Platelets Separate Blood <strong>and</strong> Lymphatic Vasculature 1201<br />

Novelty <strong>and</strong> Significance<br />

13. Samaha FF, Kahn ML. Novel platelet <strong>and</strong> vascular roles for immunoreceptor<br />

signaling. Arterioscler Thromb Vasc Biol. 2006;26:<br />

2588–2593.<br />

14. Ichikawa M, Asai T, Saito T, Seo S, Yamazaki I, Yamagata T, Mitani K, Chiba<br />

S, Ogawa S, Kurokawa M, Hirai H. AML-1 is required for megakaryocytic<br />

maturation <strong>and</strong> lymphocytic differentiation, but not for maintenance of hematopoietic<br />

stem cells in adult hematopoiesis. Nat Med. 2004;10:299–304.<br />

● These findings identify a previously unknown morphogenetic role for<br />

platelets <strong>and</strong> hint at a general role in vascular morphogenesis <strong>and</strong><br />

remodeling<br />

Separation of the blood <strong>and</strong> lymphatic vasculatures is disrupted<br />

by mutations that affect blood lineage differentiation, but the<br />

specific lineages <strong>and</strong> mechanisms involved were unknown. We<br />

show that specific elimination of the megakaryocyte/platelet<br />

lineage results in blood-filled lymphatic vessels, indicating a<br />

failure to separate the blood <strong>and</strong> lymphatic circulations. Adhesion<br />

of platelets at the junctions between blood <strong>and</strong> lymphatic<br />

vasculatures indicates that local activation of platelets is involved<br />

in this process. These results identify a previously<br />

unknown morphogenetic role for platelets during lymphangiogenesis<br />

<strong>and</strong> suggest a general role of platelets in vascular<br />

morphogenesis <strong>and</strong> remodelling potentially relevant in vascular<br />

disease.<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013


Methods<br />

Antibody staining<br />

Staged mouse embryos were washed with PBS <strong>and</strong> fixed in 4% PFA overnight.<br />

Embryos were paraffin embedded or cryopreserved in OCT or sucrose-gelatin mix.<br />

Primary antibodies used were rat-anti mouse CD31 (553370) <strong>and</strong> CD41 (553847) (BD<br />

Biosciences-Pharmingen); rabbit anti human CD61 (NB100-79980CC, Novus<br />

Biologicals, Littleton, CO); rabbit anti mouse Lyve1 (103-PA50S ReliaTech,<br />

Wolfenbüttel, Germany). Rabbit anti-mouse Meis1 was generated in house 1 .<br />

Secondary antibodies were biotinylated goat anti-rat (Ab7096, Abcam, Cambridge, UK)<br />

<strong>and</strong> goat anti rabbit biotin (111-066-003. Jackson Immunoresearch) followed by<br />

Streptavidin-Alexa 488 (s-11223, invitrogene) or -Cy3 (016-160-084, Jackson<br />

Immunoresearch). For immunohistochemistry we used the Vectastain ABC detection<br />

system (Vector Laboratories) with alkaline phosphatase (AK-5000), followed by signal<br />

development with FastRed (11496549001. Roche Diagnosticc GmbH, Manheim,<br />

Germany)<br />

Whole-mount in situ hybridization<br />

Whole mount in situ hybridyzation was carried out manually as described 2 or in an<br />

Insitu Pro VS robot (Intavis AG Bioanalytical Instruments, Köln, Germany). In both<br />

cases riboprobe was obtained by SP6 polymerase replication of a PCR fragment from<br />

E12.5 liver cDNA. Oligonucleotides were as follows: PBPP (CXCL7) 1U, GCC TGC<br />

CCA CTT CAT AAC CT; PBPP 1L, ATT TAG GTG ACA CTA TAG AAG CGA AAA<br />

CTG CTT GAC TCC; Pf4 1L, AGC CCT AGA CCC ATT TCC TC; PF4.SP6 1R, ATT<br />

TAG GTG ACA CTA TAG ATA TAG GGG TGC TTG CCG.<br />

Mice<br />

Animals were housed in accordance with Spanish bioethical regulations for laboratory<br />

animals. Meis1 mutant mice 1 were maintained in heterozygosity by crossing with<br />

C57BL/6J mice (Harlan, UK). More than 20 backcrosses to the C57BL/6J background<br />

were done before analysis. Meis1-deficient <strong>and</strong> WT control embryos were generated<br />

by crossing Meis1-deficient heteroygous mice. Progeny were genotyped as described 1 .<br />

PF4-Cre 3 <strong>and</strong> R26:lacZbpAfloxDTA 4 mice were both in the C57BL/6J background for<br />

more than 10 generations. Embryos obtained from these crosses were genotyped for<br />

both genotypes with oligonucleotides described in the cited references.<br />

To transiently deplete platelets during gestation we used an in vivo antibody treatment<br />

as previously described 5 . Pregnant C57BL/6J females were injected i.p. twice with 125<br />

µgr (diluted to 100 µl in PBS) of rabbit anti-mouse thrombocyte antibody (AIA31440<br />

Accurate Chemical), at E11.5 p.c. <strong>and</strong> again nine hours later. Embryos were obtained<br />

from CO2 euthanasied females at E12.5 <strong>and</strong> fixed with 4% PFA overnight. As reported<br />

before 5 , antibody treatment induced strong depletion of platelet counts <strong>and</strong> only minor<br />

alterations in other blood cell counts.<br />

References to Methods<br />

1. Azcoitia V, Aracil M, Martinez AC, <strong>Torres</strong> M. The homeodomain protein Meis1<br />

is essential for definitive hematopoiesis <strong>and</strong> vascular patterning in the mouse<br />

embryo. Developmental biology. 2005;280:307-320.<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013


2. Wilkinson DG, Nieto MA. Detection of messenger RNA by in situ hybridization<br />

to tissue sections <strong>and</strong> whole mount. Methods Enzymol. 1993;225:361-373.<br />

3. Tiedt R, Schomber T, Hao-Shen H, Skoda RC. Pf4-Cre transgenic mice allow<br />

the generation of lineage-restricted gene knockouts for studying megakaryocyte<br />

<strong>and</strong> platelet function in vivo. Blood. 2007;109:1503-1506.<br />

4. Brockschnieder D, Pechmann Y, Sonnenberg-Riethmacher E, Riethmacher D.<br />

An improved mouse line for Cre-induced cell ablation due to diphtheria toxin A,<br />

expressed from the Rosa26 locus. Genesis. 2006;44:322-327.<br />

5. Hidalgo A, Chang J, Jang JE, Peired AJ, Chiang EY, Frenette PS. Heterotypic<br />

interactions enabled by polarized neutrophil microdomains mediate<br />

thromboinflammatory injury. Nature medicine. 2009;15:384-391.<br />

Downloaded from<br />

http://circres.ahajournals.org/ by guest on April 17, 2013

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!