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Pediatr Surg Int (2010) 26:407–411 DOI 10.1007/s00383-010-2580-y ORIGINAL ARTICLE Mesenchymal expression of Tbx4 gene is not altered in Adriamycin mouse model Piotr Hajduk • Paula Murphy • Prem Puri Accepted: 2 February 2010 / Published online: 25 February 2010 Ó Springer-Verlag 2010 Abstract Purpose The Adriamycin mouse model (AMM) is a reproducible teratogenic model of esophageal atresia/tracheo-esophageal fistula (EA/TEF). Tbx4 is a member of the T-box family of transcription factor genes, which is reported to play a key role in separation of the respiratory tract and the esophagus. Up-regulation of Tbx4 is reported to cause TEF in the chick. Optical projection tomography (OPT) is a technique that allows three-dimensional (3D) imaging of gene expression in small tissue specimens in an anatomical context. The aim of this study was to investigate the temporo-spatial expression of Tbx4 during the critical period of separation of the trachea and esophagus in normal and Adriamycin treated embryos using OPT. Materials and methods Time-mated CBA/Ca mice received intraperitoneal injections of Adriamycin (6 mg/kg) or saline on days 7 and 8 of gestation. Embryos were harvested on days 9–12, stained following whole mount in situ hybridization with labeled RNA probes to detect Tbx4 transcripts (n = 5 for each treatment/day of gestation). Immunolocalization with the endoderm marker Hnf3b was used to visualize morphology. Embryos were scanned by OPT to obtain 3D representations of gene expression domains. Animal licence no. B100/4106. Results OPT elegantly revealed Tbx4 gene expression in both controls and in the disorganized pulmonary P. Hajduk (&) P. Puri Children’s Research Centre, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland e-mail: [email protected] P. Hajduk P. Murphy Department of Zoology, Trinity College, University of Dublin, Dublin, Ireland mesenchyme in the treated embryos. Although characteristic morphological abnormalities were observed in Adriamycin treated embryos, there was no significant difference in Tbx4 transcript distribution around lung primordia in comparison with control embryos. Conclusion Although previously reported morphological abnormalities of notochord and esophagus were observed in AMM, Tbx4 gene expression was unaltered, suggesting that esophageal anomalies can occur in the presence of normal Tbx4 gene expression in this model. Keywords Foregut Lung Notochord Tbx4 Optical projection tomography Introduction Esophageal atresia/tracheo-esophageal fistula (EA/TEF) are common malformations of the foregut in humans which require emergency surgery in the newborn period. EA/TEF can occur as part of a heterogenous group of non-randomly associated anomalies known by the acronym of VACTERL [1–3]. This association includes vertebral defects, anal atresia, cardiovascular anomalies, tracheo-oesophageal fistula, renal anomalies and limb defects. The developmental link between the systems affected in these cases has been intriguing. Adriamycin, a chemotherapeutic agent, was originally found to cause birth defects in rats that resemble the VACTERL association [4]. Detailed studies of the development of EA/TEF in the Adriamycin rat model (ARM) have provided an understanding of the morphological stages involved in their development. However, the mouse is the developmental biologist’s mammalian model of choice, providing much greater availability of molecular 123 408 probes, antibodies and transferable knowledge from mutant mouse models. Previous work has established that the Adriamycin mouse model (AMM) also demonstrates VACTERL association similar to ARM and these mice develop EA/TEF [5, 6]. A number of genes have been implicated in the normal development of trachea and esophagus. Tbx4 is a member of the T-box transcription factor gene family. It is expressed in the visceral mesoderm around the lung primordia [7, 8]. Ectopic Tbx4 expression in the mesoderm of manipulated chick embryos induced ectopic lung bud formation in the foregut, activating the expression of Fgf10, which is essential for lung budding morphogenesis [8]. Furthermore ectopic expression of Tbx4 caused the failure of trachea-esophageal septum formation resulting in TEF. HNF3b is a forkhead domain transcription factor expressed throughout the definitive endoderm of the respiratory and gastrointestinal tract and notochord [9, 10]. HNF3b antibody has been used to label the developing endoderm and the floorplate [11]. Optical projection tomography (OPT) is a new, rapid and non-invasive technique for 3D imaging of small biological tissue specimens that allow visualization of the tissue distribution of RNA, protein or histological stains in developing organs while also recording morphology [11]. The aim of this study was to investigate the temporospatial expression of the Tbx4 gene during the critical period of separation of the trachea and esophagus in normal and Adriamycin treated embryos using OPT. Materials and methods Animals Male and female CBA/Ca mice (Harlan UK, Bicester, England) were accurately time-mated over a 4-h period starting at 8 a.m. Identification of a vaginal plug at the end of the mating period was taken to be the start of gestation. Pregnant mice received two intraperitoneal injections on embryonic days E7 and E8. The Adriamycin treated mice received a dose of 6 mg/kg of Adriamycin (Doxorubicin, EBEWE Pharma Ges.m.b.H Nfg.KG, A-4866 Unterach, Austria). The control mice received an equivalent volume of 0.9% sodium chloride. The Adriamycin was diluted with 0.9% sodium chloride and stored appropriately. Dams were humanely killed by swift cervical dislocation between E9 and E12. The embryos were dissected in RNase-free phosphate buffered saline (PBS) and then fixed in 4% paraformaldehyde in PBS overnight. E12 embryos were dissected to include only the trunk region from the first branchial arch to the base of the liver to ensure penetration of RNA probes and antibodies. 123 Pediatr Surg Int (2010) 26:407–411 Whole mount in situ hybridization and immunolocalization The plasmid including a subclone of the mouse Tbx4 gene was generously gifted by Dr Saverio. The region used as a probe extends from nucleotide 526 to 1821 on NM_172798.1 (GenBank Sequence). The restriction enzymes NotI and EcoRI were used to linearize the plasmid DNA and in vitro transcription using RNA polymerases and digoxigenin–dUTP was performed to generate antisense and sense Tbx4 RNA probes. Whole embryos stocked in 100% methanol were subsequently rehydrated and underwent in situ hybridization as previously described [12]. The sense probe was used as a control. Immunolocalization with HNF3b primary antibody (07-633 Upstate Cell Signaling Solution, Lake Placid, NY), diluted 1/500, and Cy3 conjugated goat anti-rabbit IgG (111-165-144 Jackson Immno Research) at 1/200 dilution as secondary antibody was performed. Embryos were double labeled for Tbx4 expression by in situ hybridization and HNF3b immunolocalization by simultaneous incubation with antibodies to digoxigenin and HNF3b. Optical projection tomography Stained embryos were embedded in 1% low melting point agarose, attached to a metal mount, dehydrated in MeOH overnight and cleared in benzyl benzoate/benzyl alcohol (1:2) (BABB) for at least 5 h [11, 12]. Projection images of the specimens were captured in a prototype OPT scanner constructed at the MRC Human Genetics Unit, Edinburgh, and installed in the Zoology Department, Trinity College, Dublin [11, 12]. The raw data (400 projected images) from each of the scans were loaded onto a Linux workstation, reconstructed and analyzed using custom made software (MA3DView and MAPaint), provided by the Edinburgh Mouse Atlas Project. All experiments were carried out in compliance with current European Union regulations for animal investigation (ED86/609/EC), with prior ethical approval under licence number B100/4106 from the Department of Health, Ireland. Results The Tbx4 antisense probe was first tested on normal embryos and found to give a clear and specific pattern of expression in the mesenchyme around the site of the lung bud, trachea, in a specific patch in the forelimb and extensively in the hindlimb (Fig. 1). Figure 1 illustrates the 3D nature of the data generated through in situ Pediatr Surg Int (2010) 26:407–411 409 Fig. 1 The expression of the Tbx4 gene at E11. a Photomicrograph of a lateral view of a whole mount Tbx4 in situ hybridized specimen. b The 3D nature of the data analyzed in this study is shown in a still shot taken from a 3D reconstruction of the externally visible pattern of Tbx4 expression following the merging of two OPT scans where the tissue (pseudocolored in green) and the gene expression (pseudocolored in red) were captured separately. c The pattern of Tbx4 expression around the trachea and lung buds is shown in more detail in this surface rendered image. fg foregut, fl forelimb, hl hindlimb, tr trachea, lb lung bud hybridization and OPT scanning to visualize features of the Tbx4 expression domain in detail. Analysis of 3D computer reconstructed specimens of control and treated embryos across stages E9–E12 following OPT allowed the Tbx4 gene expression patterns to be viewed in 2D virtual sections throughout the developing tissue (Fig. 2). The intensity of staining and the spatial territory within which the Tbx4 gene was expressed with respect to the forming foregut was compared visually between control and Adriamycin treated groups at each time point of collection. In E9 Adriamycin treated and control embryos Tbx4 was expressed in the mesenchyme around the site of the lung buds (Fig. 2a, b, i, j). Any apparent difference in Tbx4 expression pattern viewed on coronal sections (Fig. 2b, j) are due to relatively more advanced lung development in control embryos. At E10 Tbx4 expression was clearly detected in the mesenchyme around the trachea (Fig. 2c) and in the mesenchyme around the lung bud (Fig. 2d). At this stage, Tbx4 expression persisted in the lung bud region mesenchyme in treated embryos (Fig. 2k, l), even in cases where lung bud formation is lacking (not shown). At E11, virtual sections through the embryos showed Tbx4 expression in the mesenchyme around the trachea in both control and treated embryos (Fig. 2e, m), and around the lung bud (Fig. 2f, n) without obvious changes in the spatial distribution or level of gene expression. Fig. 2 Control (a–h) and Adriamycin treated (i–p) mouse embryos at embryonic days E9–E12 following whole mount in situ hybridization show mesenchymal Tbx4 gene expression represented by virtual sections taken through the 3D data in different saggital and coronal planes indicated by orange lines. Red arrows indicate Tbx4 expression around site of the lung buds (a–p). White arrow indicates Tbx4 gene expression around tracheal mesenchyme (c, e, m, o). e–f, m–n virtual sections taken through the 3D data following the merging of two OPT scans where the tissue (pseudocolored in green) and the Tbx4 gene expression (pseudocolored in red) were captured separately. tr trachea 123 410 At E12, embryos were enlarged considerably and the complexity of tissue increased. To ensure penetration of the RNA probe, the embryos were dissected to include only the trunk region from the first branchial arch to the base of the liver. Following OPT scanning and computer reconstruction Tbx4 gene expression was detected in the mesenchyme around the lung bud in control embryos (Fig. 2g, h) and treated embryos (Fig. 2o, p) without any difference in spatio-temporal expression between control and Adriamycin treated embryos. Although the Adriamycin treated embryos showed a variety of the expected foregut abnormalities including complete laryngotracheo-esophageal cleft (in 6 of 22 embryos), OA (in 6 of 22 embryos) and TOF (in 5 of 22 embryos), there were no differences in Tbx4 gene expression pattern in the Adriamycin treated groups, irrespective of the severity of the morphological abnormalities. Discussion The development of the embryo is a complex process in which tissues and organs undergo an intricate sequence of movements relative to each other, controlled by interaction through diffusible signaling molecules [13]. In normal development, the respiratory and digestive tubes are derived by division of the foregut primordium that is surrounded by splanchnic mesoderm [14]. In mice, the bronchi are the first respiratory structures to be generated as bulges on the ventrolateral wall of the foregut at E9.5. At E10, the laryngo-tracheal groove gives rise to the trachea, which connects to the left and right main bronchi. The lung buds are located on the ventral aspect of the gastric dilatation of the foregut. The tracheal and bronchial stalks extend to form the main bronchi, a process completed by approximately E10.5. Stereotypic branching and budding occurs as the bronchial and bronchiolar tubules form between approximately E11 and E16 [15]. The embryonic development of the foregut into a respiratory and a digestive part is a complicated process, of which many aspects have not yet been clarified, particularly the factors that trigger the normal progression of events described above. An understanding of normal development of the foregut is essential to define the mechanism underlying the origin of OA/TOF in mammalian embryos. A number of mouse mutants replicate aspects of OA/ TOF shown in the Adriamycin model indicating that complex signaling events involving the mutant gene products are involved [16, 17]. The morphological similarity of foregut abnormalities seen in a number of mutants with different genetic lesions produced by Adriamycin treatment in chick, rat and mice indicate that common processes are being disturbed [4–6, 18]. 123 Pediatr Surg Int (2010) 26:407–411 Tbx4 is a member of the T-box transcription factor gene family which controls multiple processes during respiratory tract development such as initial endodermal bud formation, respiratory endoderm formation and separation of the respiratory tract and the esophagus. It is expressed in the visceral mesoderm at the position where lung primordial form overlapping with Fgf10 expression [7, 8]. Ectopic Tbx4 expression induced ectopic lung bud formation in the foregut, by activating the expression of Fgf10 in chick [8]. It has also been reported that when the border of the Tbx4 expression domain was disturbed by misexpression of Tbx4, there was failure in tracheo-esophageal separation. Fgf10 misexpression also led to failure in tracheooesophageal formation [8]. Inactivation of Tbx4 function is reported to repress Fgf10 expression and lead to failure of lung bud formation. This suggests that a Tbx4–Fgf10 system, in mouse and chick, acts as a signaling component for the inductive interactions specific to the lung primordium mesoderm and that altered boundaries of expression can affect tracheo-esophageal separation. In a previous study, we showed a delay in Fgf10 gene expression in Adriamycin treated embryos and a lack of Fgf10 gene expression in cases associated with tracheal atresia [19] in contrast to the lack of effect on Tbx4 expression shown here. This differential effect indicates the level at which Adriamycin impacts this particular signaling system. In this study, we used OPT to visualize the distribution of the transcripts of Tbx4 gene across early stages of development, when malformations occur in the AMM. OPT is a relatively new technique for 3D imaging of small whole embryos, revealing morphological details of the developing embryos as well as recording gene expression patterns in mouse and chick embryos [11, 12, 20, 21]. It takes 400 projected, optical density images from one complete revolution of the embryo and then uses computer software to reconstruct the original 3D object digitally. This information can be viewed as a whole 3D model which can be rotated to view it from any angle or as virtual sections cut in any plane. The technique is non-invasive (does not require sectioning) (Fig. 1), avoiding the problem of section loss and distortion, allowing large numbers of specimen be screened to show colored or fluorescent stained tissue for gene expression patterns and distribution of other molecules within the anatomical context of the developing embryos. Here we show successful staining and visualization of lung buds and tracheal mesenchyme by combining in situ hybridization to detect Tbx4 expression with OPT scaning and computer reconstruction across the E9–E12 stages of embryonic development. In the present study, Tbx4 expression was detected adjacent to the foregut at an equivalent antero/posterior position and at approximately Pediatr Surg Int (2010) 26:407–411 the same level in control and Adriamycin treated embryos. 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