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Copyright © 2007 by The National Academy of Sciences of the USA Developmental Biology Fibroblast growth factor receptor 2 regulates proliferation and Sertoli differentiation during male sex determination *Department of Cell Biology, Duke University Medical Center, Durham, NC 27710; †Department of Internal Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390; and ‡Division of Developmental Genetics, Medical Research Council National Institute for Medical Research, London NW7 1AA, United Kingdom §To whom correspondence should be addressed at: Department of Cell Biology, Box 3471, Genome Science Research Building II, Room 4026, Duke University Medical Center, Research Drive, Durham, NC 27710., E-mail: b.capel/at/cellbio.duke.edu Edited by Melvin M. Grumbach, University of California School of Medicine, San Francisco, CA, and approved August 9, 2007 Author contributions: Y.K. and B.C. designed research; Y.K. performed research; Y.K., N.B., R.S., K.L.P., R.L.-B., and B.C. contributed new reagents/analytic tools; Y.K., and B.C. analyzed data; and Y.K. and B.C. wrote the paper. Received March 20, 2007. This article has been cited by other articles in PMC.Abstract Targeted mutagenesis of Fgf9 in mice causes male-to-female sex reversal. Among the four FGF receptors, FGFR2 showed two highly specific patterns based on antibody staining, suggesting that it might be the receptor-mediating FGF9 signaling in the gonad. FGFR2 was detected at the plasma membrane in proliferating coelomic epithelial cells and in the nucleus in Sertoli progenitor cells. This expression pattern suggested that Fgfr2 might play more than one role in testis development. To test the hypothesis that Fgfr2 is required for male sex determination, we crossed mice carrying a floxed allele of Fgfr2 with two different Cre lines to induce a temporal or cell-specific deletion of this receptor. Results show that deletion of Fgfr2 in embryonic gonads phenocopies deletion of Fgf9 and leads to male-to-female sex reversal. Using these two Cre lines, we provide the first genetic evidence that Fgfr2 plays distinct roles in proliferation and Sertoli cell differentiation during testis development. Keywords: Fgfr2, growth factor signaling, organogenesis, Sertoli cells, testis determination The differentiation of the gonad is directed toward the testis pathway when the Y chromosome gene, Sry, is expressed in somatic progenitor cells (1–3). Precursor cells expressing Sry up-regulate the expression of a related gene, SRY-box containing gene 9 (Sox9), and initiate differentiation as Sertoli cells (4, 5). The differentiation of Sertoli cells is the pivotal event essential for testis differentiation and male sex determination. As the first testis-specific cell type, Sertoli cells coordinate early testicular morphogenesis, including testis cord formation, mesonephric cell migration, and testis-specific vascularization. Most evidence suggests that Sertoli cells induce the differentiation of other testis cell types, such as peritubular myoid cells and Leydig cells (6, 7). The male fate is established in somatic precursor cells by collective functions of transcription factors and signaling molecules. Targeted deletion of the extracellular signaling factor (Fgf9) results in disrupted Sertoli cell differentiation and male-to-female sex reversal, indicating that Fgf9 is required for testis fate determination (8). Fgfs regulate a broad range of cellular activities, including proliferation, survival, migration, and differentiation in many organs during embryonic development. In vivo and in vitro studies suggested that Fgf9 plays several direct or indirect roles in testis development and male sex determination (8–14). However, it has been difficult to tease these roles apart. FGF9 is required for XY-specific proliferation of cells in the coelomic epithelium, which is the earliest cellular process known to occur as XX and XY gonad development begins to diverge downstream of Sry. Cell proliferation increases the Sertoli cell population and is an obligate event for testis formation based on blocking assays (15). These data, combined with the finding that a threshold number of XY cells is required to initiate testis development in XX ↔ XY chimeric gonads (16), have led to the hypothesis that FGF9 is required for proliferation to establish numbers of Sertoli cells sufficient to block the competing female pathway and to establish testis development. However, there was no clear evidence for a direct role of FGF9 in Sertoli precursor proliferation. Furthermore, because proliferation and differentiation of Sertoli cells are so closely intertwined, it has not been clear whether loss of proliferation and reduced Sertoli cell numbers could be solely responsible for failure of the testis pathway in Fgf9 mutants or whether Fgf9 has a distinct function within Sertoli cells to maintain Sox9 during differentiation. One way to dissect the potential roles of FGF9 is to genetically address the function of Fgf receptors in the gonad. In mammals, Fgfs bind to four high-affinity receptor tyrosine kinases, FGFR1–FGFR4, and to heparan sulfate proteoglycans in the extracellular matrix (17, 18). The expression patterns of Fgf ligands and Fgf receptors are spatiotemporally distinctive but often overlapping, and ligand–recepter interactions are possible in various combinations, complicating the understanding of their in vivo functions. Previous immunocytochemical analysis of Fgf receptors in mouse embryonic gonads indicated that all four receptors (FGFR1–FGFR4) are expressed in XX and XY gonads during early development (10). Among the four receptors, FGFR2 showed plasma membrane localization in coelomic epithelial cells, consistent with a role of Fgf9 in mediating proliferation of these cells. In contrast, it showed a nuclear localization specifically in Sertoli progenitor cells within the interior of the gonad. This expression pattern made FGFR2 a good candidate for the receptor that mediates the activity of Fgf9 in Sertoli progenitors, and suggested that it might play a role at multiple steps in the testis pathway. However, the unexpected nuclear localization of this tyrosine kinase receptor led to skepticism about the fidelity of the polyclonal antibody. To sidestep this problem we chose to take a genetic approach to test the role of Fgfr2 in testis formation. Fgfr2 -null mice die before gonad formation (19). To overcome the embryonic lethality, we generated conditional inactivation of Fgfr2 by crossing mice carrying a Fgfr2 allele flanked with loxP sites (Fgfr2flox) (20) with two different transgenic Cre lines that direct either a temporal or a cell-specific deletion of this receptor. Phenotypic and molecular marker analysis in Fgfr2 deletion mutant gonads uncovered genetic evidence that Fgfr2 plays an essential role during testis determination. The finding that deletion of Fgfr2 phenocopies Fgf9 knockout gonads strongly suggests that Fgfr2 is the receptor for FGF9 in the gonad. Furthermore, these results, generated using two complementary Cre lines, support the hypothesis that Fgfr2 plays distinct roles in the proliferation of progenitor cells and Sertoli cell differentiation during testis development. Results The Expression of Fgfr2 in Gonads and Isolated Sertoli Cells. Because of concerns about the fidelity of the FGFR2 antibody, we set out to confirm the expression pattern of Fgfr2 at the mRNA level. Using mRNA in situ hybridization on sections of gonads at 12.5 days post coitum (dpc), Fgfr2 transcripts were detected in the coelomic domain of XX and XY gonads and in testis cords in a pattern similar to that of Sox9 (Fig. 1
Using RT-PCR analysis with two different primer sets specific to the sequences within the transmembrane domain and the intracellular tyrosine kinase domain of Fgfr2, transcripts were detected in both XX and XY gonads (data not shown), consistent with our in situ hybridization data. To validate the expression of Fgfr2 in Sertoli cells, we took advantage of transgenic mice expressing a Sertoli cell reporter, Sox9-Ecfp. ECFP-positive Sertoli cells were isolated by fluorescence-activated cell sorting, and RT-PCR of Fgfr2 was performed using primers that distinguish the expression of the two major receptor isoform variants, Fgfr2-IIIb and -IIIc. The results showed that Fgfr2-IIIc was detectable in the isolated cells, whereas Fgfr2-IIIb expression was beneath the detection limit. This finding indicates that Sertoli cells express Fgfr2 and that Fgfr2-IIIc, to which FGF9 binds with high affinity in in vitro assays (21), is the major isoform of Fgfr2 in Sertoli cells (Fig. 1 Conditional Deletion of Fgfr2 in Gonads Between 10.5 and 11.5 dpc Results in Disruption of Testis Morphogenesis. Because deletion of one isoform of Fgfr2 can lead to compensation by the other isoform (refs. 22 and 23), we chose to analyze a null mutation of Fgfr2. To avoid the early embryonic lethality associated with deletion of Fgfr2, we obtained mice carrying a floxed allele (Fgfr2flox/+) to generate a conditional mutation of Fgfr2. CRE recombinase-mediated excision of the floxed allele deletes a region including the ligand-binding domain and transmembrane domain of Fgfr2 and creates a functional null allele (20). We conditionally deleted Fgfr2 by using a heat-shock-inducible Cre, Hs-Cre (24), which mediates a stage-specific deletion of the receptor. To test the efficiency of the heat-shock-activated CRE, male Hs-Cre/+ mice were crossed to female LacZ/Egfp (Z/EG) transgenic mice in which CRE-mediated loxP excision activates Egfp expression. Pregnant females were treated by heat shock at 10.5 dpc, and embryos were dissected at 11.5 dpc to examine the gonad for EGFP expression. Greater than 90% of cells in the genital ridge were positive for EGFP at the time of dissection (Fig. 2
Because Sertoli cells are critical for organizing testis cord structures, we investigated whether Sertoli cells differentiate in these mutant XY gonads by monitoring SOX9 expression between 11.5 and 12.5 dpc. SOX9 was present both in the littermate control XY gonads and in the mutant XY gonads at 11.5 dpc, but the number of SOX9-expressing cells in the mutants was reduced, often to only a few positive cells (Fig. 2 The Conditional Deletion of Fgfr2 in Pre-Sertoli Cells Rescues Gonad Growth but Blocks Sertoli Cell Differentiation. Our previous study suggested a model in which Fgf9 is required for maintenance of SOX9 and the stable commitment of precursor cells to the Sertoli cell fate (13). However, it did not distinguish between a role of Fgf9 in the proliferation/expansion of Sertoli precursors or in the differentiation/maintenance of Sertoli precursors. The model predicts that if Fgfr2 were the receptor mediating Fgf9 activity in Sertoli precursor cells, the deletion of Fgfr2 specifically in these cells would disrupt testis determination. To generate an Fgfr2 deletion specific to somatic progenitor cells, we used a different Cre transgenic line, Sf1-Cre, which express a Cre transgene driven by the regulatory sequences of steroidogenic factor 1 (SF1) (also called Nr5a1) (25). Endogenous SF1 expression is detected at high levels at 11.0–11.5 dpc in coelomic epithelial cells that proliferate and give rise to somatic progenitors within the gonad and in Sertoli precursors at the time when testis cords form (26). To determine which cells express the transgenic Sf1-Cre in gonads at bipotential stages, we crossed Z/EG females to Sf1-Cre males and examined EGFP reporter expression. In Sf1-Cre/+;Z/EG gonads at 11.5 dpc, EGFP was detected in a subset of somatic cells within the gonad and only a few coelomic epithelial cells (four of four gonad pairs examined) (Fig. 3
Unlike Hs-Cre/+;Fgfr2flox/flox mutant gonads, in which SOX9 expression was reduced at this stage (Fig. 2 Ovotestis Formation in Sf1-Cre/+;Fgfr2flox/flox XY Gonads. By 15.5 dpc, Sf1-Cre/+;Fgfr2flox/flox XY gonads resolved into an ovotestis structure evident at the stereomicroscopy level, in which the adrenal is also seen to be reduced or absent (Fig. 4
Taken together, findings in this study provide genetic evidence that Fgfr2 is necessary for testis formation and male sex determination and support a model in which paracrine signals are crucial to the establishment of testis or ovarian patterning of early gonads. Discussion The similarities in the phenotypes of Fgfr2 and Fgf9 mutants suggest that FGFR2 is the receptor for FGF9 in the XY gonad. The generation of conditional deletions of Fgfr2 allowed us to examine the role played by Fgfr2 in gonads during sex determination. Fgfr2 is essential for the wave of male-specific proliferation that establishes Sertoli progenitor cells in the XY gonad. We further demonstrated that Fgfr2 is required in pre-Sertoli cells to direct Sertoli cell differentiation, separating this role for Fgf signaling from the early proliferation defect characteristic of Fgf9 mutants. The XY-specific cell proliferation is concentrated mostly at the surface of the gonad at 11.5 dpc (Fig. 3 Numbers of SOX9-positive cells in HS-Cre gonads are variable but usually reduced (Fig. 2 We previously reported the expression of FGFR2 in the plasma membrane of coelomic epithelial cells and in the nuclei of pre-Sertoli cells based on antibody staining patterns (10). Although this expression pattern implicated Fgfr2 in testis determination, the data were inconclusive because (i) all four FGFRs were detected in somatic progenitors of XY gonads and (ii) the specificity of the polyclonal antibody reagent detecting the unusual localization of FGFR2 in the nuclei of pre-Sertoli cells could not be conclusively verified. Our genetic approach demonstrates that Fgfr2 is required for proliferation of coelomic epithelial cells and in pre-Sertoli cells to establish the Sertoli cell fate, strongly suggesting that differential intracellular localization of the receptor has distinct functional relevance. We show that Fgfr2-IIIc is expressed in isolated pre-Sertoli cells, whereas both Fgfr2-IIIb and Fgfr2-IIIc are expressed in other gonadal cells, including coelomic epithelial cells. It is interesting to speculate whether the regulation of alternative splicing in somatic progenitor cells is related to a switch from the proliferation of progenitors to the differentiation of Sertoli cells. Eswarakumar et al. (37) reported that homozygous Fgfr2-IIIc−/− mice were fertile, which suggests that Sertoli cells in the mutant gonads were functional. Homozygous Fgfr2-IIIb−/− mice are perinatal lethal (38), thus the fertility of the mutant animals cannot be assessed. We examined the gonads in Fgfr2-IIIb−/− embryos at 12.5–14.5 dpc and found no evidence of the disruption of Sertoli cell differentiation (data not shown). A disruption of one isoform of Fgfr2 led to the compensatory expression of another alternative splicoform in other studies (22, 23). Thus, it is not clear how alternative isoform variants of Fgfr2 underlie the regulation of Sertoli cell fate determination. This possibility should be investigated in a new system in which both alternative splicing and nuclear localization of FGFR2 can be visualized. If this regulation can account for a mechanism leading to a transition between proliferation and differentiation, it will have important implications, particularly in epithelial-to-mesenchymal transition during normal organogenesis and tumorigenesis. Our study suggests that mutations in FGFR2 may account for an unassigned subset of human patients who show ambiguous sexual development. We hope our findings will motivate molecular analysis of FGF signaling in human syndromes associated with congenital malformations, including sexual development defects. Methods Mice. The Sox9-Ecfp transgenic mice were generated in the Duke University Medical Center Transgenic Facility by using a construct provided by R.S. and R.L.-B. (unpublished manuscript). Cre transgenic lines Hs-Cre6 and Sf1-Cre, in which Hsp70–1 promoter and a regulatory region of Sf1 (also called Nr5a1) respectively drive expression of Cre recombinase, are described in refs. 24 and 25. The Fgfr2flox line was originally generated by Yu et al. (20). In the mating scheme in this study, the stage-specific inactivation of Fgfr2 was achieved by crossing Fgfr2flox/flox females to F1 generation Hs-Cre/+;Fgfr2flox/+ males. Pregnant females were heat-shocked at 10.5–11.0 dpc to delete Fgfr2 conditionally at bipotential stages in embryonic gonads. For heat shock treatment, pregnant mice were placed in a prewarmed container inside a 42° C oven for 12 min. The cell lineage-specific inactivation of Fgfr2 was generated by crossing male Sf1-Cre/+;Fgfr2flox/+ to Fgfr2flox/flox females. Mutant animals were bred on a mixed C57BL/6;129 genetic background. Genotyping for the floxed Fgfr2 allele and the Hs-Cre and SF1-Cre transgenes was determined by PCR using specific primers described in refs. 20, 24, and 25. In Situ Hybridization and RT-PCR. mRNA in situ hybridization was performed on frozen sections (Fgfr2) or on whole-mount preparations (Wnt4) of gonads by using a standard protocol. The plasmid template for riboprobes of Fgfr2 and Wnt4 were gifts from David Ornitz (Washington University, St. Louis, MO) (39) and Andy McMahon (Harvard University, Cambridge, MA) (40). The urogenital ridge was isolated from timed Sox9-Ecfp transgenic embryos. Gonads were separated from the mesonephros and treated with collagenase (0.025%; Sigma, St. Louis, MO) to dissociate cells, and Sertoli cells were isolated by fluorescence-activated cell sorting. Total RNA was prepared either from embryonic gonad tissues (dissected free of the mesonephros) or isolated Sertoli cells by using TRIzol reagent as instructed by the manufacturer (GIBCO/BRL, Carlsbad, CA), and quantified using a standard spectrophotometer method (Bio-Rad Laboratories, Hercules, CA). The total RNA sample was amplified with the SuperScript One-Step RT-PCR system (Invitrogen, Carlsbad, CA) using specific primer sets. The RT-PCR program was one cycle of 45° C for 15 min; followed by one cycle of 94° C for 2 min; and 32 cycles of 94° C for 30 sec, 50° C for 30 sec, and 72°C for 1 min. The primer sequences were 5′CGCCTGT G A G A G AGAAGGAGATCACG3′ and 5′AACAACGCGTCTGTCCTCAACAGC3′ to detect the tyrosine kinase domain of Fgfr2; 5′CCCATCCTCCAAGCTGGACTGCCT 3′ and 5′CAGAGCCAGCACTTCTGCATTG 3′ for Fgfr2-IIIB; 5′CCGCCGGTGTTAACACCAC3′ and 5′TGTTACCTGTCTCCGCAG 3′ for Fgfr2-IIIC; 5′CCTGCTGGATTACATTAAAGCACTG3′ and 5′GTCAAGGGCATATCCAACAACAAAC3′ for Hprt. Reaction products were resolved on a 3% agarose gel alongside a 100-bp DNA ladder. Immunohistochemistry and Histology. Whole-mount embryonic gonads were immunostained with antibodies directed against laminin (1:250; a gift of H. Erickson, Duke University Medical Center), SOX9 (1:1,000; a gift of F. Poulat, Institut de Genetique Humaine, Montpelier, France), phospho-histone H3 (1:250; Cell Signaling Technology, Danvers, MA), SCP3 (1:400; Novagen, San Diego, CA) and PECAM (1:250; BD BioScience, San Jose, CA). Double immunohistochemistry was detected by Cy3- and Cy5-conjugated secondary antibodies (Jackson ImmunoResearch Laboratories, West Grove, PA), and imaged using confocal scanning microscopy (LSM510; Zeiss, Thornwood, NY). For histology, embryos were fixed in 4% paraformaldehyde in PBS, saturated through a sucrose series, and embedded in optimal cutting temperature (OCT; Sakura Rinetek, Torrence, CA). Frozen samples were sectioned at 8-μm thickness and stained with hematoxylin and eosin. Acknowledgments We thank Dr. Argiris Efstratiadis (Columbia University, New York, NY) for the Hs-Cre line, Drs. Sunita Verma-Kurvari and Luis Parada (both at University of Texas Southwestern, Dallas, TX) for the SF1-Cre line, Dr. Clive Dickson (Cancer Research UK, London, U.K.) for the Fgfr2-IIIb mice, and Dr. David Ornitz for the transgenic mouse line carrying a floxed allele of Fgfr2 (provided by our neighbor, Dr. Erik Meyers, Duke University Medical Center). We also thank members of the laboratory for helpful comments, especially Hao Tang for Sox9-Ecfp transgenic mice and Leo DiNapoli for establishing conditions for the use of the Hs-Cre line. This work was supported National Institutes of Health Grants HL63054 and HD39963 (to B.C.). Footnotes The authors declare no conflict of interest. This article is a PNAS Direct Submission. References 1. Albrecht KH, Eicher EM. Dev Biol. 2001;240:92–107. [PubMed] 2. Koopman P, Munsterberg A, Capel B, Vivian N, Lovell-Badge R. Nature. 1990;348:450–452. [PubMed] 3. Sekido R, Bar I, Narvaez V, Penny G, Lovell-Badge R. Dev Biol. 2004;274:271–279. [PubMed] 4. Kent J, Wheatley SC, Andrews JE, Sinclair AH, Koopman P. Development (Cambridge, UK). 1996;122:2813–2822. 5. Morais da Silva S, Hacker A, Harley V, Goodfellow P, Swain A, Lovell-Badge R. Nat Genet. 1996;14:62–68. [PubMed] 6. Polanco JC, Koopman P. Dev Biol. 2007;302:13–24. [PubMed] 7. Swain A, Lovell-Badge R. Genes Dev. 1999;13:755–767. [PubMed] 8. 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Dev Biol. 2001 Dec 1; 240(1):92-107.
[Dev Biol. 2001]Nature. 1990 Nov 29; 348(6300):450-2.
[Nature. 1990]Dev Biol. 2004 Oct 15; 274(2):271-9.
[Dev Biol. 2004]Nat Genet. 1996 Sep; 14(1):62-8.
[Nat Genet. 1996]Dev Biol. 2007 Feb 1; 302(1):13-24.
[Dev Biol. 2007]Cell. 2001 Mar 23; 104(6):875-89.
[Cell. 2001]Endocrinology. 2006 Aug; 147(8):3777-88.
[Endocrinology. 2006]Int J Dev Biol. 2004 Sep; 48(7):637-43.
[Int J Dev Biol. 2004]Dev Biol. 2005 Apr 1; 280(1):150-61.
[Dev Biol. 2005]PLoS Biol. 2006 Jun; 4(6):e187.
[PLoS Biol. 2006]Dev Biol. 2003 Jun 15; 258(2):264-76.
[Dev Biol. 2003]Cytokine Growth Factor Rev. 2005 Apr; 16(2):139-49.
[Cytokine Growth Factor Rev. 2005]Genome Biol. 2001; 2(3):REVIEWS3005.
[Genome Biol. 2001]Proc Natl Acad Sci U S A. 1998 Apr 28; 95(9):5082-7.
[Proc Natl Acad Sci U S A. 1998]J Biol Chem. 2006 Jun 9; 281(23):15694-700.
[J Biol Chem. 2006]Proc Natl Acad Sci U S A. 2001 Mar 27; 98(7):3855-60.
[Proc Natl Acad Sci U S A. 2001]J Biol Chem. 2001 Feb 9; 276(6):4158-67.
[J Biol Chem. 2001]Mamm Genome. 2000 Mar; 11(3):196-205.
[Mamm Genome. 2000]PLoS Biol. 2006 Jun; 4(6):e187.
[PLoS Biol. 2006]Genesis. 2006 Sep; 44(9):419-24.
[Genesis. 2006]PLoS Biol. 2006 Jun; 4(6):e187.
[PLoS Biol. 2006]Proc Natl Acad Sci U S A. 2006 Feb 21; 103(8):2474-9.
[Proc Natl Acad Sci U S A. 2006]Science. 2006 Apr 28; 312(5773):596-600.
[Science. 2006]Dev Biol. 2003 Jun 15; 258(2):264-76.
[Dev Biol. 2003]Dev Biol. 1998 Nov 15; 203(2):323-33.
[Dev Biol. 1998]Cytogenet Cell Genet. 1980; 28(1-2):104-15.
[Cytogenet Cell Genet. 1980]Dev Biol. 2004 Oct 15; 274(2):271-9.
[Dev Biol. 2004]Genetics. 2003 May; 164(1):277-88.
[Genetics. 2003]PLoS Biol. 2006 Jun; 4(6):e187.
[PLoS Biol. 2006]Novartis Found Symp. 2002; 244():4-18; discussion 18-22, 35-42, 253-7.
[Novartis Found Symp. 2002]J Endocrinol. 2000 Feb; 164(2):149-59.
[J Endocrinol. 2000]Dev Biol. 2005 Nov 15; 287(2):361-77.
[Dev Biol. 2005]Dev Biol. 2001 Mar 1; 231(1):47-62.
[Dev Biol. 2001]Proc Natl Acad Sci U S A. 2001 Mar 27; 98(7):3855-60.
[Proc Natl Acad Sci U S A. 2001]J Biol Chem. 2001 Feb 9; 276(6):4158-67.
[J Biol Chem. 2001]Mamm Genome. 2000 Mar; 11(3):196-205.
[Mamm Genome. 2000]Genesis. 2006 Sep; 44(9):419-24.
[Genesis. 2006]Nature. 1994 Dec 15; 372(6507):679-83.
[Nature. 1994]