Abstract
The relative timing of SHH and BMP signals controls whether presomitic mesoderm (PSM) cells will adopt either a chondrogenic or lateral plate mesoderm fate. Here we document that SHH-mediated induction of Nkx3.2 maintains the competence of somitic cells to initiate chondrogenesis in response to subsequent BMP signals by repressing BMP-dependent induction of GATA genes. Conversely, administration of BMP signals to PSM or forced expression of GATA family members in chick PSM explants blocks induction of hedgehog-dependent gene expression. We demonstrate that GATA factors can interact with Gli factors and can recruit the transcriptional co-factor FOG1 (ZFPM1) to the regulatory region of the mouse Gli1 gene, repressing the induction of Gli1 by SHH by binding to both GATA and Gli binding sites. Knockdown of FOG1 reverses the ability of GATA factors to repress Gli1 expression. Our findings uncover a novel role for GATA transcription factors as repressors of hedgehog signaling, and document that NKX3.2 maintains the ability of sclerotomal cells to express SHH transcriptional targets in the presence of BMP signals by repressing the induction of Gata4/5/6.
Keywords: NKX3.2, GATA factors, SHH, SOX9, Chondrogenesis, Chicken, Mouse
INTRODUCTION
The majority of the vertebrate skeleton arises by the process of endochondral ossification, in which each skeletal element is established and patterned as cartilage, later to be replaced by bone. The cartilage of the limb derives from the lateral plate mesoderm, whereas the vertebrae and ribs derive from the ventral compartment of the somites termed the sclerotome. Prior work of several laboratories has established that varying levels of BMP signals specify the fate of nascent mesodermal cells, with low levels of BMP signaling necessary for somite induction and higher levels of BMP signaling necessary for the formation of lateral plate mesoderm (reviewed by James and Schultheiss, 2005). However, once cells are specified as paraxial mesoderm, sonic hedgehog (SHH) emitted by the notochord and floor plate of the neural tube alters the response of the adjacent somitic cells to subsequent BMP signaling, such that now BMP signals induce chondrogenesis as opposed to lateral plate mesoderm identity (Murtaugh et al., 1999). This effect can be observed in vitro, as treatment of chicken presomitic mesoderm (PSM) explants with SHH for 2 days, followed by BMP2 administration, induces the robust expression of chondrogenic differentiation markers such as SOX9, aggrecan and collagen IX (Murtaugh et al., 1999). By contrast, simultaneous exposure of PSM explants to both SHH and BMP signals fails to induce chondrogenesis, but rather induces lateral plate gene expression (Murtaugh et al., 1999). In the present work, we investigate how the relative timing of SHH and BMP signals in PSM leads to such different cellular outcomes.
RESULTS
Nkx3.2 and GATA genes display reciprocal patterns of expression in vitro and in vivo
We have previously found that chondrogenesis in explants of chicken PSM is robustly induced by sequential exposure to SHH followed by BMP4 (Murtaugh et al., 1999). In striking contrast, simultaneous administration of both SHH and BMP to chicken PSM explants completely blocks chondrogenesis in such cultures (Murtaugh et al., 1999). Because BMP signals are known to lateralize paraxial mesoderm into lateral plate tissue (reviewed by James and Schultheiss, 2005), we analyzed the expression of the lateral plate mesoderm markers GATA4, GATA5 and GATA6 (GATA4/5/6) in chicken PSM explants that had been exposed to SHH and BMP4 either simultaneously or sequentially. Sequential exposure of PSM explants to SHH added at the beginning of the culture period, followed 2 days later by BMP4, induced robust expression of the chondrogenic markers aggrecan, epiphycan and collagen IX after a total of 5 days of culture (Fig. 1A, lane 1). By contrast, simultaneous exposure of such explants to both SHH and BMP4 for the entire culture period completely blocked chondrogenesis in such cultures and instead induced expression of the lateral plate markers Gata4/5/6 (Fig. 1A, lane 2).
Nkx3.2 is expressed in chicken PSM explants following sequential administration of SHH and BMP signals (Murtaugh et al., 2001), a signaling regimen that blocks BMP-mediated induction of Gata4/5/6 (Fig. 1A). Conversely, Gata4/5/6 are expressed in chicken PSM explants that have been simultaneously exposed to both BMP4 and SHH signals (Fig. 1A), a signaling regimen that blocks SHH-mediated induction of Nkx3.2 (Murtaugh et al., 1999). Thus, Nkx3.2 and Gata4/5/6 are reciprocally expressed in chicken PSM explants following sequential or simultaneous exposure to SHH and BMP4. To determine whether NKX3.2 and GATA family members also display a reciprocal expression pattern in vivo, we examined their expression by whole-mount in situ hybridization (WISH) in Hamburger–Hamilton (HH) stage 10 to 14 chicken embryos. Interestingly, expression of these two classes of genes is nearly mutually exclusive in the mesoderm, with Nkx3.2 being restricted to the sclerotome of the paraxial mesoderm, whereas Gata4 and Gata5 are expressed in the lateral plate mesoderm (Fig. 1B-G). Note, however, that Nkx3.2 is in addition expressed in a restricted region of the left lateral plate mesoderm (Fig. 1B,E). Subsequent expression of these genes is also non-overlapping in the endoderm and surrounding mesoderm, with Gata4 expression restricted to the endodermal gut tube and Nkx3.2 present in the surrounding mesoderm of the gizzard in HH stage 30 chicken embryos (Fig. 1H).
BMP4-mediated repression of SHH signal transduction correlates with the induction of GATA family members
The administration of BMP2/4 to PSM explants at the start of their culture period has been shown to block both myogenesis [in response to simultaneous SHH and Wnt signals (Reshef et al., 1998)] and chondrogenesis [in response to sequential SHH and BMP signals (Murtaugh et al., 1999)]. In both these instances SHH signals are necessary to promote lineage specification. Thus, we speculated that simultaneous administration of BMP2/4 might act to attenuate SHH signaling. To examine this issue, we cultured chicken PSM explants in SHH alone or in the combination of SHH plus BMP4. In the latter case, we administered BMP4 1 day prior to adding SHH to the cultures. When administered alone, SHH markedly induced the expression of Gli1, Sox9 and Nkx3.2 (Fig. 2, lane 3). By contrast, prior culture of PSM explants in BMP4 severely attenuated (Gli1) or eliminated (Sox9 and Nkx3.2) the induction of these hedgehog-responsive genes (Fig. 2, lane 4). Repression of the hedgehog transcriptional targets correlated with the induced expression of Gata4/5/6 (Fig. 2, lane 4). Interestingly, expression of Sox9 and Nkx3.2 is not repressed by BMP signals following prior exposure of PSM explants to SHH (Zeng et al., 2002), conditions that fail to induce the expression of Gata4/5/6. Thus, BMP-mediated repression of hedgehog target genes in PSM explants correlates with the induction of GATA factors.
Ectopic expression of GATA factors can repress the induction of SHH-responsive genes in PSM explants
Because BMP-induced expression of GATA4/5/6 correlated with the repression of hedgehog transcriptional targets, we postulated that these GATA family members might somehow attenuate hedgehog signal transduction. To investigate this possibility, we determined the effect of exogenous GATA4 in PSM cultured under chondrogenesis-inducing conditions. We infected chicken PSM explants with avian retroviruses encoding GFP (RCAS-GFP) or GATA4 (RCAS-GATA4) and cultured the explants in SHH for 2 days followed by BMP4 for an additional 3 days (Fig. 3A). Expression of the SHH transcriptional targets patched 1, Sox9 and Nkx3.2 was significantly dampened in RCAS-GATA4-infected cultures and expression of the chondrocyte differentiation markers aggrecan and epiphycan was extinguished (Fig. 3A).
In addition, we assayed whether exogenous GATA5 would similarly attenuate induction of SHH-responsive genes in PSM explants. Infection of PSM explants with RCAS-GATA5 dramatically decreased SHH-mediated induction of patched 1, patched 2, Gli1, Nkx3.2 and Sox9 in these cultures (Fig. 3B). Interestingly, the repression of these various hedgehog-responsive genes displayed differential sensitivity to GATA5 expression. Induction of Sox9 and Nkx3.2 was blocked by ectopic expression of GATA5 in PSM explants cultured in low or high levels of SHH. By contrast, induction of Gli1, patched 1 and patched 2 was most effectively blocked by ectopic expression of GATA5 in PSM explants cultured in relatively low levels of SHH. Together, these findings indicate that GATA4 or GATA5 can attenuate hedgehog signal transduction in chicken PSM explants and thus mimic the effect of BMP4 administration to this tissue.
NKX3.2 represses BMP-mediated induction of GATA family members
Our findings indicate that induction of GATA transcription factors in PSM explants somehow blocks SHH-induced expression of SOX9 and NKX3.2, two crucial chondrogenic regulators. Because Nkx3.2 and Gata4/5/6 are frequently expressed in a mutually exclusive pattern in vivo (Fig. 1B-H), and NKX3.2 is a transcriptional repressor (Murtaugh et al., 2001), we examined whether NKX3.2 might conversely repress the expression of GATA4/5/6. Chicken PSM explants were infected with RCAS-GFP or RCAS-Nkx3.2. After 2 days of culture, BMP2 was added to the medium and the explants were cultured for an additional 3 days. PSM explants infected with RCAS-GFP robustly expressed Gata4/5/6 and did not express aggrecan or epiphycan, two markers of chondrocyte differentiation (Fig. 4A, lane 1). By contrast, PSM explants infected with RCAS-Nkx3.2 expressed high levels of aggrecan and epiphycan, and significantly decreased levels of Gata4/5/6 (Fig. 4A, lane 2). Thus, exogenous NKX3.2 can potently block BMP-induced expression of GATA factors while simultaneously promoting the expression of chondrogenic markers in PSM explants. Interestingly, we noted that exogenous NKX3.2 increased the expression of Gli1 in PSM explants (Fig. 4A, lane 2), suggesting that NKX3.2 represses the expression of a repressor(s) of hedgehog signaling. Although inclusion of the smoothened antagonist cyclopamine attenuated the induction of both the chondrogenic markers and Gli1 by NKX3.2, it did not blunt the repression of GATA factors by NKX3.2 (Fig. 4A, lanes 3 and 4).
SMAD1/4 interaction with NKX3.2 has been demonstrated to recruit the Sin3A co-repressor complex to Nkx3.2 in a BMP-dependent fashion (Kim and Lassar, 2003). Thus, it is formally possible that NKX3.2 blocks GATA gene expression by titrating SMAD1/4 away from other transcription factors that are necessary to induce GATA gene expression. To investigate this possibility we employed a mutant form of NKX3.2, Nkx3.2-NQ, which cannot bind to DNA but can still interact with SMAD1/4 and the Sin3A co-repressor complex (Kim et al., 2003). In contrast to RCAS-Nkx3.2-WT, RCAS-Nkx3.2-NQ failed to induce chondrogenesis and to block the induction of Gata4 by BMP4 in infected PSM cultures (Fig. 4B). Thus, DNA interaction is essential for NKX3.2 to induce chondrogenesis and to block BMP-mediated induction of GATA4 expression.
NKX3.2 induces chondrogenesis in PSM explants by acting as a transcriptional repressor (Murtaugh et al., 2001). Indeed, a reverse-function form of NKX3.2, Nkx3.2-VP16, which contains the VP16 transcriptional activation domain and is thus a potent transcriptional activator (Murtaugh et al., 2001) can block somitic chondrogenesis in response to sequential SHH and BMP signals (Zeng et al., 2002). Because NKX3.2 represses BMP-mediated induction of GATA factors in PSM explants, we investigated whether a reverse-function form of NKX3.2 would have the opposite effect on GATA gene expression. PSM explants were infected with RCAS-GFP or RCAS-Nkx3.2-VP16. In this case, the explants were sequentially cultured in medium containing SHH for 2 days followed by medium containing BMP4 for an additional 3 days. Whereas explants infected with RCAS-GFP displayed high-level expression of chondrogenic markers and only trace levels of Gata4 (Fig. 4C, lane 1), those infected with RCAS-Nkx3.2-VP16 lacked significant expression of chondrogenic markers but instead expressed elevated levels of Gata4 (Fig. 4C, lane 2). Thus, a reverse-function form of NKX3.2 (which induces the expression of transcriptional targets that are usually repressed by NKX3.2) blocks somitic chondrogenesis while coordinately maintaining the expression of GATA4 in response to BMP cues.
Taken together, these findings suggest that SHH-mediated induction of NKX3.2 expression in the sclerotome serves to promote chondrogenesis and to maintain the ability of this tissue to respond to further hedgehog signals by blocking BMP-mediated induction of GATA4/5/6. Repression of GATA4/5/6 expression by NKX3.2 requires both DNA binding and an intact C-terminal transcriptional repression domain, suggesting that NKX3.2 directly or indirectly represses the expression of these GATA family members.
GATA factors block induction of Gli transcriptional targets downstream of smoothened activity
Because we found that GATA factors could block the induction of hedgehog-responsive genes in explants of embryonic tissue, we investigated whether transfection of GATA4/5/6 would repress SHH-mediated induction of a luciferase reporter driven by reiterated Gli binding sites [8×3′-Gli-BS-Luciferase (Dai et al., 1999)]. Indeed, co-transfection of murine 10T1/2 cells with either GATA4, GATA5 or GATA6 repressed SHH-mediated induction of 8×3′-Gli-BS-Luciferase in a dose-dependent fashion (Fig. 5A), indicating that GATA factors can block hedgehog signaling in this tissue culture system. As it was possible that GATA factors could be blocking hedgehog signaling either upstream or downstream of smoothened translocation into the primary cilia (Rohatgi et al., 2007), we assayed whether GATA4 could repress induction of 8×3′-Gli-BS-Luciferase by an activated form of smoothened (Smo-M2), the smoothened agonist SAG [which induces smoothened translocation into the primary cilia (Rohatgi et al., 2007)], or by co-transfected GLI1 (which activates hedgehog target genes independently of the primary cilia). We found that co-transfected GATA4 could efficiently block activation of 8×3′-Gli-BS-Luciferase by either SHH, Smo-M2, SAG or GLI1 (Fig. 5B). These findings indicate that GATA factors can block hedgehog signaling downstream of smoothened translocation into the primary cilia.
To further investigate whether GATA factors block hedgehog signaling downstream of smoothened, we examined whether GATA factors would block Gli transcriptional targets in Sufu-deficient mouse embryo fibroblasts (Sufu−/− MEFs) (Svard et al., 2006). In the absence of hedgehog signaling, SUFU tethers full-length GLI2 (Gli2FL) and full-length GLI3 (Gli3FL) in the cytoplasm (Humke et al., 2010; Tukachinsky et al., 2010) and is necessary for processing these proteins into transcriptional repressors (Humke et al., 2010). Thus, in cells lacking Sufu, even in the absence of hedgehog ligands, Gli2FL and Gli3FL are constitutively present in the nucleus, where they activate the expression of Gli transcriptional targets (Humke et al., 2010). We found that the expression of Gli1 and patched 2 mRNA was markedly diminished in Sufu−/− MEFs programmed to express retrovirus-encoded GATA4 or GATA5 (Fig. 5C, lanes 2 or 3), and that the expression of GLI1 protein was similarly repressed in Sufu−/− MEFs programmed to express these GATA factors (Fig. 5D). By contrast, expression of Gli3 in Sufu−/− MEFs was not significantly altered by ectopic expression of GATA4 or GATA5 (Fig. 5C). Because smoothened function is not necessary for activation of hedgehog targets in Sufu−/− MEFs (Svard et al., 2006), these findings confirm our previous observations (Fig. 5B) that GATA factors repress the expression of hedgehog target genes downstream of smoothened activation.
GATA factors can indirectly bind to Gli binding sites via protein:protein interaction
Because GATA factors can repress Gli-dependent activation of transcriptional targets, we investigated whether GATA factors can bind, directly or indirectly, to a Gli binding site. We first co-transfected murine NIH 3T3 cells with 8×3′-Gli-BS-Luciferase plus either the GATA4 zinc-finger domain (GATA4 ZF) or a fusion protein consisting of the GATA4 zinc-finger domain appended to the Herpes virus VP16 transcriptional activation domain (GATA4-ZF-VP16) (schematized in supplementary material Fig. S1). Interestingly, GATA4-ZF-VP16 robustly activated the expression of 8×3′-Gli-BS(WT)-Luciferase, which contains WT Gli binding sites, but failed to activate 8×3′-Gli-BS(mutant)-Luciferase, which contains mutant Gli binding sites (Fig. 6A). Thus, GATA4-ZF-VP16-mediated induction of 8×3′-Gli-WT-BS-Luciferase requires intact Gli binding sites.
We speculated that GATA4-ZF-VP16 might directly bind to Gli binding sites in 8×3′-Gli-WT-BS-Luciferase or indirectly associate with these sites by protein:protein interaction. To test the former possibility we made nuclear extracts from COS-7 cells transfected with either GATA4, GATA5, GATA6 or GLI1. Although nuclear extracts made from cells transfected with GATA4, GATA5 or GATA6 displayed readily detectable GATA site binding activity, these extracts failed to display any Gli site binding activity (Fig. 6B). Conversely, nuclear extracts made from GLI1-transfected cells displayed robust Gli site binding activity but no GATA site binding activity (Fig. 6B). These findings indicate that GATA factors do not bind directly to Gli binding sites, and thus suggest that GATA4-ZF-VP16 might activate the expression of 8×3′-Gli-BS(WT)-Luciferase by indirectly binding to Gli binding sites in this reporter via protein-protein interaction.
GATA4 can interact with Gli factors
To investigate whether there is protein:protein interaction between GATA and Gli factors we employed a mammalian two-hybrid assay. NIH 3T3 cells were co-transfected with a luciferase reporter driven by reiterated Gal4 binding sites (GAL4-luciferase) plus expression vehicles encoding the Gal4 DNA-binding domain alone or the Gal4 DNA-binding domain fused to GLI1 (Gal4-Gli1) or Gli3FL (Gal4-Gli3FL). To assay for Gli:GATA interaction, the cells were also transfected with expression vehicles encoding GATA4-ZF-VP16 or GATA4-ZF. Co-transfection of GATA4-ZF-VP16 induced the expression of GAL4-luciferase in the presence of Gal4-Gli1 or Gal4-Gli3FL, but not in the presence of the unfused Gal4 DNA-binding domain (Fig. 6C). These findings indicate that Gal4-Gli1 or Gal4-Gli3FL can recruit GATA4-ZF-VP16 to activate the expression of GAL4-luciferase, implying that Gli proteins and the zinc-finger domain of GATA factors can associate, directly or indirectly, via protein:protein interaction.
GATA6 can repress the expression of a Gli1 promoter-luciferase reporter in the absence of direct DNA interaction
Our findings suggested that GATA factors can be recruited to Gli binding sites via protein:protein interaction with Gli proteins. Thus, we investigated whether direct interaction of GATA factors with DNA is necessary for these factors to repress Gli1 expression, which itself is known to be regulated by Gli transcription factors (Dai et al., 1999). We had previously found that co-transfection of GATA6 plus FOG2 (ZFPM2) would synergistically repress the induction of a ∼3.6 kb Gli1-luciferase reporter by co-transfected GLI1 in NIH 3T3 cells (Kozhemyakina et al., 2014). We found that a mutant form of GATA6 that cannot directly bind to DNA [GATA6-DBDmut (Kozhemyakina et al., 2014)] could, when co-transfected together with FOG2, efficiently repress the induction of ∼3.6 kb Gli1-luciferase by GLI1 (Fig. 6D), indicating that GATA6 can repress the expression of this reporter in the absence of direct DNA interaction. Importantly, GATA6-WT and GATA6-DBDmut are expressed at approximately equivalent levels in transfected NIH 3T3 cells (supplementary material Fig. S2). We previously noted that, unlike GATA6-WT, GATA6-DBDmut is unable to repress the expression of the Shh limb bud enhancer (which contains GATA but not Gli binding sites) (Kozhemyakina et al., 2014), suggesting that GATA6-DBDmut cannot directly bind to DNA.
To evaluate whether other zinc-finger transcription factors would similarly repress the induction of ∼3.6 kb Gli1-luciferase by GLI1, we co-transfected this reporter together with YY1. In contrast to GATA6, YY1 failed to significantly repress the induction of ∼3.6 kb Gli1-luciferase by GLI1 in either the absence or presence of FOG2 (Fig. 6D). Taken together, these findings suggest that GATA factors (and not all zinc-finger transcription factors) can repress expression of the Gli1 promoter in the absence of direct DNA interaction.
GATA factors bind to both GATA and Gli binding sites in the Gli1 regulatory region in vivo, and can recruit FOG1 to these sequences
Because the ectopic expression of GATA4 or GATA5 efficiently blocked Gli1 expression in Sufu-deficient cells, we investigated whether these GATA factors might directly bind to Gli1 regulatory regions in Sufu−/− cells programmed to express these GATA factors. Chromatin immunoprecipitation (ChIP) of GATA4 or GATA5 indicated that both bind to chromatin encompassing GATA or Gli binding sites located between −2.3 kb and +700 bp relative to the Gli1 transcriptional start site (TSS) (Fig. 7A,B; data not shown). By contrast, neither GATA factor bound to chromatin encompassing putative GATA binding sites that are located more distally from the Gli1 TSS (Fig. 7A,B; data not shown).
Prior work has established that eight Gli binding sites that are proximal to the Gli1 TSS (extending from −243 to +750) can confer responsiveness to hedgehog signaling and serve as binding sites for GLI3 (Dai et al., 1999). Interestingly, GATA5 associated equally well with chromatin containing either GATA binding sites (located at approximately −2 kb to −1 kb) or Gli binding sites (located at approximately −200 bp to +700 bp) (Fig. 7A,B). To ensure that GATA factor association with the promoter-proximal Gli binding sites reflected interaction with these sequences (as opposed to interaction with more distant GATA binding sites) the chromatin was sheared to 200-400 bp prior to immunoprecipitation. In addition, EMSA employing in vitro translated GATA factor with tiled oligos encompassing all sequences from −379 bp to +781 bp revealed no detectable direct GATA binding sites in this promoter-proximal region that contained the reiterated Gli binding sites (data not shown). These findings suggest that GATA factors bind to the Gli1 regulatory region by both protein:DNA interaction (on GATA sites) and protein:protein interaction (on Gli sites).
How might GATA factor association with the Gli1 regulatory region act to repress expression of GLI1? GATA factors are either transcriptional activators or repressors (reviewed by Chlon and Crispino, 2012). GATA factor transcriptional repressor activity requires interaction with either of the transcriptional co-factors FOG1 (ZFPM1) or FOG2 (which in turn recruit the co-repressors NuRD and CtBP). Interestingly, we found that forced expression of GATA4 or GATA5 induced the expression of Fog1 in Sufu-deficient MEFs and NIH 3T3 cells, and of Fog2 in NIH 3T3 cells (Fig. 5C; supplementary material Figs S3 and S4). In addition, forced expression of GATA5 (in Sufu-deficient MEFs) recruited FOG1 to chromatin containing either GATA or Gli binding sites that encompass the Gli1 TSS (Fig. 7B; data not shown).
Knockdown of FOG1 reverses the ability of GATA factors to repress expression of Gli1
To examine whether GATA-mediated recruitment of FOG1 to the Gli1 promoter is necessary for GATA factors to repress the expression of Gli1 in Sufu−/− MEFs, we knocked down FOG1 expression in Sufu-deficient MEFs programmed to express GATA4 or GATA5. The expression of Fog1 RNA and the 160 kDa FOG1 protein (Snow et al., 2010) was significantly decreased in polyclones of cells programmed to express an shRNA targeting this mRNA (Fig. 7C; supplementary material Fig. S3). Interestingly, shRNA-mediated knockdown of FOG1 significantly boosted Gli1 expression ∼4-fold in these cells (Fig. 7C, lanes 2 and 4), suggesting that loss of FOG1 relieved GATA-mediated inhibition of Gli1 expression.
Taken together, these findings indicate that GATA factors repress the expression of hedgehog targets, such as Gli1, by recruiting FOG co-factors to GATA and/or Gli binding sites in the regulatory regions that drive the expression of these genes.
DISCUSSION
NKX3.2 blocks the expression of three inhibitors of hedgehog signaling: GATA4/5/6
SHH signals from the notochord and floor plate of the neural tube to induce somitic cells to express hedgehog-responsive genes particular to the sclerotome (Sox9, Nkx3.2 and Pax1) and non-tissue-restricted hedgehog-responsive genes (Gli1 and patched 1/2). One of the consequences of the induction of Nkx3.2 and Sox9 in the sclerotome is that this tissue becomes competent to initiate the chondrocyte differentiation program in response to subsequent BMP signals (Zeng et al., 2002). In this study, we demonstrate that NKX3.2 blocks the induction of GATA transcription factors in chicken PSM explants, and that GATA4/5/6 in turn block the induction of hedgehog-responsive genes (including Sox9). Thus, by inhibiting BMP-mediated induction of Gata4/5/6, NKX3.2 maintains the ability of sclerotomal cells to undergo chondrogenesis and to respond to further hedgehog signals (outlined in Fig. 7D). Because GATA transcription factors are necessary for BMP signals to induce endothelial cell formation in somitic tissue (Kamei et al., 2011), it seems plausible that NKX3.2 expression in the sclerotome (and consequent repression of GATA gene induction) blocks aberrant vasculogenesis in the progeny of sclerotomal cells.
NKX3.2 and GATA factors engage in reciprocal repression
By varying the timing of chicken PSM explant exposure to SHH and BMP, we noted that Nkx3.2 and Gata4/5/6 are reciprocally expressed in explants of paraxial mesoderm induced to become either chondrogenic or lateral plate tissue. Because reciprocal expression of transcriptional regulators often reflects mutually repressing negative-feedback loops (e.g. Briscoe et al., 2000), we explored whether NKX3.2 and GATA factors mutually repress one another's expression. Indeed, ectopic expression of NKX3.2 in paraxial mesoderm explants blocked GATA gene induction by BMP signals and, conversely, ectopic expression of GATA factors in this same tissue blocked Nkx3.2 induction by SHH (as outlined in Fig. 7D). In addition to blocking the expression of GATA transcription factors, we noted that NKX3.2 expression increased the expression of Gli1 in PSM explants, suggesting that NKX3.2 represses the expression of a repressor(s) of hedgehog signaling (summarized in Fig. 7D). Thus, GATA factors and NKX3.2 set up two distinct ground states in which mesodermal cells are either relatively unresponsive to hedgehog signaling (in cells that express GATA4/5/6) or extremely responsive to hedgehog signaling (in cells that express NKX3.2 and thus do not express GATA4/5/6). Because Nkx3.2 expression in paraxial mesoderm requires SHH signaling specifically for its induction and BMP signaling for its maintenance (Murtaugh et al., 2001), it is possible that GATA factors only act to repress the initiation of Nkx3.2 expression (in response to hedgehog signals) but not its maintenance (by BMP signals). Indeed, immature chondrocytes in the growth plate are known to express NKX3.2 (Provot et al., 2006) and GATA6 (Alexandrovich et al., 2008).
It is not yet clear whether NKX3.2 represses GATA gene induction by directly binding to the regulatory regions of these genes or by repressing the expression of an activator(s) of this gene family. In addition, it is unclear whether GATA factors directly or indirectly repress the induction of Nkx3.2, in the latter case by repressing the transcriptional activity of Gli transcription factors. Interestingly, NKX3.2 (Kim and Lassar, 2003) and GATA transcription factors (Benchabane and Wrana, 2003; Brown et al., 2004) have both been demonstrated to bind to BMP-regulated SMAD1/4. Thus, it is formally possible that NKX3.2 and GATA could compete for SMAD1/4 interaction and thereby block one another's activity. However, because a mutant form of NKX3.2 (Nkx3.2-NQ) that can bind to SMAD1/4 yet cannot bind DNA (Kim et al., 2003) failed to repress induction of Gata4 expression by BMP signals, it seems unlikely that NKX3.2 represses GATA induction by merely competing for SMAD1/4 interaction.
Because GATA factors can block SHH-mediated induction of Sox9, our findings suggest that NKX3.2 promotes chondrogenic competence in the sclerotome in part by blocking the expression of GATA genes. Interestingly, we have found that GATA transcription factors can also repress the ability of Wnt and SHH signals to induce expression of the pro-myogenic transcription factor genes Pax3, Myf5 and Myod in explants of PSM (supplementary material Fig. S5A). Conversely, PAX3 can block BMP-mediated induction of Gata4/5/6 in PSM explants (supplementary material Fig. S5B). Thus, PAX3 might play an analogous role to NKX3.2 in the dermomyotome and maintain the responsiveness of this tissue to SHH signals by blocking the induction of GATA transcription factors.
The ability of NKX3.2 to block induction of lateral plate markers in paraxial mesoderm treated with BMP4 is reminiscent of the function of FOXC1 and FOXC2 in paraxial mesoderm, where these transcription factors have been shown to block the expression of intermediate mesoderm markers in this tissue (Wilm et al., 2004). Interestingly, NKX3.2 and GATA family members are also expressed in mutually exclusive patterns in the gut, with NKX3.2 expression being restricted to the gizzard musculature and GATA family members expressed in the adjacent endoderm. Such mutually exclusive expression patterns of NKX3.2 and GATA factors in adjacent tissues might allow these tissues (in which BMP and SHH signaling are known to be crucial) to display markedly different sensitivities to hedgehog signaling.
GATA4/5/6 repress hedgehog-responsive genes
McMahon and colleagues observed that the BMP antagonist noggin synergizes with SHH to induce sclerotomal gene expression in vivo and in vitro (McMahon et al., 1998), suggesting that BMP signals somehow repress hedgehog-dependent gene expression. In accordance with this finding, Stafford and colleagues demonstrated that the BMP antagonists noggin and gremlin are necessary to carve out a BMP signaling-free zone in the paraxial mesoderm, such that SHH signals from the notochord can induce the expression of sclerotomal markers and subsequent vertebral chondrogenesis (Stafford et al., 2011). Consistent with this prior work, we have observed that treatment of chicken paraxial mesoderm explants with BMP4 induces the expression of Gata4/5/6 and concomitantly decreases the expression of hedgehog-responsive genes in response to SHH administration. Interestingly, expression of ectopic GATA4 or GATA5 can mimic the effects of BMP administration to paraxial mesoderm and similarly block the induction of hedgehog-responsive genes. These findings suggest that BMP signals attenuate hedgehog signaling in paraxial mesoderm in part by inducing GATA factor expression. The expression of various hedgehog-responsive genes in paraxial mesoderm displayed differential sensitivity to GATA inhibition. Induction of Sox9 and Nkx3.2 was strongly blocked by ectopic expression of GATA5 in PSM explants cultured in low or high levels of SHH. By contrast, induction of Gli1, patched 1 and patched 2 was most effectively blocked by ectopic expression of GATA5 in PSM explants cultured in relatively low levels of SHH. It is not clear whether this differential sensitivity to GATA factor expression reflects differing affinities of the regulatory regions of these various hedgehog targets for Gli transcription factors, GATA transcription factors, or both.
We found that GATA factors can interact with Gli proteins (as assayed by mammalian two-hybrid analysis), suggesting that GATA factors could potentially repress hedgehog target genes by piggy-backing on Gli proteins that directly bind to hedgehog-inducible transcriptional targets. Consistent with these findings, ChIP analysis in Sufu-deficient cells programmed to express GATA4 or GATA5 revealed that GATA factors bind to chromatin encompassing GATA or Gli binding sites that lie proximal to the Gli1 TSS. Thus, GATA proteins are recruited to sites upstream of the Gli1 gene by both protein:DNA and protein:protein interaction. Indeed, a GATA6 DNA-binding domain mutant that is unable to bind directly to DNA (at GATA binding sites) could nonetheless efficiently repress induction of ∼3.6 kb Gli1-luciferase by co-transfected GLI1. Both GATA factors (Benchabane and Wrana, 2003; Brown et al., 2004) and C-terminally truncated GLI3 (i.e. Gli3R) (Liu et al., 1998) have been demonstrated to associate with SMAD1/4, raising the possibility that protein:protein interaction between Gli proteins and GATA transcription factors might be mediated by an intermediate bridging protein, such as SMAD1/4. We found that GATA factors recruit the transcriptional co-factor FOG1 to both GATA and Gli binding sites located in the Gli1 regulatory region. Moreover, shRNA-mediated knockdown of FOG1 reversed GATA-mediated repression of Gli1 expression in Sufu−/− cells. Thus, the absence or presence of FOG co-factors in a given tissue may regulate whether GATA factors repress hedgehog signaling in vivo.
Consistent with our finding that GATA factors attenuate hedgehog signaling in vitro, we observed that conditional loss of GATA6 in limb buds leads to a dramatic induction of hedgehog transcriptional targets in the anterior mesenchyme of the hindlimb bud, resulting in hindlimb polydactyly (Kozhemyakina et al., 2014). In the anterior mesenchyme of the developing hindlimb bud, GATA6 directly represses the expression of hedgehog target genes such as Gli1 (by binding to its regulatory region) and Shh itself, in the latter case by binding to the enhancer that drives Shh expression specifically in the limb bud (Kozhemyakina et al., 2014). Silencing of GATA4/5/6 expression by genetic or epigenetic means has been implicated in the development of ovarian, lung and gastric cancers (reviewed by Zheng and Blobel, 2010). In light of our findings that these same GATA factors can repress the expression of hedgehog target genes, it will be interesting to evaluate whether cancers that have lost GATA family member expression display increased expression of hedgehog target genes.
MATERIALS AND METHODS
Plasmids and viruses
Mouse Gata4/5/6 cDNAs were provided by Dr Eric Olson (UT Southwestern). pCAGGS-GATA4, pCAGGS-GATA5, pCAGGS-GATA4-ZF and GATA4-ZF-VP16 are described by Kamei et al. (2011). pJT4-Shh, pCMV-Gal4-hGli1, pCMV-Gal4-hGli3, 8×3′-Gli-BS-Luc and 8×3′-mutant Gli-BS-Luc were provided by Dr Hiroshi Sasaki (Osaka University). pCFP-N3 mSmo-M2 was provided by Dr Adrian Salic (Harvard Medical School). ∼3.6 kb Gli1-firefly luciferase (Dai et al., 1999) was provided by Dr Shunsuke Ishii (RIKEN, Japan). pcDNA3-GATA6-HA and pcDNA3-GATA6-DBDmut (which contains a mutation to Gly of the third Cys of the C-terminal zinc-finger) are described by Kozhemyakina et al. (2014).
Explant cultures, RCAS infection and gene expression analysis
Dissection and culture of PSM explants were performed as described (Zeng et al., 2002; Cairns et al., 2008). Reverse transcription and PCR analyses of explants were carried out as described previously (Zeng et al., 2002; Cairns et al., 2008).
Cell culture, transient transfection and luciferase assays
NIH 3T3 cells were maintained in DMEM supplemented with 10% FBS and 1× penicillin/streptomycin. FuGENE 6 (Promega) was used for all transfection assays as per manufacturer's instructions. Cells were 60-70% confluent and were transfected in the presence of 10% FBS. Twenty-four hours after transfection, cells were 100% confluent and medium was changed to DMEM supplemented with ITS (insulin, transferrin and selenium) for another 24 h. Thereafter, cells were washed once with PBS, lysed in passive lysis buffer and luciferase measured using a Dual Luciferase Assay Kit (Promega) as per manufacturer's instructions.
Generation of GATA4- or GATA5-expressing Sufu−/− MEFs
Sufu−/− MEFs were infected with retroviruses encoding pOZ-FlagHA-puro (Kumar et al., 2009), pOZ-GATA4-FlagHA-puro or pOZ-GATA5-FlagHA-puro. Stable polyclones were selected using puromycin.
Electrophoretic mobility shift assay (EMSA) analysis of Gli and GATA binding
COS-7 cells were transfected with either pCAGGS-GATA4, pCAGGS-GATA5, pcDNA1-GATA6 or pcDNA3.1-Gli1 and nuclear extracts were prepared using a Nuclear Extract Preparation Kit (Active Motif) as per manufacturer's instructions. The probes used for Gli-BS and GATA-BS were described previously (Sasaki et al., 1997; Lee et al., 2004).
Western blot analyses
Western blots were performed using rabbit anti-GLI1 (V812; Cell Signaling, 2534; 1:1000), rabbit anti-FOG1 (ZFPM1 antibody; Genway Biotech, GWB-185378; 1:1000) and mouse anti-HA (Santa Cruz Biotechnology, SC-805; clone Y-11 at 1:1000).
Chromatin immunoprecipitation (ChIP)
Sufu−/− MEFs that were infected with either pOZ-FlagHA-puro (the parental retrovirus) (Kumar et al., 2009), pOZ-GATA4-FlagHA-puro or pOZ-GATA5-FlagHA-puro were employed for ChIP as described previously (Carroll et al., 2005). Rabbit anti-FOG1 (as above), rabbit anti-HA (Santa Cruz Biotechnology, as above) or control rabbit IgG (Jackson Lab; 1:1000) was employed for ChIP. Primers amplified the following regions of the murine Gli1 gene: P1, +1157 to +1312 (product 155 bp); P2, −1077 to −838 (239 bp); P3, −1572 to −1364 (208 bp); P4, −2309 to −2062 (247 bp); P5, −6799 to −6499 (300 bp); F1, +1004 to +1089 (85 bp); F2, +466 to +639 (173 bp); F3, +215 to +388 (173 bp); F4, −75 to −198 (124 bp). The statistical significance of ChIP results with various antibodies was calculated using Student's t-test.
shRNA-mediated knockdown of FOG1
Lentiviral vectors (pLKO.1-Puro) expressing FOG1shRNA or GFPshRNA were obtained from Open Biosystems. The mature sense sequence of the FOG1shRNA was CGAGATCACCTTTAACAATAT. Sufu−/− cells that were previously selected to express GATA4 or GATA5 were infected with retrovirus encoding FOG1shRNA or GFPshRNA.
Supplementary Material
Acknowledgements
We thank Connie Cepko, Eric Olson, Adrian Salic, Hiroshi Sasaki and Cliff Tabin for kindly providing plasmids, Adrian Salic for Sufu−/− MEFs, and Li Zeng for advice with somite explant assays.
Footnotes
Competing interests
The authors declare no competing financial interests.
Author contributions
G.D., H.K. and A.B.L. were responsible for the conception and design of the study, analysis and interpretation of data, and drafting the article. G.D., H.K., D.K., E.K., T.H., D.-W.K. and A.I. were responsible for experimental design and data acquisition.
Funding
This work was supported by grants to A.B.L. from the National Institutes of Health (NIAMS and NIGMS) [AR048524, GM054879, AR055552, AR060735]. Support for H.K. was provided by a long-term fellowship from the Human Frontier Science Program [LT00254/2000-M] and a post-doctoral fellowship from the Arthritis Foundation Massachusetts Chapter. H.K. was also a recipient of a Fondation Bettencourt Schueller award. G.D. was supported by a post-doctoral fellowship from the Canadian Arthritis Society. T.H. was supported by a joint fellowship from the Foundation for Gene and Cell Therapy and the Canadian Institute for Health Research. D.-W.K. was supported by a fellowship from the Arthritis Foundation. A.I. was supported by a fellowship from the Arthritis National Research Foundation. Deposited in PMC for release after 12 months.
Supplementary material
Supplementary material available online at http://dev.biologists.org/lookup/suppl/doi:10.1242/dev.111906/-/DC1
References
- Alexandrovich, A., Qureishi, A., Coudert, A. E., Zhang, L., Grigoriadis, A. E., Shah, A. M., Brewer, A. C. and Pizzey, J. A. (2008). A role for GATA-6 in vertebrate chondrogenesis. Dev. Biol. 314, 457-470 10.1016/j.ydbio.2007.12.001 [DOI] [PubMed] [Google Scholar]
- Benchabane, H. and Wrana, J. L. (2003). GATA- and Smad1-dependent enhancers in the Smad7 gene differentially interpret bone morphogenetic protein concentrations. Mol. Cell. Biol. 23, 6646-6661 10.1128/MCB.23.18.6646-6661.2003 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Briscoe, J., Pierani, A., Jessell, T. M. and Ericson, J. (2000). A homeodomain protein code specifies progenitor cell identity and neuronal fate in the ventral neural tube. Cell 101, 435-445 10.1016/S0092-8674(00)80853-3 [DOI] [PubMed] [Google Scholar]
- Brown, C. O., III, Chi, X., Garcia-Gras, E., Shirai, M., Feng, X.-H. and Schwartz, R. J. (2004). The cardiac determination factor, Nkx2-5, is activated by mutual cofactors GATA-4 and Smad1/4 via a novel upstream enhancer. J. Biol. Chem. 279, 10659-10669 10.1074/jbc.M301648200 [DOI] [PubMed] [Google Scholar]
- Cairns, D. M., Sato, M. E., Lee, P. G., Lassar, A. B. and Zeng, L. (2008). A gradient of Shh establishes mutually repressing somitic cell fates induced by Nkx3.2 and Pax3. Dev. Biol. 323, 152-165 10.1016/j.ydbio.2008.08.024 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carroll, J. S., Liu, X. S., Brodsky, A. S., Li, W., Meyer, C. A., Szary, A. J., Eeckhoute, J., Shao, W., Hestermann, E. V., Geistlinger, T. R.et al. (2005). Chromosome-wide mapping of estrogen receptor binding reveals long-range regulation requiring the forkhead protein FoxA1. Cell 122, 33-43 10.1016/j.cell.2005.05.008 [DOI] [PubMed] [Google Scholar]
- Chlon, T. M. and Crispino, J. D. (2012). Combinatorial regulation of tissue specification by GATA and FOG factors. Development 139, 3905-3916 10.1242/dev.080440 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dai, P., Akimaru, H., Tanaka, Y., Maekawa, T., Nakafuku, M. and Ishii, S. (1999). Sonic Hedgehog-induced activation of the Gli1 promoter is mediated by GLI3. J. Biol. Chem. 274, 8143-8152 10.1074/jbc.274.12.8143 [DOI] [PubMed] [Google Scholar]
- Humke, E. W., Dorn, K. V., Milenkovic, L., Scott, M. P. and Rohatgi, R. (2010). The output of Hedgehog signaling is controlled by the dynamic association between Suppressor of Fused and the Gli proteins. Genes Dev. 24, 670-682 10.1101/gad.1902910 [DOI] [PMC free article] [PubMed] [Google Scholar]
- James, R. G. and Schultheiss, T. M. (2005). Bmp signaling promotes intermediate mesoderm gene expression in a dose-dependent, cell-autonomous and translation-dependent manner. Dev. Biol. 288, 113-125 10.1016/j.ydbio.2005.09.025 [DOI] [PubMed] [Google Scholar]
- Kamei, C. N., Kempf, H., Yelin, R., Daoud, G., James, R. G., Lassar, A. B., Tabin, C. J. and Schultheiss, T. M. (2011). Promotion of avian endothelial cell differentiation by GATA transcription factors. Dev. Biol. 353, 29-37 10.1016/j.ydbio.2011.02.016 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kim, D.-W. and Lassar, A. B. (2003). Smad-dependent recruitment of a histone deacetylase/Sin3A complex modulates the bone morphogenetic protein-dependent transcriptional repressor activity of Nkx3.2. Mol. Cell. Biol. 23, 8704-8717 10.1128/MCB.23.23.8704-8717.2003 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kim, D.-W., Kempf, H., Chen, R. E. and Lassar, A. B. (2003). Characterization of Nkx3.2 DNA binding specificity and its requirement for somitic chondrogenesis. J. Biol. Chem. 278, 27532-27539 10.1074/jbc.M301461200 [DOI] [PubMed] [Google Scholar]
- Kozhemyakina, E., Ionescu, A. and Lassar, A. B. (2014). GATA6 is a crucial regulator of Shh in the limb bud. PLoS Genet. 10, e1004072 10.1371/journal.pgen.1004072 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kumar, D., Shadrach, J. L., Wagers, A. J. and Lassar, A. B. (2009). Id3 is a direct transcriptional target of Pax7 in quiescent satellite cells. Mol. Biol. Cell 20, 3170-3177 10.1091/mbc.E08-12-1185 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee, K.-H., Evans, S., Ruan, T. Y. and Lassar, A. B. (2004). SMAD-mediated modulation of YY1 activity regulates the BMP response and cardiac-specific expression of a GATA4/5/6-dependent chick Nkx2.5 enhancer. Development 131, 4709-4723 10.1242/dev.01344 [DOI] [PubMed] [Google Scholar]
- Liu, F., Massagué, J. and Ruiz i Altaba, A. (1998). Carboxy-terminally truncated Gli3 proteins associate with Smads. Nat. Genet. 20, 325-326 10.1038/3793 [DOI] [PubMed] [Google Scholar]
- McMahon, J. A., Takada, S., Zimmerman, L. B., Fan, C.-M., Harland, R. M. and McMahon, A. P. (1998). Noggin-mediated antagonism of BMP signaling is required for growth and patterning of the neural tube and somite. Genes Dev. 12, 1438-1452 10.1101/gad.12.10.1438 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Murtaugh, L. C., Chyung, J. H. and Lassar, A. B. (1999). Sonic hedgehog promotes somitic chondrogenesis by altering the cellular response to BMP signaling. Genes Dev. 13, 225-237 10.1101/gad.13.2.225 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Murtaugh, L. C., Zeng, L., Chyung, J. H. and Lassar, A. B. (2001). The chick transcriptional repressor Nkx3.2 acts downstream of Shh to promote BMP-dependent axial chondrogenesis. Dev. Cell 1, 411-422 10.1016/S1534-5807(01)00039-9 [DOI] [PubMed] [Google Scholar]
- Provot, S., Kempf, H., Murtaugh, L. C., Chung, U. I., Kim, D. W., Chyung, J., Kronenberg, H. M. and Lassar, A. B. (2006). Nkx3.2/Bapx1 acts as a negative regulator of chondrocyte maturation. Development 133, 651-662 10.1242/dev.02258 [DOI] [PubMed] [Google Scholar]
- Reshef, R., Maroto, M. and Lassar, A. B. (1998). Regulation of dorsal somitic cell fates: BMPs and Noggin control the timing and pattern of myogenic regulator expression. Genes Dev. 12, 290-303 10.1101/gad.12.3.290 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rohatgi, R., Milenkovic, L. and Scott, M. P. (2007). Patched1 regulates hedgehog signaling at the primary cilium. Science 317, 372-376 10.1126/science.1139740 [DOI] [PubMed] [Google Scholar]
- Sasaki, H., Hui, C., Nakafuku, M. and Kondoh, H. (1997). A binding site for Gli proteins is essential for HNF-3beta floor plate enhancer activity in transgenics and can respond to Shh in vitro. Development 124, 1313-1322. [DOI] [PubMed] [Google Scholar]
- Snow, J. W., Kim, J., Currie, C. R., Xu, J. and Orkin, S. H. (2010). Sumoylation regulates interaction of FOG1 with C-terminal-binding protein (CTBP). J. Biol. Chem. 285, 28064-28075 10.1074/jbc.M109.096909 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stafford, D. A., Brunet, L. J., Khokha, M. K., Economides, A. N. and Harland, R. M. (2011). Cooperative activity of noggin and gremlin 1 in axial skeleton development. Development 138, 1005-1014 10.1242/dev.051938 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Svärd, J., Heby-Henricson, K., Persson-Lek, M., Rozell, B., Lauth, M., Bergström, A., Ericson, J., Toftgård, R. and Teglund, S. (2006). Genetic elimination of Suppressor of fused reveals an essential repressor function in the mammalian Hedgehog signaling pathway. Dev. Cell 10, 187-197 10.1016/j.devcel.2005.12.013 [DOI] [PubMed] [Google Scholar]
- Tukachinsky, H., Lopez, L. V. and Salic, A. (2010). A mechanism for vertebrate Hedgehog signaling: recruitment to cilia and dissociation of SuFu-Gli protein complexes. J. Cell Biol. 191, 415-428 10.1083/jcb.201004108 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilm, B., James, R. G., Schultheiss, T. M. and Hogan, B. L. M. (2004). The forkhead genes, Foxc1 and Foxc2, regulate paraxial versus intermediate mesoderm cell fate. Dev. Biol. 271, 176-189 10.1016/j.ydbio.2004.03.034 [DOI] [PubMed] [Google Scholar]
- Zeng, L., Kempf, H., Murtaugh, L. C., Sato, M. E. and Lassar, A. B. (2002). Shh establishes an Nkx3.2/Sox9 autoregulatory loop that is maintained by BMP signals to induce somitic chondrogenesis. Genes Dev. 16, 1990-2005 10.1101/gad.1008002 [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zheng, R. and Blobel, G. A. (2010). GATA transcription factors and cancer. Genes Cancer 1, 1178-1188 10.1177/1947601911404223 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.