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Molecular and Cellular Biology, September 2004, p. 8018-8025, Vol. 24, No. 18
0270-7306/04/$08.00+0 DOI: 10.1128/MCB.24.18.8018-8025.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Activation of REST/NRSF Target Genes in Neural Stem Cells Is Sufficient To Cause Neuronal Differentiation
Xiaohua Su,1,
Sei Kameoka,1,
Susan Lentz,1 and Sadhan Majumder2,3*
Department of Molecular Genetics,1
Brain Tumor Center, University of Texas M. D. Anderson Cancer Center,2
Program in Genes and Development, University of Texas Graduate School of Biomedical Sciences at Houston, Houston, Texas3
Received 27 February 2004/
Returned for modification 27 April 2004/
Accepted 21 June 2004

ABSTRACT
REST/NRSF is a transcriptional repressor that acts at the terminal
stage of the neuronal differentiation pathway and blocks the
transcription of several differentiation genes. REST/NRSF is
generally downregulated during induction of neuronal differentiation.
The recombinant transcription factor REST-VP16 binds to the
same DNA binding site as does REST/NRSF but functions as an
activator instead of a repressor and can directly activate the
transcription of REST/NRSF target genes. However, it is not
known whether REST-VP16 expression is sufficient to cause formation
of functional neurons from neural stem cells (NSCs). Here we
show that regulated expression of REST-VP16 in a physiologically
relevant NSC line growing under cycling conditions converted
the cells rapidly to the mature neuronal phenotype. Furthermore,
when grown in the presence of retinoic acid, REST-VP16-expressing
NSCs activated their target, as well as other differentiation
genes that are not their direct target, converting them to the
mature neuronal phenotype and enabling them to survive in the
presence of mitotic inhibitors, which is a characteristic of
mature neurons. In addition, these neuronal cells were physiologically
active. These results showed that direct activation of REST/NRSF
target genes in NSCs with a single transgene, REST-VP16, is
sufficient to cause neuronal differentiation, and the findings
suggested that direct activation of genes involved in the terminal
stage of differentiation may cause neuronal differentiation
of NSCs.

INTRODUCTION
Differentiation of neural stem cells (NSCs) into neurons is
generally believed to occur in four steps characterized by the
expression and action of specific gene products (
7,
11). Thus,
NSCs, which can multiply and produce their own kind under one
set of conditions and differentiate under other conditions,
express p75 and nestin. The neuronal determination step is characterized
by the action of basic helix-loop-helix proteins such as MASH,
MATH, and NeuroD3/neurogenin. Next is the commitment step, in
which genes such as those that encode neuroD1/2, Myt1, and neurofilament
150 are expressed. The terminal differentiation step is characterized
by the expression of genes such as those that encode SCG10,
sodium channel type II, synapsin, glutamate receptor, and acetylcholine
receptor. These terminal differentiation genes are the main
direct targets of the repressor element 1 (RE1)-silencing transcription
factor (REST)/neuron-restrictive silencer factor (NRSF) (
5,
21). REST/NRSF contains a DNA binding domain and two repressor
domains, one at the N terminal and the other at the C terminal
(
5,
21). REST/NRSF blocks transcription of its target genes
by binding to a specific consensus RE1 binding site/neuron-restrictive
silencer element (RE1/NRSE) that is present in the target genes'
regulatory regions (
5,
21). REST/NRSF-dependent promoter repression
requires interaction with several cellular cofactors, including
Co-REST, N-CoR, mSin3A, and histone deacetylase complex, and
activity of histone deacetylase (
1,
2,
6,
8). Although REST/NRSF
is expressed mainly in nonneural cells (
5,
21), some studies
have shown that REST/NRSF is expressed in certain mature neurons
in adults (
6,
9), suggesting that it has a complex role that
depends on its cellular and physiological environment. There
are several differentially spliced isoforms of REST/NRSF (
16).
One such isoform, REST4, functions as a dominant-negative regulator
by competing with REST/NRSF for DNA binding in neurons (
23,
26). In addition, both REST/NRSF and REST4 interact with RILP,
a LIM domain protein, for nuclear translocation (
22). Thus,
several mechanisms have the potential to regulate the activity
of REST/NRSF in cells. REST/NRSF is downregulated for the induction
and maintenance of the neuronal phenotype (
1); overexpression
of REST/NRSF in differentiating neurons disrupts neuronal gene
expression and causes axon guidance errors (
17).
To activate the target genes of REST/NRSF, we previously constructed a recombinant transcription factor, REST-VP16, by replacing the repressor domains of REST/NRSF with the activation domain of herpes simplex virus protein VP16. Because REST-VP16 still contains the DNA binding domain of REST/NRSF, we found that REST-VP16, when transiently expressed in mammalian neuronal cells, operates through the RE1/NRSE, competes with endogenous REST/NRSF for DNA binding, and activates REST/NRSF target genes (7, 11). In the present study, we investigated whether direct activation of REST/NRSF target genes through a single transgene, REST-VP16, would convert NSCs to the mature neuronal phenotype.

MATERIALS AND METHODS
Plasmids.
The NheI/XhoI fragment of pcDNA3.1-REST-VP16 (
7) was subcloned
into NheI/XhoI-digested plasmid pBig2r (
25). The clone obtained
was confirmed by sequencing the junction region. Construction
of pNaCh, pNaCh

RE1, pT.luc, pRE.T.luc, pREST/NRSF, pGal4-VP16,
and pREST-VP16 has been described elsewhere (
7,
11,
28). pCMV-ßGAL
was purchased from Stratagene.
Cell culture and differentiation.
Mouse multipotent C17.2 NSCs were originally described by Snyder et al. (24) and were used throughout this study. The NSCs were maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal calf serum (GIBCO) and 5% horse serum (GIBCO) (growth medium) and never grown to confluence. For REST-VP16-mediated differentiation, cells were grown on poly-L-lysine (PLL; Sigma)-coated CC2 (Lab-Tek) chamber slides for 2, 8, or 16 days in the medium described above. For retinoic acid (RA) and mitotic inhibitor treatments, cells were grown in growth medium for 24 h on Corning dishes coated with PLL at 10 µg/ml for 24 h; the medium was then changed to growth medium with 10 µM RA (Sigma) for 4 weeks to induce neuronal differentiation. Cells were split 1:4 by trypsinization and subcultured on PLL- and laminin (Sigma)-coated Corning dishes for 2 days. Cells were then treated with DMEM containing 5% fetal calf serum and the mitotic inhibitors 10 µM 5-fluoro-2'-deoxyuridine, 10 µM uridine, and 1 µM cytosine ß-D-arabinofuranoside for 5 days. All media were changed every 2 days.
PLL and laminin coating.
Coating of Corning culture dishes or CC2 chamber slides with PLL or PLL plus laminin was done with 10 µg of PLL per ml in distilled water. This solution was applied for 15 min, aspirated, washed five times for 10 min each time, aspirated, and air dried. For laminin coating of PLL-coated Corning dishes or CC2 slides, 15 µg of laminin per ml in phosphate-buffered saline (PBS) containing 1 mM CaCl2 and 1 mM MgCl2 at room temperature was applied, and the dishes or slides were incubated overnight. Excess laminin solution was aspirated from the dishes or slides, and the cells were rinsed twice with culture medium, air dried, and used immediately.
Stable transfection.
C17.2 cells were transfected with plasmid pBig2r or pBig2r-REST-VP16 with Fugene 6 (Roche) in accordance with the manufacturer's instructions. Two days after transfection, 750 µg of hygromycin B (Roche) per ml was added for clone selection. The culture medium was refreshed every 2 days with 4 µg of doxycycline (Sigma) per ml. Doxycycline-inducible clones, pBig2r-REST-VP16, and vector pBig2r, were selected by induction of REST-VP16 and tTA after removal of doxycycline for 2 days and identified by Western blot analysis. After selection, clones were maintained in medium containing 500 µg of hygromycin B per ml. During the assays, the concentration of hygromycin B was reduced to 250 µg/ml to avoid removal of the transgene.
Calcium imaging.
Living-cell microscopy to detect depolarization-dependent calcium influx was performed as previously described (18, 20, 28). A confocal laser system (Olympus Fluoview FV500) and the fluorescent calcium indicator Fluo-3 (Molecular Probes) were used to measure the intracellular free calcium concentration. Cells were loaded with Fluo-3 and depolarized with high-KCl (100 mM) Ringer solution as previously described (3). Fluorescence was measured every 0.25 s for a total of 12 s. For the glutamate experiment, 10 µM glutamate was included in Ringer solution.
Sodium dodecyl sulfate-polyacrylamide gel electrophoresis and Western blotting.
Cells were cultured on six-well Corning plates for 2 days or on PLL-coated six-well Corning plates for 8 days without doxycycline. Cells were then rinsed and lysed directly in Laemmli sample buffer (Bio-Rad). Lysates were vortexed vigorously, boiled for 5 min, and electrophoresed on sodium dodecyl sulfate-polyacrylamide gel electrophoresis-ready gels (Bio-Rad). Gels were transferred to Hybond-P polyvinylidene difluoride membranes (Amersham Biosciences, Buckinghamshire, United Kingdom), and blots were detected with ECL-plus reagents (Amersham).
Antibodies.
The following antibodies were used: anti-VP16 (1:100; Clontech), anti-unique ß-tubulin (Western blotting, 1:500; immunofluorescence assay, 1:1,000; Tuj1; Covance Research Products), anti-synaptotagmin I (1:500; AB5600; Chemicon), anti-microtubule-associated protein 2 (MAP2) (1:1,000; HM-2; Sigma), anti-
-tubulin (1:1,000; B-5-1-2; Sigma), antiactin (1:2,000; I-19; Santa Cruz), horseradish peroxidase-conjugated anti-mouse, anti-rabbit immunoglobulin G (heavy and light chains; 1:20,000; Amersham), and Cy3-labeled anti-mouse or anti-rabbit immunoglobulin G (heavy and light chains; 1:1,000; Amersham).
Reporter gene assays.
C17.2 cells and c17.2-pBig2r and C17.2-REST-VP16 clones were plated in six-well Corning plates for 3 days in complete DMEM without doxycycline. pT-Luc or pRE-T-Luc (2 µg) was transfected by Fugene 6 (Roche) in accordance with the manufacturer's instructions. Cells were collected after 48 h and assayed for protein concentration with the bicinchoninic acid protein assay kit (Pierce) and for luciferase activity as previously described (7).
Immunofluorescence assay.
Cells were fixed on PLL-coated or PLL-laminin-coated CC2 chamber slides (see description of cell culture and differentiation) for 20 to 30 min at room temperature with either 4% paraformaldehyde in PBS or 10% buffered formalin, rinsed in PBS, permeabilized, and blocked in blocking buffer (5% nonfat dry milk [Nestle], 0.3% Triton X-100
, PBS) for 30 min at room temperature. Primary antibodies were diluted in the blocking buffer and incubated overnight at 4°C under humidified conditions. Secondary antibodies were diluted in PBS and incubated for 1 h at room temperature. For nuclear staining, 0.1 µg of Hoechst 33328 (Molecular Probes) per ml in water was used. Photographs were taken with a Hamamatsu 5880 color charge-coupled device camera equipped with a Leica DMR microscope. Double-label images were assembled in Adobe Photoshop.

RESULTS
Construction of NSC clones stably expressing doxycycline-regulated REST-VP16.
To determine the effect of REST-VP16 expression in NSCs, we
generated stable C17.2 mouse clonal NSCs by using a bidirectional
doxycycline-regulated vector, pBig2r (
25). These NSC lines were
generated by transduction of v-
myc into the external granule
layer cells of normal mouse cerebellum (
14). These cells can
differentiate into normal neuronal and glial cells in vitro
and in vivo, do not form tumors in the brain, and can be integrated
into the normal brain structures, indicating that they have
the functional endogenous machinery to perform normal biological
functions of NSCs (
14). The clonal cell line NSC-RVs stably
expressed the REST-VP16 protein when grown without doxycycline
(Dox) for 2 days, as shown by Western blotting with anti-VP16
antibodies (Fig.
1A). In contrast, C17.2 cells (NSCs) or C17.2
cells expressing the vector alone (NSC-Vs) and grown with or
without doxycycline (+Dox) did not produce detectable levels
of the REST-VP16 protein. Similarly, NSC-RVs grown with doxycycline
produced a low level of REST-VP16, probably as a result of the
leakiness of the doxycycline-regulated system (
25,
28). In these
experiments, anti-

-tubulin was used as an internal control.
Taken together, these experiments showed that NSC-RVs efficiently
expressed REST-VP16 in the absence of doxycycline. The behavior
of another REST-VP16 clone, NSC-RV', was similar to that of
NSC-RVs in all of our experiments described below (data not
shown), indicating that the effect of the REST-VP16 clone was
independent of the genomic integration site.
To determine whether the REST-VP16 protein was transcriptionally
active, we devised a reporter gene assay system to be used before
using a reporter plasmid system (
7,
11). We constructed synthetic
promoters containing a luciferase reporter gene under the control
of a TATA box alone (pT.luc) or a TATA box plus two copies of
the wild-type RE1/NRSE sequence (pRE.T.luc). A transfection
assay was performed with NSCs, NSC-Vs, and NSC-RVs and these
plasmids. The plasmid pß-gal was used as an internal
control in these experiments, and the luciferase activity obtained
from each experiment was divided by the corresponding ß-galactosidase
activity. As shown in Fig.
1B, a high level of luciferase activity
was observed only from pRE.T.luc and only in NSC-RVs grown without
doxycycline, indicating that NSC-RVs produced large amounts
of transcriptionally active REST-VP16 protein. When cells were
grown with doxycycline, little luciferase activity was observed
(data not shown).
REST-VP16 converts NSCs to the mature neuronal phenotype.
To determine the ability of stably expressed REST-VP16 protein to induce neuronal differentiation of NSCs, NSC-Vs and NSC-RVs were allowed to grow under cycling conditions in the presence of full growth medium as described in Materials and Methods with and without doxycycline. As shown in Fig. 2A, by day 8 NSC-RVs grown without doxycycline expressed neuronal ß-tubulin, a neuronal differentiation marker, as assayed by the anti-TuJ-1 antibody, but control cells did not. This indicated that the REST-VP16 protein produced in these cells could activate its cellular target genes. By day 16, REST-VP16-expressing NSCs were highly differentiated and expressed markedly higher levels of neuronal ß-tubulin than did the control cells. A low level of neuronal ß-tubulin expression was detected in NSC-RVs grown with doxycycline, presumably because of the leakiness of the doxycycline-regulated system, similar to what was observed previously (25, 28). The magnified panel in Fig. 2 shows characteristic neurite-like structures in these cells. To confirm the differentiation of NSC-RVs, we performed a Western blot analysis of 16-day-differentiated NSC-V and NSC-RV cell extracts with antibodies against another neuronal differentiation marker, synaptotagmin I, a major synaptic vesicle protein; the expression of synaptotagmin I is also directly regulated by REST/NRSF (9, 10). In this experiment, anti-actin antibody was used as the internal control and mouse brain extract was used as a positive control for synaptotagmin I expression. As shown in Fig. 2B, NSC-RVs produced the REST-VP16 and synaptotagmin I proteins but NSC-Vs did not.
REST-VP16 causes sensitization to RA and expression of REST target and REST nontarget neuronal differentiation genes in NSCs and converts them into the neuronal phenotype.
The vitamin A derivative RA is known to be responsible for embryonic
patterning and has been found to induce general neuronal differentiation,
as well as the formation of different types of neurons, in vivo
and in vitro (
10,
12,
13,
15). We previously found that our
untreated NSCs were not sensitive to RA-dependent neuronal differentiation
(see below). We sought to determine whether the expression of
REST-VP16 in NSCs would produce RA sensitivity and cause them
to differentiate and survive in the presence of mitotic inhibitors,
a characteristic of differentiated neurons. We grew NSCs, NSC-Vs,
and NSC-RVs with RA and without and with doxycycline and then
treated the cells with the mitotic inhibitors 5-fluoro-2'-deoxyuridine,
uridine, and cytosine-ß-
D-arabinofuranoside. The cellular
nuclei were labeled with Hoechst dye, stained with antibodies
for the neuronal differentiation markers neuronal ß-tubulin
(Tuj1) and MAP2, and then examined by immunofluorescence microscopy.
Most of the NSC-RVs grown without doxycycline, unlike the NSCs
or NSC-Vs grown with or without doxycycline, survived the mitotic
inhibitors well, produced neuronal ß-tubulin (Fig.
3) and MAP2 (Fig.
4) proteins, and formed neurite-like structures.
Under these conditions, only a few control cells were still
present, indicating that REST-VP16-expressing NSCs differentiated
into neurons and that these cells survived mitotic inhibitors
more efficiently than did control cells. When these experiments
were repeated with antibodies against synapsin, another direct
target of REST-VP16, the results were similar to those obtained
for neuronal ß-tubulin and MAP2 (data not shown).
Interestingly, NSC-RVs produced MAP2, a neuronal differentiation
marker not known to be a direct target of REST, indicating that
expression of REST-regulated neuronal differentiation genes
in NSCs through REST-VP16 also triggers the activation of other
neuronal differentiation genes that are not direct targets of
REST/NRSF. Taken together, the results of these experiments
showed that REST-VP16 could produce neuronal differentiation
of NSCs.
REST-VP16 expression in NSCs produces physiological activity of neurons.
Depolarization-dependent calcium influx is an intrinsic property
of synaptic vesicles, occurring in both mature and developing
neuronal processes, and is independent of the presence of synaptic
contacts (
3,
14,
18,
20,
27). To determine whether NSC-RVs grown
without doxycycline, which survived mitotic inhibitors, also
undergo depolarization-dependent calcium influx, we measured
intracellular Ca
2+ levels by loading live NSCs, NSC-Vs, and
NSC-RVs with the fluorescent calcium indicator Fluo-3 in the
absence of doxycycline and examined them with a confocal laser
system. Fluo-3 is practically nonfluorescent unless bound to
Ca
2+ (
18,
20). These cells were then depolarized with a high
K
+ concentration, and the fluorescence was measured every 0.25
s for a total of 12 s. As shown in Fig.
5, a rapid, reversible
calcium influx occurred specifically in response to K
+ in NSC-RVs
but not in NSCs or NSC-Vs. The K
+-specific signal returned to
the baseline upon washing (data not shown). Thus, NSC-RVs that
survived mitotic inhibitors were physiologically active.
Glutamate-induced calcium influx is another intrinsic property
of neurons. To determine whether NSC-RVs have this property,
we measured the cells' intracellular Ca
2+ levels with and without
glutamate. As shown in Fig.
6, NSC-RVs but not NSCs or NSC-Vs
underwent a rapid increase in intracellular Ca
2+ in the presence
of glutamate. The signal returned to the baseline upon washing
(data not shown). These experiments showed that NSC-RVs had
the physiological properties of neurons.

DISCUSSION
We showed that expression of a single transgene, that which
encodes REST-VP16, causes rapid conversion of NSCs to the mature,
physiologically active neuronal phenotype. These results suggest
that direct activation of the REST/NRSF target is sufficient
to produce neuronal differentiation of NSCs. However, whether
REST-VP16-mediated neuronal differentiation occurs without transiently
activating regulators that control the preceding stages of differentiation
is unknown. We are currently examining these possibilities.
Direct activation of REST/NRSF target genes through REST-VP16 in NSCs also activates MAP2, which is not known to be a direct target of REST/NRSF. We recently observed such activation of MAP2 by REST-VP16 in myoblasts (28). Whether activation of MAP2 is accomplished directly by REST-VP16 or indirectly by the gene products activated by REST-VP16 remains unclear.
Our preliminary observations indicate that although NSCs express REST/NRSF activity, transcription of the REST/NRSF gene is blocked as NSCs differentiate along the neuronal pathway (data not shown). Whether REST-VP16-mediated neuronal differentiation also causes such a blockage of endogenous REST/NRSF gene transcription is unknown. However, the findings that REST-VP16 can successfully compete with endogenous REST/NRSF in neuronal cells and activate REST/NRSF's target genes (7, 11) suggest that the REST-VP16-mediated neuronal differentiation of NSCs would occur even in the presence of endogenous REST/NRSF.
Future studies will determine whether REST-VP16-mediated production of the neuronal phenotype, resulting in a rapid fate change, also accompanies global chromatin modification, as was recently found for normal NSC development (29). As described elsewhere, REST/NRSF regulates transcription through chromatin modification (1, 2, 6, 8). REST-VP16 binds to the same DNA binding site as does REST/NRSF but functions as an activator instead of a repressor (7, 11) and therefore would be expected to block REST/NRSF-mediated chromatin modification. We are currently examining the chromatin modification generated by REST/NRSF and REST-VP16 in our mammalian chromatin reconstitution system (19). Interestingly, a previous study showed that neurons dying of ischemic insults re-expressed REST/NRSF (4); experiments should be performed to determine whether expression of REST-VP16 can reverse such neuronal death. Recently, the wild-type huntingtin protein was found to bind to REST/NRSF and thereby sequester REST/NRSF in the cytoplasm (30). It was postulated that in the pathology of Huntington's disease, the REST/NRSF-huntingtin protein interaction is lost, causing REST/NRSF to enter the nucleus and repress its target genes (19). Examining whether REST-VP16 can be used to block this role of REST/NRSF in Huntington's disease is an exciting prospect.

ACKNOWLEDGMENTS
We are very grateful to Gail Mandel for the generous gift of
pREST-Express, p73, pBS.REST, and pSDK7; to Craig Strathdee
for plasmid pBig2r; and to Evan Snyder for C17.2 cells. We are
also grateful to the anonymous reviewers, whose comments made
the paper better.
This work was supported by grants from the National Cancer Institute (CA 81255 and CA97124). DNA sequencing was supported by NIH Cancer Center Support (Core) grant CA16672.

FOOTNOTES
* Corresponding author. Mailing address: University of Texas M. D. Anderson Cancer Center, Molecular Genetics, 1515 Holcombe Blvd., Unit 11, Houston, TX 77030. Phone: (713) 792-8920. Fax: (713) 792-6054. E-mail:
majumder{at}mdanderson.org.

Present address: Department of Pediatrics and Genetic Medicine, The Johns Hopkins University, Baltimore, MD 21205. 
Present address: Department of Molecular and Cellular Biology, Harvard University, Cambridge, MA 02138. 

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Molecular and Cellular Biology, September 2004, p. 8018-8025, Vol. 24, No. 18
0270-7306/04/$08.00+0 DOI: 10.1128/MCB.24.18.8018-8025.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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