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Spina bifida (lack of caudal neural tube closure)10 and caudal regression11 are prevalent congenital defects whose environmental and genetic causes are unclear. Targeted disruption of Cyp26a1 is homozygous, lethal and leads to spina bifida and caudal regression, as well as to vertebral transformations and abnormal hindbrain patterning6,7. These phenotypes may result from the absence of Cyp26a1-generated bioactive metabolites, from teratogenic effects of excess retinoic acid in mutant embryos or from a combination of the two. We used a genetic approach to distinguish between these possibilities. According to the second hypothesis, the severity of Cyp26a1−/− phenotypic dysfunction may be attenuated under conditions that decrease embryonic retinoic acid levels. During early post-implantation stages, most of the embryonic retinoic acid is synthesized by the aldehyde dehydrogenase Aldh1a2 (refs 8,9). Aldh1a2−/− embryos die at embryonic day (E) 9.5–10.5 and fail to activate retinoic acid–responsive transgenes (except in developing retina)9. We therefore intercrossed Cyp26a1 and Aldh1a2 mouse mutants, to see whether mutation of Aldh1a2 might suppress the Cyp26a1−/− phenotype.

Compound heterozygotes (Cyp26a1+/−Aldh1a2+/−) were healthy and fertile. We intercrossed these mutants and collected fetuses at E14.5 to see whether the Cyp26a1−/− phenotype is modified in an Aldh1a2+/− genetic background. Aldh1a2 heterozygosity rescued the spina bifida and lack of caudal development in Cyp26a1−/− mutants (Fig. 1). In contrast to the minute tail rudiment (Fig. 1c,d) or sirenomelia (fusion between both hindlimbs; data not shown)6,7 observed in Cyp26a1−/− animals, compound mutants developed a tail, which was somewhat shorter than that of wildtype littermates (compare Fig. 1a,b with e–h). Skeletal stainings confirmed the rescue of the Cyp26a1−/− caudal phenotype. Whereas the prevertebral cartilages of Cyp26a1−/− fetuses were disorganized from the lower lumbar levels, those of Cyp26a1−/−Aldh1a2+/− compound mutants were normally patterned (compare Fig. 2a,b and c).

Figure 1: Rescue of spina bifida and tail development in Cyp26−/−Aldh1a2+/− compound mutants.
figure 1

Fetuses were collected at E14.5 from Cyp26+/−Aldh1a2+/− intercrosses. a–h, Profile (upper panels) and caudal (lower panels) views of wildtype (WT, a,b), Cyp26−/− (c,d) and Cyp26−/−Aldh1a2+/− (e–h) fetuses. fl, forelimb; hl, hindlimb; nt*, open neural tube (spina bifida); tl, tail. The arrowheads in c and d point to the tail rudiment in the Cyp26−/− mutant.

Figure 2: Caudal vertebral development in Cyp26a1−/− and Cyp26a1−/−/Aldh1a2+/− mutants.
figure 2

a–c, Profile views of the sacral and tail region of fetuses at E14.5 (genotypes as indicated) with Alcian blue cartilage staining. d,e, Frontal views of the sacral and caudal vertebrae of newborn mice. Alizarin red (bone) and alcian blue (cartilage) staining. C1, first caudal vertebra; S1, first sacral vertebra; nt*, open neural tube (spina bifida). The arrowhead in e indicates the last caudal vertebra in the mutant.

We therefore investigated whether the Cyp26a1−/−Aldh1a2+/− compound mutants were viable. We obtained Cyp26a1−/−Aldh1a2+/− mice at the expected mendelian ratio in newborn litters (see Web Table A online); these mice had truncated tails that varied in length (Fig. 3b,c). Skeletal analysis showed normal patterning of their sacral and first caudal vertebrae, whereas the most distal caudal vertebrae failed to differentiate (Fig. 2d,e). About two-thirds of the double-mutants (12/17) were still alive and healthy at the age of weaning (see Web Table A online). The remaining double-mutants were found dead (2) or were killed for analysis, as they showed abnormal external genitalia (Fig. 3c) and abdominal distension. Histological analysis of a healthy newborn Cyp26a1−/−Aldh1a2+/− mouse revealed no abnormalities in kidney (Fig. 3d), anorectal (Fig. 3e), vaginal (Fig. 3f) and urethral (Fig. 3g) tissues. By contrast, other Cyp26a1−/−Aldh1a2+/− mice (Fig. 3c) had horseshoe-shaped kidneys (Fig. 3h), dilation of the kidney and ureteric cavities (Fig. 3h,i) and lack of formation of the urethra, vagina and terminal part of the rectum (Fig. 3i,j), indicating incomplete phenotypic rescue. Only half of the expected Cyp26a1−/− mice were present at birth (see Web Table A online); if not dead (3/4), these were killed owing to their severe spina bifida or sirenomelia phenotype. The surviving Cyp26a1−/−Aldh1a2+/− mutants reached adulthood without any phenotypic defect apart from their abnormal tails (Fig. 3k); both males and females were fertile.

Figure 3: Tail and posterior organ development in Cyp26a1−/−/Aldh1a2+/− compound mutants.
figure 3

a–c, Ventral views of the tail and external genitalia of wildtype (a) and Cyp26a1−/−Aldh1a2+/− (b,c) newborn mice. d–g, Histological sections through the kidneys (d), anorectal region (e), cervix and vagina (f) and urethra (g) of a 'normal' Cyp26a1−/−Aldh1a2+/− newborn mutant. These structures are histologically indistinguishable from those of wildtype littermates. h–j, Abnormal development of posterior structures in another Cyp26a1−/−Aldh1a2+/− newborn. This mutant shows partial fusion between kidneys (h), dilation of the kidney and ureter cavities (h,i, *; compare with the normal size of the ureter near its junction with the bladder: magnified in g), absence of the vagina, the uterine cervix ending blindly along the bladder wall (i,j, magnified in inset), and dilation of the rectum (j) due to the lack of anal development. k, Adult tail phenotypes of Cyp26a1−/−/Aldh1a2+/− mice in comparison with that of a wildtype mouse. ad, adrenal gland; an, anus; bl, urinary bladder; ce, cervix; gt, genital tubercle; ki, kidney; re, rectum; u, urethra; ur, ureter; ut, uterus; tl, tail; va, vagina.

We also investigated whether the other phenotypic features of Cyp26a1−/− mice—the posterior cervical vertebral transformations and the hindbrain patterning defects—could be rescued by Aldh1a2 haploinsufficiency. Cervical transformations could be reverted in Cyp26a1−/−Aldh1a2+/− mutants, albeit with variable expressivity: some animals showed transformation of cervical vertebrae (C) 5–7, with supernumerary ribs on C7 (Fig. 4e,h), anterior tuberculi on C5 instead of C6 (Fig. 4f) and six instead of five sternebrae (Fig. 4r). Other double-mutants (Fig. 4i–p) showed more subtle (or even minute) signs of posteriorization: C6 had anterior tuberculi, but lacked foramina transversaria (Fig. 4k,o); C7 harbored incomplete ribs (Fig. 4l) or minute rib rudiments (Fig. 4p) and five normal sternebrae were present (Fig. 4s).

Figure 4: Variable rescue of cervical vertebral transformations in Cyp26a1−/−Aldh1a2+/− double-mutants.
figure 4

a–d, Profile view of the cervical column (a) and dissected C5-C7 vertebrae (b–d) of a wildtype mouse at E18.5. e–p, Comparative views of the cervical column and the C5–C7 vertebrae from three Cyp26a1−/−Aldh1a2+/− mutants with complete (e–h), intermediate (i–l) or minor (m–p) signs of posteriorization. The presence of anterior tuberculi (at) on C5 instead of C6, and of supernumerary ribs (r*) on C7 indicates a posterior transformation. Two of the mutants show only partial (l) or minute rib rudiments (p, *) on C7. q–s, Ventral views of the sternum of a wildtype (q) and two Cyp26a1−/−Aldh1a2+/− (r,s) mice at E18.5, which show, respectively, a super numerary rib (r*) and six (instead of five) sternebrae, or a phenotypically wildtype sternum. at, anterior tuberculum; C1–C7, cervical vertebrae (transformed vertebrae are indicated by *); ft, foramina transversaria; r1–r8, ribs; st, sternebrae.

Two retinoic acid–metabolizing enzymes, Cyp26a1 and Cyp26b1 (ref. 12), are expressed in specific segments (rhombomeres) of the developing hindbrain. Cyp26a1−/− mice have abnormal patterning of the anterior hindbrain region, as seen by ectopic expression of Hoxb1, a rhombomere (r) 4-specific marker, in the r3/r2 territory (compare Fig. 5a,b and c,d)6,7. Hoxb1 ectopic expression was detected in Cyp26a1−/−Aldh1a2+/− mutants (Fig. 5e–h), but did not extend as far rostrally as in Cyp26a1−/− embryos (Fig. 5e), or was limited to a few single cells (Fig. 5f–h).

Figure 5: Partial rescue of abnormal anterior rhombomere patterning in Cyp26a1−/−Aldh1a2+/− double-mutants.
figure 5

a–h, Hoxb1 expression in hindbrain was analyzed in wildtype (a,b), Cyp26a1−/− (c,d) and Cyp26a1−/−Aldh1a2+/− (e–h) embryos. Whole-mount in situ hybridization was carried out on embryos at E8.5 (a,c,e,g) or at E8.75 (b,d,f,h) during the process of hindbrain neural tube closure. Fewer cells ectopically expressing Hoxb1 (indicated by brackets or arrowheads) are detected rostrally to rhombomere 4 (r4) in Cyp26a1−/−Aldh1a2+/− embryos than in Cyp26a1−/− embryos.

We used the retinoic acid–responsive RARE-hsp68-lacZ transgene13 to monitor embryonic retinoic acid levels in mice with single or double mutations. As previously reported7, Cyp26a1−/− embryos had higher overall transgene activity and therefore higher retinoic acid levels than those of control littermates (compare Fig. 5a and b). Cyp26a1−/−Aldh1a2+/− mutants showed less overall transgene activity than both control and Cyp26a1−/− littermates (Fig. 6c). Cyp26a1−/− embryos also showed abnormal expansion of transgene expression, both rostrally towards the hindbrain and caudally towards the tail bud (compare Fig. 6d,g and e,h). In Cyp26a1−/−Aldh1a2+/− mutants (Fig. 6f,i), the rostral and caudal boundaries of transgene expression were comparable with those seen in control littermates.

Figure 6: Retinoic acid–reporter transgene activity in embryos with single or compound mutations of Cyp26a1 and Aldh1a2.
figure 6

a–c, Embryos at E10.5 from a Cyp26a1+/−/Aldh1a2+/− intercross, whose father harbored the RARE-hsp68-lacZ transgene, were briefly stained (1 h) with X-gal. Cyp26a1−/− mutants (b) show elevated lacZ activity in comparison with control littermates (a). Aldh1a2+/− mutants show reduced activity, even in the case of Cyp26a1−/− compound inactivation (c). d–i, Embryos at E9.5 from the same type of cross were overstained (5 h) to compare the extent of transgene activity. Profile views (d–f) and close-up views of the tail region (g–i) are shown. In Cyp26a1−/− embryos (e,h), transgene activity extends rostrally within the hindbrain (bracket) and caudally (*) beyond the level of the allantoic bud (al). In Cyp26a1−/−/Aldh1a2+/− embryos (f,i), the rostral (arrowhead) and caudal (*) expression limits of transgene activity were the same as those of control embryos (d,g).

These findings provide genetic evidence that the Cyp26a1−/− phenotype results from deleterious effects of excess embryonic retinoic acid ('endogenous' retinoic acid teratogenicity) due to a lack of tissue-specific catabolism, rather than a lack of signaling by bioactive retinoic acid metabolites such as 4-oxo–retinoic acid (4-oxo-RA). These data are consistent with the fact that Cyp26a1 overexpression in Xenopus embryos can rescue the developmental defects induced by exogenous excess retinoic acid14. If one assumes that the Cyp26a1−/− phenotype (or part of it) results from impaired 4-oxo-RA signaling, then Aldh1a2 haploinsufficiency, by decreasing the level of the substrate for oxidizing enzymes, should lead to lower amounts of 4-oxo-RA. Thus, no phenotypic improvement would be expected in the double-mutants and, if anything, an exacerbation rather than improvement of this phenotype would be expected. Cyp26a1 and Aldh1a2 are expressed in juxtaposed domains during early mouse development (for example: the anterior epiblast versus the posterior mesoderm during gastrulation; the tail bud versus the adjacent somitic mesoderm; the anterior hindbrain neuroepithelium versus the posterior hindbrain mesenchyme)3,12,15,16. We therefore propose that, as Aldh1a2 haploinsufficiency results in a decrease in retinoic acid synthesis, double-mutant embryos are (at least partially) protected against teratogenic effects of embryonic retinoic acid in tissues lacking Cyp26a1. Although we cannot rule out the possibility that the remaining abnormalities (such as tail truncation) of the double-mutants could reflect a lack of 4-oxo-RA, the observation that all of these abnormalities correspond to milder phenotypes than those seen in Cyp26a1−/− mice is consistent with the idea that they correspond to lesser effects of local embryonic retinoic acid teratogenicity rather than abnormalities due to a lack of 4-oxo-RA. In addition, variations in the residual levels of retinoic acid may account for the variability of the phenotypic rescue. The present data do not exclude any possible role for 4-oxo-retinol17,18.

Our study suggests that imbalance between the synthesis and degradation of retinoic acid during embryogenesis could lead (or contribute) to the appearance of spina bifida and posterior organ abnormalities in humans. Moreover, although partial rescue of a specific morphogenetic mutation by a nonallelic mutation has been reported19, our study is the first report of a heterozygous mutation rescuing another mutation that on its own is homozygous embryonic lethal in mammals. Thus, the Aldh1a2 mutation behaves as a dominant suppressor of the Cyp26a1 phenotype. The search for suppressor mutations has long and successfully been used in systems readily amenable for genetic studies, such as Drosophila melanogaster (see ref. 20 for example). So far, genetic intercrosses between mutant mouse lines have mostly been generated to uncover new phenotypic defects, indicative of synergistic or partly redundant functions. Given the ever increasing number of engineered mouse lines, searching for suppressor mutations becomes a realistic means of identifying genes with opposing functions.

Methods

Generation of mice.

The generation of mice with targeted disruptions of Cyp26a1 (ref. 6) and Aldh1a2 (ref. 9) has been described. The experimental design was approved by the institutional ethics committee in charge of the Institut de Génétique et de Biologie Moléculaire et Cellulaire. As both mutant lines had different genetic backgrounds (129/sv-C57/Bl6 and CD1, respectively), we carried out all phenotypic comparisons and assays between littermate specimens to avoid bias due to background effects.

Genotype analysis.

We carried out genotyping6,9 by PCR analysis of extra-embryonic or skin DNA. Histology, skeletal staining21, in situ hybridization22 and X-gal staining13 were carried out as previously described.

Note: Supplementary information is available on the Nature Genetics website.