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Molecular and Cellular Biology, June 2004, p. 4627-4635, Vol. 24, No. 11
0270-7306/04/$08.00+0 DOI: 10.1128/MCB.24.11.4627-4635.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Geriatric Medicine,1 Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University,2 Department of Social Service, Kyoto University Hospital, Kyoto, Japan3
Received 18 November 2003/ Returned for modification 17 December 2003/ Accepted 25 February 2004
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Hand1/eHAND is a potential candidate gene. Hand1/eHAND is expressed on the ventral surface in the caudal half of the linear heart tube and predominantly at the outer curvature of the left ventricle (LV) in the looping heart while the gene is absent at the inner curvature (1, 21, 24). Therefore, its expression is highly restricted along the DV as well as the AP axis. Tetraploid-rescued Hand1/eHAND null embryos displayed a single ventricle, suggesting that the gene may play a critical role in specification or proliferation of LV myocytes during ballooning (17).
Moreover, the ballooning of chamber walls may be closely related to the formation of the interventricular septum (IVS). In the ballooning model, the structures flanking the atrial and ventricular chambers do not expand and retain the tubular shape, contributing to the proper AV septation and alignment of the IFT and OFT (7, 13). However, in this model, it is not clear what determines the boundary between the right ventricle (RV) and LV. The myocardium at the interventricular groove (IVG) is not the primary but working myocardium according to this model, but this region does not expand. It is totally unknown what molecular mechanisms determine the location of the IVS and IVG.
In this study, we examined a role of Hand1/eHAND in the DV patterning of the embryonic heart and the IVS formation. For this purpose, we knocked in the Hand1/eHAND gene to the mouse myosin light chain 2V (MLC2V) locus. We demonstrated that Hand1/eHAND enhanced expansion of chamber walls and that absence of Hand1/eHAND expression in the IVG may be critical in the proper formation of the IVS.
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RW4 embryonic stem (ES) cells (Incyte Genomics, St. Louis, Mo.) isolated from the 129SvJ strain were cultured on mouse embryonic fibroblast feeder layers in high-glucose Dulbecco's modified Eagle medium containing 20% fetal calf serum and 103 U of leukemia inhibitory factor/ml. ES cells (1.0 x 107) were electroporated with 30 µg of the linearized targeting vector. Electroporated ES cells were cultured on neomycin-resistant feeder cells with 300 µg of G418/ml and 2 µM ganciclovir for 8 days. Two hundred eight drug-resistant colonies were isolated, and Southern hybridization demonstrated that four clones contained the correctly targeted allele at the MLC2V locus.
These clones were electroporated with 5 µg of the Cre-expressing vector pCre-Pac (KURABO, Osaka, Japan). After electroporation, cells were cultured on feeder cells with 1.7 µg of puromycin/ml for 2 days. Single colonies were picked up in duplicate, and neomycin-sensitive colonies were amplified and genotyped by Southern blotting. Two correctly targeted clones were injected into blastocysts from C57BL/6J mice. Male chimeras were bred with female C57BL/6J mice to test for germ line transmission. All animal procedures were approved by the Animal Research Committee, Graduate School of Medicine, Kyoto University.
Genotyping of progeny. DNA was isolated from tail biopsy specimens of weaned mice, yolk sacs, or placentas. PCR and Southern hybridization were performed to genotype embryos and mice. The primers used for detection of the targeted allele were 5'-TCCGCCTCACCTACAACTGC-3' and 5'-ACAGAAGGGGGTCACCGTGG-3'.
Generation of transgenic mice. The 250-bp rat MLC2V promoter (10) was synthesized by PCR and was ligated to FLAG-tagged mouse Hand1/eHAND cDNA with the human growth hormone poly(A) signal. The identity of the synthesized promoter was confirmed by DNA sequencing. The creation of transgenic mice was done in a standard manner. F0 embryos were dissected at embryonic day 11.5 (E11.5), and genotyping was performed by PCR on DNA isolated from the yolk sacs. PCR primer pairs used for detection of the transgenes were 5'-TGCTGTCAGCCCAATTAG-3' and 5'-GGCTGCAGTCCTCCTCTTCCTCCCCCTC-3'.
In situ hybridization.
In situ hybridization was performed as described previously (23). Briefly, embryos were fixed in 4% paraformaldehyde at 4oC overnight, dehydrated through graded ethanol and xylene, and embedded in paraffin wax. Sections of 6-µm thickness were hybridized with [35S]CTP-labeled riboprobe at 55°C overnight. After hybridization, they were treated with RNase A, washed, and dehydrated through graded ethanol, and emulsion autoradiography was performed. Probes for
-cardiac actin, atrial natriuretic factor (ANF), Hand1/eHAND, Hand2/dHAND, MEF2C, TEF-1, Nkx2.5, and N-myc were described previously (23). An EagI-EcoRI fragment of the 3' untranslated region (3' UTR) of Hand1/eHAND was used to detect endogenous Hand1/eHAND expression. A probe for Tbx5 (3) was kindly provided by Benoit G. Bruneau (University of Toronto, Toronto, Canada). A probe for Chisel (16) was synthesized by reverse transcription-PCR. The identity of the probe was confirmed by DNA sequencing.
Immunohistochemistry. After rehydration, paraffin sections of embryos were autoclaved in 10 mM EDTA (pH 8.0) at 121oC for 10 min, blocked with an avidin-biotin blocking kit (Vector, Burlingame, Calif.), and incubated with biotinylated mouse anti-FLAG M2 monoclonal antibody (Sigma, St. Louis, Mo.) (1:200) overnight at 4°C. After incubation, sections were washed and incubated with streptavidin-horseradish peroxidase (Nichirei, Tokyo, Japan), and peroxidase activity was detected with 3,3'-diaminobenzidine.
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FIG. 1. (A) Targeting strategy. The structure of the MLC2V locus and the targeting vector are shown first and second, respectively. The mutated locus after homologous recombination is shown third, and the modified locus by Cre recombination is shown at the bottom. ATG is the transcriptional start site. The closed arrowheads represent the loxP sites. B, BamHI; H, HindIII; X, XbaI. (B) Genotyping of ES cell clones after homologous recombination. Genomic DNA was digested with XbaI and analyzed by Southern blotting. The 5' probe (a BamHI-HindIII fragment) was used. Hybridization with the 5' probe revealed the expected 5.5- and 6.5-kb fragments from the wild-type and targeted alleles, respectively. (C) Genotyping of ES clones after Cre recombination. Genomic DNA was digested with BamHI and analyzed by Southern blotting. Hand1/eHAND cDNA was used as a probe. The expected 4-kb fragment from the original targeted allele and the 2-kb fragment from the Cre mutated allele were revealed. Fragments from the wild-type allele for Hand1/eHAND were also detected (not shown on this figure). (D, E, and F) Immunohistochemistry with an anti-FLAG antibody. FLAG-tagged Hand1/eHAND protein was expressed in the nuclei of ventricular cells, whereas the expression was not detected in atrial cells in Hand1/eHAND KI embryos (E). FLAG-tagged Hand1/eHAND protein was expressed in the whole ventricle (F). A, atrium; V, ventricle. Bars, 100 µm.
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Histological examination at E9.5 revealed that trabeculation and endocardial cushion formation occurred normally in the hearts of Hand1/eHAND KI embryos. Hand1/eHAND KI and wild-type embryos were indistinguishable except that there was no IVG in Hand1/eHAND KI hearts (Fig. 2A and B). At E10.5, ventricular chambers, particularly the RVs, balloon out more markedly in Hand1/eHAND KI embryos, although their ventricles were single chambers, lacking the IVG and IVS (Fig. 2D and F). In contrast, IVS formation was clearly observed in wild-type littermates (Fig. 2C and E). The morphology of the inner curvature, AVC, and OFT was comparable between Hand1/eHAND KI and wild-type embryos (Fig. C, D, G, and H). At E11.5, no IVG or IVS formation was observed in Hand1/eHAND KI embryos (Fig. 2J and L), whereas the IVS was well developed in wild-type hearts (Fig. 2I and K). The compact zone myocardium was thinner in Hand1/eHAND KI embryos, suggesting that the embryonic lethality may be due to heart failure caused by poor development of the compact zone myocardium.
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FIG. 2. Histological analysis of wild-type and Hand1/eHAND KI embryos from E9.5 to E11.5. Hematoxylin- and eosin-stained sections of wild-type (A, C, E, G, I, and K) and Hand1/eHAND KI (B, D, F, H, J, and L) embryos are shown. At E9.5, trabeculation, endocardial cushion formation, and looping normally occurred in Hand1/eHAND KI embryos (B). Note the absence of the IVG in Hand1/eHAND KI embryos. The IVG can be observed in wild-type embryos (arrowhead in panel A). At E10.5, the outer curvature expanded more markedly in Hand1/eHAND KI embryos (C and D). The difference was more evident in the RV. There was no IVG or IVS formation in Hand1/eHAND KI embryos (D and F). At E11.5, Hand1/eHAND KI embryos exhibited a single ventricle with complete absence of the IVS and IVG (J and L). Endocardial cushion formation in the OFT was comparable between wild-type (G) and Hand1/eHAND KI (H) embryos. In KI embryos, the development of the AVC was disturbed (J and L). The arrowheads in panels A, C, and E indicate the IVG. Bars, 200 µm.
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FIG. 3. Expression of Hand1/eHAND in wild-type and Hand1/eHAND KI embryos. In wild-type embryos, Hand1/eHAND was expressed in the outer curvature of the LV at E9.5 (arrows in panel A). Weak expression was observed in the outer curvature of the RV at E10.5 and E11.5 (C, E, and G). Hand1/eHAND expression was also detected in the distal part of the OFT (G). Note the absence of Hand1/eHAND expression in the IVG (arrowheads in panels A, C, and E). In Hand1/eHAND KI embryos, Hand1/eHAND was expressed in the whole ventricle, including the inner curvature, as well as in the AVC and the proximal part of the OFT (B, D, F, and H). In spite of the ectopic Hand1/eHAND expression, the inner curvature, AVC, or OFT did not expand outwards in Hand1/eHAND KI embryos (D, F, and H). Bars, 200 µm.
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FIG. 4. Expression of cardiac transcription factors and molecular markers for the chamber myocardium. Expression of endogenous Hand1/eHAND (A and B), Tbx5 (C and D), Hand2/dHAND (E and F), Nkx2.5 (G and H), Chisel (I and J), ANF (K and L), and p57 (M and N) are shown. Endogenous Hand1/eHAND expression was only detected in the left half of the ventricle in Hand1/eHAND KI embryos (B). The Tbx5 expression gradient with higher expression in the LV was not disturbed in Hand1/eHAND KI embryos (D). Expression of Hand2/dHAND in the RV (E) was almost abolished in Hand1/eHAND KI embryos (F). Note the absence of Hand2/dHAND expression in the IVG in wild-type embryos (arrowhead in panel E). Nkx2.5 expression was comparable between wild-type (G) and Hand1/eHAND KI (H) embryos. Chisel expression was also detected in the inner curvature and AVC in Hand1/eHAND KI embryos (J). Note the absence of ANF expression in the IVG (arrowhead in panel K) and inner curvature (arrow in panel K) in wild-type embryos (K). ANF expression was up-regulated in the RV and inner curvature in Hand1/eHAND KI embryos (L). ANF was also expressed at the region where the IVS was expected to form (arrowhead in panel L). Expression of p57 was detected only in the trabecular layer both in wild-type and Hand1/eHAND KI embryos (M and N). Bars, 200 µm.
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We further examined expression of transcription factors known to play critical roles in cardiac development. While expression of Nkx2.5 (Fig. 4G and H) and MEF2C (data not shown) was comparable, Hand2/dHAND expression in the RV was down-regulated in Hand1/eHAND KI embryos (Fig. 4E and F), suggesting that Hand1/eHAND may suppress Hand2/dHAND expression. What is the molecular mechanism for thin myocardium in Hand1/eHAND KI embryos? Inactivation of N-myc or TEF-1 in mice resulted in thin myocardium (4, 6, 14), but these genes were normally expressed in Hand1/eHAND KI embryos (data not shown). Homozygous Splotch mutant mice that lack the transcription factor Pax3 also showed thin myocardium. p57, a cyclin-dependent kinase inhibitor normally expressed in the trabecular layer, was also expressed in the compact zone layer in the mutant embryos, suggesting precocious cardiomyocyte differentiation in Splotch mutants (11). We thus investigated expression of p57 in Hand1/eHAND KI embryos, but p57 expression was detected only in the trabecular layer both in Hand1/eHAND KI and wild-type embryos (Fig. 4M and N).
Normal IVS formation in transgenic embryos overexpressing Hand1/eHAND in the RV. The defect in the IVS formation in Hand1/eHAND KI embryos may be due to nonspecific effects of Hand1/eHAND overexpression. To further examine the significance of the absence of Hand1/eHAND expression in the boundary region, we generated and analyzed transgenic embryos overexpressing Hand1/eHAND in the RV by using the MLC2V promoter (Fig. 5A and B) (10, 18). As expected, the IVS formed normally in these transgenic embryos (Fig. 5D). Immunohistochemistry revealed FLAG-tagged Hand1/eHAND expression in the RV but not in the boundary region (Fig. 5C). These results indicated that the absence of Hand1/eHAND expression in the boundary region was critical for the proper formation of the IVS.
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FIG. 5. MLC2V-Hand1/eHAND transgenic mice. (A) Schematic representation of the transgene. (B) The MLC2V promoter drives transgene expression in the RV and OFT but not in the boundary region. (C) Immunohistochemistry with an anti-FLAG antibody revealed FLAG-tagged Hand1/eHAND protein expression in the RV but not in the IVS. (D) In MLC2V-Hand1/eHAND transgenic embryos, the IVS formed normally. Av, AvaII; E, EcoRI. Bars, 100 µm.
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FIG. 6. Schematic presentation of ventricular expansion and IVS formation. (A) IVS formation in normal hearts. The outer curvatures of the LV and RV expand outwards. For the proper formation of the IVS, the boundary region should not expand. Hand1/eHAND and Hand2/dHAND may regulate expansion of the LV and RV, respectively. Note the absence of Hand1/eHAND and Hand2/dHAND expression in the boundary region. (B) In Hand1/eHAND KI hearts, the boundary region also expanded outward. As a result, the IVS did not form properly. (C) In MLC2V-Hand1/eHAND transgenic embryos, while the Hand1/eHAND transgene was expressed in the RV and endogenous Hand1/eHAND was expressed in the LV, Hand1/eHAND expression was absent in the boundary region. In these transgenic embryos, the boundary region did not expand outwards and the IVS formed normally.
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Does Hand1/eHAND control the DV patterning of the embryonic heart? Interestingly, Chisel and ANF, molecular markers for the working myocardium (7), were ectopically expressed in the inner curvature and/or the AVC in Hand1/eHAND KI embryos. However, the inner curvature or the AVC did not expand morphologically. These results indicated that Hand1/eHAND regulated expression of molecular markers for the working myocardium but that additional gene(s) normally expressed in the outer curvature may be required for expansion of the chamber walls together with Hand1/eHAND.
The results of this study also gave insight into the hierarchical and combinatorial molecular cascade that controls cardiac development. Forced expression of Hand1/eHAND in the RV down-regulated Hand2/dHAND expression. It is possible that expression of Hand2/dHAND in the LV may be suppressed by high expression of Hand1/eHAND in the normal embryonic heart. However, Hand1/eHAND expression in the whole ventricles did not disturb the Tbx5 expression gradient or endogenous Hand1/eHAND expression. Therefore, it is unlikely that Hand1/eHAND is the most upstream gene that specifies the LV myocyte lineage.
Between E10.5 and E11.5, cardiac myocytes undergo rapid cell division, resulting in doubling of cardiac mass (11). By E10.5, Hand1/eHAND KI embryos were indistinguishable from wild-type embryos except that they lacked the IVG and IVS. At E11.5, the compact zone layer of the Hand1/eHAND KI hearts were thin, suggesting that heart failure due to poor development of the compact zone layer may have caused the embryonic lethality. What is the mechanism for thin myocardium in Hand1/eHAND KI embryos? N-myc, TEF-1, and p57 were normally expressed in Hand1/eHAND KI embryos, suggesting that there may be other mechanism(s). At E11.5, Hand1/eHAND expression was obviously down-regulated in wild-type embryos, while strong expression of Hand1/eHAND persisted in Hand1/eHAND KI embryos. Thus, down-regulation of Hand1/eHAND at the mid-stage of cardiac development may be important for the proper formation of the compact zone myocardium. Although it may seem inconsistent that Hand1/eHAND enhanced expansion of the ventricular chambers at E10.5 but that overexpression of Hand1/eHAND at E11.5 disturbed proliferation of the compact zone myocardium, fine-tuning of Hand1/eHAND expression at each stage may be required for the proper development of the embryonic heart. It is also possible that different mechanisms may exist to regulate expansion of the ventricular chambers and thickening of ventricular walls.
Recently, Takeuchi et al. reported that Tbx5 may determine the position of the IVS in chicken and mouse embryonic hearts (22). When Tbx5 was overexpressed in the whole ventricles, the Hand1/eHAND expression domain was expanded to the RV, resulting in a lack of IVS formation. Their study suggested that Tbx5 may control Hand1/eHAND expression and that in the chicken heart, the boundary of the Tbx5 and Tbx20 expression domains may determine the position of the IVS (22). Together with the results of our study, it was likely that the function of Tbx5 in the expansion of the ventricular walls and the IVS formation in murine hearts was mediated through eHAND. Moreover, since Tbx20 is uniformly expressed in the LV and RV (12) and Tbx5 is not expressed in the boundary region between the LV and RV in the normal murine hearts, the absence of Tbx5 and Hand1/eHAND expression in the boundary region may be critical in the proper formation of the IVS in murine cardiac development.
In summary, expression of Hand1/eHAND enhanced expansion of chamber walls, and absence of Hand1/eHAND expression in the boundary region may be essential for the proper formation of the IVG and IVS. Moreover, additional factors normally expressed in the outer curvature may determine the DV patterning of the embryonic heart in concert with Hand1/eHAND.
This work was supported by research grants from the Ministry of Education, Science, Sports, and Culture of Japan (grants 13045019, 13832003, and 15590738 [to M.T.] and 12CE2006 and 13307034 [to T.K.]), research grants from the Ministry of Health, Labor, and Welfare of Japan (Comprehensive Research on Aging and Health grant no. H14-choju-012 [to T. Kita]), and the grant provided by the Ichiro Kanehara Foundation (to M.T.).
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