RESEARCHARTICLE β Tissue-Specific Effects of Reduced -catenin Adenomatous Polyposis Coli Expression on Mutation-Instigated Tumorigenesis in Mouse Colon and Ovarian Epithelium YingFeng1,NaoyaSakamoto1,RongWu2,Jie-yuLiu1¤a,AlexandraWiese1,Maranne E.Green1,MeganGreen1,AytekinAkyol1¤b,BadalC.Roy1¤c,YaliZhai2,Kathleen R.Cho1,2,EricR.Fearon1,2,3* 1 DepartmentofInternalMedicine,UniversityofMichiganMedicalSchool,AnnArbor,Michigan,United StatesofAmerica,2 DepartmentofPathology,UniversityofMichiganMedicalSchool,AnnArbor,Michigan, UnitedStatesofAmerica,3 DepartmentofHumanGenetics,UniversityofMichiganMedicalSchool,Ann Arbor,Michigan,UnitedStatesofAmerica ¤a Currentaddress:GeneticsandMolecularBiologyProgram,SchoolofMedicine,UniversityofNorth CarolinaatChapelHill,ChapelHill,NorthCarolina,UnitedStatesofAmerica ¤b Currentaddress:DepartmentofPathology,HacettepeSchoolofMedicine,Ankara,Turkey ¤c Currentaddress:DepartmentofMolecularandIntegrativePhysiology,UniversityofKansasMedical OPENACCESS Center,KansasCity,Kansas,UnitedStatesofAmerica *[email protected] Citation:FengY,SakamotoN,WuR,LiuJ-y,Wiese A,GreenME,etal.(2015)Tissue-SpecificEffectsof Reducedβ-cateninExpressiononAdenomatous Abstract PolyposisColiMutation-InstigatedTumorigenesisin MouseColonandOvarianEpithelium.PLoSGenet 11(11):e1005638.doi:10.1371/journal.pgen.1005638 Adenomatouspolyposiscoli(APC)inactivatingmutationsarepresentinmosthumancolo- rectalcancersandsomeothercancers.TheAPCproteinregulatestheβ-cateninprotein Editor:RiccardoFodde,ErasmusUniversityMedical Center,NETHERLANDS poolthatfunctionsasaco-activatorofTcellfactor(TCF)-regulatedtranscriptioninWnt pathwaysignaling.WestudiedeffectsofreduceddosageoftheCtnnb1geneencodingβ- Received:June9,2015 catenininApc-mutation-inducedcolonandovarianmousetumorigenesisandcellculture Accepted:October9,2015 models.ConcurrentsomaticinactivationofoneCtnnb1allele,dramaticallyinhibitedApc Published:November3,2015 mutation-inducedcolonpolyposisandgreatlyextendedApc-mutantmousesurvival. Copyright:©2015Fengetal.Thisisanopen Ctnnb1hemizygousdosemarkedlyinhibitedincreasesinβ-cateninlevelsinthecytoplasm accessarticledistributedunderthetermsofthe andnucleusfollowingApcinactivationincolonepithelium,withattenuatedexpressionof CreativeCommonsAttributionLicense,whichpermits keyβ-catenin/TCF-regulatedtargetgenes,includingthoseencodingtheEphB2/B3recep- unrestricteduse,distribution,andreproductioninany medium,providedtheoriginalauthorandsourceare tors,thestemcellmarkerLgr5,andMyc,leadingtomaintenanceofcryptcompartmentali- credited. zationandrestrictionofstemandproliferatingcellstothecryptbase.Acriticalthresholdfor DataAvailabilityStatement:Allrelevantdataare β-cateninlevelsinTCF-regulatedtranscriptionwasuncoveredforApcmutation-induced withinthepaperanditsSupportingInformationfiles. effectsincolonepithelium,alongwithevidenceofafeed-forwardroleforβ-cateninin Funding:Thisworkwassupportedbygrants Ctnnb1geneexpressionandCTNNB1transcription.Theactiveβ-cateninproteinpoolwas R01CA082223(YF,MG,andERF)and highlysensitivetoCTNNB1transcriptlevelsincoloncancercells.Inmouseovarianendo- P30CA046592fromtheNationalInstitutesofHealth. metrioidadenocarcinomas(OEAs)arisingfromApc-andPten-inactivation,whileCtnnb1 Thefundershadnoroleinstudydesign,data collectionandanalysis,decisiontopublish,or hemizygousdoseaffectedβ-cateninlevelsandsomeβ-catenin/TCFtargetgenes,Myc preparationofthemanuscript. inductionwasretainedandOEAsaroseinafashionakintothatseenwithintactCtnnb1 CompetingInterests:Theauthorshavedeclared genedose.OurfindingsindicateCtnnb1genedoseexertstissue-specificdifferencesin thatnocompetinginterestsexist. PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 1/30 β-cateninFunctioninApc-MutantTumors Apcmutation-instigatedtumorigenesis.Differentialexpressionofselectedβ-catenin/TCF- regulatedgenes,suchasMyc,likelyunderliescontext-dependenteffectsofCtnnb1gene dosageintumorigenesis. AuthorSummary EnhancedWntsignalingcontributestocolorectalandothercancers.β-cateninfunctions inWntsignalingasaTcellfactor(TCF)transcriptionalco-activator.Previousstudies showedspecificβ-catenindosagefavorsWntsignaling-dependenttumorigenesisforsome tumortypes.However,earlierstudiesemphasizedtheroleofconstitutionalCtnnb1and Apcgenevariations,ratherthansomaticgenetargeting,andtheworkfocusedonsmall intestinetumorsandnoeffectsoncolontumorphenotypesweredescribed.Furthermore, definitiveinsightswerelackingintohowreducedCtnnb1genedosageaffectedApcmuta- tion-dependenttumorigenesis.Here,weshowsomaticinactivationofoneCtnnb1allele dramaticallyinhibitsmousecolonadenomatouspolyposisinducedbysomaticbi-allelic Apcinactivation.Incontrast,Ctnnb1hemizygousinactivationdoesnotaffectmouseovar- ianendometrioidadenocarcinomadevelopmentarisingfromApc-andPten-inactivation. Ctnnb1hemizygousgenedosedramaticallyreducestheactivepoolofβ-catenin,leadingto thesignificantinhibitionofβ-catenin/TCF-regulatedtargetgeneexpression,including thoseencodingkeystemcellregulatoryandcryptcompartmentalizationfactorsincolon epithelium.Tissue-specificdifferencesforexpressionofselectedβ-catenin/TCF-regulated genes,suchasMyc,maycontributetothecontext-dependenteffectsofCtnnb1genedos- ageinApcmutation-drivencolonandovariantumors. Introduction Colorectalcancers(CRCs)harboraccumulatedmutationsintumorsuppressorgenesand oncogenesalongwithepigeneticalterations.ManyCRCsarisefromprecursorlesions,suchas adenomatouspolypsorserratedepitheliallesionswithdysplasia.Inactivatingmutationsinthe APC(adenomatouspolyposiscoli)andTP53tumorsuppressorgenesarefoundinroughly 80%and60%ofCRCs,respectively[1].Oncogenicmutationsactivatingthefunctionsofthe KRASandPI3KCA(phosphoinositide-3-kinase,catalytic,alphapolypeptide)proteinsare foundinabout40%and20%ofCRCs,respectively[1].Constitutionalmutationsinactivating oneAPCalleleunderliethefamilialadenomatouspolyposis(FAP)syndrome,whereaffected individualsoftendevelophundredstothousandsofcolonadenomasduringtheirsecondor thirddecadesoflife.ThewildtypeAPCalleleissomaticallyinactivatedinadenomasarisingin thosewithFAP[1,2].Micecarryingcertainheterozygous,constitutionalmutationsinactivat- ingApc,suchastheApcMinmutation,maydevelop50–100smallintestinaltumorsandocca- sionalcolontumorsby140daysofageandnearlyallofthetumorsareadenomas.Similarto thesituationinFAPtumors,intestinaltumorsinApcMinmiceshowsomaticinactivationofthe wildtypeApcallele[3]. Thebestunderstoodfunctionoftheroughly300kDAPCproteinisregulationofthepool ofβ-cateninproteinthatfunctionsinthecanonical(β-catenin-dependent)Wntsignalingpath- way[4–6].IntheabsenceofanactivatingWntligandsignal,theβ-catenindestructioncom- plex—comprisedbytheAPC,AXIN,caseinkinaseI,andglycogensynthasekinase-3βfactors andotherproteins—promotesphosphorylationofconservedserine/threonineresiduesinthe PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 2/30 β-cateninFunctioninApc-MutantTumors β-cateninamino(N)-terminalregion.TheN-terminallyphosphorylatedβ-catenincanthenbe βubiquitinatedanddegradedbytheproteasome.ActivatingWntligandsinhibitdegradation ofthe“free”orWntsignalingpoolofβ-cateninviabindingatthecellsurfacetothefrizzled andLRP5/6(lowdensitylipoprotein-relatedproteins5and6)cognatereceptorcomplex, resultingininhibitionofβ-cateninphosphorylationand/orubiquitinationbythedestruction complex[4,6].IncolonadenomasandCRCswherebothAPCalíelesaredefective,destruction ofthefreepoolofβ-cateninisimpairedandactiveβ-cateninaccumulatesinthecytoplasmand nucleus,whereitcancomplexwithDNAbindingproteinsoftheTCF(T-cellfactorfamily)/ Lef(lymphoidenhancerfamily)family.β-cateninfunctionsasatranscriptionalco-activator forTCFs[7].Normally,β-catenin/TCFtranscriptionalactivationisrestrictedtothecryptbase, especiallyintheso-calledcryptbasecolumnarstemcellscharacterizedbyexpressionofthe Wnt-regulatedLgr5presumptivestemcellmarkerprotein[8].Constitutiveactivationofβ- catenin/TCFtranscriptioninWntpathway-defectiveadenomasandCRCsmaypromotea stemorprogenitorcellphenotypeinepithelialcellsindependentofcellpositioninthecrypt[9, 10].Activationofβ-catenin/TCF-dependenttranscriptionalsoalterscryptcompartmentaliza- tionandcoordinatedmigrationofcells,apparentlythroughincreasedexpressionoftheEphB2 andEphB3receptorsandviainhibitionoftheexpressionoftheirligandsephrinB1andB2[11, 12].TheMYCgenehasbeenhighlightedasapotentiallykeytargetgeneregulatedbyβ-cate- nin/TCFinCRCs.Genesencodingnegative-feedbackinhibitorproteinsfunctioninginthe Wnt/β-catenin/TCFpathway,suchasAXIN2,DKK1,andNKD1,arealsoactivatedbyβ-cate- nin/TCF(seehttp://www.stanford.edu/~rnusse/pathways/targets.htmlforalistofcandidates). InAPC-mutantneoplasticcells,theabilityoftheseinducedregulatorproteinstoinhibitthe Wntsignalingpathwayisabrogatedbecausethefactorsfunctionupstreamoforatthelevelof theAPCproteininthepathway[13]. Besidesthesefindings,otherevidenceindicatesthatAPCinactivationmaypromotecancer developmentthroughβ-catenindysregulation.Forinstance,whilemostCRCsharborAPC mutations,asubsetofCRCsandothercancerslackingAPCmutationshaveCTNNB1gene mutationsresultinginproductionofoncogenicβ-cateninproteinsthatareresistanttoregula- tionbythedestructioncomplexandthatactivateβ-catenin/TCFtranscription[6,13].Also, somepriorstudieshaveusedgeneticapproachestostudyeffectsofCtnnb1genedosageon liver,smallintestine,andmammaryglandtumorphenotypesinmousemodelsaswellaseffects ofCtnnb1hemizygousinactivationstate(Ctnnb1+/-)inApc-mutationinducedmouseembry- onicdevelopmentphenotypes[14,15].ThepriorstudiesindicatedtheCtnnb1+/-constitutional statecaninhibitintestinalandlivertumorigenesisinmicecarryingmutationsintheApcgene (Apc1638N,ApcMin,orApcfl)[14,15].Incontrast,mammaryglandtumorigenesiswasenhanced inApc1638NCtnnb1+/-mice,perhapsbecauseCtnnb1functionsasatumorsuppressorgenein themammaryglandtumorsviaβ-catenin’sroleinE-cadherin-dependenttumorsuppression [14].Nonetheless,whilethepriorstudiesyieldedevidencethatβ-cateninsignalingdosage impactsApcmutation-inducedtumorigenesisinsometissues,thepriorworkdidnotassessthe roleofCtnnb1dosageinApcmutation-inducedcolontumorigenesis,thechiefsiteofAPC mutation-dependenttumorigenesisinhumans.Moreover,theworkusedmiceconstitutionally deficientinβ-catenin,notjustinApc-mutantepithelialcells,andthefindingsdidnothighlight specificfactorsandmechanismsthatmightaccountforeffectsofCtnnb1dosageinApcmuta- tion-instigatedtumorigenesisindifferentcontexts.Wereporthereonstudiesoftheeffectsof Ctnnb1genedosageonβ-cateninproteinexpressionandβ-catenin/TCFtranscriptioninApc mutation-inducedcolonandovarianmousetumorsandcellculturemodels.Weprovideevi- dencethatApcmutation-inducedtumorigenesisinthecolonisinhibitedbyCtnnb1hemizy- gousgenestatusthroughmarkedeffectsonthefreepoolofβ-catenininthecytoplasmand nucleusanditsabilitytoactivatekeyβ-catenin/TCF-regulatedtargetgenes,includingthose PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 3/30 β-cateninFunctioninApc-MutantTumors encodingkeystemfactors,suchasLgr5,andregulatorsofcryptcompartmentalization,suchas theEphB2/B3receptors.Wealsouncoveredanovelfeed-forwardmechanismwhereβ-catenin proteinstabilizationandβ-catenin/TCFtranscriptionappearcriticalinregulatingCtnnb1/ CTNNB1transcriptioninthesettingofApcinactivationinmousecolonandhumancoloncan- cercells.Moreover,wefoundthatdifferencesintheabilitytoactivateMycexpressionmay underliecolonversusovarytissue-specificdifferencesinApcmutation-instigatedtumorigene- sisinthesettingofCtnnb1hemizygousgenedosage. Results InactivationofaCtnnb1alleleextendssurvivalandinhibits adenomatouspolyposisandepithelialabnormalitiesinducedbysomatic bi-allelicApcinactivationinmousecolon WepreviouslydescribedCDX2P-G22Cretransgenicmice,inwhichhumanCDX2regulatory sequencesandanout-of-frameCretransgeneallele,carryinga22-basepairguaninenucleotide repeattractaffectingtheCreopenreadingframe,manifestmosaicCrerecombinaseexpression incaudalembryonictissuesandinepitheliumofthedistalileum,cecum,colon,andrectum duringadultlife[16].WealsopreviouslydescribedCDX2P-CreERT2transgenicmicethat expressatamoxifen(TAM)-regulatedCreprotein(CreERT2)undercontrolofhumanCDX2 regulatorysequences,allowingforTAM-inducibletargetingofloxP-containingallelesinadult terminalileum,cecum,colon,andrectalepithelium[17].UsingtheCDX2P-G22Creor CDX2P-CreERT2transgenicmice,wehavedescribedthephenotypicconsequencesincolon epitheliumofsomatic,bi-allelic,inactivatingmutationsinApc[16,17].Consistentwithour priorstudies,wefoundCDX2P-G22CreApcfl/flmicelivedonlyfor8–20daysafterbirth (mediansurvival=13d;Fig1A).AfterthreedailydosesofTAMtoinactivatebothApcalleles indistalintestinalepithelialtissues,CDX2P-CreERT2Apcfl/fladultmicelivedonaveragefor 22days(Fig1B).Inmarkedcontrast,concurrentsomaticinactivationofoneCtnnb1allele alongwithbothApcalleles,usingeithertheCDX2P-G22CreorCDX2P-CreERT2transgenefor somaticgenetargeting,ledtoadramaticallyincreasedlifespanrelativetothatseeninmice withApcbi-allelictargeting,withmediansurvivalof168dofageinCDX2P-G22CreApcfl/fl Ctnnb1fl/+miceandfor134dafterTAMtreatmentintheCDX2P-CreERT2Apcfl/flCtnnb1fl/+ mice(Fig1Aand1B). Consistentwithourpriorreports[16,17],theproximalcolonandcecumofboth CDX2P-G22CreApcfl/flmice(whenmoribundat8–20dofage)andCDX2P-CreERT2Apcfl/fl mice(only20daysafterTAMinduction)weredramaticallythickenedandmanypolypoid lesionswereseen(S1Fig).Histologicalanalysisofproximalcolonepithelialtissuesfromthese miceshowedsignificanthyperplasticanddysplastic(adenomatous)changesalongwithfre- quentcryptfissionandbranching(Fig1C).Thedramaticpolyposisincecumandcolonseen followingbi-allelicApcinactivationwassignificantlyinhibitedatbothearlyandlatertime pointsbyconcurrentinactivationofoneCtnnb1allele,withnogrosslydiscernableepithelial phenotypeseenintheproximalcolonandonlytwotofourpolypsinthececumpermouseas theCDX2P-G22CreApcfl/flCtnnb1fl/+andCDX2P-CreERT2Apcfl/flCtnnb1fl/+micewereaged (S1Fig).ThececalpolypsarisinginCDX2P-G22CreApcfl/flCtnnb1fl/+andCDX2P-CreERT2 Apcfl/flCtnnb1fl/+micemaycontributetotheirprematuremortalityrelativetocontrolmice,as noothergrosslydetectableintestinallesionsorpathologywerenotedinthemice.TheCre- mediatedsomaticinactivationofbothApcallelesandoneCtnnb1alleleinproximalcolonepi- theliumwasconfirmedbygenotyping.TherarececaladenomasarisinginCDX2P-CreERT2 Apcfl/flCtnnb1fl/+micewerefoundtohavesignificantfractionsofcellsthatescapedCre-medi- atedCtnnb1targeting,eventhoughCre-mediatedsomaticinactivationofbothApcalleles PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 4/30 β-cateninFunctioninApc-MutantTumors Fig1.Apcmutation-inducedpolyposisinmousececumandcolonepitheliumisdramaticallyinhibitedbyconcurrentinactivationofoneCtnnb1 allele.(A)ThesurvivalofCDX2P-G22CreApcfl/flCtnnb1fl/+mice(blue;n=24)iscontrastedwiththatofCDX2P-G22CreApcfl/flmice(red;n=9).P<0.0001 bylog-rank(Mantel-Cox)test.(B)ThesurvivalofCDX2P-CreERT2Apcfl/flCtnnb1fl/+mice(blue;n=12)iscontrastedwiththatinCDX2P-CreERT2Apcfl/fl mice(red;n=14),wheretimezerorepresentsthethirddayofthreedayswhenTAMwasadministereddaily.P<0.0001bylog-rank(Mantel-Cox)test.(C) Hematoxylinandeosin(H&E)stainingofproximalcolontissuesfromaCDX2P-CreERT2Apcfl/flmouse20daysafterthethirdofthreedailydosesofTAM (left,lower),andacontrol(non-gene-targeted)mouse(left,upper).RightpanelsshowH&EstainingofproximalcolontissuesfromCDX2P-CreERT2Apcfl/fl Ctnnb1fl/+mice20days(right,upper)or2months(right,lower)afterTAMdosing.Scalebars,50μm. doi:10.1371/journal.pgen.1005638.g001 occurredtothesameextentintherareadenomasandproximalcolonmucosa(S1Fig).Com- paredtothesituationinCDX2P-CreERT2Apcfl/flmice,microscopicexaminationofproximal colontissuesofCDX2P-CreERT2Apcfl/flCtnnb1fl/+micerevealedmodesthyperplasticchanges andminimalcryptbranching(Fig1C).OureffortstoinactivatebothCtnnb1allelesincolon epitheliumviaeitherCDX2P-G22Cre-orCDXP-CreERT2-mediatedtargetingwithorwithout Apcinactivationindicatedthatcolonepithelialcellscompletelylackingβ-cateninexpression andfunctioncouldnotbegenerated.Thislikelyreflectsarequiredroleforβ-cateninfunction incolonepithelium,perhapsnotlimitedtoWntsignaling,butalsoincadherin-mediatedadhe- sion,centrosomeassemblyorotherfunctions. PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 5/30 β-cateninFunctioninApc-MutantTumors ImmunohistologicalanalysisofcolonsectionsfromCDX2P-CreERT2Apcfl/flmiceshowed strongcytoplasmicandnuclearβ-cateninexpressioninmanyepithelialcells,comparedtothe nearlyuniformmembraneβ-cateninstainingincolonepitheliumofwild-typemice(Fig2A). InCDX2P-CreERT2Apcfl/flCtnnb1fl/+mice,weobservedinfrequentcellswithelevatedcyto- plasmicand/ornuclearβ-cateninexpression(Fig2A).Panethcells,aspecializedsecretorycell linagethatexpresseslysozymeandothermarkers,arefoundatthecryptbaseinnormalmouse smallintestinalepithelium,butareabsentinnormalmousecolonepithelium.Panethcells havebeenproposedtohaveakeyroleingenerationand/ormaintenanceoftheintestinalcrypt stemcellniche[18].Bi-allelicApcinactivationhasbeenassociatedwiththegenerationof manyectopiclysozyme-expressingPaneth-likecellsthroughoutthecryptsofsmallintestine andcolon[12,17,19,20].WeconfirmedthisfindinginCDX2P-CreERT2Apcfl/flmice(Fig2A). WhereasnoPaneth-likecellswereseeninnormalmousecolon,modestnumbersoflysozyme- expressingcellswereseeninthecolonsofCDX2P-CreERT2Apcfl/flCtnnb1fl/+mice(Fig2A). WealsousedatransgenicmouselinecarryingaCre-activatedenhancedyellowfluorescence protein(EYFP)reportergeneattheubiquitouslyexpressedRosa26locustomonitorcolonepi- thelialcellsandglandswhereCre-mediatedtargetinghadoccurred.Ectopiclysozyme-express- ingcellswerefoundinnearlyalloftheEYFP-positivecryptsinCDX2P-G22CreApcfl/fl Ctnnb1fl/+andCDX2P-CreERT2Apcfl/flCtnnb1fl/+mice(Fig2Band2C).Therareoccurrence ofPaneth-likecellsincryptswithoutEYFPexpressionlikelyreflectsthepossibilitythatCre maymoreefficientlytargettheloxPsitesattheApclocusthanattheRosa26locus. PriorstudiesfromothergroupsandourshaveshownthatApcbi-allelicinactivation increasesbothcellproliferationandapoptosisinintestineandcolonepithelium[12,17,19, 21].FollowingTAM-inducedApcbi-allelicinactivationinproximalcolonepithelium,wecon- firmedsignificantlyelongatedcryptsandincreasedcellproliferationandapoptosisrelativeto controlepithelialtissues(Fig2Dand2E).Incontrast,onlymodestlyincreasedcryptheight, cellproliferationandapoptosisrelativetocontrolepitheliumwereseeninepitheliumof CDX2P-CreERT2Apcfl/flCtnnb1fl/+micefollowingcombinedApcandCtnnb1geneinactivation (Fig2Dand2E).Furthermore,althoughbi-allelicApcinactivationinducedextensivecellpro- liferationintheupperhalfoftargetedcoloncrypts,cellproliferationfollowinggenetargeting inCDX2P-CreERT2Apcfl/flCtnnb1fl/+micewaslargelyrestrictedtothebottomhalfofeach crypt,withonlyaslightincreaseincellproliferationcomparedtocontrolcolonepithelium (Fig2Dand2E).Thecellproliferationandapoptosisresultswerewellcorrelatedwiththe immunohistochemicalstudiesofβ-cateninlevelsandlocalization(Fig2A),suggestingdiffer- encesinthestrengthofβ-catenin-dependentWntsignalingincellswithbi-allelicApcdefects underlietheobservedeffectsoncolonepithelialmorphology,cellfateanddifferentiation,and cellproliferationandapoptosis. Theorientationofthemitoticspindleaxismayimpactoncellfatedecisionsinintestinal epithelium.Atcytokinesis,theorientationofthespindleaxisinaplanarfashion(i.e.,parallel tothecryptaxis)isthoughttogeneratetwodaughtercellswithequivalentluminal(apical)and basement(extracellularmatrix)surfaces.Ifthespindleaxisisnotorientedparalleltothecrypt axis,cytokinesisgeneratesdaughtercellswithdifferencesinluminalandbasementmembrane surfacesandthepotentialforresultantdifferencesinthefatesadoptedbythetwodaughter cells.Wepreviouslyreportedsignificantincreasesinthepercentageofepithelialcellswherethe mitoticspindleaxiswasorientedorthogonaltotheplanaraxisinApc-mutantmousecolon cryptsrelativetowildtypecrypts[17].Consistentwithourpriorresults,incolonepitheliumof CDX2P-CreERT2Apcfl/flmicetreatedwithTAMtoinactivatebothApcalleles,roughly50%of thecellsinmitosishadmitoticspindleaxes(cid:1)30°degreesoutoftheplanaraxis,withnearly 20%showingspindleaxesbetween60°and90°outofplanaralignment.Incontrast,inepithe- liumofCDX2P-CreERT2Apcfl/flCtnnb1fl/+miceandcontrolmice,>75%ofmitoticcolon PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 6/30 β-cateninFunctioninApc-MutantTumors PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 7/30 β-cateninFunctioninApc-MutantTumors Fig2.InactivationofaCtnnb1alleleinmousecolonepitheliumreducesapoptosisandhyperproliferationinducedbybi-allelicApcinactivation, andalsoreduces,butdoesnotabrogate,theaberrantcelldifferentiationassociatedwithApcinactivation.(A)Representativeimmunohistochemical stainingforβ-catenin(leftpanels)andlysozyme(rightpanels)inaCDX2P-CreERT2Apcfl/flCtnnb1fl/+mouse(middlerow)oraCdx2P-CreERT2Apcfl/fl mouse(bottomrow)20daysfollowingthreedailydosesofTAM.ImmunohistochemicalstainingisalsoshownfornormalcontrolcolonmucosafromaCre negativecontrollittermatemouse(toprow).Scalebars,20μm.(BandC)EYFPexpressionactivatedintargetedcoloncryptsbyCre-mediatedrecombination wasimagedalongwithImmunofluorescencestainingforlysozyme(lyso;red)inproximalcolontissuesthatwerecounter-stainedwithHoechst33342for detectionofnuclei.A6-montholdG22CreApcfl/flCtnnb1fl/+EYFPfl/+mouseandaCrenegativecontrollittermateareshowninpanelB.Colontissuesfroma CDX2P-CreERT2Apcfl/flCtnnb1fl/+EYFPfl/+mouse(panelC,middle)oraCDX2P-CreERT2Apcfl/flEYFPfl/+mouse(panelC,bottom)wereanalyzed38days afterthethirdofthreedailydosesofTAM.ColontissuesfromaCDX2P-CreERT2EYFPfl/+mouse(panelC,topleft)andaCre-negativeEYFPreportermouse (panelC,topright)servedascontrols.ArrowheadsindicatetheEYFP-negativecryptsthatexpressedthePanethcellmaker,lysozyme.Anarrowinthe middlepanelindicatesacryptshowingEYFPexpressionbutnolysozymestaining.Scalebars,50μm.(D)TUNELassay(middlecolumnpanels)and immunohistochemicalstainingforlysozyme(leftcolumnpanels)andBrdU(rightcolumnpanels)inproximalcolontissuesofaCDX2P-CreERT2Apcfl/fl Ctnnb1fl/+mouse(middlerow)oraCdx2P-CreERT2Apcfl/flmouse(bottomrow)20daysafterthreedailydosesofTAM.Thenormalcolonmucosafromacre negativemouseservedascontrol(toprow).ArrowsindicateapoptoticcellsintissuesfromaCDX2P-CreERT2Apcfl/flCtnnb1fl/+mouseandthecontrol mouse;arrowheadsindicatethelysozyme-positivecellsintissuesfromaCDX2P-CreERT2Apcfl/flCtnnb1fl/+mouse.Scalebars,25μm.(E)Apoptoticcells percryptinproximalcolon,basedontheTUNELassay,werequantified(panelE,top;n=3and>100cryptscounted;*P<.001comparedtothecontrol mouse).Proliferatingcellspercrypt,asassessedbyBrdUincorporation,wasquantified(panelE,bottom;n=3and>110cryptscounted;*P<.001 comparedtothecontrolmouse). doi:10.1371/journal.pgen.1005638.g002 epithelialcellshadtheirmitoticspindlesalignedwithin30°oftheplanar(crypt)axis(S2Fig). Thefindingsindicateβ-cateninlevelshaveakeyroleinthealteredmitoticspindleaxispheno- typeofApc-mutantcolonepithelium. Ctnnb1inactivationinhibitsApcmutation-inducedcolontumorigenesis viamaintenanceofEphB/ephrinBsignalingandrestrictionof presumptivestemcellstothecryptbase Asdescribedabove,bi-allelicApcinactivationacutelyinduceshyperproliferationanddysplas- ticalterationsinmouseproximalcolonepithelium,withthealteredepitheliumarisinginpart fromexpansionofthecryptprogenitorcompartmentattheexpenseofthedifferentiatedcom- partment,alongwithfrequentcryptfission/branching[12,17,21].TheEphB/ephrinBsignal- ingaxishasbeenimplicatedincontrolofintestinalepithelialcellcompartmentalizationalong thecryptaxisandincellmigration[11,22].TheEphB2andEphB3receptorsaretwokeyeffec- torsofcompartmentalizationandcellmigrationinthecrypt,andEphB2andEphB3areeach encodedbyageneactivatedinintestinaltissuesbyβ-catenin/Tcftranscription.TheEphB2/B3 receptorligands,ephrinB1andephrinB2,showhighestexpressionlevelsindifferentiatedcells atthecryptsurface,andexpressionofephrinsB1andB2isnegativelyregulatedbyβ-catenin/ Tcfactivity[11,23].Ofnote,EphB-ephrinBinteractionsgeneraterepulsiveforcesthatseparate andcompartmentalizetheEphB-andephrinB-expressingcellstomaintaincryptarchitecture [11,23].Innormalmousecolonepithelium,theEphB2andEphB3receptorswereexpressed onlyinprogenitorcellsatthecryptbase(Fig3Aand3B).Wefoundbi-allelicApcinactivation incolonepitheliumnotonlyincreasedEphB2andEphB3expression,butalsoperturbedthe gradientofEphB2andB3receptorexpressionalongthecryptaxis,withEphB2/B3expression seenevenatthecryptsurfaceinApc-mutantcrypts(Fig3Aand3B).Inthecaseofephrin ligandexpression,ourstudiesdemonstratedstrongexpressionofephrinB1andB2innormal colonsurfaceepithelialcellsandnormalcoloncryptcellsotherthanthecryptbase.Thenormal patternofephrinB1/B2expressionremainedlargelyunaffectedinApc-mutantcryptswithone Ctnnb1alleleinactivated(Fig3C).Incontrast,inApc-mutantcryptswhereCtnnb1dosagewas intact,ephrinB1/B2expressionwasmarkedlydown-regulatedincolonsurfaceepithelialcells andthroughoutthecrypt(Fig3C).Ourfindingsareconsistentwiththoseinapriorstudythat showedincreasedexpressionofEphB2/B3andlossofephrinB1/B2expressionincolonadeno- masofApcmin/+mice[23].AlthoughexpressionofEphB2/B3wasmoderatelyelevatedinsome colonepithelialcellsofCDX2P-CreERT2Apcfl/flCtnnb1fl/+micecomparedtocontrolmice, PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 8/30 β-cateninFunctioninApc-MutantTumors Fig3.InactivationofoneCtnnb1alleleinApc-mutantmousecolonepitheliumpreservesthecompartmentalizationoftheEphB2/B3-and ephrinB1/B2-expressingcellstomaintaincryptarchitecture.Mouseproximalcolontissuesectionswerestainedforlysozyme(red)andEphB2(panelA, green)orEphB3(panelB,green)receptors,andcounter-stainedwithHoechst33342(Blue)toidentifynuclei.ThetissuesfromaCDX2P-CreERT2Apcfl/fl Ctnnb1fl/+mouse(top,right)andaCDX2P-CreERT2Apcfl/flmouse(bottom)wereanalyzed20daysafterthethirdofthreedailydosesofTAM.Thenormal colonmucosafromaCre-negativelittermatewasusedasacontrol(Cntrl,topleft).Scalebars,20μm.(C)Proximalcolontissuesectionsfromthesamemice wereco-stainedforephrinB1(left,green)orephrinB2(right,green)andlysozyme(red),andcounter-stainedwithHoechst33342(Blue).Scalebars,20μm. doi:10.1371/journal.pgen.1005638.g003 elevatedEphB2/B3expressionremainedrestrictedtothecryptbaseregion,ratherthanspread- ingthroughoutthecryptaswasseeninApc-mutantcryptswithintactCtnnb1genedosage (Fig3Aand3B).Thisobservationsuggeststhereducedβ-cateninlevelsinCDX2P-CreERT2 Apcfl/flCtnnb1fl/+miceleadstoafailuretoinduceenoughβ-catenin/TCF-regulatedEphB2/B3 expressiontoovercometherepulsiveeffectsoftheretainedexpressionofephrinB1/B2ligands inApc-mutantcryptswithreducedCtnnb1dosage. AsimilarexpressionpatterntothatseenforEphB2andEphB3wasalsofoundforSox9,a transcriptionfactorencodedbyaβ-catenin/Tcftargetgene.Sox9expressionisrestrictedto stem/progenitorcellsatthenormalcoloncryptbase(S3Fig).Sox9expressionwasonlymod- estlyincreasedandexpandedfollowinggenetargetingincryptsofCDX2P-CreERT2Apcfl/fl Ctnnb1fl/+micerelativetothemarkedchangesinSox9levelsandthenumberofSox9-expres- singcellsincryptsfromCDX2P-CreERT2Apcfl/flmice(S3Fig).Inspiteofthereducedincrease inβ-cateninlevelsincoloncryptsofCDX2P-CreERT2Apcfl/flCtnnb1fl/+micerelativeto CDX2P-CreERT2Apcfl/flmice,theresultantsignalingwasstillsufficienttogeneratesome ectopicPaneth-likecells(Fig3Aand3B).Inaddition,themodestincreaseinβ-cateninlevels intargetedcryptsofCDX2P-CreERT2Apcfl/flCtnnb1fl/+micewassufficienttoinduceexpres- sionintargetedcryptsofaβ-galactosidasereportergeneintegratedintotheβ-catenin/TCF- regulatedAxin2locus.However,β-galactosidaseexpressionwasreducedincryptsandfewif anycolonsurfaceepithelialcellsexpressedβ-galactosidaseinApc-mutantepitheliumwith PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 9/30 β-cateninFunctioninApc-MutantTumors hemizgyousCtnnb1dosage(S3Fig).Incontrast,uniformlystrongβ-galactosidaseexpression wasseenthroughoutApc-mutantcoloncryptsandsurfaceepithelialcellswithintactCtnnb1 dosage(S3Fig).Takentogether,thefindingsindicatedistinctβ-catenin/Tcftargetgenesin colonepitheliumdisplaydifferingtranscriptionalresponsestoβ-cateninlevels,withAxin2per- hapsrepresentingatargetgenecapableofbeingactivatedbymodesttomoderatelevelsofβ- cateninincolonepithelium.TheSox9,EphB2,andEphB3genesappeardependentonhigher levelsofβ-cateninfortranscriptionalactivationincolonepithelium. ToaddressmechanismsunderlyingsuppressionofcryptfissionandbranchinginApc-defi- cientcolonepitheliumwhenoneCtnnb1allelewasinactivated,wecomparedexpressionofpre- sumptivestemcellmarkersinApc-deficientcoloncryptswherebothCtnnb1alleleswereintact orwhereonlyoneCtnnb1allelewasactive.Consistentwithourpriorwork[17],20daysafter TAM-inducedbi-allelicApcinactivation,wedetectedstronginductionofenhancedgreenfluo- rescentprotein(EGFP)expressedfromtheLgr5locus(Lgr5-EGFP)(Fig4A)inApc-deficient colonepitheliumgeneratedbyCDX2P-CreERT2targeting.Lgr5isaβ-catenin/TCF-regulated geneandamarkerofpresumptivecryptbasecolumnarstemcellsinnormalcolon,andthe Lgr5allelethatweusedhasaEGFPopenreadingframeintegratedinthelocustoallowfor monitoringofendogenousLgr5expression[8].InApc-mutantepithelium,wealsoconfirmed stronginductionoftheMsi1RNA-bindingprotein(Fig4B),anotherpresumptiveintestinal stemcellmarker[24,25].IncontrasttoapriorstudywhereitwasreportedthatLgr5-expres- singcellswereonlyexpandedatthelowerpartofthecryptsincolonepitheliumfollowing mutantβ-catenininduction[21],wedetectedEYFP-positiveandMsi-positivecellsessentially throughouttheApc-mutantdysplasticcoloncryptswhenbothCtnnb1alleleswereactive, thoughexpressionofEYFPwasmoreprominentnearthecryptbaseregion,includinginthede novocrypts.WhilethenetnumberofEYFP-andMsi1-expressingcellspercryptwereslightly increased(e.g.from3–4to5–8Lgr5-positivecellspercrypt)incolonepitheliumofTAM- treatedCDX2P-CreERT2Apcfl/flCtnnb1fl/+micecomparedtothecontrolmice,parallelingthe subtleincreaseincryptfission/buddingseen,theexpandedpopulationofEYFP-positivecells remainedrestrictedtothecryptbaseregion(Fig4A),consistentwiththeEphB2andEphB3 datadescribedabove.EYFPexpressionpatternsincolonsimilartothoseseeninTAM-treated CDX2P-CreERT2Apcfl/flCtnnb1fl/+micewerealsoobtainedwhenweusedTAM-treatmentto activatetheLgr5-drivenCreERT2transgenetotargetApcandCtnnb1allelesandEYFPexpres- sionwasusedtomarkLgr5-expressingcells(Fig4A). ConsistentwithourstudiesofLgr5andMsiexpressionpatternsincolonepithelium,the levelsoftranscriptsencodingpresumptivestemcellmarkers,includingLgr5,CD44,Msi1,and Hopx,werealsofoundtoincreasedramaticallyinthecolontissuesofCDX2P-CreERT2Apcfl/fl mice(S4Fig).Theinductionofgenesencodingstemcellmarkersandotherselectiveβ-cate- nin/Tcftargetgenes(suchasAxin2,Nkd1,Ccnd1andIrs1)observedinApc-deficientcolon epitheliumwassignificantlysuppressedincolonepitheliumfromCDX2P-CreERT2Apcfl/fl Ctnnb1fl/+mice(S4Fig).Takentogether,ourdataindicatethattherobustinductionofmany β-catenin/Tcf-regulatedgenesthatisseenresponsetoApcinactivationwasvariablyinhibited inreducedCtnnb1genedosageandβ-cateninproteinlevelsinmousecolonepithelium.Inthe settingofinactivationofoneCtnnb1allele,theinabilityofApcinactivationtosubstantially activatecertainkeyβ-catenin/TCF-regulatedgeneswithfunctionsincoloncryptcompartmen- talizationandcellmigration(e.g.,EphB2andEphB3)orstemcellfate(e.g.,Lgr5andMsi)is likelytounderliethedramaticabrogationofadenomaformationinCDX2P-CreERT2Apcfl/fl Ctnnb1fl/+mice. PLOSGenetics|DOI:10.1371/journal.pgen.1005638 November3,2015 10/30
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