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In the present study, we show that another member of the bHLH transcription factor family, ngn3, is expressed in the fetal intestinal epithelium as well as in immature cells located in the proliferative compartment of the crypts in the adult small intestine. Differentiated endocrine cells in the villi which express NeuroD (Rindi et al., 1999) do not express ngn3. However, lineage tracing experiments of the ngn3 progeny shown herein demonstrate that crypt ngn3-expressing cells finally give rise to chromogranin A-positive enteroendocrine cells. This conclusion has been drawn from the analysis of transgenic mice that we produced expressing the LacZ gene under the control of ngn3 regulatory sequences. In these mice, the reporter recapitulates endogenous intestinal ngn3 expression, and the long half-life of -galactosidase allowed us to follow the fate of the ngn3-expressing cells. Together, these expression data suggest that, as is the case in the developing pancreas, ngn3 marks an endocrine committed progenitor population, which does not yet express endocrine hormones. Gene targeting experiments showed that all the intestinal endocrine cells fail to develop in ngn3-/- mice at embryonic stages, at birth and also at later postnatal stages that could be reached by grafting mutant intestines under the skin of nude mice. This latter experiment demonstrates that early lethality cannot explain the loss of enteroendocrine cells. Importantly, the expression of NeuroD is lost in the ngn3-/- intestine, whereas Math1-expressing cells are still detected in the crypts and the villi. Therefore, we propose that ngn3 has an early function in the development of the intestinal endocrine lineage, before the cells exit the cell cycle. ngn3 probably acts in a regulatory cascade downstream of or parallel to Math1 and upstream of NeuroD, and would thus be required for the endocrine fate commitment of a Math1+ multipotent progenitor of the secretory lineages (Figure 8A). This hypothesis is supported further by the lack of -galactosidase protein in the embryonic intestine of ngn3 promoter::LacZ mice in a ngn3-/- background, which suggests that endocrine progenitors are lacking in the absence of ngn3. Similar observations have been made in the pancreas (M.Jenny and G.Gradwohl, unpublished results). One can therefore hypothesize that the development of the enteroendocrine lineage is blocked at the Math1-expressing progenitor stage in ngn3-/- intestine. However, we cannot completely rule out that some endocrine progenitors are generated but then fail to proliferate. One other possible explanation for the failure of LacZ transgene expression in an ngn3-/- background could be that ngn3 gene transcription is auto-regulated. We find that the latter hypothesis is unlikely since -galactosidase+ progenitors can be detected in the ngn3-deficient gastric epithelium (data not shown). The common requirement for ngn3 function in the generation of CCK-, secretin-, gastrin-, GIP-, GLP-, PYY-, serotonin- and somatostatin-producing intestinal cell types suggests that these enteroendocrine lineages originate from a common endocrine progenitor. However, we cannot rule out that the different endocrine cells arise from distinct progenitors that each express ngn3. We are inclined to believe in the possibility that ngn3 acts to specify a common intestinal endocrine progenitor, as several studies have noted co-expression of certain combinations of intestinal hormones (Lopez et al., 1995; Upchurch et al., 1996; Rindi et al., 1999).
Although none of the other main intestinal cytotypes displayed altered differentiation characteristics, an interesting observation is that we found an increase in the number of goblet cells in ngn3-/- small intestine at birth. This suggests, but does not prove the existence of a bipotential progenitor (endocrine/goblet). In the absence of ngn3, endocrine commitment is no longer possible and the cells would then adopt the alternative goblet fate. This hypothesis that enteroendocrine and goblet cells might share part of their developmental program is supported further by the increase of goblet cells observed in Hes1 knock-out mice (Jensen et al., 2000b) and the reported switch of pure enteroendocrine cells to a more goblet-like phenotype in Crohn's disease (Poulsom et al., 1993). One alternative explanation could also be that the increase in goblet cells is due to their filling up of a compartment that would otherwise be filled by an expanding population of endocrine cells. The high number of goblet cells in the colon (major cell type) could explain why such an increase was not observed in the colonic crypts or suggest that goblet cell regulation might be different in the colon and the small intestine.
Thus, the data presented here provide evidence that ngn3 is a determination gene which controls an endocrine fate decision in multipotent intestinal progenitors. In addition, our results demonstrate that ngn3 specifies the intestinal endocrine lineage in a cell-autonomous manner since we proved that enteroendocrine cells derive from ngn3-expressing cells. Other as yet unidentified bHLH genes might specify the fate of the other intestinal cytotypes. Our results are consistent with a previous report suggesting that the Notch−Hes signaling system is involved in endodermal endocrine fate determination in the developing gut (Jensen et al., 2000b). Indeed, Jensen et al. observed an increase of all endocrine populations and an up-regulation of ngn3 and NeuroD in the gut endoderm of mice lacking the bHLH repressor gene Hes1. Together with our findings, one can hypothesize that the positive regulation of ngn3 on enteroendocrine cells is antagonized by Hes-1 in neighboring cells upon the activation of the Notch receptor by Delta ligand and subsequent up-regulation of Hes1.
The intestinal and pancreatic endocrine phenotype of the ngn3 mutation prompted us to analyze endocrine differentiation in the stomach, another endodermally derived tissue containing a number of different endocrine cell types (Solcia et al., 2000). We showed that gastrin- and somatostatin-producing G and D cell differentiation is impaired in the stomach of mice lacking ngn3 (Figure 8B). However, we observed that a significant number of serotonin-expressing enterochromaffin EC cells were still present in the ngn3-/- gastric epithelium. While this manuscript was in preparation, Lee et al. (2002) reported a similar observation and showed in addition that ngn3 is important for the maintenance of gastric epithelial cell identity. Our studies extend these findings by demonstrating that the differentiation of two additional gastric endocrine cell types is not affected in ngn3 mutant mice: the X/A cells producing ghrelin (Date et al., 2000), a novel growth hormone secretagogue and anorexigenic peptide (Wang et al., 2002), and the ECL cells secreting histamine which play a key role in the regulation of gastrin-stimulated acid secretion (Chen et al., 1999). ECL cells are not detected at birth when ngn3 mutants die; therefore, the differentiation of this particular cell type could only be studied in rescued intestines. However, the persistence of the ngn3 promoter-driven -galactosidase in all the differentiated gastric endocrine cell types studied suggests that although ngn3 does not control endocrine differentiation of serotonin- (EC), grehlin- (X/A) and histamine- (ECL) producing cells, they derive from ngn3-expressing progenitors. Interestingly, serotonin-producing cells are present both in the small intestine and in the antral mucosa of the stomach. Although these cells secrete the same hormone in both tissues and derive from ngn3-expressing progenitors, they are differentially affected in the gut (lost) and the stomach (retained) in the absence of ngn3. Thus the differentiation of similar endocrine cell types is controlled by different genetic programs in the gut and the stomach. Similar observations have been made in the ventral telencephalon where there are some GABAergic neurons which express the bHLH transcription factor Mash1 which are Mash1 independent while others are dependent (Casarosa et al., 1999).
In conclusion, our results indicate that ngn3 is expressed specifically in endocrine progenitors of the developing and adult intestine as well as of the stomach. Our loss-of-function experiment demonstrates that ngn3 is required for the specification of the endocrine fate in multipotent intestinal progenitors (Figure 8A) and that endocrine differentiation is completely impaired in the mutant intestine. In contrast, gastric endocrine differentiation does not rely entirely on ngn3 function. As a consequence, at least two different gastric endocrine lineage pathways exist, one dependent on and the other independent of ngn3, and controlled by an as yet unidentified gene (Figure 8B) Taken together, the work described here and our previous data demonstrate that endocrine cell fate determination is similar in the intestine and the pancreas, but different in the stomach. These findings on the common mechanisms occurring in the gut and the pancreas may initiate the development of novel strategies to derive insulin-secreting cells from intestinal endocrine progenitors.
Materials and methods Transgene construction and ngn3-deficient mice
To generate the ngn3 promoter::LacZ construct, a 6.86 kb XbaI−XhoI fragment (6696 bp of 5' genomic and untranslated region sequences and 176 bp of ngn3 coding region) of mouse ngn3 genomic DNA (Gradwohl et al., 2000) was cloned upstream of the IRES-NLS-LacZ-pA sequence in pBS-INL vector (Fode et al., 2000), resulting in plasmid pngn3(6.8)-INL. The 10.6 kb ngn3−LacZ insert was released by NotI digestion and microinjected into murine oocyte pronuclei, and three independent transgenic lines were generated and maintained by crossing into a CD1 outbred background. Transgenic progeny were identified by PCR using primer in the LacZ gene, VW233 5'-GCACATCCCCCTTTCGCCAG CTGGCGTAAT-3' and VW234 5'-CGCGTCTGGCCTTCCTGTAGCC AGCTTTCA-3'. Ngn3+/- animals were generated as described previously (Gradwohl et al., 2000).
Multiplex RT−PCR
Multiplex RT−PCR was performed on dissected P1 duodenum, jejunum and colon as described by Jensen et al. (2000b). TBP (encoding TATA-binding protein) was co-amplified as an internal standard.
-galactosidase and lactase activity detection
Tissues were fixed for 10−20 min at room temperature in 0.2% glutaraldehyde, 5 mM EGTA pH 7.3, 2 mM MgCl2 in 0.1 M sodium phosphate pH 7.3, washed three times for 10 min in LacZ wash buffer (2 mM MgCl2 in 0.1 M sodium phosphate pH 7.3, 0.02% NP-40) and whole mount staining was performed in a solution containing 1 mg/ml X-Gal, 5 mM potassium ferrocyanide and 5 mM potassium ferricyanide in LacZ wash buffer at 37°C for 2−4 h. After staining, samples were washed in phosphate-buffered saline (PBS), post-fixed with Bouin and processed for wax sections. For double labeling experiments, X-Gal stainings were realized directly on paraformaldehyde-fixed frozen tissue sections, followed by immunostaining. Enterocyte lactase activity was revealed as detailed in Jost et al. (1998).
RNA in situ hybridization (ISH), immunohistochemistry and immunofluorescence
RNA ISH experiments were performed on frozen paraformaldehyde-fixed tissues sections as described previously (Cau et al., 1997; Gradwohl et al., 2000). In some cases, ISH was followed by immunostaining. The following cRNA probes were used: ngn3 (Gradwohl et al., 2000), math1 (kindly provided by R.Kageyama, Kyoto University, Japan) and NeuroD (Fode et al., 1998). Immunohistochemistry and immunofluoresence were performed on paraffin and cryosections as described previously (Cau et al., 1997). The following antibodies were used: rabbit anti-chromogranin A at 1:300 (Diasorin), guinea pig anti-ngn3 at 1:1000 (kindly provided by M.German, UCSF, San Francisco, CA), rabbit anti- -galactosidase 1:500 (ICN), rabbit anti-somatostatin at 1:200 (Dako), rabbit anti-CCK/gastrin at 1:750 (INSERM U.45, 8E), rabbit anti-serotonin at 1:5000 (Incstar) or mouse anti-serotonin at 1:50 (Dako), rabbit anti-secretin at 1:2000 (kindly provided by P.Robberecht, Brussels, Belgium, 13/4), rabbit anti-GIP at 1:500 (INSERM U.45, 0.59A), rabbit anti-PYY at 1:1000 (INSERM U-45, A4D), rabbit anti-ghrelin at 1:2000 (kindly provided by C.Tomasetto, IGBMC, Strasbourg, France), rabbit anti-GLP at 1:1000 (INSERM U.45, 199D), rabbit anti-HDC at 1:800 (Progen) and mouse anti-proliferating cell nuclear antigen (PCNA) at 1:100 (Dako). Secondary antibodies used were: Alexa 488 anti-rabbit at 1:500 (Molecular probes), Cy3 anti-guinea pig at 1:500 (Jackson immunoresearch), and peroxidase-coupled anti-rabbit, anti-guinea-pig and anti-mouse at 1:200 (Vector Laboratories). BrdU incorporation and detection experiments were as described by Parras et al. (2002). Goblet cells were stained for mucin using the PAS reaction.
Grafting experiments
To analyze ngn3 knock-out tissues beyond postnatal day 1, 12 day fetal intestine and stomach dissected out from ngn3-/- and wild-type mice were grafted under the skin of nude mice. Fetal intestines were subdivided into four parts corresponding to the presumptive duodenum, jejunum, ileum and colon. The intestinal grafts were recovered after 4 weeks, at a stage corresponding to weaning. Grafted stomachs were recovered after 2−3 weeks, because the gastric mucosa suffered from longer development. A mean of three grafts developed from each proximo-distal intestinal segment and from the stomach were analyzed.
Acknowledgements
We thank Dr Andrew Leiter for critical reading of the initial version of the manuscript, Christiane Arnold, Caroline Daurat and Viviane Hauer for excellent technical assistance, Drs Catherine Tomasetto, Rolf Hakanson and Lo Persson for helpful discussions, Drs Mike German and Ryochiro Kageyama for providing us with the ngn3 antibody and the Math1 cDNA, respectively, and Marianne LeMeur, Elisabeth Metzger and all the members of the mouse facilities of the IGBMC for their help in the generation of the ngn3-promoter::LacZ transgenic mice. This work was supported by funds from the Institut National de la Santé et de la Recherche Médicale (INSERM; AVENIR grant to G.G.), the Ministère de la Recherche et de la Technologie (ACI Biologie du développement et Physiologie Intégrative 2000) and grants from the Association pour la Recherche sur le Cancer (ARC), the Juvenile Diabetes Research Fundation (JDRF; 4-2001-434) and National Institutes of Health (NIH; 1U19-DK61244-01) to G.G. M.J. is a recipient of PhD studentship from the Ministère de la Recherche et de la Technologie.
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