Abstract
REST (RE1 silencing transcription factor), also known as NRSF (neuron-restrictive silencer factor), is a well-known transcriptional repressor of neural genes in non-neural tissues and stem cells. Dysregulation of REST activity is thought to play a role in diverse diseases including epilepsy, cancer, Down’s syndrome and Huntington’s disease. The role of REST/NRSF in control of human embryonic stem cell (hESC) fate has never been examined. To evaluate the role of REST in hESCs we developed an inducible REST knockdown system and examined both growth and differentiation over short and long term culture. Interestingly, we have found that altering REST levels in multiple hESC lines does not result in loss of self-renewal but instead leads to increased survival. During differentiation, REST knockdown resulted in increased MAPK/ERK and WNT signaling and increased expression of mesendoderm differentiation markers. Therefore we have uncovered a new role for REST in regulation of growth and early differentiation decisions in human embryonic stem cells.
Introduction
REST (RE1 silencing transcription factor), also known as NRSF (neuron-restrictive silencer factor), is a zinc-finger transcription factor that regulates expression of a diverse set of genes in a tissue specific manner [1–4]. It binds to a 21–23 base pair DNA motif, known as repressor element 1 (RE1; also known as NRSE) [5,6], of which there are at least 1900 copies in the human genome [1,7,8]. REST was originally identified as a transcriptional repressor of neural genes in non-neural tissues and stem cells [9–11]. It has since been demonstrated to be aberrantly expressed in various cancers, and is now recognized to play a tumor suppressor role in epithelial cells, and an oncogenic role in neural cells [2, 12–15]. In addition, dysregulation of REST and its cofactors is implicated in the molecular pathophysiology of various diseases such as cardiac hypertrophy [16], ischemia [17], epilepsy [18, 19], Down’s syndrome [20], Huntington’s disease [21, 22], and X-linked mental retardation [23].
In mouse embryonic stem cells (mESCs), modulation of REST protein levels can regulate the transition from a pluripotent stem cell to a neural progenitor cell and from progenitor to mature neuron [9]. Loss of Rest using conventional Rest knockout mice leads to the early embryonic lethality [11]. Using conditional knockout mice, it has been shown that Rest plays a role in suppressing the expression of neuronal genes in cultured neuronal cells in vitro, as well as in non-neuronal cells outside of the central nervous system, but that it is dispensable for embryonic neurogenesis in vivo [24]. Studies in mESCs showing that Rest is directly regulated by the core pluripotency transcription factors Oct4, Sox2, and Nanog [25], that Nanog is a direct Rest target, and that 107 genes including Rest itself are targets of all four factors [26], provide strong evidence that REST is an integral part of the stem cell regulatory network.
In one study, REST has been shown to play a role in maintaining self-renewal and pluripotency of mESCs, partly by repressing neuronal differentiation [27]. However, other groups have found REST to mainly regulate lineage specification from mESCs [28], and the role of REST in pluripotency has been the topic of much debate [29]. In human embryonic stem cells (hESCs), the core transcriptional regulators OCT4, SOX2 and NANOG, have been shown to bind to the REST promoter [30]. Based on the association with the pluripotency network, we expected that REST would be important for maintaining pluripotency in hESCs. Our data suggest that REST is not essential for maintenance of self-renewing stem cells but that REST levels are important for regulation of survival. We have also uncovered a new role for REST in regulation of the early events of lineage differentiation and signaling in hESCs.
Results
In order to evaluate the role of REST/NRSF in regulation of hESC fate, we utilized the inducible Tet-On TRIPZ vector (see Methods), in which doxycycline (DOX) activates the expression of a TurboRFP reporter in addition to the shRNAmir. REST shRNAmir vector was used to knockdown REST (REST KD), and a scrambled Non-Target shRNAmir vector was used as a control (NT). As shown in Fig 1A, we were able to develop largely homogeneous RFP positive colonies in both the control NT and REST KD hESC lines (H9 is shown). The presence of DOX was used to manually pick RFP positive cells and thus was required from the start for making each stable knockdown line. To verify REST KD, we evaluated protein (Fig 1B and 1C) and RNA (Fig 1D) levels, and found decreased REST expression in both cases. In addition, as REST is a transcriptional repressor, we verified that upon REST KD there is an increase in direct REST targets. Indeed REST targets including SYP, SYT4 and TRKC are increased upon REST KD (S1 Fig). In order to determine whether REST KD results in loss of expression of signature pluripotency markers, we performed qPCR (Fig 1D) and Western blot analysis (Fig 1E), and in both cases found no change in expression of pluripotency markers. To confirm that REST is not required for maintenance of hESCs, we performed FACS analysis for the signature pluripotency markers SSEA4 and TRA 1–81, and again did not see any decrease in expression compared to control NT hESCs (Fig 1F). We verified that REST KD did not result in a loss of pluripotency by using the gold standard in vivo teratoma assay, which demonstrated that both REST KD and control NT hESCs are able to generate teratomas with cells representing all three germ layers (Fig 1G).
Over long-term culture of the cells, we often observed that REST KD hESCs passaged/survived better than control NT lines (H9 REST KD cells were followed for 21 passages: p39 to p60, and H1 REST KD cells were followed for 33 passages: p38 to p71). To evaluate proliferation, we performed BrdU analysis, but did not find any significant differences in BrdU incorporation between control NT and REST KD H9 or H1 hESCs (Fig 2A and 2B). However, our observation of enhanced passaging/survival capacity in REST KD hESCs was validated by apoptosis analysis that indicated lower levels of apoptotic cells (i.e., cells positive for Annexin V and DAPI) among both H1 and H9 REST KD hESCs, compared to controls (Fig 2C and 2D). In summary, we found that REST is not required for hESC maintenance, but may play a role in regulation of hESC survival.
In order to get a quantitative measure of the role of REST in differentiation, we performed in vitro analysis of the expression of at least two makers from each of the three germ layers across two independent hESC lines (H9, H1). We differentiated each hESC line under spontaneous embryoid body (EB) culture conditions and compared the expression of germ layer markers at Day 5 and Day 10 EB time points using qPCR (day 10 is shown). Interestingly, we found that REST KD hESCs had an increase in expression of endoderm or mesoderm markers compared to control NT hESCs across both cell lines (Fig 3A and 3B). To confirm the differentiation bias at the protein level, and to get a better understanding of the cell types present in REST KD and control NT EBs, we repeated the spontaneous EB differentiation, and used intracellular FACS analysis to evaluate three candidate lineage markers—SOX17, BRACHYURY and PAX6. The FACS analysis revealed that PAX6 and SOX17 were not statistically significantly different between REST KD and NT EBs (Fig 3D and 3E). However, REST KD EBs had a statistically significant increase in the percentage of BRACHYURY (mesendoderm) expressing cells across both cells lines (Fig 3C). Since the homeodomain protein MIXL1 plays a key role in mesendoderm specification [31], we analyzed MIXL1 expression via qPCR and immunohistochemistry. Day 5 and day 10 REST KD EBs showed increased MIXL1 mRNA expression compared to control NT EBs in the presence of doxycycline, but not in the absence of doxycycline (S2A and S2B Fig). Immunohistochemistry of day 5 EBs also revealed elevated MIXL1 protein expression and increased nuclear localization in REST KD EBs compared to control NT EBs (S2C Fig). In summary, although REST is not required for maintenance of hESC colonies, REST plays a role in regulating the early stages of EB differentiation.
In parallel to evaluating differentiation, we examined the role of REST KD with regard to genetic stability, using karyotype analysis (S1 Table). When NT and REST KD H1 p71 were sent out for G-band karyotype analysis, the NT cells were found to be normal, while the REST KD cells had trisomy 12. Analysis of NT H1 p50 and REST H1 p54 yielded similar results: all twenty NT cells were normal, while all twenty REST KD H1 cells had trisomy 12. For the H9 line, all twenty NT p55 cells were found to be normal, while all twenty REST KD p55 cells were found to be karyotypically abnormal. When we thawed earlier passage cells and sent REST KD H9 p44 for analysis, these too were found to have the same large pericentric inversion on chromosome 9 as the REST KD H9 p55 cells. We also used an siRNA mediated approach towards REST KD, where we performed repeated transfections approximately every 72hrs, and going up to 288hrs, of either scrambled siRNA or siRNA against REST. Copy number variant (CNV) analysis of NT and REST siRNA cells at 288hrs showed that both sets of cells were normal (S1 Table) demonstrating genomic stability. Thus, we found that REST KD resulted in karyotype instability in both H1 and H9 hESCs when targeted using shRNA but not when using siRNA. Importantly, the instability was not responsible for the differentiation bias seen, as no increase in endoderm or mesoderm markers was seen without addition of doxycycline, i.e., when the inducible promoter for the shRNA was not activated (S3A Fig). In order to further assess the effect of genetic instability on differentiation bias, we evaluated an independent hESC line that has previously been reported to have karyotypic abnormalities, including amplification of chromosomes 12 and 17 [32]. As shown in S3B–S3D Fig, BGO1V (V = variant or aneuploid) EBs did not have mesoderm or endoderm differentiation bias compared to control BGO1 EBs as measured by pPCR (S3B Fig) or FACS analysis (S3C and S3D Fig). This confirms previously published work demonstrating that aneuploidy does not predispose hESC lines to differentiate more efficiently or with a mesoderm/endoderm differentiation bias [33]. In fact, the two aneuploid lines examined in that study exhibited reduced endoderm differentiation.
To determine if reduced REST levels in hESCs or EBs results in any change in pluripotency signaling, we evaluated four of the main pluripotency signaling networks (FGF/MEK, AKT, WNT and SMAD signaling). As shown in Fig 4A, we found elevated pMEK1/2 protein expression in REST KD hESCs compared to controls. CFOS, a key transcription factor downstream of the FGF/MEK/ERK pathway [32] also exhibited increased mRNA expression in REST KD hESCs compared to controls (Fig 4B). Elevated pMEK1/2 protein expression was also detected in REST KD EBs in both, H9 and H1 lines as compared to controls (Fig 4C). This trend was also seen in siRNA knockdown hESCs (S4 Fig) confirming that the changes seen in signaling are not a result of instability but are due to REST KD. Additionally, we saw a consistent increase in WNT signaling markers in REST KD EBs, across both, H1 and H9 lines (Fig 4D). Protein detection for SMAD and AKT signaling showed a slight increase in pSMAD 2/3 (S5A Fig), but no change in pAKT (S5B Fig) in REST KD hESCs. In summary, REST KD hESCs and EBs have altered pluripotency signaling, with REST KD EBs having increased MEK and WNT signaling during early lineage differentiation.
Discussion
From our studies it is clear that reduced REST expression does not result in loss of pluripotency in human embryonic stem cells. REST KD hESCs express all of the traditional pluripotency markers and can differentiate into cells from all three germ layers. However, REST KD embryoid bodies (EBs) express higher levels of early mesendoderm markers as compared to control NT EBs. When REST was targeted using shRNA we found some form of genetic instability did occur in REST KD (i.e. deletions or amplifications), but not control NT cells. However, we did not see instability after REST KD using siRNA in short term or long term culture. This could be due to the fact that the targeting approaches were done with different KD platforms. Specific targeting of REST using genetic engineering approaches (ex. TALENS, ZINC Fingers or CRISPRs) will be required to clarify the role of REST in regulation of stability and differentiation across multiple targeting platforms. Importantly, the differentiation bias seen was not observed in the absence of doxycycline, i.e., when REST was not knocked down, confirming the role of REST in regulating lineage fate choice in hESCs.
REST KD hESCs were found to have a slight increase in pSMAD2/3, but no significant change in pAKT, even though they did demonstrate increased survival compared to control NT hESCs. Increased ERK/MEK/MAPK activity was detected in REST KD hESCs as well as REST KD Day 5 EBs. It has become clear that the balance of each of these signaling pathways is key to regulating the pluripotent state in hESCs [34]. Thus, the increase in pMEK 1/2 in REST KD hESCs is counterbalanced by no significant change in pAKT levels, which enables support of self-renewal in REST KD hESCs. Finally, we did see significantly increased WNT signaling in REST KD Day 5 EBs, but not in REST KD hESCs. Previous work has shown that the levels of WNT activation are critical to balancing lineage differentiation bias, with high levels of WNT signaling activating mesoderm and/or endoderm, and lower levels being sufficient to generate ectoderm [35]. Thus activation of MEK and WNT signaling in REST KD cells are likely to play key roles in the lineage bias seen in our EB studies.
Interestingly, Lu et al. [36] report that various neurotoxic stimuli in the ageing brains of healthy people cause increased expression of the REST protein, and this was partially dependent on the Wnt-signaling pathway. In this model, REST induction suppresses neuronal apoptotic cell death and the toxic effects of the accumulation of amyloid-β (Aβ, the main protein component of the plaques found in the brains of patients with Alzheimer's disease). In contrast in the brains of those with Alzheimer's disease, both Wnt signaling and REST induction are suppressed, leading to neurodegeneration. Although a different model system, it is clear that the role of REST and WNT signaling in regulation of cell survival/cell death will be important to evaluate to compare the role of REST regulation in survival and cell function across multiple cell lineages and disease models.
Critical hurdles for translation of the clinical potential of hPSCs into practice are their tumorigenic capacity, and the inefficiency in tailoring lineage differentiation. In this work, we have found that altering REST levels in hPSCs plays a role in regulating both pluripotency signaling and differentiation. Interestingly, activation of RAS/ERK/MAPK signaling, which is elevated in REST KD cells, has previously been shown to play a role in inhibiting neuroectoderm differentiation [37], as well as in regulating genetic stability in a number of systems [38, 39]. Importantly, it has recently been shown that members of the ERK and WNT superfamily are REST target genes in hESCs and differentiated cells [40], and provide mechanistic candidates for activation of the changes in cell growth and lineage differentiation seen in REST KD hESCs. Therefore future experiments will be directed towards understanding how REST loss regulates pluripotency signaling and improve our understanding of tailored lineage differentiation. Elucidating the role of REST in regulating cell fate of hPSCs could enable development of robust methods to stably culture and tailor lineage differentiation of these cells for use in regenerative medicine applications.
Methods
Ethics Statement
All work was performed according to approvals from the UCLA Institutional Animal Care and Use Committee (IACUC) #2006-119-23D and the UCLA Embryonic Stem Cell Research Oversight (ESCRO) Committee #2006-009-09C.
Cell Culture and Development of Inducible REST KnockDown (KD) System in hESCs
hESCs used in this study were from lines H1 between 35–70 passages, and H9 between 35–70 passages. H1 and H9 cells were obtained from Wicell under MTA to UCLA Stem Cell Core Facility. hESCs were grown on gelatin-coated plates with mitomycin-C treated Mouse Embryonic Fibroblasts (MEFs) in hESC medium consisting of Dulbecco’s Modified Eagle Medium-F12 (DMEM/F-12, Invitrogen) supplemented with 20% Knockout serum (Invitrogen), 1mM non-essential amino acids, 1mM L-glutamine, 0.1 mM Beta-mercaptoethanol, 1% Penicillin/Streptomycin (Hyclone) and 4 ng/ml basic Fibroblast Growth Factor (Biological Resources Branch, National Cancer Institute). hESCs were routinely passaged every 5–7 days at a ratio of 1:2 or 1:3 depending on cell density. Briefly, hESCs were incubated with a sterile filtered collagenase IV (Invitrogen) solution (1mg collagenase/mL of DMEM/F-12) for five minutes at 37°C, physically dissociated into small clumps using a 5 ml pipette, collected in a conical tube, and centrifuged at 1,000 rpm for 5 minutes. The cell pellet was re-suspended in hESC media, and the cells were plated onto MEF plates. hESCs used for RNA or protein collection were grown on Matrigel (BD Biosciences) coated plates and fed MEF conditioned medium to reduce MEF contribution.
Non-target control hESCs (NT) and REST knockdown hESCs (REST KD) were generated using the TRIPZ vector (Open Biosystems, http://www.openbiosystems.com), a lentiviral inducible RNAi system with microRNA-adapted shRNA (shRNAmir). The TRIPZ vector contains a puromycin drug resistance marker, and a Tet-On system that induces expression of the shRNAmir and TurboRFP in the presence of doxycycline.
To make stable lines, hESCs were harvested with trypsin, and plated onto a matrigel coated 24 well plate at a density of 5 X 104 cells/well using MEF conditioned media supplemented with 10μM of the ROCK inhibitor HA-1077 [41]. The day after cell plating, lentivirus containing non-target shRNA (NT) or REST shRNA (REST KD) was added to the cells at a final virus concentration of 3-5 X107 TU/ml of MEF conditioned media. Polybrene was added to the media at a final concentration of 8ug/ml to aid transduction. The plates were spinoculated at 2,000 rpm at 37°C for four hours, then transferred to the incubator for overnight incubation. The next morning, the transduction cocktail was replaced with fresh conditioned media. 48hrs after transduction, and daily for 4 weeks thereafter, cells were fed conditioned media containing 1ug/ml puromycin for selection. 1ug/ml doxycycline was also added to the media to turn on expression of the shRNAmir and TurboRFP. RFP positive colonies were manually scraped to obtain a homogenous population of RFP expressing cells. NT and REST KD hESC cells were treated with collagenase and transferred onto feeders when ready for splitting.
Embryoid Body (EB) Formation
Confluent hESCs colonies were detached from the feeder layer by incubating cells with 1 mg/ml collagenase for 30–60 minutes at 37°C. The detached colonies were washed off the plate, collected in a conical tube, and allowed to pellet. After aspirating the supernatant, the colonies were resuspended in EB medium (hESC medium without bFGF) and plated in ultra low attachment plates (Corning). EB media was replaced every other day.
Teratomas
For teratoma formation, two confluent wells of hESCs were harvested as previously described [42]. At least 3 animals were injected for each cell line evaluated for teratomas. Cell pellets were resuspended in 50 μl of PBS and injected into the testis of 4–8 week old SCID beige mice (Charles River) according to UCLA-approved Animal Research Committee protocols. After 8 weeks, teratomas were isolated and fixed in 4% PFA for 24 hours. Fixed teratomas were embedded and processed by the Translational Pathology Core Laboratory at the David Geffen School of Medicine at UCLA. Teratoma sections were stained with H&E. All animal experiments were carried out according to IACUC approved methods. In brief for survival surgeries, all animals were anesthetized prior to testis injection and provided pain medication during and for 48 hours after surgeries. Euthanasia was carried out by UCLA approved IACUC procedures.
Additional methods can be found in S1 Methods.
Supporting Information
Acknowledgments
The authors wish to thank the Eli and Edythe Broad FACS Core and Staff for assistance with the FACS data. The authors wish to thank Dr. Jackelyn Alva for assistance with teratoma formation. We wish to thank our colleagues Dr. Plath and Dr. Lowry for their helpful comments and technical support. The authors wish to thank the UCLA Clinical Microarray Facility for help with the CNV analysis.
Data Availability
All relevant data are within the paper and its Supporting Information files.
Funding Statement
TK and MJ were supported by the California Institute for Regenerative Medicine (CIRM) Bridges to Stem Cell Research Program. This work was supported in part by the UCLA Jonsson Comprehensive Cancer Center (JCCC) grant to ADP. ADP was also supported by the National Institutes of Health through grant P01GM081621, and the Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research (BSCRC).
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