Abstract
Axis positioning and tissue determination during development involve coordinated expression of Hox genes throughout the body. The most posterior Hox gene clusters are involved in prostate organogenesis. In the present study, we characterized and compared the expression profiles of posterior (5′) Hox genes in the separate lobes of the adult rat prostate gland, the coagulating gland, seminal vesicles, and epididymis using quantitative real-time RT-PCR. These genes include Hoxa9–11, Hoxa13, Hoxd13, and Hoxb13. We identified a unique Hox code for each of these organs and propose that this contributes to the organ-specific and prostate lobe-specific identities in the adult rat. Using the ventral prostate (VP) as a model, we characterized the Hox genes expression patterns over time from birth through adulthood. Expression levels of the three Hox13 genes and Hoxa10 were significantly higher in the adult VP compared with the neonatal developing VP suggesting an important role during adult homeostasis. In contrast, Hoxa9 and Hoxa11 levels declined after morphogenesis suggesting a specific developmental role. Overall, the Hoxb13 gene exhibited the most striking temporal and organ-specific differences. Using in situ hybridization and immunohistochemistry, a distinct Hoxb13 anterior-to-posterior expression gradient was observed with the highest expression levels in the VP luminal epithelial cells, moderate levels in the lateral prostate, and low expression in the dorsal prostate. An expression gradient was also observed along the ductal length in all three prostate lobes with strongest expression at the distal tips and limited expression in the proximal ducts. After infection with a lentivirus expressing the Hoxb13 gene, NRP-152 cells cultured under nondifferentiating conditions exhibited robust cytokeratin 8 immunostain indicating that Hoxb13 expression drives luminal cell differentiation in the rat epithelium. Androgen regulation of prostatic Hox gene expression was examined during development in vitro and after castration in the adult rat. In the neonatal VP, all six Hox genes were significantly up-regulated by androgens, whereas none of the genes were affected by testosterone in the lateral prostate. In the adult rat, castration resulted in up-regulation of Hoxa9 and Hoxa13 in the VP and down-regulation of Hoxb13 in the dorsal prostate and lateral prostate. Taken together, we conclude that the prostatic Hox genes reach a destined expression level at specific developmental time points in the prostate gland and possess differential androgenic regulation in a temporal and lobe-specific manner. We suggest that this timely Hox code participates in determining lobe-specific prostatic identity and cellular differentiation.
Axis positioning and tissue determination during development involve the coordinated expression, function, and interplay of a superfamily of homeobox genes. These master regulatory genes encode transcription factors that contain a highly conserved polypeptide segment, designated the homeodomain, which binds to regulatory regions of target genes (1). The most extensively studied members of this superfamily are the Hox genes, which determine patterning and tissue specification in body regions from Drosophila to humans. In mammals, gene duplication has led to four Hox clusters (a, b, c, and d) on separate chromosomes encoding a total of 39 genes (2). Similar genes in the separate clusters are considered paralogs and frequently, although not always, have overlapping functions. Expression of the genes, from the 3′ to the 5′ end of each cluster, follows a pattern of spatial and temporal colinearity during embryogenesis. In general, the 3′ genes designate anterior regions, whereas the 5′ or posterior genes encode posterior regions. A generalized model for regional tissue specification exploits nested, partially overlapping expression of several genes in a Hox cluster to determine segment or tissue identity.
The anterior-to-posterior axis of the rodent male reproductive tract consists of the epididymis, vas deferens, seminal vesicles, coagulating gland, dorsal prostate, lateral prostate, ventral prostate gland, and bulbourethral glands. Although the epididymis, vas deferens, and seminal vesicle are derived from the mesodermal Wolffian ducts, the prostate and bulbourethral glands are of endodermal urogenital sinus (UGS) origin. The coagulating gland is a unique hybrid of UGS epithelium and Wolffian duct mesenchyme. Because the prostate gland is one of the most posterior organs in vertebrates, it was not unexpected that the Hox13 genes, the most posterior of the Hox clusters, are involved in prostate organogenesis (3). Individual studies with murine prostates have shown that Hoxa13 is highly expressed in the mesenchyme with lower epithelial expression (4), whereas Hoxd13 is localized to both epithelium and mesenchyme in the fetal and neonatal prostate (5, 6). Notably, both studies found a rapid decrease in expression during morphogenesis with low adult expression levels. In contrast, Hoxb13 localized exclusively to epithelial cells in the murine prostate and expression levels increased postnatally (7–9). To date, Hoxc13 has not been found in the prostate gland (10). Studies using null mutant mice for specific Hox13 paralogs have shown essential roles for these genes during prostate development. Hoxd13−/− mice exhibit reductions in size and ductal branching of all prostate lobes indicating a specific role in those developmental growth events (11). Although Hoxa13−/− mice are embryonic lethal, compound Hoxa13+/−/Hoxd13−/− mutants show severe prostatic growth defects (3) implying an essential role for Hoxa13 in prostate growth. This is supported by heterozygous hypodactyly mice with a Hoxa13 exon 1 deletion, which show hypomorphic prostate lobes (4). Targeted deletion of Hoxb13 resulted in aberrant epithelial differentiation and loss of secretory capacity in the mouse ventral prostate suggesting an important role in epithelial cell differentiation (9). One additional report showed low expression of Hoxa10 in the murine prostate during fetal life but no expression postnatally, suggesting that more anteriorly expressed Hox genes play a role during prostate development (12). However, no prostatic phenotype was found in Hoxa10−/− mice.
Although studies on HOX gene expression in the human prostate are limited, several reports on human prostate tissue and cell lines have shown the expression of HOX13 paralogs as well as several anterior HOX genes (10, 13–15). Although clear functions have not been ascribed to specific HOX genes in the adult prostate, research on human prostate cancer has identified the potential involvement of HOX gene dysregulation in human prostate cancers (14, 16–18). Based on these reports, it has been suggested that normal HOX expression is necessary for homeostasis of the gland.
Although autoregulation and crossregulation between Hox genes has been demonstrated (19), the factors that tightly regulate tissue-specific and temporal expression of Hox genes are not well understood. There is clear evidence, however, that Hox gene expression is regulated by steroids in specific structures (20). Most notably, retinoids regulate the expression of Hox genes during development with a particular emphasis on anterior Hox genes and a declining regulatory capacity for the posterior Hox genes (20, 21). Control of posterior Hox genes in the female reproductive tract has been found to be dynamically regulated by estrogens and progesterone and, under pathological conditions, by testosterone (20, 22, 23). Although Hoxb13 expression in the adult mouse prostate (7) and human prostate cancer cells (13) was found to be androgen-independent, hormonal regulation of other prostatic Hox genes has not been examined.
The rat prostate gland has been a traditional model for prostate research for several decades. Although direct analogies to the human prostate are not possible, the rat prostate gland is larger and more complex than the mouse prostate, making it a superior model for comparative studies (24). The rat prostate gland consists of three distinct prostate lobes, the dorsal (DP), lateral (LP), and ventral lobes (VP), with unique secretions (25–27) that serve as excellent models for tissue heterogeneity. All three lobes exhibit extensive and intricate branching patterns compared with the poorly branched murine prostate. Furthermore, although the LP is rudimentary in the mouse (24), the rat LP is complex with distinctive LP1 and LP2 branched structures (27). This is particularly significant because the LP is considered to most resemble the human prostate embryologically and histologically (28). The molecular basis for regional heterogeneity in the rat as well as human prostate is not well understood. Interestingly, the expression of Hox genes in the rat prostate gland has not been previously reported.
In the present study, we sought to characterize and compare the posterior (5′) Hox gene expression profiles in the separate adult rat prostate lobes with the goal of uncovering a molecular basis for prostate lobe-specific identity. Because the Hox13 paralogs have been identified as critical for prostate structures, we examined expression of all Hox13 genes using quantitative methods that permit direct comparisons of gene expression levels. In addition, prostatic expression of the more anterior Hoxa9, Hoxa10, and Hoxa11 genes was measured because they play an important role in anterior structures of the male reproductive tract (29). We also examined expression of these Hox genes in the coagulating gland, seminal vesicles, and epididymis to determine expression boundaries and similarities with adjacent anterior structures. Hox gene expression was further profiled from birth through adulthood in the rat VP to track changes in expression levels over development. Because an increasing gradient of Hoxb13 expression along the anterior to posterior reproductive tract axis was the most notable difference between tissues, its localization and function were examined in further detail. Finally, because prostate development and adult homeostasis is dependent on androgens, regulation of prostatic Hox gene expression by testosterone was evaluated during early development and in the mature gland. Our results identify unique Hox codes for each prostate lobe as well as regional and temporal differences in androgenic regulation that may explain, in part, regional tissue specification within the rat prostate gland.
Materials and Methods
Animals
All rats were handled in accordance with the principles and procedures of the Guiding Principles for the Care and Use of Animal Research and the experiments were approved by the Institutional Animal Care Utilization Committee. Timed pregnant female Sprague-Dawley rats were purchased from Zivic-Miller (Pittsburgh, PA), housed individually in a temperature (21 C) and light (14 h light, 10 h dark)-controlled room and given standard Purina rat chow (Ralston-Purina, St. Louis, MO) and water ad libitum. They were monitored daily for delivery of pups and the day of birth was designated as d 0. At d 23, male rats were weaned and housed as described previously with three animals per cage. For adult Hox gene studies, rats were killed on d 90 and the separate VP, DP, and LP lobes, the coagulating gland, seminal vesicles (fluid expressed), and entire epididymis were removed and snap-frozen in liquid nitrogen. For developmental studies, male rats were killed on d 1, 3, 6, 10, 30, or 90 of life (n = 3–10 for each time point) and the VP was removed and frozen in liquid nitrogen. For adult studies with testosterone withdrawal, d 90 rats were castrated through the scrotal route under ketamine/xylazine anesthesia (50 mg/kg Ketaset; Brisol Laboratories, Syracuse, NY; and 10 mg/kg Rompum; Mobay Corp., Shawnee, KS). Intact and 48-h castrated rats (n = 6 for each group) were killed by decapitation; prostate lobes were dissected and placed on ice before RNA extraction.
Prostate organ culture
For developmental regulation of Hox gene expression by androgens, short-term organ culture experiments were performed. VPs and LPs were isolated on the day of birth by manual dissection under a microscope and immediately cultured on Millicell-CM filters (Millipore Corp., Bedford, MA) floating in 2 ml nutrient medium in BD Falcon six-well plates (BD Biosciences, San Jose, CA). The basic organ culture medium (BOCM) consisted of DMEM/F-12 (Invitrogen/GIBCO, Carlsbad, CA), 50μg/ml gentamicin, and 1× insulin-transferrin-selenium (Invitrogen). One VP and LP lobe from each animal (n = 8) was individually cultured for 18 h in BOCM with OH-flutamide (Schering Corp., Bloomfield, NJ) to block endogenous androgen action while the contralateral lobe from each animal was individually cultured in BOCM with 10 nM testosterone (Sigma-Aldrich, St. Louis, MO). The VPs and LPs were cultured in a humidified 5% CO2 incubator for 18 h, which allowed sufficient time for gene expression responses to androgens while avoiding marked shifts in the mesenchymal/epithelial ratio observed with growth during extended culture. Culture was terminated at 18 h and RNA was immediately isolated from the individual prostate lobes for subsequent use in real-time RT-PCR. The assay was repeated 10 times with separate rats used for each assay.
Quantitative real-time RT-PCR
Two procedures were used for RNA extraction and RT depending on tissue volume. A standard assay for all adult tissues and for VPs on d 6 through 90 involved RNA extraction with Trizol (Invitrogen), DNase I digestion (Roche, Indianapolis, IN), and RT with avian myeloblastosis virus at 42 C for 60 min using the RT System (Promega, Madison, WI). For smaller tissues (all postnatal d 1, three tissues), RNeasy Mini Kit (Qiagen, Valencia, CA) was used for RNA extraction and On-Column DNase I digestion and RT with MMLV at 37 C for 60 min using First Strand cDNA Synthesis Kit (Fermentas Inc., Hanover, MD). Random primers were used for RT.
Real-time PCR was performed in duplex with Platinum qPCR Supermixture-UDG (Invitrogen) using an iCycler (Bio-Rad, Hercules, CA) as previously described (30). Reaction conditions were optimized for each gene and the cycle conditions were 95 C for 3 min and 40 cycles of 95 C for 15 sec and 60 C for 30 sec. The exon-spanning primers and dual-labeled probes are listed in Table 1. For dual-labeled probes, 5′ reporters were FAM for Hoxa9, Hoxa11, Hoxb13, and Hoxd13 and Hex for Rpl19. The 3′ quencher was a black hole quencher. SYBR green assay was performed for Hoxa10 and Hoxa13 and melting curve analysis confirmed the product specificity. A PCR product of 300 to 600 bp for each gene was cloned into PCRII plasmid (Invitrogen) and the identity of the inserts was confirmed by DNA sequencing. The plasmids were used for standard curves in each reaction to directly quantitate target DNA levels. Ribosomal protein L19 (Rpl19) was quantitated and served as an internal reference for normalization. Optical data obtained by real-time PCR was analyzed with the manufacturer’s software (iCycler Optical System Interface version 3.1). Each assay was repeated three to 11 times using different tissues.
TABLE 1.
Gene | Sequence | Amplicon size (bp) |
---|---|---|
Hoxa9 | ||
Forward primer | aggaagagtaccgaggcaag | 159 |
Reverse primer | taaatcactccgcacgctat | |
Probe | ctgcgcgatccctttgcataaa | |
Hoxa10 | ||
Forward primer | aggactccctgggcaattc | 83 |
Reverse primer | gtaagggcagcgtttcttcc | |
Hoxa11 | ||
Forward primer | gatctgcacccaaacctgag | 159 |
Reverse primer | caaccagcaaaacctctgga | |
Probe | ttctacctcccaatggtggtgatgg | |
Hoxa13 | ||
Forward primer | ctccccacctctggaagtc | 139 |
Reverse primer | ttcgtagcgtattcccgttc | |
Hoxb13 | ||
Forward primer | gatgtgctgccaaggtgaac | 83 |
Reverse primer | gaggagggtgctggacac | |
Probe | aaagcagcgtttgcagagcc | |
Hoxd13 | ||
Forward primer | tagccaacgggtggaaca | 125 |
Reverse primer | ccgacggtagacgcacat | |
Probe | tgtattgtgccaaggaccagccg | |
Rpl19 | ||
Forward primer | ggaagcctgtgactgtccat | 101 |
Reverse primer | ggcagtacccttcctcttcc | |
Probe | aagggcaggcatatgggcat |
In situ hybridization
The rat Hoxb13 RNA probe was prepared by cloning a 374 bp Hoxb13 PCR product into PCRII plasmid, which was confirmed by sequencing. To synthesize an antisense or sense RNA probe, plasmid DNA was linearized with HindIII or Xhol, respectively, and transcribed with T7 or SP6 RNA polymerase, respectively, using the DIG RNA Labeling Mix (Roche). Paraffin-embedded prostate complexes from d 10 and 30 rats and individual lobes from d 90 rats were sectioned (4 μm), deparaffinized in xylene, rehydrated with alcohol, and fixed in 4% paraformaldehyde for 10 min at room temperature. Tissue sections were digested with proteinase K (10 μg/ml, 37 C for 30 min) and acetylated with acetic anhydride. After prehybridization, each slide was hybridized for 16 to 20 h at 57 C in buffer containing 50% deionidized formamide, 10% dextran sulfate, 1× Denhardt’s solution, 10 mm Tris-HCl (pH 7.6), 600 mm NaCl, 0.25% sodium dodecyl sulfate, 1 mm EDTA, 2 mg/ml transfer RNA, 100 μg/ml sheared salmon DNA, and 2 μg/ml denatured digoxygenin-11-UTP-labeled cRNA probe. The slides were rinsed in 5 × SSC at 57 C for 10 min, washed twice in 50% formamide in 2× SSC at 57 C for 30 min, and twice in 0.2× SSC for 30 min at 57 C. After blocking with 1% blocking reagent, the slides were incubated with sheep anti-DIG fab′ antibody (1:1000; Roche) for 2 h at 37 C. After color development, the slides were dehydrated with alcohol, cleared with xylene, and cover-slipped with Permount (Fisher Scientific, Itasca, NY).
NRP-152 cell culture and lentiviral-Hoxb13 infection
The NRP-152 cell line was used to examine Hoxb13 function in vitro. NRP-152 cells originated from a Wistar-Lobund rat dorsolateral prostate, which spontaneously immortalized in culture (31). These androgen-responsive, nontumorigenic cells exhibit basal epithelial cell characteristics when cultured under normal growth conditions (high serum) and transdifferentiate to a luminal epithelial phenotype under growth-restrictive conditions (low serum) or with the addition of TGFβ1 (32). The NRP-152 cells used in this study (between passages 20 and 30) were grown in a 5% CO2 atmosphere at 37 C under normal growth conditions in GM2 (DMEM/F12, 5% fetal bovine serum, 0.1 μm dexamethasone, 5 μg/ml insulin, 20 μg/ml epidermal growth factor, 10 ng/ml cholera toxin) as described (31). Cultures were maintained at less than 70% confluence.
The plasmids for constructing a lentivirus, pHR′-CMV-EGFP, pCM-VDR8.2, and pMD.G, were kindly provided by Dr. Paul Rennie at University of British Columbia, Canada. The EGFP gene was removed from the pHR′-CMV-EGFP plasmid at BamH1-Kpn1. The protein-coding region of the human HOXb13 gene in pPROEXHTa plasmid (generously supplied by Dr. Charles Bieberich, University of Maryland) was cut by BamH1 and Kpn1 and inserted into the complementary site of pHR′-CMV-plasmid (without EGFP) to create a pHR′-CMV-Hoxb13 plasmid. The orientation of the construction was checked by endorestriction enzyme digestion. The method for lentiviral preparation and viral titer estimation were prepared as described (33) with minor modifications. Briefly, 1.5 × 106 293T cells were seeded onto 10-cm plates and cotransfected the next day by lipofectamine 2000 (Invitrogen) with 10 mg of pHR′-CMV-Hoxb13 or pHR′-CMV-EGFP, 10 mg of pCMVDR8.2, and 5 mg of pMD.G for 12 to 16 h followed by a change in medium. The vector-conditioned medium was collected 72 h after transfection and the aliquots were stored at −70 C for future use.
NRP-152 cells were plated in either six-well plates or two-chamber slides in GM2 medium for 24 h before infection with lentivirus. Several dilutions of virus at different multiplicity of infection containing 8 μg/ml polybrene (Sigma) were added to each well of cultured cells. The virus-containing medium was removed 20 h after infection and replaced with fresh GM2 medium. Seventy-two hours after infection, cells grown on six-well plates were trypsinized and processed for RNA isolation, whereas cells grown in two-chamber slides were washed with PBS and fixed for immunofluorescent staining.
To confirm infection of NRP-152 cells with Hoxb13-lentivirus, total RNA was extracted with RNeasy Kit (Qiagen, Valencia, CA) followed by RT with iScript cDNA Synthesis Kit (Bio-Rad). The resulting cDNA were subjected to end-point PCR. The length of the expected product and sequences of the primers set used were as follows: Hoxb13; 256 bp, 5′-TTCCCGTGGACAGTTACCAG-3′, and 5′-TTGCGCCTCTTGTCCTTAGT-3′; Rpl19; 585 bp, 5′-AGGCTACAGAAGAGGCTTGC-3′, and 5′-GACGCTTCATTTCTTGGTCTC-3′. PCRs were performed under the following conditions: 95 C for 2 min followed by 35 cycles of 95 C for 1 min, 57 C for 1 min, and 72 C for 2 min; and 72 C for 5 min. PCR products were analyzed by DNA electrophoresis in 1.5% agarose gel in 1× TAE buffer. Protein expression of Hoxb13 was confirmed by immunocytochemistry.
Immunocytochemistry and immunohistochemistry
NRP-152 were fixed in 4% paraformaldehyde/0.2% picric acid for 10 min and permeabilized with 0.1% Triton X-100 in PBS for 20 min. The cells were blocked with Superblock (Pierce, Rockford, IL) for 30 min and incubated overnight at 4 C with mouse antihuman cytokeratin (CK) 8 antibody (Jackson ImmunoResearch Laboratories, West Grove, PA) and rabbit anti-human Hoxb13 antibody (kindly supplied by Dr. Bieberich) at a 1:100 dilution. Cells were next incubated with Cy3-conjugated antimouse and fluorescein isothiocyanate-conjugated antirabbit secondary antibody (Jackson ImmunoResearch) at 37 C for 1 h and were washed with PBS/gelatin and deionized water. Coverslips were mounted with Vectashield containing DAPI (Vector Laboratories, Burlingame, CA) to visualize nuclei. Multichannel photographs of the fluorochrome-labeled slides were taken using a Carl Zeiss Axioskop and Zeiss black and white Axiocam digital camera (Carl Zeiss, New York, NY) with color rendition made in Adobe Photoshop.
Hoxb13 protein was localized in VP lobes taken from d 6, 10, and 30 rats using immunohistochemistry as previously described (34). In brief, frozen prostatic complexes were sectioned at 6 μm on Superfrost Plus slides (Fisher Scientific) and fixed in 2% paraformaldehyde. After treating with Superblock, sections were incubated overnight at 4 C with rabbit antihuman Hoxb13 antibody (1:2500). The primary antibody was reacted with biotinylated goat anti-rabbit IgG secondary antibody (Vector Laboratories) and detected with an avidin-biotin peroxidase kit (ABC-Elite; Vector Laboratories) using diaminobenzidine tetrachloride as a chromagen. The sections were counterstained with Gill’s no. 3 hematoxylin (1:4). For controls, 1 μg/ml normal rabbit IgG (Vector Laboratories) was substituted for primary antibody on separate sections to determine nonspecific binding.
Statistics
Real-time RT-PCR results were analyzed by two-tailed Student’s t test for two group comparisons or ANOVA for multiple group comparisons followed by Bonferroni post hoc tests (Instat version 3.01; GraphPad Software, Inc., San Diego, CA). Results are expressed as mean ± sem and P < 0.05 or less was accepted as significant.
Results
Expression of Hox genes in adult male accessory sex glands: organ-specific and prostate lobe-specific Hox codes
Real-time RT-PCR was used to quantitate Hoxa9–11, Hoxa13, Hoxd13, and Hoxb13 expression in d 90 intact rat epididymis, seminal vesicle, coagulating gland, DP, LP, and VP prostate lobes. The relative expression levels for each Hox gene in the different organs are shown in Fig. 1 (left panel). The Hox13 genes were most abundant in the prostate lobes and coagulating gland with decreased expression in the more anterior seminal vesicle and no expression in the epididymis. Most prominently, Hoxb13 was entirely restricted to the prostate with a striking decline from the posterior VP to the anterior coagulating gland. This supports the concept that Hoxb13 is involved in posterior prostate identity. In contrast to the Hox13 genes, the Hoxa9–11 genes were expressed at one to two lower orders of magnitude in the male accessory sex glands. Noteworthy is the observation that Hoxa9 expression was higher in the posterior prostate lobes, particularly the LP, and lowest in the more anterior epididymis. Additionally, Hoxa10 expression was similar in the epididymis, coagulating glands, and the dorsolateral prostate while lower in the seminal vesicles and VP. In contrast, Hoxa11 expression was similar across all accessory sex glands.
When comparing the Hox gene expression levels in the individual accessory sex glands, a unique Hox “code” was observed for each organ (Fig. 1, right panel). The most anterior structure, the Wolffian duct (mesodermal) -derived epididymis, was characterized by high expression of Hoxa10 and absence of all Hox13 genes. Moving posteriorly, the Wolffian-derived seminal vesicle had lower Hoxa10 expression, moderate Hoxa13, and strong Hoxd13 expression but no Hoxb13. The coagulating gland, derived embryonically from both the Wolffian duct and endodermal UGS, had a Hox code similar to the seminal vesicle with the addition of detectable but low levels of Hoxb13. The prostate lobes, derived entirely from the UGS, possessed Hox codes characterized by high levels of all Hox13 genes. Nonetheless, each lobe had distinct profiles with Hoxa13 and Hoxd13 expression declining and Hoxb13 expression increasing in the posterior direction. Thus, the DP had higher Hoxa13 and Hoxd13 levels and lower epithelial Hoxb13 levels than the LP and VP. Although the LP and VP possessed similar Hoxa13 and Hoxd13 levels, Hoxa9–11 expression was higher in the LP, whereas Hoxb13 expression was higher in the VP. The VP was unique with the highest Hoxb13 expression and the lowest levels of Hoxa9–11 among the three prostate lobes.
Hox gene expression patterns in the developing rat prostate
The ontogeny of Hox gene expression in the prostate gland was examined using the VP as a model as a result of its larger size and unique Hox code. As shown in Fig. 2, Hoxa9 and Hoxa11 expression was highest at d 1 to 3 of life and steadily declined thereafter to nadirs at d 10 and 30, respectively, where they remained through adulthood. In contrast, Hoxa10 and all Hox13 genes were expressed at low levels at birth and increased after morphogenesis, reaching high expression levels in adulthood. At that time, the Hox13 genes had over 10-fold higher expression levels than the Hoxa9–11 genes. Among the three Hox13 gene paralogs, the increase of Hoxa13 and Hoxd13 over development was two- to threefold, whereas Hoxb13 expression increased over 200-fold by adulthood. These differences may be in part a reflection of their differential localization because Hoxa13 and Hoxd13 are expressed in the stroma (4, 5), which increases minimally in total mass as the organ grows, whereas Hoxb13 is expressed exclusively in epithelial cells, which show a massive increase in number with development and growth.
Hoxb13 expression and localization in the separate prostate lobes
Because expression of the Hoxb13 gene exhibited the most striking temporal and organ-specific differences, its localization and function were examined in further detail. In situ hybridization was performed to characterize its spatial expression pattern over time in the individual prostate lobes. Although detected at low levels by RT-PCR as early as d 3 of life, Hoxb13 was first detectable in epithelial cells by in situ hybridization at d 10 with similar staining intensity within the VP, LP, and DP lobes (Fig. 3, A–C). By d 30 when luminal epithelial cells were fully differentiated, a distinct expression gradient was observed with the highest Hoxb13 expression in VP luminal epithelial cells, moderate levels in the LP, and low expression in the DP (Fig. 3, D–H). Furthermore, an expression gradient was observed along the ductal length in all three lobes with strongest expression at the distal tips and limited expression in the proximal ducts (Fig. 3I). Immunohistochemistry confirmed a similar temporal pattern with Hoxb13 protein localized to epithelial cell nuclei by d 10 and peak levels at d 30 of life (Fig. 3, J–L).
Hoxb13 expression drives differentiation of prostatic epithelial cells
The physiological function of Hoxb13 in controlling luminal differentiation of prostate epithelium was explored in the rat prostate epithelial cell line, NRP-152, which has stem cell behavior in vitro (32) and has the unique ability to develop normal prostatic organoids in tissue recombinants with UGM placed under the renal capsule (35). When grown in 5% serum, NRP-152 rat prostate epithelial cells possess a basal cell phenotype with localization of p63 and CK5/15 but lack CK8 and Hoxb13 gene expression by RT-PCR (Fig. 4A). To directly assess whether Hoxb13 plays a role in normal rat prostate epithelial cell differentiation, NRP-152 cells were infected with a lentivirus expressing the Hoxb13 gene. Confirmation of Hoxb13 infection was determined by end-point RT-PCR, which showed a strong Hoxb13 band in pHR′-CMV-Hoxb13-infected cells but no Hoxb13 DNA in control cells infected with pHR′-CMV-EGFP (Fig. 4C). Additionally, Hoxb13 protein was localized to nuclei of pHR′-CMV-Hoxb13-infected cells, whereas cells infected with the control pHR′-CMV-EGFP vector were negative for Hoxb13 protein (Fig. 4B). After 3 d of culture in nondifferentiating medium (GM2 with 5% serum), Hoxb13-infected and control cells were examined for evidence of luminal epithelial differentiation using CK8 as a luminal cell marker. Although control cells showed minimal staining for CK8, NRP-152 cells with forced expression of Hoxb13 protein exhibited robust CK8 immunostaining (Fig. 5, A and B). Because infection efficiency varied between 20% and 60% of cells, Hoxb13 protein and CK8 were colocalized in the pHR′-CMV-Hoxb13 infected NRP-152 cells. As shown in Fig. 5, C and D, cells with nuclear Hoxb13 protein also expressed cytoplasmic CK8, whereas noninfected cells were CK8-negative. These data support the premise that Hoxb13 expression drives luminal cell differentiation in the normal rat prostate epithelium.
Differential androgen regulation of prostatic Hox genes in the developing and adult prostate lobes
Regulation of Hox gene expression by androgens in the developing rat prostate was examined in short-term VP and LP organ cultures in the absence of androgen action (BOCM plus OH-flutamide) and the presence of 10 nM testosterone. Under these conditions, all of the Hox genes examined were significantly up-regulated by androgens in the VP (Fig. 6A). Of note, the Hoxa9 and Hoxa11 genes showed the greatest expression increase by androgens, whereas the Hox13 paralogs were only modestly increased after 18 h exposure to testosterone. In contrast, none of the examined Hox genes were affected by testosterone in the developing LP lobes (Fig. 6B).
Androgen regulation of the adult prostate Hox genes was examined by androgen removal by castration of rats at d 90. Because androgen levels reach a nadir within 24 h after castration (36), although marked protein, RNA, and DNA loss does not occur until after 48 h (37), prostate Hox gene expression was examined at 48 h after castration to avoid interpretation difficulties associated with involution. Importantly, lobe-specific affects of hormone withdrawal were observed. In contrast to developmental up-regulation by androgens, only Hoxa9 and Hoxa13 were affected by androgen removal in the VP (Fig. 7A). Interestingly, expression of both genes was increased by castration indicating that androgens down-regulate expression of these genes in the adult prostate. In the DP and LP, only Hoxb13 expression was affected by castration and because it was significantly reduced, this indicates that Hoxb13 is positively regulated by androgens in those lobes (Fig. 7, B and C). Although there was a trend for Hoxb13 reduction after castration in the VP, it was not significant.
Discussion
Hox genes play an important role during tissue specification in the body where they regulate cell proliferation and fate determination. Additionally, Hox genes are believed to be essential in the maintenance of homeostatis in adult structures. In the present study, we have identified specific and unique Hox codes for each of the prostate lobes and other accessory sex glands that contribute to the organ-specific and lobe-specific identities in the rat. Overall, this fits the paradigm that Hox gene combinations give rise to unique structures throughout the body. As previously demonstrated for the mouse (3–5, 7), the Hox13 paralogs are the predominantly expressed Hox genes in the rat prostate gland, although various combinations and levels of anterior Hox genes are also expressed. Similar findings in a human screen of HOX genes in adult organs noted expression of many anterior HOX genes in posterior structures, including the prostate, albeit at lower levels in the prostate than the Hox13 genes (10). It is notable in the present study that expression of the more anterior Hoxa9 gene peaked in the LP and was significantly lower in the more anterior epididymis, which suggests a more prominent role for Hoxa9 in lateral lobe development. It is also noteworthy that a strict colinear anterior-to-posterior gradient was not observed for several of the Hox genes. In particular, Hoxa10 initially declined from the epididymis to the posterior seminal vesicle but then rose in the more posterior prostate lobes, whereas Hoxa11 gene expression did not vary along the reproductive tract axis. Another important observation in the present study was that the dynamic expression of several Hox genes, including all Hox13 genes, increased after completion of development suggesting perhaps a more important role in maintaining the adult phenotype compared with a developmental role.
Although similar Hox genes are expressed in the rat and mouse prostate, their spatial and temporal patterns differed markedly between the species. A previous study in the mouse identified Hoxa10 in the prostate anlage before birth but no expression thereafter (12). The postnatal increase in Hoxa10 expression in the rat prostate is thus very dissimilar. In mouse prostate, Bushman et al. found that Hoxa13 and Hoxd13 expression levels decreased from birth to adulthood (4, 5), whereas the opposite was observed here for rat prostate. The relative levels of the Hox13 genes in the separate prostate lobes also appear to differ between the mouse and rat. In the present study, Hoxa13 and Hoxd13 expression peaked in the rat DP with an anterior boundary at the epididymis. In contrast, murine expression levels for these genes peaked in the seminal vesicles, not in the prostate gland, and was present in the epididymis (4, 11). Although a strict increasing anterior-to-posterior gradient in Hoxb13 expression was observed in the adult rat prostate lobes (7), equivalent expression levels were found in the mouse VP and LP, whereas the DP and coagulating gland had 2- to 3-fold lower expression (7). Furthermore, Hoxb13 expression was restricted to the VP during postnatal development in the murine prostate (9), whereas it was expressed at equivalent levels in the VP, DP, and LP at postnatal d 10 in the present study. We propose that these distinct differences in Hox gene expression levels and patterns between the two rodent species are critical factors in determining the morphological differences between their prostate lobes.
The present results determined that Hoxb13 expression has a distinct anterior boundary in the male reproductive tract with expression found only in structures derived from the UGS. Because the coagulating gland (also referred to as the anterior prostate) is derived from mesodermal mesenchyme and UGS epithelium, a low but detectable level of Hoxb13 expression was found in this structure. The strict increasing anterior-to-posterior expression gradient with the VP expressing the highest levels indicates that Hoxb13 expression is essential not only for prostate gland identity in general, but for posterior lobe characteristics in particular. It is interesting to note that HOXb13 is highly expressed in the human prostate gland and based on the peak expression in the rodent VP, it has been suggested that the VP may bear a greater resemblance to the human prostate gland than previously attributed (18).
Previous studies with transgenic Hoxb13 null mice indicated that this gene plays a critical role in epithelial cell differentiation because loss of secretory gene production and cell polarity were observed in the VP (9). Using an alternate approach with forced expression of Hoxb13 in a rat prostate basal epithelial cell line, the present findings confirm a critical developmental role for Hoxb13 in driving prostate epithelial cells into a differentiated luminal cell phenotype. Similar results were obtained with transfection of Hoxb13 in PC3 and LNCaP human prostate cancer cells where a shift toward a differentiated morphology was observed, suggesting a role for Hoxb13 in maintenance of luminal cell differentiation in the adult prostate (13, 16). Recent studies with epidermal cells (38) and kidney cells (39) also noted terminal differentiation after the introduction of the Hoxb13 gene indicating that Hoxb13 can promote differentiation in a variety of cells.
Androgens are essential and sufficient for prostate development and continued androgen levels are required throughout life for prostate gland homeostasis. In the present study, we observed that androgens increased the expression of all examined Hox genes in the developing rat VP, which suggests that androgenic regulation of these genes may specifically contribute to prostate morphogenesis. Interestingly, Hox gene expression was unaffected by androgens in the LP, which indicates a lobe-specific hormonal regulation of Hox genes. It has been previously shown that the LP is far less responsive to androgens than the VP (37, 40–44), and androgen-independent expression of Hox genes may be a contributing factor for the relative androgen independence in that lobe. In contrast to the developing prostate gland, the current findings show that Hox gene expression in the adult rat prostate lobes was less affected by androgens. Furthermore, the few androgenic effects observed were gene and lobe specific. In the VP, androgens appear to down-regulate adult expression of Hoxa9 and Hoxa13 because their expression levels increase on androgen withdrawal. In contrast, these genes were unaffected by androgen ablation in the DP and LP. Furthermore, Hoxb13 was significantly decreased in the DP and LP but only marginally affected by androgen removal in the VP, which suggests that androgens up-regulate Hoxb13 in a region-specific manner in the rat prostate gland. Previous studies with the murine prostate did not observe androgenic effects on Hoxb13 expression (7) and the present findings may reflect another specific difference in Hox gene expression.
In summary, we have identified unique Hox codes for the separate lobes of the rat prostate gland and the more anterior male reproductive tract organs and propose that this contributes to the organ-specific and prostate lobe-specific identity of these separate structures. Of particular importance, Hoxb13 is specifically involved in prostate gland identity within the male reproductive tract structures where it plays a critical role in epithelial cell differentiation to a luminal phenotype. Androgens regulate prostatic Hox gene expression in a lobe-specific manner during development and in a gene-specific manner in the adult prostate gland. We conclude that the prostatic Hox genes reach a destined expression level at specific developmental time points and suggest that this timely Hox code participates in determining lobe-specific prostatic identity and cellular differentiation.
Acknowledgments
This work was supported by National Institutes of Health Grant DK40890 (G.S.P.) and American Foundation of Urologic Disease (L.H.).
Abbreviations
- BOCM
Basic organ culture medium
- CK
cytokeratin
- DP
dorsal prostate
- LP
lateral prostate
- UGS
endodermal urogenital sinus
- VP
ventral prostate
Footnotes
Disclosure Statement: The authors have nothing to declare.
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