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. 2022 Sep 26;11:e74263. doi: 10.7554/eLife.74263

Early anteroposterior regionalisation of human neural crest is shaped by a pro-mesodermal factor

Antigoni Gogolou 1,2, Celine Souilhol 1,2, Ilaria Granata 3, Filip J Wymeersch 4, Ichcha Manipur 3, Matthew Wind 1,2, Thomas JR Frith 1,2, Maria Guarini 5, Alessandro Bertero 6, Christoph Bock 5,7, Florian Halbritter 8, Minoru Takasato 4,9, Mario R Guarracino 10, Anestis Tsakiridis 1,2,
Editors: Marianne E Bronner11, Marianne E Bronner12
PMCID: PMC9536837  PMID: 36154671

Abstract

The neural crest (NC) is an important multipotent embryonic cell population and its impaired specification leads to various developmental defects, often in an anteroposterior (A-P) axial level-specific manner. The mechanisms underlying the correct A-P regionalisation of human NC cells remain elusive. Recent studies have indicated that trunk NC cells, the presumed precursors of childhood tumour neuroblastoma, are derived from neuromesodermal-potent progenitors of the postcranial body. Here we employ human embryonic stem cell differentiation to define how neuromesodermal progenitor (NMP)-derived NC cells acquire a posterior axial identity. We show that TBXT, a pro-mesodermal transcription factor, mediates early posterior NC/spinal cord regionalisation together with WNT signalling effectors. This occurs by TBXT-driven chromatin remodelling via its binding in key enhancers within HOX gene clusters and other posterior regulator-associated loci. This initial posteriorisation event is succeeded by a second phase of trunk HOX gene control that marks the differentiation of NMPs toward their TBXT-negative NC/spinal cord derivatives and relies predominantly on FGF signalling. Our work reveals a previously unknown role of TBXT in influencing posterior NC fate and points to the existence of temporally discrete, cell type-dependent modes of posterior axial identity control.

Research organism: Human, Mouse

Introduction

The neural crest (NC) is a multipotent cell population, which arises in the dorsal neural plate/non-neural ectoderm border region during vertebrate embryogenesis and generates a variety of cell types following epithelial-to-mesenchymal transition and migration through diverse routes.NC cells emerge at all levels of the anteroposterior (A-P) axis and their A-P position determines the identity of their derivatives: cranial NC produces mesoectodermal cell types (e.g. dermis, cartilage, and bone), melanocytes, neurons, and glial cells colonising the head; vagal NC cells, arising between somites 1 and 7, contribute (together with their sacral counterparts emerging at axial levels posterior to somite 28) predominantly to the enteric nervous system and include a subpopulation (termed cardiac NC) that generates various heart structures; trunk NC generates dorsal root/sympathetic neurons, adrenal chromaffin cells, and melanocytes (reviewed in Le Douarin et al., 2004; Rocha et al., 2020; Rothstein et al., 2018). Defects in the specification, differentiation, or migration of NC cells (known collectively as neurocristopathies) lead to a wide spectrum of serious developmental disorders, often in an axial level-specific manner (Pilon, 2021; Vega-Lopez et al., 2018). The use of human pluripotent stem cell (hPSC) differentiation offers an attractive platform for the study of human NC biology and neurocristopathies as well as an indefinite in vitro source of clinically relevant NC-associated cell populations for regenerative medicine applications. However, the cellular and molecular mechanisms directing the acquisition of distinct A-P axial identities by human NC cells remain largely undefined. In turn, this obviates the design of optimised hPSC differentiation protocols aiming to produce NC derivatives as well as the dissection of the links between human neurocristopathy emergence and the axial identity of the NC cells affected.

In vivo, the A-P patterning of the vertebrate embryonic body and its nascent cellular components relies on the coordinated action of Hox gene family members (arranged as paralogous groups [PG] in four distinct chromosomal clusters: A, B, C, and D). In mammals, transcriptional activation of Hox genes is initiated during gastrulation, within the posterior part of the embryo around the primitive streak and proceeds in a sequential manner reflecting their 3’-to-5’ genomic order, a phenomenon described as temporal collinearity or the Hox clock (Deschamps and Duboule, 2017; Dollé et al., 1989; Izpisúa-Belmonte et al., 1991). The Hox clock continues to operate after gastrulation, until the end of somitogenesis, in the posterior growth zone comprising the caudal lateral epiblast-late primitive streak, and later the tail bud (Deschamps and Duboule, 2017; Wymeersch et al., 2019; Wymeersch et al., 2021). The colinear activation of Hox genes in the posterior growth region is thought to be tightly coupled to the assignment of the terminal A-P coordinates of the cell lineages that make up the postcranial axis, including the NC (Deschamps and Duboule, 2017; Wymeersch et al., 2019; Wymeersch et al., 2021). Eventually, the terminal expression domains of Hox genes along the A-P axis correspond to their ordering within their chromosomal clusters so that the earliest activated, 3’ Hox PG members are expressed more anteriorly compared to their later-activated 5’ counterparts. In the case of NC, anterior cranial NC is Hox-negative, posterior cranial NC cells express Hox PG(1-3) genes, while vagal NC cells are marked by the expression of Hox PG(3-5) members and positivity for Hox PG(5-9) genes denotes a trunk NC character (Rocha et al., 2020).

The post-gastrulation posterior growth zone is marked by high levels of WNT/FGF signalling activity and harbours a pool of multipotent axial progenitors driving embryonic axis elongation in a head-tail direction. These include neuromesodermal progenitors (NMPs) that generate a large fraction of the spinal cord as well as presomitic/paraxial mesoderm, the building blocks of the musculoskeleton (reviewed in Henrique et al., 2015; Wymeersch et al., 2021). NMPs are marked by the co-expression of neural and mesodermal genes, such as those encoding the transcription factors Sox2 and Brachyury (T) (Guillot et al., 2021; Henrique et al., 2015; Martin and Kimelman, 2012; Olivera-Martinez et al., 2012; Tsakiridis et al., 2014), as well as a number of other posteriorly expressed genes such as Nkx1-2, Cdx2, Tbx6, and Hox family members (Amin et al., 2016; Dias et al., 2020; Gouti et al., 2017; Guillot et al., 2021; Javali et al., 2017; Koch et al., 2017; Rodrigo Albors et al., 2018; Wymeersch et al., 2019; Young et al., 2009).

Fate mapping, lineage tracing, and single-cell transcriptomics studies in vertebrate embryos have revealed that trunk NC cells, which give rise to neuroblastoma (the most common extracranial solid tumour in infants) following oncogenic transformation, are derived from NMPs (Javali et al., 2017; Lukoseviciute et al., 2021; Shaker et al., 2021; Tzouanacou et al., 2009; Wymeersch et al., 2016). Moreover, recent work has demonstrated that the in vitro generation of trunk NC cells and their derivatives from hPSCs relies on the induction of an NMP-like intermediate following stimulation of WNT/FGF signalling pathways (Abu-Bonsrah et al., 2018; Faustino Martins et al., 2020; Frith et al., 2018; Frith and Tsakiridis, 2019; Hackland et al., 2019; Kirino et al., 2018). These and other studies have pointed to a model where a generic posterior axial identity is installed early within the NMP precursors of trunk NC cells under the influence of WNT/FGF activities prior to their differentiation and commitment to an NC fate (Frith et al., 2018; Metzis et al., 2018). However, it is unclear whether induction of a developmentally plastic, Brachyury-positive state is an obligatory step in the posteriorisation of prospective NC cells, or whether trunk NC cells can still acquire a posterior axial identity without passing through a mesoderm-competent progenitor stage.

Here we dissect the links between human NMP induction and trunk NC specification using hPSC differentiation as a model. We show that disruption of NMP ontogeny via knockdown of the NMP/mesoderm regulator TBXT (the human homologue of Brachyury) abolishes the acquisition of a posterior axial identity by NC and early spinal cord cells, as well as the adoption of an NC fate. This is linked to a failure of hPSC-derived NMPs to activate properly and subsequently maintain, during their differentiation, the expression of HOX genes and key signalling pathway components. We demonstrate that TBXT regulates these events by directly orchestrating an open chromatin landscape in regions associated with HOX clusters and loci encoding pivotal posterior/NC identity determinants. Our results also indicate that, as TBXT levels gradually decrease to extinction during the differentiation of NMPs toward early spinal cord/NC cells, the control of trunk HOX gene expression/posteriorisation becomes WNT-independent and relies predominantly on FGF signalling activity. Collectively, our data reveal a previously unappreciated role for TBXT in prospectively shaping the A-P patterning and specification of NC cells. They also indicate the existence of two distinct phases of posterior axial identity control: (i) an early NMP-based phase that involves the TBXT/WNT-driven establishment/fixing of a HOX-positive, posterior character in uncommitted progenitors, and, (ii) a later one, which is defined by the FGF-based maintenance of a posterior axial identity within the early spinal cord/NC derivatives of NMPs.

Results

NC-fated axial progenitors are marked by T expression

We and others have recently shown that hPSC-derived neuromesodermal-potent axial progenitors exhibiting expression of TBXT, a well-established regulator of NMP/axial progenitor maintenance (Amin et al., 2016; Gouti et al., 2014; Guibentif et al., 2021; Koch et al., 2017; Martin and Kimelman, 2010; Rashbass et al., 1991), are the optimal source of trunk NC cells in vitro (Cooper et al., 2022; Frith et al., 2018; Frith and Tsakiridis, 2019; Gomez et al., 2019; Hackland et al., 2019). In the mouse embryo, homotopic grafting-based fate mapping has indicated that the equivalent NM-potent axial progenitors giving rise to trunk NC are located in the lateral-most caudal epiblast of somitogenesis-stage embryos (marked as ‘LE’ in Figure 1; Wymeersch et al., 2016). We confirmed by wholemount immunofluorescence analysis that, similar to their human in vitro counterparts, the LE domain in mouse is also marked by expression of T (Brachyury) immediately before the time of early posterior NC emergence (embryonic day [E] 8.75–E9.0, Theiler stage [TS] 13–14) (Figure 1A). Low-level expression of Tfap2a, potentially marking nascent NC cells (Mitchell et al., 1991; Rothstein and Simoes-Costa, 2020), was first detected within the posterior LE domain from E9.0 (Figure 1 Bg-h vs Bc-d). ‘Committed’ NC cells, located anteriorly at the same time points, were found to also express Sox9 alongside Tfap2a (Figure 1 Ba-b and Be-f). These data demonstrate that NC-fated axial progenitors in the mouse embryo exhibit T expression in line with the previous lineage tracing studies showing that T-positive embryonic cells contribute to the posterior neural tube and trunk NC (Anderson et al., 2013; Mugele et al., 2018; Shaker et al., 2021).

Figure 1. Brachyury expression marks neural crest (NC)-fated axial progenitors.

Figure 1.

Top: schematics showing location and orientation of immunostaining data in in embryonic day (E) 8.75 (Theiler stage [TS]13) and E9.0 (TS14) embryos. (A) Confocal sections of wholemount immunostaining showing T (Brachyury) expression (green) in the lateral-most caudal epiblast (LE, indicated by dashed lines). Anti-Lamin B1 (LB1) expression (grey) denotes nuclei. (B) Confocal sections of wholemount immunostaining for Sox9 (magenta) and Tfap2a (cyan) showing NC derivatives (Ba–Bb, Be–Bf) and their progenitors (Bc-Bd, Bg-Bh) in the trunk and tail bud, respectively. At E9.0, Tfap2a was detected in posterior LE progenitors and at a lower level compared to the surface ectoderm (SE; inset in Bg). Noto: notochord; NT: neural tube; PS: primitive streak; PSM: presomitic mesoderm; SE: surface ectoderm; som: somite; TG: tail gut. A: anterior; P: posterior; D: dorsal; V: ventral; L: left; R: right. Scale bars = 50 µm.

TBXT controls posterior axial identity acquisition by NMP-derived NC cells

Our embryo analysis results suggest that the induction of trunk NC may rely on the prior generation of mesoderm-competent, T+axial progenitors emerging in the posterior growth zone during embryonic axis elongation. To test this hypothesis, we examined the effects of attenuating TBXT during human embryonic stem cell (hESC) differentiation using an hESC line engineered to exhibit short hairpin RNA (shRNA)-mediated, tetracycline (Tet)-inducible knockdown of TBXT expression (Bertero et al., 2016). We first generated NMPs from these hESCs following their treatment with the WNT agonist CHIR99021 (CHIR) and FGF2 for 3 days (Frith et al., 2018), in the presence or absence of Tet (Figure 2A). We confirmed that Tet addition induced a considerable reduction in TBXT expression both at the transcript and protein level compared to untreated controls (Figure 2B–D). No effect on TBXT induction was observed in NMPs generated from an isogenic control Tet-inducible shRNA hESC line targeting the B2M gene (Bertero et al., 2016) following Tet treatment (Figure 2—figure supplement 1A).

Figure 2. Effect of TBXT reduction on human pembryonic stem cell (hES)-derived neuromesodermal progenitors (NMPs).

(A) Differentiation/tetracycline (Tet) treatment scheme. (B) Immunofluorescence analysis of the expression of TBXT in shRNA hEScell-derived NMPs in the presence and absence of Tet. Scale bar = 100 μm. (C) Mean fluorescence intensity of TBXT protein in Tet-treated and control NMP cultures. (D) Normalised expression values of TBXT transcripts in control, Tet-treated NMPs and undifferentiated hESC samples following RNA sequencing (RNA-seq) analysis. (E) Gene ontology (GO) term analysis of differentially expressed genes in hESC-derived NMPs following TBXT knockdown. (F) Representative significantly downregulated and upregulated transcripts following TBXT depletion. (G) Quantitative PCR (qPCR) expression analysis of indicated HOX genes in control vs Tet-treated NMPs. Error bars represent SD (n=3). *p<0.05, **p<0.005, ***p<0.0005 (paired t-test). n.s. not significant.

Figure 2.

Figure 2—figure supplement 1. Effect of Tet treatment on control B2M shRNA hESC-NMPs.

Figure 2—figure supplement 1.

(A) Immunofluorescence analysis of the expression of TBXT in control B2M shRNA hESC-derived NMPs in the presence and absence of Tet. Scale bar = 100 μm. (B) qPCR expression analysis of indicated HOX genes in control vs Tet-treated NMPs generated from B2M shRNA hESCs. Error bars represent SD (n=3).

To define the impact of TBXT depletion during the transition of hPSCs toward an NMP state, we carried out transcriptome analysis of Tet-treated and control hESCs cultured in NMP-inducing conditions (i.e. presence of CHIR and FGF2) for 3 days, using RNA sequencing (RNA-seq). We found that 346 and 293 genes were significantly up- and down-regulated respectively in TBXT knockdown cells compared to untreated controls (padj<0.05, Wald test; log2FC>|0.5|; Supplementary file 1). Gene ontology (GO) biological processes enrichment analysis revealed that most differentially expressed genes were established regulators of A-P regionalisation/posterior development (Figure 2E, Supplementary file 2). Significantly downregulated genes included presomitic mesoderm-associated transcription factors (TBX6, MSGN1, and FOXC1/2) as well as WNT (e.g. RSPO3, WISP1, WNT5A/B, WNT8A, and LEF1), FGF (FGF3/8/17 and DUSP7), and NOTCH (HES7 and DLL1/3) signalling pathway-linked transcripts (Figure 2F, Supplementary file 1), most of which have been reported to be present in NMPs and their immediate mesodermal derivatives in vivo (Guillot et al., 2021; Koch et al., 2017; Wymeersch et al., 2019). Moreover, we found that TBXT knockdown triggered a significant reduction in the expression of various HOX genes belonging to anterior, central, and posterior PG(1-9) (Figure 2G, Supplementary file 1) while no effect was observed in Tet-treated B2M shRNA hESC-derived NMPs (Figure 2—figure supplement 1B) ruling out the possibility that the observed decrease in HOX transcript levels may be due to nonspecific effects of Tet and/or interference of shRNAs with the microRNA processing machinery. On the contrary, the most highly upregulated genes included anterior visceral endoderm (AVE)/endoderm, anterior neurectoderm, and pluripotency/early post-implantation epiblast-associated genes such as SOX17, LEFTY1/2, OTX2, CER1, HHEX, NANOG, and GDF3 (Figure 2F, Supplementary file 1). Taken together, these results indicate that TBXT knockdown severely impairs the induction of NMPs and their immediate presomitic mesoderm progenitor derivatives from hPSCs. They also suggest that TBXT directs the establishment of a posteriorising signalling environment associated with early HOX gene activation, upon pluripotency exit, since in its absence hPSCs adopt an identity that resembles the anterior epiblast despite the combined presence of caudalising WNT (CHIR) and FGF (FGF2) signalling agonists.

We next assessed the effect of TBXT disruption/failure to induce NMPs/presomitic mesoderm on trunk NC specification. To this end, we attempted to generate trunk NC cells from inducible TBXT knockdown shRNA hESCs via an NMP intermediate. We treated cells initially with CHIR-FGF2 for 3 days to induce NMPs, followed by their replating under NC-promoting conditions (i.e. low CHIR and moderate BMP levels) for a further 5 days, as previously described (Frith et al., 2018; Frith and Tsakiridis, 2019) either in the continuous presence or absence of Tet (Figure 3A). We found that the expression of most HOX PG(1-9) genes examined was dramatically reduced in the resulting Tet-treated cultures compared to their untreated counterparts (Figure 3B and C) indicating that the failure of TBXT-depleted NMPs to properly induce HOX gene expression persists in their NC derivatives. The expression levels of CDX2, an NMP/spinal cord/early trunk NC regulator (Sanchez-Ferras et al., 2016; Sanchez-Ferras et al., 2012) were also found to be severely decreased (Figure 3D). A statistically significant reduction in the levels of some NC-associated transcripts such as SOX10 and PAX3 was observed in the presence of Tet (p<0.05 and p<0.01 respectively; paired t-test; Figure 3D) though no change in SOX10 protein levels was detected (Figure 3E). We also observed a trend towards a slight upregulation in the expression of the anterior NC markers OTX2 and ETS1 (Simoes-Costa and Bronner, 2016) as well as the neural progenitor marker SOX1 (Wood and Episkopou, 1999) following TBXT knockdown (Figure 3D). However, we found no significant (paired t-test) expansion of the minor fraction of SOX1 protein-positive cells present in the trunk NC cultures, indicating that TBXT knockdown does not induce a cell identity switch from NC to CNS neurectoderm (Figure 3—figure supplement 1). Based on these data we conclude that the acquisition of a posterior axial identity by trunk NC cells is shaped by the action of TBXT, an NMP/pro-mesodermal regulator.

Figure 3. TBXT depletion impairs posterior axial identity acquisition by neural crestNC.

(A) Differentiation/tetracycline (Tet) treatment scheme. (B) qPCR expression analysis of indicated HOX genes in control vs Tet-treated NMP-derived trunk NC cells. Error bars represent SD (n=4–6). *p<0.05, **p<0.005, ***p<0.0005 (paired t-test). (C) Immunofluorescence analysis of the expression of HOXC9 in control vs Tet-treated NMP-derived trunk NC cells. Quantification of HOXC9+ cells in the presence and absence of Tet is also shown. Error bars represent SD (n=3). *p<0.05 (paired t-test). Scale bar = 100 μm. (D) qPCR expression analysis of indicated markers in control vs Tet-treated NMP-derived trunk NC cells. Error bars represent SD (n=6). *p<0.05, **p<0.01, n.s. not significant (paired t-test). (E) Immunofluorescence analysis of the expression of SOX10 in control vs Tet-treated NMP-derived trunk NC cells. Quantification of SOX10+ cells in the presence and absence of Tet is also shown. Error bars represent SD (n=3). Scale bar = 100 μm. n.s. not significant (paired t-test).

Figure 3.

Figure 3—figure supplement 1. TBXT depletion does not influence the number of neurectodermal cells in trunk NC cultures.

Figure 3—figure supplement 1.

(A) Representative flow cytometry (FACS) plots showing the presence of SOX1-positive cells in trunk NC cultures generated from NMPs in the presence and absence of tetracycline (Tet) following antibody staining. A secondary only negative control is also shown. (B) Quantification of SOX1-positive cells in control vs Tet-treated trunk NC cultures following immunofluorescence and image analysis. Error bars represent SD (n=3). n.s. not significant.

TBXT-driven programming of a posterior NC axial identity is an early event

To further dissect the temporal role of TBXT in controlling HOX gene expression dynamics, we assessed the effect of manipulating its levels via Tet treatment during distinct time windows of NMP induction and differentiation (Figure 4A). We opted to differentiate day 3 TBXT shRNA hESC-derived NMPs in the presence of basal, serum-free media devoid of any signalling pathway agonists/antagonists for a further 4 days to minimise any potential influence of the extrinsic signalling environment on the expression status of HOX genes. Under these conditions, human NMPs give rise mainly to Tlow/-SOX2+ posterior neural progenitors (Gouti et al., 2014) as well as more differentiated, mutually exclusive NC and CNS spinal cord subpopulations marked by SOX10 and SOX1 protein expression respectively (Figure 4C and D). We found that both early (days 0–3; NMP induction) and late (days 3–7; NMP differentiation) time window Tet treatments resulted in a marked reduction in TBXT transcript levels but had a minor impact on the levels of early and definitive neural identity markers (such as SOX2 and SOX1, respectively) on day 7 of differentiation (Figure 4B). However, we observed a statistically significant decrease in the number of cells co-expressing SOX1 and HOXC9 proteins (denoting a CNS posterior spinal cord identity) in the case of cultures treated with Tet between days 0 and 3 compared to their untreated counterparts (from ~10 to ~1%; p<0.05, paired t-test) (Figure 4C; compare dark blue bars in the middle graph in Figure 4D). A more pronounced effect of continuous (days 0–7) TBXT knockdown on both SOX10 transcript and protein levels was also detected: the mean percentage of SOX10+ cells decreased from ~23 to ~3.6% (p<0.05, paired t-test) while the mean percentage of SOX10+HOXC9+ cells decreased from ~20 to ~1% (p<0.05, paired t-test; Figure 4B and C; compare purple bars in the top graph in Figure 4D). The sharp decline in HOXC9 protein positivity linked to early Tet treatment (Figure 4C and D) was accompanied by a global downregulation in the expression of all HOX genes examined by quantitative PCR (qPCR) as well as CDX2 (Figure 4B and E). On the contrary, late days 3–7 Tet treatment had a minimal effect on HOX/CDX2 transcription (Figure 4B and E). Together, these data further confirm that TBXT controls the acquisition of a posterior axial identity in prospective spinal cord/NC cells and the induction of an NC fate in the absence of any extrinsic signals. Moreover, our results indicate that TBXT exerts its effect on these processes at an early stage that temporally coincides with the induction of NMPs from pluripotent cells.

Figure 4. TBXT-driven programming of a posterior neural crest (NC) axial identity is an early event.

Figure 4.

(A) Differentiation/tetracycline (Tet) treatment scheme. The temporal Tet treatment regimens employed were: no Tet control (− −); Tet treatment between days 3 and 7 (− +); Tet treatment between days 0 and 7 (+ +); Tet treatment between days 0 and 3 (+−). (B) qPCR expression analysis of representative lineage identity/posterior markers in early spinal cord/NC cells generated following culture in ‘neutral’ basal media in the presence of Tet during the time windows shown in A. Error bars represent SD (n=3). Only statistically significant changes are indicated. *p<0.05, **p<0.005 (paired t-test). (C) Immunofluorescence analysis of the expression of HOXC9, SOX1, and SOX10 in early spinal cord/NC cells generated following culture in ‘neutral’ basal media in the presence of Tet during the time windows shown in A. Scale bar = 100 µm. Quantification of the cell populations expressing these proteins in relation to the different Tet treatment regimens is shown in (D). Error bars represent SD (n=3). H: HOXC9; S1: SOX1; S10: SOX10. (E) qPCR expression analysis of indicated HOX genes in early spinal cord/NC cells generated following culture in ‘neutral’ basal media in the presence of Tet during the time windows shown in A. Error bars represent SD (n=3). Only statistically significant changes are indicated. *p<0.05, **p<0.005 (paired t-test).

Early encoding of a posterior axial identity in NMP-derived NC cells is primarily WNT-dependent

We next sought to decipher the interplay between extrinsic signals and TBXT in orchestrating the establishment of an NC posteriorising environment. Our RNA-seq data revealed the concomitant downregulation of WNT targets and upregulation of WNT antagonists (e.g. DKK4) in day 3 FGF-CHIR-treated cultures in the presence of Tet (Supplementary file 1, Figure 2F) suggesting that the inability of TBXT-depleted NC cells to activate HOX genes may be linked to an early reduction in WNT activity. This is further supported by our observation that TBXT knockdown-triggered reduction of HOX gene expression in our NC cultures was also accompanied by a significant reduction in the expression of WNT signalling target genes such as TCF1, LEF1, and CDX2 (Figure 3D). We, therefore, examined the temporal effects of WNT signalling perturbation on posterior axial identity acquisition during the transition from hPSCs to NMPs and subsequently NC. We first assessed the effects of WNT signalling inhibition during the 3-day induction of NMPs from hPSCs, by removing CHIR and treating the cultures with the tankyrase inhibitor XAV939 (XAV; Huang et al., 2009) in order to eliminate any endogenous paracrine signalling, in the presence of FGF2 (the other major signalling agonist included in the media; Figure 5A). Given the reported role of FGF signalling in controlling the HOX clock in NMPs and their derivatives (Delfino-Machín et al., 2005; Hackland et al., 2019; Liu et al., 2001; Mouilleau et al., 2021; Nordström et al., 2006), we also tested the effect of attenuating this pathway in a similar manner, by omitting FGF2 and culturing cells only in the presence of CHIR and the FGF pathway-MEK1/2 inhibitor PD0325901 (PD03) between days 0 and 3 (Figure 5A). Signalling inhibition was verified by confirming the downregulation/extinction of WNT (AXIN2, TCF1, and LEF1) and FGF signalling target genes (SPRY4) in inhibitor-treated D3 cultures relative to untreated controls (Figure 5B). Our results confirmed that maximal induction of NMP markers (TBXT, CDX2, and NKX1-2) and all HOX genes examined can be achieved only in the combined presence of WNT and FGF agonists (Figure 5C and D, white bars). However, WNT signalling stimulation alone, in the absence of any FGF activity, rescued the induction of most HOX genes and TBXT/CDX2 with variable efficiency (Figure 5D, red bars) indicating that WNT is the main instructive pathway controlling global HOX transcription and the expression of major axis elongation regulators during the differentiation of hPSCs toward NMPs. The HOXC genes were an exception, as their activation was found to be equally dependent on WNT and FGF signalling (Figure 5D) suggesting the additional existence of HOX cluster-specific modes of transcriptional control, in line with similar findings in the embryo (Ahn et al., 2014; van den Akker et al., 2001).

Figure 5. Early programming of a posterior axial identity in neuromesodermal progenitor (NMP)-derived neural crest(NC) cells is primarily WNT-dependent.

(A) Scheme of treatments during the differentiation of human pluripotent stem cells (hPSCs) toward NMPs. (B) qPCR expression analysis of representative WNT-FGF targets in NMP cultures treated with the indicated combinations of WNT-FGF agonists/antagonists. Error bars represent SD (n=3–4). In all cases, changes (agonist-antagonist treatments vs corresponding WNT-FGF controls) were significantly different (ratio paired t-test) unless otherwise stated (n.s. not significant). (C–D) qPCR expression analysis of key NMP markers (C) and HOX genes (D) in NMP cultures treated with the indicated combinations of WNT-FGF agonists/antagonists. Error bars represent SD (n=3–4). In all cases, changes (agonist-antagonist treatments vs corresponding WNT-FGF controls) were significantly different (ratio paired t-test). (E) Scheme of treatments during the differentiation of hPSC-derived NMPs toward trunk NC cells. (F–G) qPCR expression analysis of representative lineage-specific, axial identity (F) and HOX genes (G) in NMP-derived trunk NC cultures treated with the indicated combinations of WNT-BMP agonists/antagonists. Error bars represent SD (n=3). Statistically significant changes are indicated. *p<0.05, **p<0.005.

Figure 5.

Figure 5—figure supplement 1. Influence of WNT and BMP signalling on trunk NC specification.

Figure 5—figure supplement 1.

(A) Immunofluorescence analysis of the expression of HOXC9, SOX1, and SOX10 in trunk NC cultures treated with the indicated combinations of WNT-BMP agonists/antagonists. Scale bar = 100 µm. (B) Quantification of cell populations expressing HOXC9, SOX1, and SOX10 protein following treatment with the indicated combinations of WNT-BMP agonists/antagonists. Error bars represent SD (n=3). H: HOXC9; S1: SOX1; S10: SOX10.
Figure 5—figure supplement 2. WNT signalling dynamics during posterior NC emergence.

Figure 5—figure supplement 2.

(A) Fluorescence analysis of R26-WntVis mouse embryos at embryonic day (E) 8.75 (Theiler stage [TS]13) and E9.0 (TS14) demonstrating EGFP reporter responsiveness to WNT signalling. (B) Sagittal sections of immunostained R26-WntVis tail buds showing anti-GFP (a-GFP) signal in the T+ lateral-most caudal epiblast (LE; dashed lines) at E8.75 (Ba-c) and E9.0 (Bd-f). Nuclei were defined by anti-Lamin B1 staining (LB1). Arrowheads indicate T-negative surface ectoderm cells. (Bg-j) 3D reconstruction of imaging data showing the T+ area (green), nuclei (LB1, grey), and a-GFPhigh volumes, coloured by the intensity of the a-GFP signal. Since the reporter is active at a low level in many cells, a cutoff was made to show only higher expressing a-GFP+ volumes. The Wnthigh T+ cells are found in the LE: posterior view at E8.75 (Bg-h) and lateral view at E9.0 (Bi-j). Noto: notochord; NT: neural tube; PS: primitive streak; TG: tail gut. A,:anterior; P: posterior; D: dorsal; V: ventral; L: left; R: right. Scale bars = 50 µm.

We next interrogated the signalling pathway dependence of HOX gene expression during the transition of NMPs toward trunk NC cells, which involves a 5-day treatment with a lower amount of the WNT agonist CHIR and an intermediate level of BMP activity; the latter is achieved through the addition of a saturating amount of recombinant BMP4 together with the BMP type I receptor inhibitor DMH-1 to antagonistically modulate the effects of BMP4 (Figure 5E; Frith et al., 2018; Frith and Tsakiridis, 2019; Hackland et al., 2017). We examined the effect of perturbing the two main signalling pathways driving the specification of NC from NMPs (WNT and BMP) using agonist/antagonist combinations between days 3 and 8, in a manner similar to the days 0–3 treatments (Figure 5E). Treatment of differentiating NMPs with XAV to inhibit WNT signalling in combination with BMP stimulation resulted in a statistically significant reduction in the expression of many of the HOX gene family members examined albeit to a lesser degree compared to days 0–3 (Figure 5G, dark blue vs purple bars). No significant decrease in the overall number of cells expressing HOXC9 protein was observed (Figure 5—figure supplement 1). WNT signalling attenuation in the presence of BMP activity also led to a moderate increase in the expression of anterior (OTX2 and ETS1) and a decrease in posterior (CDX2) NC markers while the levels of neural/NC-specific transcripts appeared unaffected (Figure 5F, dark blue vs purple bars). On the contrary, WNT stimulation in combination with the BMP inhibitor LDN193189 (LDN) resulted in significant upregulation in the expression of most HOX genes relative to the WNT-BMP controls (Figure 5G, light blue vs purple bars) with overall HOXC9 protein levels being unaffected (Figure 5—figure supplement 1). Moreover, this treatment resulted in the complete extinction of the expression of the definitive NC marker SOX10 and a concomitant increase in the CNS neural progenitor marker SOX1 both at the transcript and protein levels (Figure 5F, light blue vs purple bars; the percentage of SOX1 + cells increased from 0.7 to 45%, p<0.05 paired t-test; Figure 5—figure supplement 1, compare dark blue bars in the graph in Figure 5—figure supplement 1B) pointing to a role for BMP signalling in steering NMPs toward an NC fate at the expense of a spinal cord neurectoderm identity, in agreement with previous observations (Leung et al., 2016). Taken together, our results demonstrate that HOX gene activation in hPSC-derived NMPs and its tight coupling to the early programming of a posterior axial identity in NMP-derived NC cells are primarily driven by a WNT-TBXT regulatory loop. However, the early dependence of HOX gene expression on WNT signalling diminishes with time as NMPs gradually differentiate toward NC.

We went on to examine whether the reliance of early trunk NC progenitor patterning on WNT signalling occurs in vivo. We examined mouse R26-WntVis reporter embryos, in which graded nuclear EGFP expression relates to the degree of WNT signalling strength (Takemoto et al., 2016), at the time of posterior NC formation (E8.75–E9.0, TS13–TS14). In agreement with previous work (Ferrer-Vaquer et al., 2010), the highest levels of WNT activity were confined within the T+ posterior growth region (Figure 5—figure supplement 2A). Wholemount immunostaining followed by 3D modelling of the high anti-GFP (a-GFP)-positive fraction (a-GFPhigh) demonstrated that NC-fated regions within the T+ lateral-most caudal epiblast domain are marked by higher WNT signalling levels compared to more rostral epiblast positions (dashed lines in Figure 5—figure supplement 2B). These findings further confirm that early specification of NM-potent T+ trunk NC progenitors correlates with high WNT activity. However, this association becomes less prevalent as cells gradually commit to a definitive NC fate in line with our in vitro observations showing the progressively decreasing WNT-dependence of TBXT-driven posterior axial identity programming in NC cells.

Posterior axial identity acquisition by WNT-FGF-induced pre-neural spinal cord progenitors is TBXT-independent and FGF-dependent

Our data so far indicate that TBXT affects the induction of a posterior axial identity in NC and CNS spinal cord derivatives of NMPs in extrinsic signal-free culture conditions (Figure 4C and D). We have recently reported the generation of early pre-neural spinal cord progenitors following a culture of hPSC-derived NMPs under the influence of combined WNT and high FGF signalling activity; these progenitors can then be directed to efficiently generate posterior motor neurons of a thoracic axial identity (Wind et al., 2021). We thus examined whether TBXT knockdown disrupts HOX gene expression dynamics in the presence of these signals (i.e. combined WNT-high FGF). To this end, we derived early pre-neural spinal cord progenitors from TBXT shRNA hESCs: cells were treated with CHIR-FGF2 for 3 days to produce NMPs, followed by their replating and further culture in the presence of CHIR and high FGF levels for 4 days, combined with continuous (i.e. throughout the entire 7-day differentiation) Tet treatment to mediate TBXT knockdown (Figure 6A). The levels of most HOX transcripts examined were largely unaffected in day 7 pre-neural spinal cord progenitors generated from TBXT-depleted cells and similar to untreated controls (Figure 6B). No dramatic changes in the expression of CDX2 and SOX2 (markers of an early pre-neural spinal cord character at this stage) were observed (Figure 6C). In line with our previous observations and published in vivo data (Gofflot et al., 1997; Nordström et al., 2006; Wind et al., 2021), we also detected low levels of TBXT transcripts in control cultures, and surprisingly, these were comparable to their Tet-treated counterparts (Figure 6C). This finding suggests that selection of cells evading shRNA knockdown and maintaining low levels of TBXT may occur upon culture in pre-neural spinal cord cell-promoting culture conditions. Later addition of Tet on day 3, at the start of NMP differentiation toward pre-neural spinal cord cells, appeared to restore efficient TBXT knockdown (Figure 6D and F) but, again, had no major impact on either HOX PG(1-9) gene expression or the levels of the early spinal cord/pre-neural transcripts CDX2 and NKX1-2 in the resulting day 7 cultures (Figure 6E and F). These results indicate that HOX expression dynamics/posterior axial identity in NMP-derived, pre-neural spinal cord progenitors, generated under the influence of WNT/high FGF signalling activity, are largely unaffected by TBXT depletion. They also suggest that the combined presence of extrinsic WNT/FGF signals compensates for the reduced levels of TBXT, rescuing the effects of its knockdown on HOX gene expression in ‘neutral’ culture conditions (Figure 4).

Figure 6. Posterior axial identity acquisition by neuromesodermal progenitor (NMP)-derived, WNT-FGF-induced pre-neural spinal cord cells is TBXT-independent.

Figure 6.

(A, D) Differentiation/treatment schemes associated with different time windows of TBXT knockdown during spinal cord differentiation from NMPs. (B–C, E–F) qPCR expression analysis of indicated HOX genes (B, E) and representative NMP/early spinal cord markers (C, F) in control vs tetracycline (Tet)-treated NMP-derived early spinal cord progenitors corresponding to the Tet treatment regimens shown in A and D, respectively. Error bars represent SD (n=3). Statistically significant changes are indicated. *p<0.05, n.s. not significant (paired t-test).

We next investigated in more detail the role of WNT and FGF in the posteriorisation of pre-neural spinal cord progenitors since both signalling pathways have been previously implicated in the control of the HOX gene expression in the neural tube, through cooperation with the key axis elongation factor CDX2 (Bel-Vialar et al., 2002; Lippmann et al., 2015; Liu et al., 2001; Mazzoni et al., 2013; Metzis et al., 2018; Mouilleau et al., 2021; Nordström et al., 2006; Olivera-Martinez et al., 2014; Takemoto et al., 2006; van de Ven et al., 2011). We carried out signalling agonist/inhibitor combination experiments as described earlier (Figure 5) treating hPSC-derived NMPs differentiating toward pre-neural spinal cord progenitors (following their replating in the presence of CHIR-high FGF2) either with the WNT inhibitor XAV in the presence of FGF2 or the FGF/MEK inhibitor PD03 in combination with CHIR between days 3 and 7 of differentiation (Figure 7A). We found that WNT signalling inhibition in the presence of FGF activity during this time window does not appear to have a major effect on HOX or CDX2 transcript levels (blue vs grey bars in Figure 7B and C). In contrast, blocking FGF signalling in combination with CHIR treatment resulted in a dramatic reduction in the expression of most HOX genes examined, particularly those belonging to PG(4-9), as well as CDX2 (red bars vs grey bars, Figure 7B and C). The NMP/pre-neural spinal cord marker NKX1-2 was equally affected by the two treatments while the levels of later spinal cord markers (PAX6 and SOX1) were modestly elevated (Figure 7C). Immunofluorescence analysis further revealed that FGF signalling attenuation in the presence of CHIR results in the elimination of SOX2+HOXC9+ (their mean percentage decreased from ~45 to ~9%; n=3 p<0.05 paired t-test; Figure 7D, compare purple bars in the graph in Figure 7E) and CDX2+HOXC9+ pre-neural spinal cord populations (Figure 7—figure supplement 1). Based on these data, we conclude that maintenance of a posterior axial identity in NMP-derived pre-neural early spinal cord cells is driven primarily by FGF signalling, which gradually becomes functionally equivalent to TBXT in controlling trunk HOX gene/CDX2 expression as NMP differentiation progresses.

Figure 7. Posterior axial identity acquisition by NMP-derived pre-neural spinal cord progenitors is FGF-dependent.

(A) Scheme of treatments during the differentiation of hPSC-derived NMPs toward early spinal cord progenitors. (B–C) qPCR expression analysis of indicated HOX genes (B) and representative NMP/early spinal cord/neural markers (C) in NMP-derived early spinal cord progenitor cultures generated as depicted in A. Error bars represent SD (n=3). Statistically significant changes are indicated. *p<0.05, **p<0.005. (D) Immunofluorescence analysis of SOX2 and HOXC9 protein expression in NMP-derived early spinal cord progenitor cultures treated with the indicated combinations of WNT-FGF agonists/antagonists. Quantification of the cell populations expressing these proteins in relation to the different treatment regimens is shown in (E). Error bars represent SD (n=3). H: HOXC9; S2: SOX2.

Figure 7.

Figure 7—figure supplement 1. Posterior axial identity acquisition by NMP-derived pre-neural spinal cord progenitors is FGF-dependent.

Figure 7—figure supplement 1.

Immunofluorescence analysis of CDX2 and HOXC9 protein expression in NMP-derived early pre-neural spinal cord progenitor cultures treated with the indicated combinations of WNT-FGF agonists/antagonists.

TBXT controls posterior axial identity acquisition by influencing chromatin accessibility

We next examined whether TBXT controls HOX gene activation and potentiates the action of posteriorising extrinsic signals in CHIR-FGF-treated hPSCs via direct genomic binding or, indirectly, by affecting the expression of other key axis elongation regulators such as CDX2. To this end, we carried out chromatin immunoprecipitation followed by high-throughput sequencing (ChIP-seq) on hESC-derived NMPs and undifferentiated hESCs (control) to map TBXT targets genome-wide. We identified 24,704 TBXT-binding regions in NMPs (Supplementary file 3, Figure 8—figure supplement 1A), a large fraction of which were located within introns (~50%) and distal intergenic (~38%) regions (Figure 8—figure supplement 1B), reflecting similar findings on mouse T genomic binding (Beisaw et al., 2018; Tosic et al., 2019). A small number (n=2088) of non-overlapping TBXT binding sites was also detected in undifferentiated hESCs, in line with the reported low-level expression of this transcription factor in mesoderm-biased pluripotent cells (Stavish et al., 2020; Tsakiridis et al., 2014). The GO biological processes enrichment analysis of target genes associated with TXBT binding sites around the transcriptional start site (–2000 to +500 bp; 3084 peaks, 2841 genes) revealed an over-representation of established developmental regulators of A-P regionalisation (Benjamini–Hochberg padj <0.05; Figure 8—figure supplement 1C, Supplementary file 4). Transcription factor motif enrichment analysis revealed that the TBXT binding regions in hPSC-derived NMPs were enriched, as expected, for the Brachyury consensus binding motif as well as other T-box binding motifs such as EOMES and TBX6 (Figure 8A, Supplementary file 5), in agreement with previous findings in the mouse demonstrating that a fraction of the genomic targets of these transcription factors are also occupied by TBXT (Koch et al., 2017; Tosic et al., 2019). Other over-represented motifs included WNT signalling effectors (LEF1/TCF3) and Homeobox genes such as CDX factors (CDX2/4) and various HOX family members (Figure 8A, Supplementary file 5) reflecting possible cooperative binding between these factors and TBXT in human NMPs. Comparison of TBXT ChIP-seq targets with our list of differentially expressed genes following Tet-induced TBXT knockdown in day 3 FGF-CHIR treated cultures (Figure 2) revealed that the majority (~85%) of the downregulated (padj <0.05, log2FC>|1|) genes, including HOX PG(1-9) members, pro-mesodermal factors and WNT-FGF signalling components, were directly bound by TBXT, while most (~60%) of their upregulated counterparts were not (Figure 8B, C and F, Figure 8—figure supplement 1D, Supplementary file 6). This indicates that TBXT acts primarily as a transcriptional activator of key downstream NMP/mesoderm regulators and HOX genes as previously reported in the mouse (Amin et al., 2016; Beisaw et al., 2018; Guibentif et al., 2021; Koch et al., 2017; Lolas et al., 2014).

Figure 8. TBXT controls HOX gene expression and WNT signalling in NMPs by influencing chromatin accessibility.

(A) Representative transcription factor-binding motifs enriched in TBXT binding sites. (B) Graph showing the percentages of differentially expressed genes (padj<0.05, log2FC>|1|) following TBXT knockdown during the transition of hESCs toward NMPs that are bound directly by TBXT. (C) Table showing all differentially expressed genes following TBXT knockdown that exhibit TBXT binding within their promoter region. (D) Volcano plot of differentially accessible ATAC-seq peaks between TBXT-depleted and control NMPs. (E) Graph showing the number of significantly upregulated and downregulated direct TBXT targets in relation to changes in chromatin accessibility associated with TBXT knockdown. (F) Correspondence between TBXT binding (ChIP) and chromatin accessibility changes (ATAC-seq) in the presence and absence of tetracycline (Tet) in indicated HOX clusters, WNT/presomitic mesoderm-linked loci. (G) Correspondence between TBXT binding and chromatin accessibility changes in the presence and absence of Tet in indicated neural differentiation-linked loci. Boxed areas highlight TBXT-bound regions marked by loss or gain of chromatin accessibility in the presence of Tet.

Figure 8.

Figure 8—figure supplement 1. Effect of TBXT binding on chromatin accessibility.

Figure 8—figure supplement 1.

(A) Average density plot of tag distributions across peak regions corresponding to the neuromesodermal progenitor (NMP), human embryonic stem cells (hES), and input samples. (B) Genomic distribution of TBXT-bound sites in hESC-derived NMPs. (C) Gene ontology (GO) biological processes enrichment analysis of target genes associated with TXBT binding sites around their transcriptional start site (–2000 to +500 bp). (D) Correspondence between TBXT binding (ChIP) and chromatin accessibility changes (ATAC-seq) in the presence and absence of tetracycline (Tet) in indicated HOX and WNT-linked loci. Boxed areas highlight TBXT-bound regions marked by loss of chromatin accessibility in the presence of Tet. (E) Venn diagram showing the overlap between transcription factor DNA binding motifs in genomic regions associated with chromatin accessibility gain and loss following TBXT knockdown.
Figure 8—figure supplement 2. Chromatin accessibility dynamics during NMP differentiation toward trunk NC and pre-neural spinal cord progenitors.

Figure 8—figure supplement 2.

Correspondence between TBXT binding (ChIP) in human pluripotent stem cell (hPSC)-derived NMPs and chromatin accessibility changes (ATAC-seq) in NMPs (D3) and NMP-derived early spinal cord (D7 SC) and trunk neural crest (D8 NC) in the presence and absence of tetracycline (Tet) in the indicated HOX loci (A), CDX2 (B), and WNT/BMP-linked loci (C, D). Boxed areas highlight TBXT-bound regions marked by loss of chromatin accessibility in the presence of Tet. Asterisks mark trunk NC-specific regulatory elements that are not bound by TBXT but exhibit loss of chromatin accessibility upon Tet treatment.

To further dissect the impact of TBXT binding, we interrogated the chromatin accessibility landscape in TBXT-depleted and control hESC-derived NMPs using ATAC-seq (assay for transposase accessible chromatin with high-throughput sequencing; Buenrostro et al., 2013). We detected 4421 and 4027 unique regions corresponding to loss or gain of chromatin accessibility (a readout of DNA regulatory element/enhancer activity) following Tet treatment, respectively (distance from TSS ranging from –1–1 kb, log2FC cutoff = 2 and p-value<0.05; Figure 8D, Supplementary file 7). Genes associated with loss of chromatin accessibility were predominantly linked to A-P patterning, mesoderm specification, and WNT signalling (Supplementary file 7). Moreover, the Tet-induced downregulation of most transcripts found to be TBXT targets (Supplementary file 3) was also accompanied by a significant loss of ‘open’ chromatin regions within the TBXT binding sites (Figure 8E and F, Supplementary file 7). These included sites that were dispersed within all HOX clusters as well as key presomitic mesoderm regulators (e.g. TBX6 and MSGN1) and WNT signalling components (e.g. WNT3A/8 A and LEF1; Figure 8F, Figure 8—figure supplement 1D). On the contrary, there was no obvious correlation between upregulation of expression following TBXT knockdown and chromatin accessibility change (Figure 8E, Supplementary file 7). Gain of accessible regions in TBXT-depleted hPSC-derived NMPs appeared to occur predominantly within/around loci linked to neural development (e.g. SOX3 and DLG2; Tao et al., 2003; Wood and Episkopou, 1999), most of which were not bound directly by TBXT (Figure 8G, Supplementary file 7). Moreover, examination of transcription factor binding motifs (annotated using HOMER; Heinz et al., 2010; Benjamini–Hochberg padj<0.05) showed that ATAC-seq sites marked by loss of chromatin accessibility following TBXT knockdown were uniquely enriched in CDX, T-box factor and HOX binding-associated DNA sequence elements whereas the regions marked by a gain of chromatin accessibility were mainly characterised by motifs indicating binding of SOX, OCT/POU, and Forkhead family transcription factors (Figure 8—figure supplement 1E, Supplementary file 8).

Further ATAC-seq analysis of trunk NC cells generated from hESC-derived NMPs in the continuous presence (from days 0–8) and absence of Tet revealed that, like in NMPs, various key loci associated with posterior patterning such as HOX clusters and CDX2 were marked by a significant loss of ‘open’ chromatin regions in TBXT knockdown cultures (Figure 8—figure supplement 2A,B; Supplementary file 9). We also detected a major disruption of the chromatin accessibility landscape within/around WNT/BMP/FGF signalling-linked genes in Tet-treated trunk NC cells (Figure 8—figure supplement 2C,D; Supplementary file 9). Some affected components of these pathways, such as WNT1 and BMP7, have been shown to play a pivotal role in trunk NC specification and delamination (Burstyn-Cohen et al., 2004; Nguyen et al., 2000). Many of the disrupted regions, particularly HOX-associated enhancers, were bound by TBXT and exhibited reduced chromatin accessibility already at the NMP stage (see boxed areas in Figure 8—figure supplement 2A). However, we also observed a loss of trunk NC-specific accessible regions, which were not direct TBXT genomic targets in NMPs (marked by red asterisks in Figure 8—figure supplement 2). No major changes in chromatin accessibility were detected in Tet-treated day 7 early spinal cord cultures compared to untreated controls (Figure 8—figure supplement 2) reflecting the minimal impact of TBXT knockdown under these conditions (Figure 6). Collectively, these data suggest that TBXT actively reconfigures the chromatin landscape in HOX clusters and other axis elongation-associated loci including WNT signalling components, by direct binding to key enhancer elements to promote the acquisition of a posterior axial character/mesoderm identity during the transition of pluripotent cells toward an NMP state. Some of these TBXT-controlled, NMP-specific ‘posteriorisation’ enhancers appear to remain active at later stages, in TBXT-negative trunk NC derivatives of NMPs. Moreover, our data also demonstrate the existence of trunk NC-specific enhancers that are influenced indirectly by TBXT, possibly through its binding and regulation of critical upstream transcription factors (e.g. CDX2) or signalling specifiers of NC fate during the early TBXT-positive stages of the transition of NMPs toward trunk NC.

Discussion

A number of recent studies have demonstrated that the emergence of the trunk NC is tightly coupled to the induction of NM-potent progenitors localised in the post-gastrulation/somitogenesis stage posterior growth region of vertebrate embryos. Here we provide evidence indicating that the encoding of a posterior axial identity in human NC/early spinal cord cells, embodied by the sequential activation of Hox genes and the induction of posterior markers, relies on their transition through this developmentally plastic entity. This ‘primary regionalisation’ process (Metzis et al., 2018) is mediated by the action of the pro-mesodermal transcription factor TBXT, which, together with WNT signalling effectors and, possibly, CDX2, directs global HOX gene cluster transcription and the expression of posterior/presomitic mesoderm regulators (Figure 9). The early WNT dependence of HOX expression dynamics diminishes during the transition of NMPs towards their NC/spinal cord derivatives; this second phase of HOX gene expression maintenance is in turn controlled predominantly by FGF signalling (Figure 9). Our data also revealed another novel role of TBXT, namely its influence on the adoption of an NC but not CNS spinal cord lineage identity.

Figure 9. Model.

Figure 9.

Proposed model for the transcriptional and signalling control of posterior axial identity/HOX gene expression in hPSC derived NMPs and their derivatives.

Our proposed model synthesises previous findings showing that WNT-driven posterior axial identity acquisition in neural derivatives of NMPs takes place prior to neural induction (Lippmann et al., 2015; Metzis et al., 2018; Neijts et al., 2017; Neijts et al., 2016; Takemoto et al., 2006) with data illustrating that temporally discrete modes of trunk axial patterning in CNS spinal cord/NC rely on both FGF and WNT activities (Bel-Vialar et al., 2002; Delfino-Machín et al., 2005; Dunty et al., 2014; Hackland et al., 2019; Liu et al., 2001; Mazzoni et al., 2013; Mouilleau et al., 2021; Muhr et al., 1999; Nordström et al., 2006; Sanchez-Ferras et al., 2016; Sanchez-Ferras et al., 2014; Sanchez-Ferras et al., 2012; van Rooijen et al., 2012; Zhao et al., 2014). Our work also reflects results showing the existence of distinct phases of Hox gene expression program implementation in vivo: (i) an early ‘plastic’ phase linked to A-P patterning of multipotent axial progenitors/NMPs within their posterior niche and (ii) a later phase, which marks the instalment and fixing of lineage-specific Hox gene expression patterns and the sharpening of their final boundaries in the neural and mesodermal derivatives of axial progenitors as and after they exit the posterior growth zone (Ahn et al., 2014; Brend et al., 2003; Charité et al., 1998; Deschamps and Wijgerde, 1993; Forlani et al., 2003; Hayward et al., 2015; McGrew et al., 2008; Wymeersch et al., 2019).

We demonstrate that TBXT function is crucial for proper activation of HOX genes during NMP induction from hPSCs in vitro by channelling extrinsic WNT activity toward the establishment of a ‘posteriorising’/pro-mesodermal niche (in line with previous data; Martin and Kimelman, 2010) that is essential for the subsequent transduction of a posterior character to NMP-derived NC/spinal cord cells. This prospective TBXT-WNT-driven transmission of positional information via an early axial progenitor intermediate and the potential inductive interaction between nascent presomitic mesoderm and NC progenitors reinforces previous observations on the effect of non-organiser mesoderm and vertical signalling as determinants of HOX gene expression and axial identity in early neural cells (Bardine et al., 2014; Forlani et al., 2003; Grapin-Botton et al., 1997). However, further work is required to disentangle the cell vs non-cell autonomous effects of TBXT on the A-P patterning of NC cells.

Our results are in line with previous studies reporting that TBXT attenuation in hPSC-derived mesoderm progenitors and spinal cord organoids, as well as in Xenopus morphant and mouse Tc (curtailed) mutant embryos abolishes Hox gene expression (Faial et al., 2015; Libby et al., 2021; Lolas et al., 2014; Wacker et al., 2004). Moreover, they further expand the repertoire of actions that orchestrate embryonic axis elongation/axial progenitor ontogeny and are exerted via the regulatory axis centred on WNT signalling, TBXT, and the HOX clock (Denans et al., 2015; Mariani et al., 2021; Ye et al., 2021; Ye and Kimelman, 2020). Interestingly, global Hox gene expression appears minimally affected in some Brachyury mutants (such as those with the T2J/2J genotype; Koch et al., 2017; Tosic et al., 2019), as well as in T-/-:: wild type chimeras (Guibentif et al., 2021) suggesting that the nature of the T gene mutation and non-cell autonomous rescue effects from the surrounding wild-type environment, similar to those described previously in the case of grafted Cdx mutant axial progenitors (Bialecka et al., 2010), are critical actors in influencing the effect of Brachyury on its target genes. Moreover, the developmental arrest exhibited by T mutant embryos around the time of trunk NC emergence and the associated lack of posterior axial tissue precludes a detailed assessment of Hox gene expression in T null NC cells.

TBXT has been shown to regulate its downstream mesoderm/axis elongation-associated targets in mouse embryos by promoting chromatin remodelling and directing permissive chromatin modifications in key regulatory elements (Amin et al., 2016; Beisaw et al., 2018; Koch et al., 2017; Tosic et al., 2019). Our data confirm that this is also the case during the transition of hPSCs toward NMPs and reveal that TBXT additionally contributes to global control of HOX cluster transcription in a similar way and in line with previous reports showing direct TBXT binding in HOX loci during hPSC differentiation (Faial et al., 2015). We propose that concomitant activation of the HOX gene clusters and induction of WNT signalling components, via TBXT-driven chromatin landscape reconfiguration, comprise a critical early step in primary A-P regionalisation and the transition of pluripotent cells toward a caudal epiblast/axial progenitor state. This is supported by our demonstration that TBXT knockdown results in the acquisition of an anterior epiblast/AVE identity associated with WNT antagonism/head formation-promoting activity as well as increased chromatin accessibility in regulatory elements controlling pro-neural differentiation genes. Previous data on the crucial role of Brachyury in counteracting the default neurectodermal differentiation of mouse pluripotent cells by altering chromatin accessibility in key enhancers also point to such a model (Tosic et al., 2019). Moreover, early A-P regionalisation driven by the TBXT-WNT-HOX axis is likely to involve the cooperative action of CDX factors and the participation of other key transcriptional factors such as EOMES and SOX2 given their previously reported functions in the mouse (Amin et al., 2016; Blassberg et al., 2022; Metzis et al., 2018; Neijts et al., 2017; Neijts et al., 2016; Tosic et al., 2019). Thus, an additional thorough dissection of the individual roles of these factors via loss/gain of function approaches is required to elucidate their crosstalk as they fine-tune the balance between pluripotency exit, cell fate decision-making, and adoption of a posterior character in human cells.

We also provide new evidence that TBXT influences the acquisition of a SOX10-positive NC identity early on during in vitro differentiation, a time window that coincides with the specification of NM-potent progenitors from hPSCs. This is likely to occur through two complementary routes: (i) via early direct TBXT binding and activation of DNA regulatory elements responsible for the induction of key signalling and transcriptional determinants of NC fate such as WNT1, BMP7, and CDX2 (Burstyn-Cohen et al., 2004; Nguyen et al., 2000; Sanchez-Ferras et al., 2016; Sanchez-Ferras et al., 2012); (ii) via late activation of additional critical trunk NC-specific enhancers within the same TBXT-controlled NC determinants, mediated via binding of upstream transcriptional regulators induced by TBXT. This notion is supported by our finding that extrinsically supplemented BMP/WNT signals largely rescue the negative effect of TBXT knockdown on the number of SOX10+ NC cells observed in ‘neutral’ signal agonist-free culture conditions. Unlike NC, CNS spinal cord identity induction (marked by SOX1 expression) appears to be unaffected by TBXT depletion suggesting, in line with previous studies (Basch et al., 2006; Leung et al., 2016; Sasai et al., 2014), that posterior NC and CNS neurectoderm lineages diverge at a pre-neural stage with TBXT acting as a potential mediator of NC fate choice at this early bifurcation point. However, further work is required to dissect the precise role of TBXT on trunk NC differentiation and assess the relevance of our hPSC-based findings in an in vivo context.

In summary, we provide mechanistic insight into the cellular and molecular basis of posterior axial identity acquisition during hPSC differentiation. Our data demonstrate a novel role for TBXT in controlling HOX gene expression and early posteriorisation supporting the idea that A-P patterning of at least some axial progenitor derivatives, such as the trunk NC, occurs prior to their specification, within their multipotent precursors. We speculate that the close links between TBXT-driven posterior axial identity programming in the NC and NMP ontogeny may explain some cases of spina bifida observed in individuals carrying mutations within the TBXT locus (Agopian et al., 2013; Carter et al., 2011; Fellous et al., 1982; Morrison et al., 1996; Shields et al., 2000), especially in light of the potential involvement of impaired NC specification and HOX gene dysregulation in neural tube defects (Anderson et al., 2016; Degenhardt et al., 2010; Poncet et al., 2020; Rochtus et al., 2015; Yu et al., 2019).

Materials and methods

Cell culture and differentiation

The use of hPSCs has been approved by the Human Embryonic Stem Cell UK Steering Committee (SCSC15-23). The TBXT and B2M shRNA sOPTiKD hESC lines (H9 background; Bertero et al., 2016) were employed for all TBXT loss-of-function and sequencing experiments whereas signalling agonist/antagonist treatments were performed in H9 hESCs and SFCi55-ZsGr human-induced PSCs (Lopez-Yrigoyen et al., 2018; Thomson et al., 1998). All cell lines were verified by confirming the expression of pluripotency-specific genes such as OCT4, NANOG, and TRA-1–60 using a combination of qPCR, immunofluorescence, and FACS together with human-specific primers/antibodies. Cultures were routinely monitored for bacterial and fungal contamination as well as the presence of mycoplasma. None of the cell lines is in the list of commonly misidentified cell lines maintained by the International Cell Line Authentication Committee. All cell lines were cultured routinely in feeder-free conditions in either Essential 8 (Thermo Fisher or made in-house) or mTeSR1 (Stem Cell Technologies) medium on laminin 521 (Biolamina) or Geltrex LDEV-Free reduced growth factor basement membrane matrix (Thermo Fisher). Cells were passaged twice a week after reaching approximately 80% confluency using PBS/EDTA as a passaging reagent. The TBTX inducible knockdown in the TBXT shRNA sOPTiKD hESC line was achieved using Tet hydrochloride (Merck Life Science) at 1 μg/ml as described previously (Bertero et al., 2016). The hESCs were cultured in the presence/absence of Tet for 2 days prior to the initiation of differentiation and the Tet treatment was continued throughout the differentiation for the periods indicated in the results section/schemes.

For NMP differentiation, hPSCs (70–80% confluent) were dissociated using Accutase solution (Merck Life Science) and plated at a density of approximately 50,000 cells/cm2 on vitronectin (Thermo Fisher)-coated culture plates in N2B27 basal medium containing 50:50 Dulbecco′s Modified Eagle′s Medium (DMEM) F12 (Merck Life Science) / Neurobasal medium (Gibco) and 1 × N2 supplement (Gibco), 1 × B27 (Gibco), 1 × GlutaMAX (Gibco), 1 × Minimum Essential Medium Non-Essential Amino Acids (MEM NEAA) (Gibco), 2-Mercaptoethanol (50 μM, Gibco). The N2B27 medium was supplemented with CHIR (3 μM, Tocris), FGF2 (20 ng/ml, R&D Systems), and Rho-associated coil kinase (ROCK) inhibitor Y-27632 2HCl (10 μM, Adooq Biosciences) with the latter being withdrawn from the differentiation medium after the first day of NMP induction. For TBXT inducible knockdown, NMP medium was supplemented with 1 μg/ml Tet hydrochloride and replenished every other day. For culture under ‘neutral’ conditions, control and Tet-treated NMPs were dissociated into single cells using Accutase and replated at a density of 50,000 cells/cm2 on Geltrex-coated culture plates in N2B27 basal medium (made as described above for NMP differentiation) in the presence/absence of 1 μg/ml Tet hydrochloride. No small molecules were included apart from ROCK inhibitor Y-27632 2HCl (10 μM), which was added for the first 2 days to facilitate plating and increased cell survival. The basal media was replenished every other day and the cells were fixed/harvested on day 7 of differentiation for downstream analysis. For early spinal cord progenitor differentiation, day 3 hPSC-derived NMPs were dissociated into single-cell suspension using Accutase and replated at a density of 37,500 cells/cm2 on Geltrex-coated culture plates in N2B27 containing FGF2 (100 ng/ml), CHIR (3 μM), and ROCK inhibitor Y-27632 2HCl (10 μM; for the first day only) in the presence or absence of Tet hydrochloride (1 μg/ml). The medium was replaced every other day until day 7 of differentiation. For trunk NC differentiation, day 3 hPSC-derived NMPs were dissociated using Accutase and replated at a density of 50,000 cells/cm2 on Geltrex-coated culture plates directly into NC inducing medium consisting of DMEM/F12, 1 × N2 supplement, 1 × GlutaMAX, 1 × MEM NEAA, the TGF-beta/Activin/Nodal inhibitor SB-431542 (2 μM, Tocris), CHIR (1 μM), BMP4 (15 ng/ml, Thermo Fisher), the BMP type-I receptor inhibitor DMH-1 (1 μM, Tocris), and ROCK inhibitor Y-27632 2HCl (10 μM). The medium was refreshed every two days without ROCK inhibitor and was supplemented with 1 μg/ml Tet hydrochloride throughout the differentiation for tet-mediated inducible TBXT knockdown. Trunk NC cells were analysed on day 8 of differentiation. The following signalling pathway inhibitors were employed: the WNT antagonist tankyrase inhibitor XAV (1 μM, Tocris), the MEK1/2 inhibitor PD03 (1 μM, Merck), and LDN (100 nM, Tocris).

Immunofluorescence and imaging

Cells were fixed in 4% Paraformaldehyde (PFA) for 10 min at room temperature, rinsed twice with PBS and permeabilised with 0.5% Triton X-100 in PBS containing 10% foetal calf serum (FCS) and 0.1% bovine serum albumin (BSA) for 15 min. Blocking was then performed in a blocking buffer consisting of 10% FCS and 0.1% BSA in PBS at room temperature for 1–2 hr or overnight at 4°C. Primary antibodies were diluted in the blocking buffer and cells were incubated with primary antibodies overnight at 4°C. Following three washes, cells were incubated with secondary antibodies conjugated to Alexa fluorophores (Invitrogen) diluted in blocking buffer for 1–2 hr at room temperature and in the dark. Cell nuclei were counterstained with Hoechst 33342 (Thermo Fisher, 1:1000) and fluorescent images were acquired using the InCell Analyser 2200 system (GE Healthcare). Images then were processed in Fiji (Schindelin et al., 2012) or Photoshop (Adobe) using identical brightness/contrast settings to allow comparison between different treatments. At all times, the positive/negative threshold was set using a sample incubated with secondary antibody only. The following primary antibodies were employed: anti-TBXT (Abcam, ab209665; 1:1000); anti-CDX2 (Abcam, ab76541; 1:200); anti-HOXC9 (Abcam, ab50839; 1:50); anti-SOX10 (Cell Signalling Technology, 89356; 1: 500); anti-SOX1 (R&D Systems, AF3369; 1:100); anti-SOX2 (Abcam, ab92494; 1:400).

For quantification of TBXT protein expression in NMP-like cells, nine random fields per experiment were scored (two biological replicates) and processed in the image analysis software CellProfiler (Carpenter et al., 2006). Nuclei were first identified using Hoechst staining and subsequently mapped onto the other fluorescent channels for single-cell fluorescence intensity quantification. Cells stained with secondary antibody only were used as a negative control to set the negative/positive threshold. A histogram was created using GraphPad Prism (GraphPad Software). For quantification of SOX10 and HOXC9 protein expression in WNT/BMP-induced trunk NC, five random fields per experiment were scored (three biological replicates) and processed as described above. For quantification of SOX1 protein levels in control vs Tet-treated NMP-derived trunk NC cells, 28 random fields per experiment were scored (three biological replicates) and processed in CellProfiler. For quantification of HOX9/SOX10, HOXC9/SOX1, and SOX10/SOX1 in ‘neutral’ basal media and in trunk NC cultures following WNT-BMP agonists/antagonist combinations, 25 and 30 fields per experiment were scored respectively (three biological replicates) and processed in CellProfiler using a custom pipeline. Cells were classified as single/double positive based on a pair of measurements analysis for the two channels of interest. For quantification of SOX2 and HOXC9 protein expression in WNT-FGF-induced early spinal cord progenitors, 5–10 random fields per experiment were scored (three biological replicates) and processed as described above. Graphs were generated using GraphPad Prism (GraphPad Software), which was also employed for statistical analysis.

Flow cytometry

For flow cytometric analysis of intracellular markers, a single cell suspension was prepared following Accutase treatment and cells were fixed in 4% PFA for 10 min at room temperature. Cells were permeabilised with 0.5% Triton X-100 in PBS containing 10% FCS and 0.1% BSA for 10 min and subsequently washed with a blocking buffer consisting of 10% FCS and 0.1% BSA in PBS. Primary antibodies diluted at the appropriate concentration in blocking buffer were added to cells followed by overnight incubation at 4°C on a shaking platform and washed off the following day. Secondary antibody diluted in blocking buffer was added for 1 hr in the dark and subsequently washed with blocking buffer. Cells were resuspended in 0.5 ml PBS for flow cytometric analysis. A separate negative control stained with secondary only and an unstained sample was used to set the gates. Flow cytometric analysis was performed using a BD LSR II flow cytometer and the data were processed using the software package FlowJo.

Immunofluorescence analysis of wholemount embryos and 3D reconstruction

E8.75 and E9.0 (TS13-14) R26-WntVis embryos were dissected in the M2 medium (Nowotschin et al., 2010). Embryos with yolk sac and amnion removed were fixed for 25–30 min at 4°C in 4% PFA in PBS, followed by permeabilisation in 0.5% Triton X-100 in PBS for 15 min, then incubated in 0.5 M glycine in PBS in 0.1% Triton X-100 (PBST) for 20 min, after which they were washed three times in PBST and blocked overnight at 4°C in 10% serum (Merck) in PBS/0.3% Triton X-100. Both primary and Alexa Fluor-conjugated secondary antibodies (Thermo Fisher Scientific, and Alexa Fluor 647 donkey-anti-chicken (#703-606-155) from Jackson Immunoresearch; all at 2 µg/ml final concentration) were diluted in blocking buffer and samples were incubated for 48 hr on a rocking platform at 4°C. A minimum of four 25 min washes were performed with PBST on a rocking platform at room temperature after the primary and secondary antibody incubation. Antibodies used (supplier, final concentration): anti-GFP (Abcam; ab13970; 10 µg/ml); anti-Brachyury (R&D; AF2085; 1 µg/ml); anti-Lamin B1 (Abcam; ab16048; 1:800-1:1000); anti-Sox9 (Merck, AB5535; 2 µg/ml); anti-Tfap2a (DSHB, 3B5, 3.1 µg/ml). Embryos were counterstained with Hoechst33342 (Thermo Fischer Scientific; 5 µg/ml). Confocal microscopy was performed after dehydration through an increasing methanol/PBS series (25, 50, and 75%, 10 min each) and two 5 min washes in 100% methanol and clearing in 1:1 v/v methanol/benzyl alcohol:benzyl benzoate(BA:BB; 2:1; Sigma), and two washes in 100% BA:BB. Embryos were imaged in BA:BB under an LSM800 confocal system with Airyscan and GaAsP detectors (Zeiss). Two to three replicate embryos were imaged per staining and stage. Wholemount immunostaining data were processed using Zeiss or Imaris software (Oxford Instruments) using channel alignment, background subtraction and deconvolution tools. In Imaris, 3D volumes were created from single channels. These volumes represent positively stained areas. As many cells in the tail bud exhibit some level of EGFP expression, only the fraction of a-GFP-stained cells with a higher intensity (a-GFPhigh) were displayed in the analyses for clarity reasons.

Quantitative real time PCR

Total RNA was extracted using the total RNA purification kit (Norgen Biotek) following the manufacturer’s instructions. The cDNA preparation was completed using the High-Capacity cDNA Reverse Transcription kit (Thermo Fisher). Quantitative real-time PCR was carried out using the QuantStudio 12 K Flex (Applied Biosystems) thermocycler in combination with the Roche UPL system and the TaqMan Fast Universal PCR Master Mix (Applied Biosystems).

Primer sequences are shown in Supplementary file 10. Graphs were generated using GraphPad Prism (GraphPad Software), which was also employed for statistical analysis.

Mouse husbandry

All mice were maintained on a 12 hr-light/12 hr-dark cycle and housed at 18–23°C with 40–60% humidity. Homozygote R26-WntVis mice were obtained from the Laboratory for Animal Resources and Genetic Engineering at the RIKEN Center for Biosystems Dynamics Research, Kobe, Japan (accession no. CDB0303K; RBRC10162). Homozygote R26-WntVis males were crossed with ICR females (JAX stock #009122, The Jackson Laboratory); all experiments were performed on heterozygote embryos. For timed matings, noon on the day of finding a vaginal plug was designated E0.5. All animal experiments were approved by the Institutional Animal Experiments Committee of RIKEN Kobe Branch (A2016-03-10). Mice were handled in accordance with the ethics guidelines of the institute.

RNA-seq

Sample preparation

Total RNA was harvested from day 3 NMPs obtained from TBXT shRNA sOPTiKD hESC in the presence and absence of Tet (three biological replicates) using the total RNA purification plus kit (Norgen BioTek) according to the manufacturer’s instructions. Sample quality control, library preparation, and sequencing were carried out by Novogene (http://en.novogene.com). Library construction was carried out using the NEB Next Ultra RNA Library Prep Kit and sequencing was performed using the Illumina NoveSeq platform (PE150). Raw reads were processed through FastQC v0.11.2 and Trim Galore. Reads were aligned using STAR v2.4.2a (Dobin et al., 2013) to the human reference genome assembly GRCh38 (Ensembl Build 79) in the two-pass mode. The RSEM v1.3.0 (Li and Dewey, 2011) was used to extract expected gene counts, where genes expressed in <3 samples or with total counts ≤5 among all samples were excluded. We identified genes showing significant differential expression with DESeq2 (Love et al., 2014), with log2FoldChange>|0.5| and Benjamini–Hochberg-adjusted p<0.05. Data were deposited to GEO (Accession number: GSE184620).

ChIP-seq

Chromatin immunoprecipitation followed by next-generation sequencing (ChIP-seq) was performed on approximately 10 million cells/sample (three pooled replicates per sample), fixed with 1% formaldehyde solution (11% formaldehyde, 0.1 M NaCl, 1 mM EDTA [pH 8.0], 50 mM HEPES [pH 7.9]) for 15 min at room temperature on a shaking apparatus. Fixation was quenched with 125 mM of glycine (1/20 volume of 2.5 M stock) for 5 min and then adherent cells were scraped thoroughly from the culture surface. Cells were washed, centrifuged at 800 × g for 10 min at 4°C and pellets were resuspended in 10 ml chilled PBS-Igepal (1 × PBS [pH 7.4], 0.5% Igepal CA-630). This pellet wash was repeated and cells were resuspended in 10 ml chilled PBS-Igepal and 1 mM phenylmethylsulfonyl fluoride (PMSF). Samples were centrifuged at 800 × g for 10 min at 4°C for a third time, after which the supernatant was removed and pellets were snap-frozen on dry ice and stored at –80°C. Samples were sent to Active Motif (Carlsbad, CA) for ChIP-seq. Active Motif (https://www.activemotif.com) prepared the chromatin, performed ChIP reactions, generated libraries, sequenced them, and performed basic data analysis. Chromatin was isolated by adding lysis buffer, followed by disruption with a Dounce homogenizer. Lysates were sonicated and the DNA sheared to an average length of 300–500 bp with Active Motif’s EpiShear probe sonicator (cat# 53051). Genomic DNA (Input) was prepared by treating aliquots of chromatin with RNase, proteinase K, and heat for de-crosslinking, followed by SPRI beads clean up (Beckman Coulter) and quantitation by Clariostar (BMG Labtech). Extrapolation to the original chromatin volume allowed the determination of the total chromatin yield. An aliquot of chromatin (50 µg) was precleared with protein G agarose beads (Invitrogen) and genomic DNA regions of interest were isolated using 4 µg of antibody against Brachyury (R&D Systems, cat# AF2085, lot# KQP0719121). Complexes were washed, eluted from the beads with sodium dodecyl sulfate (SDS) buffer, and subjected to RNase and proteinase K treatment. Crosslinks were reversed by incubation overnight at 65°C, and ChIP DNA was purified by phenol-chloroform extraction and ethanol precipitation. qPCR reactions were carried out in triplicate on specific genomic regions using SYBR Green Supermix (Bio-Rad). The resulting signals were normalized for primer efficiency by carrying out QPCR for each primer pair using Input DNA. Illumina sequencing libraries were prepared from the ChIP and Input DNAs by the standard consecutive enzymatic steps of end-polishing, dA-addition, and adaptor ligation. Steps were performed on an automated system (Apollo 342, Wafergen Biosystems/Takara). After a final PCR amplification step, the resulting DNA libraries were quantified and sequenced on Illumina’s NextSeq 500 (75 nt reads, single end). Reads were aligned to the human genome (hg38) using the BWA algorithm (default settings; Li and Durbin, 2009). Duplicate reads were removed and only uniquely mapped reads (mapping quality >25) were used for further analysis. Alignments were extended in silico at their 3’-ends to a length of 200 bp, which is the average genomic fragment length in the size-selected library, and assigned to 32-nt bins along the genome. The resulting histograms (genomic ‘signal maps’) were stored in bigWig files. Peak locations were determined using the MACS algorithm (v2.1.0) (Zhang et al., 2008) with a cutoff of p-value=1e–7. Peaks that were on the ENCODE blacklist of known false ChIP-Seq peaks were removed. Signal maps and peak locations were used as input data to Active Motifs proprietary analysis program, which creates Excel detailed information on sample comparison, peak metrics, peak locations, and gene annotations. Motif analysis was carried out using the Homer software (Heinz et al., 2010). Regions of 200 bp surrounding the summit of the top 2500 peaks (based on MACS2 p-values) were analysed. Data were deposited to GEO (Accession number: GSE184622).

ATAC-seq

Day 3 NMPs and day 8 trunk NC cells (50,000 cells) obtained from TBXT shRNA sOPTiKD hESC in the presence and absence of Tet (three biological replicates) were harvested and samples were prepared using the Illumina Tagment DNA Enzyme and Buffer Small kit (Illumina), 1% Digitonin (Promega), and EDTA-free protease inhibitor cocktail (Roche). Following DNA purification with the MinElute kit eluting in 12 μl, 1 μl of eluted DNA was used in a qPCR reaction to estimate the optimal number of amplification cycles. The remaining 11 μl of each library were amplified for the number of cycles corresponding to the Cq value (i.e. the cycle number at which fluorescence has increased above background levels) from the qPCR. Library amplification was followed by AMPure beads (Beckman Coulter) size selection to exclude fragments smaller than 150 bp and larger than 1200 bp. Library amplification was performed using custom Nextera primers. DNA concentration was measured with a Qubit fluorometer (Life Technologies) and library profile was checked with Bioanalyzer High Sensitivity assay (Agilent Technologies). Libraries were sequenced by the Biomedical Sequencing Facility at CeMM (Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna) using the Illumina HiSeq 3000/4000 platform and the 50 bp single-end configuration. Base calling was performed by Illumina Real Time Analysis (v2.7.7) software and the base calls were converted to short reads using the IlluminaBasecallsToSam tool from the Picard toolkit (v2.19.2) (‘Picard Toolkit’ 2019. Broad Institute, GitHub Repository. http://broadinstitute.github.io/picard/; Broad Institute). Sequencing adapters were removed, and the low-quality reads were filtered using the fastp software (v 0.20.1) (Chen et al., 2018). Alignment of the short reads on GRCh38 was performed using Bowtie2 (v2.4.1) (Langmead and Salzberg, 2012) with the ‘-very-sensitive’ parameter. The PCR duplicates were marked using samblaster (v0.1.24) (Faust and Hall, 2014), and the reads mapped to the ENCODE black-listed (Amemiya et al., 2019) regions were discarded prior to peak calling. To detect the open chromatin regions, we performed peak calling using the MACS2 (v2.2.7.1) (Zhang et al., 2008) software with the ‘--nomodel’, ‘--keep-dup auto’, and ‘--extsize 147’ options. Peaks in the format of bed files were analysed for differential analysis to compare signals corresponding to the + vs –Tet samples using the GUAVA software. Differential peaks with a distance from TSS ranging from –1–1 kb, log2FC cutoff = 1 and p-value<0.05 were extracted. Finally, HOMER findMotifs (v4.11) (Heinz et al., 2010) was used for motif enrichment analysis over the detected open chromatin regions. Data were deposited to GEO (Accession number: GSE184227).

Acknowledgements

We wish to thank Prof. Ludovic Vallier (University of Cambridge) for providing the TBXT and B2M shRNA sOPTiKD hESC lines and Prof. Lesley Forrester (University of Edinburgh) for providing the SFCi55-ZsGr iPSC line. We would also like to thank the Biomedical Sequencing Facility at CeMM/Michael Schuster and Leonardo Mottta, Estelle Suaud/Active Motif for assistance with the ATAC-seq and ChIP-seq experiments respectively. Finally, we are grateful to James Briscoe, Fay Cooper, Rebecca Lea, Vicki Metzis, Matt Towers and Val Wilson for critical reading of the manuscript.

Funding Statement

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Contributor Information

Anestis Tsakiridis, Email: a.tsakiridis@sheffield.ac.uk.

Marianne E Bronner, California Institute of Technology, United States.

Marianne E Bronner, California Institute of Technology, United States.

Funding Information

This paper was supported by the following grants:

  • Biotechnology and Biological Sciences Research Council BB/P000444/1 to Anestis Tsakiridis.

  • Horizon 2020 Framework Programme 824070 to Anestis Tsakiridis.

  • Medical Research Council MR/V002163/1 to Anestis Tsakiridis.

  • Children's Cancer and Leukaemia Group CCLGA 2019 28 to Anestis Tsakiridis.

  • Japan Society for the Promotion of Science JP19K16157 to Filip J Wymeersch.

Additional information

Competing interests

No competing interests declared.

No competing interests declared.

Author contributions

Formal analysis, Validation, Investigation, Visualization, Methodology, Writing – review and editing.

Formal analysis, Validation, Investigation, Visualization, Methodology, Writing – review and editing.

Data curation, Formal analysis, Validation, Investigation, Visualization, Writing – review and editing.

Formal analysis, Funding acquisition, Investigation, Visualization, Writing – review and editing.

Data curation, Formal analysis, Investigation, Visualization, Writing – review and editing.

Formal analysis, Investigation.

Funding acquisition, Investigation, Writing – review and editing.

Investigation.

Resources, Writing – review and editing.

Data curation, Methodology, Writing – review and editing.

Methodology, Writing – review and editing.

Funding acquisition, Writing – review and editing.

Funding acquisition, Writing – review and editing.

Conceptualization, Supervision, Funding acquisition, Investigation, Visualization, Methodology, Writing – original draft, Project administration, Writing – review and editing.

Ethics

All animal experiments were approved by the Institutional Animal Experiments Committee of RIKEN Kobe Branch (A2016-03-10). Mice were handled in accordance with the ethics guidelines of the institute.

Additional files

Supplementary file 1. Significantly up- and downregulated transcripts in Tet-treated, TBXT-depleted hESC-derived NMPs.
elife-74263-supp1.xlsx (80.4KB, xlsx)
Supplementary file 2. List of GO terms and corresponding gene lists enriched in Tet-treated, TBXT depleted hESC-derived NMPs.
elife-74263-supp2.xlsx (149.7KB, xlsx)
Supplementary file 3. List of all genomic regions (Intervals) with peak p-value below the applied threshold bound by TBXT in hESC-derived NMPs and undifferentiated hESCs.
elife-74263-supp3.xlsx (2.5MB, xlsx)
Supplementary file 4. List of GO terms and corresponding gene lists associated with TBXT binding sites in hPSC-derived NMPs.
elife-74263-supp4.xlsx (1.5MB, xlsx)
Supplementary file 5. List of known HOMER database motifs enriched in TBXT binding sites in hESC-derived NMPs.
elife-74263-supp5.xlsx (50.6KB, xlsx)
Supplementary file 6. List of TBXT target genes which are differentially expressed following Tet treatment (padj<0.05 log2FC>|0.5|) and Gene Ontology Biological Processes enrichment analysis.

Genes are listed in relation to the genomic position (in relation to TSS) of TBXT binding within their proximity. Blue highlight denotes downregulation while red represents upregulation in expression.

elife-74263-supp6.xlsx (229.5KB, xlsx)
Supplementary file 7. List of ATAC-seq peaks associated with gain or loss of chromatin accessibility following TBXT depletion in hESC-derived NMPs.

Gene Ontology Biological Processes enrichment analysis, list of HOX genes as well as other genes (padj<0.05 log2FC>|1|) affected by TBXT depletion and are associated with changes in chromatin accessibility are also included.

elife-74263-supp7.xlsx (34.4MB, xlsx)
Supplementary file 8. List of transcription factor DNA binding motifs enriched in ATAC-seq sites associated with chromatin accessibility gain, chromatin accessibility loss or both.
elife-74263-supp8.xlsx (14.9KB, xlsx)
Supplementary file 9. ATAC-seq analysis of trunk NC cells generated from hPSCs via NMPs in the presence of Tet.

Includes: (i) Summary: Summary of detected peak numbers; (ii) all_peaks: List of all the peaks with P-value <0.05 (gained open, gained close, no change) with the relative annotations; (iii) Accessibility Loss padj <0.05: Significant Gained close peaks (pvalue adjusted (padj) <0.05); (iv) HOX genes: Peaks in HOX gene regions, yellow colour highlights the significant peaks (padj <0.05); (v) Enrichment-Accessibility Loss: Enrichment of Significant Gained close peaks (pvalue adjusted <0.05); (vi) Accessibility gain padj <0.05: Significant Gained close peaks (pvalue adjusted (padj) <0.05).

elife-74263-supp9.xlsx (10.6MB, xlsx)
Supplementary file 10. List of primers used.
elife-74263-supp10.docx (19.9KB, docx)
Transparent reporting form

Data availability

Sequencing data have been deposited in GEO under accession codes GSE184622, GSE184620 and GSE184227.

The following datasets were generated:

Tsakiridis A. 2021. Early anteroposterior regionalization of human neural crest is shaped by a pro-mesodermal factor. NCBI Gene Expression Omnibus. GSE184227

Granata I, Tsakiridis A. 2021. Early anteroposterior regionalisation of human neural crest is shaped by a pro-mesodermal factor. NCBI Gene Expression Omnibus. GSE184622

Manipur I, Granata I, Tsakiridis A. 2021. RNA sequencing of control and TBXT-depleted human NMP-like axial progenitors. NCBI Gene Expression Omnibus. GSE184620

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Editor's evaluation

Marianne E Bronner 1

This paper presents an interesting model of a bi-phasic regulation for Hox genes in which Wnt drives HOX regulation in neuromesodermal precursors, but it does not control HOX levels in neural crest or spinal cord cells in human cells. The paper makes an important contribution to the literature and is of general interest.

Decision letter

Editor: Marianne E Bronner1

Our editorial process produces two outputs: i) public reviews designed to be posted alongside the preprint for the benefit of readers; ii) feedback on the manuscript for the authors, including requests for revisions, shown below. We also include an acceptance summary that explains what the editors found interesting or important about the work.

Decision letter after peer review:

Thank you for submitting your article "Early anteroposterior regionalisation of human neural crest is shaped by a pro-mesodermal factor" for consideration by eLife. Your article has been reviewed by 2 peer reviewers, and the evaluation has been overseen by a Reviewing Editor and Marianne Bronner as the Senior Editor. The reviewers have opted to remain anonymous.

The reviewers have discussed their reviews with one another, and the Reviewing Editor has drafted this to help you prepare a revised submission.

Essential revisions:

The reviewing editors feel that the paper has potential but requires essential additional data to support the central claims of the paper. Moreover, the mouse work is not well integrated in the manuscript and they raise a number of questions that you would need to discuss.

The following experiments would be key:

1. Quantify the percentages of cell types that emerge in their neural crest/spinal cord differentiations with the pharmacological perturbations by immunostaining or FACS. While some markers genes are expressed throughout development and label quite different cells, the detection of specific markers in single cells will help the interpretation of their qPCR results.

2. Expand the effect of WNT inhibition on the Hox code for the spinal cord in a 7-day protocol that consists of a 3-day FGF/CHIR regime followed by basal medium treatment (as they did in PMID:25157815) to clarify the temporal and cell-type-specific effects of the HOX code via TBXT/FGF on the neural crest and/or spinal cord cells.

3. Perform TBXT ChIP-seq or ChIP-qPCR or ATAC-seq in day 7 neural crest and day 7 spinal cord cells in normal or TBXT depleted conditions to assess what is the effect of the loss of accessibility from day 3.

I refer you to the full reviews, attached below, for further details. While we welcome a resubmission, we would understand if they would rather submit elsewhere given the amount of work required.

Reviewer #1 (Recommendations for the authors):

The authors need to address whether the difference in NC and spinal cord cell formation maybe due to NMP heterogeneity. I am not convinced they can make the conclusion as stated.

I am not an expert on NMPs, however it strikes me that Hox genes are already expressed in the primitive streak. Is it possible that what the authors study are early epiblast / primitive streak cells rather than NMPs?

Throughout the paper the authors use a handful of marker genes to assign identity to cell populations. However, many of the genes are expressed throughout development and label quite different cells and are associated with specific cell states. It is important to acknowledge this and to use a panel of markers to define cell identity.

The PCR experiments require some further analysis and the conclusions are not always supported by the results. For example, in Figure 2 upregulation of anterior markers is not significant, but the authors conclude a 'slight upregulation'. As far as I can tell, there is no statistical analysis of several qPCR experiments.

The authors draw very strong conclusions to say that the acquisition expression of Hox genes in NMPs and the acquisition of posterior identity is primarily driven by Wnt / TBXT loop. It is possible that other pathways are involved, yet they are not tested here.

The mouse data describing Wnt activity and the expression of various markers are not well integrated into the paper. The section describing Figure 4 lacks clarity and is very difficult to follow, as is Figure 4 itself. The description in the text mixes apparently published data (without references) and results, making it difficult to disentangle what the authors wish to say. The overall conclusions are therefore difficult to follow.

Reviewer #2 (Recommendations for the authors):

– Immunofluorescence images lack scale bars.

– I find confusing the labels in Figure 4G and 7C as the labels state WNT when CHIR is added in the protocol, but the names of the inhibitors are left unchanged.

– It would be useful to compare the dynamics/levels of TBXT expression between the neural crest and spinal cord differentiations passed the NMP stage in the wild type and downregulation conditions.

– A recent report has identified an insertion of an Alu element on a TBXT intron that generates two TBXT isoforms (https://www.biorxiv.org/content/10.1101/2021.09.14.460388v1). Is the TBXT knock down reducing the expression of both isoforms?

– The progressive colinear and temporal activation of HOX genes as embryos extend axially is termed the HOX clock. In this manuscript, all HOX genes show a coordinated/global downregulation upon TBXT depletion experiments in the neural crest or spinal cord cells (see Figure 2B, 6B). As their analysis of HOX expression is only performed at the end point, their data does not allow for any interpretation of the temporal dynamics of the HOX clock. If they want to interpret their data as a clock, they could perform time course expression analysis of the Hox genes along the neural crest or spinal cord differentiations.

– To what extent the HOX code in human neural crest and pre-neural cells in vitro recapitulates the mouse in vivo dynamics? The authors could assess Hox expression in the early neural crest and pre-neural populations in their Wnt reporter mouse model.

– Is TBXT required for endogenous WNT signalling expression? Does TBXT downregulation affect Wnt signalling? The authors could look at the expression of WNT signalling genes such as AXIN2 or WNT3.

– As the authors detect a role of FGF in the induction of HOX genes in late pre-neural spinal cord progenitors, I wonder if FGF is expected to affect neural crest cells. Is there any evidence that available that shows the effect of FGF in the neural crest differentiation?

– The authors could study the changes in chromatin accessibility in early NMPs and late pre-neural cells upon WNT and FGF inhibition respectively.

– As there are spinal cord cells and neural crest cells of various posterior identities, how do the authors think the Hox code is fixed in the cells?

[Editors’ note: further revisions were suggested prior to acceptance, as described below.]

Thank you for resubmitting your work entitled "Early anteroposterior regionalisation of human neural crest is shaped by a pro-mesodermal factor" for further consideration by eLife. Your revised article has been evaluated by Marianne Bronner (Senior Editor).

The manuscript has been improved but there are some remaining issues raised by Reviewer 2 that I ask you to consider addressing, as outlined in the re-review below:

Reviewer #2 (Recommendations for the authors):

The findings of this work support an interesting model of a bi-phasic regulation for Hox genes where Wnt drives HOX regulation in NMPs, but it does not control HOX levels in the neural crest or spinal cord cells in human.

The authors have addressed the main criticisms of their work during the revision. I think the paper is ready to be published, even though I have two additional comments.

1. The mouse data does not seem to motivate accurately the question they address in the paper, and I find it distracting and unhelpful. It also makes me wonder why the authors don't do the work using mouse embryonic stem cells.

2. I would recommend the authors add the ATAC-seq of pre-neural CNS spinal cord to the manuscript. They have generated the data and it is going to be publicly accessible, so I don't see why the data is not shown. They could easily add the tracks (at least the -Tet) in their Figure 8 – supplement 2 to compare the highlighted differences in accessibility.

eLife. 2022 Sep 26;11:e74263. doi: 10.7554/eLife.74263.sa2

Author response


Essential revisions:

The reviewing editors feel that the paper has potential but requires essential additional data to support the central claims of the paper. Moreover, the mouse work is not well integrated in the manuscript and they raise a number of questions that you would need to discuss.

To improve the integration of our in vivo data we have replaced Figure 4 and Figure 4—figure supplement 1 in the original manuscript with two simpler versions (new Figure 1 and Figure 5—figure supplement 2 in the revised manuscript) and split the related text (line numbers 271299 in original manuscript) into two thematically distinct sections (“NC-fated axial progenitors are marked by T expression” linked to figure 1 and paragraph on the high WNT activity status of TBXT+ trunk NC progenitors linked to Figure 5—figure supplement 1; line numbers 139-158 and 323-337 respectively in revised manuscript).

The following experiments would be key:

1. Quantify the percentages of cell types that emerge in their neural crest/spinal cord differentiations with the pharmacological perturbations by immunostaining or FACS. While some markers genes are expressed throughout development and label quite different cells, the detection of specific markers in single cells will help the interpretation of their qPCR results.

We have quantified the percentages of trunk NC (identified by HOXC9 and SOX10 protein co-expression) and CNS spinal cord (indicated by HOXC9 and SOX1 protein co-expression) cells following antibody staining and image analysis to define, at the single cell level, the effect of different signalling pathway agonist/antagonist combinations on cell fate and posterior axial identity. These new data can be found in Figure 7D-E and Figure 5—figure supplement 1 in the revised manuscript.

2. Expand the effect of WNT inhibition on the Hox code for the spinal cord in a 7-day protocol that consists of a 3-day FGF/CHIR regime followed by basal medium treatment (as they did in PMID:25157815) to clarify the temporal and cell-type-specific effects of the HOX code via TBXT/FGF on the neural crest and/or spinal cord cells.

To clarify the intrinsic role of TBXT in the temporal and cell-type specific modes of HOX gene regulation without the interference of extrinsic signals, we carried out differentiation of day 3 Tetracycline (Tet) inducible TBXT knockdown shRNA hESC-derived NMPs in the presence of basal, serum-free media devoid of any signalling pathway agonists/antagonists for a further 4 days. These culture conditions steer NMPs towards sox2+ posterior neural progenitors and more differentiated, mutually exclusive SOX10+ NC and SOX1+ CNS spinal cord subpopulations. Temporal manipulation of TBXT expression via Tet treatment during distinct time windows (days 0-7 vs days 0-3 vs days 4-7) revealed that only early (days 0-3) TBXT knockdown results in HOX gene reduction and elimination of HOXC9+SOX10+ trunk NC and HOXC9+SOX1+ spinal cord progenitor populations while late TBXT knockdown has a minimal effect. We also observed an overall decrease in the levels of SOX10 protein expression under the same conditions. These new data are shown in Figure 4 and described in line numbers 226-256 in the revised manuscript.

3. Perform TBXT ChIP-seq or ChIP-qPCR or ATAC-seq in day 7 neural crest and day 7 spinal cord cells in normal or TBXT depleted conditions to assess what is the effect of the loss of accessibility from day 3.

We have added new ATAC-seq data following analysis of trunk NC cells derived from TBXT knockdown shRNA hESC-derived NMPs in the presence and absence of Tet. In line with our gene expression data (Figure 3 in revised manuscript), these show that various TBXT-bound (in NMPs) loci that are associated with posterior patterning (e.g. HOX genes) and WNT/BMP/FGF signalling are marked by a significant loss of ‘open’ chromatin regions in trunk NC cells following TBXT depletion. We also observed a loss of trunk NC-specific accessible regions, which are not direct TBXT genomic targets in NMPs. These data can be found in Figure 8—figure supplement 2 and Appendix Table S9 in the revised manuscript. As expected, ATAC-seq analysis of pre-neural CNS spinal cord progenitors generated from TBXT knockdown shRNA hESC-derived NMPs in the presence and absence of Tet showed no significant differences in chromatin accessibility between the two conditions again reflecting our gene expression data (Figure 6 in revised manuscript). These data were not included in the new manuscript version but they are publicly available as part of our revised GEO submission (GSE184227). Mapping of TBXT binding (e.g. by ChIP-seq) in NMPderived trunk NC cells/spinal cord progenitors is not technically possible due to the very low/absent expression of TBXT protein in these cell populations.

I refer you to the full reviews, attached below, for further details. While we welcome a resubmission, we would understand if they would rather submit elsewhere given the amount of work required.

Reviewer #1 (Recommendations for the authors):

The authors need to address whether the difference in NC and spinal cord cell formation maybe due to NMP heterogeneity. I am not convinced they can make the conclusion as stated.

We believe that the inclusion of new data defining the emergence of NMP derivatives at the single cell level through analysis of key trunk lineage-specific markers (HOXC9, SOX10, SOX1, SOX2) via immunostaining and image analysis/flow cytometry (see Figure 3—figure supplement 1, Figure 4C-D, Figure 5—figure supplement 1, Figure 7D-E in revised manuscript) should address the reviewer’s point. See also our response to the editorial comments above. It should be note that the vast majority of day 3 hESC-derived NMPs (>95%) is positive for TBXT protein expression based on antibody staining and thus the starting population for the generation of trunk NC/spinal cord progenitors can be considered largely homogeneous when it comes to the expression of this transcription factor.

I am not an expert on NMPs, however it strikes me that Hox genes are already expressed in the primitive streak. Is it possible that what the authors study are early epiblast / primitive streak cells rather than NMPs?

We presume that the reviewer refers to day 3 hESC-derived NMPs here. We have previously shown that the majority of cells in these cultures co-express TBXT and SOX2 (Frith et al., 2018; Gouti et al., 2014). The simultaneous presence of these transcription factors is a reliable indicator of neuromesodermal bipotency in the post-gastrulation posterior growth zone/tail bud and not a feature of the early epiblast in either mouse or chick embryos (Guillot et al., 2021; Wymeersch et al., 2016). Moreover, gastrula-stage epiblast cells are marked by Nanog (whose expression is posteriorly confined during late gastrulation) (Osorno et al., 2012) and Otx2 (found anteriorly at later gastrulation stages) (Ang et al., 1994) and none of these proteins is detected in day 3 hESC-derived NMPs (Frith et al., 2018). These data, together with the demonstration that our cultures also express various other posterior markers (e.g. CDX2, NKX1-2 and Hox family member belonging to paralogous groups 1-9) and can give rise to both presomitic mesoderm and spinal cord neurectoderm/NC cells under the influence of the appropriate extrinsic signal combinations (Frith et al., 2018; Wind et al., 2021), strongly suggest that these consist mainly of cells that resemble neuromesodermal-potent axial progenitors (which we term NMPs). However, as shown previously (Frith et al., 2018; Wind et al., 2021), we also expect minor subpopulations representing differentiated NMP derivatives such as presomitic mesoderm cells or non-NMP related “contaminant” cell types such as lateral plate mesoderm cells to be present in these cultures.

Throughout the paper the authors use a handful of marker genes to assign identity to cell populations. However, many of the genes are expressed throughout development and label quite different cells and are associated with specific cell states. It is important to acknowledge this and to use a panel of markers to define cell identity.

We have complemented our qPCR-based characterisation of NMP-derived cell populations with immunofluorescence/image analysis focusing on the expression of lineage-specific markers that are well characterised in the context of our differentiation experiments. Specifically, we employed SOX10 and SOX1 protein expression as readouts of a NC and spinal cord progenitor identity respectively, when tracking the emergence of these cell types during NMP differentiation by immunostaining (Figure 4C-D, Figure 5—figure supplement 1 in revised manuscript). We never detected cells co-expressing these markers at the differentiation timepoints we examined thus confirming their specificity (Figure 4C-D, Figure 5—figure supplement 1 in revised manuscript). Moreover, we employed antibody staining against CDX2 and SOX2 to quantify pre-neural spinal cord progenitors generated from NMPs following WNT and FGF agonist treatment for 4 days (Figure 7 and Figure 7—figure supplement 1); these cultures have been shown to contain approximately 80-90% sox2+/CDX2+ cells and a minor (<5% of total cells) fraction of TBXTlow-expressing cells (Wind et al., 2021).

The PCR experiments require some further analysis and the conclusions are not always supported by the results. For example, in Figure 2 upregulation of anterior markers is not significant, but the authors conclude a 'slight upregulation'. As far as I can tell, there is no statistical analysis of several qPCR experiments.

We have included statistical analysis of all qPCR and immunofluorescence-based marker quantification analyses in the revised manuscript.

The authors draw very strong conclusions to say that the acquisition expression of Hox genes in NMPs and the acquisition of posterior identity is primarily driven by Wnt / TBXT loop. It is possible that other pathways are involved, yet they are not tested here.

WNT signalling is the main posteriorising pathway orchestrating the NMP-niche (Amin et al., 2016; Wymeersch et al., 2016; Wymeersch et al., 2019) and it has been implicated in the regulation of TBXT and Hox gene expression (Arnold et al., 2000; Martin and Kimelman, 2008; Metzis et al., 2018; Yamaguchi et al., 1999; Young et al., 2009). Hence we decided to focus on investigating the WNT-TBXT-HOX interplay and their links with FGF/BMP signalling in the context of our in vitro differentiation regimens. We cannot exclude the possibility that other candidate pathways may be involved in these processes but the thorough dissection of their function is beyond the scope of this manuscript.

The mouse data describing Wnt activity and the expression of various markers are not well integrated into the paper. The section describing Figure 4 lacks clarity and is very difficult to follow, as is Figure 4 itself. The description in the text mixes apparently published data (without references) and results, making it difficult to disentangle what the authors wish to say. The overall conclusions are therefore difficult to follow.

Reviewer #2 (Recommendations for the authors):

– Immunofluorescence images lack scale bars.

We have included scale bars in all immunofluorescence images contained in the revised version of our manuscript.

– I find confusing the labels in Figure 4G and 7C as the labels state WNT when CHIR is added in the protocol, but the names of the inhibitors are left unchanged.

We have modified the labels in question to address the reviewer’s concern.

– It would be useful to compare the dynamics/levels of TBXT expression between the neural crest and spinal cord differentiations passed the NMP stage in the wild type and downregulation conditions.

We have previously shown that TBXT protein levels rapidly decrease during the transition of wild type hESC-derived NMPs towards pre-neural spinal cord/trunk NC cells and at the end of the differentiation cultures exhibit very low (pre-neural spinal cord) of or no (trunk NC) TBXT expression (Frith et al., 2018; Wind et al., 2021). Our qPCR data indicate that all phenotypes we observe following treatment in different culture conditions (e.g. reduction of HOX gene expression in trunk NC/neutral conditions or minimal effect on HOX transcription in WNT-FGF-based pre-neural spinal cord-promoting conditions) correspond to approximately the same extent of reduction (50-80% relative to untreated controls) of TBXT transcript levels. However, it is difficult to extract any meaningful conclusions about how TBXT dosage influences axial identity/cell fate acquisition from static snapshot-type data based on immunofluorescence/qPCR without proper lineage tracing of single cells, which is beyond the scope of this manuscript.

– A recent report has identified an insertion of an Alu element on a TBXT intron that generates two TBXT isoforms (https://www.biorxiv.org/content/10.1101/2021.09.14.460388v1). Is the TBXT knock down reducing the expression of both isoforms?

The Alu element described in this report is located between exons 5 and 6 and promotes alternative splicing and skipping of exon 6 to give rise to a hominid-specific TBXT isoform. The shRNA cassette employed in our system targets an upstream region spanning exons 3 and 4 (Bertero et al., 2016) and therefore Tet treatment should result in reduction of both wild type and TBXT-∆Exon6 isoforms.

– The progressive colinear and temporal activation of HOX genes as embryos extend axially is termed the HOX clock. In this manuscript, all HOX genes show a coordinated/global downregulation upon TBXT depletion experiments in the neural crest or spinal cord cells (see Figure 2B, 6B). As their analysis of HOX expression is only performed at the end point, their data does not allow for any interpretation of the temporal dynamics of the HOX clock. If they want to interpret their data as a clock, they could perform time course expression analysis of the Hox genes along the neural crest or spinal cord differentiations.

We agree with the reviewer and we have removed references to the “Hox clock” in relation to our findings replacing it with “global Hox gene transcription” or “expression”.

– To what extent the HOX code in human neural crest and pre-neural cells in vitro recapitulates the mouse in vivo dynamics? The authors could assess Hox expression in the early neural crest and pre-neural populations in their Wnt reporter mouse model.

This is an interesting question but it comprises a separate project given that our focus here is on hESC differentiation. Moreover, the in vivo assessment of the expression of multiple Hox genes at the single cell level is a challenging task due to absence of reliable antibodies.

– Is TBXT required for endogenous WNT signalling expression? Does TBXT downregulation affect Wnt signalling? The authors could look at the expression of WNT signalling genes such as AXIN2 or WNT3.

We show that TBXT knockdown during the transition of hESCs toward NMPs and trunk NC leads to a significant decrease in the levels of WNT signalling components/targets such as RSPO3, WISP1, WNT3A/5A/8A, LEF1, AXIN2, TCF1. These data are included in Figures 2F, 3D and Appendix Table S1 in the revised manuscript.

– As the authors detect a role of FGF in the induction of HOX genes in late pre-neural spinal cord progenitors, I wonder if FGF is expected to affect neural crest cells. Is there any evidence that available that shows the effect of FGF in the neural crest differentiation?

See our response above regarding the potentially crucial role of FGF in the control of HOX gene expression in NC cells. It should be noted that in line with this concept, FGF signalling has been recently shown to influence HOX gene expression/axial identity acquisition in hESC-derived NC cells (Hackland et al., 2019). This study is cited in our manuscript.

– The authors could study the changes in chromatin accessibility in early NMPs and late pre-neural cells upon WNT and FGF inhibition respectively.

This is a good suggestion but we opted instead to prioritise the ATAC-seq analysis of trunk NC/pre-neural spinal cord cells generated from hESCs/NMPs in the presence and absence of Tet as this would provide a greater insight into the role of TBXT, which is the focus of our study. See also our responses above.

– As there are spinal cord cells and neural crest cells of various posterior identities, how do the authors think the Hox code is fixed in the cells?

Dissection of the mechanisms orchestrating the fixing of the Hox code in spinal cord vs neural crest cells of various axial identities is a fascinating and huge topic. Based on published work, we expect that these include differential usage of cell type-specific enhancers, cross-repressive HOX gene interactions, synergistic co-factor binding and epigenetic/post-transcriptional/translational control of HOX expression to name a few.

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[Editors’ note: further revisions were suggested prior to acceptance, as described below.]

Reviewer #2 (Recommendations for the authors):

The findings of this work support an interesting model of a bi-phasic regulation for Hox genes where Wnt drives HOX regulation in NMPs, but it does not control HOX levels in the neural crest or spinal cord cells in human.

The authors have addressed the main criticisms of their work during the revision. I think the paper is ready to be published, even though I have two additional comments.

1. The mouse data does not seem to motivate accurately the question they address in the paper, and I find it distracting and unhelpful. It also makes me wonder why the authors don't do the work using mouse embryonic stem cells.

We included immunofluorescence data following analysis of E8.5-9.0 mouse embryos showing that:

i) TBXT is expressed in neural crest (NC)-fated regions in the embryonic axial progenitor niche i.e. the caudal lateral epiblast (CLE) and early tailbud (Figure 1)

ii) The same posterior NC-fated regions exhibit high levels of Wnt signalling activity (Figure 5—figure supplement 2).

These findings complement our in vitro observations employing hESC differentiation toward axial progenitors/trunk NC/spinal cord cells and validate their potential in vivo relevance. We are unclear about what the exact issues of reviewer #2 are with these figures/data and how mouse ESC-based experiments would be of any additional value in making the above points. I should also note that our lab is not set up for work with mESCs and it would be very difficult for us both in terms of resources/infrastructure and time investment to pursue any additional work involving this system. We estimate that we would need at least 8-10 months to obtain mESC-based data thus comprising another round of revisions.

2. I would recommend the authors add the ATAC-seq of pre-neural CNS spinal cord to the manuscript. They have generated the data and it is going to be publicly accessible, so I don't see why the data is not shown. They could easily add the tracks (at least the -Tet) in their Figure 8 – supplement 2 to compare the highlighted differences in accessibility.

We have included ATAC-seq data obtained from analysis of early spinal cord progenitors generated from TBXT knockdown and control human embryonic stem cells (hESCs) in Figure 8-Supplement 2. The raw data are also publicly available in our revised GEO submission (GSE184227).

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Data Citations

    1. Tsakiridis A. 2021. Early anteroposterior regionalization of human neural crest is shaped by a pro-mesodermal factor. NCBI Gene Expression Omnibus. GSE184227 [DOI] [PMC free article] [PubMed]
    2. Granata I, Tsakiridis A. 2021. Early anteroposterior regionalisation of human neural crest is shaped by a pro-mesodermal factor. NCBI Gene Expression Omnibus. GSE184622 [DOI] [PMC free article] [PubMed]
    3. Manipur I, Granata I, Tsakiridis A. 2021. RNA sequencing of control and TBXT-depleted human NMP-like axial progenitors. NCBI Gene Expression Omnibus. GSE184620

    Supplementary Materials

    Supplementary file 1. Significantly up- and downregulated transcripts in Tet-treated, TBXT-depleted hESC-derived NMPs.
    elife-74263-supp1.xlsx (80.4KB, xlsx)
    Supplementary file 2. List of GO terms and corresponding gene lists enriched in Tet-treated, TBXT depleted hESC-derived NMPs.
    elife-74263-supp2.xlsx (149.7KB, xlsx)
    Supplementary file 3. List of all genomic regions (Intervals) with peak p-value below the applied threshold bound by TBXT in hESC-derived NMPs and undifferentiated hESCs.
    elife-74263-supp3.xlsx (2.5MB, xlsx)
    Supplementary file 4. List of GO terms and corresponding gene lists associated with TBXT binding sites in hPSC-derived NMPs.
    elife-74263-supp4.xlsx (1.5MB, xlsx)
    Supplementary file 5. List of known HOMER database motifs enriched in TBXT binding sites in hESC-derived NMPs.
    elife-74263-supp5.xlsx (50.6KB, xlsx)
    Supplementary file 6. List of TBXT target genes which are differentially expressed following Tet treatment (padj<0.05 log2FC>|0.5|) and Gene Ontology Biological Processes enrichment analysis.

    Genes are listed in relation to the genomic position (in relation to TSS) of TBXT binding within their proximity. Blue highlight denotes downregulation while red represents upregulation in expression.

    elife-74263-supp6.xlsx (229.5KB, xlsx)
    Supplementary file 7. List of ATAC-seq peaks associated with gain or loss of chromatin accessibility following TBXT depletion in hESC-derived NMPs.

    Gene Ontology Biological Processes enrichment analysis, list of HOX genes as well as other genes (padj<0.05 log2FC>|1|) affected by TBXT depletion and are associated with changes in chromatin accessibility are also included.

    elife-74263-supp7.xlsx (34.4MB, xlsx)
    Supplementary file 8. List of transcription factor DNA binding motifs enriched in ATAC-seq sites associated with chromatin accessibility gain, chromatin accessibility loss or both.
    elife-74263-supp8.xlsx (14.9KB, xlsx)
    Supplementary file 9. ATAC-seq analysis of trunk NC cells generated from hPSCs via NMPs in the presence of Tet.

    Includes: (i) Summary: Summary of detected peak numbers; (ii) all_peaks: List of all the peaks with P-value <0.05 (gained open, gained close, no change) with the relative annotations; (iii) Accessibility Loss padj <0.05: Significant Gained close peaks (pvalue adjusted (padj) <0.05); (iv) HOX genes: Peaks in HOX gene regions, yellow colour highlights the significant peaks (padj <0.05); (v) Enrichment-Accessibility Loss: Enrichment of Significant Gained close peaks (pvalue adjusted <0.05); (vi) Accessibility gain padj <0.05: Significant Gained close peaks (pvalue adjusted (padj) <0.05).

    elife-74263-supp9.xlsx (10.6MB, xlsx)
    Supplementary file 10. List of primers used.
    elife-74263-supp10.docx (19.9KB, docx)
    Transparent reporting form

    Data Availability Statement

    Sequencing data have been deposited in GEO under accession codes GSE184622, GSE184620 and GSE184227.

    The following datasets were generated:

    Tsakiridis A. 2021. Early anteroposterior regionalization of human neural crest is shaped by a pro-mesodermal factor. NCBI Gene Expression Omnibus. GSE184227

    Granata I, Tsakiridis A. 2021. Early anteroposterior regionalisation of human neural crest is shaped by a pro-mesodermal factor. NCBI Gene Expression Omnibus. GSE184622

    Manipur I, Granata I, Tsakiridis A. 2021. RNA sequencing of control and TBXT-depleted human NMP-like axial progenitors. NCBI Gene Expression Omnibus. GSE184620


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