292 M. Hansson et al. / Developmental Biology 330 (2009) 286–304majority <strong>of</strong> <strong>the</strong> <strong>cells</strong> were CXCR4 hi (Fig. S3A), <strong>in</strong>dicat<strong>in</strong>g that most <strong>cells</strong>, <strong>in</strong>both vehicles and activ<strong>in</strong>-treated cultures, are embryonic ra<strong>the</strong>r thanextraembryonic <strong>in</strong> nature. Fur<strong>the</strong>rmore, significant levels <strong>of</strong> Sox7 (SRYboxconta<strong>in</strong><strong>in</strong>g gene 7) transcripts, which is exclusively expressed <strong>in</strong> <strong>the</strong>extraembryonic part <strong>of</strong> <strong>the</strong> endoderm <strong>in</strong> <strong>the</strong> gastrula stage embryo(Kanai-Azuma et al., 2002), could only be detected <strong>in</strong> Wnt3a-treatedcultures but not <strong>in</strong> vehicle, BMP4-, or activ<strong>in</strong>-treated cultures (Fig. S3B).Hav<strong>in</strong>g established <strong>the</strong> embryonic nature <strong>of</strong> <strong>the</strong> <strong>ES</strong> cell progeny <strong>in</strong>our cultures we next exam<strong>in</strong>ed <strong>the</strong> expression <strong>of</strong> a number <strong>of</strong> germlayer specific markers. We <strong>in</strong>itially analyzed expression <strong>of</strong> <strong>the</strong>transcription factor gene Foxa2 and <strong>the</strong> epi<strong>the</strong>lial marker E-cadher<strong>in</strong>(E-cad; Cdh1), both <strong>of</strong> which are expressed <strong>in</strong> develop<strong>in</strong>g endoderm(Ang et al., 1993; Sasaki and Hogan, 1993). Immun<strong>of</strong>luorescentsta<strong>in</strong><strong>in</strong>g <strong>of</strong> <strong>cells</strong> grown <strong>in</strong> 3 or 100 ng/ml activ<strong>in</strong> showed that <strong>the</strong>secultures conta<strong>in</strong>ed many Foxa2 + Cdh1 + <strong>cells</strong> compared to vehicletreatedsamples (Fig. 2). Notably, addition <strong>of</strong> BMP4 (10 ng/ml) but notWnt3a (100 ng/ml) was able to drastically reduce <strong>the</strong> number <strong>of</strong>Foxa2 + Cdh1 + <strong>cells</strong> <strong>in</strong>duced by activ<strong>in</strong> (Fig. 2). Analysis <strong>of</strong> VEGFreceptor-2 (Kdr or Flk1) expression us<strong>in</strong>g Flk1-LacZ <strong>ES</strong> <strong>cells</strong> revealedthat both BMP4 (with or without 100 ng/ml activ<strong>in</strong>) and Wnt3a werecapable <strong>of</strong> <strong>in</strong>duc<strong>in</strong>g Flk1-express<strong>in</strong>g <strong>cells</strong> (Fig. 2), <strong>in</strong>dicative <strong>of</strong>mesoderm formation (Ema et al., 2006).Wnt signal<strong>in</strong>g augments <strong>the</strong> development <strong>of</strong> Sox17-express<strong>in</strong>g def<strong>in</strong>itiveendoderm <strong>in</strong>duced by activ<strong>in</strong>Based on <strong>the</strong> analysis <strong>of</strong> Foxa2 and Cdh1 expression it was not clearif <strong>the</strong> concentration <strong>of</strong> activ<strong>in</strong> used <strong>in</strong>fluenced subsequent <strong>differentiation</strong><strong>towards</strong> DE. Fur<strong>the</strong>rmore, analyses <strong>of</strong> Foxa2 and Cdh1 expressioncannot dist<strong>in</strong>guish between DE from different A–P positions. We<strong>the</strong>refore exam<strong>in</strong>ed <strong>the</strong> number <strong>of</strong> Gsc Gfp/+ <strong>cells</strong> that co-expressedGFP, Cdh1, and Sox17 by ICC as an <strong>in</strong>dicator <strong>of</strong> anterior DE (ADE), <strong>in</strong>response to vary<strong>in</strong>g doses <strong>of</strong> activ<strong>in</strong> with or without additional BMP4,Wnt3a, or Dkk1 treatment. Notably, we found that 100 ng/ml activ<strong>in</strong>resulted <strong>in</strong> higher numbers <strong>of</strong> Cdh1 + GFP + Sox17 + triple positive <strong>cells</strong>than seen with 3 ng/ml activ<strong>in</strong> (Fig. 3A, compare panels b and c),support<strong>in</strong>g that efficient formation <strong>of</strong> ADE depends on <strong>the</strong> activ<strong>in</strong>concentration (Yasunaga et al., 2005). Treatment with 3 ng/ml activ<strong>in</strong>resulted <strong>in</strong> many Cdh1 + <strong>cells</strong> but <strong>the</strong> majority <strong>of</strong> <strong>the</strong>se were not coexpress<strong>in</strong>gGFP or Sox17 and most likely represent undifferentiated <strong>ES</strong><strong>cells</strong> (see below). Most <strong>of</strong> <strong>the</strong> GFP + <strong>cells</strong> generated <strong>in</strong> response to 3 ng/ml activ<strong>in</strong> were Cdh1 − Sox17 − , suggest<strong>in</strong>g that <strong>the</strong>y may representmesoderm (Fig. 3A, panel b). Similarly, after treatment with Wnt3aalone (100 ng/ml) most GFP + <strong>cells</strong> were Cdh1 − Sox17 − (Fig. 3A, paneld). We tested if Wnt signal<strong>in</strong>g was required for <strong>the</strong> development <strong>of</strong>Fig. 4. The requirement for canonical Wnt signal<strong>in</strong>g dur<strong>in</strong>g activ<strong>in</strong>-<strong>in</strong>duced Sox17 expression is more pronounced <strong>in</strong> aggregate culture than <strong>in</strong> adherent culture, and Dkk1 <strong>in</strong>hibitsnodal-<strong>in</strong>duced Sox17 expression more than activ<strong>in</strong>-<strong>in</strong>duced Sox17 expression. (A) Nodal/activ<strong>in</strong> and Wnt signal<strong>in</strong>g <strong>in</strong>teractions were analyzed <strong>in</strong> Mixl1 Gfp/+ and Gsc Gfp/+ <strong>cells</strong> atdays 2–6 <strong>of</strong> <strong>differentiation</strong> us<strong>in</strong>g flow cytometry. (B) Gsc Gfp/+ <strong>cells</strong> cultured <strong>in</strong> <strong>the</strong> presence <strong>of</strong> Dkk1 prior to and dur<strong>in</strong>g activ<strong>in</strong> <strong>in</strong>duction were analyzed by flow cytometry. (C) Gsc Gfp/+<strong>cells</strong> were <strong>in</strong>duced to form embryoid bodies <strong>in</strong> <strong>the</strong> presence <strong>of</strong> <strong>the</strong> <strong>in</strong>dicated growth factors and analyzed for GFP expression by flow cytometry after 5 days <strong>of</strong> culture. (D) Sox17 Gfp/+<strong>cells</strong> cultured for 5 days were analyzed for GFP expression by flow cytometry. The mean % GFP + <strong>cells</strong> ±S.E.M. <strong>of</strong> three <strong>in</strong>dependent experiments is presented. (E) Sox17 Gfp/+ <strong>cells</strong>cultured for 2–7 days <strong>in</strong> <strong>the</strong> presence <strong>of</strong> activ<strong>in</strong> (30 or 100 ng/ml) were analyzed for GFP expression by flow cytometry at <strong>the</strong> <strong>in</strong>dicated time po<strong>in</strong>ts. (F) Sox17 Gfp/+ <strong>cells</strong> were <strong>in</strong>duced t<strong>of</strong>orm embryoid bodies <strong>in</strong> <strong>the</strong> presence <strong>of</strong> <strong>the</strong> <strong>in</strong>dicated growth factors and analyzed for GFP expression by flow cytometry after 5 days <strong>of</strong> culture. The mean % GFP + <strong>cells</strong> ±standarddeviation <strong>of</strong> three <strong>in</strong>dependent experiments is presented for all flow cytometric analyses unless o<strong>the</strong>rwise noted.
M. Hansson et al. / Developmental Biology 330 (2009) 286–304293Cdh1 + GFP + Sox17 + triple positive <strong>cells</strong> <strong>in</strong> response to activ<strong>in</strong> andfound that such <strong>cells</strong> were still generated efficiently <strong>in</strong> response to100 ng/ml activ<strong>in</strong> if Dkk1 was <strong>in</strong>cluded (Fig. 3A, panel f). In contrast,addition <strong>of</strong> BMP4 completely prevented <strong>the</strong> development <strong>of</strong> such <strong>cells</strong>(Fig. 3A, panel g). We <strong>of</strong>ten found clusters <strong>of</strong> Cdh1 + GFP − Sox17 − <strong>cells</strong><strong>in</strong> cultures treated with different comb<strong>in</strong>ations <strong>of</strong> activ<strong>in</strong> and Wnt3a(Fig. 3A, panels b–e). Immunocytochemistry revealed that manyCdh1 + Gsc − <strong>cells</strong> were Oct4 + and thus likely represent undifferentiated<strong>ES</strong> <strong>cells</strong> (Fig. 3B). Attempts to quantify <strong>the</strong> relative number <strong>of</strong>Gsc-GFP + Cdh1 + and Gsc-GFP − Cdh1 + <strong>cells</strong> by FACS under <strong>the</strong> variousconditions failed due to problems with achiev<strong>in</strong>g reliable FACS dataus<strong>in</strong>g <strong>the</strong> Chd1 monoclonal antibodies available.Although it was not evident from <strong>the</strong> above experiments with <strong>the</strong>Gsc Gfp/+ <strong>cells</strong> that canonical Wnt signal<strong>in</strong>g <strong>in</strong>fluenced <strong>the</strong> expression<strong>of</strong> PS markers or <strong>the</strong> formation <strong>of</strong> DE <strong>in</strong> response to activ<strong>in</strong> we wantedto exam<strong>in</strong>e closer if Wnt activity was required for expression <strong>of</strong> o<strong>the</strong>rPS markers and DE formation <strong>in</strong> our <strong>ES</strong> cell cultures s<strong>in</strong>ce gastrulationand <strong>the</strong>reby also endoderm formation requires Wnt3 activity <strong>in</strong> vivo(Barrow et al., 2007; Liu et al., 1999) and because we detectedexpression <strong>of</strong> Wnt3 and Wnt3a <strong>in</strong> our differentiat<strong>in</strong>g <strong>ES</strong> cell cultures(Fig. S4). To test this notion, we first cultured Mixl1 Gfp/+ <strong>cells</strong> withactiv<strong>in</strong> or Wnt3a <strong>in</strong> <strong>the</strong> presence or absence <strong>of</strong> 320 ng/ml Dkk1 or1 μM <strong>of</strong> <strong>the</strong> ALK4/5/7-specific <strong>in</strong>hibitor SB431542, respectively. Theconcentration <strong>of</strong> <strong>the</strong> <strong>in</strong>hibitors was titrated by us<strong>in</strong>g a Wnt- or activ<strong>in</strong>responsiveluciferase assay (data not shown), choos<strong>in</strong>g <strong>the</strong> concentrationthat blocked <strong>the</strong> response to exogenous Wnt3a or activ<strong>in</strong>,respectively, without caus<strong>in</strong>g non-specific toxicity <strong>in</strong> <strong>ES</strong> <strong>cells</strong>. Whenanalyz<strong>in</strong>g <strong>the</strong> number <strong>of</strong> Mixl1-GFP + <strong>cells</strong> after 4 days <strong>of</strong> activ<strong>in</strong>treatment (30 ng/ml) we found that <strong>the</strong>se were significantly reducedwhen Dkk1 was <strong>in</strong>cluded (26±3% vs. 4±3%; pb0.05; Fig. 4A).Similarly, <strong>the</strong> number <strong>of</strong> Mixl1-GFP + <strong>cells</strong> <strong>in</strong>duced by 100 ng/mlWnt3a was reduced from 11±4% on day 4 to 3±4% by simultaneousSB431542 treatment (Fig. 4A). Thus, activ<strong>in</strong> and Wnt3a act cooperativelyto <strong>in</strong>duce Mixl1 expression and both signal<strong>in</strong>g pathways arerequired for Mixl1 expression <strong>in</strong> <strong>ES</strong> cell progeny. Although Wnt3a only<strong>in</strong>duced low numbers <strong>of</strong> Gsc-express<strong>in</strong>g <strong>cells</strong>, <strong>the</strong>se were dependenton endogenous nodal/activ<strong>in</strong> signal<strong>in</strong>g as SB431542 significantly<strong>in</strong>hibited <strong>the</strong> development <strong>of</strong> Gsc-GFP + <strong>cells</strong> <strong>in</strong> response to Wnt3a(Fig. 4A). In contrast, FACS analyses confirmed that activ<strong>in</strong>-<strong>in</strong>ducedGsc expression was not <strong>in</strong>hibited by Dkk1 treatment. Cultures <strong>of</strong>Gsc Gfp/+ <strong>cells</strong> conta<strong>in</strong>ed 17±4% Gsc-GFP + <strong>cells</strong> at day 5 when grown<strong>in</strong> 30 ng/ml activ<strong>in</strong> and 23±12% when cultured <strong>in</strong> <strong>the</strong> presence <strong>of</strong>activ<strong>in</strong> and Dkk1 (Fig. 4A) consistent with <strong>the</strong> above mentionedimmun<strong>of</strong>luorescent analysis that demonstrated that Gsc-GFP + Sox17 +Cdh1 + triple positive <strong>cells</strong> were efficiently generated <strong>in</strong> response toactiv<strong>in</strong> treatment, regardless <strong>of</strong> <strong>the</strong> presence <strong>of</strong> Dkk1. Undifferentiated<strong>ES</strong> <strong>cells</strong> have a low level <strong>of</strong> active canonical Wnt signal<strong>in</strong>g despite <strong>the</strong>lack <strong>of</strong> exogenously added Wnt factors (Sato et al., 2004). To test if thislow level <strong>of</strong> Wnt signal<strong>in</strong>g has any <strong>in</strong>fluence on <strong>the</strong> later activation <strong>of</strong>Gsc expression we cultured undifferentiated Gsc Gfp/+ <strong>cells</strong> for threepassages <strong>in</strong> media conta<strong>in</strong><strong>in</strong>g Dkk1 before <strong>differentiation</strong> was <strong>in</strong>ducedby remov<strong>in</strong>g LIF and BMP4 and add<strong>in</strong>g activ<strong>in</strong> and Dkk1 for 5 days. Wefound that <strong>in</strong>clusion <strong>of</strong> Dkk1 prior to <strong>differentiation</strong> did not preventactiv<strong>in</strong> from efficiently <strong>in</strong>duc<strong>in</strong>g Gsc expression (Fig. 4B). Fur<strong>the</strong>rmore,Dkk1 failed to prevent activ<strong>in</strong> from <strong>in</strong>duc<strong>in</strong>g Gsc-GFP + <strong>cells</strong> <strong>in</strong>aggregate culture (Fig. 4C).To obta<strong>in</strong> quantitative data on <strong>the</strong> number <strong>of</strong> DE <strong>cells</strong> after growthfactor treatment we subjected a Sox17 Gfp/+ reporter l<strong>in</strong>e (Kim et al.,2007) to our <strong>differentiation</strong> protocol. At mid-streak stage Sox17expression marks <strong>the</strong> def<strong>in</strong>itive endoderm form<strong>in</strong>g adjacent to <strong>the</strong>anterior end <strong>of</strong> <strong>the</strong> PS. Simultaneous with <strong>the</strong> movement <strong>of</strong> DE to <strong>the</strong>anterior region <strong>of</strong> <strong>the</strong> gastrula, <strong>the</strong> Sox17 expression doma<strong>in</strong> expandsto <strong>in</strong>clude <strong>the</strong> endoderm underly<strong>in</strong>g <strong>the</strong> neural plate <strong>of</strong> <strong>the</strong> early tailbud-stageembryo (Kanai-Azuma et al., 2002). Thus, Sox17 is an earlymarker that similar to genes such as Hex, Foxa2, and Cer1, areexpressed simultaneously <strong>in</strong> <strong>the</strong> anterior visceral endoderm and <strong>the</strong>DE <strong>in</strong> <strong>the</strong> embryonic part <strong>of</strong> <strong>the</strong> gastrulat<strong>in</strong>g embryo. Sox17 Gfp/+ <strong>cells</strong>express a low level <strong>of</strong> GFP (Sox17-GFP Lo ) when kept undifferentiated<strong>in</strong> <strong>the</strong> presence <strong>of</strong> LIF and BMP4 (not shown). Differentiation underneural promot<strong>in</strong>g conditions (Y<strong>in</strong>g et al., 2003a) results <strong>in</strong> <strong>the</strong>development <strong>of</strong> a Sox17-GFP − population and some rema<strong>in</strong><strong>in</strong>gSox17-GFP Lo <strong>cells</strong> while treatment with activ<strong>in</strong> for 5 days <strong>in</strong>ducesSox17-GFP Hi and Sox17-GFP − populations <strong>in</strong> addition to a rema<strong>in</strong><strong>in</strong>gSox17 Lo population (Fig. S1). Increas<strong>in</strong>g concentrations <strong>of</strong> activ<strong>in</strong>resulted <strong>in</strong> development <strong>of</strong> progressively more Sox17-GFP Hi <strong>cells</strong> with<strong>the</strong> highest numbers reached with 30 and 100 ng/ml <strong>of</strong> activ<strong>in</strong> (Fig.4D). We observed an <strong>in</strong>crease <strong>in</strong> Sox17-GFP Hi <strong>cells</strong> over time, peak<strong>in</strong>gat day 5, followed by a modest decrease at days 6 and 7 (Fig. 4E). The<strong>in</strong>duction <strong>of</strong> Sox17-GFP Hi <strong>cells</strong> was at least partly dependent on Wntsignal<strong>in</strong>g as treatment with Dkk1 reduced <strong>the</strong> number <strong>of</strong> GFP Hi <strong>cells</strong>by ∼50% at <strong>the</strong> highest activ<strong>in</strong> concentration (Fig. 4D). Notably, <strong>the</strong>number <strong>of</strong> Sox17-GFP Hi <strong>cells</strong> <strong>in</strong>duced by 1 μg/ml nodal appeared morestrongly reduced <strong>in</strong> response to Dkk1 treatment than did a similarnumber <strong>of</strong> Sox17-GFP Hi <strong>cells</strong> <strong>in</strong>duced by 30 and 100 ng/ml <strong>of</strong> activ<strong>in</strong>(Fig. 4D). Fur<strong>the</strong>rmore, when <strong>differentiation</strong> was performed <strong>in</strong>aggregate culture, which may rely more on endogenous signal<strong>in</strong>g(Sachlos and Auguste, 2008; ten Berge et al., 2008), <strong>the</strong> number <strong>of</strong>activ<strong>in</strong>-<strong>in</strong>duced Sox17-GFP Hi <strong>cells</strong> were strongly reduced by Dkk1treatment (Fig. 4F). As expected, <strong>the</strong> addition <strong>of</strong> BMP4 preventedactiv<strong>in</strong>-<strong>in</strong>duced formation <strong>of</strong> Sox17-GFP Hi <strong>cells</strong> (pb0.001), whileaddition <strong>of</strong> Wnt3a resulted <strong>in</strong> a marg<strong>in</strong>al, but significant (pb0.05)<strong>in</strong>crease <strong>in</strong> <strong>the</strong> development <strong>of</strong> Sox17-GFP Hi <strong>cells</strong> (Fig. 4D).To fur<strong>the</strong>r def<strong>in</strong>e <strong>the</strong> time at which canonical Wnt signal<strong>in</strong>g wasrequired for <strong>the</strong> formation <strong>of</strong> T-, Gsc- and Sox17-GFP Hi <strong>cells</strong>, wecultured <strong>the</strong> <strong>cells</strong> with activ<strong>in</strong> for three (T Gfp/+ )orfive (Gsc Gfp/+ andSox17 Gfp/+ ) days and added ei<strong>the</strong>r Wnt3a or Dkk1 for shorter periodsFig. 5. Wnt signal<strong>in</strong>g is required dur<strong>in</strong>g late stages <strong>of</strong> activ<strong>in</strong>-<strong>in</strong>duced def<strong>in</strong>itiveendoderm formation. <strong>ES</strong> <strong>cells</strong> were cultured <strong>in</strong> serum-free medium with 100 ng/mlactiv<strong>in</strong> and supplemented with 100 ng/ml Wnt3a or 320 ng/ml Dkk1 for a variablenumber <strong>of</strong> days. T Gfp/+ <strong>cells</strong> (A) were cultured for 3 days and Gsc Gfp/+ (B) and Sox17 Gfp/+(C) <strong>cells</strong> were cultured for 5 days before be<strong>in</strong>g analyzed for GFP expression by flowcytometry. The mean % GFP + <strong>cells</strong> ±standard deviation <strong>of</strong> three <strong>in</strong>dependentexperiments is presented.
- Page 1: PhD thesisCand.scient. Janny Marie
- Page 5: ResuméSukkersyge er en sygdom der
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- Page 56 and 57: epithelium; Cdx2, expressed posteri
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- Page 65 and 66: AbstractProgress in embryonic stem
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Opposite, Figure 6: In the absence
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6. General discussionEndoderm diffe
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Overall, the multitude of FGF-signa
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transplantation is the spread of an
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AcknowledgementsThe work presented
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Chambers, I., D. Colby, M. Robertso
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Hawkins, V.J. Wroblewski, D.S. Li,
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Nishikawa, S.I., S. Nishikawa, M. H
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Tanimizu, N., H. Saito, K. Mostov,