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J Biol Chem, Vol. 273, Issue 52, 34904-34910, December 25, 1998
,From the Department of Biochemistry, Medical Sciences Building, University of Western Ontario, London, Ontario N6A 5C1, Canada
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ABSTRACT |
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The Nkx2-5 homeodomain protein plays a key role
in cardiomyogenesis. Ectopic expression in frog and zebrafish embryos
results in an enlarged myocardium; however, expression of Nkx2-5 in
fibroblasts was not able to trigger the development of beating cardiac
muscle. In order to examine the ability of Nkx2-5 to modulate
endogenous cardiac specific gene expression in cells undergoing early
stages of differentiation, P19 cell lines overexpressing Nkx2-5 were differentiated in the absence of Me2SO. Nkx2-5
expression induced cardiomyogenesis in these cultures aggregated
without Me2SO. During differentiation into cardiac muscle,
Nkx2-5 expression resulted in the activation of myocyte enhancer
factor 2C (MEF2C), but not MEF2A, -B, or -D. In order to compare the
abilities of Nkx2-5 and MEF2C to induce cellular
differentiation, P19 cells overexpressing MEF2C were aggregated in the
absence of Me2SO. Similar to Nkx2-5, MEF2C
expression initiated cardiomyogenesis, resulting in the up-regulation of Brachyury T, bone morphogenetic protein-4, Nkx2-5, GATA-4, cardiac The NK-2 class homeobox gene product Nkx2-5/Csx plays a key role
in cardiac muscle development (1-3). Nkx2-5 is the mouse homologue of
the Drosophila gene tinman (4, 5), which is essential for specification of heart muscle progenitors in the fly (6).
Both tinman and Nkx2-5 are expressed in the heart lineage
as a result of signals from decapentaplegic and bone morphogenetic protein (BMP)1 signaling,
which are members of the TGF The MEF2 family of transcription factors has been shown to play a
critical role in the cell type-specific transcription of genes in
cardiac, skeletal, and smooth muscle cells (14, 15) as well as in brain
and neuronal cells (16-21). There are four vertebrate MEF2 family
members, MEF2A, -B, -C, and -D (14). They contain a conserved MADS
box/MEF2 domain at their N termini, which is both necessary and
sufficient for dimerization and DNA binding to an AT-rich MEF2 binding
site. Drosophila lacking the single D-mef2
gene are deficient in cardiac, skeletal, and smooth muscle development,
indicating an essential role for D-MEF2 in the development of these
tissues (22-24). However, mice lacking MEF2B showed no phenotype,
whereas mice lacking MEF2C were deficient in cardiac looping, dying
around embryonic day 10 (25). Consequently, the role of MEF2 family
members in murine muscle development is more difficult to assess due to
possible functional redundancy.
Promoter analysis has shown that MEF2 sites mediate the expression of
several muscle-specific genes in cardiac muscle, including cardiac
myosin light chain 2, cardiac troponin T, muscle creatine kinase, and
The zinc finger transcription factor GATA-4 also plays a key role in
cardiac muscle development (3, 33, 34). GATA-4 is expressed in the
precardiac mesoderm at 7.5 days postcoitum and in the endocardial and
myocardial layers of the heart tube (35). GATA-4 can regulate a number
of cardiac structural genes, such as We have analyzed the ability of both Nkx2-5 and MEF2C to activate
endogenous cardiac muscle-specific gene expression in murine P19
embryonal carcinoma cells. The differentiation of these pluripotent stem cells is initiated by cellular aggregation in the presence of
differentiating agents and emulates the biochemical and morphological processes that occur during early embryonic development (43, 44).
Aggregation of P19 cells in the absence of differentiating agents
activates the expression of the mesoderm marker, Brachyury T (45), but
few of the cells continue to differentiate. P19 cells treated with
retinoic acid differentiate into various neuroectodermal derivatives,
including neurons, astrocytes, and glia (44, 46). P19-derived neurons
express the neurogenic basic helix-loop-helix transcription factor
MASH1 (47) and MEF2C (16), which can physically interact to
synergistically activate transcription.
P19 cells aggregated in the presence of Me2SO may
differentiate into cardiac and skeletal muscle along with other
mesodermal and endodermal cell types (48). The resulting
cardiomyocytes are embryonic in nature and first appear at day 6 following Me2SO treatment. Semiquantitative RT-PCR analysis
has shown that GATA-4 is first expressed on day 3 of differentiation
and is followed by Nkx2-5 on day 4 of differentiation (49). MEF2C
appears to be expressed constitutively but is up-regulated at day 6.
The rationale for examining the ability of stem cells to differentiate
in the presence of exogenous transcription factors is to provide the
factor of interest with an environment similar to that of the
developing embryo. Therefore, the presence or absence of
tissue-restricted components within the host cells does not limit the
function of the transcription factor. In addition, sufficient material
can be obtained for subsequent analysis. For example, P19 cells
overexpressing either GATA-4 (49) or MyoD (50) differentiate into
cardiac muscle or skeletal muscle, respectively, when aggregated in the
absence of Me2SO. Using this model system, we report that both Nkx2-5 and MEF2C initiated the development of cardiac muscle when
overexpressed in cells aggregated in the absence of
Me2SO.
Plasmid Constructs--
The DNA construct PGK-MEF2C contains the
phosphoglycerate kinase (pgk-1) promoter (51) driving the
coding region of human MEF2C (20). This isoform of MEF2C binds DNA and
activates transcription. The construct PGK-Nkx2-5 contains the
pgk-1 promoter driving a 1.6-kb EcoRI fragment
containing the complete open reading frame of mouse Nkx2-5 cDNA
(5). The construct PGK-Puro contains the pgk-1 promoter
driving the gene encoding puromycin resistance, as described (50). The
construct PGK-LacZ contains the pgk-1 promoter driving the
gene encoding Tissue Culture--
P19 embryonal carcinoma cells were cultured
as described (44) with the modification that 5% Cosmic calf serum
(HyClone, Logan, Utah) and 5% fetal bovine serum (CanSera, Rexdale,
Ontario, Canada) were used to supplement the
Differentiation was initiated by plating 5 × 105
cells into 60-mm bacterial dishes in the presence or absence of 0.8%
Me2SO. Cells were cultured as aggregates for 4 days and
then plated in tissue culture dishes and harvested for RNA or fixed for
immunofluorescence at the time indicated.
Immunofluorescence--
P19, P19(Nkx2-5), and P19(MEF2C) cells
were plated on day 4 of differentiation onto gelatin coated coverslips.
For identifying myosin heavy chain (53), cells were fixed in methanol
at Northern Analysis--
Total RNA was isolated by the lithium
chloride/urea extraction method, and 6 µg were examined by Northern
blot analysis as described previously (50). The probes used were a
600-base pair PstI fragment from the human cardiac Reverse Transcription Polymerase Chain Reaction--
Total
cellular RNA was extracted with TRIzol Reagent according to the
manufacturer (Life Technologies, Burlington, Ontario, Canada) and
treated with DNase I, amplification grade, at a concentration of 1 unit/µg RNA. The first strand cDNA synthesis was performed using
Superscript II RNase H P19(Nkx2-5) Cells Differentiate into Cardiac Muscle in the Absence
of Me2SO--
In order to examine the activity of Nkx2-5
in the context of differentiating stem cells, three P19 cell lines that
stably express high levels of Nkx2-5 were isolated and termed
P19(Nkx2-5) cells. These cells continued to express the stem cell
marker Oct-3 (60) when grown as monolayer cultures, indicating that
they retain a stem cell phenotype (data not shown) similar to that observed for P19(MyoD) cells (50).
To examine whether expression of Nkx2-5 in P19 cells can induce
differentiation into cardiac muscle, P19 and P19(Nkx2-5) cells were
aggregated for 4 days without Me2SO and fixed on day
6. The amount of cardiac muscle was quantitated by counting
cardiomyocytes in cultures that were stained by immunofluorescence with
the anti-myosin heavy chain antibody, MF20 (53). Aggregation of
P19(Nkx2-5) cells in the absence of Me2SO resulted in the
differentiation of abundant cardiac muscle (30-60% of total cells,
Table I). This is demonstrated by the
presence of cardiomyocytes expressing myosin heavy chain in
P19(Nkx2-5) cells (Fig. 1D),
compared with control cell cultures (Fig. 1B).
Total mRNA was isolated from P19 and P19(Nkx2-5) cultures on days
0 and 6 of differentiation in the absence of Me2SO and
subjected to Northern blot analysis. High levels of Nkx2-5 were
expressed on both day 0 and day 6 in P19(Nkx2-5) cultures (Fig.
2A, lanes 3-8) but not in P19 control cultures (Fig. 2A,
lanes 1 and 2). The formation of
abundant Nkx2-5-induced cardiac muscle is indicated by high levels of
cardiac Nkx2-5-induced Differentiation Up-regulates the Expression of
Factors Involved in Cardiomyogenesis--
The MEF2 family of
transcription factors has been shown to bind MEF2 sites present in
muscle-specific genes and activate their expression (14). The
expression patterns of the four MEF2 family members were examined in
P19 and P19(Nkx2-5) cultures aggregated in the absence of
Me2SO. Of the four factors, only MEF2C demonstrated a
9 ± 3-fold increase in expression (n = 3) in
P19(Nkx2-5) cultures on day 6 (Fig. 2E, lanes
4, 6, and 8), compared with P19
control cultures (Fig. 2E, lane 2).
MEF2A showed a slight 0.32 ± 0.07-fold increase
(n = 3) in the expression of the upper transcript on day 6 compared with day 0 in P19(Nkx2-5) cultures (Fig. 2C,
lanes 4, 6, and 8). MEF2D
levels did not change appreciably with differentiation in either P19
(Fig. 2F, lanes 1 and 2) or
P19(Nkx2-5) (Fig. 2F, lanes 3-8)
cultures. MEF2B levels decreased by 0.80 ± 0.04-fold (n = 3) during differentiation of P19(Nkx2-5) cultures
(Fig. 2D, lanes 4, 6,
and 8), but not of P19 cultures (Fig. 2D,
lane 2). Thus, MEF2C is the only MEF2 factor
whose expression is up-regulated to very high levels in differentiated
P19(Nkx2-5) cultures.
The expression level of GATA-4 was also examined in P19 and
P19(Nkx2-5) cultures. GATA-4 transcript levels were increased 7 ± 1-fold (n = 3), in P19(Nkx2-5) cultures on day 6 (Fig. 2G, lanes 4, 6, and
8), when compared with day 0 P19(Nkx2-5) cultures (Fig.
2G, lanes 3, 5, and
7) or to control P19 cultures (Fig. 2G,
lanes 1 and 2).
BMP-4 is a member of the tumor growth factor-
Brachyury T is a member of the T-box family of transcription factors
(62). It is expressed in the primitive streak at the onset of
gastrulation and is a marker of mesoderm formation (63). During P19
cell differentiation either with or without Me2SO, Brachyury T expression peaks on day 2 of differentiation (45). P19(Nkx2-5) cells grown in monolayer expressed 13 ± 4-fold
(n = 5) higher levels of Brachyury T than control P19
cells grown in monolayer (Fig. 2I, compare lanes
3, 5, and 7 with lane
1). These results indicate that Nkx2-5 can direct early
stages of P19 cell differentiation into a cardiac muscle lineage.
In summary, Nkx2-5 expression resulted in the induction of cardiac
muscle development in P19 cells aggregated in the absence of
Me2SO. During the process of cardiomyogenesis, the
expression levels of Brachyury T, BMP-4, MEF2C, and GATA-4 were
up-regulated, while the levels of MEF2B were inhibited.
MEF2C Expression Results in Cardiomyogenesis in P19 Cells When
Aggregated in the Absence of Me2SO--
To compare the
developmental potential of P19 cells that overexpress MEF2C with that
observed for P19(Nkx2-5) cells, three P19 cell lines were isolated
that stably express high levels of MEF2C, termed P19(MEF2C) cells.
Similar to P19(MyoD) cells (50) and P19(Nkx2-5) cells, monolayers of
these cells did not differentiate and continued to express the stem
cell marker Oct-3 (60), indicating that they retain a stem cell
phenotype (data not shown).
In order to examine whether or not MEF2C can modulate the endogenous
P19 cell differentiation pathway into cardiac muscle, P19 and
P19(MEF2C) cells were aggregated for 4 days with and without Me2SO and stained on day 9 by immunofluorescence with the
anti-myosin heavy chain antibody, MF20 (53). For cultures aggregated
without Me2SO, cardiac muscle was observed in P19(MEF2C)
cells (Fig. 3B) but not in P19
cells (Fig. 3A). Thus, MEF2C induced the development of
cardiac muscle in P19 cells aggregated without Me2SO. P19
cells aggregated with Me2SO differentiated into cardiac
muscle in both the presence and absence of MEF2C expression (data not
shown), indicating that MEF2C did not affect the ability of P19 cells to differentiate into cardiac muscle when aggregated with
Me2SO. The MEF2C-induced cardiac muscle (Fig.
3B) is morphologically indistinguishable from the
Me2SO-induced cardiac muscle in the control P19 cells (Fig.
3C) but is in much less abundance (Table I). The amount of
cardiac muscle present in P19 and P19(MEF2C) cultures aggregated
without Me2SO was quantitated by counting cardiomyocytes
that reacted with the anti-myosin heavy chain antibody, MF20.
Cardiomyocytes represented 1.5-3% of the total cells in MEF2C (Table
I) cultures but were negligible in P19 cultures (Fig. 3D).
Therefore, MEF2C induces the development of cardiac muscle in
differentiating P19 cells without the requirement for Me2SO.
MEF2C Up-regulates Cardiac
MEF2C expression induced the formation of cardiac muscle in cells
aggregated without Me2SO. This is demonstrated by the
expression of cardiac
Nkx2-5 and GATA-4 levels could not be detected in P19(MEF2C)
cardiomyocytes or in Me2SO-induced cardiomyocytes by
Northern blot analysis (data not shown) and so were examined by
semiquantitative RT-PCR. A 45 ± 32-fold activation of GATA-4 was
observed in P19(MEF2C) cultures on day 0, compared with control P19
cells (Fig. 5A, compare lane 1 with lane 2),
indicating an activation of GATA-4 expression when grown in monolayer
in these cells. Activation of GATA-4 expression increased in P19(MEF2C)
cultures on day 6 of differentiation without Me2SO to
97 ± 61-fold (n = 2) (Fig. 5A, compare
lane 4 with lane 3). By day
9 of differentiation without Me2SO, the activation of
GATA-4 had decreased (Fig. 5A, lane
6).
A 6 ± 2-fold up-regulation of Nkx2-5 expression
(n = 3) was observed in P19(MEF2C) cultures on day 6 of
differentiation without Me2SO, compared with control P19
cultures (Fig. 5B, compare lane 4 with
lane 3). By day 9 of differentiation without
Me2SO, the activation of Nkx2-5 had decreased (Fig.
5B, lane 6). Thus, in agreement with
the immunofluorescent staining, the Northern blot and RT-PCR analysis
results support the observation that MEF2C induces cardiac muscle
development in the absence of Me2SO.
MEF2C Directs Early Stages of P19 Cell Differentiation into a
Cardiomyogenic Pathway--
In order to gain a better understanding of
the pathway used by MEF2C to induce cardiogenesis, the expression
patterns of factors involved in mesoderm patterning were examined by
Northern blot analysis (Fig. 4, C and D).
Brachyury T was expressed 16 ± 8-fold higher (n = 3) in P19(MEF2C) cells grown in monolayer when compared with control
P19 cells (Fig. 4C, compare lane 3 with lanes 1 and 5). This indicates
that MEF2C expression can result in the regulation of Brachyury T
expression in monolayer cultures.
P19 cells expressed very low levels of BMP-4 when grown in monolayer or
on day 6 after cellular aggregation in the absence of Me2SO
(Fig. 4D; lanes 1 and 2).
Overexpression of MEF2C resulted in a 60 ± 30-fold enhancement of
BMP-4 expression (n = 3) after cellular aggregation in
the absence of Me2SO (Fig. 4D; compare lanes 4 and 2).
Me2SO-induced cardiac muscle also expressed BMP-4 (Fig.
4D, lanes 6 and 7).
A time course of differentiation was examined in order to determine the
stage at which MEF2C modulates the expression of mesoderm-patterning factors (Fig. 6). Northern blots were
performed on RNA harvested at various times during the differentiation
of P19 and P19(MEF2C) cells cultured without Me2SO.
P19(MEF2C) cells express both exogenous and endogenous MEF2C at high
levels compared with control P19 cells (Fig. 6A). The
increase in the expression of exogenous MEF2C during the time course is
most likely due to regulatory regions at the site of insertion of the
transfected DNA. A survey of 14 cell lines overexpressing either MyoD
or myogenin has shown that 60% of the clones increase the expression
of the transfected gene during aggregation, 30% stay the same, and
10% decrease the
expression.2 These
differences had no effect on the ability of these cells to undergo
myogenesis, and they seem to be a general phenomenon of stable
transfection in P19 cells.
P19(MEF2C) cultures expressed considerably higher levels of Brachyury T
at all time points examined, when compared with control P19 cells (Fig.
6B). BMP-4 levels were not substantially enhanced in
P19(MEF2C) cultures until day 3 of differentiation, compared with P19
control cultures (Fig. 6C). Consequently, Brachyury T is the
earliest endogenous factor whose expression is enhanced, directly or
indirectly, by MEF2C activity in monolayer cultures and is followed on
day 3 of differentiation by the up-regulation of BMP-4. Therefore, it
would appear that MEF2C can direct early stages of P19 cell
differentiation into a cardiomyogenic pathway.
MEF2C and Nkx2-5 up-regulate each other's expression and induce
cardiomyogenesis in aggregated P19 cells. These findings are consistent
with their expression pattern and activity. Both Nkx2-5 and MEF2C are
expressed in the heart lineage (2, 14). In transient transfection
experiments, Nkx2-5 and MEF2C activate the promoters of cardiac
muscle-specific genes, which contain Nkx and MEF2 binding sites in
their promoters, respectively (14, 40, 65). Overexpression of Nkx2-5
in Xenopus and zebrafish embryos leads to enlarged hearts
(12, 13), indicating that given the right environment, Nkx2-5 can
recruit cells to the cardiac lineage. However, no experiment to date
has demonstrated the ability of either Nkx2-5 or MEF2C to initiate the
development of beating cardiomyocytes in mammalian tissue culture
systems (12, 13, 31, 32). The analysis of mice lacking Nkx2-5 or MEF2C
is complicated by genetic redundancy resulting in possible compensatory
mechanisms (9, 25). Therefore, our finding that MEF2C and Nkx2-5
induce cardiomyogenesis in P19 cells is consistent with and extends our understanding of the function of these factors.
The ability of Nkx2-5 and MEF2C to initiate the development of cardiac
muscle in differentiating P19 cells can be compared with the function
of other transcription factors in P19 cells (Table I). In cells
aggregated in the absence of Me2SO, GATA-4 also initiates
cardiomyogenesis (49), whereas MyoD triggers skeletal myogenesis (50).
Therefore, Nkx2-5, MEF2C, GATA-4, and MyoD are all capable of inducing
myogenesis in P19 cells aggregated in the absence of Me2SO.
The results from overexpression of these factors in P19 cells can be
compared with their function in fibroblasts. While MyoD initiates
skeletal myogenesis in fibroblasts (66), neither Nkx2-5 nor MEF2
family members have been shown to initiate cardiomyogenesis in
fibroblasts (12, 13, 31, 32). The difference between the results
obtained by transfection of Nkx2-5 and MEF2C into fibroblasts compared
with transfection into P19 cells may be due to the presence of positive
regulatory factors and/or the absence of negative regulatory factors in
aggregated P19 cells. The expression of these factors may be regulated
by P19 cell aggregation in a Me2SO-independent fashion.
In addition, the regulation of MEF2C and Nkx2-5 could involve a change
in the chromatin structure of the target DNA. A recent analysis of the
cardiac Nkx2-5 and MyoD trigger myogenesis in a large proportion (>30%) of
the culture, whereas MEF2C induces cardiomyogenesis in a small
percentage (<3%) of the total culture. The difference in the extent
of differentiation induced by MEF2C and Nkx2-5 could be due to the
pattern of expression of factors available to regulate their activity.
In the case of Nkx2-5, positive regulatory factors may be present in a
large proportion of cells in the culture, whereas for MEF2C, they may
be expressed in a small fraction of the culture. Alternatively, MEF2C
may require more than one regulatory factor, and only a small subset of
cells may contain the correct combination. These regulatory factors
could include other transcription factors, adapter molecules, kinases,
or phosphatases. Therefore, the ability of MEF2C and Nkx2-5 to induce
cardiogenesis is dependent upon the array of regulatory factors
provided by the specific cellular environment.
MEF2 factors have been shown to interact and cooperate with MyoD (31,
32, 69) and the neurogenic basic helix-loop-helix protein MASH1 (16,
19). In addition, MEF2C may be regulated by phosphorylation events due
to interactions with kinases such as casein kinase-II (70) and
mitogen-activated protein kinase (71, 72). Nkx2-5 interacts and
synergizes with GATA-4 and a MADS box factor (serum response factor)
(65, 73, 74). However, it is unclear whether or not MEF2C can synergize
or interact with Nkx2-5. In summary, protein/protein interactions and
posttranslational modifications are important for regulating MEF2C and
Nkx2-5 activity, and they most likely play a role in regulating MEF2C
and Nkx2-5 function during the aggregation of P19 cells.
MEF2C and Nkx2-5 appear to direct early stages of P19 cell
differentiation into a cardiomyogenic pathway. Both MEF2C and Nkx2-5 expression result in the enhancement of Brachyury T expression, as
early as day 0, and BMP-4, as early as day 3. This result indicates that MEF2C and Nkx2-5 do not cause a "jump" in phenotype from stem
cells into cardiomyocytes. Instead, these cultures appear to be
directed through the various mesodermal stages that would occur in
Me2SO-induced cultures. The exact subset of cells
expressing Brachyury T and BMP-4 is undetermined at present, due to the
heterogeneous nature of P19 cell aggregates. However, each cell
destined to become a cardiomyocyte may be exposed to signals resulting
from the expression of either factor. Therefore, Nkx2-5 and MEF2C
progressively guide P19 cells into a cardiomyogenic pathway, and the
mechanism by which this occurs remains to be elucidated.
Since Nkx2-5 and MEF2C are known to bind to cardiac muscle-specific
promoters and activate their expression, it is logical to assume that
these factors are functioning in a similar fashion in P19 cells.
Nevertheless, it is possible that the observed change in cell type is
due to an indirect effect of overexpression of Nkx2-5 or MEF2C. These
factors, when overexpressed, could be functioning by a "squelching"
mechanism by binding a cofactor or derepressing gene expression. They
could also be activating the expression of another transcription factor
that activates cardiac muscle-specific gene expression. Finally, the
up-regulation of Brachyury T and BMP in P19(MEF2C) cultures could be
enhancing spontaneous cardiac muscle development to the levels detected
in these cultures.
It has been shown previously that the expression of Brachyury T in P19
cell monolayers treated with BMP-4 is not sufficient to initiate
differentiation (45). However, we have found that BMP-4 expression was
activated in all cultures destined to undergo cardiomyogenesis.3 These
results, taken together with the finding that BMP-4 activates cardiomyogenesis in anterior mesoderm cultures (8), suggest that BMP-4
signaling pathways regulate MEF2C and Nkx2-5 cardiomyogenic activities
in aggregated P19 cells.
Nkx2-5 was expressed in differentiated P19(MEF2C) cultures, and MEF2C
was expressed in differentiated P19(Nkx2-5) cultures. The observation
that MEF2C, but not MEF2A, -B, or -D, was expressed at high levels in
differentiated P19(Nkx2-5) cultures suggests that MEF2C is
specifically involved in early stages of cardiac muscle development.
This finding is consistent with the order of appearance of the MEF2
factors during murine cardiomyogenesis, in which MEF2C is expressed
half a day earlier than the other three family members (30, 57). MEF2B
is the next MEF2 factor to be expressed, and its up-regulation in MEF2C
In summary, the P19 cell system provides a powerful tool for examining
the ability of transcription factors to initiate cellular differentiation and for subsequent analysis of the mechanism(s) involved. Since P19 stem cells can be programmed to differentiate into
a wide variety of cell types, the function of any individual protein is
not limited by the presence or absence of tissue-specific factors
and/or tissue-specific chromatin structure, which may be required for
the biological activity of that protein. Using this system, we have
shown that MEF2C and Nkx2-5 are capable of inducing the development of
cardiac muscle.
-actin, and myosin heavy chain expression. These findings indicate the presence of a positive regulatory network between
Nkx2-5 and MEF2C and show that both factors can direct early stages of
cell differentiation into a cardiomyogenic pathway.
![]()
INTRODUCTION
Top
Abstract
Introduction
Procedures
Results
Discussion
References
superfamily (2, 7, 8). Mice lacking
Nkx2-5 still form a beating linear heart tube, in which most myogenic
genes are expressed, but the mice die due to defective heart looping
(9-11). Ectopic expression of Nkx2-5 in frog and zebrafish embryos
results in an enlarged myocardium, suggesting that Nkx2-5 recruits
additional cells into the heart from the heart morphogenetic field (12,
13). However, expression of Nkx2-5 in fibroblasts was not able to
trigger the development of beating cardiac muscle (12, 13).
-myosin heavy chain (26-29). The first MEF2 family member to be
expressed during mouse development is MEF2C, which is found on
embryonic day 7.5 in cells of the cardiac mesoderm (30). Mice lacking
MEF2C were deficient in the expression of a subset of cardiac specific
genes, including atrial natriuretic factor, cardiac
-actin,
-myosin heavy chain, and the basic helix-loop-helix factor dHAND.
However, other cardiac muscle genes such as MLC2v and
MLC2a were expressed normally (25). Since MEF2B was
up-regulated in MEF2C mutant mice, it is likely that MEF2B may
partially substitute for MEF2C activity. The ability of MEF2 family
members to induce muscle development in tissue culture is
controversial. One study documented that MEF2A initiates skeletal
myogenesis in fibroblasts (31), but these results were not confirmed by
others (32).
-myosin heavy chain, cardiac
troponin-C, atrial natriuretic factor, and brain natriuretic peptide
(36-40). Mice lacking GATA-4 develop cardiomyocytes, which express
cardiac muscle-specific genes. However, these mice die early due to
defective morphogenetic movements required for the formation of the
linear cardiac tube (41, 42).
![]()
EXPERIMENTAL PROCEDURES
Top
Abstract
Introduction
Procedures
Results
Discussion
References
-galactosidase. PGK-vector DNA is a plasmid containing
the pgk-1 promoter alone.
-minimal essential
medium. Stable cell lines expressing Nkx2-5 (5) were isolated
following transfection of P19 cells with 8 µg of PGK-Nkx2-5, 2.5 µg of B17 (52), 1 µg of PGK-LacZ, and 1 µg of PGK-Puro, as
described previously (50). Control P19 cells were isolated by
transfection with the same complement of plasmids except that the 8 µg of PGK-Nkx2-5 plasmid was replaced by PGK-vector DNA. Cells were
selected for 1 week in 2 µg/ml puromycin. Three cell lines that
expressed high levels of Nkx2-5 were termed P19(Nkx2-5) cells.
Transfected cells expressing low levels of Nkx2-5 behaved similarly to
P19 cells and were not pursued further. Stable cell lines expressing
MEF2C were isolated in a similar fashion to P19(Nkx2-5) cells. P19
cells were transfected with 6.5 µg of a plasmid containing PGK-MEF2C or 6.5 µg of PGK-vector alone, 2.5 µg of B17, 1 µg of PGK-LacZ, and 1 µg of PGK-Puro. All experiments reported were performed at
least twice with at least two cell lines, with similar results. Fig. 1
shows immunofluorescence from P19(Nkx2-5) clone 1, and Figs.
3B, 4, 5, and 6 show data from P19(MEF2C) clone 1.
20 °C and reacted with antibody as described (50).
Immunofluorescence was visualized with a Zeiss Axioskop microscope.
Images were captured with a Sony 3CCD color video camera; processed
using Northern Exposure, Adobe photoshop, and Corel Draw software; and
printed with a dye sublimation phaser 450 Tektronic printer.
-actin
last exon (54), a 1.5-kb HindIII/XbaI fragment of
MEF2C cDNA (55), a 1.55-kb XhoI/BamHI
fragment of MEF2A cDNA (56), a 1.55-kb
XhoI/BamHI fragment of MEF2B cDNA (57), a
1.5-kb XhoI/BamHI fragment of MEF2D cDNA
(58), a 1-kb HindIII/BamHI fragment of mouse
BMP-4, a 2.4-kb XbaI fragment of GATA-4 (36), a 1.6-kb
EcoRI fragment of Nkx2-5 cDNA (5), and a 1.6-kb
EcoRI/BamHI fragment of the mouse Brachyury T
cDNA (59). Northern blots were visualized with a Molecular Dynamics
PhosphorImager SI and quantitated with ImageQuant software. Averages
and S.E. values were calculated and reported.
reverse transcriptase according to
the manufacturer (Life Technologies) with 1 µg of total RNA. Platinum
Taq DNA Polymerase (Life Technologies) was used to perform
the PCR with 25 cycles: 94 °C for 1 min, 55-72 °C for 2 min,
depending on the melting temperature of the primers, and 72 °C for 2 min. The amount of first strand reaction added to the PCR was titrated
for each set of primers, and the quantity used was chosen in the middle
of the linear range. Products were detected by Southern blot analysis
with a probe from the corresponding cDNA. Negative controls
performed with all RT-PCR experiments included a water control for the
PCR and a water control for the complete RT-PCR. RNA was examined for
genomic contamination after the DNase treatment by performing the
RT-PCR in the absence of Superscript II RNase H
reverse
transcriptase. The following pairs of primers were used: 5'-tccatccacgtcggccaggct-3' and 5'-gtagggctcaaccacagcagt-3' for tubulin, with an annealing temperature of 61 °C;
5'-actctggaggcgagatggg-3' and 5'-ctcggcattacgacgccacag-3' for GATA-4
(41), with an annealing temperature of 72 °C; and
5'-cctctagagcagagctgcgcgcggagatg-3' and 5'-ggtggcttccgtcgccgccgtgc-3'
for Nkx2-5 (5), with an annealing temperature of 72 °C.
![]()
RESULTS
Top
Abstract
Introduction
Procedures
Results
Discussion
References
Comparison of the cell types produced after aggregation of various P19
cell lines

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Fig. 1.
Nkx2-5 induces cardiomyogenesis in P19 cells
aggregated in the absence of Me2SO. P19 (A
and B) and P19(Nkx2-5) (C and D)
cells were aggregated without Me2SO. Cells were fixed in
methanol on day 6, stained with MF20, and visualized by phase contrast
microscopy (A and C) or fluorescence microscopy
(B and D; magnification, × 16).
-actin expression present on day 6 of differentiation in
P19(Nkx2-5) cultures (Fig. 2B, lanes
4, 6, 8) but not in P19 control
cultures (Fig. 2B, lane 2).

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Fig. 2.
Nkx2-5 expression results in the activation
of MEF2C, GATA-4, BMP-4, and Brachyury T expression. P19 and
P19(Nkx2-5) cells were differentiated without Me2SO, and
total RNA was harvested on days 0 and 6 of differentiation. Northern
analysis was performed on 6 µg of RNA with probes for Nkx2-5
(A), cardiac
-actin (B), MEF2A (C),
MEF2B (D), MEF2C (E), MEF2D (F),
GATA-4 (G), BMP-4 (H), and Brachyury T
(I). The cytoskeletal actin transcript in B
serves as a loading control. The approximate sizes of the bands are
indicated relative to the position of 18 or 28 S rRNA, measured as 6.3 or 2.4 kb, respectively.
superfamily of
signaling molecules (61) and plays an important role in cardiac muscle
development (8). BMP-4 transcript levels were increased 10 ± 2-fold (n = 3) in P19(Nkx2-5) cultures on day 6 (Fig.
2H, lanes 4, 6, and
8), when compared with day 0 P19(Nkx2-5) cultures (Fig.
2H, lanes 3, 5, and
7) or with control P19 cultures (Fig. 2H,
lanes 1 and 2).

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Fig. 3.
MEF2C induces cardiac muscle development in
cells aggregated without Me2SO. P19 (A and
C) and P19(MEF2C) (B) cells were aggregated with
(C) and without (A and B)
Me2SO. Cells were fixed in methanol on day 9 and stained
with MF20 (magnification, × 40). The total number of cardiomyocytes
was counted from each condition, averaged, and depicted graphically
(D). Error bars represent S.E.
(n = 3-5).
-Actin, Nkx2-5, and GATA-4
Expression--
To confirm the observations obtained by
immunofluorescence, Northern blot analysis was used to examine the
expression of muscle-specific genes. The presence of cardiac
-actin
transcripts indicates the development of muscle in cultures. Total
mRNA from P19 and P19(MEF2C) cultures was harvested on day 6 after
aggregation without Me2SO. In addition, RNA was harvested
from P19 cultures on days 6 and 9 after aggregation with
Me2SO. The latter control was included to compare
MEF2C-induced and Me2SO-induced cardiomyogenesis. The results are shown in Fig. 4, A
and B. Transfected MEF2C transcripts were expressed in
P19(MEF2C) cells (Fig. 4A, lanes 3 and
4) and not in P19 control cells (Fig. 4A,
lanes 1, 2, 5,
6, and 7). Transfected MEF2C transcripts could be
differentiated from endogenous transcripts by size. Several bands
appear for the endogenous MEF2C transcripts due to alternative splicing
(64). Interestingly, the expression of exogenous MEF2C transcripts
seemed to result in the activation of endogenous MEF2C expression. The
expression levels of MEF2A, MEF2B, and MEF2D did not appear to change
in any of the conditions examined (data not shown). Similar levels of
MEF2C expression, both endogenous and exogenous, were found in the
other clone examined, P19(MEF2C) clone 2 (data not shown).

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Fig. 4.
MEF2C up-regulates the expression of cardiac
-actin and mesoderm-patterning factors. P19 and P19(MEF2C)
cells were differentiated with and without Me2SO
(DMSO), and total RNA was harvested on day 0, 6, and 9 of
differentiation. Northern analysis was performed on 6 µg of RNA with
probes for MEF2C (A), cardiac
-actin (B),
Brachyury T (C), BMP-4 (D), and 18 S
(E, loading standard). The approximate sizes of the bands
are indicated relative to the position of 18 or 28 S rRNA, measured as
6.3 or 2.4 kb, respectively.
-actin in P19(MEF2C) cells when compared with
P19 cells (Fig. 4B, lanes 2 and
4). P19 cells aggregated with Me2SO expressed
cardiac
-actin at higher levels than P19(MEF2C) cells aggregated
without Me2SO (Fig. 4B, compare lane
6 with lane 4). These
Me2SO-treated P19 cultures also express endogenous MEF2C (Fig. 4A, lanes 6 and 7),
indicating a role for MEF2C in the endogenous P19 cell differentiation
into cardiac muscle.

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Fig. 5.
MEF2C up-regulates the expression of Nkx2-5
and GATA-4. Semiquantitative RT-PCR was used to examine the level
of expression of GATA-4 (A), Nkx2-5 (B), and
tubulin (C), in P19 and P19(MEF2C) cultures aggregated
without Me2SO on days 0, 6, and 9 of differentiation.

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Fig. 6.
MEF2C directs early stages of P19 cell
differentiation into a cardiomyogenic pathway. P19 and P19(MEF2C)
cells were differentiated without Me2SO and total RNA was
harvested during a time course of differentiation. Northern analysis
was performed on 6 µg of RNA with probes from MEF2C (A),
Brachyury T (B), BMP-4 (C), and cardiac
-actin
(D, loading standard).
![]()
DISCUSSION
Top
Abstract
Introduction
Procedures
Results
Discussion
References
-myosin heavy chain gene identified DNase I-hypersensitive
sites present in neonatal hamster heart but not in adult (67). These
results suggest that chromatin structure may participate actively in
cardiac gene expression. Furthermore, MEF2C has been shown to interact
with p300 and CBP, which are transcriptional adapter molecules that
display histone acetyltransferase activity (68). The role of chromatin
structure in regulating MEF2C and Nkx2-5 function in P19 cells remains
to be determined.
/
mice (25) is thought to compensate for the loss of MEF2C
activity. However, in P19(Nkx2-5) cultures producing abundant cardiac
muscle, MEF2B levels are considerably down-regulated, in agreement with
previous studies in P19 cells (75). The finding that P19(Nkx2-5)
cultures up-regulate the expression of MEF2C parallels observations in Drosophila in which Tinman regulates D-MEF2 (76). Our
findings, that MEF2C and Nkx2-5 up-regulated each other's expression
and the expression of GATA-4, and the finding that GATA-4 activates the
expression of Nkx2-5 in P19 cells (49) suggest the presence of a
positive regulatory network between Nkx2-5, MEF2C, and GATA-4. This
network would amplify and maintain cardiomyogenesis in a similar
fashion to the amplification and maintenance of myogenesis by MEF2 and
the myogenic regulatory factors.
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ACKNOWLEDGEMENTS |
|---|
We thank Judy Ball, Peter Merrifield, Tom Drysdale, Michael Underhill, Michael McBurney, and George Chaconas for reading the manuscript and/or helpful discussions. We thank Shu-ichi Okamoto and Dmitri Krainc for the PGK-MEF2C construct; Eric Olson and Jeffery Molkentin for MEF2-A, -B, -C, and -D cDNAs; Richard Harvey for Nkx2-5 cDNA; and Mona Nemer for GATA-4 cDNA.
| |
FOOTNOTES |
|---|
* This work was supported in part by grants from the Medical Research Council of Canada and by Heart and Stroke Foundation of Ontario Grant-in-aid NA-3505.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Recipient of a Medical Research Council of Canada Scholarship
(Development Grant). To whom correspondence should be addressed: Dept.
of Biochemistry, Medical Sciences Bldg., University of Western Ontario,
London, Ontario N6A 5C1, Canada. Tel.: 519-679-2111 (ext. 6867); Fax:
519-661-3175; E-mail: skerjanc{at}julian.uwo.ca.
§ Recipient of a studentship from the Natural Sciences and Engineering Research Council of Canada.
The abbreviations used are: BMP, bone morphogenetic protein; MEF2, myocyte enhancer factor 2; PCR, polymerase chain reaction; RT-PCR, reverse transcription PCR; kb, kilobase pair(s).
2 A. G. Ridgeway, H. Petropoulos, S. Wilton, and I. S. Skerjanc, manuscript in preparation.
3 I. S. Skerjanc and S. Wilton, unpublished results.
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REFERENCES |
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