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Molecular and Cellular Biology, April 2003, p. 2969-2980, Vol. 23, No. 8
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.8.2969-2980.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Mammalian Twisted Gastrulation Is Essential for Skeleto-Lymphogenesis
Tetsuya Nosaka,1* Sumiyo Morita,1,
Hidetomo Kitamura,2 Hideaki Nakajima,3 Fumi Shibata,1 Yoshihiro Morikawa,4 Yuki Kataoka,5 Yasuhiro Ebihara,3 Toshiyuki Kawashima,1 Tsuneo Itoh,2 Katsutoshi Ozaki,1 Emiko Senba,4 Kohichiro Tsuji,3 Fusao Makishima,2 Nobuaki Yoshida,5 and Toshio Kitamura3
Division of Hematopoietic Factors,1
Division of Cellular Therapy, Advanced Clinical Research Center,3
Laboratory of Gene Expression and Regulation, Center for Experimental Medicine, Institute of Medical Science, The University of Tokyo, Tokyo 108-8639,5
Fuji Gotemba Research Labs, Chugai Pharmaceutical Co., Ltd., Shizuoka 412-8513,2
Department of Anatomy and Neurobiology, Wakayama Medical School, Wakayama 641-8509, Japan4
Received 27 August 2002/
Returned for modification 4 November 2002/
Accepted 30 January 2003

ABSTRACT
Dorsoventral patterning depends on the local concentrations
of the morphogens. Twisted gastrulation (TSG) regulates the
extracellular availability of a mesoderm inducer, bone morphogenetic
protein 4 (BMP-4). However, TSG function in vivo is still unclear.
We isolated a
TSG cDNA as a secreted molecule from the mouse
aorta-gonad-mesonephros region. Here we show that TSG-deficient
mice were born healthy, but more than half of the neonatal pups
showed severe growth retardation shortly after birth and displayed
dwarfism with delayed endochondral ossification and lymphopenia,
followed by death within a month. TSG-deficient thymus was atrophic,
and phosphorylation of SMAD1 was augmented in the thymocytes,
suggesting enhanced BMP-4 signaling in the thymus. Since BMP-4
promotes skeletogenesis and inhibits thymus development, our
findings suggest that TSG acts as both a BMP-4 agonist in skeletogenesis
and a BMP-4 antagonist in T-cell development. Although lymphopenia
in TSG-deficient mice would partly be ascribed to systemic effects
of runtiness and wasting, our findings may also provide a clue
for understanding the pathogenesis of human dwarfism with combined
immunodeficiency.

INTRODUCTION
Transforming growth factor ß (TGF-ß) superfamily
members bone morphogenetic proteins (BMPs) are critical developmental
regulators. Mutations in TGF-ß family ligands, receptors,
and signal transducers such as SMADs are associated with a number
of human diseases.
TSG was identified in
Drosophila as one of
the seven zygotic genes that govern the fate of dorsal cells
in
Drosophila embryos (
37).
TSG encodes a secreted, cysteine-rich
protein that modulates the activity of the Decapentaplegic (DPP)
protein, which corresponds to vertebrate BMP-4, and mutations
in
TSG result in defects of dorsal midline structures called
amnioserosa in
Drosophila (
20). In searching for essential soluble
factors produced from the aorta-gonad-mesonephros (AGM) region
where definitive hematopoiesis arises (
21), we employed the
retrovirus-mediated signal sequence trap method previously developed
(
16), using mRNA from the AGM region of the 10.5-day-postcoitum
(dpc) mouse embryo, and isolated a mouse homologue of
Drosophila TSG. In 2000,
Xenopus twisted gastrulation (TSG) was found to
bind directly to BMP-4 to promote BMP-4 signaling by regulating
the extracellular availability of BMP-4 (
25). Since the dorsoventral
axis is inverted between
Drosophila and vertebrates and ventralizing
factor BMP-4 is essential for mesoderm formation (
33) and hematopoietic
stem cell (HSC) survival (
4), we speculated that TSG may also
be involved in ventralization and mesoderm-derived organogenesis,
including hematopoiesis, in mammals. Meanwhile, four groups
using fine molecular analyses reported that TSG acts rather
as a BMP-4 (DPP) antagonist by forming a ternary complex of
TSG, BMP-4, and BMP-4 antagonist Chordin or by collaborating
with a protease, Tolloid, to generate a Supersog (truncated
stable form of Sog [Chordin]) in fly, fish, and frog (
6,
28,
29,
35). Thus, it is controversial whether TSG acts as a BMP-4
agonist or antagonist. It is possible that TSG functions in
both ways, depending on the developmental stage and topology
in vivo (
17,
27). Therefore, it is intriguing to evaluate the
function of TSG, not only by analyses in particular spatial
and temporal situations that are limited to early embryonic
development, but also by in vivo analyses as a whole in higher
organisms.
Here we demonstrate that TSG deficiency in mice results in various degrees of impairment in the development of multiple organs, particularly thymus, spleen, cartilage, and bone. Interestingly, thymocyte proliferation and differentiation have recently been reported to be suppressed by BMP-4, which is generally thought to function as a mesodermal morphogen (10). These findings suggest that TSG is indispensable for mammalian immuno-osseous development and that it acts as both an agonist and an antagonist for BMP-4 signaling.

MATERIALS AND METHODS
In situ hybridization.
A 0.6-kb mouse
TSG cDNA fragment from the beginning to the
EcoRV
site, containing most of the coding sequence, was subcloned
into
BamHI-
EcoRV sites of pBluescript II SK (Stratagene). A
sense RNA probe was synthesized by T3 RNA polymerase from the
EcoRV-digested DNA template, and an antisense RNA probe was
made by T7 RNA polymerase from the
BamHI-digested template by
using
35S-UTP. Hybridization was carried out as described previously
(
30).
Gene targeting of TSG.
The targeting vector was constructed by inserting a 1.1-kb XhoI-SalI fragment of pMC1NeoPolyA (Stratagene) into the exonic NheI site of the TSG genomic clone (derived from mouse strain 129/SvJ and cloned in
phage [Stratagene]) in pBluescript II, which is 20 bp downstream of the first ATG in an antisense orientation, after the NheI site had been converted to the SalI site by using a SalI linker (Stratagene). The herpes simplex virus thymidine kinase gene (tk) cassette was also inserted into the NotI site of pBluescript II for negative selection (see Fig. 3A). The vector was linearized at the 5' end of the left arm and electroporated into E14-1 embryonic stem cells. Screening by Southern blot analysis for homologous recombination was as described previously (23). The targeting efficiency was 5 to 10%. All the mice were kept under specific- pathogen-free conditions.
Northern blot analysis.
Mouse multiple tissue blot was purchased from Clontech and hybridized
with a 4.0-kb mouse
TSG full-length cDNA probe followed by rehybridization
with a mouse ß-actin probe as described previously
(
24). To confirm null mutation of
TSG, total RNA was isolated
from mouse liver and kidney by using TRIzol reagent (Invitrogen)
and Northern blot analysis was performed as described previously
(
24) with a 0.6-kb
TSG cDNA probe which covers the region that
is 3' to the neomycin resistance gene (
Neo) cassette. The probe
spans the region from the
SacI site, which is 120 bp downstream
of the first ATG codon of the
TSG cDNA, to the
BspHI site, which
is 34 bp downstream of the stop codon.
TUNEL assay.
A terminal deoxynucleotidyltransferase-mediated dUTP nick-end labeling (TUNEL) assay was carried out by using the ApoAlert DNA fragmentation assay kit (Clontech) according to the manufacturer's instructions. Formalin-fixed, paraffin-embedded thymic tissue sections mounted on glass slides were used after the removal of paraffin by xylene. DNA fragmentation was detected by incorporation of fluorescein-dUTP. All the cells were visualized with propidium iodide treatment in the presence of RNase and were examined by using a fluorescence microscope (IX70; Olympus) equipped with a SenSys/OL cold charge-coupled device camera (Olympus) and IP-Lab software (Signal Analytics Co.).
Proliferation assay for thymocytes and splenocytes.
Thymocytes (5 x 104) from triplicate cultures were stimulated for 24 h with either concanavalin A (ConA; 20 µg/ml), ConA plus mouse interleukin-2 (IL-2; 10 U/ml; R & D Systems), ConA plus mouse IL-7 (5 ng/ml; R & D Systems), anti-CD3
antibody (clone 145-2C11; 10 µg/ml) plus phorbol 12-myristate 13-acetate (PMA; 10 ng/ml), or anti-CD3
plus PMA plus IL-7, in the presence of 10% knockout serum replacement (KSR; Invitrogen) instead of fetal bovine serum (FBS), and pulsed with 0.5 µCi of [3H]thymidine for 14 h, after which the incorporation of [3H]thymidine was measured. Splenocytes were analyzed similarly with KSR or KSR plus lipopolysaccharide (10 µg/ml).
Colony-forming assay.
Bone marrow cells (2 x 104) were cultured in triplicate in
-minimum essential medium (Flow Laboratories), 1.2% methylcellulose (Shin-etsu Chemical), 30% FBS (HyClone), 1% deionized fraction V bovine serum albumin (Sigma), 100 µM 2-mercaptoethanol (Eastman Organic Chemicals), and various combinations of hematopoietic growth factors (100 ng of mouse stem cell factor [Kirin Brewery]/ml, 10 ng of mouse granulocyte-macrophage [GM] colony-stimulating factor [Sumitomo Pharmaceutical Co.]/ml, 20 ng of human thrombopoietin [Kirin Brewery]/ml, 10 ng of mouse IL-3 [Amgen]/ml, 2 U of human erythropoietin [Kirin Brewery]/ml, 100 ng of human IL-6 [Tosoh Co.]/ml, and 100 U of mouse IL-7 [Toray Industries]/ml) as described previously (2, 34).
Western blot analysis.
Freshly isolated thymocytes (6 x 106) were stimulated for 45 min with recombinant human BMP-4 (R & D Systems) in the presence or absence of recombinant mouse TSG (R & D Systems) in RPMI 1640 medium containing 7.5% KSR. The cells stimulated in vitro as well as untreated cells were collected by centrifugation, lysed in 200 µl of the sample buffer (62.5 mM Tris-HCl [pH 6.8], 2% sodium dodecyl sulfate, 10% glycerol, 5% 2-mercaptoethanol, 0.02% bromophenol blue), sonicated, and centrifuged, and 5 µl out of the 200-µl supernatant was subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis. The proteins were transferred to nitrocellulose, probed with an anti-phospho-SMAD1 (Ser 463/465) polyclonal antibody (Upstate Biotechnology), and visualized with the enhanced chemiluminescence detection system as described by the manufacturer (Amersham).
Reverse transcription-PCR analysis.
Total RNA was isolated from the fresh thymocytes by using TRIzol reagent, 10 µg of RNA was reverse transcribed with SuperscriptII (Invitrogen), and 1/30 of the reaction mixture was subjected to 25 cycles of PCR with ExTaq (Takara) at 94°C for 30 s, 63°C for 30 s, and 72°C for 30 s to amplify RUNX1 cDNA or 21 cycles at 94°C for 30 s, 60°C for 30 s, and 72°C for 30 s to amplify ß2-microglobulin (ß2-MG) cDNA. The primers used are as follows: 5'RUNX1, 5'-CCAGCAAGCTGAGGAGCGGCGA-3'; 3'RUNX1, 5'-CCGACAAACCTGAGGTCGTTGAATCTCG-3'; 5'ß2-MG, 5'-ATGGCTCGCTCGGTGACCCTA-3'; 3'ß2-MG, 5'-TCATGATGCTTGATCACATGTCTCGATCC-3'.

RESULTS
Targeted disruption of TSG.
The mouse
TSG cDNA we isolated from the AGM region is 4.0 kb
in length and encodes 222 amino acids of TSG protein which are
identical to those published by other groups (
9,
28,
29). In
situ hybridization of the 11.5-dpc mouse embryo disclosed that
TSG mRNA exists in the aortic wall, the gonad-mesonephros region,
the area where vertebrae will develop, and interstitial tissues
in general (Fig.
1). Expression of the
TSG mRNA was also investigated
in the 17.5-dpc sections of the lung, thymus, and kidney (Fig.
2).
TSG mRNA was present on the alveolar and bronchial epithelial
cells in the lung, in interstitial tissues in the thymus, particularly
in the medulla, and in the cells surrounding the tubules in
the kidney. To delineate the physiological roles of TSG in mammalian
development, we have generated TSG-deficient mice by gene targeting.
We constructed a
TSG targeting vector to disrupt the first coding
exon covering the initial 40 amino acids, which should create
an allele that is null for expression (Fig.
3A). The construct
was electroporated into E14-1 embryonic stem cells, and three
independent clones were injected into C57BL/6 blastocysts to
create chimeric mice. Chimeric mice were backcrossed to C57BL/6
mice to make heterozygous (+/-) mice, and +/- mice were bred
to generate homozygous mutant (-/-) mice. Genotyping (Fig.
3B)
of 100 progeny yielded 27 wild-type (+/+) mice, 47 +/- mice,
and 26 -/- mice; this expected ratio (1:2:1) indicated no embryonic
lethality. Northern blot analysis on the adult mouse tissues
revealed the 4.1-kb
TSG transcripts in heart, lung, liver, and
kidney (Fig.
3C). The mRNA harboring the
TSG coding sequence
downstream (3') of the inserted
Neo gene cassette was hardly
detected by Northern blot analysis in two different tissues
from TSG-deficient mice, whereas 4.1-kb
TSG mRNA was detected
in the wild-type mice (Fig.
3D). In addition, a putative fusion
gene transcript (
TSG-antisense
Neo-
TSG), if existing in a trace
amount, could harbor no open reading frames because of the presence
of many stop codons. Furthermore, because the insertion of the
Neo cassette disrupts the signal sequence (amino acids 1 to
24) of the TSG, any protein translated from mRNA generated by
aberrant splicing or cryptic promoter lacks the signal sequence.
This raises virtually no possibility for the production of secreted
molecules from the mutated allele. Altogether, the targeted
allele possesses a null mutation of
TSG.
Growth retardation in TSG-deficient mice.
Although 12.5% of the -/- mice died on the day of birth, the
rest of the -/- mice looked healthy at birth except that they
were 10 to 20% smaller than their +/+ and +/- littermates (which
will be described later), and this difference became evident
with age (Fig.
4). Severe growth retardation was observed in
more than half of the neonatal -/- mice, followed by a sick
appearance and subsequent death or sudden death in a few cases
(Fig.
5). Some of the sick -/- mice had closed eyes even at
3 weeks of age, an uncoordinated gait, and whole-body tremors
before death. The cause of death in TSG
-/- mice was not uniform
except that, for all such mice, it included wasting. All the
neonatal -/- mice had milk spots that were comparable in size
to those of their +/+ or +/- littermates, indicating proper
nursing. Autopsies revealed that some of the sick mice had pulmonary
fibrosis or intra-abdominal or subarachnoid hemorrhages in addition
to defective development of the thymuses and spleens (described
later). Independent of the presence of the sick appearance,
nearly half of the -/- mice had apparently kinked tails (Fig.
6A). The kinky tail, reported in several cases of gene-disrupted
mice, including BMP-7 null mice (
7,
15,
18), was observed as
early as day 4 after birth in TSG
-/- mice. An X-ray photograph
revealed the partial disappearance of intervertebral disks,
with calcification in the kinky tails of the -/- mice (Fig.
6B and C).
Retarded skeletogenesis and nephrogenesis in TSG-deficient mice.
The X-ray images (a typical pattern is shown in Fig.
7) and
skeletal preparations stained with Alcian blue (for cartilages)
and Alizarin red (for mineralized bones) (Fig.
8A) as well as
autopsies (data not shown) of the +/+, +/-, and -/- littermates
revealed the short and thin structure of the limb bones and
very thin cranial bones in TSG
-/- mice, but there was no difference
in the mineralized areas among these mice at 27 days of age
(Fig.
8A). Histological analysis of the distal metaphyseal cartilaginous
growth plates in the femurs disclosed the markedly enlarged
resting zones with thin proliferating and hypertrophic zones
of chondrocytes, and the epiphyseal (secondary) ossification
was remarkably delayed in the -/- mice compared with that in
the +/+ and +/- littermates (+/+,
n = 1; +/-,
n = 5; -/-,
n = 3) (Fig.
8B to E), indicating that endochondral ossification
in the -/- mice was reduced. Furthermore, the growth of femoral
trabecular and cortical bones in the -/- mice was delayed in
comparison with that in the +/- littermates at 17 to 32 days
of age (data not shown). Bone densities of the femurs and lumbar
vertebrae of the -/- mice with severe dwarfism at 32 days of
age were nearly half those of the +/+ littermates, and a tendency
toward mild reduction in bone density was also observed in long-surviving
-/- mice (Fig.
9). These phenotypes are similar to those of
the transgenic mice expressing a truncated dominant-negative
type IB BMP receptor driven by the osteoblast lineage-specific
promoter (
36). These findings suggest that TSG deficiency results
in dwarfism and osteopenia due to delayed endochondral ossification
caused by a blockade of the transition of chondrocytes from
the resting to the proliferating state together with reduced
intramembranous ossification resulting from the attenuated BMP
signaling. Thus, it is likely that TSG acts preferentially as
a BMP-4 agonist during the development of the skeletal system.
In addition to the impaired osteogenesis, TSG
-/- mice also showed
histologically poor development of the kidneys, with small and
immature structures of the glomeruli, compared with the +/+
and +/- littermates (Fig.
10) (+/+,
n = 2; +/-,
n = 5; -/-,
n = 4). This finding is reminiscent of the impaired kidney development
in mice deficient for BMP-7, the activity of which as a mesoderm
inducer is higher when it is forming a heterodimer with BMP-4
than when it is in the form of a homodimer (
31), although it
is possible that correct kidney development is a consequence
of the accumulation of a variety of signaling pathways.
Depletion of lymphoid cells in TSG-deficient mice.
We isolated mouse
TSG cDNA from the AGM region. BMP-4 was also
found to be expressed in the human AGM region (
19). Although
BMP-4 cannot expand numbers of pluripotent hematopoietic repopulating
cells, unlike its upstream regulator Sonic hedgehog (Shh) (
3),
BMP-4 can maintain them (
4). We were therefore interested in
the effects of TSG deficiency on hematopoiesis. Peripheral blood
cell counts and smears from the -/- mice showed severe reductions
of lymphoid cell numbers, moderate decreases of platelets, and
mild decreases of erythrocytes compared to those from +/+ mice.
On the other hand, relative percentages of granulocytes and
monocytes were increased (Fig.
11). Consistent with this finding,
more than half of the -/- mice showed very poor development
of the thymuses and spleens. These organs were surprisingly
found to contain extremely small numbers of cells, representing
reductions of around 3,000-fold, in some of the -/- mice; whose
body weights differed only two- to fivefold from those of the
+/+ or +/- littermates (Fig.
12A to D). There was a positive
correlation between the levels of growth retardation and lymphoid
deficiency, raising a possibility that lymphoid deficiency is
a secondary event. However, numbers of thymocytes and splenocytes
in the -/- mice at birth were already decreased by two- to fourfold
and two- to eightfold, respectively, compared with those in
the +/+ or +/- littermates (Fig.
12C and D), suggesting that
lymphoid deficiency is not due simply to stress from runtiness
and wasting after birth. Histologically, the white pulp areas
were decreased in the -/- spleens (data not shown), and most
cells in the -/- thymuses showed an apoptotic appearance while
the +/+ thymocytes did not (Fig.
12E and F). TUNEL analysis
disclosed that many thymocytes from the -/- sick mouse but not
those from the +/+ mouse underwent DNA fragmentation to various
degrees (Fig.
12G and H). Flow cytometry analysis of the thymocytes
revealed increased percentages of CD4- and CD8-single-positive
cells and decreased percentages of double-positive cells in
the -/- mice compared with those in the +/+ littermates (Fig.
13, upper panels). Total numbers of bone marrow cells were not
very much reduced in the -/- mice if the numbers are normalized
according to body size, except for those in a few cases (data
not shown). CD43/B220 and B220/immunoglobulin M (IgM) double
staining of the bone marrow cells demonstrated the dramatic
reduction of pro-B (CD43
+ B220
low IgM
-), pre-B (CD43
- B220
low IgM
-), and immature B (CD43
- B220
low IgM
+) cells, with retention
of mature B cells (CD43
- B220
high IgM
+), in the -/- mice relative
to those in the +/+ littermates (Fig.
13, middle four panels).
These findings suggest that the expansion of progenitor B and
T cells is impaired and that lymphoid differentiation itself
is not blocked in TSG
-/- mice. However, splenocytes and thymocytes
from the -/- mice showed normal mitogenic activity in vitro;
upon stimulation with polyclonal activators, such as lipopolysaccharide,
ConA, and anti-CD3 antibody plus PMA, or with IL-7 in culture
with KSR (namely, in the absence of fetal bovine TSG), they
proliferated at levels comparable to or rather enhanced over
those of splenocytes and thymocytes from the +/+ mice (Fig.
14). Thus, lymphoid deficiency in TSG
-/- mice does not seem
to result from intrinsic defects in B and T cells but from abnormalities
in microenvironments, such as stroma cells and cytokine production
and distribution. The percentage of CD11b
+ Gr-1
+ myeloid cells
was increased in the -/- bone marrow cells, indicating the enrichment
of mature granulocytes (Fig.
13, lower panels). Clonal culture
assay of bone marrow cells from 7-month-old mice (+/+,
n = 3;
-/-,
n = 3) disclosed that the formation of GM colonies, megakaryocyte
(Meg) colonies, erythroid bursts, erythrocyte-Meg (E-Meg) colonies,
and mixed hematopoietic colonies (GM-Meg, GM-erythrocyte, or
GM-E-Meg) was reduced in TSG-deficient mice (Table
1). Interestingly,
the efficiency of B-lymphoid colony formation was not decreased
in the -/- mice (Table
1). This is consistent with the findings
shown in Fig.
14. The same assay with mice at ages of 25 to
28 days (+/+,
n = 3; -/-,
n = 3) also gave similar results (data
not shown). Although we cannot exclude the possibility that
bovine TSG, which may exist in the FBS that was used for the
colony assay (KSR was not used because of its very low efficiency
for colony formation), acted to enhance the growth and differentiation
of the TSG
-/- cells in vitro, the assay indicates that TSG
-/- bone marrow cells retain the B-lymphoid progenitors at a level
comparable to that of the +/+ marrow cells. On the other hand,
-/- bone marrow cells have reduced numbers of progenitor cells
of the other lineages.
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TABLE 1. Colony-forming efficiencies of 2 x 104 bone marrow cells from TSG+/+ and TSG-/- mice at the age of 7 monthsa
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Increased levels of transcripts of RUNX1 with enhanced phosphorylation of SMAD1 in TSG-deficient thymocytes.
In order to elucidate the molecular mechanisms of TSG function,
downstream events of BMP-4 signaling were investigated. The
status of serine phosphorylation of SMAD1 was examined in thymocytes
from the +/+ and -/- littermates at the age of 10 days. As shown
in Fig.
15A, SMAD1 was already phosphorylated in thymocytes
in vivo, and further stimulation of these cells with BMP-4 in
the absence or presence of recombinant TSG in vitro scarcely
affected the phosphorylation status of SMAD1. However, the level
of phosphorylation of SMAD1 in vivo in the -/- cells was significantly
higher than that in the +/+ cells. This suggests that TSG acts
as a BMP-4 antagonist from the perspective of phosphorylation
of SMAD1 in thymocytes in vivo. Consistent with this finding,
the expression of
RUNX1, the product of which functionally binds
to SMAD1 (
13) and is predicted to stimulate transcription of
RUNX1, was up-regulated in the -/- thymocytes relative to that
in the +/+ thymocytes in vivo (Fig.
15B).
Variability in the severities of the phenotypes of TSG-deficient mice.
The phenotypes of the TSG-deficient mice vary among the individuals;
some TSG-deficient mice can survive and generate progenies (both
male and female TSG
-/- mice are fertile), but more than half
of the TSG-deficient mice display severe dwarfism due to delay
in ossification, lymphoid deficiency with depletion of lymphoid
progenitor cells, and retarded kidney development and die within
a month after birth by wasting and/or additional diseases, such
as pulmonary fibrosis. The reason for the variability in the
phenotypes of TSG
-/- mice may be derived from the unbalanced
distribution of the soluble factors, including BMPs and Chordin,
in the microenvironment in the absence of TSG and also from
the modifications in the BMP signaling resulting from the difference
in genetic backgrounds. One may speculate that maternal TSG
would rescue the -/- embryos in utero with different local availabilities.
But this possibility was excluded because the mating of surviving
TSG
-/- mice with mild phenotypes produced -/- pups which were
phenotypically indistinguishable at birth from -/- pups derived
from +/- parents (Table
2). The -/- parents with mild phenotypes
produced -/- mice with severe phenotypes that became apparent
after birth, as well as pups with mild phenotypes (data not
shown).

DISCUSSION
TSG is expressed in the AGM region, and TSG-deficient mice displayed
defective lymphoid development with moderate thrombocytopenia
and mild anemia. BMP-4 at low concentrations is known to induce
the proliferation and differentiation of CD34
+ CD38
- Lin
- human
HSCs, whereas BMP-4 at higher concentrations promotes the survival
of HSCs (
4). TSG is hence speculated to function as an agonist
for mesoderm inducer BMP-4 at the early stage of hematopoiesis.
However, BMP-4-mediated regulation of hematopoiesis is more
complex. It was shown that Shh, the upstream regulator of BMP-4,
is produced by the thymic stroma, and Shh arrests thymocyte
differentiation at the double-negative stage through its receptors
Patched and Smoothened, which are expressed in double-negative
thymocytes (
26). Recently, BMP-4, produced by the thymic stroma,
has also been shown to inhibit the proliferation and differentiation
of the thymocytes, and TSG, of which expression in thymocytes
is induced by T-cell receptor signaling, has been demonstrated
to synergize with Chordin to block the BMP-4-mediated inhibition
of thymic development (
10). Therefore, TSG as a BMP-4 antagonist
is supposed to be a positive regulator of thymocyte development.
Our findings on the impaired development of the thymus in TSG
-/- mice before and after birth are consistent with these results
in vitro. We also found that TSG
-/- thymocytes show enhanced
phosphorylation of SMAD1 and increased levels of transcripts
of
RUNX1. If TSG functioned as a BMP-4 antagonist, TSG would
suppress the phosphorylation of SMAD1 and the absence of TSG
would elevate the basal level of SMAD1 phosphorylation. Our
finding thus supports the notion that TSG acts as a BMP-4 antagonist
in thymocytes. Recently, RUNX1 has been demonstrated to be required
for active repression of CD4 through CD4 silencers in CD4
- CD8
- thymocytes (
32). In accordance with this finding, transgenic
expression of
RUNX1 was reported to skew thymocytes into the
CD8-single-positive lineage but not to drive the maturation
of CD8-single-positive cells (
14). Nevertheless, it is possible
that TSG functions not only by modulating BMP-4 signaling but
also by acting as a growth and differentiation factor for unidentified
targets that would affect the stroma function, since
TSG has
a weak homology to a mitogenic peptide connective tissue growth
factor (
5) which is a modulator of signaling by TGF-ß
as well as BMP-4 and is involved in a variety of processes,
including angiogenesis, skeletogenesis, and wound healing (
1,
12,
22). Thus, our finding of extremely small thymuses in TSG-deficient
sick mice could be explained by complex effects of dysregulated
expression of
RUNX1 as well as modulation of the other unknown
target genes and also by the systemic problems affecting the
viability of the thymocytes.
TSG has recently been proposed to exert both agonistic and antagonistic functions sequentially on BMP signaling; first, TSG forms a ternary complex with BMP and the full-length Chordin to prevent the binding of BMP to its receptor, and second, once all Chordin is cleaved by Xolloid (human BMP-1, Drosophila Tolloid), TSG promotes BMP signaling by competing for the binding to BMP with Chordin fragments that still retain the anti-BMP activity (25). Thus, the turning off and on of BMP signaling can be controlled sharply by TSG (17). Our findings in TSG-/- mice suggest that fine control of BMP activity by TSG as a molecular switch is essential for proper development of multiple organs. It is possible that dually functional TSG elicits different BMP signaling patterns during development in different species depending on the local concentrations of BMP, Chordin, TSG, Xolloid, and other related molecules. TSG-deficient mice can be used to unveil the molecular mechanism of the development of early hematopoietic progenitor cells, thymus, spleen, cartilage, bone, and kidney that is regulated by hedgehog-BMP-SMAD signaling and/or putative BMP-independent signaling.
The human TSG gene is mapped to chromosome band 18p11.3, to which no immuno-osseous diseases have so far been linked, although the holoprosencephaly-4-associated gene TGIF (TG-interacting factor, SMAD2-interacting homeodomain protein) is located within 5 Mb of the TSG locus (9, 11, 29). The phenotype of the sick TSG-/- mice is similar to the manifestation of human early lethal short-limbed skeletal dysplasia with severe combined immunodeficiency (8). Since the pathogeneses of most human immuno-osseous diseases have not yet been molecularly defined, TSG-deficient mice will also be useful for elucidating the underlying mechanisms for the development of these diseases.
In summary, the phenotype of dwarfism and lymphoid deficiency in TSG-deficient mice suggested the dual functionality of TSG in vivo, as a BMP-4 agonist for skeletogenesis and a BMP-4 antagonist for thymocyte development. Also, another function of TSG as a family of connective tissue growth factors remains to be clarified in future studies. In either case, mammalian TSG is essential for proper development of mesodermal organs.

ACKNOWLEDGMENTS
We are grateful to T. Sugiyama for photography of the mice,
K. Ikeda for discussion, and S. Takaki for the blood cell counter.
This work was supported in part by grants from the Ministry of Education, Science, Sports, and Culture of Japan and the Ministry of Health and Welfare of Japan. The Division of Hematopoietic Factors is supported in part by the Chugai Pharmaceutical Company, Ltd.

FOOTNOTES
* Corresponding author. Mailing address: Division of Hematopoietic Factors, Institute of Medical Science, The University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo 108-8639, Japan. Phone: 81-3-5449-5399. Fax: 81-3-5449-5453. E-mail:
tenosaka{at}ims.u-tokyo.ac.jp.

Present address: Gene Research Center, Gunma University, Maebashi 371-8511, Japan. 

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Molecular and Cellular Biology, April 2003, p. 2969-2980, Vol. 23, No. 8
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.8.2969-2980.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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