Abstract
Hox genes are required for proper anteroposterior axial patterning and the development of several organ systems. Herein, we show that all three Hox5 paralogous genes play redundant roles in the developing lung. Hoxa5;Hoxb5;Hoxc5 triple mutant embryos develop severely hypoplastic lungs with reduced branching and proximal-distal patterning defects. Hox5 genes are exclusively expressed in the lung mesoderm, however, defects are observed in both lung mesenchyme and endodermally-derived epithelium, demonstrating that Hox5 genes act to regulate mesodermal-epithelial crosstalk during development. We show that Hox5 loss-of-function leads to loss of Wnt2/2b expression in the distal lung mesenchyme and the down-regulation of previously identified downstream targets of Wnt2/2b signaling including Lef1, Axin2 and Bmp4. Wnt2/2b-enriched media rescues proper Sox2/Sox9 patterning and restores Bmp4 expression in Hox5 triple mutant lung explants. Taken together, these data show that Hox5 genes are key upstream mesenchymal regulators of the Wnt2/2b-Bmp4 signaling axis critical for proper lung patterning.
Graphical Abstract
Introduction
Lung specification begins around embryonic day E9.0 in the mouse with expression of the transcription factor Nkx2.1 in the ventral anterior foregut endoderm (Herriges and Morrisey, 2014; Morrisey and Hogan, 2010). By E9.5, two primary lung buds have emerged from the endoderm, surrounded by associated mesoderm. The two lung buds undergo a stereotyped process of branching morphogenesis that results in the generation of a complex arborized network of gas-delivering bronchioles and gas-exchanging alveoli. Concomitant with lung branching, a complex network of signaling pathways and transcription factors governs the process of lung bud growth and patterning. Early lung epithelium is initially patterned into proximal airway progenitors that express Sox2 and distal airway progenitors that express Sox9 (Chang et al., 2013; Rockich et al., 2013; Tompkins et al., 2011). The proximal-distal (PD) pattern of the lung is established in part by the Wnt/β-catenin, Bmp and Fgf signaling networks (Mucenski et al., 2003; Weaver et al., 1999; Yin et al., 2008). How these networks are established and are related to one another at a mechanistic level is complex.
Hox genes are a deeply conserved group of transcription factors that provide important patterning cues along the AP axis of the vertebral skeleton and the PD axis of the limb skeleton (Mallo et al., 2010). A multitude of additional roles for this group of genes have also been reported that encompass many aspects of organogenesis (Di Meglio et al., 2013; Manley and Capecchi, 1998; Rousso et al., 2008; Wellik et al., 2002; Xu et al., 2013; Yallowitz et al., 2011). In mammals, 39 Hox genes are arranged collinearly in four clusters and can be categorized into thirteen paralogous groups based on sequence similarity and position within the cluster (Kessel and Gruss, 1990). A high degree of sequence similarity and functional redundancy exists among paralogous groups (Mallo et al., 2010). As a result, genetic loss of function of a single gene within a paralogous group often results in no or incompletely penetrant phenotypes whereas mutants for the entire paralogous group exhibit extensive defects.
Previous studies have shown that single Hoxa5 mutant and compound Hoxa5;b5 double mutant mice have abnormal growth and branching of the lungs during embryonic development that results in semi-penetrant neonatal lethality (Aubin et al., 1997; Boucherat et al., 2013). To explore the possibility that retention of the remaining paralog, Hoxc5, is masking redundant functions in the lung, we generated Hoxa5;Hoxb5;Hoxc5 triple mutant animals. Hox5 triple mutants display dramatically more severe phenotypes than single or double mutants, demonstrating functional redundancy among Hox5 genes during lung development. In Hox5 triple mutants, lung specification and budding is unaffected but severe growth and patterning defects are observed. Complete loss of Hox5 function leads to loss of Wnt/β-catenin signaling in the distal lung mesenchyme accompanied by corresponding down-regulation of several previously identified downstream targets of canonical Wnt/β-catenin signaling including mesenchymal Lef1 expression, and Axin2 and Bmp4 expression in the distal epithelium (Yin et al., 2008). Hox5 triple mutant lungs also exhibit PD-patterning defects as evidenced by the distal expansion of mesenchymal Sox9 and epithelial Sox2 expression. Finally, we show that Hox5 triple mutant lung explants cultured in Wnt2/2b-enriched media rescues the branching phenotype, restores proper Sox2/Sox9 PD patterning and normalizes Bmp4 expression in the distal epithelium. Thus, these data demonstrate that Hox5 is a critical upstream regulator of Wnt2/2b in the distal lung mesenchyme and identify a Hox5-Wnt2/2b-Bmp4 signaling axis from the mesenchyme to the epithelium that is critical for the proper growth and PD patterning of the lung during embryogenesis.
Results
Complete loss of Hox5 function leads to dramatic lung defects
Generation of Hox5 mutant animals resulted in data that is consistent with previous work that reported the abnormal growth and branching phenotype of the lungs from single Hoxa5 mutant (Hox5 aaBBCC) mice are exacerbated in Hoxa5;Hoxb5 double mutants (Hox5 aabbCC) compared to controls at E18.5 (Figure 1A) (Aubin et al., 1997; Boucherat et al., 2013). In contrast, Hoxb5 and Hoxc5 single mutants and Hoxb5;Hoxc5 double mutants (Hox5 AAbbcc) are viable with no obvious defects in lung development, consistent with a previous report suggesting Hoxc5 may not function in the development of this organ (Boucherat et al., 2013). However, when examined genetically, removal of Hoxc5 function in addition to Hoxa5 and Hoxb5 (Hox5 aabbcc triple mutants) results in an extreme exacerbation of lung defects (Figure 1A). Lungs from Hox5 triple mutant animals are severely hypoplastic and have dramatic growth and patterning defects.
Figure 1. Hox5 expression and triple mutant phenotypes during embryogenesis.
(A) E18.5 lungs from the Hox5 mutant allelic series. Lung morphology shows minor defects in Hoxa5 single mutants compared to controls, single mutants of Hoxb5 or Hoxc5 or double Hoxb5/Hoxc5 mutants are indistinguishable from controls. Hoxa5/Hoxb5 double mutants and five-allele mutants (Hox5 Aabbcc shown here) show phenotypes, but the severity of the phenotype is drastically exacerbated with loss-of-function of all three Hox5 paralogs (Hox5 aabbcc). Scale bar represents 1mm in all panels.
(B) qPCR analysis for each of the three Hox5 paralogs through embryonic stages shows high expression of all three paralogs, Hoxa5, Hoxb5 and Hoxc5 at early time points. Hoxa5 expression remains high throughout embryonic development, while both Hoxb5 and Hoxc5 decrease from E14.5.
(C) In situ hybridization analyses using combined probes for Hoxa5, Hoxb5 and Hoxc5 show that all three paralogs are expressed only in the mesenchyme and not the endoderm of the developing lung. Scale bars represent 50uM.
(D) Proximodistal patterning is disrupted in Hox5 triple mutant animals. Control E14.5 lungs show normal expression of Sox9 in the proximal mesenchyme and distal epithelium. In Hox5 triple mutant animals, Sox9 mesenchymal expression is expanded into very distal regions of the lung.
(E) Characterization of distal lung defects in E18.5 Hox5 triple mutants. H&E staining of histological sections shows less saccule formation and thickening of the lung perenchyma in Hox5 triple mutants compared to controls. Immunostaining for E-cadherin shows an increase in cuboidal epithelium in Hox5 mutants compared to controls and cell type specific markers reveal large stretches of the Hox5 distal lung that are completely devoid of AECI cells as visualized by Aqp5 and large increases in the AECII cells (Sftpc and SP-B). Scale bars represent 100uM in all panels.
Hox5 genes are exclusively expressed in the mesoderm of the embryonic lung
qPCR analyses of Hoxa5, Hoxb5 and Hoxc5 expression levels in the developing lung reveal that the expression levels of all three Hox5 paralogs are highest at early stages of lung development (Figure 1B). During subsequent embryonic stages, the expression levels of Hoxb5 and Hoxc5 decrease. In contrast, Hoxa5 maintains a relatively high level of expression through E18.5. In situ hybridization (ISH) analyses using combined probes for all three Hox5 genes show that Hox5 genes are exclusively expressed in the lung mesenchyme and not expressed in the epithelium at any embryonic stage examined (Figure 1C). At E11.5, Hox5 shows the strongest expression in the distal mesenchyme and appears more uniformly expressed throughout the mesenchyme at E12.5 and E14.5.
Hox5 triple mutant lungs exhibit PD patterning defects
Previous studies have shown that the expression of two transcription factors, Sox2 and Sox9, serve as early molecular markers of proximal and distal airway in the developing lung (Chang et al., 2013; Rockich et al., 2013; Tompkins et al., 2011). In wild-type lungs, Sox9 is exclusively expressed in the mesoderm (and not epithelium) in the proximal airway and only in the epithelium (and not mesoderm) in the distal airway, while Sox2 is exclusively expressed in the proximal airway epithelium. As depicted in Figure 1D, this stereotypical PD patterning is disrupted in Hox5 triple mutant lungs with mesenchymal Sox9 expression extending into distal regions of the airway and epithelial expression of Sox9 only detected in the outer most edges of the Hox5 mutant lung at E14.5 compared to controls. Consistent with these data, whole mount IHC analyses of Sox2/Sox9 expression in E14.5 lungs show a clear expansion of mesenchymal Sox9 expression into more distal regions of the lung in Hox5 triple mutants (Figure S1A, arrowheads). Despite this, the expanded mesenchymal Sox9 expression does not lead to the formation of ectopic cartilage in this region (Figure S1B).
Loss of Hox5 function disrupts the normal differentiation of distal lung epithelial cell types
Figure 1A demonstrates that Hox5 triple mutant lungs exhibit severe defects in lung development by E18.5. H&E staining of histological sections at E18.5 shows that Hox5 triple mutant lungs have fewer saccules and an overall thickening of the lung parenchyma in the distal airway (Figure 1E). Normally, two types of cells populate the distal epithelium at newborn stages; squamous AECI cells that allow gas exchange and cuboidal AECII cells that produce surfactant. Anti-E-cadherin staining reveals an increase in the number of cuboidal epithelial cells in the distal airway in mutants compared to controls (Figure 1E). Further investigation of the distribution of AECI and AECII epithelial cells demonstrates significant perturbations in these populations in Hox5 triple mutants. Immunostaining for Aqp5, which specifically marks AECI cells, shows large stretches of lung epithelium that are devoid of Aqp5 expression in the distal lungs of Hox5 triple mutants (Figure 1E). This is never observed in controls. Analysis of the AECII-specific proteins Sftpc and SP-B in control and Hox5 triple mutant lungs reveal an increase in the number of AECII cells in the distal airway of mutants at E18.5 (Figure 1E). Further investigation using antibodies against cell types specific to the proximal airway and trachea (secretory, ciliated, basal and PNEC cells) reveal distal regions are negative for all proximal markers examined and that overall distribution of these cell types are unaffected in Hox5 triple mutants (Figure S1C). Thus, these data suggest that the Hox5 genes play a critical role in the specification of AECI cells during lung development.
Lung initiation events are unaffected in Hox5 triple mutants
Lung bud initiation events are morphologically indistinguishable between controls and Hox5 triple mutants (Figure 2A). In addition, the expression patterns of factors previously shown to be important for lung initiation events including Nkx2.1, Raldh2 and Shh are unaffected in Hox5 triple mutants compared to controls (Figure 2B) (Bellusci et al., 1997; Kimura et al., 1996; Mollard et al., 2000). In contrast, by E12.5, Hox5 triple mutant lungs are visibly hypoplastic and exhibit a statistically significant reduction in the number of distal branch tips compared to controls (Controls = 19.66 ± 1.53 compared to Hox5 triple mutants = 11.33 ± 0.58 distal branch tips) (Figure 2A). By E14.5, the Hox5 triple mutant lung phenotype is more severe with a greater relative reduction in size and more pronounced branching defects (Figure 2A). Quantification reveals that Hox5 triple mutants exhibit an overall reduction of ≈85% of total lung volume of the left lobe and ≈65% of the right lobes compared to controls (Figure S2A). Despite this observation, we measure no difference in the expression levels of any of the three Hox5 genes by qPCR, and ISH analyses show uniform expression of Hox5 in both the right and left lobes at E12.5 (Figure S2B). Furthermore, there are no measureable differences in cell proliferation in either the lung epithelium or mesenchyme of Hox5 triple mutants at E14.5 (Figure S2A).
Figure 2. Lung initiation events are unaffected in Hox5 aabbcc triple mutants.
(A) Hox5 mutant lungs are indistinguishable from controls at E11.5, but become increasingly hypoplastic relative to controls from E12.5. Scale bars represent 0.5mm in all panels.
(B) Markers of lung initiation are not disrupted in Hox5 triple mutant embryos. Immunostaining for Nkx2.1 and ISH analyses for Raldh2 and Shh show no differences in expression between controls and mutants. Scale bars represent 50uM in all panels.
(C) Fgf and Shh signaling pathways show no disruption in Hox5 mutant lungs. ISH analyses of Etv5, a downstream read-out of Fgf signaling and Shh show no perturbations in levels or patterns in Hox5 mutants compared to controls. Scale bars represent 200uM. qPCR analyses show no changes in levels of any Fgf or Hh pathway component measured, including Fgf9, Fgf10, Spry2, Shh, Gli1 or Ptch1.
Fgf and Shh pathways are unaffected in Hox5 triple mutant lungs
Several conserved signaling pathways are critical for proper lung development (Herriges and Morrisey, 2014; Morrisey and Hogan, 2010). Fgf9, Fgf10 and Shh signaling are critical in directing the proper growth and branching of the lung epithelium during early lung morphogenesis (Bellusci et al., 1997; Sekine et al., 1999; Yin et al., 2008). qPCR analyses show no statistical difference in the expression levels of Fgf9, Fgf10, Spry2, Gli1 or Ptch1 in Hox5 triple mutants compared to controls at both E12.5 or later in development, at E14.5 (Figures 2C; S2C). Consistent with these data, ISH analyses of Etv5, a downstream target of Fgf signaling expressed in the distal epithelium, and Shh expression in the lung epithelium show no change in their expression patterns in Hox5 triple mutants at both E12.5 or E14.5 (Figures 2C; S2D). Consistent with the lack of defects in Fgf signaling, E12.5 control and mutant epithelia respond equivalently in the presence of Fgf10 (Figure S3A).
Hox5 genes regulate canonical Wnt/β-catenin signaling
It has been previously reported that both Wnt2 and Wnt2b, ligands of the canonical Wnt/β-catenin signaling pathway, are exclusively expressed in the lung mesoderm in the distal lung during early embryonic stages (Miller et al., 2012). Similar to Wnt2/2b, Hox5 is also expressed in the lung mesenchyme. In order to evaluate a potential relationship, we first performed Wnt2 and Hox5 ISH analyses on adjacent sections at E11.5. These results demonstrate that Hox5 and Wnt2 are expressed in a nearly identical pattern in the distal mesenchyme at this stage (Figure 3A). Moreover, ISH for a Wnt/β-catenin target, Lef1, on an adjacent section, reveals that Lef1 expression also overlaps with both Hox5 and Wnt2 in the distal mesenchyme (Figure 3A). To determine if Wnt signaling is perturbed in Hox5 mutants, we performed qPCR analyses for several components of the Wnt/β-catenin signaling pathway. These analyses revealed a significant reduction of the expression levels of both Wnt2 and Wnt2b in Hox5 triple mutant lungs compared to controls while the expression levels of other Wnt pathway components remain unchanged at E14.5 (Figure 3A). Of note, the expression levels of Wnt7a/7b, two ligands specifically expressed in the epithelium of the distal lung are unchanged in Hox5 triple mutants (Figure 3A). qPCR analyses also revealed that several Wnt/β-catenin target genes including Lef1, Axin2, Bmp4, SMA and SM22, are downregulated in Hox5 triple mutant lungs compared to controls (Figure 3B). Consistent with qPCR data, ISH analysis of Wnt2 shows a dramatic reduction of signal in the distal mesenchyme of Hox5 triple mutant lungs at E14.5 while expression levels of Wnt7b in the lung epithelium appear unchanged (Figure 3A). qPCR analyses at earlier developmental times (E12.5) show that Wnt2/2b expression is already decreased by this earlier stage and Wnt7a/7b levels are unchanged, similar to what is observed at E14.5 (Figure S2C).
Figure 3. Hox5 genes regulate canonical Wnt/β-catenin signaling.
(A) Hox5 expression overlaps with mesenchymal Wnt signaling in the developing lung and both mesenchymal Wnt ligands are down-regulated in Hox5 mutants. ISH analyses with combined Hox5 probes, Wnt2 and Lef1 on adjacent sections show a complete overlap in expression patterns for these genes, consistent with a regulatory relationship. Scale bar represents 50uM in all panels. qPCR analyses shows significant reduction of the two mesenchymal Wnt factors in the lung, Wnt2 and Wnt2b. Epithelial Wnt ligands, Wnt7a and Wnt7b and other Wnt inhibitors and receptors are not affected in Hox5 mutants compared to controls. These results are confirmed by ISH, showing that Wnt2 is markedly down-regulation in the mesenchyme of Hox5 mutants compared to controls while Wnt7b expression appears unaffected. Scale bar represents 200uM in all panels.
(B) Genes downstream of the Wnt pathway in the developing lung are reduced in Hox5 mutants. qPCR analyses shows a reduction in Lef1, Axin2, Bmp4, SMA and SM22. These analyses are confirmed by immunostaining with SMA, ISH of both Lef1 and Bmp4. Using both ISH and an Axin2-LacZ reporter allele crossed into Hox5 mutants, epithelial staining is specifically absent in the epithelium of Hox5 mutants (arrowheads) although mesenchymal staining appears unaffected. Scale bars represent 50uM in all panels.
Wnt/β-catenin signaling in the early lung mesenchyme has been shown to play an important role in airway smooth muscle progenitor expansion (Cohen et al., 2009). Because we see a dramatic reduction in the expression levels of Wnt2/2b and of Wnt/β-catenin target genes in the lung mesenchyme of Hox5 triple mutants, we examined the expression of smooth muscle markers in Hox5 triple mutant lungs by IHC and qPCR. Immunostaining for SMA expression shows a decrease, and in some cases absence, of smooth muscle development in Hox5 triple mutant lungs (Figure 3B). Consistent with these data, qPCR analyses in Hox5 triple mutants indicate that the expression levels of SMA and SM22 are significantly reduced compared to controls (Figure 3B).
Previous reports have shown that Wnt/β-catenin signaling is a critical upstream regulator of PD patterning in the lung, in part, through regulation of Bmp4 signaling (Shu et al., 2005). Due to the dramatic reduction in the expression of Wnt2/2b in Hox5 triple mutants (Figures 3A; S2C), we examined the expression levels of Lef1, Axin2 and Bmp4 in Hox5 triple mutant lungs. Consistent with qPCR results, Lef1 expression is nearly absent in the distal mesenchyme in Hox5 triple mutant lungs, whereas expression in controls in this region is robust (Figure 3B). Next, we crossed a previously described Axin2-LacZ reporter allele (Lustig et al., 2002) into our Hox5 mutant colony in order to examine potential changes in Axin2 expression in Hox5 triple mutants. As depicted in Figure 3B, Axin2 is expressed in both the mesenchyme and epithelium in the distal lung at E14.5. In contrast, while Axin2 expression appears relatively unchanged in the mesenchyme, signal is absent from the epithelium in Axin2-LacZ/+;Hox5 triple mutant lungs at E14.5. Consistent with the reporter data, additional Axin2 ISH experiments performed at E14.5 confirm the absence of Axin2 expression in the distal epithelium of Hox5 triple mutant lungs throughout the lung (Figures 3B; S2E). qPCR supports the observed decrease of Lef1 and Axin2 signal in Hox5 triple mutants at both E12.5 and E14.5 (Figures 3B, S2C). Finally, ISH analyses showed a dramatic down-regulation of Bmp4 expression in the lungs of Hox5 triple mutants compared to controls at E14.5 (Figure 3B). These changes are confirmed by qPCR (Figure 3B).
Wnt-enriched media rescues proper Sox9/Sox2 patterning and restores Bmp4 expression in the distal epithelium of Hox5 mutant lungs
Utilizing a lung explant culture system, we next tested whether the addition of Wnt2/2b is sufficient to rescue Hox5 mutant phenotypes. Briefly, lungs of both control and Hox5 triple mutant embryos were dissected at E12.5, cultured for 96 hours in either control or Wnt2/2b-enriched media, collected and analyzed. At the initiation of the culture conditions, Hox5 triple mutant lung explants already demonstrated a decrease in distal branch tips (Figure 4A). By 96 hours in culture, Hox5 mutant lung explants exhibited a ~50% decrease in the total number of distal branch tips compared to controls (controls = 84.66 ± 4.72 distal branch tips; Hox5 triple mutants = 41.66 ± 0.57) (Figure 4A). The addition of Wnt2/2b ligand into the culture media increased the total number of distal branch tips of Hox5 triple mutant lungs by ~80% after 96 hours (Hox5 triple mutants in control media = 41.66 ± 0.57; Hox5 triple mutants in Wnt2/2b- enriched media = 74.66 ± 1.52), to nearly the same total number of distal branch tips as control lung explants (controls = 84.66 ± 4.72 distal branch tips; Hox5 triple mutants + Wnt2/2b = 74.66 ± 1.52). These data demonstrate that the addition of Wnt2/2b ligand into the culture media almost completely normalizes the lung branch tip number in Hox5 triple mutant lungs.
Figure 4. Treatment of Hox5 aabbcc mutant lung explants with Wnt2/2b ligand rescues branching and restores proper PD patterning.
(A) Treatment of Hox5 mutant lungs with Wnt2/2b ligand rescues branching phenotype. Hox5 mutant embryonic and control lungs were dissected at E12.5 and treated for 96 hours with or without Wnt2/2b enriched, serum-free media. Control lungs increased their branch tips from an average of 19.66 to 84.66 over this time period. Despite defects already apparent at this stage in Hox5 mutant lungs (11.33 tips), treatment with Wnt2/2b for 96 hours increased the total branch tip number from 41.66 to 74.66, nearly reaching control branch tip numbers. Scale bar represents 0.5mm in all panels.
(B) Wnt2/2b rescue restores normal PD patterning to Hox5 triple mutants. Sectioning lung tissue from these experiments at the end of culture and staining with PD markers Sox2 and Sox9 shows that control lungs develop the same normal pattern observed in vivo with proximal Sox2 and distal Sox9 expression. Sox2 expression is extended distally in Hox5 mutants with a severe reduction in Sox9 distal staining as observed in vivo. Treatment of Hox5 mutant lungs with Wnt2/2b restores normal patterning as visualized by these two markers. Scale bar represents 50uM in all panels. Bmp4 distal tip expression also appears identical to what is observed in vivo in control lung cultures, and Hox5 mutants show the same severe reduction in this expression. Treatment with Wnt2/2b enriched media restores this expression after 96 hours in culture. Scale bar represents 50uM in all panels.
Remarkably, in addition to rescue of branch number, assessment of Sox2, Sox9 and Bmp4 expression reveals a re-establishment of normal lung PD pattern in Hox5 triple mutants when cultured in Wnt2/2b-enriched media (Figure 4B). Control lung explants cultured for 96 hours in control media have normally patterned airway with clear Sox2+ proximal and Sox9+ distal domains, in addition to strong Bmp4 staining in the distal epithelium, similar to what is observed in vivo. In contrast, Hox5 triple mutant explants exhibit the abnormal PD patterning observed in vivo with expansion of Sox2+ proximal progenitors into more distal regions of the airway, a reduction of Sox9+ distal airway progenitors, as well as reduction of the number of Bmp4+ branch tips compared to controls. Proper PD patterning is restored in Hox5 mutant lung explants cultured in Wnt2/2b-enriched media for 96 hours as evidenced by the normalization of the expression domains of Sox2 and Sox9, as well as an increase in the number of Bmp4+ distal branch tips similar to controls. Consistent with these data, SMA immunostaining in Hox5 triple mutant explants cultured in control media show a marked decrease, and in some areas absence, of smooth muscle development, similar to what is observed in vivo (Figure S3B). Culturing Hox5 triple mutant explants in Wnt2/2b enriched media for 96 hours restores proper smooth muscle development as evidenced by the normalization of SMA expression (Figure S3B). Collectively, these data provide strong evidence that the addition of Wnt2/2b is sufficient to rescue the downstream defects in Hox5 triple mutant lungs and is primarily responsible for the defects in Hox5 mutant lungs.
Discussion
Hox genes have been shown to play important roles in many aspects of organogenesis, but it has been difficult to place these highly conserved transcription factors into established regulatory networks controlling development. It has been previously shown that single Hoxa5 mutant and compound Hoxa5;Hoxb5 double mutant mice have abnormal growth and branching of the lungs during embryonic development (Aubin et al., 1997; Boucherat et al., 2013), but the defects in these lungs are relatively mild and downstream pathways associated with these defects have not been elucidated. Due to the fact that numerous reports demonstrate functional redundancy among Hox paralogs, we additionally removed Hoxc5 function to assess redundant roles that might allow the identification of pathways regulated by Hox5 genes during lung development. Phenotypes of Hox5 triple mutants are much more severe than previously reported for single or double mutants, indicating that Hoxc5 plays a redundant role with its paralogs Hoxa5 and Hoxb5 during lung development.
Loss of all three Hox5 paralogs results in specific defects in early lung development. Lung specification and budding proceeds normally and many early growth factors such as Shh, Fgf9 and Fgf10 as well as RA signaling are not affected. Our data show that loss of Hox5 function leads to dramatic down-regulation of Wnt2 and Wnt2b, two critical growth factors that are also expressed in early lung mesenchyme and are required for appropriate PD patterning as well as distal expansion of the developing lung. Loss of Wnt signaling in the lung mesenchyme leads to the loss of canonical Wnt/β-catenin activity in the distal epithelium demonstrated by specific loss of Axin2 staining in the distal lung epithelium, supporting a key role for Hox5-regulated, mesenchymal Wnt signaling in establishing the mesenchymal-epithelial crosstalk during early lung growth and patterning. Our data are also consistent with previous work examining targeted deletion of β-catenin in the distal lung epithelium which resulted in proximalization of the lung (Mucenski et al., 2003; Shu et al., 2005). Despite the well-established role for Wnt/β-catenin signaling in lung branching and patterning events, very little is known about the regulation of this pathway during lung development. It has been reported that FGF9 produced in the lung mesenchyme and epithelium is an important upstream regulator of Wnt2 expression in the mesenchyme (Yin et al., 2008), however, our data show that Fgf9 expression levels are unchanged in Hox5 triple mutants. Future work will determine whether Fgf9 signaling acts upstream or in a parallel to Hox5 genes to control Wnt2/2b expression in the lung mesenchyme.
Wnt/β-catenin signaling is a critical upstream regulator of Bmp4 expression in the distal lung epithelium and this regulatory relationship is essential for proper PD patterning of the airway epithelium (Shu et al., 2005). Loss of Bmp4 signaling leads to similar defects in proximal distal patterning and has been reported to be critical for inhibiting the expansion of Sox2+ proximal lung progenitors and promoting Sox9+ distal progenitor development in the distal airway (Domyan et al., 2011). Consistent with these reports, loss of canonical Wnt/β-catenin signaling in the distal epithelium observed in Hox5 triple mutants results in the down-regulation of Bmp4 expression in the distal epithelium and leads, in turn, to the distal expansion of Sox2. These data, together with previous work, identify a Hox5-Wnt2/2b-Bmp4 signaling axis that is required for the proper growth and PD patterning of the lung during embryogenesis.
Finally, we show that the addition of Wnt2/2b ligand into the lung explant culture media is sufficient to rescue the downstream defects observed in Hox5 triple mutants. Hox5 triple mutant lungs cultured in Wnt2/2b-enriched media reach nearly the same total number of distal branch tips as control lung explants and, perhaps more remarkably, also exhibit normalized Sox2/Sox9 PD patterning and restored Bmp4 and SMA expression comparable to controls. These data provide strong evidence that the primary cause of the lung defects of Hox5 triple mutants is the reduction of Wnt2/2b expression in the mesenchyme and demonstrate that redundant Hox5 function is responsible for maintaining regional mesenchymal Wnt signaling in the developing lung.
Experimental Procedures
Mice and histology
Generation of the Hoxa5 mutant mouse used in this study is outlined in Figure S4. A detailed description of the generation of this mouse is described in the Supplemental Experimental Methods. The Axin2-LacZ reporter mouse used in this study has been previously described (Lustig et al., 2002). Control mice included both wildtype embryos and low-allele littermates from Hox5 and Hox5/Axin2LacZ/+crosses. The results were identical, and thus we use the term “control” throughout for clarity. E18.5 lungs were dissected in PBS, fixed in formalin overnight, and dehydrated through graded alcohols and stored in 70% ethanol at 4°C. Lungs were then vacuum-embedded in paraffin, sectioned at 5μm and stained with hematoxylin and eosin. All experiments were performed following protocols approved by the University of Michigan’s Institutional Committee on the Use and Care of Animals.
In situ hybridization and Immunohistochemistry
For section in situ hybridization (ISH) and immunohistochemistry (IHC), embryos were collected in PBS and fixed overnight in 4% paraformaldehyde in PBS at 4 °C. Embryos were then rinsed in PBS and immersed in 30% sucrose at 4°C overnight before embedding into optimal cutting temperature (OCT) media. Frozen sections 12–16 μm in size were cut, and slides were stored at −80 °C. Details of the section ISH procedure and a complete list of ISH probes and antibodies used for IHC in this report are provided in the Supplemental Experimental Methods. LacZ histochemical staining of embryos was performed as previously described (Spence et al., 2009).
Lung explant cultures
Lung explant cultures were performed in vitro, as previously described (Del Moral and Warburton, 2010). E12.5 lungs were cultured on Nucleopore polycarbonate track-etch membranes for up to 96 h at 37 °C in a 5% CO2 incubator. Images of explants were taken on a Leica MZ125 stereomicroscope. Constructs and methods used to generate Wnt2/2b-enriched media for lung explant cultures have been previously described (Najdi et al., 2012). Identical results were obtained using either Wnt2 or Wnt2b enriched media (n=3 of each).
RNA isolation and quantitative RT-PCR
RNA was isolated from mouse lungs with the Qiagen RNeasy Micro Kit. Quantitative RT-PCR (qRT-PCR) was carried out using Roche FastStart SYBR Green Master Mix and the Applied Biosystems StepOnePlus Real-time PCR system (Life Technologies). Primer sequences used are provided in Table S1. Relative expression values were calculated as 2−ΔΔCt and values of controls were normalized to 1. GAPDH served as an internal control for normalization in all qRT-PCR experiments. All data are shown as the mean of at least three independent biological replicates; error bars represent SEM. Statistical differences between experimental and control groups were assessed with Prism software, using multiple t tests. Results were considered statistically significant at P < 0.05. All experiments were repeated at least three times in independent experiments.
Supplementary Material
Highlights.
All three Hox5 paralogous genes play redundant roles in the developing lung.
Hox5 triple mutants exhibit severely hypoplastic lungs with altered proximal-distal patterning.
Loss of Hox5 function leads to loss of mesenchymal Wnt2/2b expression.
The addition of Wnt2/2b ligand rescues Hox5 phenotypes, demonstrating sufficiency.
Acknowledgments
We acknowledge E. Hughes, K. Childs, G. Gavrilina and D. VanHeyningen for the preparation of gene-targeted mice and the Transgenic Animal Model Core of the University of Michigan’s Biomedical Research Core Facilities. Core support was provided by the University of Michigan Cancer Center, NIH grant number CA46592 and the University of Michigan George M. O’Brien Renal Core Center, NIH grant number P30DK08194. We thank E. Morrisey, X. Sun, B. Hogan, and D. Martin for kindly providing ISH probes used in this study and Holly R. Fischer for generating the graphical abstract. This work was supported by a Ruth L. Kirschstein National Research Service Award (NSRA) training Grant 5 T32 HL 7749-20 and a National Center for Research Resources grant number UL1RR024986 to SMH. This research was also supported by the National Heart, Lung, and Blood Institute (NHLBI) R01-HL119215 to J.R.S. and D.M.W.
Footnotes
Author Contributions:
S.M.H. co-developed the concept, performed experiments, analyzed data and co-wrote the manuscript. B.R.D., N.C.B., and B.M.L. performed experiments. A.C.B. contributed reagents. J.R.S. contributed reagents and advice. D.M.W. developed the concept, co-wrote the manuscript and supervised the project. All authors reviewed drafts of the manuscript.
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