Abstract
Cellular decisions of self-renewal or differentiation arise from integration and reciprocal titration of numerous regulatory networks. Notch and Wnt/β-Catenin signaling often intersect in stem and progenitor cells and regulate one another transcriptionally. The biological outcome of signaling through each pathway often depends on the context and timing as cells progress through stages of differentiation. Here, we show that membrane-bound Notch physically associates with unphosphorylated (active) β-Catenin in stem and colon cancer cells and negatively regulates post-translational accumulation of active β-Catenin protein. Notch-dependent regulation of β-Catenin protein did not require ligand-dependent membrane cleavage of Notch or the glycogen synthase kinase-3β-dependent activity of the β-catenin destruction complex. It did, however, require the endocytic adaptor protein, Numb, and lysosomal activity. This study reveals a previously unrecognized function of Notch in negatively titrating active β-Catenin protein levels in stem and progenitor cells.
Keywords: Notch, β-Catenin, Numb, stem cells, progenitors, cancer, DAPT, NSAID
Canonical Wnt signals are mediated by the transcriptional effector, β-Catenin. In the absence of Wnt signaling, β-Catenin is phosphorylated by a destruction complex of glycogen synthase kinase-3β (GSK3β), adenomatous polyposis coli (APC), and axin 1. Wnt signaling disrupts the destruction complex, allowing the unphosphorylated β-Catenin protein at the serine at residue 37 (Ser37) or threonine at residue 41 (Thr41) to accumulate and function as a co-activator for the transcription factor TCF/LEF 1.
The TCF/β-Catenin complex targets many genes that promote the cell cycle and simultaneously regulates transcription of some members of the Notch signaling pathway, establishing reciprocal interactions between Wnt and Notch signals 2,3. The canonical Notch signaling pathway is initiated when transmembrane ligands bind to the extracellular domain of transmembrane Notch receptors. This leads to cytoplasmic cleavage of the Notch intracellular domain (NICD) by γ-secretase and its rapid translocation to the nucleus. In the nucleus, Notch functions as a co-activator for the DNA-binding transcription factor RBP-J to activate Notch target genes, which often promote cellular differentiation 4.
We recently demonstrated that Notch1 antagonizes Wnt/β-Catenin signaling by reducing levels of active β-Catenin in cardiac progenitor cells (CPCs) 5, which represent a multipotent transient amplifying cell population. However, the mechanism of Notch’s negative regulation of β-Catenin protein and the breadth of this event in other stem cell types were unknown.
To determine if Notch negatively regulates β-Catenin protein levels in stem cells, we used a Notch1 siRNA to decrease Notch1 levels in E14 embryonic stem cells (ESCs). We found that reduced Notch1 levels did not noticeably affect the levels of total or N-terminal phosphorylated (Ser37) β-Catenin protein but resulted in an increase in the dephosphorylated, transcriptionally active form of β-Catenin protein (Fig. 1a). The active form of β-Catenin normally constitutes a small fraction of total β-Catenin and was detected with antibodies that specifically recognize dephosphorylated β-Catenin at Ser37 and Thr41 6. In agreement with this finding, knockdown (KD) of Notch1 in ESCs showed significantly more TCF/β-Catenin-dependent luciferase activity than controls (Fig. 1b, s1). Interestingly, knocking down transcripts of all four Notch receptors (Notch1, 2, 3, 4) by applying Notch1–4 siRNAs further increased β-Catenin activity but the degree of increase was mild (Fig. 1b, s1). This indicates that Notch1 is the predominant Notch receptor for this event in ESCs, consistent with the high level of Notch1 in ESCs 7. The increase in TCF/β-Catenin-dependent luciferase activity was also observed in Notch siRNA-treated neural stem cells (NSCs) (Fig. 1c) and in mouse CPCs lacking Notch1 in vivo and in vitro 5, suggesting that Notch1 may function to negatively regulate active β-Catenin levels in stem cell populations.
We next sought to determine if the regulation of β-Catenin protein occurs through the canonical Notch signaling pathway involving the transcription factor, RBP-J. We introduced an RBP-J-specific siRNA into ESCs to reduce RBP-J levels. Despite a ~70% KD of RBP-J mRNA (Fig. 1d), active β-Catenin levels were unchanged (Fig. 1e). To determine if RBP-J mediates the Notch regulation of β-Catenin in vivo, we deleted Notch1 or RBP-J in CPCs by inter-crossing Notch1tm2Rko 8 (Notch1 floxed allele) or RBP-Jflox/flox mice 9 with mice containing Cre recombinase in the Isl1 locus (Isl1Cre) 10. Isl1 marks an undifferentiated pool of CPCs 11, whose expansion depends on Wnt/β-Catenin signaling 12,13. Unlike embryos with a Notch1 deletion, the resulting RBP-J mutant embryos showed no expansion of CPCs (Fig. 1f). These data suggested that Notch-mediated regulation of active β-Catenin protein in ESCs and CPCs did not involve RBP-J-dependent transcriptional regulation.
RBP-J-independent Notch signaling has been described in vertebrates and invertebrates 14 and is thought to involve Notch-mediated transcription through other DNA-binding proteins. However, quantitative PCR (qPCR) revealed that levels of β-Catenin transcripts were not altered in Notch1 KD ESCs, although Axin2 and Cyclin D1, direct targets of TCF/β-Catenin 15,16, were significantly upregulated in Notch1 KD cells (Fig. 2a). This raised the possibility that Notch affects β-Catenin protein at the post-translational level. Since the key step in activation of Wnt signaling is regulation of the amount and localization of β-Catenin by GSK3β-dependent phosphorylation of its N-terminus in an APC-based destruction complex, we investigated whether the effects of Notch were mediated by this complex. We first confirmed that a pharmacological GSK3β inhibitor, 6-bromoindirubin-3′-oxime (BIO) specifically inhibits GSK3β activity and inactivates the destruction complex 17, resulting in the accumulation of active β-Catenin (Fig. s2). Overexpression of the Notch1 intracellular domain (N1ICD) in ESCs reduced active and total β-Catenin protein levels, but not mRNA, and decreased its activity in the presence of BIO (Figs. 2b, c). The decrease was also evident in ESCs deficient for RBP-J or Mastermind-like (MAML), an essential co-transcriptional regulator for Notch signaling 18 (Fig. 2c), providing additional evidence that Notch negatively regulates β-Catenin in a transcription-independent fashion. Furthermore, reduced levels of Notch1 increased β-Catenin activity even beyond that seen in BIO-treated ESCs (Fig. 2d). This suggested that Notch-mediated negative regulation of β-Catenin protein in vitro is independent of GSK3β activity.
To determine if Notch could suppress β-Catenin activity in vivo, independent of GSK3β activity, we expressed a form of β-Catenin that cannot be degraded by the destruction complex, with or without Notch1, in the domain of precardiac mesoderm. This was done by crossing Isl1Cre mice with β-Catenin(ex3)loxP; Gt(ROSA)26Sortm1(Notch1)Dam/J mice. The β-Catenin(ex3)loxP allele contains loxP sites surrounding exon 3 of β-catenin that encodes amino acids required for GSK3β-mediated degradation, generating stabilized β-Catenin upon Cre expression 19, and the Gt(ROSA)26Sortm1(Notch1)Dam/J allele contains a loxP-stop-loxP sequence before Notch1 in the Rosa locus, allowing tissue-specific overexpression of Notch1 upon Cre expression 20. Co-expression of stabilized β-Catenin and Notch1 completely rescued the abnormal expansion of precardiac mesoderm induced by activated β-Catenin alone (Fig. 2e). Immunochemical analyses revealed that β-Catenin protein levels were increased in the domains of Isl1Cre expression (pharyngeal mesoderm, ectoderm and endoderm) in β-Catenin(ex3)loxP mice, but were reduced close to baseline levels upon Notch1 expression in the same domains (Fig. 2f). These findings provide evidence that Notch can negatively titrate β-Catenin protein levels in vivo, independent of GSK3β activity, and thereby regulate expansion of progenitor cells.
Given that Notch expression did not require GSK3β activity to regulate β-Catenin protein, we examined if Notch modulates active β-Catenin protein levels through a direct physical interaction. We expressed N1ICD in ESCs by transfecting cells with a Myc-tagged N1ICD construct and performed co-immunoprecipitation (Co-IP) assays with anti-Myc antibodies with or without BIO. Comparable introduction of control Myc and Myc-N1ICD constructs into ESCs was confirmed by qPCR (Fig. s3). We did not detect an interaction of endogenous β-Catenin with Notch1 in the absence of BIO (Fig. 2g). However, when treated with BIO, which greatly increases active β-Catenin levels by inactivating the destruction complex, Notch1 co-precipitated with endogenous β-Catenin (Fig. 2g), but not with APC, Axin, Gsk3β or TrCP (Fig. s4). This suggested that Notch might selectively interact with active β-Catenin, whose levels are normally very low in ESCs. To investigate this possibility further, we used a human colon cancer cell line, SW480, which contains high levels of active β-Catenin due to an APC mutation that causes colon cancer 21. When expressed in SW480 cells, Notch strongly associated with endogenous β-Catenin even without BIO treatment (Fig. 2g). Further analysis of the precipitated β-Catenin confirmed enrichment of active β-Catenin, but not of N-terminal phosphorylated β-Catenin (Fig. 2h). These data suggest that Notch physically associates with the active form of β-Catenin, although we cannot exclude the possibility that interaction with the phosphorylated form is below the level of detection.
Next, we mapped the domains of Notch responsible for β-Catenin association by performing Co-IP experiments with a series of truncated Notch mutants that lacked the extracellular domain 22 (Fig. 2i). We found that Notch mutants lacking the RAM domain had limited association with β-Catenin (Fig. 2j). To determine if the RAM domain, also required for RBP-J interaction 23, was necessary for Notch regulation of β-Catenin transcriptional activity, we expressed control and mutant Notch constructs in BIO-treated ESCs with the β-Catenin luciferase reporter. In agreement with the Co-IP result, deleting the RAM domain significantly compromised Notch’s ability to repress β-Catenin activity (Fig. 2k). Interestingly, Notch without the transactivation or PEST domains also showed reduced repressive activity, implying these domains also contribute to repression (Fig. 2k).
The overexpression of N1ICD results in excessive cytoplasmic accumulation as well as nuclear localization (Fig. s5). We therefore investigated whether ligand-dependent cleavage of Notch to free the NICD, which is essential for canonical Notch signaling, was necessary for the Notch regulation of active β-Catenin protein, or if membrane-bound Notch was sufficient.
Notch1 intracellular cleavage occurs between amino acids G1743 and V1744 in a highly conserved manner; mutations of V1744 (V1744K or V1744L) block intracellular cleavage, leaving Notch tethered to the membrane 24 (Fig. 3a). We confirmed that the tethered form of Notch (V1744L) remained uncleaved in ESCs and exhibited negligible levels of Notch/RBP-J-dependent luciferase activity (Fig. 3a, b). Surprisingly, expression of the tethered forms of Notch in ESCs decreased β-Catenin transcriptional activity comparable to the repression mediated by the well-known Wnt inhibitor, Dkk1 (Fig. 3c). The tethered Notch-mediated repression occurred independent of RBP-J (Fig. s6). In addition, endogenous active β-Catenin immunoprecipitated with the tethered form of Notch (Figs. 3d) in the presence of BIO. In agreement with the Co-IP result, active and total β-Catenin protein levels were considerably lower in cells with the tethered form of Notch (Fig. 3e).
Membrane-bound Notch has no transcriptional activity and would conventionally be considered biologically inert. To determine if negative titration of active β-Catenin protein by membrane-bound Notch has biological consequences, we assayed the effects of tethered Notch on Wnt-dependent differentiation of ESCs to mesoderm 25. We expressed tethered Notch (V1744) in early embryoid bodies (before induction of mesodermal cells) derived from ESCs containing GFP in the endogenous mesoderm-specific Brachyury (Bry) gene 26. Fluorescence-activated cell sorting revealed that the number of Bry+ cells was significantly reduced upon expression of tethered Notch. This occurred with or without BIO (Fig. 3f). This result indicates that membrane-bound Notch can negatively titrate a cellular response mediated by Wnt/β-Catenin signaling in stem cells.
To determine if endogenous membrane-bound Notch negatively regulates active β-Catenin protein, we blocked Notch endoproteolysis, which is mediated by the presenilin-γ-secretase complex 27. We found that mouse ESCs treated with the γ-secretase inhibitor (GSI), DAPT 28, had a significant reduction of active β-Catenin activity and protein levels in a dose-dependent fashion (Figs. 3g, h). This trend was also observed in hESCs, NSCs and bone marrow mesenchymal stem cells (Figs. 3g, h) and, importantly, occurred in the absence of any overexpression. The number of Bry+ cells was also decreased in embryoid bodies when treated with DAPT (Fig. 3i). Similarly, blocking α-secretase activity, required for ligand-mediated cleavage of the Notch extracellular domain, resulted in a significant reduction of active β-Catenin activity (Fig. 3j). To further test the ligand-independent function of Notch, we utilized Notch1lbd/lbd ESCs where endogenous Notch1 lacks the 11 and 12th EGF repeats required for ligand binding 29. When stimulated with Wnt3a, we found that Notch1lbd/lbd ESCs exhibited significantly lower β-Catenin-dependent luciferase activity than controls (Fig. 3k).
Membrane-bound Notch is regulated by endosomal sorting pathways, leading to either recycling or lysosomal degradation 30. In Drosophila, the conserved endocytic adaptor protein Numb, which is present as two orthologues, Numb and Numb-like (Numbl) in mammals, negatively regulates Notch 31,32. As one mechanism, Numb inhibits Notch signaling by trafficking membrane-bound Notch into the lysosome for degradation 33. We found that endogenous Numb was also co-immunoprecipitated with the tethered form of Notch (Fig. 4a), suggesting Numb may be involved in Notch-mediated degradation of active β-Catenin.
To determine if Numb activity was required for degradation of active β-Catenin complexed with membrane-bound Notch, we knocked down Numb and Numbl with siRNAs in ESCs in the presence of the tethered form of Notch (V1744L). Tethered Notch was unable to repress β-Catenin transcriptional activity in Numb and Numbl-deficient ESCs (Fig. 4b). In agreement with this finding, knockdown of Numb and Numbl abrogated the ability of tethered Notch to lower active β-Catenin protein levels (Fig. 4c). Similarly, Numb and Numbl-deficiency relieved repression of β-Catenin activity observed upon overexpression of N1ICD (Fig. 4b).
These data suggested that Numb and Numbl were involved in lysosomal trafficking of the Notch-β-Catenin complex for degradation. In agreement with this, inhibition of lysosomal activity with Bafilomycin A1, a potent and specific inhibitor of vacuolar proton ATPases 34, abrogated the DAPT-induced decrease in active β-Catenin protein in ESCs (Fig. 4d). Furthermore, immunocytochemistry revealed that tethered Notch1 (or NICD) and active β-Catenin co-localized with the lysosomal protein, Lamp1 (Fig. s7). These findings indicate that the Notch-β-Catenin complex is present in the lysosome and that lysosomal activity is important for the Notch-mediated decrease in active β-Catenin.
Extrapolating our results from stem/progenitor cells, we hypothesized that membrane-bound Notch could affect β-Catenin levels in APC-mutated human cancer cells containing elevated active β-Catenin protein. We knocked down Notch 1–4 in SW480 human colorectal cancer cells and found a prominent increase in active β-Catenin protein levels (Fig. 5a). This result provided additional evidence for regulation of β-Catenin by Notch, independent of the destruction complex. Conversely, treatment of two human colorectal cancer cell lines, SW480 and HT-29, with DAPT, which chemically prevents NICD cleavage, resulted in a paradoxical dose-dependent decrease in TCF/β-Catenin-dependent transcriptional activity, β-Catenin protein, and a decrease in cell expansion (Fig. 5b–d). Proteasome inhibitors that block the destruction complex-mediated degradation of β-Catenin resulted in increased active β-Catenin levels but failed to prevent the Notch-mediated decrease in β-Catenin protein (Fig. 5e). This indicates that Notch regulation of β-Catenin protein is unlikely proteasome-mediated and supports the earlier evidence showing Numb-dependence and potential involvement of the lysosome.
Chronic use of non-steroidal-anti-inflammatory drugs (NSAIDs) in humans has frequently been reported to lower the risk of developing primary and recurrent colorectal cancer 35,36. A subset of NSAIDs also has significant γ-secretase inhibitory (GSI) activity 37, and we correspondingly found that ibuprofen induced a dose-dependent decrease of canonical Notch transcriptional activity, determined by Notch/RBP-J-dependent luciferase activity in SW480 cells (Fig. 5f). Ibuprofen treatment also lowered levels of active β-Catenin transcriptional activity and protein (Fig. 5g, h). Importantly, the reduction of β-Catenin protein levels upon Ibuprofen treatment of cancer cells was not observed after knockdown of Notch1-4 (Fig. 5i). This suggests that NSAIDs act, at least in part, through Notch to decrease active β-Catenin protein levels, and this regulation may contribute to the overall protective effects of NSAIDs on colorectal cancers. This result is consistent with the observation that GSI treatment in APC mutant mice reduces proliferating adenomas in the intestine 38,39.
In the present study, we show that Notch negatively regulates protein levels of active β-Catenin in a post-translational manner and thereby serves to titrate Wnt/β-Catenin signaling in stem and progenitor cells (Fig. 5j). In our experiments, the interaction between these two critical regulatory proteins did not require ligand-dependent cleavage of Notch, and membrane-bound Notch could form a complex with the active form of β-Catenin. This was observed in cells with active Wnt signaling, where inactivation of the destruction complex resulted in higher levels of active β-Catenin. Thus, in the presence of Wnt signaling, Notch might serve to titrate active β-Catenin levels to temper the proliferative state of expanding cells and affect cellular decisions.
While NICD can interact with β-Catenin in the cytosol and co-localizes with the lysosomal marker upon overexpression, this is unlikely to be its normal function given its low cytoplasmic levels under physiologic conditions. Instead, it may be the membrane-bound Notch that serves to titrate the active form of β-Catenin in cells responding to Wnt signaling. The evolutionary conservation of this process is striking, as Notch also interacts with Armadillo in endocytic vesicles in Drosophila and negatively regulates Wnt signaling 40.
Generally, GSIs, such as DAPT, mimic canonical Notch loss-of-function mutations. However, our findings suggest that GSI treatment paradoxically decreases Wnt/β-Catenin signals through membrane-bound Notch, which effectively reduces active β-Catenin levels and activity. Biochemical approaches to purify the Notch-β-Catenin complex may reveal the more precise mechanism by which Notch affects active β-Catenin accumulation/degradation and provide more specific approaches to disrupt or promote the Notch-β-Catenin interaction.
METHODS
Mouse Genetics and Cell Culture
The Isl1Cre; RBP-Jflox/flox or Isl1Cre; Notch1flox/flox embryos were obtained by crossing IslCre; RBP-Jflox/+ mice with RBP-Jflox/flox or Notch1tm2Rko mice, respectively 8,10. Isl1Cre; β-Catenin(ex3)loxP/+ or Isl1Cre; β-Catenin(ex3)loxP/+; Gt(ROSA)26Sortm1(Notch1)Dam/J embryos were obtained by crossing IslCre mice with β-Catenin(ex3)loxP/+, Gt(ROSA)26Sortm1(Notch1)Dam/J mice 20. Mouse ESCs (E14) were cultured on gelatin-coated tissue culture dishes with standard maintenance media (GMEM with 10% FBS with 1xESGRO (Chemicon), Glutamax, sodium pyruvate, MEM Non-Essential amino acid). Human ESCs were cultured on matrigel-coated dishes in mTesR (STEMCELL Technologies). SW480, HT-29, NE4C were cultured as suggested by ATCC.
Constructs, siRNA, Transfection, Gene Expression and Luciferase Assays
For Notch, RBP-J, MAML or Numb/Numbl knockdown experiments, Notch1-4, RBPSUH, MAML or Numb/Numbl On-TARGETplus SMARTpool (Dharmacon L-041110, L-044202, L-047867, L-046498, L-059179, L-007772 or L-046935/L-046983) or Block-iT Alexa Fluor Red (46-5, 318, Invitrogen) was used at concentrations of 50, 100, or 150 nM for cell transfection. Tethered and truncated forms of Notch1 constructs were kindly provided by Drs. R. Kopan (Washington University, St. Louis, MO) and M. Nakafuku (Cincinnati Children’s Hospital, Cincinnati, OH), respectively. Active β-Catenin construct (S33Y) was obtained from Addgene. We used 75–100ng of the constructs to transfect 3×105 cells. Cells were transfected with Lipofectamine LTX (Invitrogen) or Lipofectamine 2000 (Invitrogen) in single-cell suspensions. For gene expression analysis, qPCR was performed with the ABI Prism system (7900HT, Applied Biosystems) with the following primers: β-Catenin (Mm01350394_m1), Cyclin D1 (Mm00432359_m1), Axin2 (00443610_m1), or Gapdh (Mm99999915_g1). All samples were run at least in triplicate. Real-time quantitative PCR data were normalized and standardized with SDS2.2 software. The constructs to measure Notch/RBP-J (JH23A) were kindly provided by Dr. N. Gaiano (Johns Hopkins University). For luciferase assays, Renilla was used as an internal normalization control.
Co-Immunoprecipitation, Western, and Immunochemistry Analyses
Cells were transfected with indicated constructs and cultured for 24 hours (with/without BIO, 2 μM). Cells were scraped off the 100-mm dish and lysed in 1 ml of lysis buffer (1 mM PMSF, 1 mM EDTA, 10 mM Tris-HCl, 0.1% Triton X100, 1x Complete Protease Inhibitor Cocktail (Roche) in PBS). The lysates were spun down, and 1 μg of anti-c-Myc antibody (Sigma, M4439) or anti-Flag antibody (Sigma, F1804) was added to 500 μl of the supernatant. A 50-50 mixture of protein A Sepharose (Amersham) and protein G Sepharose (Amersham) was added to the lysate/antibody mixture for immunoprecipitation for 1 hour. The resulting outputs were washed with lysis buffer and subjected to western blot analysis. For western blotting/immunochemistry, samples were analyzed using primary antibodies against active-β-Catenin (anti-ABC, 1:500, Millipore), phospho-β-Catenin (Ser33/37/Thr41, 1:1000), Axin1 (C7B12, 1:1000), GSK3β (27C10, 1:1000), FLAG (2368, 3768, 1:50), MYC (71D10, 1:200), APC (2504, 1:1000, Cell Signaling), Lamp1 (ab24170, 1:200), Numb (ab14140, 1:1000, Abcam), Isl1 (1:100, DSHB), Myc (9E10, 1:500, Stratagene), β-Catenin (sc-1496, 1:200), β-TrCP (C-18, 1:200), Gapdh (1:2000, Santa Cruz Biotechnology). Alexa 488 and 568 (1:200, Invitrogen) were used for secondary antibodies. Densitometry was carried out in Photoshop.
DAPT, Ibuprofen, Batimastat, Ilomastat, Bafilomycin A and BIO Treatment
Cells were treated with DAPT (CALBIOCHEM Cat#565784), ibuprofen (99% pure, Sigma), Batimastata (TOCRIS Cat#2961), Ilomastat (SIGMA Cat # M5939), Bafilomycin A1(TOCRIS Cat#1334 ), or BIO (CALBIOCHEM Cat#361550) at the indicated concentrations.
ESC Differentiation and Flow Cytometry
ESCs were trypsinized into single cells, and differentiated as standard embryoid bodies in 75% IMDM, 25% F12 supplimented with N2, and B27 suppliments. The Becton Dickinson FACS Calibur flow cytometer was used for quantifying Bry-GFP+cells.
Statistical Analyses
The two-tailed Student’s t-test, type II, was used for data analyses. P < 0.05 was considered significant.
Supplementary Material
Acknowledgments
We thank Drs. R. Kopan (Washington University, St. Louis, MO), M. Nakafuku (Cincinnati Children’s Hospital, Cincinnati, OH), T. Honjo (Kyoto University, Kyoto, Japan) and Dr. P. Stanley for providing tethered Notch constructs, Notch deletion constructs, RBP-Jflox mice and Notch1lbd/lbd ES cells (Albert Einstein College of Medicine), respectively. The authors thank G. Howard and S. Ordway for editorial assistance, Srivastava and Kwon lab members for helpful discussions, B. Taylor for assistance with manuscript and figure preparation, and B. Bruneau for critical reading of the manuscript. We also thank J. Fish and C. Miller in the Gladstone Histology core. C.K. was supported by grants from AHA Beginning Grant-in-Aid and NHLBI/NIH (1K99HL092234, 4R00HL09223); D.S. was supported by grants from NHLBI/NIH and the California Institute for Regenerative Medicine and the Younger Family Foundation. This work was supported by NIH/NCRR grant (C06 RR018928) to the Gladstone Institute.
Footnotes
Author Contributions C.K. designed, performed, supervised in vivo and in vitro work and wrote the manuscript. P.C. designed, performed in vivo and in vitro work and wrote the manuscript. I.N.K. performed Notch Co-IP and western analyses. P.A. cultured embryonic stem cells and performed luciferase assays. L.S. performed immunocytochemistry and confocal microscopy. V.N. isolated mesenchymal stem cells and performed western analyses. D.S. designed and supervised this work and wrote the manuscript.
Competing interests: D.S. serves on the scientific advisory board of iPierian Inc and RegeneRx Pharmaceuticals.
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