Stem Cells http://www.peprotech.com/
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


First published online February 28, 2008
Stem Cells Vol. 26 No. 5 May 2008, pp. 1097 -1108
doi:10.1634/stemcells.2007-0684; www.StemCells.com
© 2008 AlphaMed Press

OPEN ACCESS ARTICLE
This Article
Free via Open Access: OA
Right arrow OA Abstract
Right arrow Full Text (PDF)
Right arrow Supplemental Data
Right arrowOA All Versions of this Article:
2007-0684v1
26/5/1097    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Reprints/Permissions
Google Scholar
Right arrow Articles by Cai, C.
Right arrow Articles by Grabel, L.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cai, C.
Right arrow Articles by Grabel, L.

EMBRYONIC STEM CELLS

Hedgehog Serves as a Mitogen and Survival Factor During Embryonic Stem Cell Neurogenesis

Chunyu Caia, Jeffrey Thorneb, Laura Grabela

aBiology Department, Wesleyan University, Middletown, Connecticut, USA;
bSection of Islet Transplantation and Cell Biology, Joslin Diabetes Center, Boston, Massachusetts, USA

Key Words. Shh • Embryonic stem cells • Neurogenesis • Sox1 • Proliferation • Apoptosis

Correspondence: Laura Grabel, Ph.D., Biology Department, Wesleyan University, 52 Lawn Ave, Middletown, Connecticut 06457, USA. Telephone: 860-685-3238; Fax: 860-685-3279; e-mail: lgrabel{at}wesleyan.edu

Received August 21, 2007; accepted for publication January 30, 2008.
First published online in STEM CELLS EXPRESS   February 28, 2008.


    ABSTRACT
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
Hedgehog (Hh) signaling is involved in a wide range of important biological activities. Within the vertebrate central nervous system, Sonic Hedgehog (Shh) can act as a morphogen or mitogen that regulates the patterning, proliferation, and survival of neural stem cells (NSCs). However, its role in embryonic stem cell (ESC) neurogenesis has not been explored in detail. We have previously shown that Hh signaling is required for ESC neurogenesis. In order to elucidate the underlying mechanism, we utilized the Sox1-GFP ESC line, which has a green fluorescent protein (GFP) reporter under the control of the Sox1 gene promoter, providing an easy means of detecting NSCs in live cell culture. We show here that ESC differentiation in adherent culture follows the ESC-> primitive ectoderm -> neurectoderm transitions observed in vivo. Selective death of the Sox1-GFP-negative cells contributes to the enrichment of Sox1-GFP-positive NSCs. Interestingly, Shh is expressed exclusively by the NSCs themselves and elicits distinct downstream gene expression in Sox1-GFP-positive and -negative cells. Suppression of Hh signaling by antagonist treatment leads to different responses from these two populations as well: increased apoptosis in Sox1-GFP-positive NSCs and decreased proliferation in Sox1-GFP-negative primitive ectoderm cells. Hedgehog agonist treatment, in contrast, inhibits apoptosis and promotes proliferation of Sox1-GFP-positive NSCs. These results suggest that Hh acts as a mitogen and survival factor during early ESC neurogenesis, and evidence is presented to support a novel autocrine mechanism for Hh-mediated effects on NSC survival and proliferation.

Disclosure of potential conflicts of interest is found at the end of this article.


    INTRODUCTION
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
Hedgehog (Hh) signaling is involved in a wide range of biological activities during embryogenesis and in the adult. In mammals, there are three Hh genes: Sonic Hedgehog (Shh), Indian Hedgehog (Ihh), and Desert Hedgehog (Dhh). They are expressed in different tissues at different times during development. All Hh molecules act through the same signaling pathway which is mediated by the Patched1 (Ptc1) receptor and a single Smoothened (Smo) 7-transmembrane protein that leads to the activation of the Gli transcription factors [1].

Within the vertebrate central nervous system (CNS), Shh acts as a secreted morphogen that determines ventral neuron identities in a concentration-dependent manner throughout the neural tube [2, 3]. Recently, however, multiple groups have provided evidence that Shh can also act as a mitogen that regulates neural stem cells (NSCs) proliferation and survival factor in both embryonic and adult brains [48]. In vivo genetic fate mapping experiments show that Shh responsive cells in the subventricular zone of the lateral ventricles and subgranular zone of the dentate gyrus are the quiescent NSCs in the adult mouse brain [9]. These findings indicate that Shh is important in regulating CNS stem cell behavior during embryonic and adult neurogenesis.

Although Shh signaling has been studied extensively in vivo, little is known about its role in embryonic stem cell (ESC) neurogenesis in vitro, an area of great interest given the potential use of ESC-derived neural derivatives to treat neurological disorders. ESCs are pluripotent cells derived from the inner cell mass of the blastocyst that can self-renew indefinitely in vitro in the presence of serum and feeder cells. Upon feeder and leukemia inhibitory factor (LIF) withdrawal, the cells form aggregates in suspension called embryoid bodies (EBs), which give rise to lineages from all three germ layers [10, 11]. Multiple protocols have been devised to derive NSCs or different subtypes of neurons from ESCs, and Shh can induce ventral neural fates in ESC-derived NSCs [1214].

We have previously shown that endogenous Hh signaling is required during early ESC neurogenesis. EBs derived from Smo–/– ES cells, which cannot respond to Hh signaling, arrest at the primitive ectoderm stage and fail to form neurectoderm [15]. However, it is not clear whether the lack of neurectoderm is due to a failure of neural fate specification or to poor expansion and/or survival of the NSCs. Using the Sox1-GFP ESC line [16], we separated Sox1-GFP-positive and -negative populations during early ESC neurogenesis using fluorescence activated cell sorting (FACS). Reverse transcription-polymerase chain reaction (RT-PCR) analysis of mRNA acquired from these two populations shows that Shh is expressed exclusively in the Sox1-GFP-positive NSCs. Treatment of the differentiating ESCs with the Hh pathway antagonist Cur199691 did not alter the percent of Sox1-GFP-positive cells, but increased apoptosis of Sox1-GFP-positive cells and decreased proliferation of Sox1-GFP-negative cells. Hh appears to act directly on the NSCs, without input from additional cell types, based on our observations that treatment of FACS isolated Sox1-GFP-positive NSCs with Hh antagonist increased apoptosis levels, whereas Hh agonist promoted both NSC survival and proliferation. These data suggest Hh signaling is not required for the fate determination of NSCs but rather supports the survival and proliferation of NSCs and their precursors.


    MATERIALS AND METHODS
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
ESC Culture and Neural Induction

The Smoothened Mutant and Heterozygous ESC Lines.   For the Smo+/– and Smo–/– ESC lines, undifferentiated stem cells were maintained on mitomycin C inactivated STO fibroblast feeder layer in DMEM (Invitrogen, Carlsbad, CA, http://www.invitrogen.com) supplemented with 15% fetal bovine serum (Atlanta Biologicals, Norcross, GA, http://www.atlantabio.com), 2 mM L-glutamine, 1% non-essential amino acids, 1 mM sodium pyruvate, 100 unit/ml Pen/Strep (Invitrogen), 0.1 mM 2-mercaptoethanol and recombinant LIF. For neural induction, methods are modified from defined medium protocol [17]. Briefly, ESCs were dissociated by TrypLE (Invitrogen) into single cell suspension and allowed to form EBs in Petri dishes. EBs were grown and differentiated in EB medium (DMEM +15% fetal bovine serum + 2 mM L-glutamine + 100 unit/ml pen/strep +1% non-essential amino acid) for 4–5 days and then transferred into tissue culture (TC) dishes (Corning Life Sciences, Acton, MA, http://www.corning.com/lifesciences) in EB medium and allowed to attach overnight. To select for NSCs, the medium was then changed to ITSFn (DMEM/F12 (Sigma-Aldrich, St. Louis, http://www.sigmaaldrich.com) + ITS-X (Invitrogen) + 5 ug/ml fibronectin (Sigma) + Pen/strep + L-glutamine) the next day and renewed daily thereafter. After 6–7 days, cells in ITSFn were dissociated by TrypLE into single cells, resuspended in mN3FL medium (DMEM/F12 + ITS-x + 1 ug/ml Laminin + 20 ng/ml fibroblast growth factors (FGF2) (Sigma) + 16 ug/ml putrescine + 6 ng/ml progesterone + L-glutamine) and plated onto laminin coated tissue culture dishes. The cells were maintained in mN3FL for 5–10 days to expand the neural progenitor population, followed by immunofluorescent staining.

The Sox1-GFP ESC (46C) Line.   The Sox1-GFP mouse ESC (46C) line was provided by the Austin Smith laboratory [16]. Undifferentiated ESCs were maintained on 0.1% gelatin coated tissue culture dishes without feeder cells in Glasgow minimal essential medium (Invitrogen) medium with 10% fetal bovine serum (Atlanta Biologicals), 2 mM L-glutamine, 1% non-essential amino acids, 1 mM sodium pyruvate, 100u/ml penicillin/streptomycin (Invitrogen), 0.1 mM β-mercaptoethanol (Sigma) and LIF (derived from CHO-LIF cells). ESCs were passaged 1/8 every two days.

For neural induction, ESCs were trypsin dissociated and plated onto 0.1% gelatin coated tissue culture dishes at 0.5–1.5 x 104 cells/cm2 in N2B27 medium supplemented with 0.1 mM β-mercaptoethanol. Cells were allowed to differentiate under this condition for up to 12 days with medium renewal every 2 days. N2B27 is a 50/50 mixture of DMEM/F12+ N2 supplement (1% Insulin-Transferrin-Selenium-X (Invitrogen) + 50 µg/ml bovine serum albumin (Sigma), 16 µg/ml putrecine (Sigma), 6 ng/ml progestrone (Sigma) and neural basal medium + B27 + L-glutamine (all from Invitrogen). For the Hh antagonist experiments, 750 nM or 1.5 uM Cur199691 (Genentech, Inc., San Francisco, http://www.gene.com/gene/index.jsp) were prepared as 1,000X stocks in dimethyl sulphoxide (Sigma-Aldrich) and added to differentiation medium from the first day that ESCs were plated. The same amount of DMSO was added to control dishes. For Hh agonist experiment, 2.5 nM Ag1.4 (Cur199567, Curis Inc., Cambridge, MA, http://www.curis.com) was prepared as 1,000X stocks in DMSO and added to differentiation medium on specified dates.

Immunostaining, BrdU Uptake, and RT-PCR
Immunohistochemistry was performed using the following antibodies: Nestin (Rat 401, Chemicon, Temecula, CA, http://www.chemicon.com; 1:1,000), βIII-tubulin (Covance, Princeton, NJ, http://www.covance.com; mouse monoclonal, 1:500), anti-green fluorescent protein (Molecular Probes, Eugene, OR, http://probes.invitrogen.com; 1:1,000), Oct3/4 (Santa Cruz, Biotechnology, Inc., Santa Cruz, CA, http://www.scbt.com; H-134 rabbit polyclonal, 1:100), cleaved-caspase3 (Cell Signaling Technology, Inc., Danvers, MA, http://www.cellsignal.com, rabbit monoclonal, 1:300), Patched1 (Santa Cruz, G19 goat polyclonal 1:100), anti-phospho-Histone 3 (pH3) (Upstate, Lake Placid, NY, http://www.upstate.com, rabbit polyclonal 1:500), FGF5 (Santa Cruz, fl-268, rabbit polyclonal, 1:100). For nuclear counter stain, we used Hoechst 33,342 1 ug/ml (Molecular Probes).

For 5-bromo-2-deoxyuridine (BrdU) uptake experiments, 10 uM BrdU (Sigma) was added to the culture 30 minutes before the cells were fixed. The dishes were then double-stained with anti-BrdU (Sigma, mouse monoclonal, 1:1,000) and anti-GFP (Molecular Probes, 1:1,000).

Total RNA was extracted from ESCs as well as cells at various stages of differentiation following the user's manual of Ultraspec-RNA (Biotecx Laboratories, Inc., Houston, http://www.biotecx.com). RNA was treated with RNAse free DNaseI (Invitrogen) and reverse-transcribed with MMLV-RT (Invitrogen). cDNAs were amplified with various primers using REDTaq-ReadyMix (Sigma). β-actin was used as a loading control. Primer sequences for Sox1, Oct4, β-actin were as published [16]. Primer sequences for Shh, Ihh, Ptc1, Gli1, Gli2, Gli3 and Smo were as published [18]. Dhh primers and conditions were: forward 5'-caagcagtttgtgcccagta-3'; reverse 5'-ggccttcgtagtggagtgaa-3', 299 bp, 55°C, 35 cycles. Cycle number for each primer pair was determined individually so that amplification was in the exponential range and had not reached a plateau.

Flow Cytometry Analysis and FACS
For Sox1-GFP and Annexin V analysis, cells were dissociated with TrypLE into single cell suspensions and filtered through nylon meshes with 64-um diameter pore (Small Parts Inc., Miramar, FL, http://www.smallparts.com). Staining procedure for Annexin V-APC (BD Biosciences Pharmingen, San Jose, CA, http://www.bdbiosciences.com) was as described in the user's manual. Dead cells were labeled by Propidium Iodine (PI) (Sigma) and excluded from the assay by gating. Cells were analyzed by a FACSCalibre flow cytometer and CellQuest Software (BD Biosciences).

For FACS sorting, cells at day 6 of differentiation were dissociated with TrypLE and filtered through nylon meshes with 40 um diameter pores. The cells were then resuspended in PBS+3% FCS at 1 x 107 cell/ml. The cell suspensions were analyzed and sorted on a FACSVantage flow cytometer and analyzed with FACS Diva software (BD Biosciences). Undifferentiated 46C ESCs were used as GFP-negative control. PI positive cells and doublets were excluded from sorting. Sorted GFP positive and negative cells were collected with 15 ml conical tubes containing N2B27 with 10% FCS. Sorted cells were than reanalyzed for percent of GFP-positive or negative cells, spun down, and re-suspended either in RNA extraction buffer for total RNA isolation or in N2B27 + FGF2+ epidermal growth factor (EGF) for replating and further experiments.

Imaging, Quantification, and Statistics
For BrdU, pH3, and activated caspase 3 quantification, data were from two independent triplicate experiments, pictures of eight fields of cells from each 35 mm tissue culture dishes were taken and counted using Nikon NIS-Elements AR software (Nikon Instruments Inc., Melville, NY, http://www.nis-elements.com). For flow cytometry experiments, data were from one triplicate experiment. p values for statistical significance are described in the corresponding figure legends. Values shown on graphs represent mean ± SEM.


    RESULTS
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
Smo–/– Mouse ES Cell Lines Were Unable to Generate Neurons In Vitro
Our previous work showed that Hh deficient EBs derived from Smo–/– ESCs do not make neurectoderm. Compared to EBs derived from the control cells lines, the Smo–/– EBs have diminished primitive ectoderm-specific gene expression and no neurectoderm-specific gene expression [15]. To further test the role of Hh in ESC neurogenesis, we used a defined medium protocol [17], which involves the differentiation of EBs, selection of neural lineages in serum free medium, and expansion of the NSCs with FGF2. Under these conditions, the Smo+/– cell line generated numerous cells that were positive for the neural precursor marker nestin [19] or the neuronal marker βIII-tubulin [20]. However, Smo–/– ESCs failed to produce a substantial number of nestin-positive cells or mature neurons (Fig. 1A–2F). In addition, although there was ample expression of the radial glia marker RC2 in Smo+/– cultures, no expression was detected in Smo–/– cultures, suggesting an absence of glial as well as neuronal lineages (data not shown). The few Smo–/–, nestin-positive cells assumed a flat, non-polar morphology that resembled mesodermal cell types [21]. Under the defined medium protocol, every trial using the Smo+/– ES cell line led to generation of nestin-positive NSCs and βIII-tubulin-positive neurons, whereas none of the Smo–/– trials produced nestin-positive colonies with NSC morphology (Fig. 1C, 2F). These data suggests Hh signaling is required for the derivation of NSCs from ESCs.


Figure 1
View larger version (54K):
[in this window]
[in a new window]

 
Figure 1. Smo mutant ESCs do not make NSCs or neurons. (A, B, D, E): Smo+/– ESCs produced fields of nestin+ rosettes and β-III tubulin+ neurons. (C, F): Smo–/– ESCs were unable to generate nestin+ colonies. Scale Bars: 50 µm. (G): Smo+/– ESCs always generated nestin+ colonies; Smo–/– ESCs did not.

 
Selective Apoptosis Enriches Rosettes in the Monolayer Protocol
In order to study the function of Hh signaling during early ESC neurogenesis, we utilized the Sox1-GFP ESC line (46C) developed by the Austin Smith laboratory. Sox1 is a high-motility group domain transcription factor [22], whose expression begins in the neural ectoderm at the head fold stage (E7.5) [23], making it the earliest identified neurectoderm-specific gene.

When maintained in ESC medium, the 46C ESCs expressed high levels of the POU transcription factor, Oct4, based on immunocytochemistry (Fig. 2A, 2B). Upon transfer to N2B27, a neural basal medium used to promote neural induction (see Materials and Methods), there was an initial expansion of ESC colonies, followed by a rapid decrease in Oct4-positive cells after 3 days and a corresponding increase in GFP-positive cells, which first emerged as single cells or clusters (Fig. 2C, D). These cells expressed low levels of GFP and were tightly packed without apparent polarity (Fig. 2D arrow, D'). They expanded in a rosette pattern, and the outer most ring of cells elongated and assumed a bipolar morphology (Fig. 2D arrow-head, 2D''). These cells turned bright green and completely lost Oct4 expression (data not shown). Consistent with previous descriptions [16], by day 5, nearly 80% of the cells were Sox1-GFP-positive and associated with rosettes (Fig. 2E–2F, 2M), and nestin staining showed processes on both ends of these bipolar cells (Fig. 2F' arrows). These rosettes subsequently expanded, and the bipolar cells developed longer processes (Fig. 2G, 2H, 2G', 2H'). By day 7, the non-polar, low GFP-expressing cells in the core diminished, either due to apoptosis or differentiation, leading to the formation of a lumen (Fig. 2G–2H). When we dissociated the differentiating cells at days 7–8 and replated them onto laminin-coated TC dishes, we generated a nearly pure population of Sox1-GFP-positive cells with the typical bipolar NSC morphology (Fig. 2K, 2L). These cells were maintained in FGF2- and EGF-containing medium, as observed previously [24].


Figure 2
View larger version (63K):
[in this window]
[in a new window]

 
Figure 2. The monolayer protocol produces a high percent of NSCs and abundant neurons. (A, B): Hoechst and Oct4 staining of undifferentiated ES cells. (C, D): Hoechst and GFP staining of emerging GFP+ colonies at day 3. Arrow: NSC colony with non-polar GFP+ cells. Arrow head: rosette with already elongated GFP+ cells at margin. (E, F): Hoechst, GFP and nestin staining of a field of early rosettes at day 5. (G, H): Hoechst, GFP and nestin staining of mature rosettes at day 7. (I, J): After day 8, numerous β-III tubulin+ neurons emerge and form a network on top of the NSC layer. Scale bars: 50 µm. D', D'', F', H', J', higher magnification of the boxed areas in (D), (F), (H), (J) respectively. (K, L): Images of phase contrast and GFP expression of live cells 2 days after dissociation and replate at day 7. Abbreviation: ES, embryonic stem.

 
The GFP-positive population reached a plateau at 70–80% during days 5–8 and subsequently decreased due to terminal differentiation of Sox1-GFP-positive progenitors into GFP-negative, βIII tubulin-positive neurons, as previously noted [16]. These neurons formed a network on top of the NSCs and were no longer organized in a rosette pattern (Fig. 2I, 2J, 2J').

Interestingly, there was a window of massive cell death at days 4–5 in monolayer culture, coincident with the enrichment of rosettes. At this time, the colonies were predominantly composed of either GFP-positive cells or Oct4-positive cells (see supplemental online Fig. 1A–1D). There was minimal overlap between GFP-positive and Oct4-positive cell clusters, and the boundary between these two populations was usually distinct (see supplemental online Fig. 1A–1D). To determine which cells were dying, we examined the expression of caspase 3, a key protease activated in cells that irreversibly undergo apoptosis [25]. Double labeling of caspase 3 and GFP revealed that the GFP-negative, Oct4-positive cells between rosettes had a high apoptosis rate and often died off as groups, leaving empty spaces between rosettes (see supplemental online Fig. 1E–1H). This carving-like selection process resulted in a highly enriched Sox1-GFP and nestin-positive rosette population after day 5 (Fig. 2E, 2F).

We next used the combination of PI and Annexin V staining with flow cytometry analysis to quantify the percent of apoptosis. PI is a DNA binding dye that labels dead cells and Annexin V is a phospholipid binding protein that binds to phospho-serine molecules on the surface of dead and dying cells [26]. Since dead Sox1-GFP-positive cells lose GFP expression and can not be distinguished from dead GFP-negative cells, we excluded dead cells (PI-positive) from the analysis and quantified only early apoptotic cells (PI-negative/Annexin V-positive) within the GFP-positive and negative populations. GFP-positive cells had a significantly lower percent of apoptotic cells than GFP-negative cells at day 4 through day 9 (see supplemental online Fig. 1I–1J). The caspase 3 and Annexin V data together suggested that NSCs had survival advantages over other cell lineages under serum-free conditions and that selective apoptosis contributes to NSC enrichment.

Characterization of Cell Types Present During the ESC to NSC Transition in Monolayer
During embryogenesis, neurectoderm derives from primitive ectoderm, also known as epiblast. To determine whether ESCs go through a primitive ectoderm stage in monolayer culture, we examined expression of FGF5, a secreted protein that is transiently expressed in primitive ectoderm prior to gastrulation in vivo [27]. Both ESCs and primitive ectoderm cells express high levels of Oct4 in vitro, but only primitive ectoderm cells express FGF5 [28]. RT-PCR data show that, in monolayer culture, fgf5 is expressed transiently, but strongly, during day 3–6 (Fig. 3A), when Sox1-GFP-positive cells emerge. At day 4, FGF5 protein is expressed at high levels in both GFP-positive (arrow in Fig. 3D) and GFP-negative cell clusters (arrowhead, Fig. 3D). Based on this expression pattern, we propose that undifferentiated ESCs (Oct4-positive, FGF5-negative) first turn into primitive ectoderm (Oct4-positive, FGF-positive), then go on to differentiate into neurectoderm (Oct4-negative, FGF5-positive, Sox1-GFP-positive), and finally NSCs (Oct4-negative, FGF5-negative, Sox1-GFP-positive) (Fig. 3A–3E, 3J).


Figure 3
View larger version (81K):
[in this window]
[in a new window]

 
Figure 3. Primitive ectoderm and primitive endoderm are present in monolayer culture. (A): RT-PCR analysis on mRNA extracted from ES and day 1–10 cells. (B–E): Phase contrast, GFP, FGF5 and merge images of cells at day 4. Arrows in (C–D) point to clusters that express both GFP and FGF5. Arrow heads point to GFP-negative and FGF5-positive cluster. (F–I): Phase contrast, GFP, Troma1 and merge images of cells at day 4. Arrows point to a primitive endoderm cell. (J): A schematic that shows the molecular marker transitions during early ESC differentiate. (K): Quantification of different populations at days 4 and 6. Abbreviations: ES, embryonic stem; ESCs, embryonic stem cells; GFP, green fluorescent protein.

 
We also observed cobble-stone like large, flat cells at the margin of colonies in monolayer culture (Fig. 3F–3I arrow), reminiscent of primitive endoderm cells, an extraembryonic cell type produced during embryogenesis and EB differentiation [29]. Immunocytochemistry indicated that these cells were positive for Troma1 (Fig. 3G–3H), an antibody that binds to intermediate filaments present in both trophectoderm and primitive endoderm cells [30]. These data suggest that primitive endoderm cells were present at the margins of the colonies. There is no overlap of cells expressing Troma1 with Oct4, FGF5, or GFP, suggesting that these primitive endoderm cells constitute a lineage set aside early during differentiation in monolayer culture, distinct from the neural lineage.

During the early neurogenesis phase of monolayer culture (day 3–6), the composition of the cell population included primitive ectoderm (GFP-negative, Oct4-positive, FGF5-positive), neurectoderm (Oct4-negative, FGF5-positive, GFP-positive), and primitive endoderm (GFP-negative, Oct4-negative, Troma1-positive) (Fig. 3J). At day 4, there were typically about 50% Oct4-positive cells, 30% GFP-positive cells, and 20% Troma1-positive cells (Fig. 3K). The GFP-positive population expanded quickly and reached 70–80% by day 6, whereas other lineages diminished (Fig. 3K).

Hh Signaling Is Active During Monolayer Differentiation and Shh Is Expressed by Sox1-GFP-Positive NSCs
In order to investigate whether Hh signaling is active during neurogenesis in monolayer culture, we performed RT-PCR analysis on mRNA extracted from cells at various stages of differentiation (Fig. 4A). Trends described were observed in at least three separate experiments. Oct4 levels decreased as Sox1 levels increased, as observed by immunocytochemistry. Low levels of Sox1 message present in ESCs may be due to the presence of some differentiating cells, whereas decreasing levels at day 12 are likely attributed to neuronal differentiation [16]. Shh expression was first detected on day 4 and increased thereafter, following the emergence of Sox1-GFP-positive cells in culture. Low levels of Ihh were detected on day 6 and also increased slightly thereafter. Dhh was expressed in ESCs and decreased significantly with differentiation. Hh pathway target genes Ptc1 and Gli1 were expressed in ESCs and at early stages in monolayer culture before Shh was expressed, perhaps due to the presence of Dhh. Ptc1 and Gli1 expression levels increased coincident with the increase in Shh expression. In other studies examining ESC neural differentiation, increased levels of Hh pathway components also accompany the production of neural derivatives [12, 13, 31, 32]. These results suggest that Hh signaling is active during ESC differentiation, regardless of protocol or cell line used.


Figure 4
View larger version (71K):
[in this window]
[in a new window]

 
Figure 4. Hh signaling is active during monolayer differentiation. (A): RT-PCR analysis of mRNA from ES and day 2–12 cells in monolayer culture. (B): RT-PCR analysis on mRNA from FACS sorted day 6 GFP+ and GFP- cells. (C–H): Ptc1 immunocytochemistry on ESCs (C, D), day 4 (E, F) and day 6 (G, H) differentiating cells. Arrows in G, H pointed to a Ptc1+ cell with neuronal morphology. Scale bars: 50 µm. Abbreviations: Dhh, Desert Hedgehog; ES, embryonic stem; GFP, green fluorescent protein; Ihh, Indian Hedgehog; Shh, Sonic Hedgehog.

 
In order to determine the cell types responsible for Shh production and Shh response, we separated day 6 Sox1-GFP-positive and -negative cells using FACS. Re-analysis demonstrated that 95.3% of the GFP-positive population was GFP-positive, whereas 100% of the GFP-negative population was GFP-negative. We performed RT-PCR analysis on RNA extracted from the two populations. Surprisingly, we found that Shh was expressed exclusively in GFP-positive cells (Fig. 4B). These data suggest that the Sox1-GFP-positive NSCs themselves are the source of Shh. Ptc1 mRNA was expressed at comparable levels in GFP-positive and negative cells. Gli1 was expressed more strongly in GFP-negative cells than in GFP-positive cells (Fig. 3B), whereas Gli2, Gli3 and Smo were expressed more strongly in GFP-positive cells. Ihh was not detected in either population at this time (data not shown).

Although RT-PCR data suggest that undifferentiated ESCs and differentiating cells in monolayer culture express similar levels of Ptc1 mRNA (Fig. 4A), immunostaining for Ptc1 in ESCs showed only low background levels of protein (Fig. 4C–4D). At day 4, clusters of cells expressing elevated levels of Ptc1 appeared (Fig. 4E, 4F). Some of these clusters also expressed Sox1-GFP, indicating differentiation into NSCs. Ptc1-expressing clusters also expressed FGF5, suggesting that the receptor is initially upregulated in primitive ectoderm, prior to NSC differentiation (see supplemental online Fig. 2). By day 6, however, mature Sox1-GFP positive mature rosettes appeared to downregulate expression of Ptc1 protein, whereas adjacent Sox1-GFP-negative domains robustly expressed the protein (Fig. 4G, 4H). Surprisingly, at least some cells with a neuronal morphology, which expressed βIII tubulin (data not shown), also expressed Ptc1 (Fig. 4H arrow). These data suggest that dynamic regulation of expression of Hh pathway components occurs as domains of Hh expression and response are established during monolayer differentiation.

Hh Antagonist Treatment Decreases Total Cell Number in Differentiating Dishes, but not the Percent of Sox1-GFP-Positive Cells
To further investigate the role of Shh in NSC derivation from ESCs, we treated the cells in monolayer culture with a Hh antagonist, Cur199691, a small molecule working at the level of Smo that can suppress the activity induced by all Hh ligands. Its structure is similar to another small molecule Hh pathway inhibitor, Cur61414 [33], but Cur 199691 is more potent. For all experiments, unless otherwise noted, 750 nM antagonist was added from the first day of differentiation and replenished every day throughout the experiment. This concentration was determined by testing the effect of this antagonist on EBs derived from a Ptc1-LacZ ESC line [34]. RT-PCR analysis of the 46C cells with antagonist treatment showed a significant reduction of Ptc1 and Gli1 expression at day 4 compared to controls, but not a total suppression (Fig. 5A).


Figure 5
View larger version (52K):
[in this window]
[in a new window]

 
Figure 5. Hh antagonist treatment reduces total cell number but does not inhibit neurogenesis. (A): RT-PCR analysis on mRNA acquired from cells at day 4. There was significant down-regulation of Hh pathway reporter genes Ptc1 and Gli1 in 750 nM antagonist treated cells. (B–C): Total cell number in control and antagonist treated dishes (750 nM or 1,500 nM) in N2B27 (B) or ES medium (C). There was a dose-dependent effect on total cell number in antagonist treated dishes in N2B27, but not in ESC medium. Data were from two independent triplicate experiments. p value was calculated by 2-way ANOVA with replications statistical test. Data points were mean ± SEM. (D–K): Hoechst, GFP and β-III tubulin staining on control and 750 nM Hh antagonist treated cells at day 4 and day 8. Antagonist treated cells generated much smaller colonies than control but still yielded Sox1-GFP+ and β-III tubulin+ cells. Scale bars: 50 µm. (L–M): Total cell number and percent GFP+ cells in control and 750 nM antagonist treated dishes from day 1 to day 10, quantified by flow cytometry analysis. Data were from one triplicate experiment. p value was calculated by 2-way ANOVA with replications statistical test. Data points were mean ± SEM. Abbreviations: ES, embryonic stem; GFP, green fluorescent protein.

 
In antagonist treated dishes, starting from day 3 and thereafter, there was a dose-dependent reduction in the total cell number (Fig. 5B). Importantly, day 3 was also the time when FGF5 was strongly expressed (Fig. 3A), Sox1-GFP-positive cells started to emerge in culture (Fig. 2D), and Shh expression commenced (Fig. 4A). On day 4, an over 50% reduction in total cell number was observed in cultures treated with the higher dose of antagonist (1500 nM) and a more modest 20% reduction was observed at the lower concentration (750 nM). In a more extensive time course, antagonist treatment promoted a decrease in cell number, most pronounced at days 6–10, relative to untreated controls throughout 10 days of differentiation, (Fig. 5L). To rule out the possibility that a general toxic effect caused the reduction in cell number, we cultured the undifferentiated ESCs in the presence of the same concentrations of antagonist for three passages over 6 days in ES medium, and observed no reduction in total cell number (Fig. 5C). These data suggest that the proliferation or survival of differentiating cells, but not ESCs, requires Hh signaling.

The colonies in the antagonist treated dishes appeared smaller and unhealthy, based on the presence of pyknotic nuclei (Fig. 5D, 5H). There also was an initial delay in neural differentiation, possibly due to the small colony size. At day 4, whereas numerous GFP-positive cells or clusters started to emerge in control dishes, very few were seen in antagonist treated dishes (Fig. 5E, 5I). However, on day 8, although total cell number and colony size differences remained between control and antagonist treated dishes, the antagonist treated dishes produced a similar percent of GFP-positive and βIII-tubulin positive cells (Fig. 5F–5G, 5J–5K, 5M). Quantification of the percent Sox1-GFP cells present each day indicated that, with a slight lag noted above, the extent of differentiation was comparable in the presence or absence of the antagonist (Fig. 5M). These data suggest that Shh was not required for NSC differentiation from ESCs. Alternatively, Hh activity remaining after antagonist treatment may be sufficient to support neural specification. The observation that Hh antagonist treatment caused a decrease in total cell number in monolayer culture led us to hypothesize that Hh signaling either supports the survival or stimulates the proliferation of NSCs.

Hh Supports the Survival of Sox1-GFP-Positive NSCs in an Autocrine Fashion
To investigate the causes of the cell number reduction in antagonist treated dishes, we analyzed the apoptosis of the differentiating cells with or without antagonist treatment using activated caspase 3 staining (Fig. 6A–6D). At day 5, antagonist treatment caused a nearly two-fold increase in caspase 3-positive cells in the GFP-positive population, 10.9 ± 1.72% in antagonist treated dishes versus 5.5 ± 0.44% (mean ± SEM, n = 6, p < .05) in controls (Fig. 6E). However, no significant differences were observed in the GFP-negative population (Fig. 6F).


Figure 6
View larger version (61K):
[in this window]
[in a new window]

 
Figure 6. Hh antagonist treatment increases apoptosis of GFP+ but not GFP– cells. (A–D): Caspase3 (red) and GFP (green) staining on control and antagonist treated cells at day 5. Scale bars: 20 µm. (E, F): Quantification of apoptotic cells in control and antagonist treated cultures within the GFP+ population (E): or GFP– population (F). There was a two-fold increase in apoptotic cells in GFP+ population, but not the GFP– population. Data were from triplicate experiments. p value was calculated by Student t-test. Bars represent mean ± SEM. (G–I): Flow cytometry analysis of GFP and Annexin V expression levels on cells from d1–d10 control and Hh antagonist treated dishes. Data were from triplicate experiments. Data points in graphs (H–I) were mean ± SEM. Statistical significance was calculated using two-factor ANOVA with replicates. (G): Typical dot plots generated by flow cytometry analysis on day 3 and day 6 cells. (H): Percent of apoptotic cells (PI-/Annexin V+) in GFP+ population in control and antagonist treated dishes. (I): Percent of apoptotic cells in GFP– population in control and antagonist treated dishes. Abbreviation: GFP, green fluorescent protein.

 
To confirm these data, we used flow cytometry analysis of PI/Annexin V staining to quantify the level of apoptosis from day 3 to day 9 (Fig. 6G). Compared to control, antagonist treatment led to increased apoptosis within the GFP-positive population throughout the experimental period (Fig. 6H, p < .001, n = 3). However, within the GFP-negative population, there was no significant difference between control and antagonist treated cells (Fig. 6I, n = 3). These data confirm that Hh signaling supports the survival of GFP-positive NSCs, but not GFP-negative cells.

Due to the heterogeneity of the cell population, it is not clear whether this Hh-dependent survival effect works directly on GFP-positive NSCs or is mediated by the GFP-negative cells. To test these alternatives, we isolated day 6 GFP-positive NSCs by FACS. Post-sort reanalysis showed that 99.9% sorted cells were GFP-positive. We plated these cells in FGF2- and EGF-containing N2B27 medium overnight to allow them to attach. On the next day, growth factors were withdrawn and the medium changed to N2B27 alone, with Hh antagonist, or with Hh agonist, a well-described small molecule that acts at the level of Smo [35]. Over the next 4 days, there was an increase in cell number under control conditions that was inhibited by the presence of antagonist (see supplemental online Fig. 3A, 3B). In contrast, addition of Hh agonist promoted a robust increase in total cell number, pronounced by day 4 (see supplemental online Fig. 3A, 3B). Flow cytometry analysis of control, antagonist, or agonist-treated, FACS isolated Sox1-GFP-positive cells at 2–4 days following replating demonstrated an intermediate level of dead (PI-positive) and apoptotic cells (PI-negative/Annexin V-positive) in control cultures, significantly increased by antagonist treatment and decreased by agonist treatment (see supplemental online Fig. 3C–3E). The levels of apoptotic cells in control and antagonist treated, FACS sorted GFP-positive cells were comparable to their levels in the mixed population (Fig. 6H). These data indicate that Sox1-GFP-negative cells were not required for Hh to promote survival of GFP-positive cells, suggesting that Shh supports the survival of NSCs in an autocrine fashion.

Hh Promotes the Proliferation of Sox1-GFP-Positive and Negative Cells
To investigate whether Hh antagonist treatment affects proliferation, we measured uptake of BrdU, a synthetic thymidine analog that is incorporated into DNA during S-phase, and expression of pH3, which labels cells in mitosis. At day 4, with antagonist treatment the percent of BrdU labeled cells within the GFP-positive population (14.3 ± 2.0%, n = 6) was comparable to controls (17.2 ± 2.2%, n = 6) (Fig. 7A–7D, 7Q). There was, however, a decrease in the percent of BrdU labeled cells in the GFP-negative population (41.2 ± 3.3%, n = 6) compared to controls (53.5 ± 3.6%, n = 6, p = .066) (Fig. 7Q). By day 6, there was extensive BrdU incorporation into the Sox1-GFP-positive population, but no detectable difference in the level of incorporation between treated and untreated control cultures (Fig. 7I–7L).


Figure 7
View larger version (62K):
[in this window]
[in a new window]

 
Figure 7. Hh antagonist treatment decreases proliferation of GFP– but not GFP+ cells. (A–P): BrdU uptake and pH3 staining were used to label S or M phase cells at day 4 and day 6. Panels (A–D) and (I–L) were representative images of BrdU, GFP and Hoechst staining of d4 and d6 cells in control and antagonist treated dishes. Panels (E–H) and (I–P) were representative images of pH3, GFP and Hoechst staining of day 4 (E–H) or day 6 (I–P) controls and antagonist treated cells. (Q, R): Quantifications of BrdU and pH3 positive cells in day 4 control and antagonist treated dishes respectively. Percent of pH3+ cells was significantly lower in antagonist treated GFP– cells but not GFP+ cells. Scale bars: 20 µm. Data were from two independent triplicate experiments. Graphs show mean ± SEM. p values were calculated by Student t-test. Abbreviations: GFP, green fluorescent protein; pH3, phospho-Histone 3.

 
At day 4, the pH3-expressing cells in the GFP-negative population decreased by nearly one-half with antagonist treatment (4.12 ± 0.59% in antagonist experiments and 7.71 ± 0.22% in controls, n = 6, p < .01), whereas the GFP-positive population was not significantly affected (3.74 ± 0.44% in antagonist experiments and 2.93 ± 0.11% in controls, n = 6) (Fig. 7E–7H, 7R). At day 6, the percent of pH3 positive cells was similar in control and antagonist treated GFP-positive cells (Fig. 7I–7L and data not shown). Quantification was not performed on the GFP-negative population at day 6 since primitive ectoderm cells no longer exist in significant numbers. The majority of GFP-negative cells were endoderm or neurons at this time. These data suggest that Hh antagonist treatment decreases cell proliferation in GFP-negative cells, but not GFP-positive NSCs.

To further investigate the role of Hh on NSC proliferation, we examined BrdU uptake and pH3 labeling in the FACS sorted GFP-positive and -negative cells after replating under control, antagonist-added, or agonist-added conditions. Sorted GFP-negative cells underwent extensive cell death under control conditions and did not survive beyond 3 days in culture. The addition of Hh agonist promoted proliferation of these cells but did not rescue cell death (data not shown). For GFP-positive cells, there was a statistically significant increase in BrdU incorporation upon agonist treatment but no significant decrease upon antagonist treatment (see supplemental online Fig. 3G). pH3 data did not show statistically significant differences between the three conditions.

Added together, these data suggest that the endogenous Hh signaling in monolayer culture supports survival of GFP-positive NSCs and promotes proliferation of GFP-negative primitive ectoderm cells. Addition of ectopic Hh signaling not only further decreases apoptosis of NSCs, but also promotes their proliferation.

There was a clear distinction between the proliferative behavior of the GFP-positive NSCs at day 4 versus day 6, under all conditions assayed. At day 4, the immature, non-polar GFP-positive cells were slowly dividing cells, with a very low-level of BrdU uptake (Fig. 7B, 7D). BrdU labeling of this population increased dramatically as the cells assumed their mature, bipolar morphology and radial configuration at day 6 (Fig. 7J, 7L). In addition, the pH3-positive, dividing cells were randomly distributed within the non-polar, GFP-positive population at day 4 (Fig. 7F, 7H) but, at day 6, were restricted to the core of the mature rosette, adjacent to the lumen (Fig. 7N, 7P). This observation suggests that, as seen with radial glia in the developing embryo, dividing cells are located adjacent to a lumen, the neural tube in vivo [36] and the rosette core in vitro.


    DISCUSSION
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
ESCs in monolayer culture do not synchronously differentiate directly into NSCs. At the onset of ESC neurogenesis, primitive ectoderm, primitive endoderm, and NSCs coexist. Sox1-GFP-positive NSCs emerge in a salt and pepper pattern among FGF5-positive primitive ectoderm cells (Fig. 3). In this respect, the monolayer colonies are more like flattened EBs or epiblast stage embryos than a homogeneous population that will synchronously differentiate into NSCs. These observations suggest the need for inductive interactions, likely mediated by signaling molecules and their receptors, to promote NSC production, even in vitro. We provide evidence for a role for the Hh pathway in promoting both proliferation and survival of NSCs and their precursors (see supplemental online Fig. 4).

The FGF5-positive, Sox1-GFP-negative primitive ectoderm cell is the likely immediate precursor to the NSC. Our data demonstrate that the GFP-negative population has a proliferation response to Shh produced by the emerging NSCs. Based upon the elevated levels of Ptc1 and Gli1 observed in the isolated GFP-negative population, this response is likely mediated by the well-described Ptc1-Smo-Gli Hh cascade.

As the NSC proportion quickly rises to 70–80% by day 5 (Fig. 5M), we observe selective apoptosis of non-neural lineage cells, the carving phenomenon where GFP-negative cells die off, leaving fields of GFP-positive rosettes. A similar die-off of non-neural lineage cells occurs during the widely used defined medium protocol developed by Ron McKay's laboratory. EBs were plated in a serum free medium, resulting in the death of many cells and selective survival of a highly enriched nestin-positive NSC population [17]. These data suggest that NSCs have survival advantages over other cell lineages under nutrient-poor, serum-free conditions, regardless of protocol or ESC used, although the molecular mechanism has not been described.

Evidence suggests that Shh serves as a survival factor specific to the NSC population during ESC differentiation. Hh antagonist treatment significantly increases apoptosis levels in GFP-positive, but not negative cells (Fig. 6). This antagonist-induced apoptosis is still observed in replated, FACS isolated NSCs, suggesting that no additional cell types are required to relay the effect (see supplemental online Fig. 3). In addition, treatment of these FACS-isolated NSCs with the Hh agonist SAG promotes their survival, as well as a modest increase in proliferation (see supplemental online Fig. 3). Given our observation that Shh is expressed exclusively in GFP-positive NSCs at day 6, these data are consistent with an autocrine mode of action for Hh in promoting NSC survival.

An autocrine mechanism, however, is unusual for Hh signaling. Typically, a field of cells produces a Hh ligand and adjacent cells respond. The response requires the presence of Smo and Ptc1 and is usually characterized by an increase in Ptc1 and Gli1 levels. Whereas the proposed autocrine response for Hh action on ESC-derived NSCs may well involve the Ptc1-Smo-Gli cascade, two observations suggest this conclusion is problematic. First, the isolated GFP-positive NSCs express very low levels of Gli1 mRNA (Fig. 4B). There are, however, ample levels of Gli2 in these cells (Fig. 4B), and this family member has been demonstrated to replace Gli1 function [37]. Second, whereas the GFP-positive NSC population has significant levels of Ptc1 mRNA, immuno-cytochemistry suggests that levels of the Ptc1 protein are very low (Fig. 4H). Both the Hh antagonist and agonist used in these studies act at the level of Smo, bypassing Ptc1 to inhibit or promote downstream components of the cascade, but under control conditions, it remains unclear how Shh could act on NSCs without binding to a Ptc receptor. One possibility is that Ptc2 is expressed on these cells. Alternatively, the low levels of Ptc1 present may be sufficient to mediate the response. Further investigation is needed to examine the proposed autocrine mechanism and determine whether Ptc1's identified role as a dependence receptor that induces apoptosis when not bound by ligand could be involved [38].

We set out to test whether Hh signaling is required for neural fate determination or for survival or proliferation of NSCs or intermediate cell types. Two lines of evidence from this study argue against a fate determining role. First, in monolayer protocol, there were no apparent neural inducer cells that secret Hh. Ihh was expressed after the emergence of NSCs, Shh was expressed by the NSCs themselves, and Dhh was expressed by ESCs and quickly downregulated after differentiation, suggesting no link to neurogenesis. Second, the percent of Sox1-GFP-positive NSCs in both control and Hh antagonist treated cells reached the same level, suggesting that neural fate specification was not inhibited by antagonist treatment.

Our data support Hh's roles as a mitogen and survival factor critical for the derivation of NSCs from ESCs under serum free conditions. Consistent with these findings, when mouse ESCs were plated at clonal density under serum free conditions, minimizing effects of trophic factors and cell-cell interactions, 70–80% of the cells acquired neural fate within several hours after plating [39, 40], suggesting a default mechanism. However, the viability of these NSCs was very low, only 0.02% of the ESCs plated under these conditions forming colonies [40]. Treatment of cells plated at clonal density with Shh may increase the yield of clonal forming colonies. Studies are currently underway to investigate this hypothesis.

ESC derived NSCs are an attractive source of transplantation therapies for neuro-degenerative diseases in that they can be generated in sufficient numbers in a relatively short time, and protocols are currently being developed to produce specific subtypes of neural derivatives to replace lost or damaged cells [12, 41, 42]. Many of these protocols have proved effective for generating neural derivatives from human ESCs as well [43]. Besides directly replacing the damaged neurons, it has been proposed that neuroprotection is also an important mechanism underlying functional recovery in multiple CNS disease models after transplantation therapy using adult brain-derived NSCs [44]. This neuroprotection effect is at least partially due to Shh secreted by the transplanted NSCs [45, 46]. Co-grafting brain-derived NSCs with ventral midbrain neurons to 6-OHDA lesioned rats, a model for Parkinson's disease, dramatically increased the survival of grafted dopaminergic neurons and expedited functional recovery, and Shh was found associated with the surviving dopaminergic neurons [44]. Transplanted adult-derived NSCs were also shown to have neural protective roles in mouse models for Parkinson's disease [47], stroke [48, 49], and multiple sclerosis [50]. Intrastriatal injection of Shh alone can improve motor behavior in Parkinson's disease animal models [51, 52]. We show here that, as described for adult brain-derived NSCs, ESC-derived NSCs also secret Shh. This finding broadens the potential application of ESC-derived NSCs to transplantation therapies.


    DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
The authors indicate no potential conflicts of interest.


    ACKNOWLEDGMENTS
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 
We would like to thank the following people for their generous gifts: Dr. Austin Smith for the Sox1-GFP ESC line, Dr. Andrew McMahon for the Smo heterozygous and mutant ESC lines, Dr. Matthew Scott for the Ptc1-LacZ ESC line. We thank UCONN Health Center flow cytometry facility, especially Dr. Hector Aguila, for their help on FACS and analysis. We thank Dr. Steve Devoto, Dr. Janice Naegele, and Dr. John Kirn for critical discussions of the manuscript. This work was supported by the Connecticut Stem Cell Initiative.


    REFERENCES
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosure of Potential...
 Acknowledgments
 References
 

  1. Huangfu D, Anderson KV. Signaling from Smo to Ci/Gli: conservation and divergence of Hedgehog pathways from Drosophila to vertebrates. Development 2006;133;(1):3–14.[Abstract/Free Full Text]

  2. Briscoe J, Pierani A, Jessell TM, Ericson J. A homeodomain protein code specifies progenitor cell identity and neuronal fate in the ventral neural tube. Cell 2000;101;(4):435–445.[CrossRef][Medline]

  3. Wijgerde M, McMahon JA, Rule M, McMahon AP. A direct requirement for Hedgehog signaling for normal specification of all ventral progenitor domains in the presumptive mammalian spinal cord. Genes Dev 2002;16;(22):2849–2864.[Abstract/Free Full Text]

  4. Britto J, Tannahill D, Keynes R. A critical role for sonic hedgehog signaling in the early expansion of the developing brain. Nat Neurosci 2002;5;(2):103–110.[CrossRef][Medline]

  5. Machold R, Hayashi S, Rutlin M et al. Sonic hedgehog is required for progenitor cell maintenance in telencephalic stem cell niches. Neuron 2003;39;(6):937–950.[CrossRef][Medline]

  6. Palma V, Lim DA, Dahmane N et al. Sonic hedgehog controls stem cell behavior in the postnatal and adult brain. Development 2005;132;(2):335–344.[Abstract/Free Full Text]

  7. Dahmane N, Sanchez P, Gitton Y et al. The Sonic Hedgehog-Gli pathway regulates dorsal brain growth and tumorigenesis. Development 2001;128;(24):5201–5212.[Medline]

  8. Lai K, Kaspar BK, Gage FH, Schaffer DV. Sonic hedgehog regulates adult neural progenitor proliferation in vitro and in vivo. Nat Neurosci 2003;6;(1):21–27.[CrossRef][Medline]

  9. Ahn S, Joyner AL. In vivo analysis of quiescent adult neural stem cells responding to Sonic hedgehog. Nature 2005;437;(7060):894–897.[CrossRef][Medline]

  10. Evans MJ, Kaufman MH. Establishment in culture of pluripotential cells from mouse embryos. Nature 1981;292;(5819):154–156.[CrossRef][Medline]

  11. Martin GR. Isolation of a pluripotent cell line from early mouse embryos cultured in medium conditioned by teratocarcinoma stem cells. Proc Natl Acad Sci U S A 1981;78;(12):7634–7638.[Abstract/Free Full Text]

  12. Wichterle H, Lieberam I, Porter JA, Jessell TM. Directed differentiation of embryonic stem cells into motor neurons. Cell 2002;110;(3):385–397.[CrossRef][Medline]

  13. Barberi T, Klivenyi P, Calingasan NY et al. Neural subtype specification of fertilization and nuclear transfer embryonic stem cells and application in parkinsonian mice. Nat Biotechnol 2003;21;(10):1200–1207.[CrossRef][Medline]

  14. Li XJ, Du ZW, Zarnowska ED et al. Specification of motoneurons from human embryonic stem cells. Nat Biotechnol 2005;23;(2):215–221.[CrossRef][Medline]

  15. Maye P, Becker S, Siemen H et al. Hedgehog signaling is required for the differentiation of ES cells into neurectoderm. Dev Biol 2004;265;(1):276–290.[CrossRef][Medline]

  16. Ying QL, Smith AG. Defined conditions for neural commitment and differentiation. Methods Enzymol 2003;365:327–341.[Medline]

  17. Okabe S, Forsberg-Nilsson K, Spiro AC, Segal M, McKay RD. Development of neuronal precursor cells and functional postmitotic neurons from embryonic stem cells in vitro. Mech Dev 1996;59;(1):89–102.[CrossRef][Medline]

  18. Maye P, Becker S, Kasameyer E, Byrd N, Grabel L. Indian hedgehog signaling in extraembryonic endoderm and ectoderm differentiation in ES embryoid bodies. Mech Dev 2000;94;(1–2):117–132.[CrossRef][Medline]

  19. Hockfield S, McKay RD. Identification of major cell classes in the developing mammalian nervous system. J Neurosci 1985;5;(12):3310–3328.[Abstract]

  20. Lee MK, Tuttle JB, Rebhun LI, Cleveland DW, Frankfurter A. The expression and posttranslational modification of a neuron-specific beta-tubulin isotype during chick embryogenesis. Cell Motil Cytoskeleton 1990;17;(2):118–132.[CrossRef][Medline]

  21. Lendahl U, Zimmerman LB, McKay RD. CNS stem cells express a new class of intermediate filament protein. Cell 1990;60;(4):585–595.[CrossRef][Medline]

  22. Pevny LH, Lovell-Badge R. Sox genes find their feet. Curr Opin Genet Dev 1997;7;(3):338–344.[CrossRef][Medline]

  23. Wood HB, Episkopou V. Comparative expression of the mouse Sox1, Sox2 and Sox3 genes from pre-gastrulation to early somite stages. Mech Dev 1999;86;(1–2):197–201.[CrossRef][Medline]

  24. Conti L, Pollard SM, Gorba T et al. Niche-independent symmetrical self-renewal of a mammalian tissue stem cell. PLoS Biol 2005;3;(9):e283.[CrossRef][Medline]

  25. Nicholson DW, Ali A, Thornberry NA et al. Identification and inhibition of the ICE/CED-3 protease necessary for mammalian apoptosis. Nature 1995;376;(6535):37–43.[CrossRef][Medline]

  26. Raynal P, Pollard HB. Annexins: the problem of assessing the biological role for a gene family of multifunctional calcium- and phospholipid-binding proteins. Biochim Biophys Acta 1994;1197;(1):63–93.[Medline]

  27. Hebert JM, Boyle M, Martin GR. mRNA localization studies suggest that murine FGF-5 plays a role in gastrulation. Development 1991;112;(2):407–415.[Abstract]

  28. Rathjen J, Lake JA, Bettess MD, Washington JM, Chapman G, Rathjen PD. Formation of a primitive ectoderm like cell population, Epl cells, from ES cells in response to biologically derived factors. J Cell Sci 1999;112;(Pt 5):601–612.[Abstract]

  29. Casanova JE, Grabel LB. The role of cell interactions in the differentiation of teratocarcinoma-derived parietal and visceral endoderm. Dev Biol 1988;129;(1):124–139.[CrossRef][Medline]

  30. Oshima RG, Howe WE, Klier FG, Adamson ED, Shevinsky LH. Intermediate filament protein synthesis in preimplantation murine embryos. Dev Biol 1983;99;(2):447–455.[CrossRef][Medline]

  31. Mfopou JK, De Groote V, Xu X, Heimberg H, Bouwens L. Sonic hedgehog and other soluble factors from differentiating embryoid bodies inhibit pancreas development. STEM CELLS 2007;25;(5):1156–1165.[Abstract/Free Full Text]

  32. Lee SH, Lumelsky N, Studer L, Auerbach JM, McKay RD. Efficient generation of midbrain and hindbrain neurons from mouse embryonic stem cells. Nat Biotechnol 2000;18;(6):675–679.[CrossRef][Medline]

  33. Williams JA, G O, Zaharian BI, Xu Y, Chai L, Wichterle H, Kon C, Gatchalian C, Porter JA, Rubin LL, Wang FY. Identification of a small molecule inhibitor of the hedgehog signaling pathway: effects on basal cell carcinoma-like lesions. PNAS 2003;100;(8):4616–4621.[Abstract/Free Full Text]

  34. Goodrich LV, Milenkovic L, Higgins KM, Scott MP. Altered neural cell fates and medulloblastoma in mouse patched mutants. Science 1997;277;(5329):1109–1113.[Abstract/Free Full Text]

  35. King RW. Roughing up Smoothened: chemical modulators of hedgehog signaling. J Biol 2002;1;(2):8.[CrossRef][Medline]

  36. Gilbert SF, Singer SR. Developmental biology. 6th ed. Sunderland, Mass.: Sinauer Associates, 2000.

  37. Bai CB, Auerbach W, Lee JS, Stephen D, Joyner AL. Gli2, but not Gli1, is required for initial Shh signaling and ectopic activation of the Shh pathway. Development 2002;129;(20):4753–4761.[Medline]

  38. Thibert C, Teillet MA, Lapointe F, Mazelin L, Le Douarin NM, Mehlen P. Inhibition of neuroepithelial patched-induced apoptosis by sonic hedgehog. Science 2003;301;(5634):843–846.[Abstract/Free Full Text]

  39. Smukler SR, Runciman SB, Xu S, van der Kooy D. Embryonic stem cells assume a primitive neural stem cell fate in the absence of extrinsic influences. J Cell Biol 2006;172;(1):79–90.[Abstract/Free Full Text]

  40. Tropepe V, Hitoshi S, Sirard C, Mak TW, Rossant J, van der Kooy D. Direct neural fate specification from embryonic stem cells: a primitive mammalian neural stem cell stage acquired through a default mechanism. Neuron 2001;30;(1):65–78.[CrossRef][Medline]

  41. Kawasaki H, Mizuseki K, Nishikawa S et al. Induction of midbrain dopaminergic neurons from ES cells by stromal cell-derived inducing activity. Neuron 2000;28;(1):31–40.[CrossRef][Medline]

  42. Bosch M, Pineda JR, Sunol C et al. Induction of GABAergic phenotype in a neural stem cell line for transplantation in an excitotoxic model of Huntington's disease. Exp Neurol 2004;190;(1):42–58.[CrossRef][Medline]

  43. Zhang SC. Neural subtype specification from embryonic stem cells. Brain Pathol 2006;16;(2):132–142.[CrossRef][Medline]

  44. Rafuse VF, Soundararajan P, Leopold C, Robertson HA. Neuroprotective properties of cultured neural progenitor cells are associated with the production of sonic hedgehog. Neuroscience 2005;131;(4):899–916.[Medline]

  45. Miao N, Wang M, Ott JA et al. Sonic hedgehog promotes the survival of specific CNS neuron populations and protects these cells from toxic insult In vitro. J Neurosci 1997;17;(15):5891–5899.[Abstract/Free Full Text]

  46. Ostenfeld T, Horn P, Aardal C, Orpen I, Caldwell MA, Svendsen CN. Mouse epidermal growth factor-responsive neural precursor cells increase the survival and functional capacity of embryonic rat dopamine neurons in vitro. Neuroreport 1999;10;(9):1985–1992.[Medline]

  47. Ourednik J, Ourednik V, Lynch WP, Schachner M, Snyder EY. Neural stem cells display an inherent mechanism for rescuing dysfunctional neurons. Nat Biotechnol 2002;20;(11):1103–1110.[CrossRef][Medline]

  48. Li Y, Chopp M, Chen J et al. Intrastriatal transplantation of bone marrow nonhematopoietic cells improves functional recovery after stroke in adult mice. J Cereb Blood Flow Metab 2000;20;(9):1311–1319.[CrossRef][Medline]

  49. Zhao LR, Duan WM, Reyes M, Keene CD, Verfaillie CM, Low WC. Human bone marrow stem cells exhibit neural phenotypes and ameliorate neurological deficits after grafting into the ischemic brain of rats. Exp Neurol 2002;174;(1):11–20.[CrossRef][Medline]

  50. Pluchino S, Quattrini A, Brambilla E et al. Injection of adult neurospheres induces recovery in a chronic model of multiple sclerosis. Nature 2003;422;(6933):688–694.[CrossRef][Medline]

  51. Tsuboi K, Shults CW. Intrastriatal injection of sonic hedgehog reduces behavioral impairment in a rat model of Parkinson's disease. Exp Neurol 2002;173;(1):95–104.[CrossRef][Medline]

  52. Dass B, Iravani MM, Jackson MJ, Engber TM, Galdes A, Jenner P. Behavioural and immunohistochemical changes following supranigral administration of sonic hedgehog in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated common marmosets. Neuroscience 2002;114;(1):99–109.[CrossRef][Medline]





This Article
Free via Open Access: OA
Right arrow OA Abstract
Right arrow Full Text (PDF)
Right arrow Supplemental Data
Right arrowOA All Versions of this Article:
2007-0684v1
26/5/1097    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal