Abstract
The hindbrain is a life-sustaining brain region. In one model, a common neural progenitor generates all brain regions. Here our studies of mouse embryos and human pluripotent stem cells (hPSCs) support a different model: two parallel brain progenitors emerge simultaneously during gastrulation, anterior neural ectoderm (forebrain/midbrain progenitor) and posterior neural ectoderm (hindbrain progenitor). Not only are they lineage-committed to respectively form forebrain/midbrain vs. hindbrain in vitro, but they also have diverging chromatin landscapes foreshadowing future forebrain/midbrain vs. hindbrain identities. Leveraging these differences, we differentiated hPSCs into hindbrain rhombomere 5/6-specific motor neurons, hitherto difficult to generate in vitro. We postulate the brain is a composite organ emanating from two lineage-restricted progenitors; these dual progenitors may be evolutionarily conserved across 550 million years from hemichordates to mammals.
Introduction
Stem cell research strives to create diverse types of human brain cell. Given plentiful successes in converting human pluripotent stem cells (hPSCs) into forebrain and midbrain cells1–3, here we focus on generating cells of the human hindbrain, a life-sustaining brain region4–6. Whereas the forebrain executes higher-level cognitive processes, the hindbrain constitutes most of the brainstem and coordinates life-sustaining processes such as breathing, eating, sleep, and wakefulness4–6. Consequently, hindbrain injury and diffuse intrinsic pontine glioma (a childhood hindbrain cancer) are both deadly, as they impair consciousness, sensation, reflexes, and breathing7,8. Additionally, hindbrain motor neurons project through the cranial nerves to innervate face and neck muscles, and degeneration of hindbrain motor neurons likely compromises eating and swallowing in diseases such as spinal muscular atrophy (SMA) and amyotrophic lateral sclerosis (ALS), leading to choking, aspiration, pneumonia, and in some cases, death9–11. However, differentiation of hPSCs into specific brain cells that correspond to different brain regions—such as the forebrain, midbrain, and hindbrain—is predicated on a developmental roadmap of when and how brain progenitors diversify from one another4–6,12–15.
During gastrulation, pluripotent cells form the ectoderm germ layer in the 7-day-old (~E7.0) mouse embryo16. Subsequently, ectoderm forms neural, border, and surface ectoderm by E7.5, which will respectively create the brain, neural crest, and epidermis16,17. Arising during gastrulation, neural ectoderm represents the earliest brain-restricted progenitor13,16 and it subsequently differentiates into the forebrain, midbrain, and hindbrain by ~E8.518,19.
An open question is whether, even during gastrulation, neural ectoderm cells are diverse and are already committed to generate different brain regions. In 1952, Nieuwkoop20,21 proposed that neural ectoderm harbors the broad potential to generate the forebrain, midbrain, and hindbrain22–25. Indeed, the forebrain, midbrain, and hindbrain are anatomically contiguous, consistent with a scenario wherein they originate from a common brain precursor. Certain methods to differentiate hPSCs into brain cell-types implicitly assume the existence of a common neural progenitor that can generate the forebrain, midbrain, and hindbrain22,23. By contrast, classical fate maps of zebrafish26, frog27, chicken28, and mouse29,30 embryos have instead suggested that during gastrulation, neural ectoderm cells are already fated to give rise to distinct parts of the brain. However, these fate maps could not exclude the common neural progenitor model, because they generally focused on the fates of neural ectoderm cells if left in their native signaling environment in the gastrulating embryo26–30. One possible interpretation of these fate maps is that neural ectoderm cells have the potential to generate all brain regions, but owing to their position, later in development they are fated to encounter anterior- or posterior-inducing signals that only reveal part of their full lineage potential. An open question is whether distinct neural ectoderm cells are already committed: i.e., if challenged by ectopic extracellular signals, can they generate brain regions that they normally would not form? Assessing lineage commitment rests on the ability to challenge neural ectoderm cells with various signals, which we attempt here.
Inspired by pioneering embryological studies12,13,31–33, the current principal strategy to differentiate hPSCs into neural cells entails inhibition of BMP, TGFβ, and WNT in vitro34–38. This breakthrough has enabled many successes in generating human forebrain and midbrain cells from hPSCs34–37,39–57. Other work has focused on differentiating hPSCs into hindbrain43,46,58–69, but we do not fully understand the earliest hindbrain progenitors and the extracellular signals that induce them. To this end, we revisited the first ectodermal precursors in the mouse embryo. As a complementary approach, we also modeled ectoderm differentiation from hPSCs, with the proviso that in vitro models may not recreate the full complexity of in vivo development.
Neural and non-neural ectoderm formation
During gastrulation, pluripotent cells first differentiate into either primitive streak or the definitive ectoderm germ layer16 (Fig. 1a). Sox2+ Nanog- T- definitive ectoderm16,70–72 arises by E6.75 in the mouse embryo, as shown by multiplexed in situ staining (Fig. 1b) and single-cell RNA-sequencing (scRNAseq, Fig. S1a). While BMP, FGF, TGFβ and WNT activation induces primitive streak73,74, conversely simultaneous BMP, FGF/ERK, TGFβ and WNT inhibition34–37,39,75,76 instead generated 96.5±3.4% pure SOX2+ NANOG- definitive ectoderm within 24 hours of hPSC differentiation (Fig. 1c, Fig. S1b–h). In addition to inhibiting BMP and TGFβ, the suppression of FGF/ERK and WNT signaling further downregulated NANOG and drove exit from pluripotency towards ectoderm (Fig. S1b,d,h). hPSC-derived definitive ectoderm appeared to be ectoderm-committed, and failed to respond to endoderm77- or paraxial mesoderm78-inducing signals (Fig. S1i,j), thereby providing a foundation to subsequently generate ectodermal derivatives.
Figure 1: Anterior and posterior neural ectoderm in vivo and in vitro.
A) hPSC differentiation strategy.
B) In situ staining of E6.75 mouse embryo. Scale: 50 μm. Ant.: anterior. Post.: posterior.
C) Flow cytometry of H1 hPSCs prior to, and after, definitive ectoderm differentiation for 24 hours. i: inhibitor.
D) In situ staining of E7.5 mouse embryo. Scale: 50 μm. aNE: anterior neural ectoderm. pNE: posterior neural ectoderm.
E) Analysis of published E7.5 mouse embryo single-cell RNA-sequencing data 169. Neural ectoderm cells are shown.
F) Quantitative PCR (qPCR) of H1 hPSCs differentiated into definitive ectoderm for 24 hours, and then treated with neural-inducing signals (A-83-01 [1 μM], LDN193189 [250 nM], and XAV939 [1 μM]), in the presence or absence of FGF2 (20 ng/mL) and/or retinoid agonist TTNPB (50 nM), for 24 hours. Gene expression is shown relative to reference gene YWHAZ; 100% indicates that a gene is expressed at the same level as YWHAZ.
G) In situ staining of the E7.5 mouse embryo. First, in situ staining for Sox2 and Gbx2 in a Tcf/Lef:H2B:Venus reporter mouse embryo 173 shows that Gbx2+ Sox2+ posterior neural ectoderm is largely devoid of WNT signaling; rather WNT signaling is active in the posterior embryo, where presumptive spinal cord progenitors are located 25,92–102 (left). A maximum intensity projection of lateral optical sections of a Tcf/Lef:H2B:Venus mouse embryo is shown. Second, in situ staining shows that Raldh2/Aldh1a2 (the rate-limiting enzyme in retinoic acid [RA] synthesis) is expressed adjacent to posterior neural ectoderm (right), consistent with the notion that posterior neural ectoderm is exposed to RA in vivo. Scale bar = 50 μm.
H) Single-cell RNA-sequencing of H7 hPSCs differentiated into day-1 definitive ectoderm, day-2 aNE, day-2 pNE, day-2 border ectoderm, or day-2 surface ectoderm. Colors denote differentiation conditions.
qPCR data depicts the mean of two biological replicates, with s.e.m. shown. P values were calculated using a t-test. For flow cytometry and in vitro staining, a representative image from two biological replicates is shown. In vitro scRNAseq data is from a single experiment.
How do definitive ectoderm cells subsequently adopt neural vs. non-neural ectoderm identities16? Within E7.5 mouse embryos, Sox2+ neural ectoderm contains two mutually-exclusive Otx2+ vs. Gbx2+ populations19,79–81, as shown by multiplexed in situ staining (Fig. 1d, Fig. S1k) and scRNAseq (Fig. 1e) to confirm overlap of neural ectoderm marker Sox2 with these two other genes. We respectively designate these cell-types as Sox2+ Otx2+ “anterior neural ectoderm” (aNE) and Sox2+ Gbx2+ “posterior neural ectoderm” (pNE). The locations of anterior and posterior neural ectoderm in the E7.5 mouse embryo generally comport with the positions of cells fated to respectively generate future forebrain/midbrain vs. hindbrain in classical fate maps29. These E7.5 cells represented early neural ectoderm, as they did not express markers of later-stage neural progenitors (Sox1 and Pax6)72,82; moreover, posterior neural ectoderm expressed additional posterior markers Hoxa1 and Hoxb181,83 (Fig. S1l). Here we define anterior and posterior neural ectoderm as neural ectoderm that arises during gastrulation; these are distinct from subsequent forebrain, midbrain, and hindbrain neural progenitors that emerge after gastrulation.
What signals induce anterior vs. posterior neural ectoderm in vitro? Treating day 1 hPSC-derived definitive ectoderm with prevailing neural induction signals (combined BMP, TGFβ, and WNT inhibition34–37,39,75) for 24 hours generated OTX2+ GBX2− anterior neural ectoderm in vitro (Fig. 1f, Fig. S1m,n, Fig. S2a). This thus raised the question of what extracellular signals specify GBX2+ posterior neural ectoderm. We found that FGF and RA activation, together with BMP, TGFβ, and WNT blockade, for 24 hours specified GBX2+ OTX2low posterior neural ectoderm (Fig. 1f). FGF and RA were combinatorially required to induce GBX2+ posterior neural ectoderm and to repress OTX2: either signal alone was insufficient (Fig. 1f, Fig. S2b–d). This thus extends the important roles of FGF and RA in inducing Gbx2 and repressing Otx2 in various model organisms79,84–88 to human neural ectoderm, and is consistent with how FGF and RA pathway genes (e.g., Fgf4, Fgf8, and Raldh2) are expressed nearby the E7.5 Gbx2+ posterior neural ectoderm in vivo89–91 (Fig. 1g). The requirement for WNT inhibition to induce posterior neural ectoderm induction in vitro (Fig. S2e–i, Fig. S3a) is consistent with the apparent lack of WNT activity in posterior neural ectoderm in vivo (Fig. 1g). Instead, WNT signaling was activated in the posterior-most region of the E7.5 mouse embryo (Fig. 1g), which is where Brachyury or Cdx2—markers of spinal cord or neuromesodermal progenitors—are expressed92–102. FGF and RA induced a different type of posterior character than WNT activation, the latter of which has been previously used to differentiate hPSCs into posterior neural cells43,46,58–60,62,63,66,67,103 (Fig. S2e,g; Fig. S3a). In particular, posterior neural ectoderm—induced by FGF and RA activation, alongside WNT inhibition—did not express BRACHYURY or CDX2 in vivo or in vitro (Fig. 1e,h; Fig. S3a); these are markers of spinal cord or neuromesodermal progenitors that are known to be induced by WNT92–102. Taken together, anterior vs. posterior neural ectoderm arise within 2 days of hPSC differentiation, and we identify the diverging extracellular signals that specify them.
In parallel, we could also differentiate hPSC-derived definitive ectoderm into two types of non-neural ectoderm within 24 hours: PAX3+ TFAP2Alow border ectoderm (by WNT activation, alongside low BMP35,104–107) and GATA3+ TFAP2Ahigh surface ectoderm (by WNT inhibition, alongside high BMP35); both border and surface ectoderm induction also required TGFβ and ERK blockade (Fig. 1h, Fig. S3b–g). This is consistent with how BMP gradients pattern ectoderm into border vs. surface domains in vivo108,109; we further find that WNT instructs border fate and blocks surface markers (Fig. S3b,c,e). In summary, we generated neural (anterior and posterior neural) and non-neural (border and surface) ectoderm within 2 days of hPSC differentiation, across 4 independent hPSC lines (Fig. 1h, Fig. S4a–d). These two types of neural ectoderm already express anterior or posterior markers, implying early acquisition of region-specific neural identities, which we test below.
Neural ectoderm lineage tracing in vivo
To test the hypothesis that early neural ectoderm cells are already fated to generate either forebrain/midbrain vs. hindbrain in vivo26–30, we used two complementary genetic lineage-tracing approaches.
First, to test whether during gastrulation, Gbx2+ posterior neural ectoderm is already fated to form hindbrain, we crossed a Gbx2-CreER driver110 to a Cre-dependent tdTomato reporter111. Past Gbx2-CreER lineage-tracing30 suggested that Gbx2+ cells are posteriorly fated, but exploited tamoxifen, which perdures several days in vivo112,113 and could thus label Gbx2+ hindbrain cells that arise after gastrulation80,81. To acutely label E7.5 Gbx2+ posterior neural ectoderm, at E7.5 we injected the short-lived tamoxifen metabolite 4-hydroxytamoxifen (4OHT) to achieve a 12-hour labeling window114,115 (~E7.5-E8.0). Posterior neural ectoderm-derived tdTomato+ progeny were restricted to the E8.5 and E9.5 hindbrain, and were not present in the Otx2+ forebrain or midbrain (Fig. 2a). At E18.5, posterior neural ectoderm-derived progeny were still restricted to the hindbrain, and were essentially absent from the forebrain and midbrain; we determined the mid/hindbrain boundary by the limit of hindbrain serotonergic neurons (Fig. 2a). Similar results were obtained after 4OHT administration at E7.0 (which would be expected to label from ~E7.0-E7.5) to mark Gbx2+ posterior neural ectoderm incipiently emerging at E7.5; in these conditions, posterior neural ectoderm likewise exclusively contributed to the hindbrain, but not the forebrain/midbrain (Fig. S4e,f).
Figure 2: In vivo lineage tracing, and in vitro lineage commitment assays, of anterior and posterior neural ectoderm.
A) E7.5 Gbx2CreER; ROSA26tdTomato mouse embryos were labeled with 4-hydroxytamoxifen (4OHT) to induce tdTomato expression in pNE. Subsequently, E8.5-E18.5 embryos were stained to visualize Gbx2+ pNE-derived progeny. The forebrain and midbrain were delimited by Otx2 in situ staining (for E8.5) or Otx2 immunostaining (for E11.5). At E18.5, the hindbrain was delimited by immunostaining for serotoninergic neurons present in the hindbrain, but not the midbrain. Scale: 100 μm (for E8.5 and E9.5) and 500 μm (for E11.5 and E18.5).
B) hPSC differentiation strategy.
C) qPCR (left) and immunostaining (right) of H1 hPSC-derived day-2 aNE or pNE treated with forebrain-inducing signals for 48 hours. Scale: 120 μm. Gene expression is shown relative to the sample with the highest expression.
D) qPCR (left) and immunostaining (right) of H1 hPSC-derived day-2 aNE or pNE treated with midbrain-inducing signals for 48 hours. Scale: 120 μm. Gene expression is shown relative to the sample with the highest expression.
E) Hindbrain gene expression in vivo 4–6 (top). Immunostaining of H1 hPSCs differentiated into definitive ectoderm for 24 hours, followed by posterior neural ectoderm for 24 hours, and hindbrain progenitors for 48 hours (bottom). Scale: 250 μm.
F) qPCR (left) and immunostaining (right) of H1 hPSC-derived day-2 aNE or pNE treated with hindbrain-inducing signals for 48 hours. Scale: 120 μm. Gene expression is shown relative to the sample with the highest expression.
G) H1 hPSCs were differentiated into either aNE or pNE within 2 days; pNE was fluorescently labeled, and then aNE (uncolored) and pNE (dye-labeled) were mixed. Cocultures were treated with either forebrain-, midbrain-, or hindbrain-inducing signals for 2 additional days, prior to immunostaining. Scale: 100 μm.
qPCR data depicts the mean of two biological replicates, with s.e.m. shown. P values were calculated using a t-test. For in vitro staining, a representative image from two biological replicates is shown.
Second, we sparsely labeled Sox2+ neural ectoderm cells within the E7.5 mouse embryo (Fig. S4g,h). To this end, we crossed a Sox2-CreER driver116 to a Cre-dependent multicolor Confetti fluorescent reporter117, followed by delivery of a low 4OHT dose to sparsely label E7.5 neural ectoderm cells with one of three detectable colors (red, yellow, or cyan). An advantage of this approach is that it assesses the fate of any Sox2+ neural ectoderm progenitor, without regard to whether it already express anterior (Otx2) or posterior (Gbx2) markers. Analysis of 494 neural ectoderm-derived cell clusters spanning 16 independent embryos revealed each cell cluster was almost exclusively present in either the forebrain/midbrain (62.96%) or hindbrain (32.59%) (Fig. S4g,h). Therefore, by the end of gastrulation, most Sox2+ neural ectoderm cells are already fated to become either fore/midbrain or hindbrain.
Lineage tracing reveals the natural fate of progenitors in their native environment, but not their developmental potential 118 (i.e., the full range of fates they could adopt if challenged by ectopic signals). It is difficult to assess cellular potential in mammalian embryos in utero. Consequently, we turned to an in vitro model, whereby hPSC-derived anterior and posterior neural ectoderm were challenged with extracellular signals to test whether they were already committed to form specific brain regions, or whether they retained the potential to adopt alternative fates in vitro.
Studies of lineage commitment in vitro
We developed a system to differentiate hPSCs into forebrain, midbrain, and hindbrain progenitors (Fig. 2b). Day 2 anterior neural ectoderm could further bifurcate into FOXG1+ SIX3+ forebrain progenitors (by blocking posteriorizing signals WNT and BMP, while activating FGF; Fig. 2c, Fig. S5a–d) or EN1+ midbrain progenitors (by activating WNT and FGF; Fig. 2d, Fig. S5e–i) within 2 days of further differentiation. This is congruent with the posterior WNT gradient across the developing forebrain and midbrain in vivo (Fig. S5j) and how WNT establishes midbrain identity in vivo119–121 and in vitro34–36,39–41,43–47,56.
Along the other developmental path, day 2 posterior neural ectoderm could further differentiate into hindbrain progenitors upon combined FGF and WNT activation for 2 days (Fig. 2e,f; Fig. S6a–f). The developing hindbrain is divided into six segments known as rhombomeres4–6, and hPSC-derived hindbrain progenitors expressed MAFB, HNF1B, and HOXA3, which together identify rhombomeres 5 and 6 in vivo6,122,123 (Fig. 2e). Indeed, FGF is likewise required for rhombomere 5 and 6 specification in vivo124,125. Together, these results reveal that FGF and WNT specify human hindbrain identity, building on observations in model organisms103,126–128. To our knowledge, this is the first demonstration that human rhombomere 5 and 6 hindbrain progenitors can be generated in vitro, thereby complementing past work differentiating hPSCs into other types of hindbrain progenitor43,46,58–69.
Day 2 hPSC-derived anterior vs. posterior neural ectoderm were respectively committed to generating forebrain/midbrain or hindbrain progenitors in vitro. Strikingly, when posterior neural ectoderm was treated with forebrain- or midbrain-inducing signals, it largely failed to acquire either of these identities by day 4 (Fig. 2c,d, Fig. S6g). Reciprocally, when anterior neural ectoderm was challenged with hindbrain-inducing conditions, it failed to differentiate into hindbrain by day 4 (Fig. 2f, Fig. S6g, Fig. S7a). Thus, in the in vitro conditions tested, anterior and posterior neural ectoderm are both lineage committed. However, it remains formally possible that there may be other experimental interventions that could enable them to interconvert.
Another consideration is that the community effect129 could affect the interpretation of these experiments, and we thus tested if hPSC-derived anterior and posterior neural ectoderm remained lineage-committed even when mixed together. hPSC-derived unlabeled anterior neural ectoderm was mixed with fluorescently-labeled posterior neural ectoderm, and these cocultures were then challenged with forebrain-, midbrain-, or hindbrain-inducing signals (Fig. 2g, Fig. S7b). Within these cocultures, anterior neural ectoderm generated SIX3+ forebrain and EN1+ midbrain progenitors, but not MAFB+ hindbrain progenitors, and vice versa for posterior neural ectoderm, although a few posterior neural ectoderm cells expressed SIX3 in these cocultures (Fig. 2g, Fig. S7b). Therefore, even when cocultured with one another, anterior and posterior neural ectoderm generally obey their respective lineage commitments.
Divergent chromatin landscapes
Anterior and posterior neural ectoderm harbored different accessible chromatin landscapes (Fig. 3a, Fig. S7c, Table S1), foreshadowing their potentials to develop into differing downstream brain lineages. At the genome-wide level, anterior neural ectoderm-enriched accessible chromatin was enriched for OTX2 motifs (Fig. 3b, Table S2). By contrast, posterior neural ectoderm-enriched accessible chromatin was instead enriched for the motifs of future hindbrain transcription factors (HOX, HNF1B, and MAFB), and the motifs of FGF (ETV1) and RA (RARB and RXRG) pathway transcriptional effectors (Fig. 3b, Table S2). This is consistent with how FGF and RA induce posterior neural ectoderm and have key roles in later hindbrain development4–6.
Figure 3: Different accessible chromatin landscapes distinguish hPSC-derived anterior vs. posterior neural ectoderm.
A) Differentially accessible chromatin regions in hPSC-derived day-2 aNE or pNE, as detected by OmniATACseq. Top: each dot indicates a single genomic locus, which was assigned to its nearest gene. Bottom: OmniATACseq and bulk-population RNAseq of hPSC-derived aNE or pNE. Conservation: Phastcons evolutionary conservation of genome sequence across 46 vertebrate species.
B) Transcription factor motifs that were respectively enriched in either day-2 aNE- or pNE-specific accessible chromatin regions.
C) hPSC-derived aNE and pNE were treated with forebrain-inducing signals for 2 days, followed by OmniATACseq to identify chromatin regions that were preferentially accessible in either population. Transcription factor motifs enriched in the accessible chromatin of either aNE or pNE derivatives are shown.
D) OmniATACseq and bulk-population RNAseq of hPSC-derived aNE and pNE that were treated with either forebrain- or hindbrain-inducing signals for 2 days.
E) hPSC-derived aNE and pNE were treated with hindbrain-inducing signals for 2 days, followed by OmniATACseq to identify chromatin regions that were preferentially accessible in either population. Transcription factor motifs enriched in the accessible chromatin of either aNE or pNE derivatives are shown.
F) OmniATACseq and bulk-population RNAseq of hPSC-derived aNE and pNE that were treated with either forebrain-or hindbrain-inducing signals for 2 days.
OmniATACseq and bulk-population RNAseq were each performed on two biological replicates. Q values for differential accessibility were calculated using the Wald test, followed by Benjamini-Hochberg adjustment. P values for motif enrichment were calculated using the Fisher exact test.
How do anterior and posterior neural ectoderm respond at the chromatin level when challenged with developmentally-inappropriate cues? Anterior neural ectoderm treated with forebrain-inducing signals appropriately increased chromatin accessibility at forebrain genes such as SIX3, and at the genome-wide level, their accessible chromatin landscape was enriched for key forebrain transcription factor motifs (OTX2, FOXG1, and LHX2; Fig. 3c,e, Fig. S7d, Table S2). Conversely, posterior neural ectoderm challenged with the same forebrain-inducing signals (WNT inhibition and FGF activation) instead adopted a hindbrain-like chromatin landscape. They failed to increase accessibility at forebrain genes (Fig. 3e), and instead increased accessibility at a swath of hindbrain regulatory elements enriched for hindbrain transcription factor motifs (HNF1B and HOX; Fig. 3c, Fig. S7d, e, Table S2). In sum, posterior neural ectoderm resists forebrain-inducing signals, and its chromatin landscape seems committed to subsequently adopt a hindbrain regulatory program.
Anterior neural ectoderm, even when confronted with hindbrain-inducing signals (WNT and FGF activation), instead adopted a forebrain-like regulatory program and failed to increase accessibility at hindbrain genes (e.g., the HOXA locus) or hindbrain transcription factor motifs (Fig. 3d,f, Fig. S7e, f, Table S2). On the other hand, posterior neural ectoderm treated with hindbrain-inducing signals activated a hindbrain regulatory program (Fig. 3d,f, Fig. S7e, f, Table S2). Taken together, anterior vs. posterior neural ectoderm have divergent transcriptional and chromatin landscapes that prefigure their respective potentials to subsequently develop into forebrain and hindbrain lineages (Fig. S7g,h). Though it typically takes weeks or months to generate neurons in vitro, we propose that cellular competence to generate forebrain/midbrain or hindbrain has already become restricted within the first 2 days of hPSC differentiation.
Dorsal vs. ventral forebrain and hindbrain
After its formation, the forebrain undergoes dorsal-ventral patterning into the dorsal forebrain (neocortex, which primarily generates cortical glutamatergic neurons3,15) and ventral forebrain (which forms cortical GABAergic interneurons and certain hypothalamic neurons130,131) (Fig. 4a). Likewise, the hindbrain also undergoes dorsal-ventral patterning, forming dorsal and ventral hindbrain progenitors that respectively produce hindbrain sensory and motor neurons132,133 (Fig. 4a).
Figure 4: Generation of dorsal forebrain, ventral forebrain, dorsal hindbrain, and ventral hindbrain progenitors from hPSCs in vitro.
A) Summary of hPSC differentiation in vitro (top) and brain development in vivo (bottom).
B) Immunostaining of H1 hPSC-derived day-4 forebrain or hindbrain progenitors that were treated with dorsalizing or ventralizing signals for 72 hours. Scale: 120 μm.
C) scRNAseq of H7 hPSC-derived day-4 forebrain or hindbrain progenitors, and day-7 dorsal forebrain, ventral forebrain, dorsal hindbrain, or ventral hindbrain progenitors. Colors denote differentiation conditions.
For in vitro staining, a representative image from two biological replicates is shown. In vitro scRNAseq data is from a single experiment.
Starting from day 4 hPSC-derived forebrain progenitors, we found that WNT activation—combined with HH and FGF inhibition—specified PAX6+ EMX2+ dorsal forebrain progenitors (Fig. 4b,c, Fig. S8a-c). Conversely, HH activation34 together with WNT inhibition yielded NKX2.1+ ventral forebrain progenitors (Fig. 4b,c, Fig. S8d). Our in vitro results are consistent with how countervailing dorsal WNT vs. ventral HH gradients pattern the forebrain in vivo134–137. Notably, the requirement for WNT to specify dorsal forebrain agrees with in vivo studies134–137 and contrasts with prolonged WNT inhibitor treatment to specify hPSC-derived dorsal forebrain progenitors34–37,39,40.
Starting from day 4 hPSC-derived hindbrain progenitors, WNT activation together with HH and BMP inhibition generated OLIG3+ PAX3+ dorsal hindbrain progenitors132,138 (Fig. 4b,c, Fig. S8e-h). By contrast, application of the converse signals—WNT inhibition and HH activation—generated OLIG2+ NKX6.2+ NKX2.2+ ventral hindbrain progenitors133,138 (Fig. 4b,c, Fig. S8g-i). Generation of a given progenitor (e.g., ventral hindbrain) relied on activation of a lineage-instructive signal (e.g., HH), together with simultaneously blocking the signal that induced the opposite lineage (e.g., WNT).
Despite the similarity of the signals added to induce dorsal (WNT) vs. ventral (HH) patterning in forebrain and hindbrain cultures, dorsal and ventral forebrain progenitors minimally expressed hindbrain markers, and vice versa (Fig. 4b,c). Therefore, forebrain (anterior neural ectoderm-derived) and hindbrain (posterior neural ectoderm-derived) progenitors continued to maintain their respective identities during dorsal-ventral patterning. This likely reflects the deeply ingrained differences in anterior vs. posterior neural ectoderm laid down earlier during differentiation.
Making human hindbrain motor neurons
These four different neural progenitors (day-7 hPSC-derived dorsal forebrain, ventral forebrain, dorsal hindbrain and ventral hindbrain) could further differentiate into mutually-exclusive types of neuron (Fig. 5a). To this end, we provided neurotrophic factors (BDNF, GDNF, Forskolin and Vitamin C) while blocking NOTCH (to drive neural progenitors out of the cell cycle and into postmitotic neurons) for 7 additional days139, generating MAPT+ SNAP25+ neurons alongside some remaining undifferentiated SOX2+ neural progenitors (Fig. 5a, Fig. S9a). Dorsal forebrain progenitors exposed to these neuron-inducing signals differentiated into TBR1+ cortical glutamatergic Cajal-Retzius neurons (Fig. 5b,c, Fig. S9a,b). Conversely, ventral forebrain progenitors instead formed DLX1+ cortical interneurons, in addition to hypothalamic-like OTP+ and ISL1+ neurons that respectively expressed the ADCYAP1140,141 and POMC142 neuropeptide genes (Fig. 5b,c, Fig. S9a, c, d). This could enable in vitro modeling of hunger-suppressing POMC+ hypothalamic neurons; their importance in vivo is underscored by the severe obesity of POMC-deficient humans and mice142.
Figure 5: Generation of hindbrain motor neurons from hPSCs in vitro.
A) Immunostaining of H1 hPSC-derived day-7 dorsal forebrain, ventral forebrain, dorsal hindbrain, or ventral hindbrain progenitors that were exposed to the same neuroninducing signals for 7 additional days in vitro. Scale: 120 μm.
B) Immunostaining of H1 hPSC-derived day-7 dorsal forebrain, ventral forebrain, dorsal hindbrain, or ventral hindbrain progenitors that were exposed to the same neuroninducing signals for 7 additional days in vitro. Scale: 120 μm.
C) Immunostaining of H1 hPSC-derived day-7 dorsal forebrain, ventral forebrain, dorsal hindbrain, or ventral hindbrain progenitors that were exposed to the same neuroninducing signals for 7 additional days in vitro. Scale: 120 μm.
D) scRNAseq of H7 hPSC-derived day-14 ventral hindbrain population.
E) Live Ca2+ imaging of WTC11 AAVS1-CAG-GCaMP6f hPSCs differentiated into ventral hindbrain neurons for 30 days, which exhibited spontaneous Ca2+ transients as assessed within individual cells (left) and across the culture (right). Scale: 50 μm.
F) Electrophysiological activity of H1 hPSC-derived ventral hindbrain neurons on day 27 of differentiation, showing voltage-dependent K+ or Na+ channel currents elicited by depolarization of the holding potential from −90 mV to 50 mV in voltage-clamp mode (top) and action potentials elicited by injection of pulsed (300 pA, 5 ms, 10 Hz) or prolonged (50 pA, 1.5 seconds) currents in current-clamp mode (bottom).
G) Day 28 H1 hPSC-derived ventral hindbrain neurons transduced with AAV8-hSyn-bReaChES-mCherry were stimulated with either prolonged (1 second), or pulses of (5 ms, 5 Hz), 560nm light, and electrophysiological recording was performed to detect action potentials.
For in vitro staining, a representative image from two biological replicates is shown. In vitro scRNAseq data is from a single experiment. Ca2+ imaging and electrophysiology were each performed on a single experiment.
In parallel, we differentiated hPSCs into hindbrain neurons. Hindbrain motor neurons project through the cranial nerves and secrete acetylcholine to control face and neck muscles4–6. While past work has differentiated hPSCs into certain types of hindbrain neuron43,46,58–69, it has remained challenging to generate human rhombomere 6-specific motor neurons, which project through cranial nerve IX to control muscles crucial for swallowing5. To meet this challenge, we differentiated hPSC-derived ventral hindbrain progenitors into hindbrain motor neurons that expressed hallmark transcription factor ISL1143 and acetylcholine pathway genes (VACHT, CHAT and CHT) (Fig. 5b,c, Fig. S9a,e). Cholinergic motor neurons reside in both the hindbrain and spinal cord, but our hPSC-derived hindbrain motor neurons expressed hallmarks of hindbrain rhombomere 5/6 identity (HOXA1, HOXA3, PHOX2A, and PHOX2B)4–6,144, while minimally expressing spinal cord markers (HOXA5 and MNX1/HB9; Fig. 5d). These hindbrain motor neurons arose alongside smaller subsets of other ventral hindbrain neuron subtypes (Fig. S9f). In contrast, dorsal hindbrain progenitors exposed to the same neuron-inducing signals instead generated TLX3+ LBX1+ somatosensory-like neurons, which are crucial for sensory information reception and processing in vivo132,145 (Fig. 5b, Fig. S9g). In short, we generated hPSC-derived ventral and dorsal hindbrain neurons that continued to express rhombomere 5/6-specific markers.
hPSC-derived ventral hindbrain neurons were electrophysiologically active. They displayed spontaneous Ca2+ transients, as measured by GCaMP6f146 (Fig. 5e, Fig. S10a–c) and fired action potentials when injected with depolarizing currents (Fig. 5f) or optogenetically stimulated with the red-shifted excitatory opsin bReaChES147 (Fig. 5g, Fig. S10d). Similar results were observed with hPSC-derived dorsal hindbrain neurons (Fig. S10e–g). Posterior neural ectoderm thus provides a path to generate electrophysiologically-active hindbrain motor neurons in vitro.
Evolutionary conservation
Finally, given that anterior and posterior neural ectoderm arise within the gastrulating mouse embryo, do similar progenitors exist in other species (Fig. 6a)? Building on past studies28,85,148–150, we found separate Otx+ Sox2+ anterior and Gbx+ Sox2+ posterior neural ectoderm populations in the gastrulating embryos of multiple vertebrate species, including macaque (Fig. 6b), chicken (Fig. 6c), and zebrafish (Fig. 6d). Multiplexed in situ staining of chicken and zebrafish embryos confirmed mutually-exclusive Otx2+ and Gbx2+ subsets of Sox2+ neural ectoderm cells (Fig. 6c,d). We additionally found that mutually-exclusive otx+ vs. gbx+ ectoderm arose during blastulation and gastrulation in a hemichordate lineage, the acorn worm Saccoglossus kowalevskii151 (Fig. 6e, Fig. S10h). Hemichordates are closely related to chordates, and shared a common ancestor ~550-600 million years ago with the other deuterostome species examined here152. Our discovery of posterior ectoderm in gastrulating acorn worms is notable, as our prior work revealed a hindbrain-like molecular program in this non-chordate species153. Taken together, these results intimate that two parallel ectodermal progenitors might be deeply evolutionarily conserved across deuterostomes.
Figure 6: Evolutionary conservation of anterior and posterior ectoderm.
A) Summary of evolutionary relationships.
B) Single-cell RNA-sequencing of gastrulating macaque embryo (Carnegie Stage 9 [CS9]; embryonic day 23 [E23]); analysis performed on a previously-published resource 170. Neural ectoderm cells are shown.
C) Single-cell RNA-sequencing of gastrulating chicken embryo (Hamburger-Hamilton stage 5 [HH5]); analysis performed on a previously-published resource 171. Neural ectoderm cells are shown (top). In situ staining of HH5 stage chicken embryo. Scale: 500 μm (bottom).
D) Single-cell RNA-sequencing of gastrulating zebrafish embryo (8 hours post-fertilization [h.p.f.], 75% epiboly); analysis performed on a previously-published resource 172. Neural ectoderm cells are shown (top). In situ staining of 8 h.p.f. zebrafish embryo, scale bar: 50 μm (bottom).
E) In situ staining of gastrulating acorn worm embryo. A maximum intensity projection of optical sections focusing on the ectoderm is shown. Scale: 100 μm.
Staining was performed on a single embryo of each species.
Discussion
At the crux of this work is the question of when forebrain/midbrain vs. hindbrain identities become separated during embryonic development. In one model, neural ectoderm represents a common progenitor for the entire brain20–25. By contrast, classical fate maps suggested that even as early as gastrulation, distinct neural ectoderm cells are already fated to form different brain regions26–30. However, these pioneering fate mapping studies did not test whether neural ectoderm cells are already committed to form specific brain regions (which requires the ability to isolate neural ectoderm cells and challenge them in various conditions) nor the genomic mechanisms underlying lineage restriction. Our data suggest that anterior and posterior neural ectoderm are already committed to form different brain regions in vitro. When challenged with hindbrain-inducing signals in vitro, hPSC-derived anterior neural ectoderm cannot “transdifferentiate” into hindbrain. Reciprocally, hPSC-derived posterior neural ectoderm cannot “transdifferentiate” into forebrain/midbrain. Mechanistically, hPSC-derived anterior and posterior neural ectoderm harbor divergent accessible chromatin landscapes, which foreshadow their different lineage potentials and furthermore resist inappropriate lineage-inducing signals.
More broadly speaking, our work relates to the longstanding question in developmental biology of how and when different regions of the central nervous system diversify from one another. Important studies have challenged the assumption that there is a common central nervous system progenitor, and have instead discovered separate progenitors to the brain vs. spinal cord (the latter called “neuromesoderm”)25,92–102. There are thus separate anterior (brain-specific) and posterior (spinal cord-specific) precursors that form the central nervous system25,92–102. We suggest further complexity: although the brain is often construed as a single organ, the brain may itself derive from two parallel progenitors that emerge early in development and that respectively form the forebrain/midbrain vs. the hindbrain. Analogously, the heart derives from two parallel progenitors, the first and second heart fields, which converge to form a single organ154. Taken together, the central nervous system may arise from the coalescence of multiple region-specific progenitors that separately give rise to the forebrain/midbrain (anterior neural ectoderm), hindbrain (posterior neural ectoderm), and spinal cord (neuromesoderm25,92–102). However, our results cannot exclude the possibility that a “pan-brain” progenitor exists for a very brief duration in vivo, between the emergence of the ectoderm germ layer (~E6.75-E7.0)16 and the bifurcation of anterior vs. posterior neural ectoderm (~E7.5).
Classical embryological studies generally support our model that anterior and posterior neural ectoderm represent parallel progenitors. Early forebrain and midbrain—which are both anterior neural ectoderm-derived lineages—can interconvert in vivo if confronted with various experimental conditions; however, in these studies, forebrain and midbrain could not apparently adopt hindbrain identity155–158. Therefore, anterior and posterior neural ectoderm cannot readily interconvert under normal conditions. However, earlier perturbations that may affect the initial emergence of anterior vs. posterior neural ectoderm during gastrulation—such as manipulating transcription factors that specify anterior vs. posterior neural ectoderm identity (e.g., Otx2)159,160 or deleting Fgf8 (which is required for posterior neural ectoderm formation)30,84—alters the subsequent acquisition of midbrain vs. hindbrain identities in vivo. Perturbing early anterior and posterior neural ectoderm specification thus impacts the development of their downstream progeny. However, it remains to be determined whether anterior and posterior neural ectoderm are lineage committed in vivo; this is technically challenging, as it would entail transplanting purified, labeled populations of these progenitor cells into ectopic locations in the gastrulating mammalian embryo.
We find that the fundamental bifurcation between anterior vs. posterior neural ectoderm occurs surprisingly early, within the first 2 days of hPSC differentiation, long preceding the emergence of classically-defined neural progenitors or neurons. This parallels how these anterior vs. posterior neural ectoderm rapidly arise from pluripotent cells in vivo within 2 days, between E5.5 to E7.5. Influential studies previously demonstrated that hPSCs can be differentiated into two different types of anterior vs. posterior neural progenitor within 2 weeks in vitro, which express the classical neural progenitor markers PAX6 and SOX1161,162. However, the bifurcation of anterior vs. posterior neural ectoderm occurs earlier during development, taking place during gastrulation and preceding the expression of neural progenitor markers Pax6 or Sox172,163 at later developmental stages.
Defining and manipulating the early fundamental lineage decision between anterior vs. posterior neural ectoderm is paramount to precisely direct stem cells toward a hindbrain developmental path, in preference to a forebrain/midbrain lineage. If this early time window is missed, and differentiating stem cells proceed down the “wrong” developmental track, they cannot seem to readily crossover to adopt a different brain regional identity. This emphasizes the importance of the early bifurcation of anterior vs. posterior neural ectoderm, and reveals hitherto-cryptic diversity among the earliest human neural ectoderm cells in vitro.
Posterior neural ectoderm provides a platform to subsequently generate certain types of hindbrain neuron in vitro. We find that prevailing signals used to differentiate hPSCs towards neural fates (BMP, TGFβ, and WNT inhibition)34–37,75,164–168 generate anterior neural ectoderm, explaining the past success that the field has enjoyed in creating forebrain and midbrain neurons1–3. Conversely, we found that simultaneous FGF and RA activation alongside neural induction signals (BMP, TGFβ, and WNT inhibition) specified posterior neural ectoderm. We subsequently differentiated these precursors into hindbrain progenitors and hindbrain motor neurons corresponding to rhombomeres 5/6, which were electrophysiologically active and expressed defining hindbrain-specific transcription factors (PHOX2A, PHOX2B and anterior HOX genes)4–6,144 and acetylcholine pathway genes. This thus complements past work that successfully differentiated hPSCs into other types of hindbrain neuron43,46,58–69. In particular, the ability to create human rhombomere 5/6-specific motor neurons—which are crucial for swallowing in vivo—could provide a powerful platform to study SMA, ALS, and other neurodegenerative diseases wherein impaired swallowing can lead to choking and death9–11. More broadly, the hindbrain is essential for breathing, eating, sleep, wakefulness, and other life-critical functions4–6, and the ability to create human hindbrain neurons holds promise for modeling other deadly diseases that affect the hindbrain7,8.
Our results clearly show that recapitulating the initial bifurcation of anterior vs. posterior neural ectoderm is critical to differentiate hPSCs into neurons in a manner that reflects anterior-posterior regional identities (e.g., forebrain, midbrain, or hindbrain). Separate anterior and posterior ectoderm populations arise during gastrulation across deuterostome species as diverse as acorn worm, zebrafish, chicken, mouse, and primate, implying that this distinction between two different types of ectoderm predates the origins of chordates and arose ~550-600 million years ago152. We conclude that the emerging notion of two parallel brain progenitors has ramifications for development, differentiation, and evolution.
Supplementary Material
Acknowledgements
We thank James Li, Bruce Conklin, Teni Anbarchian, Roel Nusse, Fabian Suchy, Hiromitsu Nakauchi, Andrew Elefanty, Edouard Stanley, and Elizabeth Ng for sharing reagents. We also thank Siva Vijayakumar, Benjamin Woodruff, Chiara Anselmi, Ayelet Voskoboynik, and Andrew Petkovic for contributing to experiments, and William Talbot, Aaron Zorn, Kenneth Campbell, Robb Krumlauf, Philip Beachy, Carla Shatz, John Day, Alexander Pollen, Tomasz Nowakowski, Lay Teng Ang, and Nobuko Uchida for advice. Infrastructure support was provided by Valerie Park, Liying Ou, Kitty Lee, Catherine Carswell-Crumpton, Patricia Lovelace, Laura Dunkin-Hubby, and the Stanford Institute for Stem Cell Biology & Regenerative Medicine, Stem Cell FACS Core Facility, Veterinary Service Center, Cell Sciences Imaging Facility, and Diabetes Research Center (NIH P30DK116074). This work was supported by the NIH (DP5OD024558 [K.M.L.], DP2GM146258 [D.E.W.], R00GM121852 [D.E.W.], R01DK115728 [K.C.G.], R01DE027538 [M.E.B.], T32GM119995 [C.E.D.], T32GM007365 [R.T.J.], T32GM007790 [R.T.J.], and F31DE031154 [H.A.U.]), NSF (IOS1656628 [C.J.L.]), CIRM (TB1-01195 [R.E.A.S.], EDUC2-12677 [A.S.P.]), Spinal Muscular Atrophy Foundation (K.M.L.), Stanford MCHRI, Beckman and Ludwig Centers (K.M.L.), Siebel Stem Cell Institute (K.M.L.), Stinehart-Reed Seed Grant (K.M.L.), Anonymous, Fickel and Gilbert families (K.M.L.), Gatsby Charitable Foundation (M.M.), Howard Hughes Medical Institute (M.M. and K.C.G.), Ford Foundation, Stanford Graduate, and Stanford DARE Fellowships (C.E.D.), Stanford Medical Scholars Research Program (R.T.J.), Yale Saybrook College and Stacey Leondis Fellowships (C.X.), and Stanford MCHRI and Dean’s Postdoctoral Fellowships (Y.Q.). K.M.L. was supported as a Packard Foundation Fellow, Pew Scholar, Baxter Foundation Faculty Scholar, Human Frontier Science Program Young Investigator (RGY0069/2019) and Anthony DiGenova Endowed Faculty Scholar.
Footnotes
Competing interests
Stanford University has filed patent applications related to neural differentiation.
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