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Originally published In Press as doi:10.1074/jbc.M307977200 on August 28, 2003

J. Biol. Chem., Vol. 278, Issue 47, 46911-46918, November 21, 2003
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Down-regulation of Retinoic Acid Receptor {alpha} Signaling Is Required for Sacculation and Type I Cell Formation in the Developing Lung*

Cherry Wongtrakool{ddagger}, Sarah Malpel{ddagger}, Julie Gorenstein, Jeff Sedita, Maria I. Ramirez, T. Michael Underhill§, and Wellington V. Cardoso

From the Pulmonary Center, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118 and the §School of Dentistry, University of Western Ontario, London, Ontario N6A 5B8, Canada

Received for publication, July 22, 2003 , and in revised form, August 18, 2003.


   ABSTRACT
TOP
 ABSTRACT
INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Although retinoic acid (RA) has been shown to be critical for lung development, little is known about when RA is required and the role of individual RA receptors (RAR) in this process. Previously reported data from an RA responsive element RARE-lacZ reporter mouse show that when epithelial tubules are branching and differentiating RA signaling becomes markedly down-regulated in the epithelium. It is unclear why this down-regulation occurs and what role it might play in the developing lung. Here we analyze the effects of preventing potential progenitors of the distal lung from turning off RA signaling by locally expressing constitutively activated RAR{alpha} or RAR{beta} chimeric receptors (RARVP16) in branching airways of transgenic mice. Continued RA activation resulted in lung immaturity in both cases, but the phenotypes were remarkably different. RAR{alpha}VP16 lungs did not expand to form saccules or morphologically identifiable type I cells. High levels of surfactant protein C (Sp-C), thyroid transcription factor-1 (Ttf1), and Gata6, but not Sp-A or Sp-B in the epithelium at birth suggested that in these lungs differentiation was arrested at an early stage. These alterations were not observed in RAR{beta}VP16 lungs, which showed relatively less severe changes. Our data suggest a model in which activation of RAR signaling at the onset of lung development establishes an initial program that assigns distal cell fate to the prospective lung epithelium. Down-regulation of RA signaling, however, is required to allow completion of later steps of this differentiation program that ultimately form mature type I and II cells.


   INTRODUCTION
TOP
 ABSTRACT
 INTRODUCTION
MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Retinoids play an important role in development and homeostasis of a variety of organs, including the lung (1, 2, 3). Retinoic acid (RA),1 the active form of retinoids, binds to its nuclear receptors RARs and RXRs (isotypes {alpha}, {beta}, and {gamma}), which heterodimerize to form the functional unit that transduces RA signaling (4). In the lung these receptors are expressed from the earliest developmental stages throughout embryonic and postnatal life. While RAR{beta} and RAR{gamma} transcripts are regionally and dynamically distributed in the developing lung, expression of RAR{alpha} and all RXRs is ubiquitous and does not change in time or space. At the onset of lung development (E9.5) these receptors are present in the foregut endoderm in largely overlapping domains. During branching and until birth, however, epithelial expression of RAR{beta} in the lung is excluded from the distal buds and is maintained in proximal and medium size airways. The distal epithelium expresses RAR{gamma} in addition to the ubiquitously expressed RAR{alpha} (5–8).

The role of these receptors in organogenesis has been studied by genetic inactivation of RAR/RXRs individually or in combination in mice. Dramatic abnormalities reported in RAR{alpha}/RAR{beta} double knockout mice, which include unilateral agenesis and contralateral lung hypoplasia, strongly support a role for these receptors in lung morphogenesis (3). Nevertheless, it is still unclear which function individual RARs might have, since single knockout mice show few or no lung abnormalities, presumably due to functional redundancy (4). As suggested by in vitro studies, this redundancy does not necessarily demonstrate that one RAR can substitute for another under normal wild-type conditions (9).

Another issue that remains unclear relates to when lung epithelial cells require retinoids to grow and differentiate. The presence of high levels of the RA synthesizing enzyme retinaldehyde dehydrogenase-2 (Raldh2) and RARElacZ reporter gene expression in the E9.5 lung suggests that RA is required at the onset of lung development (6). Severe disruption of RA signaling in mice lacking Raldh2 or in vitamin A-deficient rats results in early embryonic lethality or in lung agenesis, conditions that do not allow the evaluation of retinoid-dependent events in the lung at later stages (10, 2). A number of studies in lung cell and organ cultures implicate RA in branching morphogenesis and lung epithelial differentiation (11, 12, 13). Nevertheless, the role of endogenous retinoids in these events in vivo has been challenged by the observation that RA signaling is markedly down-regulated in epithelial tubules when branching and differentiation are taking place in the embryo (6). Here we investigated the role of this down-regulation and how growth and differentiation of the distal lung epithelium are influenced by RA signaling in vivo.

To address these issues we tested the effect of maintaining RA signaling activated solely in the lung epithelium and in an isotype-specific fashion throughout embryonic lung development. We generated transgenic mice expressing ligand-independent, constitutively active RARs under the control of the lung epithelial-specific surfactant protein C (Sp-C) promoter (14). We used chimeric receptors in which the C terminus of RAR{alpha} or {beta} is fused to the acidic activation domain (AAD) of the herpes simplex viral protein VP16. Analyses of the transactivation properties of these receptors show that, when co-transfected with a reporter gene containing an RA responsive element, the RARVP16 differentially activates gene expression in P19 and CV1 cells. The chimeras rely on endogenous retinoid receptors for heterodimerization and promoter recognition and appear to mimic many of the functions of the endogenous receptors (15, 16).

Here we report important functional differences between RAR{alpha} and {beta} not revealed by former genetic approaches. {alpha}VP16 lungs did not expand to form saccules or morphologically identifiable type I cells; distal identity was maintained, but differentiation was arrested at a stage reminiscent of that of an early pseudoglandular lung. These alterations were not observed in {beta}VP16 lungs, which underwent later stages of differentiation and showed relatively less severe changes. Our data support the idea that distal lung differentiation cannot occur in the presence of activated RA signaling. They also indicate that putative precursors of the distal lung in branching tubules selectively respond to RAR{alpha} activation by maintaining a distal developmental program characteristic of early stages. We propose a model in which RA signaling, via RAR{alpha}, primes early lung bud cells to become distal, being subsequently down-regulated to allow further steps of the distal differentiation program.


   MATERIALS AND METHODS
TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
RESULTS
 DISCUSSION
 REFERENCES
 
Generation of Transgenic Mice—The chimeric receptors used in our study have been previously described and tested in cell lines by Underhill et al. (16). They consisted of the C terminus of the human RAR{alpha} or the mouse RAR{beta}2 genes fused to the acidic activation domain of the herpes simplex virus protein VP16. RAR{alpha}VP16 (1282 bp) and RAR{beta}VP16 (1516 bp) constructs were cloned into the HindIII-SpeI sites of a pGL3 vector (Promega) containing a 3.7-kb fragment of the human surfactant protein C (Sp-C) promoter. This promoter has been shown to direct transgene expression specifically to the lung distal epithelium, with increasing activity toward birth (14). The resulting Sp-C-RARVP16 constructs (Fig. 1A) were digested with AatII and NotI, purified and injected in FVB mouse fertilized eggs, and subsequently transplanted into pseudopregnant mothers. A diagram summarizing the expression pattern of endogenous and transgenic RARs is presented in Fig. 1B. Transgenic mice were identified by Southern blot analysis of tail genomic DNA (10 ug) using a 300-bp BglII-BamHI VP16 fragment as a probe (16). A calibration curve with serial dilutions of the digested plasmid was run in parallel using 10 µg of wild-type genomic DNA as a carrier to estimate number of copies of transgene inserted per genome. To check whether RA signaling was activated by transgene expression in RARVP16 expressing lungs, we crossed Sp-C-RAR{beta}-VP16 mice with a well characterized reporter mouse in which lacZ is under the control of a RA response element (RARE)-hsp68 promoter (17). {beta}-galactosidase staining of Sp-C-RAR{beta}/RARE-lacZ lungs was performed at E18.5 as described in Malpel et al. (6)



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  		FIG. 1.
Constitutive active RARs. A, Sp-C-RAR{alpha}VP16 and Sp-C-RAR{beta}VP16; a 3.7-kb fragment of the Sp-C promoter was used to drive expression of RAR{alpha} or RAR{beta}2 fused to the VP16 transactivation domain and a SV40 poly(A) sequence. B, diagram representing expression of endogenous RAR{alpha} and {beta} (WT, left) and chimeric receptors (transgenics, right) in the lung; note that only epithelial expression is represented and RAR{gamma} is excluded from the analysis. C, Northern blot analysis of MLE cells (derived from Sp-C-SV40T transgenic mice) treated with all-trans RA (10–5 M to 10–9 M) for 24 h; levels of SV40T are not changed by RA suggesting that the Sp-C promoter is not regulated by RA. D and E, freshly isolated lungs of WT and RAR{alpha}VP16 transgenic mice at E18.5 (medial, accessory lobes) and at birth (Pd0) demonstrate smaller size of transgenics. F and G, RARE-lacZ and {beta}VP16 mice were crossed, and X-gal staining was performed in E18.5 lungs; {beta}VP16 activates RA signaling in the distal lung of Sp-C-{beta}VP16/RARE-lacZ mice (G); no lacZ expression is found in WT/RARE-lacZ littermate (F). Histological section shows X-gal staining in type II (t2) cells (G, right). lu, lung; tr, trachea.

 
Morphology/Transgene Expression—For all procedures lungs were fixed with 4% paraformaldehyde overnight at 4 °C and processed for paraffin sections (5 µm). Histological analysis was performed in hematoxylin-eosin (H&E)-stained sections. Sites of transgene expression were determined by in situ hybridization and immunohistochemistry using RAR isotype-specific reagents and anti VP16 antibody (see below).

In Situ Hybridization—We performed isotopic in situ hybridization in lung sections, as previously described (18), using 35S-labeled riboprobes synthesized from cDNA clones of Shh, Ptc, Bmp4 (gifts from Dr. Andrew P. McMahon, Harvard Biolabs), Ttf1 (gift from Dr. Parviz Minoo, University of Southern California), RAR{alpha} and {beta} (gifts from Dr. Cathy Mendelsohn, Columbia University), Fgf10 (gift from Dr. Nobuyuki Itoh, Kyoto University), Gata6 (gift from Dr. Michael Parmacek, University of Pennsylvania), Sp-A, Sp-B, and Sp-C (12, 18). Briefly, sections were deparaffinized and re-hydrated. Pre-hybridization included treatment of sections with 4% paraformaldehyde, digestion with proteinase K (20 µg/ml), and acetylation with 0.25% acetic anhydride/1.4% triethanolamine. Sections were hybridized overnight at 50 °C and subsequently washed with 5x SSC-50% formamide, dehydrated with graded alcohols/0.3 M ammonium acetate, and dried at room temperature for autoradiography. Sections were dipped in photographic emulsion (Kodak, NTB-2), incubated at 4 °C for 1–3 weeks, and developed in Kodak D-19 developer.

Antibodies/Immunohistochemistry—Sections were deparaffinized, rehydrated, and washed in PBS. Endogenous peroxidase activity was quenched with 0.3% hydrogen peroxide in methanol. Sections were preincubated with the appropriate preimmune serum (rabbit or goat), and then incubated with primary antibody overnight at 4 °C. The antibodies used in this investigation were: Clara cell secretory protein (Ccsp, goat, polyclonal anti-rabbit, gift from Drs. Singh and Katyal, University of Pittsburgh), T1{alpha} (mAB 8.1.1, Developmental Studies Hybridoma Bank, University of Iowa), VP16 (rabbit, polyclonal anti-mouse, Clontech), RAR{alpha} and {beta} (rabbit, polyclonal anti-mouse, gifts from Dr. Pierre Chambon). Immunostaining was performed using the anti-rabbit and anti-goat IgG Vectastain and the DAB staining kits from Vector Laboratories, according to the manufacturers' protocol. For counterstaining, methyl green was used.

Assessment of Cell Proliferation/Death—Changes in cell proliferation were assessed by PCNA staining (cell proliferation kit, Zymed Laboratories Inc.). Cell death was investigated by TUNEL assays (Apoptag kit, Intergen). Immunostaining was performed as above or according to manufacturer's specifications.

Morphometric Analyses—We performed a computer-assisted morphometric analysis of T1{alpha}-stained sections to estimate the area occupied by labeled (distal epithelium) versus unlabeled (mesenchyme) cells in control and {beta}VP16 transgenic lungs. T1{alpha} specifically labels type I cells, which encompass the vast majority of the epithelial surface of the distal lung (19). Digital images from 10 random peripheral fields were acquired at 40x magnification and analyzed using OpenLab software (Improvision, Inc.) with the density slice module and advanced measurement settings. Optical densities correspondent to epithelium (T1{alpha} positive) or mesenchyme (non-positive tissue) were estimated. Results were normalized as percent of total tissue to correct for differences in inflation of the lungs. In addition, we used TUNEL- or PCNA-stained sections to estimate the number of cells undergoing apoptosis or proliferation in wild-type, {alpha}, and {beta} VP16 mice. For this we counted labeled and unlabeled nuclei in epithelium and mesenchyme in 6–8 random peripheral fields at 40x magnification (~250 cells per field). Results were expressed as percent of total cells.

Periodic Acid Schiff (PAS) Staining—We used the PAS-staining kit (Sigma) to detect glycogen in lung sections. Briefly, after being depar-affinized and rehydrated, sections were preincubated with either buffer (PBS) solution or diastase solution, for 10 min. After washing with PBS both groups were treated with 0.5% periodic acid solution for 5 min and then with Schiff's reagent for 1 min. Sections were counterstained with hematoxylin. Specificity of staining for glycogen was confirmed by loss of PAS signals when sections were pretreated with diastase.


   RESULTS
TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
DISCUSSION
 REFERENCES
 
Sp-C-RARVP16 Regulation by RA—We performed a preliminary study in the mouse lung epithelial cell MLE 15 cells to check whether the 3.7kb Sp-C promoter fragment was itself regulated by RA. MLE 15 are immortalized type II epithelial cells originated from lung tumors of transgenic mice expressing the SV40 large T antigen under the control of the same 3.7-kb Sp-C promoter used here (20). We treated MLE15 cells with RA (10–9-10–5 M) for 24 h and assessed expression of SV40 large T antigen by semiquantititative PCR. Fig. 1C shows that levels of SV40T were not significantly changed by RA at any of the concentrations tested. Thus, RA signaling induced by the Sp-C-RARVP16 constructs is not expected to interfere with its own transcription.

RAR {alpha} and {beta} Activation Differentially Affects Survival—To investigate viability at birth and to obtain F0 founders, pregnancies were allowed to reach term and pups were observed during their initial 24 h of life. While 2 of 4 pups identified as {beta}VP16 transgenics survived and reached adulthood, no {alpha}VP16 newborn from three independent injections lived for more than 10 min. At least 4 {alpha}VP16 pups died at birth; 3 were found partially cannibalized by the mother. An additional injection of the {alpha}VP16 construct was performed and embryos were dissected at E18.5; one was identified as transgenic. In all transgenics lung morphology was grossly preserved; proximal and distal lung formed and the number of lobes was normal. Collapse or uneven inflation was common in both {alpha} and {beta} transgenes at birth. Transgenic lungs were not markedly different in size from wild type, although {alpha}VP16 mice were slightly smaller than the other groups at E18.5 and at birth, as illustrated in Fig. 1, D and E. {beta}VP16 mice that reached adulthood were apparently normal and fertile; however, one of the lines developed lung tumors within the first year of age. In the present study we analyzed the lung phenotype of transient transgenics {alpha}VP16 or {beta}VP16 that died at birth.

RAR{beta}VP16 Activates RARE-lacZ Reporter Gene—Because some {beta}VP16 pups survived and their lungs appeared grossly normal, we tested whether the {beta}VP16 construct efficiently activated RA signaling in the lung. We crossed mice from a surviving line (RAR{beta}VP16, copy number = 5) into a background of a RARE-lacZ transgenic reporter mouse previously shown to express lacZ at sites where RARs are activated (17). Xgal staining of Sp-C-RAR{beta}VP16/RARE-lacZ lungs at E18.5 confirmed lacZ expression in the distal lung epithelium (Fig. 1G) where we expected to find RAR{beta}VP16 transcripts. This pattern of staining and the absence of lacZ signals in lungs of wild-type littermates (Fig. 1F) indicated that RA signaling, normally inactive at this stage (6), was activated by the {beta}VP16 transgene in the distal lung.

Expression of Endogenous RARs and RARVP16 Transgenes in the Lung—To determine sites of transgene expression we first performed immunohistochemistry of lung sections using a polyclonal antibody raised against the VP16 epitope. Fig. 2 (A–C) shows specific VP16 staining in distal lung epithelium of both transgenes, not observed in wild type. We then assessed RAR expression by in situ hybridization using isotype-specific RAR probes that recognized both endogenous and chimeric receptors. At birth wild-type lungs express ubiquitous endogenous RAR{alpha} and no RAR{beta} signals in the distal epithelium (Fig 2, D and G and Ref. 5). {alpha}VP16 transgene expression was readily identified by the strong distal signals, in sharp contrast to the low levels of endogenous RAR{alpha} (Fig. 2E). This is also illustrated in {beta}VP16 lungs, where high levels of RAR{beta} expression in type II cells and epithelial cells occupying the most distal portions of terminal bronchioles (Fig. 2I, red arrowhead) contrast with the low endogenous signals in proximal airways (Fig. 2G, yellow arrowhead). Although transgenic mice had different gene copy numbers ({alpha}VP16 n = 1, {beta}VP16 n = 20), the chimeric receptors appeared to be expressed in the distal lung epithelium at equivalent high levels in a per cell basis. No significant difference in the intensity of RAR signals in the distal epithelium was observed by in situ hybridization (Fig. 2, E and I) or immunostaining (Fig. 2J) when sections of {alpha}VP16 and {beta}VP16 lungs were processed in parallel. Because of the consistent lethal phenotype at birth, we could not generate a line of {alpha}VP16 mice in RARElacZ background as we did with {beta}VP16 mice. However, the presence of endogenous RAR{beta} ectopically induced in distal epithelial tubules of {alpha}VP16 lungs indicated that RA signaling was efficiently activated (Fig. 2H, red arrowhead). Together the data suggest that the difference in the severity of the {alpha} or {beta}VP16 phenotypes is likely related to the type of RAR being activated rather than to a difference in levels of RAR expression of each transgenic construct.



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  		FIG. 2.
RARVP16 transgene expression. A–C, immunostaining of VP16 in WT, {alpha}VP16, and {beta}VP16 lungs at birth. A, expression of VP16 in distal epithelium of WT is absent. B and C, strong nuclear staining is seen in distal epithelial cells of {alpha}VP16 and {beta}VP16 lungs (arrowheads in B and C). D–F, isotopic in situ hybridization (ISH) of RAR{alpha} in WT, {alpha}VP16, and {beta}VP16 transgenic lungs. E, high levels of RAR{alpha} (arrowhead) are present in the distal epithelium of {alpha}VP16 lungs, which contrasts to the low levels of endogenous RAR{alpha} seen ubiquitously in WT (D) and {beta}VP16 (F). G–I, isotopic in situ hybridization of RAR{beta} in WT, {alpha}VP16, and {beta}VP16 lungs at birth. G, no endogenous RAR{beta} is present in the distal lung of WT and only low levels are seen in more proximal bronchiolar epithelium (yellow arrowhead in G). I, This contrasts with the strong RAR{beta} expression in the distal epithelium of {beta}VP16 transgenics (arrowheads in H and I). H, endogenous RAR{beta} is up-regulated in the distal epithelium of the {alpha}VP16 lung (arrowhead in H). J, immunohistochemistry using RAR isotype-specific antibodies shows similar high level signals of RAR{alpha} and RAR{beta} in the distal epithelium of the respective transgenics. Bars in A and D represent 50 and 160 µm, respectively.

 
Constitutively Activated RAR{alpha}, but Not {beta} Disrupts Type I Cell Development and Sacculation—At birth the distal lung of a wild type mouse consists of saccular structures lined by flat type I cells, and by cuboidal surfactant-producing type II cells (Fig. 3A). Expression of {alpha}VP16 transgene dramatically altered the architecture of the distal lung (Fig 3B). Formation of typical saccules was impaired and instead, tubule-like structures lined by a low columnar epithelium that lacked flat type I-like cells were present. Consistent with disruption of type I cell development was the nearly absent expression of the marker T1{alpha} in these tubules (Fig. 3E). Mature type I cells characteristically express T1{alpha}, aquaporin 5, caveolin 1, and ICAM 1 (19). Genetic studies, however, show that among these markers only T1{alpha} loss affects type I cell formation when its expression is disrupted in mice (21). Overall, {alpha}VP16 expressing structures resemble immature epithelial tubules normally seen in the lung at the early pseudoglandular stage (~E10-11). The phenotype was consistently seen in {alpha}VP16 lungs at E18.5 and at birth. By contrast, none of these changes were observed in {beta}VP16 lungs, which showed saccular structures with morphologic features compatible with typical type I and II epithelial cells using T1{alpha} staining (Fig. 3, C and F). Expression of {alpha} or {beta}VP16 transgenes did not disrupt proximal epithelial differentiation as seen by the proper expression of Clara cell secretory protein (Ccsp) and location of ciliated cells (Fig. 3, G–I). Moreover, blood vessel formation was not grossly disrupted in any of these mice as indicated by morphology, PECAM staining of endothelial cells, or epithelial expression of the angiogenic factor VEGF (data not shown).



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  		FIG. 3.
RARVP16 effects on morphology. A–C, hematoxylin-eosin staining of lung sections from newborn WT, {alpha}VP16, and {beta}VP16 mice. A, distal saccules of WT show typical type I (t1) and type II (t2) epithelial cells (bottom panel). B, {alpha}VP16 trangenics show tubule-like structures in the distal lung instead of typical saccules. These tubules are lined by a columnar epithelium (arrowhead, and lower panel), and type I flat cells are absent. C, by contrast, expression of {beta}VP16 does not prevent sacculation and both type I and type II cells can be identified. D–F, immunostaining for the type I cell marker T1{alpha} shows epithelial expression in WT and {beta}VP16 but not in {alpha}VP16 lungs (asterisk in E). G–I, the proximal epithelial marker Ccsp (arrowhead) is not present in {alpha}VP16 (asterisk in H)or {beta}VP16 epithelium (I). Bars in A, B, E, and G represent 100, 30, 80, and 70 µm, respectively.

 
Activation of RAR{alpha} but Not {beta} Prevents Expression of Sp-B and Sp-A—To investigate the differentiation status of the RARVP16 epithelia we assessed expression of early (Sp-C) and late (Sp-B, Sp-A) markers of lung type II cells (22). During normal development Sp-C expression has been reported in the lung by in situ hybridization at E10–10.5, but signals can be detected by PCR in the foregut endoderm as early as E9–9.5 (Refs. 14 and 23).2 Fig. 4A illustrates the restricted expression of Sp-C to type II cells in wild-type neonatal lungs. Strong Sp-C signals were found in the majority of the cells lining distal epithelial tubules of {alpha}VP16 lungs (Fig. 4B). These tubules, however, showed virtually no expression of Sp-B and Sp-A, markers that, unlike Sp-C, normally appear in the distal epithelium only by E14 and E16, respectively (Fig. 4, D, E, G, and H; Ref. 22). These and the results from the former section indicate that {alpha}VP16 epithelial cells are distal in fate, but are likely immature. Moreover, they suggest that both programs of type I and type II cell differentiation, characteristic of later stages of development, are disrupted by constitutive activation of RAR{alpha}. By contrast strong Sp-C, Sp-B, and Sp-A signals were detected in the epithelium of {beta}VP16 mice, as seen in wild type (Fig. 4, C, F, and I).



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  		FIG. 4.
Surfactant protein gene expression in newborn wild type and transgenic lungs. A–C, Sp-C, the earliest marker of type II cells (arrow in A), is expressed in the epithelium of {alpha}VP16 (B) and {beta}VP16 (C) mice, as assessed by non-isotopic ISH. By isotopic ISH, late markers of type II cell differentiation, Sp-B (D–F) and Sp-A (G–I), are strongly expressed in WT and {beta}VP16 mice but are nearly absent in {alpha}VP16 epithelium (asterisks in E and H). Blue arrows indicate gene expression in bronchiolar non-ciliated epithelial cells (D–I). Bars in A, E, I represent: 40, 40, and 50 µm, respectively.

 
Lung Cell Proliferation and Cell Death Are Altered by Constitutively Activated RARs—PCNA immunostaining of wild-type newborn lungs showed few scattered labeled cells in the distal lung, confirming previous reports that distal cell proliferation is minimal at birth (Fig. 5A and Ref. 8). By contrast {alpha}VP16 lungs showed a dramatic increase in number of PCNA-labeled nuclei (Fig. 5, B and D). Labeling was predominantly epithelial (~ 80% of total labeled cells) but was also present in the mesenchyme (20%). Since the {alpha}VP16 lungs are not bigger than wild type lungs, we reasoned that the increase in proliferation should be accompanied by transgene-induced increase in cell death. Thus, we estimated the number of apoptotic nuclei in these lungs by TUNEL assay. In wild-type TUNEL-labeled nuclei were infrequent; most of the cells counted in the distal fields (~90%) were unlabeled (Fig. 5, E and H). In {alpha}VP16 lungs, however, TUNEL-positive cells averaged 40% of total cells; 70% of the labeled cells were epithelial (Fig. 5, F and H). The increased cell proliferation and cell death in the peripheral lung suggest that rapid turnover was taking place at sites of {alpha}VP16 transgene expression. The changes described above were also found, but to a lesser extent, in {beta}VP16 lungs (Fig. 5, C and G). It is likely, however, that cell proliferation and cell death are stimulated at comparable levels by both {alpha} and {beta} transgenes. Differences in PCNA labeling depicted in Fig. 5D possibly reflect the fact that {alpha}VP16-expressing cells, unlike the {beta}VP16, do not undergo type I cell differentiation, and thus continue to proliferate.



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  		FIG. 5.
Analysis of cell proliferation (PCNA, A–D) and cell death (TUNEL, E–H). PCNA or TUNEL-labeled epithelial (LEp) and mesenchymal (LMes), as well as unlabeled cells (NL) were counted in 6–8 random distal fields of WT, {alpha}VP16, and {beta}VP16 lungs at 40x magnification. Results were expressed as percent of the total number of cells per field (an average of 250 cells). A, WT lungs show almost no PCNA labeling but some TUNEL-positive cells (E) at birth. Labeling for both markers is dramatically increased in {alpha}VP16 (B and F) and to a lesser extent in {beta}VP16 (C and G) lungs. Graphics represent mean (bar, numbers) and S.E. Bars in A and E represent 50 µm.

 
Ttf1 and Fgf10 Are Up-regulated in {alpha}VP16 Lungs—To gain insights into how the RARVP16 phenotypes originated, we investigated expression of thyroid transcription factor-1 (Ttf1 or Nkx 2.1), and fibroblast growth factor Fgf10, known regulators of early distal lung development. No distal lung structures form in mutant mice lacking these genes (24–28). At the onset of lung development Fgf10 and Ttf1 are present at high levels in the mesenchyme and epithelium of the lung primordia, respectively. Both are expressed in the distal lung throughout branching morphogenesis; however, around birth, signals become less prominent and more diffuse (24–26). Our in situ hybridization revealed strong Ttf1 signals in the distal epithelium of {alpha}VP16 neonatal lungs more typical of earlier developmental stages. This contrasted with the low level signals seen in {beta}VP16 and wild-type littermates (Fig. 6, A–C). High levels of Fgf10 were detected in the mesenchyme associated with {alpha}VP16 tubules, which was not seen in {beta}VP16 and wild-type lungs (Fig. 6, D–F). This finding suggests that epithelial activation of RAR{alpha} indirectly influences mesenchymal gene expression (see discussion).



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  		FIG. 6.
Expression of Ttf1, Fgf10, and Gata6 in newborn WT and RARVP16 transgenic lungs by isotopic in situ hybridization. A, Ttf1 expression is increased in epithelial tubules of {alpha}VP16 lungs (arrowheads) as compared with {beta}VP16 (B) and wild-type littermates (C). D, high levels of Fgf10 (arrowheads) are present in the distal mesenchyme associated with {alpha}VP16 tubules, which contrast with the low level signals in {beta}VP16 (E) and WT (F) lungs. G, strong Gata6 signals are present in the distal epithelium of {alpha}VP16 tubules at birth (arrowhead). However, in {beta}VP16 (H) and WT (I), Gata6 is expressed at low levels in the distal epithelium (arrowheads); at this stage most of the signals are present in the blood vessels (bv, arrows) as previously reported. Bars in A, D, F, G, and H represent 25, 70 100, 55, and 120 µm.

 
Gata6 Is Differentially Up-regulated in {alpha}VP16 Epithelium— There is strong evidence implicating the transcription factor Gata6 in acquisition of late features of differentiation in the developing lung (29–33). We investigated Gata6 expression in {alpha}VP16 lungs because of its essential role in type I cell formation (31–33) and because Gata factors are RA targets (34). During normal development, Gata6 expression initiates in the lung epithelium at E10.5 and continues up to E17.5 being subsequently down-regulated once sacculation commences (30, 33). Here, we found that at birth {alpha}VP16 epithelial tubules maintained high levels of Gata6 expression typically seen in immature lungs at the pseudoglandular stage. This contrasted with wild-type and {beta}VP16 tubules in which only low levels of Gata6 signals were observed (Fig. 6, G–I). This suggested that proper regulation of Gata6 expression cannot occur in the presence of continued activation of RAR{alpha} signaling.

{beta}VP16 Lungs Have Late Features of Differentiation but Are Less Mature than Wild-type Lungs—As described above, {beta}VP16 lungs dramatically differed from the {alpha}VP16 lungs in which they undertook further steps toward distal differentiation. Nevertheless, these lungs had features of immaturity not observed in wild type. Histological analysis showed that airspaces were separated by a thick mesenchymal layer, inappropriate for gas exchange (Fig. 7A and Fig. 3C). An increased proportion of mesenchyme to epithelium in {beta}VP16 lungs was inferred by a decrease in the area occupied by type I cells in distal fields, as assessed by morphometric analysis of T1{alpha}-stained sections (see "Materials and Methods") (Fig. 7A, graph). We also found that type II cells of {beta}VP16 lungs preserved high content of glycogen in their cytoplasm at birth. Periodic acid-Schiff (PAS) staining of {beta}VP16 lungs showed intense labeling of the distal epithelium similarly to that seen in a wild-type E16 lung (Fig. 7, B–D). PAS-positive glycogen vacuoles have been described in the normal distal epithelium at around E14.5; however, further maturation of type II cells is characterized by progressive loss of glycogen and appearance of surfactant inclusions (35). No PAS labeling was detected in the {alpha}VP16 expressing epithelium, consistent with the idea that these lungs are even less mature than their {beta}VP16 counterpart (data not shown). How {beta}VP16 expression influenced this phenotype is still obscure. {beta}VP16 mice that reached adulthood looked normal.



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  		FIG. 7.
Characterization of lung immaturity in {beta}VP16 mice. A, T1{alpha} immunostaining of WT and {beta}VP16 lungs at birth. Relative area occupied by type I epithelial (T1{alpha}-positive, brown) and mesenchymal (T1{alpha}-negative, blue) cells in 10 random distal fields of WT and {beta}VP16 lungs. Graph represents mean and S.E. of measurements, data are expressed as percentage of total cells. An increased proportion of non-stained (mesenchyme) areas relative to stained areas (epithelium) in {beta}VP16 transgenes suggests immaturity. B, PAS staining of transgenic and WT lungs. The distal epithelium of {beta}VP16 lungs preserved high levels of glycogen in the cytoplasm (left panel, arrowhead). Glycogen vacuoles are abundant in WT E16 embryonic lungs (right panel) but are rare in WT at birth (PO, middle panel). Bars in A and B represent 150 and 35 µm, respectively

 

   DISCUSSION
TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
REFERENCES
 
Distal Lung Development in the Presence of Continued Activation of RARs in the Epithelium—Here we provide in vivo evidence that distal lung forms but proper differentiation cannot occur if RA signaling is maintained active in branching epithelial tubules. Our model is fundamentally different from in vivo or in vitro systems in which exogenous RA is ubiquitously available to all cells. In previous studies where we reported disruption of distal morphogenesis by all-trans RA in lung organ cultures, the mesenchymal effects could not be distinguished from those in the epithelium because the whole explant was exposed to RA. We ascribed the RA effects to the inhibition of mesenchymal Fgf10 expression and downstream events (12, 18, 6). By expressing ligand independent constitutively activated RARs in the distal epithelium: 1) we maintained a status of RA activation characteristic of the early lung throughout late developmental stages, 2) we prevented potential progenitors of the developing distal lung epithelium from turning off RA signaling, 3) we avoided the direct effects of RA in the mesenchyme and we could study the primary effects of RA in the lung epithelium. Previously reported phenotypes of RAR/RXR double knockouts already suggested that distal lung formation is more critically affected by lack of RAR{alpha} than by RAR{beta} signaling (36). In the present work a gain of function model was designed to study distal lung development under activation of a particular RAR when endogenous RA signaling by all receptors is down-regulated. We focused on RAR{alpha} and {beta} because of the unique lung defects reported in the double knockout mice (3). The left lung agenesis and right lung hypoplasia described in these mutants is difficult to interpret in light of our results and expression pattern studies and likely results from disruption of early RA-dependent events such as left-right body plan specification (37, 38). Although not defining RAR specific function, these studies point to a potential role of RA in regulating the appearance of progenitors of the prospective lung in the primitive foregut. A recent report demonstrates that progenitors of the distal lung are specified well before the onset of lung development (23) at stages that overlap with the establishment of RA signaling in the anterior foregut (17, 10).

RAR{alpha} Regulates a Distal Program of Differentiation Characteristic of That of an Early Lung—A prominent feature of the {alpha}VP16 transgene at birth is the presence of Sp-C, Ttf1 and Gata6 in immature and highly proliferative epithelial tubules. During normal development these features are first seen together when secondary buds are forming (E10.5), coincidently with the down-regulation of RA signaling in the epithelium (6, 14, 26, 30). There is evidence suggesting that at least in structures such as the anterior foregut, RA may synergize with resident signaling molecules and initiate a Gata-dependent developmental program (34). Whether in the lung RAR{alpha} activity in primary buds serves to initiate Gata6 expression in secondary buds, we cannot determine. In our model {alpha}VP16 epithelial cells expanded and preserved their distal identity but they did not undergo further steps toward distal differentiation. Constitutive RAR{alpha} activation interfered with the proper temporal expression of Gata6, a gene that is critical to regulate surfactant protein expression in branching epithelial tubules and to establish the mature type II and type I cell phenotype (30–33). The {alpha}VP16 phenotype shared some of the features previously described in genetic models in which Gata6 expression is altered. For example, when perinatal high levels of Gata6 are maintained in the distal lung by expression of a Sp-C-Gata6 transgene, Ttf1 levels are increased, and terminal differentiation of type II and type I cells is blocked (32). In the Xenopus developing heart down-regulation of Gata6 is critical for progression of the cardiomyogenic differentiation program; like in our model, this differentiation program can be disrupted by artificially maintaining high levels of Gata6 in heart cells (39). Although in our study Gata6 and Ttf1 disregulation represents an important component of the {alpha}VP16 phenotype, the overall changes reflect disruption of a broader mechanism controlled by RA that is similarly found in other developing systems. In structures such as the limb bud, attenuation of RAR mediated signaling is critical for skeletal development. While required for early limb development, continued RA signaling at later stages interferes with the differentiation of chondroprogenitors (40). The above examples underscore a more general role of retinoids in controlling timing of progenitor cell differentiation in various systems.

RAR{alpha} Regulation of Epithelial-Mesenchymal Interactions— Another interesting feature of {alpha}VP16 lungs was the presence of strong Fgf10 signals in distal mesenchyme (Fig. 6D). Since in this model activation of RA signaling is restricted to the epithelium (as demonstrated by epithelial up-regulation of endogenous RAR{beta}, Fig. 2H), it is likely that epithelial RAR{alpha} indirectly controls expression of a diffusible signal that regulates Fgf10 expression in the mesenchyme. A potential candidate could be sonic hedgehog (Shh), an epithelial target of RA known to inhibit Fgf10 in lung organ cultures (18, 24). We found low levels of expression of Shh and its receptor Patched (Ptc) in {alpha}VP16 lungs (data not shown). The relevance of this observation for the {alpha}VP16 phenotype, however, was difficult to evaluate, since at this stage Shh signals were also low in {beta}VP16 and wild type. For the same reason we could not conclude that bone morphogenetic protein 4 (Bmp4), a gene whose expression in branching epithelial tubules is activated by Fgf10 (41), was critically affected by RARVP16. Low levels of Bmp4 were similarly present in the distal epithelium of all lungs perinatally (data not shown). Although {alpha}VP16lungs were slightly smaller than wild type, epithelial activation of the FGF pathway and branching did not seem to be greatly affected by {alpha}VP16. Similar Sp-C driven transgenic models that target components of the Fgf pathway to the distal epithelium show dramatic disruption of branching morphogenesis not observed in our transgenes (42–44).

RAR{beta} Has a Less Defined Role in Distal Development—In our model maintained activation of RAR{beta} signaling in distal tubules did not prevent the appearance of type I cells and allowed late features of type II cells to develop. Since both transgenes were efficiently expressed in each model, the likely explanation for the difference in phenotype is that RAR{beta} targets are not directly involved in regulation of distal epithelial development. There is evidence that RAR{beta} mediates the inhibitory effect of exogenous RA in distal bud morphogenesis in vitro (12, 18). Mollard et al. (45) have shown that this effect is markedly attenuated in lungs from RAR{beta}–/–, but not from {alpha} or {gamma} null mutant mice. They postulate that RAR{beta} activation in airways favors morphogenetic stabilization as opposed to budding, and, thus, it is more likely to be involved in formation of proximal, conductive airways (45). Although we do not have evidence that RAR{beta} targets act in distal development, it is possible that, when expression of RAR{alpha} is disrupted, RAR{beta} signaling may serve as a backup system to rescue RAR{alpha} function. Both receptors have been reported in largely overlapping domains in the foregut endoderm at the onset of lung development (7).

Concluding Remarks—Our data summarized in Fig. 8 provide genetic evidence that RAR{alpha} and {beta} have nonoverlapping targets in the developing lung epithelium and supports the idea of stage-specific requirement for retinoids in the embryonic lung. We propose a model in which activation of RAR{alpha} signaling at the onset of lung development establishes an initial program that either assigns distal cell fate to the prospective lung epithelium or, alternatively, contributes to expand an initial pool of distal progenitor cells that will subsequently differentiate into the distal lung. Down-regulation of RA signaling, however, is required to allow completion of later steps of this differentiation program and, ultimately, to form mature type I and II cells. Based on this and other reports (6, 46), the model predicts that a window of RA requirement for this process occurs in the lung during its initial stages of embryonic development and lasts up to when branching initiates. A number of studies indicate that during neonatal life RA is again required to regulate morphogenetic processes, in this case, formation of the definitive alveoli. These reports support the idea that, during alveolization, RARs also activate retinoid-dependent cellular events in a time and isotype-specific fashion (46–48).



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  		FIG. 8.
Summary of findings and proposed model. A, gene expression in the distal lung of {alpha}VP16, {beta}VP16 and WT mice. B, diagram representing the effect of RARVP16 in differentiation of the lung epithelium at birth: {alpha}VP16 maintains the lung in an early immature (pseudoglandular) stage; {beta}VP16 and WT lungs undergo sacculation and form distal type I and type II cells; {beta}VP16 lungs, however, are not fully mature. Black bars represent activated RA signaling.

 

   FOOTNOTES
 
* This work was supported by Grant RO-1 HL/HD67129-01 from the NHLBI, National Institutes of Health. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Back

{ddagger} Both authors contributed equally to the work. Back

To whom correspondence should be addressed: Pulmonary Center, Boston University School of Medicine, 80 East Concord St., R-304, Boston, MA 02118. Tel.: 617-638-6198; Fax: 617-536-8093; E-mail: wcardoso{at}lung.bumc.bu.edu.

1 The abbreviations used are: RA, retinoic acid; RAR, retinoic acid receptor; TUNEL, terminal deoxynucleotidyltransferase-mediated dUTP nick end-labeling; WT, wild type; X-gal, 5-bromo-4-chloro-3-indolyl-{beta}-D-galactopyranoside. Back

2 M. Ramirez, personal communication. Back


   ACKNOWLEDGMENTS
 
We thank Jeffrey Whitsett for providing us with the Sp-C promoter construct used to generate the transgenes andJanet Rossant and Nadia Rosenthal for providing us with the RARE-lacZ mouse line. We thank Andrew McMahon, Parviz Minoo, Cathy Mendelsohn, Nobuyuki Itoh, and Michael Parmacek for cDNA clones; and Pierre Chambon, Sikandar Katyal, and G. Singh for antibodies. We thank Jining Lu, Jerome Brody, Mary Williams, and Cathy Mendelsohn for critical reading of the manuscript. We are also grateful to Anne Hinds, Guetchyn Millien, Xiaoqing Qi, Jun Qian, and Renee Anderson for excellent technical assistance. We would like to thank Hou-Xiang Xie and Robin McDonald from the Boston University Transgenic Core Facility.



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