Abstract
GABAergic cortical interneurons underlie the complexity of neural circuits and are particularly numerous and diverse in humans. In rodents, cortical interneurons originate in the subpallial ganglionic eminences, but their developmental origins in humans are controversial. We characterized the developing human ganglionic eminences and found that the subventricular zone (SVZ) expanded massively during the early second trimester, becoming densely populated with neural stem cells and intermediate progenitor cells. In contrast with the cortex, most stem cells in the ganglionic eminence SVZ did not maintain radial fibers or orientation. The medial ganglionic eminence exhibited unique patterns of progenitor cell organization and clustering, and markers revealed that the caudal ganglionic eminence generated a greater proportion of cortical interneurons in humans than in rodents. On the basis of labeling of newborn neurons in slice culture and mapping of proliferating interneuron progenitors, we conclude that the vast majority of human cortical interneurons are produced in the ganglionic eminences, including an enormous contribution from non-epithelial SVZ stem cells.
The neurons of the cerebral cortex consist of two broad classes, excitatory and inhibitory. The inhibitory neurons or interneurons (we use the term interneuron in the cortex to refer to GABAergic, inhibitory neurons and it does not include the glutamatergic, spiny stellate neurons of layer IV; the terms cortical and cortex refer to the entire cortical wall, including germinal layers) are GABAergic, form local circuit connections and, in rodents, are generated in subcortical progenitor domains of the ventral telencephalon, primarily in the ganglionic eminences1. In humans, cortical interneurons are not only orders of magnitude more numerous than in rodents, but also appear to be more diverse. This raises fundamental questions regarding their origin and migration in the much larger developing human brain that have relevance for understanding interneuron-related disease states, including epilepsy, autism and schizophrenia.
In both the cortex and the ganglionic eminences, newborn neurons derive from neuroepithelial stem cells (radial glia) in the ventricular zone and intermediate progenitors in the SVZ2,3. Through asymmetric divisions, radial glia both self-renew and produce neuronal precursors, which can further proliferate before differentiating into neurons. A defined sequence of transcription factors governs the sustained production of neurons from progenitor cells. NOTCH signaling in radial glia activates the expression of HES proteins, which in turn repress proneural transcription factors. In their daughter cells, proneural factors such as ASCL1 (Mash1) direct the expression of NOTCH ligands, which reinforce stem cell maintenance in neighboring radial glia4. The combinatorial activities of regionally and temporally specified transcription factors, such as DLX2, NKX2-1 and LHX6 (which are involved in GABAergic neuron production5–9), determine the subtype of neuron into which daughter cells will differentiate (Fig. 1a).
The ganglionic eminences consist of three anatomical subdivisions, medial (MGE), lateral (LGE) and caudal (CGE), which are distinguished by molecular markers and the cell types that they produce. The MGE, marked by NKX2-1 expression, gives rise to pallidal projection neurons and to cortical and striatal interneurons8,10–13. The LGE is dorsal to the MGE and produces striatal projection neurons, olfactory bulb interneurons and possibly cortical interneurons13–16. The CGE, marked by abundant COUP-TFII (NR2F2) expression, includes caudal extensions of the MGE and LGE and generates subtypes of interneurons that are destined for cortex, hippocampus, amygdala and other limbic system nuclei, as well as caudal striatal and pallidal neurons17–19.
In the mouse, roughly 60–70% of cortical interneurons originate in the MGE, ~30% in the CGE and 5–10% in the preoptic area1,18,20, suggesting that reported contributions from other regions, such as the LGE and cortex15,21, are minimal in rodents. In humans, however, it has been proposed that as many as two-thirds of cortical interneurons are produced by cortical progenitors22, and additional studies have extended on this theme23–28. Whether these progenitors originate in the cortex, are ganglionic eminence–derived precursors that continue proliferating after entering the cortex or truly produce cortical interneurons remains uncertain.
We analyzed progenitor cells in the human fetal MGE, LGE and CGE, using nuclear and cytoplasmic markers to distinguish progenitor cell numbers, subtypes and morphologies. The ganglionic eminence SVZ expanded massively during the early second trimester of gestation. We found that a previously unknown type of non-epithelial neural stem cell lacking radial fibers underlies this expansion. We observed unique structural and patterning features of the human MGE, the production of cortical interneurons in the dorsal-most LGE, and a higher proportion of cortical interneurons produced by CGE-type progenitors than in rodent. Slice culture data and analysis of progenitor cell markers did not support the notion that a large proportion of human cortical interneurons are generated in the cortical wall.
RESULTS
OSVZ development in the MGE/LGE precedes that in the cortex
To better understand the origins of human cortical interneurons, we examined fetal brain tissues from the late first and early second trimesters (Supplementary Fig. 1), the temporal window during which many cortical neurons are produced, using regional and cell type–specific markers to immunolabel the progenitors of inhibitory neurons (Supplementary Table 1). We observed that the ganglionic eminences expanded markedly in size and cell number between post-conception week 8 (PCW8) and PCW14 (Fig. 1b). Neuroepithelial progenitors diminished over this period, with ventricular zone thickness in the MGE decreasing from an average of 102 ± 6 µm at PCW10 to 58 ± 4 µm at PCW12 (t17 = 5.7, P = 0.0001) and 45 ± 4 µm at PCW14 (t14 = 7.62, P = 0.00001) (Fig. 1c). Ventricular zone thinning was especially pronounced in the ventromedial MGE, which was reduced to just 25 µm thick by PCW14 (Fig. 1c). Ventricular zone thinning was also observed in the LGE from PCW10 to PCW12 (t15 = 4.62, P = 0.002) and PCW14 (t16 = 4.69, P = 0.002). In contrast, the SVZ greatly expanded during this interval, becoming densely populated with cells expressing SOX2 and ASCL1 (Fig. 1b,d), with the total MGE reaching a thickness of >2 mm by PCW14, 50-fold greater than the average thickness of the ventricular zone (Fig. 1b,c). These observations suggest that the majority of MGE-derived inhibitory neurons are produced by non-ventricular progenitors in the SVZ.
The overall configuration of proliferative zones in the human and macaque ganglionic eminences (Fig. 1b–d and Supplementary Fig. 2) resembled that described in the developing human and primate cortex3 and developing mouse ganglionic eminences29, with three compartments being distinguishable by their cellular components. First, the ventricular zone consisted primarily of cells that express markers of radial glial (neural stem) cells. Second, the inner SVZ (ISVZ, equivalent to the rodent SVZ1)29 was enriched with cells that express the markers of intermediate progenitors undergoing differentiation to the neuronal lineage (Fig. 1b–d). Third, the outer SVZ (OSVZ) was populated by both of these cell types, in addition to newborn and migrating neurons. The OSVZ is likely related evolutionarily to the rodent SVZ2 (ref. 29), with certain distinctions (Supplementary Fig. 3).
Despite these similarities to cortical germinal regions, SVZ development in the MGE bears two notable differences. First, OSVZ expansion occurred much earlier in the MGE than in cortex. The MGE OSVZ reached a thickness approaching 1 mm by PCW10 (Fig. 1d), whereas the cortical OSVZ had only begun to develop at PCW10 and does not acquire similar thickness until PCW14 (ref. 30). Second, cell bodies were dispersed in the cortical OSVZ, where much of the volume is occupied with axons and radial glial fibers—features lacking in the MGE OSVZ, where cell density was similar to the degree of packing observed in the ventricular zone and volumetric expansion was exclusively a function of increasing cell numbers.
The MGE OSVZ is enriched with neural stem cells
Next, we compared the OSVZ progenitor cell composition among the ganglionic eminence domains using markers of progenitor type and proliferation9,29. The MGE (marked by intense NKX2-1 staining) and the CGE (marked by intense COUP-TFII staining) expressed SOX2, OLIG2, ASCL1 and Ki67 more densely than the LGE (Fig. 2a). We classified the OSVZ progenitors in each region, using the combinatorial expression of OLIG2, ASCL1 and DLX2 to indicate stages in the progression from undifferentiated radial glia–like cell to committed neuronal precursor (Figs. 1a and 2b,c). Among OLIG2+ cells, those in the MGE were least likely to show signs of differentiation, with just 39.4 ± 2.5% expressing ASCL1 and/or DLX2, versus 71.7 ± 2.1% in the LGE (t25 = 9.89, P = 5 × 10−10) and 55.2 ± 3.2% in the CGE (t30 = 3.92, P = 0.0005). Among ASCL1+ cells, those in the MGE again appeared less differentiated, with 47.1 ± 3.4% coexpressing DLX2 compared with 71.8 ± 3.4% in the LGE (t25 = 5.18, P = 0.00002) and 66.0 ± 3.4% in the CGE (t30 = 3.95, P = 0.0004). Together, these measurements suggest that progenitor cells in the MGE OSVZ undergo more self-renewing divisions than those in LGE and CGE. The percentage of actively proliferating (Ki67+) OSVZ cells that expressed DLX2 was also lower in the MGE than other ganglionic eminence regions at PCW10 (t16 = 4.39, P = 0.0006, LGE), PCW12 (t23 = 5.66, P = 9 × 10−6, LGE; t22 = 5.72, P = 0.00001, CGE) and PCW14 (t18 = 7.11, P = 0.00001, LGE), further supporting the idea that MGE progenitors are less differentiated (Fig. 2d).
Further characterization of OSVZ progenitors in the MGE supported the classification of many as neural stem cells. In the mouse MGE, SOX5 is expressed in ventricular radial glia and is downregulated in MGE-derived neurons31. In the human MGE, SOX5 expression was not confined to the ventricular zone, but was abundantly present throughout the OSVZ (Fig. 2e), similar to OLIG2. Moreover, most of the OLIG2+ cells in the MGE OSVZ expressed neither NKX2-2 nor SOX10, markers of the oligodendrocyte lineage, suggesting that most OLIG2+ ASCL1− DLX2− cells are truly undifferentiated (Fig. 2f). Compared with our measurement that ~40% of OLIG2+ cells in the MGE OSVZ coexpressed ASCL1 and/or DLX2 (Fig. 2c), the scarcity of OLIG2+ NKX2-2+ cells suggests that the MGE stem cells are primarily devoted to neurogenesis at these ages. In contrast, the sparse OLIG2+ cells in the cortex typically coexpressed NKX2-2 (Fig. 2f), SOX2 and sometimes Ki67 (data not shown), indicating that they are oligodendroglial progenitors. These observations indicate that the human MGE OSVZ supports a large reservoir of undifferentiated SOX2+ OLIG2+ SOX 5+ cells that sustains the production of ASCL1+ DLX2+ intermediate progenitors.
Ganglionic eminence OSVZ stem cells lack radial fibers
Because OSVZ stem cells in both the cortex and ganglionic eminences express radial glial markers, we investigated whether those in the ganglionic eminences exhibit the same morphology as outer radial glial (oRG) cells in the cortex—unipolar with long radial fibers directed away from the ventricle3,30. Using the 4A4 monoclonal antibody to detect phosphorylated vimentin (p-vim) in the cytoplasm of progenitors in M phase, we found that nearly all 4A4+ cells in the OSVZ of PCW12 MGE, LGE and CGE appeared as simple, rounded cell bodies, with no emanating fibers, whether they were neuronally committed (DLX2+) or not (SOX2+ DLX2−) (Fig. 3a). This contrasts with cortical OSVZ, where ~40% of all 4A4+ cells display oRG cell morphology30.
The possible distortion of radial fibers by the growth of the basal ganglia raised the concern that any particular tissue section may not have been cut sufficiently parallel to the glial scaffold to observe radial 4A4+ fibers. We therefore screened serial frontal (PCW10, 12 and 14), sagittal (PCW10) and horizontal (PCW13) sections, and used nestin staining to visualize radial fibers. Even in sections in which radial fiber orientation was clearly distinguished, nearly all 4A4+ OSVZ cells in the MGE, LGE and CGE displayed rounded morphology and no radial fibers. In contrast, we easily identified radial 4A4+ fibers in the ventricular zone (Supplementary Fig. 4a), indicating that their scarcity in the OSVZ was unlikely to result simply from sectioning in the wrong plane. In the OSVZ, we observed rare examples of unipolar cells that coexpressed SOX2 and nestin, but their fibers were relatively short, sometimes tortuous, and not usually aligned with nestin+ radial glial fibers (Fig. 3b). Occasionally, 4A4+ fibers or cell bodies in the OSVZ were seen to directly contact the microvasculature (Supplementary Fig. 4b). Progenitors with bona fide oRG-type morphology and radial orientation were particularly rare, although we did observe a few examples (Supplementary Fig. 4c–e).
Collectively, these findings indicate that OSVZ stem cells in the ganglionic eminences express markers of radial glia, but do not appear to possess long, radial fibers, which are present in radial glia during all stages of the cell cycle. We surmise that OSVZ progenitors do extend short fibers during interphase that are usually retracted during mitosis. The occasional 4A4+ fibers that were observed in the OSVZ suggests that most progenitors are oriented randomly, rather than radially. Other labeling methods with intact tissue will more definitively address whether OSVZ stem cells in the human MGE possess long radial fibers, similar to cortical oRG cells, or have lost epithelial organization.
Segregation of OSVZ progenitor cells and neurons in the MGE
In the OSVZ of human and primate MGE, we observed two distinct modes of progenitor cell clustering (hereafter referred to as type I and type II). In type I clusters, thin streaks of progenitors extended from the ISVZ into the OSVZ (Fig. 4a and Supplementary Fig. 5a,b). Between these streaks were cells that lacked progenitor markers and expressed LHX6, indicating they were postmitotic neurons. At the core of each progenitor streak was a region devoid of nuclei (Fig. 4a). We initially supposed that progenitors might be associated with blood vessels, but staining for collagen, laminin, TIE2, VEGFR2, PECAM1, CD34 and isolectin IB4 disproved this idea (Fig. 4b and data not shown). Instead, the DAPI-negative space was filled with nestin and vimentin, intermediate filament proteins that are expressed by radial glia (Fig. 4b and Supplementary Figs. 4c and 5c). These nestin+ cores were often 7–10 µm in diameter, and some were as thick as 20 µm, whereas individual radial fibers are ~1 µm thick. Thus, type I clusters of MGE progenitors occurred along apparent fascicles of radial glial fibers. A rare 4A4+ cell with oRG morphology and radial orientation (Supplementary Fig. 4c) suggested that certain progenitors associated with these fascicles may migrate to the OSVZ by mitotic somal translocation30.
Type II MGE progenitor clusters occurred in the OSVZ further from the ventricle and became especially pronounced by PCW14 (Fig. 4c–d and Supplementary Figs. 2 and 6). Broad swaths of progenitor cells clustered between apparent streams of migrating neurons, which expressed DCX and LHX6. Unlike type I clusters, type II clusters were not organized around densely bundled glial fibers, as nestin staining was distributed throughout the clusters (Fig. 4c). Neither type I nor type II clustering was apparent in the LGE and CGE, or in rodent MGE (Supplementary Fig. 3).
Migratory routes and specification of MGE-derived neurons
We immunostained for NKX2-1 and progenitor cell markers to delineate the MGE’s borders and identify migratory routes where NKX2-1+ cells exit toward other structures. The MGE is well known for producing GABAergic neurons that migrate tangentially to the cortex8,13. Large populations of NKX2-1+ cells with downregulated progenitor markers streamed from the dorsolateral MGE into the LGE (Figs. 1b, 4c and 5a, and Supplementary Fig. 7a). Further into the LGE, NKX2-1 expression dissipated, consistent with findings in rodent that MGE-derived cortical interneurons downregulate NKX2-1 after leaving the MGE11. The region in which NKX2-1+ cells invaded the LGE defined a hypo-proliferative span of OSVZ that broadened from PCW10 to PCW14 (Supplementary Fig. 7b), indicative of increasing numbers of MGE-derived neurons migrating into the LGE. Probes for LHX6 mRNA further revealed MGE-derived cells throughout the entire LGE OSVZ and continuing into the cortex (Fig. 5b), indicating that the LGE is the main corridor for tangentially migrating MGE-derived cortical interneurons.
We also observed NKX2-1+ cells with downregulated progenitor markers moving into the caudate (Supplementary Fig. 7c) and sparsely populating the developing striatum (Fig. 5a), supporting findings in rodent that the MGE generates striatal interneurons11. LHX6-expressing cells showed a similar striatal distribution (Fig. 5b).
Finally, the MGE also produces projection neurons of the globus pallidus8,10,12. In PCW10 sagittal sections, the migration of neurons from the caudoventral aspect of the rostral MGE toward the developing globus pallidus was apparent (Supplementary Fig. 8a), similar to rodents. By PCW12–14, the external (GPe) and internal (GPi) globus pallidi were clearly distinct nuclei, as visualized by NKX2-1 staining (Fig. 5a and Supplementary Fig. 8c). LHX6 mRNA expression closely matched these findings, showing an apparent stream from the ventral MGE to pallidal structures at PCW10 (Supplementary Fig. 8b) and robust expression in the globus pallidus at PCW14 (Fig. 5b).
Consistent with data from rodent models, these findings indicate that the human MGE produces pallidal projection neurons and cortical and striatal interneurons. The OSVZ appears to be a major source for these MGE-derived cell types, as well as the cellular milieu through which they initially migrate. We also observed transcription factor patterns in the MGE ventricular zone that are likely to influence the subtypes of interneurons produced in dorsal, ventral and caudal MGE (Supplementary Figs. 9 and 10).
Increased proportion of CGE-derived cortical interneurons
In the CGE, the ventricular zone could be classified into two domains: the medial side, containing COUP-TFII+ progenitor cells, and the LGE-like lateral side, in which COUP-TFII+ cells were sparser and non-proliferative (Fig. 6a–c and Supplementary Fig. 11). COUP-TFII was also highly expressed in the CGE SVZ (Fig. 6a and Supplementary Figs. 8c, 10b and 11), where it was commonly observed in proliferating (Ki67+) cells (Fig. 6b). In the LGE, COUP-TFII+ DLX2+ cells were abundant throughout its entire SVZ (Fig. 6d and Supplementary Fig. 12a,b), suggesting that many CGE-derived interneurons migrate long distances through the LGE before entering the cortex. COUP-TFII+ cells were uncommon throughout most of MGE (Fig. 6e and Supplementary Figs. 9b and 12b), except in its caudal aspect (Supplementary Fig. 10) and at the interganglionic sulcus (Fig. 6f).
Using COUP-TFII+ cell features to distinguish CGE from LGE revealed stark differences between OSVZ cell populations at the two ends of the CGE-LGE axis, with 74.2 ± 5.0% of CGE cells expressing COUP-TFII compared with 26.5 ± 4.2% of LGE cells (Fig. 6g). Moreover, 31.4 ± 4.7% of the COUP-TFII+ cells in the CGE OSVZ were actively proliferating (Ki67+), whereas this was true for only 3.4 ± 0.7% of LGE COUP-TFII+ cells (without screening for false positives), suggesting that nearly all COUP-TFII+ cells in the LGE were postmitotic, migrating neurons. The vast numbers of CGE- and MGE-derived neurons migrating through the LGE may explain why progenitor markers were less abundant in LGE than in MGE and CGE (Figs. 1d and 2a).
Along the CGE-LGE axis, OSVZ characteristics shifted gradually from CGE-like to LGE-like, suggesting that the CGE and LGE OSVZ is a continuum (Fig. 6g). Supporting a gradual transition from LGE to CGE progenitor cell types, the interganglionic domain of COUP-TFII+ ventricular zone expression (Fig. 6f and Supplementary Fig. 9a,b) was expanded at caudal locations (Supplementary Fig. 10a). This implies that OSVZ progenitor cell composition in a particular location reflects the nearby ventricular zone regions from which the progenitors originated.
To estimate the CGE’s contribution to cortical interneuron production, we quantified how frequently cortical DLX2+ cells coexpressed COUP-TFII at different ages and in different regions. COUP-TFII+ DLX2− cells were not considered, as progenitors and excitatory neurons in some cortical areas expressed COUP-TFII, as did pericytes. Our counts included almost all cortical interneurons, as DLX2+ cells accounted for 96.7 ± 0.8% of cortical cells labeled by a pan-DLX antibody (labeling all inhibitory neurons; data not shown). The fraction of COUP-TFII+ interneurons increased in the cortical SVZ and intermediate zone from 0.34 at PCW10 to 0.54 at PCW14 (Supplementary Fig. 12c). The fraction of COUP-TFII+ interneurons in the cortical plate was approximately half of that in the SVZ and intermediate zone, but increased similarly over this period. These trends are consistent with the developmental expansion of the CGE OSVZ during this period and with the role of the cortical SVZ as a migratory corridor for interneuron precursors.
We estimate that half or more of human cortical interneurons are derived from the CGE, based on the SVZ and intermediate zone numbers, as the vast majority of interneuron precursors were still in the SVZ and intermediate zone at these ages. From our unbiased counts of 2,008 cortical DLX2+ COUP-TFII+ cells, only one was Ki67+ (discussed below), indicating that virtually all CGE-derived interneurons in the cortex at these ages were postmitotic.
The dorsal LGE, a source of cortical interneurons
We examined the human LGE for patterns of transcription factor expression and evidence of cortical interneuron production. The transcription factor PAX6, known for its expression in cortical radial glia, is also expressed at low levels in the LGE7,9. We similarly observed low PAX6 levels in the human LGE (Fig. 7a,b). However, in the dorsal LGE (dLGE) adjacent to the cortex, PAX6 was expressed at high levels, often in conjunction with DLX2+, in ventricular zone and OSVZ progenitor cells (Fig. 7). In mouse, the dLGE produces neurons that migrate via the lateral cortical stream (LCS) to the lateral cortex32 and some dorsal cortical interneurons15. Evidence in PCW12 human tissue supported these findings, with many PAX6+ DLX2+ cells being present in the LCS and lateral cortex (Fig. 7b). We also observed PAX6+ DLX2+ cells in the dorsal cortex up to about a millimeter beyond the dLGE, but not at more dorsal locations (Fig. 7b), implying that infiltration of the dorsal cortex by these cells is very limited unless they downregulate PAX6. The dorsal boundary of the dLGE was sharply defined in the OSVZ, with high levels of DLX2 in progenitor cells, together with Ki67, PAX6, OLIG2, ASCL1 and SOX2 (Fig. 7c,d and Supplementary Fig. 13). In contrast, DLX2 in the cortex was expressed only in the postmitotic interneuron population and at comparatively low levels. The exact location of the boundary in relation to the corticostriatal sulcus varied slightly among tissue samples.
It has been reported that the mouse dLGE also generates COUP-TFII+ cortical interneurons33. Our analysis of human tissue did not support this finding, as COUP-TFII+ cells in the dLGE, while abundant, were non-proliferative, presumably CGE-derived interneurons migrating to the cortex (Supplementary Figs. 12b and 13a). Our evidence supports the notion that the dLGE produces certain cortical interneurons, but from PAX6+ rather than COUP-TFII+ progenitors. More selective markers for LGE progenitors and their derivatives will be needed to address whether other LGE regions besides the dLGE produce interneurons destined for the cortex.
Lack of interneuron production in the cortical wall
We sought to verify reports that a large proportion of human and primate cortical interneurons are generated in the cortex itself at times concurrent with excitatory neurogenesis22,24. Because progenitors undergoing commitment to the interneuron lineage express DLX2, we looked extensively for DLX2+ Ki67+ cells in cortical tissues from PCW10–14, examining all layers of the cortical wall in lateral and medial aspects of both dorsal and ventral cortices. Our unbiased searches examined a total of 101 fields containing 6,069 DLX2+ cells, among which only one cell was Ki67+. This cell was within 0.5 mm of the CGE and coexpressed COUP-TFII, suggesting that it was a CGE-derived progenitor cell that moved into the cortex (Supplementary Fig. 14a). To further confirm this conclusion, we deliberately searched cortical areas for DLX2+ cells coexpressing progenitor markers and found isolated examples (Supplementary Fig. 14b,c); most were within 200 µm of the LGE and CGE and all were within 1 mm, except for some DLX2+ Ki67+ cells in the LCS (Fig. 7b and data not shown). Thus, the few DLX2+ progenitors observed in cortex probably originated in the LGE and CGE, as they were located just outside of those structures. Furthermore, we examined the proliferative state of calretinin (CALB2)+ interneurons in the cortex. Of 766 DLX2+ CALB2+ cells analyzed in nine fields, only one expressed Ki67, and it was also within 0.5 mm of the CGE (Supplementary Fig. 15). These findings suggest that virtually all cortical DLX2+ and CALB2+ inhibitory neuron precursors at these ages are non-proliferative, consistent with evidence in rodents34.
To address reports that cortical production of interneurons occurs during midgestational ages circa PCW18 (refs. 23,26,28), we cultured slices of PCW18.5 human cortical tissue in the presence of BrdU for 8 d, followed by co-staining for DLX2 and BrdU. We imaged 41 fields containing 3,542 DLX2+ cells and 5,684 BrdU+ cells, among which only 16 were double-labeled (Fig. 8a). Because neurogenesis is abating by this age and gliogenesis is increasing, we also tested younger ages at the peak of cortical neuron production. Slices of PCW15.5 cortex showed a similarly low frequency of DLX2 expression in BrdU+ cells (27 of 3,426) after an 8-d culture period (Fig. 8a). In comparison, 1,159 of 3,443 BrdU+ cells expressed TBR2, a transient progenitor marker for excitatory neuron specification. The culture was permissive for neuronal differentiation, as 10.9% of BrdU+ cells were labeled by antibody to NeuN.
Finally, we sought to quantify interneuron production in whole hemisphere slice cultures. We acquired a rare, large fragment of PCW14.5 brain, which allowed us to test for DLX2+ cell production in dorsal cortex using the ganglionic eminences as a positive control in slices cultured for 8–14 d. Most of the cortical wall contained extremely low numbers of BrdU+ DLX2+ cells, except within ~1 mm of the LGE, which is suggestive of limited tangential migration of interneurons (possibly dLGE-derived) into cortex. Either the culture conditions failed to support more extensive migration or the time in culture was insufficient for newly labeled MGE cells to differentiate and migrate the considerable distance to the cortex. However, this allowed regional analysis of cell type production without the complication of tangential migration from other regions. The difference in DLX2+ cell production between ganglionic eminences and cortex was stark, with as many as 60% of BrdU+ cells in ganglionic eminence fields expressing DLX2, as compared with 0.4, 0.3 and 0.2% in combined cortical fields from >1 mm beyond LGE in 8-, 11- and 14-d slice cultures, respectively (Fig. 8b). Together, our analyses in fixed sections and slice cultures do not support previous reports that a large portion, much less a sizable majority, of human and primate cortical interneurons is produced in the cortex, particularly during the period of peak neurogenesis in the early second trimester.
DISCUSSION
Non-epithelial stem cells in the human ganglionic eminences
Our results describe the basic organization and distinguishing features of neural progenitor cells in the human MGE, LGE and CGE. The periventricular compartment was layered, consisting primarily of radial glia (neural stem cells) in the ventricular zone and their derived intermediate progenitors in the ISVZ. The outer compartment or OSVZ included both stem and intermediate progenitor cells, mixed heterogeneously with newborn and migrating neurons. OSVZ stem cells expressed the same regional fate markers as the ventricular zone radial glia from which they likely originated. The OSVZ progenitor population in the ganglionic eminences expanded markedly in the early second trimester, progressively dwarfing the ventricular zone population.
Unlike the oRG in the cortical OSVZ, putative stem cells in the ganglionic eminence OSVZ appeared to maintain neither a long basal fiber nor radial orientation. The absence of radial fibers on OSVZ stem cells in the human ganglionic eminences prompts the question of why stem cells in the cortical OSVZ maintain fibers. The critical functions of oRG cell fibers in the cortex may have less to do with expanding progenitor numbers and more to do with cell migration, providing a structural foundation for the radial assembly of neurons into discrete columnar units that form the basis of cortical circuitry. Not only are radial fibers unnecessary in the ganglionic eminence OSVZ, as the predominant form of neuronal migration is tangential, but their absence may be vital for packing into a constrained volume the vast numbers of progenitor cells needed to supply the expanding cortex with sufficient numbers of inhibitory neurons.
In the MGE, OSVZ progenitors and neurons uniquely segregated into distinct clusters. In type I clusters, progenitor cells congregated along thick bundles of radial glial fibers that extended from the ventricular zone into the OSVZ. This consolidation of radial fibers may ‘clear the forest’ and facilitate the egress of interneurons from the MGE. The bundles may also function as footholds for OSVZ progenitors, which lack radial fibers, to hold their position against the steady current of tangentially migrating neurons. Type II clusters occur further from the ventricle as OSVZ progenitors and neurons segregate into elongated throngs. These may result as neurons form migratory streams along a path of least resistance where progenitor cells have already been pushed aside, or they may involve self-association of progenitors as in type I clusters.
By PCW14, the percentage of putative interneurons in the cortical SVZ and intermediate zone that expressed COUP-TFII exceeded 50%. This figure may be even higher at later ages, assuming interneuron production in the CGE outlasts the MGE in human as it does in mouse18. Thus, more than half of human cortical interneurons likely originate from CGE-type progenitors. Compared with the ~30% in rodent cortex, this increased proportion may reflect the evolutionary expansion in the human and primate lineage of the later-born upper layers of the neocortex, which are preferentially populated with later-born CGE-derived interneurons18.
A ventral origin for most human cortical interneurons
We searched extensively for signs of interneuron production by cortical progenitors, but found little evidence to support that it occurs at meaningful levels. In the interneuron lineage, DLX2 expression begins during the progenitor cell stage, but virtually none of the cortical DLX2+ cells that we examined coexpressed Ki67. Isolated exceptions were observed in the SVZ near the LGE and CGE, suggesting a subcortical origin. We also observed DLX2+ Ki67+ cells in the LCS, indicating that certain migratory LGE-derived cells proliferate outside their primary germinal region, as previously observed among cells destined for the olfactory bulb in the rostral migratory stream35.
We also attempted, with little success, to validate reports that inhibitory neuron production can be observed in cultured slices of cortical tissue or in cultures of dissociated cortical progenitors22,26. Our previous efforts with dissociated progenitors from PCW13.5 cortex yielded only neurons of the excitatory lineage30. In slices from PCW14.5–18.5 tissues, after 8–14 d in culture, we found that the portion of cortical BrdU+ cells that expressed DLX2 was consistently <1%. Thus, proliferation of interneuron precursors in cortex is possibly present, but extremely limited compared with other progenitor cell activities.
Small numbers of mouse cortical interneurons are produced post-natally in the cortical SVZ, when excitatory neuron production is complete21,36,37. These interneuron precursors could be equivalent to the infrequent DLX2+ BrdU+ cells that we observed in human cortical slice cultures. Fate-mapping experiments and the expression of 5-HT3A receptor support a ventral CGE origin for these interneuron precursors in mouse. Nonetheless, the apparent pallial origin of certain olfactory interneurons38 suggests that some cortical progenitors have the capacity to produce inhibitory neurons. Regardless of origin, most interneurons generated in the postnatal cortical SVZ populate the olfactory bulb, with only a minor fraction staying in cortex36—probably reflecting a transitory period during which interneuron migratory behavior shifts from cortical dispersion to chain migration in the rostral migratory stream39. Thus, reports of interneuron production in human cortex at midgestation should be interpreted cautiously, as the cells being produced at that stage may migrate to other brain regions.
Alternative interpretations of historical data
Additional observations have fueled the belief that cortical progenitor cells throughout human and primate evolution have become a well-spring for cortical interneurons40. Our interpretations of the data lead us to other conclusions and frequently implicate the CGE rather than the cortex as a likely source for the interneurons in question.
The expression of ASCL1 in approximately two-thirds of DLX2+ cortical interneurons at PCW23 and the observation of ASCL1+ (but not DLX2+) cortical progenitors during the neurogenic period, was interpreted to mean that the ASCL1+ DLX2+ interneurons originated in the cortex, as MGE-derived interneurons downregulate ASCL1 after neuronal commitment22. However, three observations suggest a different interpretation. First, cortical progenitors express ASCL1 at much lower levels than ganglionic eminence progenitors and in the same cells that express TBR2 and/or NEUROG2, which are determinants of the excitatory lineage30 (data not shown). Second, low-level ASCL1 expression is similarly observed in progenitor cells of embryonic mouse cortex9,41, which do not produce cortical inhibitory neurons. Third, many CGE-derived interneurons in mouse continue to express ASCL1 after they have migrated into the cortex18. This provides a simpler explanation for the origin of ASCL1+ DLX2+ human cortical interneurons, as there is no convincing evidence that many cortical interneurons wait until the post-proliferative stage to induce DLX2 expression. Given the increase in CGE-derived cortical interneurons from ~35% at PCW10 to >50% at PCW14, it would not be surprising to learn that about two-thirds of cortical interneurons were derived from the CGE by PCW23.
The greater abundance and morphological diversity of interneurons in human compared with rodent cortex has further heightened speculation that many human cortical interneurons have a distinct cortical origin. In particular, double bouquet cells are abundant in primate cortex, but (depending on the stringency of criteria42–44) are not observed in rodents45. However, double bouquet cells share several traits—bitufted, radial orientation, CALB2+ and preferential residence in upper cortical layers—with certain CGE-derived interneurons in rodents that could be their cellular equivalents17,18,44,46. Along with observations of double bouquet cells in evolutionarily more distant carnivores47, this suggests that double bouquets are in an interneuron class that varies among species in degree of axonal elaboration, but has a common location of origin, the CGE.
The brains of human fetuses or infants with holoprosencephaly show pronounced striatal hypoplasia as a result of developmental failure in the ganglionic eminences48. The decrease in SST+, NPY+ and NOS+ cortical interneurons, together with the normal abundance of CALB2+ interneurons, has been interpreted to mean that ganglionic eminence–derived interneurons are lost, whereas cortex-derived interneurons are preserved25,40. However, in these brains, only the NKX2-1+ germinal region was critically affected, as DLX2 and ASCL1 were expressed normally throughout the extant subpallium. Thus, a simpler explanation is that MGE-derived interneurons were lost, while CGE-derived interneurons were largely unaffected. The known production of CALB2+ interneurons by the CGE44, and the fact that MGE progenitor cells convert to CGE-type cells and produce CALB2+ interneurons when NKX2-1 expression is lost49, support our interpretation of the holoprosencephaly data.
Finally, observations of radially oriented interneurons in the primate cortical ventricular zone have been used to argue that the cells are generated locally, as they and excitatory neurons appear to have the same place of origin and use similar modes of migration24,25. This argument can be discounted by live imaging that found that ganglionic eminence–derived interneurons in the cortex switch from tangential to radial migration, sometimes descending into the ventricular zone before ascending to the cortical plate50.
In summary, our data do not support the claim that a majority of human cortical interneurons are produced in the cortex. Although we have not examined tissues beyond the second trimester, our results indicate that the ganglionic eminences are responsible for most cortical interneuron production. The ganglionic eminence OSVZ developed earlier than the cortical OSVZ, expanded to a greater thickness and was more densely packed with progenitor cells. We propose that a huge reservoir of non-epithelial stem cells in the OSVZ of the ganglionic eminences supplies essentially all of the interneurons needed in the cortex. Further research will be required to definitively settle this debate, which has important implications for understanding cortical development, disease and cell therapy.
ONLINE METHODS
Tissue collection and processing
Human fetal brain tissue was collected from elective pregnancy termination specimens at San Francisco General Hospital, usually within 2 h of the procedure, except for the PCW10 tissue, which was collected 4 h post-procedure. Donated human tissues were examined only from patients who had previously given informed consent and in strict observance of state and institutional legal and ethical requirements. Research protocols were approved by the Committee on Human Research at University of California, San Francisco. We measured fetal foot length to determine gestational age, and tissues were transported by shuttle, on ice in Leibowitz-15 medium, to the laboratory for further examination and processing. Total post-mortem interval was typically 3–4 h before fixation or 4–5 h before commencing slice culture. For cryosections, tissues were fixed in 4% paraformaldehyde (wt/vol) in phosphatebuffered saline (PBS) at 4 °C for at least 3 d, dehydrated in 30% sucrose (wt/vol) in PBS at 4 °C, embedded and frozen at −80 °C in O.C.T. compound (Tissue-Tek), and sectioned on a Leica CM3050S (16–30 µm thick) onto glass slides, which were stored at −80 °C. For macaque tissue, paraformaldehyde-fixed fetal brains were purchased from the California National Primate Research Center, The brains were placed in fixative immediately following tissue harvest and dissection, with a post-mortem interval of less than 1 h, followed by transport to our laboratory for further processing.
For cortical slice cultures, tissue was embedded in 4% low melting point agarose in artificial cerebrospinal fluid (ACSF; 125 mM NaCl, 2.5 mM KCl, 1 mM MgCl2, 2 mM CaCl2, 1.25 mM NaH2PO4, 25 mM NaHCO3, 25 mM d-(+)-glucose, bubbled with 95% O2/5% CO2), sliced in ice-chilled ACSF using a Leica VT1200S vibratome (300 µm thick), transferred and suspended on Millicell-CM slice culture inserts (Millipore), and cultured for 8–14 d at 37 °C in 5% CO2, 8% O2, balance N2 in the presence of 15 µg ml−1 BrdU (Sigma), diluted in slice culture medium: 66% Eagle’s Basal Medium, 25% Hanks-buffered saline solution, 5% fetal bovine serum, 1% N-2 supplement (Invitrogen), 0.66% d-(+)-glucose, penicillin-streptomycin-glutamine (Invitrogen). Slices were paraformaldehyde-fixed overnight and stored at 4 °C in PBS plus 0.1% sodium azide (wt/vol).
Immunohistochemistry
Cryosections were thawed in PBS, immersed in nearly boiling 0.01 M sodium citrate (pH 6.0) for 10 min for antigen retrieval, returned to PBS and then incubated for 1 h at 21 °C in blocking buffer (PBS plus 0.1% Triton X-100 (by volume), 5–10% donkey or goat normal serum (vol/vol), and 0.2% gelatin or bovine serum albumin (wt/vol)). Primary and secondary antibodies were diluted in blocking buffer. Sections were incubated with primary antibodies for 3 h at 21 °C or overnight at 4 °C. Primary stains were washed in PBS plus 0.1% Triton X-100 with three changes of wash buffer for a total of at least 2 h washing. Sections were incubated with secondary antibodies and DAPI (4′,6-diamidino-2-phenylindole) for 60–90 min at 21 °C, and secondary stains were washed as described above. Cover slips were mounted using Aqua-Poly/Mount (Polysciences) and air dried at 21 °C overnight in the dark. Cultured, BrdU-labeled slices were fixed and stained as described previously30.
All primary antibodies used in this study are listed in Supplementary Table 1. The development of guinea pig antibody to DLX2 (ref. 51) and rabbit antibody to dll (pan-DLX)52 were described previously. Secondary antibodies used included goat antibodies to rabbit, mouse and guinea pig IgG, goat antibodies to mouse IgG1 or IgG2a, donkey antibodies to mouse, rabbit, rat or goat IgG, conjugated to Alexa Fluor 488, 546, 594 or 647 (Invitrogen A11073, A11030, A21245, A21121, A21123, A21240, A21131, A21241, A21202, A10036, A31571, A21206, A21207, A10040, A31573, A11055, A11056, A21447, A21208), and donkey antibody to guinea pig IgG or chicken IgY conjugated to Cy3 (Millipore AP194C, AP193C). Alexa Fluor 488 conjugates were diluted 1:1,000 and all others were used at 1:500.
Confocal imaging, image processing and quantifications
All images were acquired on Leica TCS SP5 laser confocal microscopes. For subregional views of tissue sections using specific markers, images were acquired in Tilescan mode with automatic stitching of arrayed tiles using either 10× lens with 1.5–2.0× optical zoom or else 20× lens with 1.0× optical zoom, and confocal z stacks of optical sections were displayed as maximum intensity projections. For DAPI-only views of entire tissue sections, Tilescan images were acquired using a 5× lens. For all cell-counting analyses and close-up images of progenitor cells (for example, z stack projections for 4A4+ cells), images were acquired using 63× oil immersion lens, sometimes with additional optical zoom. Confocally imaged data files were opened using Imaris imaging software (Bitplane) for colocalization analyses or other quantifications and for generation of TIFF files. Adjustments to image brightness and contrast for publication figures were performed using Adobe Photoshop, and line art was added using Adobe Illustrator.
Colocalization counts were performed as described previously30. For the counts shown in Figure 2c,d, two or more well-spaced OSVZ images were acquired per ganglionic eminence region per section from at least three frontal sections spaced along rostral-caudal extent of the tissues. For the counts in Figure 6g, at least three well-spaced OSVZ images were acquired per position along the CGE-LGE axis, with paired positions 1 and 6, 2 and 5, or 3 and 4 coming from the same slide, and positions 1–3 coming from the inferior CGE/LGE and positions 4–6 from the superior LGE/CGE on those slides. For cortical cell counts of DLX2, Ki67 and COUP-TFII coexpression, multiple images for each layer of the cortical wall were acquired from lateral, intermediate and medial regions of dorsal cortex (PCW10, 12 and 14) or ventral cortex (PCW12 only) from frontal sections spaced along the rostral-caudal axis, and from a PCW10 sagittal section. For BrdU cell counts in cultured slices, images were acquired mainly from germinal regions but other areas were also screened to ensure a complete analysis. For quantifying average ventricular zone thickness, measurements were taken from ventral and dorsal regions of both MGE and LGE, from multiple frontal sections at different rostral-caudal locations. All error bars in graphs represent s.e.m. for single tissue samples, with data gathered from multiple sections per tissue sample and multiple fields per section. Statistical comparisons between sample populations were performed using the t test function in Excel (unpaired, two-tailed, unequal variance). Cell counts using pan-DLX antibody or calretinin antibody were each obtained using a single frontal section of PCW12 tissue, with multiple fields from both dorsal and ventral cortex used for colocalization analyses. Raw numbers for ventricular zone measurements and all cell count/colocalization studies are available in spreadsheet format in the Source Data.
In situ hybridizations for LHX6 mRNA and imaging
Human LHX6 coding sequence was obtained from Open Biosystems and subcloned into pCS2+HA3 plasmid. Linearized plasmid was transcribed in vitro using T7 promoter and DIG-labeled antisense probe was hybridized to paraformaldehyde-fixed cryosections as described previously53.
Supplementary Material
ACKNOWLEDGMENTS
We thank the staff at San Francisco General Hospital Women’s Options Center for their consideration in allowing access to donated human fetal tissue. We thank S. Davis and co-workers at the California National Primate Research Center for providing fixed brain tissue from fetal macaques. We also thank W. Walantus, K. Wang, S. Wang, Y. Wang and other University of California at San Francisco personnel for technical and administrative support. We are very grateful to J. Kohtz (Northwestern University) for sharing her final aliquot of pan-Dlx antibody. The NKX2-2 antibody developed by T. Jessell and S. Brenner-Morton was obtained from the Developmental Studies Hybridoma Bank, developed under the auspices of the National Institute of Child Health and Human Development and maintained by the University of Iowa Department of Biology. This work was supported by grants from the National Institute of Neurological Disorders and Stroke and the National Institute of Mental Health of the US National Institutes of Health, California Institute for Regenerative Medicine, John G. Bowes Research Fund and from Bernard Osher.
Footnotes
Note: Any Supplementary Information and Source Data files are available in the online version of the paper.
AUTHOR CONTRIBUTIONS
D.V.H. and J.H.L. acquired and processed tissue, cultured slices, and performed immunostains, confocal imaging and cell counts. P.F. performed LHX6 in situ hybridizations and imaging. K.Y. provided guinea pig antibody to Dlx2. D.V.H. wrote the manuscript. J.L.R., A.A.-B. and A.R.K. provided guidance and conceptual support and edited the manuscript.
COMPETING FINANCIAL INTERESTS
The authors declare no competing financial interests.
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