Coordinated multiple cellular processes in tongue development
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The investigation of the functional significance of the X-linked ciliary protein OFD1 gene in regulating the fate of cranial neural crest-derived cells (CNCCs) and its potential effect on myogenic progenitors during tongue development is interesting because the Ofd1 conditional knockout mouse model has a very striking phenotype and nicely mimics the phenotype in humans. It is a valuable model to understand human disease. This study will require additional experiments to support their conclusions.
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Abstract
Dysfunction of primary cilia leads to genetic disorder, ciliopathies, which shows various malformations in many vital organs such as brain. Multiple tongue deformities including cleft, hamartoma and ankyloglossia are also seen in ciliopathies, which yield difficulties in fundamental functions such as mastication and vocalization. Here, we found these tongue anomalies in mice with mutation of ciliary protein. Abnormal cranial neural crest-derived cells (CNCC) failed to evoke Hh signal for differentiation of mesoderm-derived cells into myoblasts, which resulted in abnormal differentiation of mesoderm-derived cells into adipocytes. The ectopic adipose subsequently arrested migration of other mesoderm-derived cells and CNCC. Some aberrant CNCC abnormally differentiated into osteoblasts due to the lack of Hh signal, which migrated into tongue to form ectopic bone. Ankyloglossia was caused by aberrant cell migration due to lack of non-canonical Wnt signaling. In addition to ciliopathies, these tongue anomalies are often observed as non-familial condition in human. We found that these tongue deformities could be reproduced in wild-type mice by simple mechanical manipulations in CNCC to disturb cellular processes which were disrupted in mutant mice. Thus, tongue development requires coordinated multiple cellular processes (cell-cell contact, migration and differentiation). Our results provide hints for possible future treatment in ciliopathies.
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Author response:
Reviewer #2 (Public Review):
In this study, the authors report that both mice and human patients carrying function-disrupting mutations in the OFD1 gene exhibited ectopic brown adipose tissue formation in the malformed tongue. The OFD1 gene is located on the X-chromosome and encodes a protein product required for the formation and function of the primary cilium, which is required for cells to properly receive and activate several signaling pathways, particularly the hedgehog signaling pathway. Loss of OFD1 function causes prenatal lethality of male fetuses and mosaic disruption of tissues in females due to random inactivation of the X-chromosome carrying either the mutant or wildtype allele. Using cell type-specific gene inactivation and genetic lineage labeling, the manuscript shows that the ectopic brown adipose …
Author response:
Reviewer #2 (Public Review):
In this study, the authors report that both mice and human patients carrying function-disrupting mutations in the OFD1 gene exhibited ectopic brown adipose tissue formation in the malformed tongue. The OFD1 gene is located on the X-chromosome and encodes a protein product required for the formation and function of the primary cilium, which is required for cells to properly receive and activate several signaling pathways, particularly the hedgehog signaling pathway. Loss of OFD1 function causes prenatal lethality of male fetuses and mosaic disruption of tissues in females due to random inactivation of the X-chromosome carrying either the mutant or wildtype allele. Using cell type-specific gene inactivation and genetic lineage labeling, the manuscript shows that the ectopic brown adipose tissue in the mutant tongue was not derived from cranial neural crest cells (CNCCs). Additional genetic and embryological studies led to the conclusion that loss of Ofd1 function in the CNCC cells in the embryonic hypoglossal cord, via which the tongue myoblast precursor cells migrate from anterior somites to the tongue primordia, caused disruption of cell-cell interactions between the CNCCs and migrating muscle precursor cells, resulting in altered differentiation of those myoblast precursor cells into brown adipocytes. The authors provided data that disruption of Smo in a subset of CNCCs also resulted in ectopic adipose tissue formation in the tongue, indicating that this phenotype in the Ofd1 mutant mice was likely caused by disruption of hedgehog signaling in CNCCs. However, no experimental evidence is provided to support a major conclusion of the manuscript regarding altered differentiation of the tongue myoblast precursor cells into brown adipocytes in the Ofd1 mutant mice. Since it is well established that hedgehog signaling in the CNCCs is required for them to direct tongue myoblast cell migration as well as for tongue muscle differentiation/organization after the myoblasts arrived in the tongue primordia, the finding of tongue muscle defects in the Ofd1 mutant mice is not surprising. However, if proven true that disruption of Ofd1 function in CNCCs caused tongue myoblast precursor cells to alter their fate and differentiate into brown adipocytes, it would be an interesting new finding. Further identification of the signals produced by the Ofd1 mutant CNCCs for directing the cell fate switch will be a highly significant new advance in understanding the cellular and molecular mechanisms regulating tongue morphogenesis.
Many in vitro and in vivo data have been added as new data. We hope that these are enough for our conclusion. It is extremely difficult to identify the signals produced by the Ofd1 mutant CNCCs for directing the cell fate switch of mesodermal cells after activation of Hh signaling in CNCC. Instead, our new findings raise the possibility that Hh signaling in mesodermal cells is also important for their differentiation as well as Hh signaling in CNCC, which has been added in revised paper. However, we think that it is beyond the scope of this study to deepen these.
Reviewer #3 (Public Review):
The authors observed phenotypes of ciliopathy model mice and they seem to coincide with those in human patients. They used mutants in which cilial function genes are deleted in cranial neural crest cells, and found the mutants exhibit abnormal cell differentiation in both neural crest- and mesoderm-lineage cells. The finding clearly shows the importance of tissue/cell interaction. The authors mainly observed the mouse in which Ofd1 gene that is coded on the X chromosome is deleted, therefore, Ofd1fl/WT;Wnt1Cre(HET) mice show that about one-fourth of neural crest cells can exhibit Ofd1 function whereas Ofd1fl;Wnt1Cre (HM) shows null Ofd1 function and show severer phenotypes than HET.
For ectopic brown adipose tissue in the tongue is derived from mesoderm and the authors tried to show that the hypoglossal cord failed to obtain myogenic lineage after entering branchial arches in HET and HM due to lack of communication with neural crest cells. For ectopic bone formation, they found that it is due to the lack of Hedgehog signaling in neural crest cells, which was consistent with the reports in the Smofl/fl;Wnt1-Cre (Xu et al., 2019) and Ift88fl/fl;Wnt1Cre (Kitamura et al. 2020). The ectopic bone is connected to the original mandibular bone. The authors attribute the ectopic bone formation to the migration of mandibular bone neural crest cells into the tongue-forming area.
For the poor tongue frenum formation, the authors found the importance of cell migration from the lateral sides of the branchial arch to the midline and its formation relies on non-canonical Wnt signaling. The authors observed similar phenotypes in the human patients as those in the mutants. The adipose tissue in the tongue area is normally found in the salivary gland region and intermuscular space, and it is intriguing to find the brown adipose tissue anterior to the cervical area in which the most anterior brown adipose tissue develops. qRT-PCR indicates that some of the marker genes are expressed in the laser micro-dissected sections of the ectopic brown adipose tissue. However, histology does not show the typical brown adipose tissue feature. In addition, brown adipose tissue is normally recognized in the sixth pharyngeal region as the cervical brown tissue from around E14.5 (Schulz and Tseng 2013), not E12 as the authors observe. Although the mutants develop under abnormal conditions, is it possible to say they are brown adipose tissue? The point has to be further investigated with more marker expression by immunohistochemical detection and other methods. Since the mutants seem to show impaired midline formation (which is consistent with the condition of human ciliopathy), is it possible to hypothesize that the adipose-like tissue is derived from the mesoderm of posterior branchial arch levels if the tissue is brown adipose tissue?
Immunohistochemistry data has been added as new Figure S4 and S5.
We agree reviewer’s comment. Histology of ectopic adipose in Ofd1 cKO is slightly different from typical images of brown adipose. Molecular characters of ectopic adipose in Ofd1 mutant tongue are similar to these of low thermogenic adipocyte. Histological features of low thermogenic is known to be different from that of typical brown adipose tissue. Histological features of low thermogenic adipocyte is similar to that of ectopic adipose in Ofd1 mutant mice. This has been mentioned in Results section.
The cervical brown adipose tissue in Ofd1 mutant should be shrinked or be connected to ectopic adipose in mutant tongue, if ectopic adipose in mutant tongue was derived from the cervical brown adipose tissue due to mis-migration. However, any significant changes of the cervical brown adipose tissue or conection between cervical brown adipose and tongue adipose could not be detected in Ofd1 mutant mice. We think that ectopic adipose in mutant tongue is unlikely derived from cervical brown adipose tissue. These have been added in Result section.
Cranial neural crest cells start migrating around E8.0 and reach their destination by E9.5. The authors show the lack of neural crest cells in the midline, the fluorescence is absent from the midline in HM, however, they studied it in the E11 mandible (Fig. 4E), almost more than two days after neural crest migration completes. Since the mandibular arch seems to form at the beginning in the mutants, is there a failure in allocating the neural crest and mesoderm at the beginning of the mandibular arch formation?
It is difficult to prove how much migration is affected in mutant mice. Therefore, sentence describing migration has been deleted in revised paper
The authors tried to disturb the interaction between the hypoglossal cord and neural crest cells by making incisions in the dorsal area of the branchial arches. That area contains both neural crest and mesoderm but not the hypoglossal cord-derived mesoderm. The hypoglossal cord passed through the posterior edge of the caudal (6th) pharyngeal arch, along the lateral side of the pericardium towards the anterior, ventral to branchial arches, and then inside the 2nd and 1st branchial arches (Adachi et al., 2018). It expresses Pax3 before entering the branchial arches, then Myf5 in the branchial arches. It seems that the migration of the hypoglossal cord does not require interaction with neural crest cells but it has to be confirmed as well as neural crest migration into the branchial arches from the beginning. Although the hypoglossal cord migrates mostly in mesoderm-derived mesenchyme, we cannot exclude the possibility that hypoglossal cord migration is affected.
Cutting region in original Figure 2Q was not accurate. It has been changed in new Figure 3Q. We agree reviewer’s comment “we cannot exclude the possibility that hypoglossal cord migration is affected”. However, It is difficult to prove how much migration is affected in mutant mice. Therefore, sentence describing migration has been deleted in revised paper
The lack of Myf5 expression in Ofd1fl;Wnt1Cre (HM) was explained as a failure in the differentiation of the hypoglossal cord into myoblasts on entrance into the branchial arches. Most of the cervical brown adipose tissue is derived from either Myf5- or Pax3- expressing lineage (Sanchez-Gurmaches and Guertin, 2014). Although the authors suggest that brown adipose cells are fate-changed mesoderm in the branchial arches, how do they explain the association with Myf5- or Pax3- expression?
As reviewer mentioned, the cervical brown adipose tissue is derived from either Myf5- or Pax3- expressing lineage. However, these cells lost Myf5- or Pax3 expression when they differentiate into brawn adipocytes. Although ectopic adipose in Ofd1 mutant tongue showed Pax3 expression at early stage, they likely loose Pax3 expression soon after. There is another possibility that ectopic adipocytes retain Pax3 expression, if they would be abnormal adipocytes. If so, it's not surprised when expression pattern of ectopic adipocytes in Ofd1 mutant is different from these of normal brown adipose tissue. Anything can be possible in these situation. Therefore, we don’t mention anything about these in the text
In addition, the cervical brown tissue is supposed to be derived from the branchial arch mesoderm (Mo et al., 2017). Is the formation of the cervical brown tissue affected in the Ofd1fl/WT;Wnt1Cre(HET) or Ofd1fl;Wnt1Cre (HM) if dysfunction of neural crest cells results in the cell fate change of mesoderm?
Any significant morphological changes of the cervical brown adipose tissue could not be detected in Ofd1 mutant mice. Ectopic adipose tissue in Ofd1 cKO was found from E115, while cervical adipose tissue form from E14.5. We think that dysfunction of CNCC at E14.5 does not affect mesodermal cells for the cervical adipose tissue.
For the tongue frenum development, it is hard to understand to hypothesize that its formation is unlikely to associate with midline formation. Although Lgr5 and Tbx22 are not expressed in the midline, the defect in midline formation could cause unnecessary interaction between the right and left tissues.
We agree reviewer’s comment. The sentences have been changed in new manuscript.
Tissue morphogenesis takes place in three dimensions, which were not considered in the data, especially in the labeling experiments. When the authors labelled the cells, which cells in which area were labelled? In the textbook, tongue formation is a result of the fusion of the midline processes derived from the branchial arches, therefore, it is important to identify which cells in which area are labelled.
Data of Lgr5 and Tbx22 in situ hybridization has been added as new Figure 10-S1D and -S1E, since we labelled cells within Lgr5 and Tbx22 expression domain. Data showing section of explant with DiD injection before and after culture has been added as new Figure 10-S1F and -S1G, which showed DiD labelled cells were located within Lgr5 and Tbx22 expression domain before culture and at tongue frenum region after culture.
The weakest point is that the authors demonstrate many interesting phenotypes but fail to show the mechanism of altered cell differentiation and direct evidence of the tissue origin of ectopic brown tissue. Without the data, suggestion from the authors' argument is weak, which is reflected in the conclusion of the abstract.
Many in vitro and in vivo data have been added as new data. We hope that these are enough for our conclusion.
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eLife assessment
The investigation of the functional significance of the X-linked ciliary protein OFD1 gene in regulating the fate of cranial neural crest-derived cells (CNCCs) and its potential effect on myogenic progenitors during tongue development is interesting because the Ofd1 conditional knockout mouse model has a very striking phenotype and nicely mimics the phenotype in humans. It is a valuable model to understand human disease. This study will require additional experiments to support their conclusions.
-
Reviewer #1 (Public Review):
In this study, the authors reported that disruption of the X-linked ciliary protein OFD in the cranial neural crest-derived cells (CNCCs) leads to a migration defect in the CNCCs and that aberrant CNCCs abnormally differentiate into osteoblasts due to a lack of Hh signal. Furthermore, CNCC defects lead to the failure of mesoderm-derived cells to differentiate into myoblasts and instead result in abnormal differentiation of mesoderm-derived cells into adipocytes. The Ofd cko mouse model has a very striking phenotype and nicely mimics the phenotype of human patients, making it a very valuable model to understand human disease.
-
Reviewer #2 (Public Review):
In this study, the authors report that both mice and human patients carrying function-disrupting mutations in the OFD1 gene exhibited ectopic brown adipose tissue formation in the malformed tongue. The OFD1 gene is located on the X-chromosome and encodes a protein product required for the formation and function of the primary cilium, which is required for cells to properly receive and activate several signaling pathways, particularly the hedgehog signaling pathway. Loss of OFD1 function causes prenatal lethality of male fetuses and mosaic disruption of tissues in females due to random inactivation of the X-chromosome carrying either the mutant or wildtype allele. Using cell type-specific gene inactivation and genetic lineage labeling, the manuscript shows that the ectopic brown adipose tissue in the mutant …
Reviewer #2 (Public Review):
In this study, the authors report that both mice and human patients carrying function-disrupting mutations in the OFD1 gene exhibited ectopic brown adipose tissue formation in the malformed tongue. The OFD1 gene is located on the X-chromosome and encodes a protein product required for the formation and function of the primary cilium, which is required for cells to properly receive and activate several signaling pathways, particularly the hedgehog signaling pathway. Loss of OFD1 function causes prenatal lethality of male fetuses and mosaic disruption of tissues in females due to random inactivation of the X-chromosome carrying either the mutant or wildtype allele. Using cell type-specific gene inactivation and genetic lineage labeling, the manuscript shows that the ectopic brown adipose tissue in the mutant tongue was not derived from cranial neural crest cells (CNCCs). Additional genetic and embryological studies led to the conclusion that loss of Ofd1 function in the CNCC cells in the embryonic hypoglossal cord, via which the tongue myoblast precursor cells migrate from anterior somites to the tongue primordia, caused disruption of cell-cell interactions between the CNCCs and migrating muscle precursor cells, resulting in altered differentiation of those myoblast precursor cells into brown adipocytes. The authors provided data that disruption of Smo in a subset of CNCCs also resulted in ectopic adipose tissue formation in the tongue, indicating that this phenotype in the Ofd1 mutant mice was likely caused by disruption of hedgehog signaling in CNCCs. However, no experimental evidence is provided to support a major conclusion of the manuscript regarding altered differentiation of the tongue myoblast precursor cells into brown adipocytes in the Ofd1 mutant mice. Since it is well established that hedgehog signaling in the CNCCs is required for them to direct tongue myoblast cell migration as well as for tongue muscle differentiation/organization after the myoblasts arrived in the tongue primordia, the finding of tongue muscle defects in the Ofd1 mutant mice is not surprising. However, if proven true that disruption of Ofd1 function in CNCCs caused tongue myoblast precursor cells to alter their fate and differentiate into brown adipocytes, it would be an interesting new finding. Further identification of the signals produced by the Ofd1 mutant CNCCs for directing the cell fate switch will be a highly significant new advance in understanding the cellular and molecular mechanisms regulating tongue morphogenesis.
-
Reviewer #3 (Public Review):
The authors observed phenotypes of ciliopathy model mice and they seem to coincide with those in human patients. They used mutants in which cilial function genes are deleted in cranial neural crest cells, and found the mutants exhibit abnormal cell differentiation in both neural crest- and mesoderm-lineage cells. The finding clearly shows the importance of tissue/cell interaction. The authors mainly observed the mouse in which Ofd1 gene that is coded on the X chromosome is deleted, therefore, Ofd1fl/WT;Wnt1Cre(HET) mice show that about one-fourth of neural crest cells can exhibit Ofd1 function whereas Ofd1fl;Wnt1Cre (HM) shows null Ofd1 function and show severer phenotypes than HET.
For ectopic brown adipose tissue in the tongue is derived from mesoderm and the authors tried to show that the hypoglossal cord …
Reviewer #3 (Public Review):
The authors observed phenotypes of ciliopathy model mice and they seem to coincide with those in human patients. They used mutants in which cilial function genes are deleted in cranial neural crest cells, and found the mutants exhibit abnormal cell differentiation in both neural crest- and mesoderm-lineage cells. The finding clearly shows the importance of tissue/cell interaction. The authors mainly observed the mouse in which Ofd1 gene that is coded on the X chromosome is deleted, therefore, Ofd1fl/WT;Wnt1Cre(HET) mice show that about one-fourth of neural crest cells can exhibit Ofd1 function whereas Ofd1fl;Wnt1Cre (HM) shows null Ofd1 function and show severer phenotypes than HET.
For ectopic brown adipose tissue in the tongue is derived from mesoderm and the authors tried to show that the hypoglossal cord failed to obtain myogenic lineage after entering branchial arches in HET and HM due to lack of communication with neural crest cells. For ectopic bone formation, they found that it is due to the lack of Hedgehog signaling in neural crest cells, which was consistent with the reports in the Smofl/fl;Wnt1-Cre (Xu et al., 2019) and Ift88fl/fl;Wnt1Cre (Kitamura et al. 2020). The ectopic bone is connected to the original mandibular bone. The authors attribute the ectopic bone formation to the migration of mandibular bone neural crest cells into the tongue-forming area.
For the poor tongue frenum formation, the authors found the importance of cell migration from the lateral sides of the branchial arch to the midline and its formation relies on non-canonical Wnt signaling. The authors observed similar phenotypes in the human patients as those in the mutants. The adipose tissue in the tongue area is normally found in the salivary gland region and intermuscular space, and it is intriguing to find the brown adipose tissue anterior to the cervical area in which the most anterior brown adipose tissue develops. qRT-PCR indicates that some of the marker genes are expressed in the laser micro-dissected sections of the ectopic brown adipose tissue. However, histology does not show the typical brown adipose tissue feature. In addition, brown adipose tissue is normally recognized in the sixth pharyngeal region as the cervical brown tissue from around E14.5 (Schulz and Tseng 2013), not E12 as the authors observe. Although the mutants develop under abnormal conditions, is it possible to say they are brown adipose tissue? The point has to be further investigated with more marker expression by immunohistochemical detection and other methods. Since the mutants seem to show impaired midline formation (which is consistent with the condition of human ciliopathy), is it possible to hypothesize that the adipose-like tissue is derived from the mesoderm of posterior branchial arch levels if the tissue is brown adipose tissue?
Cranial neural crest cells start migrating around E8.0 and reach their destination by E9.5. The authors show the lack of neural crest cells in the midline, the fluorescence is absent from the midline in HM, however, they studied it in the E11 mandible (Fig. 4E), almost more than two days after neural crest migration completes. Since the mandibular arch seems to form at the beginning in the mutants, is there a failure in allocating the neural crest and mesoderm at the beginning of the mandibular arch formation?
The authors tried to disturb the interaction between the hypoglossal cord and neural crest cells by making incisions in the dorsal area of the branchial arches. That area contains both neural crest and mesoderm but not the hypoglossal cord-derived mesoderm. The hypoglossal cord passed through the posterior edge of the caudal (6th) pharyngeal arch, along the lateral side of the pericardium towards the anterior, ventral to branchial arches, and then inside the 2nd and 1st branchial arches (Adachi et al., 2018). It expresses Pax3 before entering the branchial arches, then Myf5 in the branchial arches. It seems that the migration of the hypoglossal cord does not require interaction with neural crest cells but it has to be confirmed as well as neural crest migration into the branchial arches from the beginning. Although the hypoglossal cord migrates mostly in mesoderm-derived mesenchyme, we cannot exclude the possibility that hypoglossal cord migration is affected.The lack of Myf5 expression in Ofd1fl;Wnt1Cre (HM) was explained as a failure in the differentiation of the hypoglossal cord into myoblasts on entrance into the branchial arches. Most of the cervical brown adipose tissue is derived from either Myf5- or Pax3- expressing lineage (Sanchez-Gurmaches and Guertin, 2014). Although the authors suggest that brown adipose cells are fate-changed mesoderm in the branchial arches, how do they explain the association with Myf5- or Pax3- expression?
In addition, the cervical brown tissue is supposed to be derived from the branchial arch mesoderm (Mo et al., 2017). Is the formation of the cervical brown tissue affected in the Ofd1fl/WT;Wnt1Cre(HET) or Ofd1fl;Wnt1Cre (HM) if dysfunction of neural crest cells results in the cell fate change of mesoderm?
For the tongue frenum development, it is hard to understand to hypothesize that its formation is unlikely to associate with midline formation. Although Lgr5 and Tbx22 are not expressed in the midline, the defect in midline formation could cause unnecessary interaction between the right and left tissues.
Tissue morphogenesis takes place in three dimensions, which were not considered in the data, especially in the labeling experiments. When the authors labelled the cells, which cells in which area were labelled? In the textbook, tongue formation is a result of the fusion of the midline processes derived from the branchial arches, therefore, it is important to identify which cells in which area are labelled.
The weakest point is that the authors demonstrate many interesting phenotypes but fail to show the mechanism of altered cell differentiation and direct evidence of the tissue origin of ectopic brown tissue. Without the data, suggestion from the authors' argument is weak, which is reflected in the conclusion of the abstract.
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