TY - JOUR AU1 - Hoffmann, Andrew D. AU2 - Yang, Xinan Holly AU3 - Burnicka-Turek, Ozanna AU4 - Bosman, Joshua D. AU5 - Ren, Xiaomeng AU6 - Steimle, Jeffrey D. AU7 - Vokes, Steven A. AU8 - McMahon, Andrew P. AU9 - Kalinichenko, Vladimir V. AU1 - Moskowitz, Ivan P. AB - Introduction Cardiac septation, the morphogenetic process that transitions the looped heart tube into the multi-chambered heart observed in mammals, is complex and often goes awry in Congenital Heart Disease (CHD). Atrioventricular septation is the crucial process that separates the common atrioventricular canal into right and left compartments. Atrioventricular septal defects (AVSDs) are a common severe form of CHD. A novel paradigm for the developmental ontogeny of the atrioventricular septum has recently emerged [1]–[6]. This work describes atrioventricular septation as a process driven by molecular events in second heart field (SHF) cardiac progenitors rather than in the heart itself [1]–[6]. The identification of extracardiac lineages that generate the atrial and atrioventricular septum implies that the search for gene regulatory networks germane to cardiac septation should occur in SHF cardiac progenitors not in the heart itself. Hedgehog signaling is an essential developmental pathway conserved from flies to man [7], [8]. Mutations in key Hedgehog pathway genes, including ligands such as Sonic hedgehog (Shh; 20423) and downstream signaling cascade member Smoothened (Smo; 319757) cause significant cardiac defects including complete atrioventricular septal defects [9], [10]. Tissue specific knockout of Hedgehog signaling in the SHF recapitulates atrioventricular septal defects [4], [5] and genetic inducible fate mapping showed that the atrial/atrioventricular septum is derived from Hedgehog-receiving SHF cardiac progenitors [5]. These observations laid the groundwork for identifying the Hedgehog-dependent SHF gene regulatory networks essential for atrial septation. Cardiogenic transcription factor genes Tbx5 (21388), Nkx2.5 (18091) and GATA4 (14463) have been implicated in human atrial septation [11]–[14]. These transcription factors form a complex and can co-activate gene expression [12], [15]–[17]. Tbx5 has been shown to be required in multiple contexts during cardiac development and adult function in mice. Tbx5 is required in the SHF for atrioventricular septation [6], [15], in embryonic cardiomyocytes for proliferation [18], in adult myocardium for contractile function [19], and in the adult cardiac conduction system for cardiac rhythm control [20]. Tbx5 target genes differ significantly between these distinct cellular and temporal contexts [6], [21]. Yet the Tbx5-responsive cis-regulatory elements specific to these cellular contexts and the molecular cues that establish context dependent selectivity remain unknown. We previously described genetic interactions between Tbx5 and Hedgehog signaling in the SHF for atrioventricular septation in mice [6]. Mice haploinsufficient for both Tbx5 and the obligate Hedgehog signaling receptor gene Smo express AVSDs more frequently than mice haploinsufficient for either gene alone [6]. Furthermore, constitutive Hedgehog signaling in Tbx5-mutant SHF progenitors can rescue atrioventricular septation [6]. These studies predict that Hedgehog-dependent and Tbx5-dependent gene regulatory networks share vital, yet undescribed overlap in the SHF that is necessary for atrioventricular septation. In this study we attempted to define Hedgehog-dependent SHF gene regulatory networks and identify the molecular basis of the genetic interaction between Hedgehog signaling and Tbx5. We characterized the Hedgehog-dependent SHF gene regulatory networks by in vivo whole genome transcriptional profiling and GLI-chromatin interaction studies. We found that Foxf1a (15227) and Foxf2 (14238) are downstream of Hedgehog signaling in the SHF. Mice haploinsufficient for both Foxf1a and Foxf2 compound heterozygotes have atrial septal defects, demonstrating the biological relevance of these Hedgehog targets. GLI3T (14634) binding data identified a candidate cis-regulatory element upstream of Foxf1a that contained an adjacent Tbx5 binding site. This enhancer binds to GLI1 (14632), GLI3 and TBX5 in the SHF in vivo. In vitro and in vivo analysis demonstrated that this cis-regulatory element integrates Hedgehog signaling with Tbx5 activity and provides strong specific activity in the posterior SHF. This work identifies a novel role for Foxf transcription factors at the intersection of Tbx5 and hedgehog signaling in atrioventricular septation and describes a SHF gene regulatory network for cardiac morphogenesis. Results Transcriptional profiling of the posterior SHF in Shh mutants Progenitor cells for the atrial and atrioventricular septum require Shh signaling in the posterior SHF (pSHF) between embryonic day 8 and embryonic day 10 (E8–E10) to migrate into the heart to form the atrial septum between E9–E11 [4], [5]. To identify the Hedgehog-dependent gene regulatory networks required for this process, we compared transcriptional profiling of the posterior SHF from wild-type and Shh (MGI: 1932461) null embryos at E9.5 to identify differentially expressed transcripts. We isolated the pSHF by microdissection including the dorsal mesenchymal protrusion and closely associated surrounding ventral lateral plate mesenchyme. Our dissection included the attached foregut, but excluded the heart, dorsal lateral plate mesenchyme and neural tube (Figure 1A). RNA was isolated and known Hedgehog-dependent transcripts were evaluated by RT-PCR to verify genotyping prior to whole genome transcriptional profiling. Shh, Ptch1 (19206) and Gli1 all demonstrated significantly reduced expression (p>0.05) in the Shh null samples compared to wild-type micro-dissected samples (Figure 1B). Specifically, Shh was reduced more than 90%, while Ptch1 and Gli1 were each reduced approximately 50%, consistent with significantly reduced Hedgehog signaling in the mutant samples and confirming the genotypic fidelity of the isolated samples. Download: PPT PowerPoint slide PNG larger image TIFF original image Figure 1. Transcriptional profiling of SHF from shh−/− embryos. (A) Microdissection for isolation of SHF tissues. E9.5 embryos were isolated (I). Thoracic tissues including the heart were removed from head and tail, kept for genotyping or non-cardiac controls (II). Neural tube was removed (III). SHF tissue was bisected and separated from the heart (IV). Microdissected tissue was kept as anterior SHF (Va), posterior SHF (Vb) or heart (Vc). (B) RT-PCR demonstrates decreased expression of Shh, Gli1 and Ptch1 in shh mutant SHF tissues isolated for transcriptional profiling (C) Gene Ontology biological processes (GOBPs) enriched in the transcriptional profile analysis of SHF tissue from wild-type and Shh mutant embryos identifies developmental terms. (D) 13 genes identified in the transcriptional profile were verified as Shh-dependent using RT-qPCR (relative quantitation, RQ). * indicates p<0.05, ** indicates p<0.01, *** indicates p<0.001. https://doi.org/10.1371/journal.pgen.1004604.g001 Transcriptional profiling of pSHF samples was performed on Agilent Mouse Whole Genome Arrays. Using a significance threshold with a multi-test adjusted p-value (Q-value) <0.005 and absolute fold change larger than 2, comparing Shh−/− mutant mouse embryos (n = 4) with wild-type embryos (n = 3) identified a differentially expressed 560-gene signature (Table S1). Gene Ontology (GO) enrichment analysis of differentially expressed genes captured known processes disrupted in Hedgehog pathway mutants, such as pattern specification and organ morphogenesis (Figure 1C) [22]. To further identify the best candidates for an experimental validation, 65 genes were computationally evaluated according to more stringent criteria by three statistical tests (non-parameter Wilcox-tested theoretical p<0.15, empirical t-tested FDR<0.1, and absolute fold change>3, Figure S1) on the same data sets. From the Shh down-regulated candidates, we chose 21 targets and validated significant misexpression of 13 by qPCR (p<2e-16, Fisher's Exact test, FET) (Figure 1D). Eight others did not meet criteria for statistically significant misexpression primarily due to large expression variation, possibly related to the presence of non-SHF tissue isolated by our dissection process. Identification of Hedgehog signaling direct targets in the SHF To define loci directly downstream of Hedgehog signaling, we analyzed genome-wide chromosomal binding locations of the Hedgehog transcriptional regulator Gli3 in the embryonic SHF by chromatin immunoprecipitation with deep sequencing (ChIP-seq). We performed ChIP using a Cre-inducible flag-tagged Gli3T expression line (RosaGli3TFlag c/c MGI: 3828280) [23] combined with the SHF Cre driver Mef2c-AHF-Cre [24] (MGI: 3639735). The SHF tissue from 50 Mef2cAHF-Cre+; RosaGli3TFlag/+ embryos was micro-dissected and immunoprecipitated using an anti-FlagM2 antibody (Sigma). To verify enrichment of Gli3T bound sequences by immunoprecipitation prior to sequencing, we tested a previously identified Gli3T peak upstream of Ptch1 (Chromosome 13, nucleotides 63577408–63579384, mm9), a known Gli3T-bound cis-regulatory element in the limb [23]. This sequence was 13.7-fold enriched in the SHF IP fraction by ChIP-PCR. We proceeded to sequence the IP library and apply Model-based Analysis for ChIP-Seq (MACS) [25]. We identified 1316 Gli3-bound peaks by comparing 68 million sequence tags in IP to 21 million sequence tags in input (tag size = 36 bps, effective genome size = 2e+9, band width = 200, 20.05) in the Shh null samples compared to wild-type micro-dissected samples (Figure 1B). Specifically, Shh was reduced more than 90%, while Ptch1 and Gli1 were each reduced approximately 50%, consistent with significantly reduced Hedgehog signaling in the mutant samples and confirming the genotypic fidelity of the isolated samples. Download: PPT PowerPoint slide PNG larger image TIFF original image Figure 1. Transcriptional profiling of SHF from shh−/− embryos. (A) Microdissection for isolation of SHF tissues. E9.5 embryos were isolated (I). Thoracic tissues including the heart were removed from head and tail, kept for genotyping or non-cardiac controls (II). Neural tube was removed (III). SHF tissue was bisected and separated from the heart (IV). Microdissected tissue was kept as anterior SHF (Va), posterior SHF (Vb) or heart (Vc). (B) RT-PCR demonstrates decreased expression of Shh, Gli1 and Ptch1 in shh mutant SHF tissues isolated for transcriptional profiling (C) Gene Ontology biological processes (GOBPs) enriched in the transcriptional profile analysis of SHF tissue from wild-type and Shh mutant embryos identifies developmental terms. (D) 13 genes identified in the transcriptional profile were verified as Shh-dependent using RT-qPCR (relative quantitation, RQ). * indicates p<0.05, ** indicates p<0.01, *** indicates p<0.001. https://doi.org/10.1371/journal.pgen.1004604.g001 Transcriptional profiling of pSHF samples was performed on Agilent Mouse Whole Genome Arrays. Using a significance threshold with a multi-test adjusted p-value (Q-value) <0.005 and absolute fold change larger than 2, comparing Shh−/− mutant mouse embryos (n = 4) with wild-type embryos (n = 3) identified a differentially expressed 560-gene signature (Table S1). Gene Ontology (GO) enrichment analysis of differentially expressed genes captured known processes disrupted in Hedgehog pathway mutants, such as pattern specification and organ morphogenesis (Figure 1C) [22]. To further identify the best candidates for an experimental validation, 65 genes were computationally evaluated according to more stringent criteria by three statistical tests (non-parameter Wilcox-tested theoretical p<0.15, empirical t-tested FDR<0.1, and absolute fold change>3, Figure S1) on the same data sets. From the Shh down-regulated candidates, we chose 21 targets and validated significant misexpression of 13 by qPCR (p<2e-16, Fisher's Exact test, FET) (Figure 1D). Eight others did not meet criteria for statistically significant misexpression primarily due to large expression variation, possibly related to the presence of non-SHF tissue isolated by our dissection process. Identification of Hedgehog signaling direct targets in the SHF To define loci directly downstream of Hedgehog signaling, we analyzed genome-wide chromosomal binding locations of the Hedgehog transcriptional regulator Gli3 in the embryonic SHF by chromatin immunoprecipitation with deep sequencing (ChIP-seq). We performed ChIP using a Cre-inducible flag-tagged Gli3T expression line (RosaGli3TFlag c/c MGI: 3828280) [23] combined with the SHF Cre driver Mef2c-AHF-Cre [24] (MGI: 3639735). The SHF tissue from 50 Mef2cAHF-Cre+; RosaGli3TFlag/+ embryos was micro-dissected and immunoprecipitated using an anti-FlagM2 antibody (Sigma). To verify enrichment of Gli3T bound sequences by immunoprecipitation prior to sequencing, we tested a previously identified Gli3T peak upstream of Ptch1 (Chromosome 13, nucleotides 63577408–63579384, mm9), a known Gli3T-bound cis-regulatory element in the limb [23]. This sequence was 13.7-fold enriched in the SHF IP fraction by ChIP-PCR. We proceeded to sequence the IP library and apply Model-based Analysis for ChIP-Seq (MACS) [25]. We identified 1316 Gli3-bound peaks by comparing 68 million sequence tags in IP to 21 million sequence tags in input (tag size = 36 bps, effective genome size = 2e+9, band width = 200, 2