Expression of the transcription factors Otlx2, Barx1 and Sox9 during mouse odontogenesis

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Eur J Oral Sci 1998; 106 (suppl 1): 112 116 Copyright Eur J Oral Sci 1998 Printed in UK. All rights reserved EUROPEAN JOURNAL OF ORAL SCIENCES ISSN 1397-7555 ISBN 87-16-15628-5 Expression of the transcription factors Otlx2, Barx1 and Sox9 during mouse odontogenesis Thimios A. Mitsiadis1,2, Marie-Laurence Mucchielli1, Sylva Raffo2, Jean-Pierre Proust2, Peter Koopman3 and Christo Goridis1 1Laboratoire de Génétique et Physiologie du Développement, IBDM, Campus de Luminy case 907, 2IMEB EA 2198, Faculté d Odontologie, Université de la Méditerranée, Marseilles, France, and 3Centre for Molecular and Cellular Biology, The University of Queensland, Brisbane, Australia Mitsiadis TA, Mucchielli M-L, Raffo S, Proust J-P, Koopman P, Goridis C: Expression of the transcription factors Otlx2, Barx1 and Sox9 during mouse odontogenesis. Eur J Oral Sci 1998; 106 (suppl 1): 112 116. Eur J Oral Sci, 1998 The molecular mechanisms governing the decision between molariform and incisiform patterns of rodent dentition are not yet known. Transcription factors are regulators of regionally specific morphogenesis and key co-ordinators of gene activity during developmental processes. Here, we analysed the expression of several transcription factors during mouse tooth development. Otlx2/Rieg is a homeobox gene involved in Rieger syndrome, a human disorder characterized by dental hypoplasia. Otlx2/Rieg expression distinguishes stomatodeal epithelium well before tooth initiation, and thereafter its expression becomes restricted to the epithelia of both molar and incisor primordia. The recently identified homeodomain transcription factor Barx1 is first expressed in mesenchyme of the first branchial arch, but during advanced developmental stages the gene is exclusively expressed in the mesenchyme of molar primordia. Finally, the Sryrelated transcription factor Sox9 is expressed in epithelial components and to a Tim Mitsiadis, IBDM, Campus de Luminy case 907, F-13288 Marseille Cedex 9, France Telefax: +33-491269726 E-mail: mitsiadi@ibdm.univ-mrs.fr lesser degree in condensed mesenchyme of the developing teeth. These results Key words: Barx1; Otlx2; Rieger syndrome; suggest that Otlx2/Rieg, Barx1, andsox9 participate in the hierarchical cascade Sox9; tooth of factors involved in the regulation of tooth morphogenesis. Accepted for publication July 1997 Tooth development results from sequential induct- (4, 5). Signalling molecules such as bone morphogenetic ive interactions between epithelial and mesenchymal proteins (BMPs) and fibroblast growth facive tissues. Tissue recombination experiments have tors (FGFs) are found to induce specific gene shown that only the stomatodeal ectoderm possesses expression in dental tissue explants (6 8). the capacity to initiate tooth formation, while Moreover, the recent identification of gene defects neural crest-derived mesenchyme is competent to responsible for dental agenesis and tooth abnormal- participate in tooth development (1). The odonto- ities in mouse and man has shown that transcription genic potential resides in the epithelium until factors such as Msx1 and Lef1 are important for embryonic day 12 ( E12) and shifts thereafter to proper tooth development (9 11). the condensing mesenchyme (2), which becomes capable While great progress has been made towards of instructing non-dental epithelium to parti- identifying molecular mechanisms involved in tooth cipate in tooth formation (3). Tissue recombination development, candidate regulators responsible for experiments also suggested that the mesenchyme is the specification of tooth shape remain largely regionally specified to give rise to either molars or unknown. Most growth factors and transcription incisors (1, 3), indicating that these inductive inter- factors are not tooth type-specific, with the exception actions have a position-specific component. of the homeodomain transcription factor The progression of tooth morphogenesis is char- Barx1, which is specific for molar mesenchyme acterized by sequential changes in the expression (12). of a number of structural and regulatory molecules Here we present an analysis of the expression

Transcription factors in odontogenesis 113 pattern of the recently identified transcription fac- ectomesenchyme of the maxillary and mandibular tors Barx1, Otlx2/Rieg and Sox9 during mouse processes and of the second branchial arch odontogenesis. Otlx2/Rieg is a member of the (Fig. 1B). paired-like family of homeobox genes (13, 14), Barx1, Otlx2/Rieg, and Sox9 expression during which is responsible for Rieger syndrome (14), an the subsequent stages of tooth development were autosomal-dominant human disorder characterized examined by in situ hybridization with digoxigenin- by dental hypoplasia. The Sry-related gene Sox9 is labelled probes on cryosections. At E13.5, the important for sex determination and chondrogenesis dental epithelium forms a bud around which the in mammals (15, 16). Sox9 encodes a highly mesenchyme condenses. Otlx2/Rieg was strongly conserved protein with the characteristic features expressed in all cells of the tooth bud of both of a transcription factor (17, 18). incisor and first molar anlagen, but was fading out elsewhere in the oral epithelium (not shown). Transcripts for Barx1 were restricted to the mesenchyme Material and methods of the posterior part of the jaws, including Animals and tissue preparation the condensed mesenchyme of the first molar (not shown). Sox9 transcripts were observed in the Swiss and C57Bl/6 mice were used at embryonic epithelial bud and to a lesser degree in the constages. The age of the mouse embryos was deter- densed mesenchyme of first molar and incisor germs mined according to the vaginal plug (embryonic (Fig. 2A). day 0.5; E0.5) and confirmed by morphological At the early bell stage ( E16.5), the dental epithecriteria. Animals were killed by cervical dislocation lium differentiates into the enamel organ, while the and the embryos were surgically removed. Whole underlying condensed mesenchyme forms the embryos or dissected heads from mouse embryos dental papilla. Otlx2/Rieg was strongly expressed were fixed overnight at 4 C in 4% paraformal- in the outer and inner enamel epithelia and the dehyde (PFA) in phosphate-buffered saline (PBS), stratum intermedium of the first molar anlage, ph 7.4. Some of the E10.5 embryos were washed whereas the stellate reticulum was only weakly in PBS and stored in absolute methanol (MeOH ) labelled (not shown). In the incisor, Otlx2/Rieg at 20 C until analysis by whole mount in situ signal was observed in the epithelial derivatives, hybridization. For in situ hybridization on tissue except for the inner enamel epithelium, both in the sections, E10.5 18.5 embryos were equilibrated labial and in the lingual side (data not shown). At with 30% sucrose/pbs and were then embedded in E16.5, the expression pattern of Barx1 in the molar Tissue-Tek OTC (Miles Lab., USA) and rapidly was complementary to that of Otlx2/Rieg: the frozen. Cryostat sections (12 mm) were stored at Barx1 signal was confined to the mesenchyme of 70 C. both dental papilla and follicle. Incisors were Barx1-negative (not shown, but see below for a later stage). An interesting Sox9 expression pattern Probes and in situ hybridization was observed at E16.5. The Sox9 signal was strong Digoxigenin-labelled (Boehringer Mannheim, in epithelial derivatives and faint in dental papilla Meylan, France) antisense riboprobes for Barx1 mesenchyme of the molar. However, while inner (12), Otlx2/Rieg (13), and Sox9 (15) were syntheexpressing the gene, transcripts were absent from enamel epithelial cells of the labial side were sized following the manufacturer s instructions. Whole mount in situ hybridization and in situ the same cells of the lingual side (Fig. 2B). hybridization on cryosections were performed as During the late bell stage ( E18.5), cytodifferen- described (8, 13). tiation starts at the tip of the cusps of the first molars: cells of the inner enamel epithelium differentiate into preameloblasts, while cells of the Results dental papilla differentiate into odontoblasts. Preameloblast differentiation coincided with downregulation Expression of Barx1 and Otlx2/Rieg before and of Otlx2/Rieg expression, while expres- during the initiation of tooth development sion persisted in the developmentally less advanced ( E9.5 10.5) was explored by whole-mount in situ areas of the intercuspal folds and in the cervical hybridization ( Fig. 1A, B). Otlx2/Rieg expression loop ( Fig. 1C). A particularly strong signal was was strong in the E9.5 10.5 stomatodeal ectoderm, detected in the stratum intermedium and outer while the ectoderm covering the outer parts of the enamel epithelium. Otlx2 expression was also fronto-nasal, maxillary and mandibular processes observed in the epithelium of the developing second was negative ( Fig. 1A and data not shown). Barx1 molar. Expression of Barx1 was confined to the expression was strong in regions of the E10.5 mesenchyme of the forming molars ( Fig. 1D). The

114 Mitsiadis et al. Fig. 1. Patterns of Otlx2/Rieg and Barx1 expression during embryonic tooth development. In situ hybridizations on whole-mount preparations of E10.5 mouse embryos (A and B) and on cryosections of E18.5 mouse embryos (C and D) using digoxigeninlabelled probes. (A) At E10.5, Otlx2/Rieg transcripts are exclusively detected in the stomatodeal epithelium of the mandibular (md) and maxillary (mx) processes. (B) Barx1 expression is seen in posterior positions of the first branchial arch. (C) At E18.5, Otlx2/Rieg is strongly expressed in cells of the stratum intermedium (si) and of the outer enamel epithelium (oee), while expression is downregulated in preameloblasts (pa) and the stellate reticulum (sr) of the first molar (m1). Otlx2/Rieg transcripts are also detected in the epithelium of the second molar (m2) and in dental lamina (dl ). Note that the epithelium of the incisor (inc) is positive for Otlx2/Rieg in both lingual (Li) and labial (Lb) sides. Transcripts are not detected in dental papilla mesenchyme (p). (D) On an adjacent section, Barx1 transcripts are observed in the differentiating preodontoblasts/odontoblasts (o) of the first molar, while the gene is downregulated in the dental papilla. Barx1 is strongly expressed in the dental papilla of the second molar. Transcripts are not found in the mesenchyme of the incisor. Mouse tooth formation starts at E10.5 as local thickenings of the oral epithelium at the sites of future odontogenesis. Transcription factor genes such as Msx2, Dlx2 and Lef1, and secreted signal- ling molecules such as BMP4 and FGF8, are expressed in the presumptive dental epithelium at E10.5 (5). All these factors are potentially involved signal was particularly strong in the differentiating odontoblasts of the first molar and in the dental papilla mesenchyme of the second molar. In contrast, the mesenchyme of the incisors was Barx1- negative ( Fig. 1D). At E18.5, Sox9 expression was strong in preameloblasts/ameloblasts and stratum intermedium, while in dental papilla transcripts were observed only in cells of the sub-odontoblastic layer ( Fig. 2C, D). Discussion

Transcription factors in odontogenesis 115 in the morphogenesis of the tooth germ and likely cross-regulate each other directly or through autocrine or paracrine loops. However, the stomatodeal ectoderm has the capacity to initiate tooth formation in neural crest-derived mesenchyme (1, 2) already at E9.5. Molecules expressed specifically in the stomatodeal ectoderm at such early stages have not yet been identified. Expression of the new homeobox gene of the paired-like family, Otlx2/Rieg, distinguishes the stomatodeal from any other ectoderm at E9.5, suggesting that its product may be involved in the initiation of odontogenesis. During tooth initiation, the recently identified homeobox gene Barx1 (12) is exclusively expressed in the mesenchyme where molars will develop, suggesting that Barx1 may be a key regulator of regionally specific tooth morphogenesis. During early odontogenesis, the pattern of Otlx2/Rieg expression becomes progressively specific for the epithelial compartment of the forming teeth. Otlx2/Rieg is down-regulated in the cells of the inner enamel epithelium, at the time they start to differentiate into preameloblasts, suggesting that Otlx2/Rieg is required for tooth morphogenesis but not for cytodifferentiation. Recently, SEMINA et al. (14) reported mutations in the Otlx2/Rieg gene as a likely cause of Rieger syndrome, a human disorder characterized by tooth abnormalities such as anodontia vera, hypodontia or abnormally shaped teeth (14, 19). However, it is not known at which stage tooth development is affected in patients with Rieger syndrome. Taken together, these findings strongly suggest that Otlx2/Rieg is essential for proper tooth development. During tooth morphogenesis, Barx1 expression remains confined to the mesenchymal compartment of molars, in a pattern strictly complementary to Otlx2/Rieg. Barx1 is not expressed in the incisor anlagen, in contrast to all other known transcription factors expressed during odontogenesis (4, 5). Fig. 2. Pattern of Sox9 expression during embryonic tooth Barx1 downregulation in dental mesenchyme of development. In situ hybridizations on cryosections using a molars coincides with the completion of crown digoxigenin-labelled probe. (A) At E13.5, Sox9 transcripts are formation, suggesting that Barx1 is involved in detected in the epithelium (de) of the bud-stage molar tooth germ. Fewer transcripts are observed in the condensed dental both early and late morphogenetic events. mesenchyme (dm) and in oral epithelium (oe). (B) Sox9 is The Sry-related gene Sox9 is important for chon- expressed in dental epithelial cells at the early bell stage of a drogenesis and sex-determination in mammals (15, molar ( E16.5). Note that the transcripts are detected only in 16). The property of the Sox9 protein to activate cells of the inner enamel epithelium (iee) of the labial side, transcription (18) and its tissue-specific expression while they are absent in inner enamel epithelial cells of the lingual side. (C) At the late bell stage (E18.5), Sox9 is expressed pattern indicate that Sox9 may regulate gene in the differentiating preameloblasts (pa) and the stratum expression in specific cell lineages. Sox9 is expressed intermedium (si) of the first molar, while the transcripts are in both incisor and molar germs throughout odonnot observed in stellate reticulum (sr) and outer enamel epithe- togenesis. Sox9 expression in preameloblasts/amelium (oee). In dental papilla mesenchyme (p), Sox9 transcripts loblasts suggests a role for the product of this gene are detected in cells of the sub-odontoblastic layer (soc), whereas transcripts are absent in odontoblasts (o). (D) Higher in ameloblast specification and/or terminal differ- magnification of the cuspal area of an E18.5 molar. dl, dental entiation. Interestingly, in cells of the inner enamel lamina. cl, cervical loop. pd, predentine. epithelium (future preameloblasts) Sox9 is

116 Mitsiadis et al. expressed only at the labial side of the molar, but and fibroblast growth factor-4. Development 1997; 124: not at the lingual side, suggesting that different 1473 1483. 9. SATOKATA I, MAAS R. Msx1 deficient mice exhibit cleft regulatory mechanisms distinguish the lingual from palate and abnormalities of craniofacial and tooth developthe labial sides of molars. ment. Nature Genet 1994; 6: 348 356. In conclusion, we have shown that Otlx2/Rieg 10. VAN GENDEREN C, OKAMURA RM, FARINAS I, QUO R-G, expression remains confined to the epithelial comseveral PARSLOW TG, BRUHN L, GROSSCHEDL R. Development of organs that require inductive epithelial- ponents of the developing molars and incisors, mesenchymal interactions is impaired in LEF-1 deficient while Barx1 expression is restricted to the mesen- mice. Genes Dev 1994; 8: 2691 2703. chyme of developing molars. Sox9 is expressed in 11. VASTARDIS H, KARIMBUX N, GUTHUA SW, SEIDMAN JG, epithelial components and to a lesser degree in SEIDMAN CE. A human MSX1 homeodomain missense condensed mesenchyme of both molar and incisor mutation causes selective tooth agenesis. Nature Genet 1996; 13: 417 421. primordia. These results suggest that combinations 12. TISSIER-SETA J-P, MUCCHIELLI M-L, MARK M, MATTEI of various transcription factors may be a prere- M-G, GORIDIS C, BRUNET J-F. Barx1, a new mouse homeoquisite for the generation of tooth diversity. domain transcription factor expressed in cranio-facial ectomesenchyme and the stomach. Mech Dev 1995; 51: 3 15. Acknowledgements This work was supported by institutional 13. MUCCHIELLI M-L, MARTINEZ S, PATTYN A, GORIDIS C, grants from CNRS and Université delaméditerranée and by BRUNET, J-F. Otlx2, an Otx-related homeobox gene specific grants from the Ministère de l Education Nationale, expressed in the pituitary gland and in a restricted pattern the Fondation pour le Recherche Medicale ( T.M.) and the in the forebrain. Mol Cell Neurosci 1996; 8: 258 271. Association pour la Recherche sur le Cancer (T.M.). 14. SEMINA EV, REITER R, LEYSENS NJ, ALWARD WLM, SMALL KW, DATSON NA, SIEGEL-BARTELT J, BIERKE-NELSON D, BITOUN P, ZABEL BU, CAREY JC, MURRAY JC. Cloning and References characterization of a novel bicoid-related homeobox transcription factor gene, RGS, involved in Rieger syndrome. 1. LUMSDEN AGS. Spatial organization of the epithelium and Nature Genet 1996; 14: 392 399. the role of neural crest cells in the initiation of the mamma- 15. WRIGHT E, HARGRAVE MR, CHRISTIANSEN J, COOPER L, lian tooth germ. Development 1988; 103: 155 169. KUN J, EVANS T, GANGADHARAN U, GREENFIELD A, 2. MINA M, KOLLAR EJ. The induction of odontogenesis in KOOPMAN P. The Sry-related gene Sox-9 is expressed during non-dental mesenchyme combined with early murine man- chondrogenesis in mouse embryos. Nature Genet 1995; dibular arch epithelium. Arch Oral Biol 1987; 32: 123 127. 9: 15 20. 3. KOLLAR EJ, BAIRD GR. The influence of the dental papilla 16. SUDBECK P, LIENHARD SCHMITZ M, BAEUERLE PA, SCHERER on the development of tooth shape in embryonic mouse G. Sex reversal by loss of the C-terminal transactivation tooth germ. J Embryol Exp Morphol 1969; 21: 31 148. domain of human SOX9. Nature Genet 1996; 13: 230 232. 4. THESLEFF I, VAAHTOKARI A, PARTANEN A-M. Regulation of 17. MORAIS DA SILVA S, HACKER A, HARLEY V, GOODFELLOW organogenesis. Common molecular mechanisms regulating P, SWAIN A, LOVELL-BADGE R. Sox9 expression during the development of teeth and other organs. Int J Dev Biol gonadal development implies a conserved role for the gene 1995; 39: 35 50. in testis differentiation in mammals and birds. Nature Genet 5. THESLEFF I, NIEMINEN P. Tooth morphogenesis and cell 1996; 14: 62 68. differentiation. Curr Opin Cell Biol 1996; 8: 844 850. 18. NG L-J, WHEATLEY S, MUSCAT GEO, CONWAY-CAMPBELL J, 6. VAINIO S, KARAVANOVA I, JOWETT A, THESLEFF I. BOWLES J, WRIGHT E, BELL DM, TAM PPL, CHEAH KSE, Identification of BMP-4 as a signal mediating secondary KOOPMAN P. SOX9 binds DNA, activates transcription, induction between epithelial and mesenchymal tissues and coexpresses with type II collagen during chondrogenesis during early tooth development. Cell 1993; 75: 45 58. in the mouse. Dev Biol 1997; 183: 108 121. 7. KRATOCHWIL K, DULL M, FARINAS I, GALCERAN J, 19. FITCH N, KABACK M. The Axenfeld syndrome and the GROSSCHEDL R. Lef1 expression is activated by BMP-4 and Rieger syndrome. J Med Genet 1978; 15: 30 34. regulates inductive tissue interactions in tooth and hair 20. JOWETT AK, VAINIO S, FERGUSON MWJ, SHARPE PT, development. Genes Dev 1996; 10: 1382 1394. THESLEFF I. Epithelial-mesenchymal interactions are 8. MITSIADIS TA, HENRIQUE D, THESLEFF I, LENDAHL U. required for msx1 and msx2 gene expression in the develop- Mouse Serrate-1 (Jagged-1): expression in the developing ing murine molar tooth. Development 1993; 117: 461 470. tooth is regulated by epithelial-mesenchymal interactions