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Primitive Neural Stem Cells in the Mouse Brain
by
Rachel Leeder
A thesis submitted in conformity with the requirements for the degree of Doctor of Philosophy
Institute of Medical Science University of Toronto
© Copyright by Rachel Leeder 2015
ii
Primitive Neural Stem Cells in the Mouse Brain
Rachel Leeder
Doctor of Philosophy
Institute of Medical Science University of Toronto
2015
Abstract
Neural stem cells (NSCs) reside in the tissue lining the lateral ventricles of the
adult mouse brain. At the top of the hierarchy are primitive (p)NSCs that arise in advance
of definitive (d)NSCs embryonically. After the discovery that pNSCs persist in the adult
mouse brain, I sought out to characterize pNSCs and determine whether they express the
pluripotency gene Oct4 in the adult brain as the do embryonically. Next, I addressed the
cell cycle time of pNSCs and whether they are activated to proliferate to repopulate
dNSCs after dNSC and downstream progenitor ablation. Finally, I identified cell type
specific markers of pNSCs and pharmacological methods to selectively target and
activate endogenous pNSCs. These selective markers can be used for future studies to
enrich for pNSCs and to develop future therapies to target pNSCs endogenously.
Together, this thesis presents evidence that pNSCs are an Oct4-expressing, reserve
population at the top of the NSC hierarchy capable of repopulating dNSCs.
iii
Acknowledgements
First, I would like to thank my supervisor Derek van der Kooy for welcoming me
into the lab and setting me out on my scientific career. I learned the important lessons of
critical thinking, coming to your own conclusions, your science is only as good as your
ability to communicate it, and when you know that you are right, take the bet. His
guidance but freedom to find my own way is what made my graduate career more than
about the science.
I thank my committee members Cindi Morshead and Janet Rossant who
continually challenged me to think harder and consider every scenario before coming to a
conclusion. I appreciate your input to shape my project and improve communication
skills over the years.
Thank you to our collaborators and those who contributed transgenic mice and
reagents (K. Hochedlinger, A. Tomlin S. Nishikawa, M. Sofroniew, A. Nagy). To the
Department of Comparative Medicine at the University of Toronto and in particular AJ
Wang for his endless help keeping my mice healthy to make these experiments possible.
The members of van der kooy lab and the 11th floor have been a huge help
throughout this project. Breakfast club, stemmies, and even lunchtime have been
opportunities to discuss, think and critically analyse. In particular, thank you to our
amazing lab manager and technician Brenda Coles for keeping the lab running and
making many last minute orders to save my experiments. To Sue Runciman who early on
gave me the great advice of “if your experiments aren’t working today, just go home,
they will work tomorrow,” which has become my motto. To the lab members who
graduated before me Margot Arntfield, Laura Donaldson, Lilian Riad-Allen, Brian
iv
DeVeale and Brian Ballios who offered help where they could and more importantly
made my time in the lab enjoyable. To the LIF team, Nadia Sachewsky and Wenjun Xu,
no one quite understands the trials of this project like they do. Finally, to Samantha
Yammine for swooping in at the end and helping any way she could to get my last
experiments done and being instrumental in my making it to the end of this process with
my sanity intact.
Finally, I would like to thank my family and friends for their support through this
process. My parents have always supported me and lent a sympathetic ear, and Michelle
for being an amazing friend. To my husband, Jamie, thank you for supporting me and
always being a wonderful distraction to keep me going.
v
Table of Contents Abstract ii Acknowledgements iii
List of Figures and Tables vii List of Abbreviations ix Chapter 1: General Introduction 1 Discovery of Stem Cells 2 Stem Cell Criteria 4 Progenitors 5 Modes of Stem Cell Division 6 Pluripotency Genes 7 In Vitro ESC-Derived Neural Stem Cells 10 Induced Pluripotent Cells 11 iPSCs for Clinical Use 13 Early Embryonic Development 15 Neural Induction in the Embryo 17 Radial Glia in the Embryo 19 Emergence of Primitive and Definitive NSC Populations 20 Perinatal Neurogenesis 22 Adult Neural Stem Cell Discovery 23 Neural Stem Cell Isolation 27 Adult Neurogenesis in the Periventricular Region 29 Architecture of the NSC Niche 31 Neurogenesis in the Hippocampus 35 Increasing Cortex Size with the Outersubventricular Zone 37 Human Neurogenesis 40 Stem Cell Quiescence 42 NSC Activation 45 Cell Type Specific Markers 47 Cell Surface Profiling 49
Aims and Hypothesis 53 Chapter 2: Primitive neural stem cells in the adult mammalian brain 57 give rise to the GFAP expressing neural stem cells Abstract 58 Introduction 59 Methods 60 Results 63 Discussion 89
vi
Chapter 3: Quiescent primitive neural stem cells repopulate the ablated 109 definitive neural stem cell population in the adult mouse brain Abstract 110 Introduction 111 Methods 113 Results 116 Discussion 130 Chapter 4: Targeted activation of primitive neural stem cells in the mouse brain 135 Abstract 136 Introduction 137 Methods 139 Results 143 Discussion 162 Chapter 5: General Discussion 167 Implications for the NSC lineage 168 Repopulation of dNSCs after ablation 172 Other quiescent NSC hypotheses 173 Are all neurospheres NSC-derived? 179 How many pNSCs are really in the brain? 181 Cell cycle times 183 Comparing pNSCs to other stem cell hierarchies 184 Why target pNSCs for regeneration? 186 Are pNSCs present in the human? 187 Conclusions 188 Future directions 189 References 194
vii
List of Figures
Chapter 1
Figure 1. Adult pNSCs give rise to dNSCs in the adult mouse brain, 24 similar to the lineage in embryonic development
Figure 2. The NSC niche 32 Figure 3. Identification of cell surface proteins enriched specifically
on ESCs, pNSCs and dNSCs 50 Chapter 2
Figure 1. LIF responsive colonies are derived from the adult periventricular region 64
Figure 2. LIF colonies express Oct4 and integrate into the ICM of blastocysts 70
Figure 3. Oct4 expressing cells are present in vivo 74 Figure 4. GFAP-TK model specifically ablates dividing GFAP+
cells in vitro and in vivo 76 Figure 5. Infusion of AraC+GCV leads to complete but temporary
loss of neurospheres. 82 Figure 6. Numbers of adult derived pNSCs can be increased by injury
or LIF infusion 86 Figure 7. In vivo lineage analysis 90 Supplemental Figure 1. The periventricular region contains proliferating
LIF-R+ cells in vivo. 96 Supplemental Figure 2. Expression profile of AdpNSCs 98 Supplemental Figure 3. The effects of GCV in vitro and in vivo 100 Supplemental Figure 4. Proliferating GFAP+ cells returned with longer
survival times following AraC+GCV treatment 102 Supplemental Figure 5. A. Repopulation of proliferating cells after ablation
in GFAP-tk mice 104 Supplemental Figure 6. YFP-GFAPtk derived colonies for transplantation 106
Chapter 3 Figure 1. Label retention in pNSCs and dNSCs in H2B-GFP mice 118
Figure 2. Oct4fl/fl;Sox1Cre/Cre (Oct4CKO) mice are a pNSC loss of function model and had significantly reduced ability to repopulate dNSCs 122
Figure 3. Reduced proliferation and dNSC recovery in the periventricular region of Oct4fl/fl;Sox1Cre;GFAP-tk mice after ablation 126
Figure 4. pNSCs are activated to proliferate following AraC infusion 128
viii
Chapter 4
Figure 1. Characterization of pup-derived pNSCs 144 Figure 2. pNSCs markers in the walls of the lateral ventricle 148 Figure 3. FACS analysis of primary pup brain cells 152 Figure 4. Inhibition of C-Kit signaling increased pup-derived pNSC
neurosphere formation 154 Figure 5. ErbB2 inhibition increased pup-derived pNSC neurospheres 158
Figure 6. C-kit and ErbB2 inhibitors delivered into the lateral ventricle of adult mice increased pNSC neurosphere formation 160 Chapter 5
Figure 1. The NSC lineage and niche proposed in this thesis 170 Figure 2. A unified theory of the NSC lineage 176
ix
List of Abbreviations
a Activated BMP Bone morphogenic protein CSF Cerebrospinal fluid d Definitive E Embryonic day EFH EGF, FGF, and heparin EGH Epidermal growth factor ESC Embryonic stem cell FBS Fetal bovine serum FGF Fibroblast growth factor GCNF Germ cell nuclear factor GFAP Glial fibrillary acidic protein GFP Green fluorescent protein H2B Histone2B HSC Hematopoetic stem cell INM Interkinetic nuclear migration LIF Leukemia inhibitory factor MST Mitotic somal translocation NSC Neural stem cell NPC Neural precursor cell P Postnatal day p Primitive q Quiescent qPCR Quantitative polymerase chain reaction RG Radial glia RT Reverse transcription SEM Standard error of the mean SEZ Subependymal zone SFM Serum free media SVZ Subventricular zone TA Transit amplifying VCAM Vascular cell adhesion molecule
1
Chapter 1
General Introduction
2
Discovery of Stem Cells
The discovery of stem cells has changed the way we understand embryonic
development and regenerative potential of adult tissues. Stem cells enable the
investigation of embryonic development, cellular differentiation, and organ maintenance
into the adult. The dogma that cells proceed through a unidirectional lineage restriction
and become cell type restricted with age has come into question. Consequently, fixed
cells states and the lack of regenerative potential of adult human organs have been
challenged. The intrinsic potential of adult stem cells is coming to light and changing our
understanding of the somatic cell hierarchies and the field of regenerative medicine.
Much remains to be discovered, but the stem cell field is rapidly expanding and
redefining our understanding of adult somatic cells.
Although the modern stem cell field is relatively new, Ernst Haeckel first used the
term stem cell in 1868. Haeckel used the term stem cell to describe a unicellular organism
at the top of the phylogenetic tree, from which multicellular organs arose (Haeckel,
1868). In addition, he later used the term to describe the fertilized egg that gives rise to all
the cells in the organism (Haeckel, 1877). The first use of the term stem cell to describe a
unique cell in the embryo capable of giving rise to specialized cells was by August
Weissman in 1885. Weissman proposed that a cell called the germ-plasm segregates early
in embryonic development and remains distinct from somatic cells and is transmitted
from one generation to the next (Weismann, 1885). Theodor Boveri traced cell lineages
in the developing nematode and identified germ cells as the only cells to maintain their
chromatin into development. Although it was incorrectly concluded that this was a trait of
all germ cells, rather than a unique trait of the Ascaris nematode, it led to the
3
identification of germ cells that transmit genetic material between generations. Boveri
correctly proposed that germ cells are stem cells (reviewed in (Ramalho-Santos and
Willenbring, 2007). Valentin Häcker next described a single cell inside the embryo that
would divide to give rise to one germline cell and one mesodermal cell in 1892. Finally,
Edmund Wilson is credited with popularizing the term stem cell, described as an
“unspecialized mother cell” when he wrote a book summarizing these early findings
(Wilson, 1896).
The adult somatic stem cell field began in 1961 with James Till and Ernest
McCullogh, when they discovered hematopoetic stem cells, unknowingly at the time.
This report described colony forming units in the spleen in a landmark paper originally
aiming to identify the sensitivity of bone marrow cells to irradiation (Till and McCulloch,
1961). Till and McCulloch observed a linear relationship between the number of bone
marrow cells injected into irradiated recipient mice and the number of nodules that
formed in the spleens of those recipient mice. Till and McCulloch correctly predicted that
single cells from donors gave rise to colonies, and they further noted that some of the
cells in the rapidly proliferating colonies were undifferentiated (Till and McCulloch,
1961). The nodules were observed to contain all the different blood lineages and
suggested that a single cell could make all the cells in the hematopoietic lineage. Later, it
was confirmed that each nodule arose from a single cell via examination of radiation-
induced chromosomal abnormalities (Becker et al., 1963). In addition, cells from the
nodules could be removed and delivered into a new mouse to generate new nodules
(Siminovitch et al., 1963). This was the first report of a single cell that could self-renew
and generate a colony of cells that included all the cells in a lineage. Neither they nor the
4
scientific community initially recognized the implications of their findings, which was
the first report of an adult somatic stem cell.
Stem Cell Criteria
Two cardinal properties are essential to categorize a cell as a stem cell: self-
renewal and multipotency (Siminovitch et al., 1963; Till and McCulloch, 1980; Morrison
et al., 1997; Weissman, 2000). Self-renewal of a stem cell during every cell division
ensures a daughter identical to the parent cell will persist for the duration of an
organism’s, or more specifically, an organ’s, lifetime. Without self-renewal, the stem cell
population would become depleted through baseline proliferation/differentiation and in
response to injury, thus would not be available to maintain a tissue through the life of the
animal (Till and McCulloch, 1980). The exception to this rule is the embryonic stem cell
(ESC), which gives rise to the entire embryo but does not persist in development
(Martin, 1981; Gardner, 1985). However, ESCs can be maintained indefinitely in culture
and hence are considered stem cells. Stem cells can last the life of the animal and regulate
the frequency of their divisions (Cheung and Rando, 2013). Stem cells can enter a
quiescent cell state where the cell has left the mitotic cycle, referred to as a G0 state.
Quiescence is reversible, and the cell can be described as resting but can reenter the cell
cycle at any time (reviewed in (Li et al., 2010), and likely plays a role in preserving the
stem cell population into old age. Although stem cells may become quiescent, they retain
their ability to become activated and generate downstream progenitors.
The second property of a stem cell is the ability to give rise to multiple cell types.
A stem cell functions to generate the cells in an organ during development and maintains
5
this ability through the life of the animal (Kleinsmith and Pierce, 1964). ESCs are
pluripotent and able to generate all the cells in the body (Martin, 1981). Adult stem cells
are multipotent, meaning they are able to generate multiple cell types within their tissue.
For example, a neural stem cell (NSC) can give rise to all cell types in the brain including
neurons, astrocytes and oligodendrocytes (Reynolds and Weiss, 1996). Although stem
cells retain the ability to generate all the cells in the adult tissue, adult stem cells do not
always exhibit this function endogenously due to other cells or circulating inhibitory
signals (reviewed in (Cheung and Rando, 2013)). However, they maintain this intrinsic
ability and multipotency can be tested when cells are grown in culture. Clonal assays are
crucial to the stem cell field, and neurosphere assay is essential to the NSC field, since it
permits testing of self-renewal and multipotency from a single-cell derived colony,
termed a neurosphere (Reynolds and Weiss, 1992). The neurosphere assay (as will be
described further later) tests the intrinsic stem cell potential and all experiments in this
thesis were performed at clonal culture density (Coles-Takabe et al., 2008). Exhibiting
the cardinal properties of self-renewal and multipotency is required for a cell to be
classified as a stem cell.
Progenitors
Studying stem cells is made more challenging due to their close relationship to
their downstream progenitors and thus we must be careful to distinguish the two
populations (reviewed in (Seaberg and van der Kooy, 2003)). Undifferentiated cells that
proliferate to generate downstream progeny, but do not self-renew long-term or generate
all the cells in the tissue are termed progenitors (Potten and Loeffler, 1990; Weiss et al.,
6
1996). Progenitors are an essential component of regeneration as they can participate in
the expansion of a cell population without involvement of the stem cell itself. Most often,
progenitors are more abundant and have shorter cell cycle times than their stem cell
counterparts and hence have the ability to quickly expand a cell population (Lajtha,
1979). Stem cells and progenitors are sources to regenerate the downstream lineage alone
or in combination. In some organs, for example in the brain, the stem cells reside in a
specialized niche while their progenitors leave the niche to migrate away and generate
specialized cells in the regions they are needed (Morshead et al., 1994; Reynolds and
Weiss 1996; Doetsch et al., 1999). This ensures that the stem cells remain protected and
often quiescent. Essentially, progenitors do the “busy work” of the stem cells enabling the
stem cells themselves to remain in their niche and divide slowly over the lifetime of the
organism.
Modes of Stem Cell Division
There are two methods of division observed in stem and progenitor cells. These
two types of division enable a stem cell to respond to its environment to produce the
downstream progenitors needed while maintaining its own population (Mione et al.,
1997). The first type of division a stem cell can undergo is asymmetric division, whereby
it produces one daughter that is an exact duplicate of itself and another daughter that is a
more restricted progenitor or a differentiated cell (Fuerstenberg et al., 1998). This leaves
the stem cell unperturbed, and the progenitor can either proliferate further to expand the
population or differentiate to form a specialized, functioning cell. Asymmetric division is
more common under baseline conditions and adult organ homeostasis where stem cells
7
must be protected to survive the life of the animal and thus need to replace themselves
and generate downstream progenitors (Zhang et al., 2004). For example, when a dNSC
divides it replaces itself and generates a downstream TA cell (Weiss et al., 1996;
Morshead et al., 1998).
The second division method of a stem or progenitor cell is to divide
symmetrically. In symmetric division, both daughters can be identical to the parent cell
thereby functioning to expand the stem cell population (Martens et al., 2000).
Alternatively a symmetric division can occur whereby both daughter cells are more
restricted progenitors or differentiated cells, which leads to exhaustion of the stem or
progenitor cell pool. During embryonic development, symmetric divisions expand the
NSC pool between E11-14 and then the division mode switches to asymmetric between
E14-17 (Martens et al., 2000). In the adult, injury or cell loss can induce stem and
progenitor cells to divide symmetrically to expand their population to prepare to
repopulate the damaged cell lineage, as observed following a stroke in the brain
(Arvidsson et al., 2002; Zhang et al., 2004; Kolb et al., 2007; Sachewsky et al., 2014).
Stem cells and progenitors can alternate between symmetric and asymmetric division to
respond to environmental cues and maintain their tissue.
Pluripotency Genes
Pluripotency genes are factors responsible for the potential of a stem cell to give
rise to all cells in the body. The pluripotency genes are expressed in embryonic stem cells
(ESCs) and turn off as a cell differentiates into a downstream stem or progenitor cell
(reviewed in (Niwa, 2007)). It is important that these pluripotency genes turn off as cells
8
differentiate because they are responsible for the ability to generate multiple cell types,
which if left unchecked, can lead to tumor formation due to misproduction of cells in the
tissue (reviewed in (Kang et al., 2009)). Therefore pluripotency gene expression is tightly
regulated.
Oct4 is a key pluripotency gene that is first expressed at the eight-cell stage and
continues to be expressed in the inner cell mass (ICM) of the developing blastocyst. After
implantation, Oct4 is expressed in the epiblast cells and becomes restricted to the
neuroectoderm after gastrulation and then to the primordial germ cells by E9.5 (Rosner et
al., 1990; Okamoto et al., 1990; Schöler et al., 1990). Loss of Oct4 expression in the
developing blastocyst leads to ICM cells that are no longer pluripotent (Nichols et al.,
1998). ESCs with Oct4 expression reduced by at least half will differentiate into
extraembryonic trophoblast cells (Nichols et al., 1998; Niwa et al., 2000). On the other
hand, ESCs with at least twofold increase in Oct4 expression above the normal level will
differentiate into primitive endoderm or mesoderm (Niwa et al., 2000). Germ cell nuclear
factor (GCNF) is expressed in the anterior neuroectoderm and restricts Oct4 expression in
the embryo (Akamatsu et al., 2009), which leads to neural differentiation (discussed
further later). Therefore, the exact Oct4 expression levels are crucial to the fate of ESCs
and are tightly regulated in the embryo. Within this thesis, I will explore whether Oct4 is
expressed and required by other non-embryonic cells.
There are 11 Oct genes and they are members of the fifth class of the POU (Pit-
Onc-Unc) family. POU is a family of transcription factors conserved amongst all animals
but not identified in plants or fungi. Although the mouse has only one Oct4 isoform, the
human has three splice variants (Oct4A, Oct4B, Oct4B1) but it appears that only Oct4A
9
has self-renewal function (Wang and Dai, 2010). Oct4 has been implicated to have a role
in chromatin modification, transcription regulation, DNA replication, post-transcriptional
modifications, and other functions. Despite its popularity as a pluripotency gene it
remains unknown to what extent Oct4 performs other roles in stem cells. Another
function of Oct4 is that it maintains viability and regulates proliferation of cells in the
primitive streak (Deveale et al., 2013). Therefore, aside from its well-known importance
in stem cell populations, many of the other roles of Oct4 remain to be elucidated.
Interestingly, the Oct4 promoter activity is directly controlled by an autoregulatory
system including Oct4 itself and Sox2 (Okumura-Nakanishi et al., 2005).
Sox2 is another gene implicated in pluripotency and cell proliferation. Sox2 is first
expressed in ESCs of the ICM and its expression is maintained in the neuroectoderm and
the primitive streak. Sox2 is essential in early embryonic development and Sox2
knockouts are lethal at implantation (Avilion et al., 2003; Niwa, 2007). Unlike Oct4,
Sox2 is highly expressed in the adult brain and is commonly expressed in neural stem and
progenitor cells (collectively referred to as neural precursor cells (NPCs)). Sox2 regulates
multiple transcription factors that influence Oct4 expression (Masui et al., 2007).
Inhibition of Sox2 with interfering RNA induces ESCs to differentiate, predominantly
into trophectoderm (Ivanova et al., 2006). Sox2 and Oct4 activate many of the same
transcription factors and act synergistically to promote their own expression.
Sox2 is widely expressed in NSCs and NPCs in the adult mouse brain. In this
thesis, I will challenge the wideheld belief that Oct4 is only expressed in somatic cells
embryonically (reviewed in (Niwa, 2007)). I will describe an Oct4-expressing NSC that
10
suggests that the adult brain may have more potential for regeneration than previously
thought.
In Vitro ESC-Derived Neural Stem Cells
While it remains unclear how primitive (p)NSCs arise during embryonic
development, in vitro, ESCs differentiate directly into pNSCs in culture via a default
mechanism (Tropepe et al., 2001). This lineage relationship was elucidated with the
differentiation of ESCs in serum-free, low density, clonal cell culture conditions and it
was observed that the cells began to upregulate neural lineage genes. ESCs in minimal
culture conditions first pass through a pNSC fate via a default mechanism, and then
differentiate into dNSCs. The differentiation of ESCs to pNSCs can be enhanced with
TGF-ß inhibition, indicating that it is the removal of a repressive signal that enables
differentiation of ESCs into pNSCs rather than addition of an exogenous factor (Tropepe
et al., 2001). ESC-derived pNSCs are cultured in serum-free media (SFM) supplemented
with LIF. The generation of pNSCs from ESCs is low in frequency, with just 0.2% of
ESCs giving rise to a pNSC-derived neurosphere when plated in SFM plus LIF. The low
frequency of pNSCs is predominantly due to cell death, and addition of pro-survival
factors NAC and cAMP increased frequency 100-fold so that 20% of ESCs gave rise to
pNSC in culture (Smukler et al., 2006).
pNSCs derived from an ESC line are an intermediate cell type between ESCs and
dNSCs. In vitro pNSCs express Oct4, whereas dNSCs derived from those ESC-derived
pNSCs are Oct4– (Akamatsu et al., 2009). In addition, only pNSCs can integrate into the
ICM of a blastocyst and contribute to a chimeric embryo (Karpowicz et al., 2007). It was
11
previously thought that pNSCs do not exist in the adult mouse brain, but as I will
discover in this thesis, adult-derived pNSCs exist and maintain these characteristics
previously reported in ESC-derived pNSCs.
Induced Pluripotent Cells
The phenomenon whereby an adult somatic cell is induced to dedifferentiate and
return to an undifferentiated state after overexpression of pluripotency genes, called an
induced pluripotent cell (iPSC), was first described by Takahashi and Yamanaka in 2006.
This discovery illuminated the fact that cell fates might be more dynamic than we
previously thought, and suggests that endogenous cells might have even more potential
for regeneration than previously understood. In this landmark study, which earned Shinya
Yamanaka along with John Gurdon, the Nobel Prize in Physiology or Medicine in 2013,
genes known to be essential to ESCs were overexpressed in adult fibroblast cells to
determine whether they could re-induce pluripotency. After a mixture of viruses
containing many genes successfully induced the dedifferentiation of cells in culture, the
gene combination was whittled down to leave 4 essential factors. These genes were Oct4,
Sox2, Klf4 and c-Myc, generally known as the Yamanaka factors (Takahashi and
Yamanaka, 2006). It was later determined that c-Myc could be removed from the
combination to reduce the likelihood of aberrant growth, and decrease cancer risk
(Wernig et al., 2008; Nakagawa et al., 2008). In addition, many other genes were
identified that promote dedifferentiation and could substitute for some of the Yamanaka
factors (Yu et al., 2007; Ichida et al., 2009; Heng et al., 2010; Ieda et al., 2010; Chen et
al., 2011; Gao et al., 2013). Next, reprogramming was successfully performed in human
12
fibroblasts (Takahashi et al., 2007). Further studies have supported that ability to
dedifferentiate all adult cell types attempted, including mature B lymphocytes (Hanna et
al., 2008; Staerk et al., 2010), and validates the impact of this finding.
Reports have demonstrated that all cell types tested can dedifferentiate with some
combination of factors. Interestingly, NSCs are the only known adult cell type identified
that dedifferentiate with the introduction of only one gene, Oct4 (Kim et al., 2009a; Kim
et al., 2009b). This is likely a result of NSCs expressing endogenous Sox2, c-myc and
Klf4 and thus Oct4 is the only missing Yamanaka factor in this population. The ability to
differentiate NSCs with only Oct4 suggests that NSCs may have more potential than
other adult somatic cell types to contribute to endogenous regeneration if targeted and
activated in the adult mouse brain (discussed further later).
Due to the tumorigenic concern of pluripotent gene expression in iPSCs, alternate
methods to avoid the use of integrating vectors have been developed. Many of these
approaches include non-integrating vectors, RNA and small molecule approaches (Okita
et al., 2008; Shi et al., 2008; Warren et al., 2010; Yuan et al., 2011; Davis et al., 2013;
Warren and Wang, 2013; Ohnuki et al., 2014; Steichen et al., 2014; Varga et al., 2014).
These alternate approaches increase the applicability of iPSCs for clinical use since they
reduce tumorigenic concerns. The next step towards clinical use is increasing the
efficiency and frequency of reprogramming (Hanna et al., 2009) and scaling up cultures
using bioreactors (Dang and Zanstra 2005; Kirouac and Zandstra; 2008; Csaszar et al.,
2012). The danger of culture-induced modifications can be reduced with low passage
number to reduce copy number variants (Liu et al., 2014). Therefore, despite the large
13
hurdles that remain to bring iPSCs to clinical use, progress is being made to make iPSC
therapies safe.
iPSCs for Clinical Use
The discovery of iPSCs has launched a new stem cell field that is moving quickly
towards clinical implications. iPSCs have the unique characteristic that they can be
derived from any cell in the body. A patient with a rare disease can provide skin cells
through a minimally-invasive skin biopsy that can be used to generate stem cell cultures
of that disease. For uncharacterized diseases, iPSC cultures can help identify genes or
signaling pathways responsible for the disease of interest (reviewed in (Gunaseeli et al.,
2010; Bellin et al., 2012)). iPSCs are a great advantage for rare diseases where cell
culture models and mouse models don’t exist. Once the causal gene is identified, mouse
models can be generated to potentiate future research.
Another example of clinical implications of iPSCs is the generation of patient-
specific iPSC cultures. Patient-specific iPSCs can be derived from a patient’s skin and
then differentiated into any cell type in the body. By deriving iPSCs from a patient, the
differentiated cell types in culture will be syngenic to those in the patient’s body and
harbor the same mutations (reviewed in (Inoue et al., 2014)). Therefore, pharmacological
agents can be tested on the cells of interest to determine efficacy in advance of being
administered to the patient (reviewed in (Ko and Gelb, 2014)). Alternatively, if a drug is
known to be efficacious but can cause dangerous side effects, it could be tested in cell
cultures (for example on patient-specific cardiac cells) to reduce the risk to the patient
14
(Burridge and Zambidis, 2013; Scott et al., 2013). Therefore, patient-specific iPSCs have
many implications for future clinical use.
Drug screening and disease model development comprise immediate to short-term
applications of iPSCs, however many long-term possible applications also exist. One
long-term goal in the regenerative medicine field is to develop the technology to grow
organs from iPSCs for transplant into patients. These organs would have multiple benefits
over the current standard of donor organ transplant. iPSC-derived organs would be
patient matched, therefore reducing or eliminating concerns over HLA matching or tissue
rejection (reviewed in (Inoue et al., 2014)). Organs could be grown on demand on a
patient-by-patient basis. Currently organ donation programs have a severe shortage of
organs available, resulting in long patient wait times and deaths (Rosenblum et al., 2012).
Culturing organs from iPSCs could eliminate the supply shortage and provide organs to
all the patients that require them. Presently, iPSC-derived organs are in their preliminary
stages of development with researchers culturing organs in the lab for proof-of-concept
(Badylak et al., 2012). These cells are cultured in the lab for extended periods of time
leading to risks of contamination or proliferation-induced mutations due to the large
number of cells needed to populate a human organ. The next barriers will be cost and
safety to bring iPSC-derived organs to clinic.
While organ regeneration with iPSCs hold promise in the future for regenerative
therapies, targeting endogenous stem cells within a tissue has the potential to be realized
in the clinic sooner and with fewer mutagenic risks. The ability of endogenous stem cells
to proliferate and differentiate provides great potential for the development of novel
NSC-based therapies, without the risk of delivering foreign cells (Daley and Scadden,
15
2008). Drugs that are previously used in the clinic can be repurposed for other treatment,
and hold the most promise for quick translation to the clinic. For example cyclosprin A is
an immune suppression drug already used in the clinic, and found to increase NSC
survival and increase colony size in vitro and number of proliferating cells in vivo (Hunt
et al., 2010; Erlandsson et al., 2011). Metformin is another drug used extensively in the
clinic and was also found to promotes neurogenesis to increase neuron production (Wang
et al., 2012). These two drugs are early examples of pharmacological methods to
manipulate endogenous NSCs. In the fourth chapter of this thesis, I will investigate novel
methods of targeting and pharmacologically activating endogenous NSCs to increase
neurogenesis in the mouse brain.
Early Embryonic Development
Embryonic development initiates with a spermatocyte fertilizing an oocyte
resulting in a zygote (Mulnard, 1967). The zygote divides symmetrically to generate an
embryo composed of 8 cells with equal potential, which are all totipotent and have the
ability to generate an entire embryo and placenta (Rossant, 1975; Rossant, 1976; Kelly,
1977). The cells at the 8-cell stage compact before dividing to produce a 16-cell morula.
The 16-cell and 32-cell morulae contain internal cells surrounded by a larger population
of external cells, which continue to separate and will form distinct cell lineages. The
pluripotent ESCs are derived from the ICM and each of these cells if removed, could
generate an entire embryo itself but do not contribute to the placenta or yolk sac (Rossant,
1975; Rossant and Papaioannou, 1984; Nagy et al., 1990; Nagy et al., 1993). ESCs can be
expanded indefinitely in culture in the presence of leukemia inhibitory factor (LIF). Even
16
in culture, ESCs continue to express the pluripotency gene Oct4 and have a high
proliferation rate.
The embryo at the 64-cell stage (E3.5) is comprised of ESCs surrounded by an
epithelial cell layer of trophectoderm cells, which will populate the placenta (reviewed in
(Rossant, 2001). Oct4 and Sox2 are expressed in the ICM but repressed in trophectoderm
cells that express Cdx2 and Eomes (Beck et al., 1995; Hancock et al., 1999). The
developing embryo undergoes cavitation, whereby the trophoblast cells secrete fluid into
the morula to create a large internal cavity called a blastocoel, and the embryo is then
referred to as a blastocyst (Mulnard and Huygens, 1978; Fernández and Izquierdo, 1980).
During the late blastocyst stage at approximately E4.5 the ICM segregates into two cell
types, which are the epiblast and a layer of cells surrounding it called the hypoblast or
primitive endoderm. The primitive endoderm layer delaminates from the ICM and lines
the blastocoel cavity, generating the extraembryonic endoderm, which will give rise to
the yolk sac (Beck et al., 1995). The extrembryonc endoderm cells can be isolated and
grown in culture as extra-embryonic endoderm (XEN) (Kunath et al., 2005). The epiblast
will separate into an embryonic epiblast and a layer of cells that will form the amnionic
cavity, which becomes fluid-filled to protect the embryo. The epiblast, trophoblast and
XEN cells comprise the three cell types that comprise the late blastocyst of embryonic
development.
During implantation (E4.5-5.5) the trophoblast cells that surround the blastocyst
invade into the uterine epithelium. The ICM secretes factors, including FGF, that support
the trophoblast cells so that they proliferate and adhere to the uterine wall (Tanaka et al.,
1998). The chorion forms the fetal portion of the placenta and the maternal portion arises
17
from uterine epithelium and is called the decidua. The primitive streak is a transient
structure that forms from the epiblast to give the embryo polarization with the distinction
of the anterior-posterior axis (reviewed in (Rossant and Tam, 2009)). Gastrulation begins
around E6.5 and the epiblast differentiates into the three germ layers including endoderm,
mesoderm and ectoderm (Snow, 1981; Beddington, 1982). Gastrulation initiates with the
epiblast cells undergoing a transition to mesenchymal cells, which then ingress between
the epiblast and the endoderm to become incorporated into the mesoderm or definitive
endoderm (Luckett, 1978). The post-implantation mouse embryo has an egg cylinder
motif compared to other mammalian embryos. At the end of gastrulation, the three germ
layers are present but the ectoderm is within the mesoderm and endoderm. Therefore, the
embryo must turn and bring the ectoderm to the outside of the embryo and the endoderm
inside to anatomically orient the embryo. This leaves the embryo oriented properly for
development with all three germ layer present.
Neural Induction in the Embryo
Neural induction occurs at approximately E7.5 when the ectoderm becomes
specified into neural and epidermal cells. The neural plate is the first primordial brain
structure to arise and it goes on to form a polarized, pseudostraified epithelium of
ectoderm. Initial theories suggested that neural cells were induced by a positive induction
signal, however it became clear in subsequent studies that neural specification of
ectoderm occurs through a default mechanism in the absence of extrinsic signals.
Ectodermal cells cultured at low density led to many cells expressing neural genes and
forming neural cell structure (Godsave and Slack, 1989; Sato and Sargent, 1989).
18
However, in vivo this neural default is regulated by inhibitor molecules including bone
morphogenic protein (BMP) (Smith and Harland, 1992; Lamb et al., 1993; Sasai et al.,
1994). Inhibition of BMP enables ectodermal cells to become neural (Hemmati-Brivanlou
and Melton, 1994; Hemmati-Brivanlou and Melton, 1997). Other signaling factors
including FGF and Wnt signaling are involved, but appear to function via downstream
BMP inhibition (Linker and Stern, 2004). Transforming growth factor (TGFß) signaling
is high in non-neural primordial regions of the developing embryo (de Sousa Lopes et al.,
2003; Yang et al., 2006). Loss of TGFß signaling causes neural tissue development,
suggesting that TGFß is involved in inhibiting the neural default (Camus et al., 2006).
Together, this suggests a common mechanism with the differentiation of pNSCs from
ESCs in vitro (Tropepe et al., 2001; Smukler et al., 2006).
Neurulation generates the neural tube from the neural plate starting at E8 in
mouse development. Before beginning to fold, the neural plate changes shape to become
more elongated with a broader rostral region and narrower caudal region. Neural tube
closure begins at the six to seven somite stage in mice (~E8.5) with the neural folds
closing at the hindbrain/cervical boundary then extending rostrally and caudally, finishing
by E10 (reviewed in (Copp et al., 2003)). Rostrally the neural tube folds from the median
hinge point whereas caudally it folds from the dorsolateral hinge point, mediated by
Sonic hedgehog signaling (Ybot-Gonzalez et al., 2002). After closing, the neural folds
fuse together via cell protrusions that interact to form adhesions to create the neural tube.
Apoptosis disrupts the connection between the surface ectoderm and the neural ectoderm
leaving the neural tube independent, at which point it becomes covered by a layer of
neuroectoderm. The neural tube is the embryonic precursor of the central nervous system.
19
Radial Glia in the Embryo
Radial glia (RG) arise from neuroepithelial cells before neurogenesis begins and
are responsible for building the layers in the cerebral cortex. The relationship between
NSCs and RG remains unclear, and interesting to investigate, although not addressed in
this thesis (discussed in future directions). RG are bipolar with the apical foot of its long
cellular process contacting the ventricle and a basal foot reaching out to the pial surface.
RG express many astrocyte markers including RC1, RC2, vimentin, nestin, and GLAST
(reviewed in (Bonfanti and Peretto, 2007). These immature glial cells guide neuronal
migration and act as scaffolding to escort newborn neural progeny from the ventricular
zone out to the cortical layers. Cortical layers II-VI are generated in an inside-out fashion,
with the inner cerebral layers populated first and then the cells populating the outer layers
migrate out through the previous layers to the tissue exterior to build the brain (reviewed
in (Kriegstein et al., 2006)).
RG undergo interkinetic nuclear migration (INM), whereby the nucleus travels a
long distance along the cellular process back to the ventricle to undergo division and then
migrates cortically between cell divisions (Misson et al., 1988). Newborn neurons
migrate along columns of clonally related RG out towards the cerebral cortex (Noctor et
al., 2001). RG divide both symmetrically and asymmetrically depending on the stage of
division. Early in embryonic development, they divide symmetrically to expand their
population and both daughters maintain contact with the ventricle to act as embryonic
NSCs and give rise to neural progeny. Later, RG divide asymmetrically with only one
cell maintaining the RG phenotype and remaining in contact with the ventricle while the
20
other is an intermediate progenitor that migrates away along the process (Kriegstein et al.,
2006). These progenitors populate the cortex and generate all the cortical layers in a
mainly inside-out fashion.
As development progresses and RG are no longer required, they become detached
from the ventricular surface and move towards the cortex via somal translocation. Once
removed from the ventricle, RG differentiate into astrocytes (Chanas-Sacre et al., 2000;
Noctor et al., 2008). It has been suggested that adult dNSCs arise from a subpopulation of
RG that persist into the adult brain (Merkle et al., 2004). Therefore, the exact fate of
embryonic RG and their relation to the NSC lineage remains unresolved.
Emergence of Primitive and Definitive NSC Populations
Embryonic pNSCs can be isolated as early as E5.5 during the egg cylinder stage
of embryonic development (Hitoshi et al., 2004). Embryonic-derived pNSCs express the
pluripotency gene Oct4 (Tropepe et al., 2001). In addition, they can integrate into the
ICM of a developing embryo when cultured with a morula in an aggregation experiment
and pNSCs can contribute to non-neural tissue development (Tropepe et al., 2001;
Hitoshi et al., 2004; Karpowicz et al., 2007). These observations that pNSCs seem to be
less restricted to the neural fate as compared to dNSCs led to their naming as primitive
NSCs due to their incomplete neural commitment. The term primitive has previously
been used to describe a stem cell that is predominantly tissue-restricted, but has limited
amounts of pluripotency (Morrison et al., 1997). Together, pNSCs exhibit indicators of
pluripotency not exhibited by definitive NSCs.
21
pNSCs are a small cell population that were previously thought to peak early in
development and decline in abundance between E7.5-8.5 (Hitoshi et al., 2004). It was
incorrectly concluded that the decline in abundance meant that pNSCs are only present
embryonically (Hitoshi et al., 2004). However, as I will go on to report in this thesis,
pNSCs persist in the adult brain as rare, Oct4-expressing cells that are upstream and able
to repopulate dNSCs.
dNSCs appear between E7.5-8.5 in the neuroectoderm and unlike pNSCs, do not
express the pluripotency gene Oct4 (Hitoshi et al., 2004). Notch signaling is required for
the differentiation of pNSCs to dNSCs and to maintain dNSCs (Hitoshi et al., 2004).
Oct4 suppression is essential to generate dNSCs, likely to enable pNSCs to differentiate
into or divide to give rise to dNSCs (Akamatsu et al., 2009). Germ cell nuclear factor
(GCNF) is an Oct4 transcriptional repressor that is expressed in the embryo by E6.5,
continues to be expressed in the neuroepithelium at E8.5, and is restricted to the germ cell
lineage by E9.5 (Chung and Cooney, 2003; Lan et al., 2003). GCNF expression
suppressed Oct4 and mice that are GCNF-/- continue to express Oct4 in the
neuroepithelium at E8.5, when it is suppressed in wildtype mice (Akamatsu et al., 2009).
GCNF-/- mice do not experience a depletion of pNSC-derived neurospheres between
E5.5-8.5, and instead give rise to an increased number of pNSC-derived neurospheres at
E8.5. In addition, GCNF-/- brains give rise to fewer dNSC-derived neurospheres than
wildtype controls at E8.5 (Akamatsu et al., 2009). pNSC-derived neurospheres from
GCNF-/- mice showed increased self-renewal with maintained Oct4 expression and gave
rise to more secondary neurospheres when passaged back into leukemia inhibitory factor
(LIF) conditions, but a reduced number of secondary neurospheres when passaged into
22
FGF to generate dNSCs (Akamatsu et al., 2009). Together, these GCNF experiments
elucidate that Oct4 repression is a key component for pNSCs to generate dNSCs and
supports that Oct4 expression is unique to pNSCs. I will investigate Oct4 expression in
adult pNSCs in chapter 2, and after identifying that adult pNSCs continue to express
Oct4, I will investigate whether they depend on its expression in chapter 3.
The dNSCs that arise first at E7.5-8.5 are basic fibroblast growth factor (FGF)-
dependent (Fig. 1A) (Tropepe et al., 1999; Karpowicz et al., 2007). Later in development,
another population of dNSCs arises at E8.5 that are epidermal growth factor (EGF)-
dependent (Karpowicz et al., 2007). The FGF-dependent dNSCs give rise to the EGF-
dependent NSCs at E12.5, and these are distinct cell populations in the developing
embryo (Fig. 1A). The addition of both EGF and FGF (and heparin) to culture media
(termed EFH) gives rise to an additive number of dNSCs as compared to EGF or FGF
alone from the E14.5 embryo (Tropepe et al., 1999). However, it appears that dNSCs
become sensitive to both mitogens as development progresses and adult dNSCs are
cultured in EFH conditions. The adult neural stem cell lineage and the discovery of
pNSCs in the adult neural lineage will be the focus of this thesis and introduced later (Fig
1B,C).
Perinatal Neurogenesis
Neurogenesis in the embryo proceeds through waves of generating predominantly
a single cell type. Neurons are the first differentiated cell type born in the brain and arise
early in embryonic development at around E10 (reviewed in (Finlay and Darlington,
1995). Astrocytes begin to appear immediately after birth, between postnatal day (P)0-7.
23
Oligodendrogenesis occurs last between P7-14. The birth of one cell type at a time might
suggest that independent progenitors are responsible for production of each cell type or
that the niche acts on and influences the fate of the neural stem or progenitor cells (will
be referred to as neural precursor cells, NPCs). Interestingly, dNSCs isolated in the
neurosphere assay peak perinatally (Hitoshi et al., 2004), which might reflect their heavy
participation in perinatal neurogenesis. In chapter 4, I investigate the perinatal abundance
of pNSCs and whether pup-derived pNSCs differ from adult-derived pNSCs. In the
discussion I will address possible implications for their involvement in populating the
brain.
Adult Neural Stem Cell Discovery
The adult mammalian brain was thought to be post-mitotic without any ability to
generate new neurons after development. This belief was held long after hematopoietic
stem cells (HSCs) were identified and accepted by the scientific community (Till and
McCulloch, 1961; Spangrude et al., 1988; Capel et al., 1990; Smith et al., 1991). The
dogma was that since the adult brain was thought to be incapable of incorporating
newborn neurons into existing circuits, it would not require stem cells. In addition, since
brain development proceeds chronologically via waves of neurogenesis, astrogenesis,
then oligodendrogenesis, it was postulated that a distinct progenitor was responsible for
the generation of each cell type and that those progenitors did not persist after their cell
type was populated (Gage et al., 1995).
This dogma that the brain is fixed and all of its cells are post-mitotic persisted for
many years. Proliferating cells in the adult brain were first reported in 1961, coincident
24
Figure. 1
25
Figure. 1. Adult pNSCs give rise to dNSCs in the adult mouse brain, similar to the
lineage in embryonic development. A. Emergence of the NSC lineage in the developing
embryo. LIF-dependent pNSCs fist appear at E5.5, FGF-dependent dNSCs arise at E8.5
and definitive EGF-dependent dNSCs appear last in development at E12.5 (Tropepe et
al., 1999; Karpowicz et al., 2007). B. The currently accepted adult NSC lineage. Adult
dNSCs proliferate slowly and give rise to TA cells, which divide to generate neuroblasts.
Neuroblasts migrate away from the NSC niche along the RMS and differentiate into
functional neurons in the olfactory bulb. C. Adult NSC lineage proposed in this thesis.
pNSCs persist into the adult mouse brain and give rise to dNSCs through the life of the
animal.
26
with the identification of colony forming units in the spleen. This first report of dividing
cells in the adult brain was by Smart who observed that thymidine-H3 was incorporated
into the subependyma of the adult mouse brain (Smart, 1961). Further, Smart
demonstrated that neuroglia in the subependyma incorporated thymidine-H3 and
underwent division (Smart, 1961). Soon after, Joseph Altman injected thymidine-H3 into
the rats with a needle-induced lesion and reported newborn glia and neurons in the brain
after injury (1962). In addition, thymidine-H3 labeled cells were observed in regions
distant from the injury, suggesting non-injury related proliferation in the adult brain
(Altman, 1962). Subsequently, electron microscopy visualized postnatally generated
neurons in the olfactory bulb and hippocampus (Kaplan and Hinds, 1977). Despite these
early reports, the concept of neurogenesis in the adult brain was at first dismissed and not
accepted by the scientific community.
While we now know early reports of cellular division in the adult brain are indeed
true, it was the behavioural data from songbirds that succeeded in shifting hypotheses on
adult neurogenesis. The ability of adult songbirds to learn new songs from year to year to
attract new mates suggested the possibility that new neural circuits were being
established. Furthermore, newborn neurons were observed in the higher vocal center, a
brain region associated with song learning (Goldman and Nottebohm, 1983; Alvarez-
Buylla et al., 1988). These studies used thymidine-H3 and retrograde fluorogold uptake to
determine the birthday of neurons in the vocal center, where it was surprisingly observed
that forebrain neurons were produced postnatally (Alvarez-Buylla et al., 1988).
Interestingly, neurons continued to be born after 8 months of age in songbirds, despite
that the vocal center overall volume stopped increasing (Alvarez-Buylla et al., 1988).
27
These new observations suggesting neural turnover and integration of newborn neurons
into the vocal center indicated that brain circuitry may be more plastic than previously
thought. While these pivotal studies led the field towards adult neurogenesis, more recent
studies have cast doubt on the link between newborn neurons in adulthood and new song
learning (Walton et al., 2012). Nonetheless, neurogenesis persists throughout the lifetime
of birds that do or do not learn new songs, and newborn neurons in the high vocal centre
into adulthood and continue to provide evidence adult neurogenesis.
Neural Stem Cell Isolation
The ability to grow and maintain NSCs in culture was a crucial step towards
characterizing NSCs in the brain. NSCs were first isolated and cultured by Reynolds and
Weiss (1992). They isolated tissue from the striatal region, including the walls of the
lateral ventricle, in adult mice and observed that rare cells generated free-floating
colonies when grown in culture with EGF and FGF. These colonies were comprised of
relatively undifferentiated cells that stained for the filamentous protein nestin (Reynolds
and Weiss, 1992). Another group also isolated neural precursors from the adult mouse
brain that proliferated in culture (Richards et al., 1992). These reports confirmed that
NSCs could be isolated from the adult mammalian brain and propagated in culture.
This marked the emergence of the neurosphere assay, whereby one NSC proliferates in
culture to generate a clonal neurosphere that is derived from a single cell.
Culturing NSCs enabled the discovery of NSC characteristics and testing of their
intrinsic potential outside of their niche. The proliferation of NSCs as described by
Reynolds and Weiss is dependent on mitogens, and yields colonies later termed
28
neurospheres that were determined to originate from a single cell (Reynolds and Weiss,
1992). Mixed cultures of GFP-labeled and RFP-labeled cells indicated that primary cells
must be plated at 10 cells/µl and left untouched during their culture period to generate
clonal, non-mixed, neurospheres (Coles-Takabe et al., 2008). The ability of a single stem
cell to give rise to a clonal colony demonstrates the proliferative capacity of stem cells.
Then, each individual colony can be passaged by dissociation to give rise to additional
neurospheres to demonstrate the critical stem cell criterion of self-renewal (Reynolds and
Weiss, 1996). A clonally-derived neurosphere can be plated in adherent culture
conditions in the presence of fetal bovine serum (FBS) and differentiated to determine
whether the cell of origin was multipotential, the final criterion to identify a stem cell.
The neurospheres isolated from the striatal region of the brain by Reynolds and Weiss
were able to generate neurons, astrocytes and oligodendrocytes (Reynolds and Weiss,
1996). These early studies to identify NSCs and develop a method of culturing them have
paved the way for the NSC field.
pNSCs and dNSCs are very different stem cell populations based on many
criteria, as will be discussed in this thesis, including their cell culture conditions and
neurosphere phenotype. All neurospheres are cultured in serum free media, but pNSCs
are grown in the presence of LIF whereas dNSCs are grown in EFH conditions. dNSCs
proliferate in the neurosphere assay to EFH neurospheres. In addition to cell culture
conditions, pNSC-derived and dNSC-derived neurospheres differ in appearance. pNSC-
derived neurospheres are very adherent and are between 50-100 µm in diameter whereas
dNSCs are less compact and larger at 100-200 µm in diameter. Both pNSCs and dNSCs
self-renew and are multipotential, but differ in phenotype and the proportion of neurons,
29
astrocytes and oligodendrocytes they generate when differentiated. In this thesis I will
investigate the differences between pNSC-derived neurospheres and dNSC-derived
neurospheres.
Adult Neurogenesis in the Periventricular Region
dNSCs are located in the subependyma and comprise just 0.2-0.4% of the
subependymal population (Morshead et al., 1994; Morshead et al., 1998) (Fig. 2A). These
dNSCs are responsible for and capable of repopulating the neural lineage after ablations
of downstream dividing neural cells (Morshead, 1994; Doetsch et al., 1999). dNSCs are
label-retaining and if labeled with BrdU or thymidine-H3 were identified a month later in
the periventricular region having retained their label (Doetsch et al., 1999). A defining
feature of dNSCs, although not unique to dNSCs, is GFAP expression (Doetsch et al.,
1999; Morshead et al., 2003). GFAP expression in dNSCs, while pNSCs are GFAP–, led
to the discovery of pNSCs in chapter 2 and is essential to the basis of this thesis.
Mice with Herpes Simplex Virus thymidine kinase expression driven by the
GFAP promoter (GFAP-tk) were used to selectively eliminate dividing GFAP-expressing
cells when ganciclovir (GCV) is administered (Bush et al., 1998). This mouse strain
utilizes a thymidine kinase of the herpes simplex virus transgene to phosphorylate GCV
and retain it in GFAP+ cells. When GCV is retained it is metabolized to toxic nucleotide
analogs, which interrupt nucleic acid synthesis and induce cell death in any infected cell
that undergoes mitosis. When GCV was infused into the brains of GFAP-tk mice or
added to neurosphere cultures derived from GFAP-tk mice, dNSC-derived neurospheres
30
were lost (Morshead et al., 2003). This kill paradigm is proliferation-specific and
eliminates all dividing GFAP-expressing cells, therefore all dNSCs.
Downstream of dNSCs are constitutively proliferating cells that comprise a larger
population and are approximately 10% of the subependymal cells (Morshead and van der
Kooy, 1992). These constitutively proliferating cells, also known as transit amplifying
(TA) cells, were shown to arise from dNSCs based on replication-incompetent
retroviruses (Doetsch et al., 1999). These cells are responsible for expanding the pool of
neural progenitors to ensure that newborn neurons are available when needed. TA cells
have a cell cycle time of approximately 12.7 hours (Morshead and van der Kooy, 1992).
However, while these cell divisions are symmetric expansions to increase the number of
progenitors, many of the newborn cells will undergo cell death. Approximately 60% of
newborn constitutively proliferating cells undergo apoptosis, 25% migrate along the
rostral migratory stream to the olfactory bulb, and just 15% remain in the supendyma
(measured after 6 days). The cells that remain in the periventricular region persist for 15
days (Morshead et al., 1998).
TA cells differentiate to generate neuroblasts, which are the cells that leave the
periventricular region to migrate away from the niche (Doetsch and Alvarez-Buylla,
1996). To identify the downstream progenitors that migrate, dNSCs were activated to
proliferate with AraC infusion and then infected with retrovirus. While after short
survival times only GFAP-expressing NSCs were labeled, after 5-6 days chains of labeled
migrating neuroblasts were present (Doetsch et al., 1999). Neuroblasts migrate along
chains of polysialylated NCAM (PSA-NCAM) to reach the olfactory bulb.
Transplantation and thymidine-H3 experiments indicated that cells in the periventricular
31
region migrate anteriorly along the RMS to the olfactory bulb where they differentiate
into GABAergic granule periglomerular cells (Lois and Alvarez-Buylla, 1994). Newborn
neurons arrive in the olfactory bulb within a week and then take up to a week to
differentiate into mature neurons. Integration of newborn neurons into the neural circuit
indicates the turnover that persists in the mature mammalian brain. The NSC niche is
summarized in Figure 2.
Architecture of the NSC Niche
As development progresses, NSCs move away from the ventricle into the
subependymal zone (SEZ). NSCs become separated from the ventricle by a layer of
ependymal cells that are ciliated and in contact with the cerebrospinal fluid (CSF).
Ependymal cells arise from NSCs between E14-16 but do not mature and extend their
cilia until after birth (Spassky et al., 2005). The coordinated beating of ependymal cilia
creates the current of CSF and directs its flow through the ventricles (Worthington and
Cathcart, 1963; Cathcart and Worthington, 1964).
Some groups have reported that ependymal cells divide and function as the NSCs
of the adult brain since they are located in the position of the embryonic RG. An
experiment whereby DiI was injected into the lateral ventricle labeled neurosphere-
initiating cells (Johansson et al., 1999). It was incorrectly concluded that neurospheres
must be ependymal-derived since DiI was injected into the CSF and only ependymal cells
would have access to the DiI to incorporate it. However, it became clear that
subependymal cells likely took up the DiI label through a basal process (Mirzadeh et al.,
2008), thus the labeling was non-specific. dNSCs have a cellular process that extends
32
Figure 2.
33
Figure 2. The NSC niche. A. Schematic of a coronal section of the mouse brain. NSCs
reside within the subependyma lining the lateral ventricles (shown in purple). Adapted
from Morshead et al., (1992). B. NSCs reside within the SEZ of the lateral ventricles.
dNSCs are separated from the ventricle by an ependymal layer (E), but maintain a basal
process that extends into the CSF to receive signals. dNSCs give rise to transit amplifying
(TA) cells that go on to generate neuroblasts (N), which migrate away from the niche.
Many astrocyte-like cells populate the niche (A).
34
from the cell body in the subependyma out to the lateral ventricle (Mirzadeh et al.,
2008), to respond to signaling molecules in the CSF and thus took up the thymidine-H3
label. Despite the initially conflicting report of NSCs being ependymal, ependymal cells
were confirmed to not have NSC potential as isolated ependymal tissue could not form
self-renewing colonies (Chiasson et al., 1999; Laywell et al., 2000; Spassky et al., 2005).
Ependymal spheres grew in the absence of mitogens and did not show stem cell
characteristics as they cannot be passaged and did not give rise to neurons (Chiasson et
al., 1999). However, the debate continued and other groups continued to report that
ependymal cells were NSCs despite the inability to meet stem cell criteria (Coskun et al.,
2008). This ependymal debate reinforces the importance of strict stem cell criteria as a
prerequisite when studying the NSC lineage. As I will discuss in the second chapter,
pNSCs meet the rigorous stem cell tests and thus are true stem cells.
dNSCs are most likely to reside in the anterior ventral and posterior dorsal regions
of the lateral wall of the ventricle (Mirzadeh et al., 2008). Cells isolated from these
regions gave rise to the largest neural clones, suggesting that these two regions include
dNSCs. The dorsolateral corner of the lateral ventricle is the site of the highest level of
proliferation and is home to TA cells (Morshead and van der Kooy, 1992). This corner
had the highest amount of BrdU incorporation with up to 33% of dorsolateral cells taking
up the proliferation label during 14 h of injections. The RMS pinches off from the
dorsolateral corner and generates chains of newborn neuroblasts that migrate away from
the niche to the olfactory bulb (Doetsch et al., 1997).
The surface of the lateral wall of the lateral ventricle is a series of ependymal cells
organized into pinwheels with the apical process of dNSCs extending through the center
35
of the pinwheel to the ventricular space (Mirzadeh et al., 2008). The process is in direct
contact with the CSF. This provides dNSCs with direct contact to signaling molecules
circulating in the CSF and enables them to respond to their environment. These apical
endfeet express vascular cell adhesion molecule (VCAM) (Kokovay et al., 2012). Loss of
VCAM expression leads to disruption of the niche, with loss of pinwheel structure, and
dNSCs proliferate but deplete their population (Kokovay et al., 2012). In addition, dNSCs
have a longer basal process that extends in the opposite direction of the ventricle and
contacts a blood vessel (Mirzadeh et al., 2008). This positions dNSCs to receive
environmental cues from both the CSF and the circulating blood, and is essential to their
ability to respond to their environment to maintain the neurogenic niche. This pinwheel
architecture was not observed, nor were the apical process of dNSCs reported, on the
medial wall (Mirzadeh et al., 2008), despite the fact that dNSC-derived neurospheres are
commonly isolated from this location. It remains unclear whether the medial wall derived
dNSCs have any phenotypic differences to lateral wall dNSCs.
Neurogenesis in the Hippocampus
Neurogenesis in the adult mouse brain is also reported in the dentate gyrus of the
hippocampus. During embryonic development, the cornu ammon and the dentate gyrus of
the hippocampus are populated by neurons that migrate from the neurogenic zone lining
the lateral ventricles. The dentate gyrus forms around E14 from the neuroepithelium as
cells migrate along RG toward the pial surface and form the ‘V’-shaped structure
(Altman and Bayer, 1990; Pleasure et al., 2000). As the hippocampus develops it seals off
the ventricle dorsally but remains in close contact with the lateral ventricle. Within the
36
dentate gyrus, cells proliferate to give rise to newborn granule neurons that integrate into
the granule layer of the hippocampus.
Hippocampal neurogenesis has been described in many mammals including the
mouse, rat, non-human primates, and humans. However, the presence of a true
hippocampal NSC in the adult brain remains under debate. Hippocampal NSCs do not
self-renew and hence cannot be classified a stem cell (Clarke and van der Kooy, 2011).
Hippocampal cultures are often contaminated with periventricular NSCs due to dissection
techniques that do not sufficiently exclude the nearby lateral ventricle tissue (Walker et
al., 2008; Bonaguidi et al., 2008). The posterior lateral ventricle touches the exterior of
the hippocampus and thus is difficult to remove from dissected dentate gyrus tissue.
Clarke et al., demonstrated that hippocampal NSCs only self-renew when cultured on an
embryonic cortical tissue explant (2011). This suggests that hippocampal neurogenesis is
supported by progenitors that maintain the ability to self-renew only perinatally, and lose
this ability in the adult (Seaberg and van der Kooy, 2002; Chechneva et al., 2005; Clarke
and van der Kooy, 2011). On the other hand, other groups have reported that
hippocampal NSCs do persist in the adult mouse brain (Parent et al., 1997; Eriksson et
al., 1998; Kukekov et al., 1999; Palmer et al., 1997; Mignone et al., 2004; Suh et al.,
2007; Gould, 2007; Lugert et al., 2010; Song et al., 2012). Due to the debate surrounding
NSCs in the hippocampus, this thesis will refer to hippocampal NPCs.
Sox2 is commonly used as a NPC marker and labeled a population of adult
hippocampal cells that give rise to both neurons and astrocytes in vivo (Suh et al., 2007).
In addition, these hippocampal precursors are activated in response to mitotic signals to
generate more downstream progenitors (Suh et al., 2007). Other groups have also
37
reported a hippocampal precursor that is Sox2+ and responds to exercise and epileptic
activity via Notch activity (Lugert et al., 2010). Quiescent hippocampal NPCs have been
reported that are nestin+ and RG-like (Song et al., 2012), and were reported to comprise
1% of the adult granule neuron population (Lagace et al., 2007). However, hippocampal
NPCs were observed to decrease with age (Encinas et al., 2011), which contrasts with the
stem cell criterion of self-renewal. Aside from the debate over self-renewal, hippocampal
precursors have many similarities to periventricular NSCs in the proteins they express
including Sox2, GFAP, nestin, and vimentin (Kempermann et al., 2004; Kriegstein and
Alvarez-Buylla, 2009) reviewed in (Suh et al., 2009). Subependymal dNSC and pNSC
markers will be discussed further in the fourth chapter of this thesis.
Increasing Cortex Size with the Outersubventricular Zone
A large question in the scientific field is how the large mammalian brain forms.
The relative brain size compared to body size is 15-fold higher in humans compared to
mice, and this increase is predominantly accounted for by an expanded cerebral cortex
(Finlay and Darlington, 1995). The size of the neocortex in humans is approximately
1000-fold larger than the mouse brain, with approximately 16 billion neurons (reviewed
in (Florio and Huttner, 2014)). The predominant architectural difference in animals with a
large neocortex is the presence of an outersubventricular zone, composed of outer RG
cells (Smart, 1961; Zecevic et al., 2005). The large numbers of cells needed to populate
the cerebral cortex are generated via outer RG cells in the outersubventricular zone, a
highly mitotic region apical of the subventricular zone that is only present in mammals,
predominantly primates, with large cortices. The outersubventricular zone is much
38
greater in size than the ventricular zone, and at gestational week 15 in the human
embryonic development accounts for 75% of neurogenic proliferation (Zecevic et al.,
2005). The cortex forms in an inside-out fashion with newborn cells migrating through
existing cell layers to populate the outer regions of the cortex (reviewed in (Kriegstein et
al., 2006). In this model, the inner layer (layer VI) is populated first and the outer cells
(layer II) of the cortex form last. In these higher order mammals, outer RG are
responsible for generating the progenitors that populate the neocortexes.
Interestingly, the outersubventricular zone is present in animals with and without
gyrification. It is hypothesized that gyrification emerged early in evolution and is actually
present in all major mammalian families and not solely in primates. Gyrification evolved
early in mammal evolution and lissencephaly emerged secondarily (Kelava et al., 2012;
Reillo and Borrell, 2012). The Radial Unit hypothesis proposed that cortical size is
dependent on the number of cortical radial units, thus the number of RG present.
However, while the gyrated brain has a higher abundance of RG, they are not the sole
mechanism responsible for gyrification. The abundance of outer RG does not predict the
amount of gyrification, thus sufficient outer RG may be a prerequisite but alone not
sufficient (Chenn and Walsh, 2002; Kelava et al., 2012). In addition to RG, other cells
that populate the cortex arise from ventral regions including the medial ganglionic
eminence and lateral ganglionic eminence. Another hypothesis proposed that bigger
brains in primates results from increased progenitor activity, but again progenitor
overproduction is not sufficient (Nonaka-Kinoshita et al., 2013). Possible mechanisms for
this increased proliferation include pseudostratification of the progenitor layer to increase
the population, and increase in symmetric expansion divisions (Fish et al., 2008).
39
Therefore, while the abundance of outer RG and their intermediate progenitors remain
essential to the development of large cortexes, the interplay of other components are also
involved. The expansion of the cerebral cortex is likely dependent on multiple features of
outer RG within the outersubventricular zone.
Similar periventricular architecture is observed in the primate brain as the rodent
brain. The primate brain is organized into a three-layer niche around the lateral ventricles
with an ependymal, hypocellular and astrocytic layer. A similar RMS structure exists,
composed of migrating neuroblasts. BrdU incorporation labeled neuroblasts that leave the
periventricular region and migrate to the olfactory bulb (Kornack and Rakic, 2001). Outer
RG cells are PAX6+, Sox2+ and highly proliferative, similar to RG in mouse development
(Hansen et al., 2010). The cells in the outersubventricular zone show high proliferation
and cell cycle reentry to mediate cortex growth (Lukaszewicz et al., 2005).
Different than subventricular RG, outer RG undergo mitotic somal translocation
(MST) rather than interkinetic nuclear migration. In MST the outer RG cell soma travels
along the basal fiber towards the cortex before undergoing cytokinesis (Hansen et al.,
2010). Despite maintaining a long cellular apical process, the outer RG apical process
lacks direct contact with the ventricle (Fietz et al., 2010; Hansen et al., 2010). Outer RG
cells divide with a horizontal cleavage plane with the basal daughter retaining the basal
fiber and the outer RG phenotype and the apical daughter becoming radially bipolar. The
outer RG moves towards the cortical plate with each division, continuously expanding the
outersubventricular zone (Hansen et al., 2010). The apical, non-RG daughter also
continues to proliferate, contributing to the large amount of cell production. Outer RG
give rise to both intermediate progenitors to expand the population as well as directly to
40
neuroblasts (Gertz et al., 2014). Together, the high amount of proliferation in both outer
RG and their progeny serves to rapidly expand the pool of newborn neuroblasts that
migrate away to populate the large cerebral cortex in mammals.
The evolution of the mammalian neocortex has been attributed to differences in
the size and cell types in the germinal zone, leading to increased cortical surface area.
Outer RG appear to be essential to build the large cerebral cortex, however, it remains
unclear if other cell types are present and involved in neocortical development. Although
not within the scope of this thesis, it remains to be determined if pNSCs are present in the
gyrificated brain and if so whether they exhibit any differences from pNSCs in the mouse
brain. Human ESCs in culture are not LIF-dependent and preliminary attempts to derive
pNSCs from human ESCs in culture suggested neural identity was closer to ESCs in
maintenance conditions (Chaddah et al., 2012). However, ‘naive’ ESCs are LIF-
dependent and may be able to generate human pNSCs (Hanna et al., 2010). This thesis
will focus on pNSCs in the perinatal and adult mouse brain, leaving aside the embryonic
brain and human brain for future studies.
Human Neurogenesis
Human neurogenesis is very difficult to study due to the obvious difficulties in
reaching a cell population in the middle of the brain of a living human. Experiments are
limited to using postmortem tissue or tissue isolated from brain regions during surgical
procedures, which usually implies that the region is tumorigenic (reviewed in
(Kempermann, 2013)). Other studies have investigated neurogenesis with proliferation
assays to take advantage of drugs delivered for other medical purposes, for example
41
during cancer treatment, or radioactive labeling induced by a radioactive exposure, for
example after an atomic bomb or nuclear plant meltdown (Kreisel, 1995; Souchkevitch,
1996; Bhardwaj et al., 2006; Kempermann, 2013). The radioactive labeling is
incorporated into proliferating cells and provides insight into neurogenesis in the human
brain.
The adult human brain is similar to the mouse in that it has an astrocytic ribbon in
the periventricular region separated by a layer of ependymal cells from the lateral
ventricle (Sanai et al., 2004). Again similar to the mouse, neurosphere-forming cells are
enriched in the rostral region of the ventricles. These human NSC-derived neurospheres
self-renewed and were multipotential, generating predominantly astrocytes again similar
to mouse dNSCs. Human HSCs were not isolated from any other brain regions, including
the other ventricles (Sanai et al., 2004).
Despite the many apparent similarities between mouse and human NSCs, the
scientific community continues to debate human migrating neuroblasts in vivo. Groups
have reported the absence of chains of migrating neuroblasts towards the olfactory bulb
in the human (Sinai et al., 2004). While other groups have observed a human RMS with
BrdU incorporating neuroblasts (Curtis et al., 2007). In addition, chains of migrating
neuroblasts have been reported in human infants under 18 months of age and becoming
reduced through childhood and absent in the adult (Sanai et al., 2011). It remains
unresolved whether a mouse-like RMS is present in the human brain. The implications of
this finding remains unclear as there is strong evidence that human NSCs persist in the
adult brain, but their contribution remains to be determined. The scientific debate over the
contribution of adult human NSCs continues, but is not addressed in this thesis.
42
Stem Cell Quiescence
Self-renewal of a stem cell to maintain itself through the life of an organism is a
key criterion for classification of a stem cell. A stem cell may not proliferate throughout
the lifetime of the animal during normal tissue homeostasis, but it must maintain the
ability to proliferate as needed. Quiescence of stem cells and their ability to become
activated when need is essential for tissue maintenance, function, and regeneration
(reviewed in (Li et al., 2010)). Quiescence is actively maintained through a balance of
cell signals that include epigenetic, transcription and post-transcription modifications
(reviewed in (Cheung and Rando, 2013). To protect the stem cell population, cells may
proliferate less to prevent against stem cell exhaustion or to reduce their exposure to
replication-induced mutations. Stem cells depend on their intermediate progenitors to
proliferate and expand the pool of undifferentiated cells to meet the tissue’s needs. For
example, in the adult brain dNSCs proliferate slowly and their progeny, TA cells,
proliferate quickly (cell cycle times estimated at 15 days vs. 12.7 h) to expand the pool of
cells that can migrate away from the niche (Morshead et al., 1994; Morshead et al.,
1998).
From an evolutionary standpoint, reduced proliferation of stem cells with age may
have come about for multiple reasons. Possibly, cells go quiescent with age to protect
against proliferative exhaustion or they may limit their proliferation to prevent against
replication-dependent mutations (reviewed in (Wang and Dick, 2005; Orford and
Scadden, 2008)). Stem cells have the added risk that if they do undergo a mutation and
become cancerous they are more likely to form tumours, since they are already long-lived
43
cells that proliferate. Therefore, it would be beneficial to the organism to have reduced
stem cell proliferation with age to reduce the likelihood of a stem cell becoming
tumorigenic and harmful to the animal (Cheung and Rando 2013). While detrimental to a
tissue in need of regeneration in the short-term, controlled stem cell proliferation would
be advantageous to the organism’s lifespan and thus potential to reproduce in the long-
term.
NSC cycle times are difficult to determine on a population basis with the limited
cell surface markers and the techniques available to prospectively identify stem cells. The
best estimates predict that dNSCs have a cell cycle time of 15 days (Morshead et al.,
1998). This is based on the life span of the constitutively proliferating cells if dNSCs
divide at a rate of 1:1 to repopulate them. However, TA cells that work to expand the
pool of progenitors derived from NSCs may enable dNSCs to divide less frequently and
rely on the TA cells to repopulate the lineage (Morshead et al., 1998). TA cells have a
cell cycle time of 12.7 h based on BrdU incorporation (Morshead and van der Kooy,
1992). This large discrepancy between cell cycle times of cells separated by just one
hierarchal level suggests a mechanism exists whereby NSCs maintain low levels of
proliferation that is compensated for by their direct progeny. Further analysis of dNSC
cell cycle time, in addition to pNSC cell cycle time, will be discussed in the third
chapter of this thesis.
Other tissues maintain similar organizations whereby cells at the top of the
hierarchy proliferate slowly and their progeny expand the population to maintain a large
pool of progenitors. For example in the blood system, populations of long-term HSCs
proliferate very slowly and are estimated to divide only once every 5 months (Wilson et
44
al., 2008; Foudi et al., 2009). Long-term HSCs are quiescent under baseline conditions
and activated to proliferate in response to ablation paradigms that kill their downstream
proliferating cells (Wilson et al., 2008). These quiescent HSCs are the cells responsible
for repopulating the entire blood lineage when transplanted into an irradiated mouse
(Morrison and Weissman, 1994; Cheshier et al., 1999; Trevisan et al., 1996; Benveniste
et al., 2003). Immediately after irradiation, downstream proliferating cells are needed for
the mouse to survive the initial loss of all their blood cells, but only long-term HSCs can
engraft and repopulate the bone marrow long-term (Benveniste et al., 2010). Therefore,
the blood system is a stem cell model whereby an upstream quiescent stem cell divides
rarely and depends on the downstream cells to maintain the population, except in
response to injury or in a transplant model.
Despite the long-term survival advantage for a cell that proliferates less and
decreases its rate of mutation, it may be less advantageous when a tissue requires
newborn cells. For example, skeletal muscle stem cells (satellite cells) are quiescent cells
that are activated in response to muscle damage, but become less active with age and thus
exhibit decreased tissue regeneration (Conboy et al., 2005; Morrison and Spradling,
2008). Despite the age-induced quiescence in these stem cell populations, they maintain
the ability to proliferate given the right environment. Parabiotic pairings in mice, where
the circulatory system of a young mouse is surgically connected to the circulatory system
of an old mouse, exposed the old HSCs in the bone marrow to a young circulating
environment (Conboy et al., 2005). These experiments elucidated that old HSCs could be
activated to proliferate similar to young cells when surrounded by a young environment.
45
These experiments suggest that quiescence in aged stem cells is not intrinsic, but instead
is niche-dependent and can be overcome by the exposure to a factor from a young niche.
The same phenomenon occurs in old muscle stem cells in vivo and in NSCs in
vitro, whereby old aged-derived NSCs increase their proliferation when cultured in a
young environment (Piccin et al., 2014). If the factors inducing quiescence in the aged
niche or promoting proliferation in the young niche can be identified, they may be
implemented to promote endogenous regeneration in tissues that undergo little
regeneration, such as the brain. Identifying the signals that relieve quiescence would also
elucidate the regulatory network involved in maintaining quiescence. In addition, the
tendency for stem cells to reduce their proliferation and go quiescent in the adult might
suggest that abundances of NSC populations are underestimated, as some of the quiescent
cells will not be activated in culture to proliferate and generate a neurosphere. In this
thesis, I will investigate whether pNSCs are quiescent in the adult mouse brain and
methods of targeting and activating pNSCs.
NSC Activation
NSCs in the adult mouse brain respond to environmental cues and injury to
become activated and maintain the niche of the adult brain. Environmental cues can
activate NSCs to increase neurogenesis, either through the addition of a positive cue or
removal of an inhibitory cue. NSCs are known to be able to quickly respond to tissue
damage or ablation of their downstream progenitors. A non-specific kill paradigm with
thymidine-H3 ablated the rapidly proliferating TA cells, and it only took two days for
dNSCs to be activated to repopulate their downstream progeny (Morshead and van der
46
Kooy, 1992). In addition, this early study observed that stress (induced with anesthetic or
food deprivation) increased the number of proliferating, BrdU-incorporating, cells in the
dorsolateral corner of the lateral ventricles (Morshead and van der Kooy, 1992). Thereby
indicting that dNSCs and/or TA cells become activated in response to their environment.
NSCs are able to respond to damage in their environment and a balance of signalling
molecules in the niche moderates NSC and progenitor proliferation.
Exercise and an enriched environment are two external stimuli that can activate
neurogenic proliferation. Neurogenesis in response to exercise or environment has been
well documented in the dentate gyrus (van Praag et al., 2005; Lugert et al., 2010;
Kannangara et al., 2010). Exercise has also been reported to increase subependymal
neurogenesis, measured with BrdU incorporation in vivo and neurosphere formation in
vitro, in aged mice via exercise (Blackmore et al., 2009). This increased proliferation was
hypothesized to occur via growth hormone activation, as exercise increased growth
hormone and growth hormone receptor null mice did not experience an increase in
neurogenesis (Blackmore et al., 2009). Increased neurogenesis in the hippocampus has
been implicated to facilitate long-term potential, learning and memory (van Praag et al.,
1999; Imayoshi et al., 2008). Together, these studies indicate that NSC activation leads to
new neurons that integrate into neuronal circuits and functionally alter the adult
neurogenic niche.
NSCs also respond to brain injury including stroke (Arvidsson et al., 2002;
Thored et al., 2006). NSCs from the periventricular region migrate away from their niche
towards the infarct region of the cerebral cortex, where they differentiate into neurons
and glia to repair damaged tissue (Kolb et al., 2007). Despite this migration of NSCs to
47
damaged tissue, newborn neurons do not integrate into the network of neurons at the site
of injury or appear to meaningfully repair the tissue long-term (Arvidsson et al., 2002).
Apoptosis of newborn neurons is thought to result from the inflammation at the site of
injury, rather than an intrinsic problem of the newborn cells, leading to reduced
regeneration (Ekdahl et al., 2009). Another external stimulus that increases neurogenesis
is immunosuppression (Erlandsson et al., 2011). Cyclosporin A treatment increased NSC-
mediated recovery from stroke with increased tissue repair of the infarct region and
increased BrdU incorporation (Hunt et al., 2010; Erlandsson et al., 2011). NSCs are
activated in response to injury, particularly after a stroke, and give rise to newborn cells
in the adult brain.
Despite the fact that NSCs are activated via many mechanisms, their contribution
to endogenous repair is limited. It remains to be seen whether adjustments to activation,
integration or survival are needed to enable neurogenesis to contribute to endogenous
repair. The fourth chapter of this thesis will explore methods of targeting and
pharmacological methods to activate pNSCs, and potentially increase regeneration after
injury.
Cell Type Specific Markers
Identifying cell-type specific markers and methods to target individual cell
populations are key goals in NSC biology. Without selective cell surface markers it is
difficult to isolate cell populations, which makes it arduous to study those cell
populations. In addition, testing pharmacological interventions is less accurate if the cells
of interest cannot be isolated (Obermair et al., 2010; Miller and Kaplan, 2012). These
48
issues are magnified in rare stem cell populations, for example in pNSCs, where the
population of interest is underrepresented in the niche and its neighbours can mask any
pNSC-specific effects.
Much work has been devoted to identifying NSC-specific cell markers. NSCs
express PAX6 embryonically and its expression is essential as mutated cell lines and
PAX6-depleted mice showed reduced NSC self-renewal and decreased proliferation
(Gómez-López et al., 2011). GFAP was one of the first proteins identified to be expressed
in dNSCs (Morshead et al., 2003; Doetsch et al., 1999). NSCs also express Sox2, and
many studies incorrectly classify any Sox2+ cell a NSC. However, Sox2 is expressed in
many downstream proliferating progenitors and thus is a non-specific NSC marker. Sox2
is activated downstream of LIF-R signaling via the JAK-STAT pathway, and is also
expressed in pNSCs (as will be discussed in the second chapter of this thesis). Similarly,
nestin is often used as a NSC and progenitor cell marker but is even less specific than
Sox2 and has been reported to mark many proliferating cells in the brain and other
tissues. As well, nestin can become activated in primary culture in response to cell stress
further decreasing its specificity. Therefore, identifying more specific NSC markers
would be of great use to the NSC field.
Many cell markers have been indentified that are expressed in NSCs but are not
exclusive to NSCs. dNSCs are CD133+ and double sorting for GFAP+ CD133+ enriched
cell cultures to 70% dNSCs. After exposure to Hoechst, collection of the side population
for cells that effluxed the dye enriched dNSCs 7.5-fold over the unsorted population
(Kim and Morshead, 2003). NSCs are CD133+, Lewin X+ and have high aldehyde
dehydrogenase activity (Obermair et al., 2010). To add to the complication of identifying
49
selective NSC markers, the expression of some enriching genes were only effective at
certain points in development (Murayama et al., 2002). The issue with such cell markers
is that none are specific to NSCs and thus leave the NSC field without the ability to
isolate a pure population for prospective analysis.
This thesis focuses on characterizing pNSCs and identifying genes and cell
markers expressed in pNSCs. In the second chapter of this thesis, pNSCs are identified
and characterized to express Oct4. pNSCs are the sole adult somatic cell to express Oct4
and this provides an invaluable cell marker that enables selective pNSC to assess the role
of pNSCs in the adult mouse brain. In the fourth chapter I will investigate other cell
surface markers and methods to target and activate endogenous pNSCs.
Cell Surface Profiling
Specific cell surface markers are valuable tools to study any cell population, and a
previous study utilized ESCs to derive large quantities of pNSCs in culture to identify
and quantify cell membrane-bound proteins. DeVeale et al., isolated ESC-derived
primitive neurospheres to isolate cell surface proteins specific to ESC-derived primitive
neurospheres but not ESCs or ESC-derived definitive neurospheres (DeVeale et al.,
2014). Whole neurospheres were analyzed and therefore included both the stem cells and
progenitors in the cell surface profiling (Fig 3A). Despite the non-pure pNSC population
for analysis, this pool of cell surface proteins holds great potential to be tested for
selective pNSC markers and the ability to endogenously activate pNSCs.
To identify cell surface proteins in each population of ESCs, primitive
neurospheres and definitive neurospheres were collected for cell surface capturing
50
Figure 3
A.
B.
51
Figure 3. Identification of cell surface proteins enriched specifically on ESCs,
pNSCs and dNSCs. A. ESCs in culture were used to generate pNSC-derived
neurospheres and dNSC-derived neurospheres for cell surface protein analysis. B. A mass
spectrometry based screen of in vitro ESC-derived primitive neurospheres identified cell
surface markers upregulated in primitive neurospheres compared to ESCs and dNSC-
derived neurospheres. These cell surface markers provide potential targets to isolate and
manipulate pNSCs in the mouse brain. Adapted from DeVeale et al., (2014).
52
(DeVeale et al., 2014). To prepare the cells the colonies/neurospheres were dissociated,
the extracellular proteins were oxidized, then the cells were lysed and the nuclei were
pelleted. The supernatant was recovered to collect the cell membranes and cytoplasm and
centrifuged to isolate the microsomal pellet. From this pellet, isolated cell membrane
proteins enriched in one cell type over the other cell types were identified. For the
purpose of this thesis, I focused on the cell surface proteins enriched at least 5-fold in
pNSC neurospheres (Fig 3B). In the fourth chapter of this thesis I will test the cell surface
markers identified on ESC-derived primitive neurospheres, to validate their relevance to
mouse derived pNSCs in vitro and in vivo. These specific cell markers will provide novel
pharmacological methods of targeting and activating pNSCs in the brain.
53
General Aims
In this thesis I will characterize pNSCs, investigate their role in the adult mouse
brain and identify selective pNSC markers. Previously, it was thought that pNSCs were
only present during embryonic development, however, as I will go on to discuss in this
thesis we recently discovered that pNSCs persist as rare cells in the adult mouse brain. I
will characterize adult-derived pNSCs to investigate gene and protein expression,
particularly the pluripotency factor Oct4. I will take advantage of in vitro clonal analysis
to assess the self-renewal and multipotency of the pNSC population. Next, I will assess
the lineage relationship between pNSCs and dNSCs. I will estimate the cell cycle time of
pNSCs as compared to dNSCs using a label-retention model. A pNSC loss of function
mouse model will be employed to ablate dNSCs and their downstream progeny and test
the requirement for pNSCs in dNSC repopulation. Finally, I aim to identify selective cell
surface markers of pNSCs to improve our ability to target and pharmacologically
manipulate this cell population. This knowledge will expand our understanding of the
NSC lineage in development and the adult mouse brain. Exploring the neural hierarchy is
important to draw conclusions on the cell types present in the NSC lineage and develop
methods of targeting these cell types for therapeutic purposes.
Overall Hypothesis
Primitive NSCs comprise a reserve stem cell population in the mouse brain that
expresses Oct4, is predominantly quiescent, is upstream of GFAP+ dNSCs, and
proliferates in response to injury or downstream lineage ablation.
54
Specific Hypotheses and Aims
1) pNSCs persist as an Oct4-expressing population upstream of dNSCs in the
adult mouse brain
After identification that pNSCs persist in the adult mouse brain I will characterize
the multipotency and gene expression profile of this population in comparison to
dNSCs. I will assess the pluripotency of pNSCs based on Oct4 expression by qPCR,
immunohistochemistry, FACS analysis, and their ability to contribute to chimeric
blastocysts. In addition, I will attempt to quantify pNSCs with Oct4+ cell flow
analysis and visualize Oct4+ cells in the periventricular region of the adult mouse
brain. This chapter will comprise the initial discovery and characterization of pNSCs
in the adult mouse brain.
2) pNSCs are slow cycling under baseline conditions and activated to
repopulate dNSCs following dNSC ablation in the adult mouse brain
I will assess the cell cycle time of pNSCs using the Histone2B-GFP mouse model
that takes advantage of label-retention in non-dividing cells. I posit that pNSCs are
responsible for dNSC repopulation in injury/ablation paradigms and will perform
dNSC ablations in pNSC loss of function mice to test the requirement for pNSCs in
dNSC recovery. This chapter will speak to the quiescent nature of pNSCs as a reserve
stem cell population that is activated by the ablation of their downstream progeny.
55
3) Pup-derived pNSCs are more abundant than adult-derived pNSCs and
provide a valuable population for the identification of cell surface markers
specific to pNSCs
Identification of pNSC-specific cell markers is limited due to the rarity of pNSCs
in the adult brain. pNSCs are 30-fold more abundant in the postnatal day 7 brain and I
will compare their equivalence to adult pNSCs based on self-renewal, multipotency
and gene expression profiles. Cell surface markers identified in a previous mass
spectrometry based screen of ESC-derived pNSCs compose a valuable list of targets
to test on mouse brain-derived pNSCs and I will confirm their efficacy on pup-
derived pNSCs in vitro followed by adult-derived pNSCs in vivo. This chapter will
validate the equivalence of pup- and adult-derived pNSCs and the ability to employ
cell surface markers identified in culture to target pNSCs in the adult mouse brain.
56
57
Chapter 2
Primitive neural stem cells in the adult mammalian brain give rise to the GFAP expressing neural stem cells
This chapter has been published:
Sachewsky N, Leeder R, Xu W, Rose K, Yu F, van der Kooy D, Morshead C (2014)
Primitive Neural Stem Cells in the Adult Mammalian Brain Give Rise to GFAP-
Expressing Neural Stem Cells. Stem Cell Reports 2:6, 810-2
My contributions to this manuscript:
Figure 1C; Figure 2A, D, F; Figure 3B; Supplemental Figure 2A, C
58
Abstract
Adult forebrain definitive neural stem cells (NSCs) comprise a subpopulation of
GFAP expressing subependymal cells that arise from embryonic FGF dependent NSCs
first isolated from the developing brain at E8.5. The embryonic FGF dependent NSC is
derived from a LIF responsive, Oct4 expressing primitive NSC (pNSC) first isolated at
E5.5. We report the presence of a rare population of pNCSs in the periventricular region
of the adult forebrain. Adult derived pNSCs are GFAP negative, LIF responsive stem
cells that display pNSC properties including Oct4 expression and the ability to integrate
into the inner cell mass of blastocysts. Adult derived pNSCs (AdpNSCs) generate self-
renewing, multipotent colonies that give rise to definitive GFAP+ NSCs in vitro and
repopulate the subependyma following the ablation of GFAP+ NSCs in vivo. These data
support the hypothesis that a rare population of pNSCs is present in the adult brain and
are upstream of the GFAP+ NSC.
59
Introduction
Neural stem cells (NSCs) in the adult brain reside in the periventricular region
where they generate progeny that migrate along the rostral migratory stream (RMS) to
the olfactory (OB) and become interneurons (Chojnacki et al., 2009; Garcia et al., 2004;
Mirzadeh et al., 2008; Morshead et al., 1994). Numerous studies suggest that adult
forebrain NSCs comprise a subpopulation of the GFAP expressing (GFAP+) cells within
the subependyma (SE) lining the lateral ventricles (termed type B cells) (Capela and
Temple, 2002; Chiasson et al., 1999; Doetsch et al., 1999a; Morshead et al., 2003). The
GFAP+ NSCs generate clonally derived, multipotent, self-renewing colonies (termed
neurospheres) in the presence of growth factors (epidermal growth factor (EGF) and
fibroblast growth factor 2 (FGF2)) in vitro (Doetsch et al., 1999a; Garcia et al., 2004;
Morshead et al., 2003). The GFAP+ adult NSCs are derived from embryonic definitive
NSCs and both share similar properties including FGF2 and EGF responsiveness, self-
renewal, and multipotentiality (Hitoshi et al., 2004; Tropepe et al., 2001). GFAP
expression in definitive NSCs occurs during development after embryonic day 16.5
(Imura et al., 2003) and continues into adulthood. Leukemia inhibitory factor (LIF)
dependent primitive (p)NSCs are present at E5.5 and give rise to FGF2 responsive NSCs
beginning at E8.5, which then go on to generate the GFAP+, neurosphere forming
definitive NSCs in the adult brain.
We have found a rare population of pNSCs in the adult mammalian brain (termed
AdpNSCs). We isolated cells from the adult periventricular region that generate clonally
derived, self-renewing, and multipotent colonies in vitro in the presence of LIF. These
LIF colonies can be passaged to give rise to GFAP+, neurosphere-forming cells in the
60
presence of EGF and FGF2. Most interestingly, the LIF colonies expressed Oct4 in vitro
and contributed to the inner cell mass of developing blastocysts following morula
aggregation, which are characteristics attributed to pNSCs derived from ESCs (Hitoshi et
al., 2004; Tropepe et al., 2001). We observed Oct4 expression in periventricular tissue
using qPCR of primary cells and in wholemount sections from adult brains. Further, we
asked whether these adult derived pNSCs could generate the GFAP+, neurosphere
forming NSCs in vivo. We took advantage of a transgenic mouse that expresses Herpes
Simplex Virus thymidine kinase under control of the GFAP promoter (GFAP-tk mice),
which enabled the selective ablation of proliferating GFAP+ cells in vitro and in vivo
(Bush et al., 1998; Bush et al., 1999; Imura et al., 2003; Morshead et al., 2003) following
exposure to the antiviral agent Ganciclovir (GCV). We used multiple ablation paradigms
and found that following an initial and complete loss, GFAP+ NSCs invariably recovered
over time, thereby confirming the presence of a GFAP negative cell upstream of the adult
NSC in the lineage. Additionally, adult mice that are effectively AdpNSC-null and do not
generate LIF colonies are unable to repopulate the GFAP+ NSC population following
ablation. Hence, these findings demonstrate the presence of a rare population of Oct4+
pNSCs in the adult forebrain whose progeny include the GFAP+ type B cells that are
indeed neurogenic in vivo (Doetsch et al., 1999a) and form neurospheres in vitro
(Morshead et al., 2003).
Methods
Animals. Animals were maintained in the Department of Comparative Medicine
at the University of Toronto in accordance with institutional guidelines.
61
Cell culture. Mice were sacrificed by cervical dislocation. Brains were dissected
and the periventricular region was cultured as previously described (Chiasson et al.,
1999). For neurosphere assays, cells were plated in serum-free media in EGF, FGF, and
Heparin or in LIF alone. For adherent colonies, cells were plated on mouse embryonic
fibroblasts (MEFs) in standard ESC media supplemented with LIF and passaged once
weekly as previously described (Tropepe et al., 2001). EFH neurospheres or LIF colonies
were counted at 7-10 days in vitro.
Surgery. For all surgical procedures, animals were anesthetized with 1-5%
isoflurane and injected with ketoprophen (5 mg/kg). Stroke was induced by removing the
skull and dura in the region bound by -0.5mm, +2.5mm (AP) and +0.5mm, 3.0mm (M/L)
relative to bregma. Saline soaked cotton swab was used to remove pial vessels. 200 µM
GCV and 2% AraC was infused via mini osmotic pump (Alzet 1007D) with cannulas
placed at 0.2mm A/P, 0.7mm M/L, and 2.5mm D/V relative to bregma. Transplanted
animals received 1µl of 800 cells injected at 0.5mm M/L, 1.5mm A/P, and 2.5mm D/V
relative to bregma.
qPCR. ESCs, LIF colonies, EFH neurospheres were collected into Buffer RLT
with β-mercapthenol. Samples were processed as per manufacturer’s directions using the
RNeasy Micro Kit (Qiagen, Mississauga, ON), including treatment with the RNase-free
DNase Set (Qiagen). cDNA synthesis was carried out with Superscript III First Strand
Synthesis System (Invitrogen, Carlsbad, CA). qPCR was carried out on a 7900HT Fast
62
Real-Time PCR System (Applied Biosystems). Cycling conditions consisted of initial
activation (2 min at 50oC, then 10 min at 95oC), followed by 40 cycles of 15s at 95oC, 1
min at 60oC, followed by 15s at 95oC, 15s at 60oC and 15s at 95oC.
Tissue preparation and immunohistochemistry. Mice were sacrificed with an
overdose of sodium pentobarbital and perfused transcardially with ice cold PBS followed
by 4% PFA, post-fixed, and cryoprotected in 20% sucrose. For immunohistochemistry,
sections re-hydrated with PBS and membranes were permeabilized with 0.3% Triton-X in
PBS for 20 minutes at RT. For BrdU imaging, DNA was denatured with 1N HCl at 65oC
for 30 minutes. Sections were blocked with 10% NGS (normal goat serum) or 10% NDS
(normal donkey serum (Sigma)) in PBS for 1 hour at RT before incubation with primary
antibodies at 4oC overnight followed by incubation of secondary antibodies for 1 hour at
37 oC. Wholemount sections were derived from Oct4-GFP adult mice as previously
reported (Mirzadeh et al., 2010). Staining was visualized on an AxioVision Zeiss UV
microscope and Nikon 200 microscope or Olympus Fluroview FV1000 confocal laser
scanning microscope.
Statistics. Data are represented as mean ± sem unless otherwise stated. Statistical
analyses were performed by GraphPad Prism 5 (GraphPad Software, Inc.) using ANOVA
with Bonferroni’s multiple comparison test or Student’s T-test unless otherwise stated.
63
Results
Multipotent and self-renewing LIF responsive colony forming cells are present in
the periventricular region in vivo
Mouse neural development indicates the presence of a LIF-dependent pNSC that gives
rise to FGF2-dependent NSCs in the early embryo (Akamatsu et al., 2009; Bauer and
Patterson, 2006; Doetsch et al., 1999b), thus we investigated the potential continued
presence of a LIF responsive cell in the adult forebrain. We observed LIF receptor
positive (LIF-R+) cells in the ependyma and SE of the adult brain, similar to previous
observations (Bauer and Patterson, 2006) (Fig. S1A). We prepared neurosphere cultures
at clonal densities (Coles-Takabe et al., 2008) from adult mice in the presence of LIF
alone, identical to conditions used to isolate pNSCs from the early embryonic brain
(Hitoshi et al., 2004). We observed a rare population of free-floating spherical colonies of
cells with well-defined borders in LIF-only conditions (1.5 ± 0.2 per 40,000 cells) that
were >50 µm in size but typically less than 150 µm (Fig. 1A). The low incidence of adult
LIF-only colony formation is consistent with rare frequency of pNSCs during early
development (Hitoshi et al., 2004). Individual adult LIF colonies could be passaged into
LIF for > 4 passages and differentiated into neurons, astrocytes and oligodendrocytes,
thereby displaying the properties of self-renewal and multipotentiality (Fig. 1B). Adult
LIF colonies differentiated into all three neural phenotypes with equal frequencies (Fig.
1C), similar to in vitro ESC-derived pNSCs (Fig. 1C’). This is significantly different
from adult EFH neurospheres where astrocytes comprise the vast majority of
differentiated progeny (Hunt et al., 2010). Hence, the differentiation profiles support the
conclusion that pNSCs, regardless of the age of derivation, are more similar to each other
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Figure 1
65
Figure 1. LIF responsive colonies are derived from the adult periventricular region
A. Spherical, free-floating colonies (50–150 µm in diameter) were observed in LIF and
compared to neurospheres grown in EFH (>100 µm diameter). B. LIF responsive
colonies gave rise to neurons (BIII tubulin+, red), astrocytes (GFAP+, green) and
oligodendrocytes (O4+, green). C. Differentiation profile of LIF colonies revealed that
oligodendrocytes, neurons, and astrocytes are produced at equal frequency upon
differentiation (similar to what is seen in ES-derived pNSC colonies (C’) (n ≥ 3 colonies
per group, >400 cells per colony were counted). D. Free-floating LIF colonies could be
isolated at all timepoints through development and into old age (n>4 per timepoint). Data
represent mean + SEM. Scale bars = (A) 40 µm, (B) 50 µm.
66
than to the definitive neural stem cells. Notably, dissections of the striatum and cortex did
not result in LIF colony formation. Taken together, these data reveal that the adult brain
periventricular region contains a stem cell population that is distinct from the definitive
GFAP+, EFH responsive NSC in terms of its differentiation potential and LIF
dependence.
To determine whether this LIF-R+ stem cell population was distinct from the adult
GFAP+ NSCs, we employed a transgenic mouse that expresses thymidine kinase from the
GFAP promoter (GFAP-tk) thereby permitting the specific ablation of dividing GFAP+
cells in the presence of GCV in vivo and in vitro (Morshead et al., 2003). GCV is taken
up by all cells and phosphorylated by the transgene leading to the accumulation of toxic
metabolites and cell death when the GFAP expressing cells undergo mitosis. When
primary cultures from GFAP-tk mice were grown in standard neurosphere conditions
(EFH), no neurospheres formed in the presence of GCV (Fig. 3A) indicating that
neurospheres were derived from GFAP+ cells as previously observed (Morshead et al.,
2003). In sharp contrast, primary LIF colonies from GFAP-tk mice formed even in the
presence of GCV in vitro and at the same frequency as LIF colonies from non-transgenic
(NT) controls (1.1 ± 0.5 versus 1.3 ± 0.6 colonies per 40 000 cells, GFAP-tk and NT
respectively), indicating that the LIF responsive colonies are derived from a GFAP
negative cell. Most interestingly, we found that individual colonies grown in LIF alone,
from GFAP-tk and NT mice, could be passaged into EFH indicating that LIF colonies
(derived from GFAP– cells) were able to generate GFAP+ neurosphere forming cells
during colony formation. Notably, LIF colonies from GFAP-tk mice could not be
passaged into EFH+GCV indicating that the secondary neurospheres that formed in EFH
67
were derived from GFAP+ cells. Together, these data reveal that a LIF-R+, GFAP–,
colony forming stem cell is present in the adult brain and is able to generate GFAP+ type
B cells that form EFH neurospheres in vitro.
We examined the lineage relationship between the LIF responsive free-floating
colonies, and EFH neurospheres, and EGF-only neurosphere. Neurospheres were derived
from wildtype animals under standard neurosphere conditions (free-floating in serum-free
media containing EGF, FGF2 and Heparin (EFH) or EGF-only). Individual clonally
derived neurospheres were collected, dissociated and replated to assess secondary
neurosphere formation. Invariably, individual primary EFH neurospheres (derived from
the GFAP+ adult NSCs) passaged into EFH, generated secondary neurospheres that were
subsequently propagated through > 5 passages (n=18/18 neurospheres). In contrast,
individual primary EFH neurospheres never passaged into LIF only conditions (n=0/18).
These findings indicate that the GFAP+ adult NSC does not give rise to AdpNSCs.
We asked if EGF-only neurospheres could be passaged into LIF conditions to
form secondary neurospheres and again, we never observed secondary neurospheres from
individual EGF only neurospheres (n=0/18 individual neurospheres). Most importantly,
and in contrast to previous reports that EGF neurospheres are derived from GFAP- transit
amplifying cells (type C cells) (Doetsch et al., 2002), our EGF-only primary
neurospheres from GFAP-tk animals never passaged into EGF+GCV (n=0/12), indicating
that EGF-only neurospheres are derived from a GFAP expressing adult NSC. Taken
together, these results indicate that our adult derived LIF colonies are derived from
GFAP– stem cells that can give rise to the GFAP– adult NSCs and further, that the reverse
relationship is not true; GFAP+ adult NSC do not give rise to AdpNSCs in vitro.
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We further asked whether this adult population of LIF responsive NSCs was seen
through embryonic development and into adulthood. Previous work demonstrated that
embryonic primitive NSCs declined by E8.5 to barely detectable levels (Hitoshi et al.,
2004); however, they did not extend their findings to later times in embryogenesis.
Herein, we isolated primary periventricular tissue from various developmental stages,
starting at E8.5, and cultured the cells in LIF conditions. We have shown that LIF
responsive free-floating colonies can be isolated from E8.5 at rare frequencies (Fig. 1D)
consistent with what was shown by others (Hitoshi et al., 2004) and further, that the
population expands in numbers in late embryogenesis and the early post-natal period,
followed by a decrease into adulthood that is maintained into old age (>22 month old
animals) (Fig. 1E). Hence, the LIF responsive pNSC can be isolated from the developing
and adult brain.
LIF colonies express Oct4 in vitro and in vivo and integrate into the inner cell mass
of blastocysts
We asked if the LIF-R+ colony forming cells in the adult brain had properties
similar to pNSCs derived from the embryonic brain. pNSCs derived from the E5.5-8.5
embryo or from ESCs display properties of pluripotency including the expression of Oct4
(Akamatsu et al., 2009) and pNSCs derived from ESCs have the capacity to integrate into
the inner cell mass (ICM) of blastocyst chimeras (Tropepe et al., 2001). We grew adult
derived LIF colonies in ESC conditions (on mouse embryonic fibroblast feeder cells
(MEFS)) and generated colonies morphologically similar to ES cell colonies. The adult
LIF colonies express Oct4 as seen by qPCR, immunohistochemistry, and GFP expression
69
when cells are derived from Oct4-GFP transgenic mice (Fig. 2A-C). We made morula
aggregates using transgenic YFP expressing cells from adult mice grown as (1) LIF
colonies on MEFs, (2) neurospheres in standard EFH conditions (negative control) and
(3) YFP expressing ESCs (positive control). Consistent with previous studies, ESCs
integrated at a high frequency (71.7%) while adult EFH neurosphere derived cells did not
integrate into the developing blastocysts in vitro (Karpowicz et al., 2007). Most
strikingly, adult LIF colony derived cells also integrated into the ICM, albeit at a much
lower frequency (2.5%) (Fig. 2D). The rare frequency of integration may be the result of
the heterogenous population within a LIF colony consisting of both pluripotent AdpNSCs
and definitive GFAP+ NSCs. This likely leads to an underestimation of the true numbers
of AdpNSCs that can integrate into chimeric blastocysts. To date, we have not observed
any AdpNSC derived chimeras that survive until E9.5 after transfer back to
pseudopregnant mice, perhaps consistent with the lower level of Oct4 expression in
AdpNSC colonies compared to ESCs and embryonic pNSCs (Fig. 2A).
We grew adult LIF colonies in LIF alone (no feeders) from Oct4-neo transgenic
mice, which harbor a neomycin resistance cassette knocked into the Oct4 locus, thereby
conferring neomycin resistance in Oct4 expressing cells. After passaging individual
Oct4-neo primary LIF colonies, we observed the formation of secondary LIF colonies in
the presence of neomycin revealing that LIF colonies were derived from Oct4 expressing
cells (Fig. 2E). Primary neurospheres derived in EFH could never be passaged in the
presence of neomycin as predicted. This complete depletion of EFH neurospheres, but
unchanged numbers of LIF colonies, indicate appropriate antibiotic selection of Oct4+
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Figure 2
71
Figure 2. LIF colonies express Oct4 and integrate into the ICM of blastocysts
A. qPCR Oct4 expression in ESCs, pNSC, adult LIF colonies grown in ES conditions,
and adult neurospheres grown in EFH (n=3 independent samples/group, in triplicate). B.
LIF colonies from Oct4-GFP mice grown in ESC conditions express Oct4 (green) (C-i)
Control ES colonies and (C-ii) adult LIF colonies from YFP expressing mice grown in
ES conditions express Oct4 (red). D. ESCs and adult LIF colony cells (green) integrate
into the ICM of blastocysts. E. LIF colonies derived from Oct4-neo transgenic mice, but
not from control animals, form secondary colonies in G418 (n=12 passaged
colonies/group). F. qPCR Oct4 expression from the periventricular region of adult brain
compared to control (n=4/group). Data represent mean + SEM. Scale bars = (B) 100 µm,
(Ci) 50 µm, (Cii) 25 µm, (D) 50 µm.
72
cells in the presence of G418. If variable expression of the transgene was occurring, we
also would expect there to be some Oct4 cells that did not possess the antibiotic
resistance gene and therefore would die in the presence of the antibiotic. Notably, no
such death was seen. Taken together these findings reveal that adult derived LIF colonies
display similar properties to pNSCs from the developing embryo.
To ensure that the Oct4 expression observed in vitro was not an artifact of
culturing periventricular cells, we looked for Oct4 expression in vivo. Given that
AdpNSCs represent an exceedingly rare population of cells and their Oct4 expression is
extremely low, we performed qPCR on primary dissected periventricular tissue. We
observed significant Oct4 mRNA expression in the periventricular tissue compared to the
complete lack of expression in cortical tissue from the adult brain (Fig. 2F). We also
looked for the presence of GFP expressing cells in the periventricular region from Oct4-
GFP expressing mice and observed rare GFP cells in wholemount sections of the lateral
ventricle periventricular region (Fig. 3A-B, Video S1). We identified rare GFP
expressing cells in the periventricular region (Fig. S2B), which co-localized with LIF-R
but not GFAP or ß-catenin, consistent with our in vitro findings. Furthermore, we
performed FACS analysis of primary dissections of the periventricular region from adult
Oct4-GFP mice to estimate the number of Oct4+ AdpNSCs. FACS analyses revealed that
0.08% of the sorted cells were Oct4+; suggesting that approximately 80 cells in the
periventricular region are AdpNSCs (100 000 cells are obtained per brain dissection).
This estimate is higher than might be expected from the neurosphere assay and suggests
that we may have not optimized our AdpNSC culture conditions and/or the increased
sensitivity of FACS to levels of GFP expression leads to the isolation of GFP+ cells that
73
were not visualized in wholemount sections. To further supplement our FACS findings,
we utilized an imager coupled with flow cytometry to visually identify single cells. Live
cell staining identified GFP+ and LIF-R+ populations from Oct4-GFP mice (Fig. 3C-i-ii).
We used fixed cells from Oct4-GFP mice and showed that all GFP+ and LIF-R+ cells are
always GFAP– (Fig. 3C-iii-iv), consistent with our wholemount data (Fig. S2B). Most
important, we never observed a GFP expressing cell from control tissue (the
periventricular region of CD1 control mice or the cortex of Oct4-GFP mice). Together,
these findings demonstrate that Oct4 expressing cells are present in the periventricular
region of the adult brain in vivo.
To further characterize the AdpNSCs, we examined the gene expression of
AdpNSCs using qPCR on LIF colonies, EFH neurospheres and ESCs. We looked at
additional markers of pluripotency including Nanog, Sox2, Klf4, TERT and c-myc (Fig.
S2A). We observed that LIF colonies express detectable levels of Nanog, which was
undetectable in EFH neurospheres. As well, LIF colonies express mRNA levels of Klf4
and c-myc equivalent to ESCs (0.88 and 1.7 fold relative to ESCs, respectively). Sox2 and
TERT were also identified in LIF responsive colonies (0.54 and 1.7 fold expression
relative to ESCs, respectively). Examination of proneural genes including Sox1, Notch,
Nestin, and CD133 (Fig. S2A) revealed that LIF colonies express significantly lower
mRNA levels of the neural markers Sox1, Notch and Nestin compared to EFH
neurospheres. CD133 was similar in LIF colonies and EFH neurospheres (Fig. S2A).
Thus, we report that adult LIF colonies have higher expression of pluripotency markers,
and lower levels of definitive NSC markers, making
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Figure 3
75
Figure 3. Oct4 expressing cells are present in vivo. A. Wholemount sections derived
from Oct4-GFP mice reveal Oct4+ (green) periventricular cells (Dapi, blue punctate
nuclei) optimized to detect GFP expression in high magnification images in the adult
brain (blood vessels (red)). B. Wholemount sections of the periventricular region of Oct4-
GFP adult mice reveal Oct4+ (green) cells labeled with Hoechst (blue). Insets show
increased magnification of the Oct4+ cells. Orientation markers provided within images.
Scale bar = 20 µm. C. Image stream images showing (i-ii) Oct4+ LIF-R+ live cells and
(iii-iv) Oct4+ LIF-R+ GFAP– from fixed cells from Oct4-GFP mice.
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Figure 4
77
Figure 4. GFAP-TK model specifically ablates dividing GFAP+ cells in vitro and in
vivo. A. GCV dose response curve in vitro (n=2 independent experiments). B. 2 or 7 day
GCV infusion in vivo followed by immediate sacrifice with cells plated in EFH in the
absence (-) or presence (+) of GCV in vitro (n ≥ 5 mice/group). 7 day GCV infusion (n ≥
3mice/group) followed by plating in (C) EFH to assay GFAP expressing adult NSCs or
(D) LIF-only to assay for AdpNSCs. E. BrdU+ cells in the SE following 2 day GCV
infusion (n=3 mice/group). F. EFH neurosphere assay following 21-day GCV infusion
(n=3 mice/group). *p ≤ 0.05. Data represent mean + SEM.
78
them more ESC-like. Taken together, the immunohistochemistry, wholemounts, and
qPCR data reveal that AdpNSCs are LIF-R+/Oct4+/GFAP–/Sox2+/Nestin+/CD133–.
Adult derived primitive NSCs repopulate GFAP expressing NSCs following ablation
with GCV in vivo
Based on the NSC lineage from embryonic development into adulthood, we asked
whether AdpNSCs gave rise to GFAP+ neurosphere forming NSCs in the adult brain. To
address this question, we performed in vivo experiments to examine the potential for
AdpNSCs to contribute to SE repopulation using the GFAP-tk mouse. Previous studies
using GFAP-tk transgenic mice led us to predict that intraventricular infusion of GCV
would effectively create a GFAP+ NSC depleted mouse as cells are killed when
proliferating (Bush et al., 1998; Bush et al., 1999; Imura et al., 2003; Morshead et al.,
2003). In vitro, we observed a complete loss of clonal EFH neurosphere formation from
the SE of GFAP-tk mice in the presence of 20 µM GCV with no effect of GCV on the
number (Fig. 4A) or size (Fig. S3A) of NT littermate control EFH neurospheres. In vivo,
intraventricular GCV infusions into GFAP-tk and NT mice for 7 days, followed by
immediate sacrifice, resulted in GFAP+ NSCs depletion with a >99.5 ± 0.5% loss in
clonal EFH neurosphere formation from GFAP-tk versus NT mice (Fig. 4B-C), similar to
previous findings (Garcia et al., 2004; Morshead et al., 2003). However, when the
neurosphere assay was performed from GFAP-tk mice that survived for various times
post GCV infusion, the numbers of EFH neurospheres returned over time, reaching 30%
of control levels by day 14 (7 days after GCV treatment) (Fig. 4C) despite an initial
99.5% depletion in EFH neurosphere numbers at the time of sacrifice (1 of 6
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animals examined had 1 EFH neurosphere). A similar return of EFH neurospheres was
seen after 2 days of GCV infusion (Fig. S3C). Significantly, in vitro exposure to GCV
completely and invariably eliminated EFH neurosphere formation from GFAP-tk mice at
all times examined (at immediate sacrifice and during EFH neurosphere recovery post-
infusion), indicating that the returning EFH neurospheres were derived from GFAP+
cells. Furthermore, neurospheres never grew in EGF-alone immediately following the
GCV infusions or when cultured in EGF+GCV at later survival times, indicating that
GFAP–, EGF responsive progenitor cells (Doetsch et al., 2002) were not responsible for
the return of neurospheres over time (Fig. S3B). Interestingly, following GCV infusion
for 2 or 7 days in vivo, the numbers of AdpNSC derived LIF colonies that form in vitro
was unchanged upon immediate sacrifice and at later survival times post-GCV (Fig. 4D).
These findings indicate that the LIF colonies are derived from a GFAP– cell as they are
not depleted by the GCV ablation. Further, the LIF population divides asymmetrically to
repopulate the GFAP+ NSCs in vivo since the number of LIF colonies does not expand
following the ablation. Consistent with the return of EFH neurospheres in vitro, the
numbers of proliferating cells (BrdU+) in vivo in GCV infused GFAP-tk mice increased
with longer survival times (Fig. 4E).
We extended the length of GCV infusion in vivo to 21 days, 50% longer than the
estimated 15-day cell cycle time of slowly dividing adult NSCs (Morshead et al., 1998) to
eliminate the possibility that a rare GFAP+ NSC escaped the GCV treatment and
repopulated the SE. We observed a complete 100% loss of GFAP+ NSC derived, EFH
neurosphere formation following 21 days of GCV; however, EFH neurospheres still
returned with longer survival times (Fig. 4F). The invariable return of GFAP+ NSCs over
80
time supported the hypothesis that an earlier cell in the lineage, that was GFAP–, was able
to repopulate the SE.
In vivo ablation of GFAP+ cells following AraC activation does not lead to a
permanent loss of neural stem cells
We performed more rigorous attempts to permanently deplete GFAP+ NSCs in
vivo using a well-established paradigm to induce GFAP+ NSC proliferation prior to the
administration of GCV in vivo. Previous work has shown that infusion of an anti-mitotic
agent kills the rapidly proliferating NSC progeny in the SE and leads to the recruitment
and division of the GFAP+ NSC with repopulation of the SE within 8-10 days (Doetsch et
al., 1999b; Morshead et al., 1994). Based on these findings, we infused cytosine β-D-
arabinofuranoside (AraC) intraventricularly for 7 days followed immediately by GCV
infusion during the time when GFAP+ NSCs are proliferating to repopulate the SE
(Doetsch et al., 1999b; Morshead et al., 1994). Similar to previous findings (Doetsch et
al., 2002), the numbers of EFH neurospheres observed following AraC infusion alone
was initially depleted but quickly returned to control values (Fig. 5A). Indeed, the
numbers of GFAP+ NSCs in AraC treated animals was 1.6-fold greater than saline
infused controls at 3 days post-infusion (day 10 sacrifice) indicating an initial
overcompensation as the surviving GFAP+ NSCs underwent expansionary divisions to
repopulate the SE. In contrast, GFAP-tk mice receiving AraC+GCV treatment for 3
days revealed a 100% loss of neurosphere formation upon immediate sacrifice (day 10)
and a slower return of GFAP+ NSCs. EFH neurosphere formation inevitably returned at
longer survival times but did not return to control levels at the longest time examined
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(51.4 + 18.6% of controls by day 42) (Fig. 5B). Extending GCV infusion to 7 days
following AraC revealed a similar initial 100% loss of EFH neurosphere formation,
followed by the return at longer survival times (21.5 + 11.5% of NT controls by day 43).
Most importantly, the addition of GCV in vitro resulted in a complete and invariable loss
of EFH neurosphere formation from GFAP-tk mice at all survival times indicating that
the in vitro EFH neurospheres returning over time are generated from GFAP+ cells. Thus,
despite using multiple well-established kill paradigms to specifically ablate dividing
GFAP+ cells in vivo, we were unable to permanently deplete clonal EFH neurosphere
formation, indicating that GFAP+ cells recovered in vivo over time.
The loss of EFH neurosphere forming cells, albeit temporary, should also result in
an initial loss of proliferating NSC progeny. We examined the numbers of proliferating
cells in vivo following the 7-day AraC + 7-day GCV infusion. As predicted, we observed
an initial loss, followed by a complete recovery, of the numbers of proliferating cells by
day 42 post-treatment in the SE, RMS and olfactory bulbs (Fig. S4, S5A). Further,
following the AraC+GCV infusion, we observed proliferating LIF-R+ cells in the SE
(Fig. S1B-D). Hence, despite the in vivo depletions with AraC+GCV treatment, the
numbers of GFAP+, neurosphere forming cells and their progeny in vivo returned over
time.
We asked whether the inability to achieve permanent depletion of EFH
neurospheres in vitro, or proliferating cells in vivo, was due to GCV degradation in
GFAP+ NSCs over time, thereby leading to neurosphere formation with longer survival
times. We determined the length of time that GCV remains effective in killing
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Figure 5
83
Figure 5. Infusion of AraC+GCV leads to complete but temporary loss of
neurospheres. A. AraC only infusion for 7 days into GFAP-tk mice resulted in a 99 ±
0.5 % loss in neurospheres relative to saline infused controls when sacrificed
immediately following infusion (day 7). Neurospheres returned to control values by 3
days post-AraC (n=3-6 mice/group/time point). B. AraC+GCV infusion eliminated TK
neurosphere formation immediately following the infusion (day 10), but returned with
longer survival times (n= 3-5 mice/group). Controls are NT mice that received infusions.
*p<0.0001. Data represent mean + SEM.
84
proliferating GFAP+ cells once it is taken up by cells. Astrocyte monolayers from early
postnatal cortices of GFAP-tk and NT mice demonstrated that GCV remains toxic to cells
for at least 10 days following a single 16 hour exposure to the drug (Fig. S6B-C); a time
exceeding the in vivo survival times post infusion when we observed the return of
neurospheres in vitro. Hence, a loss of GCV toxicity cannot account for the return of
neurospheres over time. Thus these data provide strong support for the presence of an
upstream stem cell that is GFAP– and capable of generating GFAP+ NSCs following
ablation in vivo.
Finally, the lineage relationship between AdpNSCs and GFAP+ adult NSCs was
studied using a transgenic Floxed Oct4-Sox1Cre mouse that allows for specific ablation
of the Oct4 population in cells that express the neural gene Sox1. Floxed Oct4-Sox1Cre
mice are devoid of AdpNSCs and never give rise to LIF colonies in vitro whereas the
littermate controls generate normal numbers of LIF colonies (2.8+0.4 per 40,000 cells),
and EFH neurospheres are not changed (25.3+3.7 vs 27.5+4.0 neurospheres per 5,000
cells from transgenic vs. littermate controls, respectively). The floxed Oct4-Sox1Cre mice
have normal numbers of EFH neurospheres likely because Sox1 expression turns on after
pNSCs and definitive NSCs are present in the developing brain (Wood and Episkopou,
1999) hence the Oct4 allele is excised after the neural lineage is established. Most
interesting, following ablation of the EFH neurospheres, preliminary data reveals a lack
of GFAP+ adult NSC repopulation (0+0 EFH neurospheres vs. 10.2+0.1 EFH
neurospheres per 5 000 cells from transgenic vs. littermate controls, respectively). These
findings indicate that AdpNSCs are necessary for repopulating the EFH responsive,
85
GFAP+ adult NSC in vivo following ablation in the adult brain and support the hypothesis
that GFAP+ adult NSCs are the progeny of the AdpNSCs.
Transplanted LIF responsive colonies, devoid of GFAP expressing adult NSCs,
contribute to neurogenesis in vivo
Based on our hypothesis that AdpNSCs generate GFAP+ adult NSCs, we predict
that AdpNSC progeny would contribute to neurogenesis in vivo. We performed
transplantation experiments to test our hypothesis using populations of AdpNSCs that do
not contain GFAP+ progeny prior to transplantation. GFAP-tk mice were crossed to YFP
reporter mice to generate mice (YFP-GFAP-tk mice) that ubiquitously express YFP and
permit the selective ablation of dividing GFAP+ cells in the presence of GCV. When LIF
colonies from YFP-GFAP-tk mice were isolated in vitro, the total numbers of LIF
colonies was the same in the presence or absence of GCV and not different from NT YFP
controls grown in GCV; however, the YFP-GFAP-tk LIF colonies were smaller in size
than control LIF colonies likely due to the ablation of the GFAP expressing progeny
within the colony (Fig. S6A-B). As predicted, YFP-GFAP-tk LIF colonies grown in the
presence of GCV never generated EFH neurospheres whereas those grown in the absence
of GCV, or LIF colonies grown in the presence of GCV from NT littermate controls,
always gave rise to EFH (Fig. S6C). Thus, the YFP-GFAP-tk derived LIF colonies did
not contain GFAP+ neurosphere forming cells prior to transplantation. We generated
single cell suspensions from 2-week LIF+GCV colonies and transplanted 800 YFP+ cells
into the anterior SE of wild-type CD1 mice. We examined the mice at 48 hours post-
injection or 14 days post-injection. At early sacrifice, 4.6% of transplanted
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Figure 6
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Figure 6. Numbers of adult derived pNSCs can be increased by injury or LIF
infusion. A. The numbers of LIF colonies isolated following GCV infusion (3 days)
(n>22 mice/group) or AraC+GCV infusion (n=5 mice/group). B. Stroke injured mice
generate significantly more LIF colonies at 4 days post-stroke, returning to control values
by day 11 (n=6-12 mice/group/time). Significance determined by one-way ANOVA with
post-hoc Bonferroni test, * indicates p<0.05 from LIF naïve to LIF Day 4, # indicates
p<0.05 from EFH naïve to EFH Day 7. The numbers of EFH neurospheres significantly
increases at 7 days post-stroke (n>3 mice/group). C. Four day LIF infusion results in
significant increase in LIF colonies but not (D) EFH neurospheres (n=6 mice/group).
Significance determined by Student’s T-test (p<0.05), unless otherwise stated. Data
represent mean + SEM.
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YFP+ cells had survived and were observed at the injection site (Fig. 6A). At day 14 post-
transplantation we observed YFP+ cells migrating along the RMS (Figure 7C-i-ii, Figure
S6D-i), residing in the OB (Fig. 7C-iii) as well as differentiating into neuronal like
morphology (Fig. S6D-ii-iii). These data further support the hypothesis that AdpNSCs
are able to contribute to neurogenesis in vivo.
The adult derived primitive NSC population is activated and expanded following
stroke or LIF infusion
The AdpNSC population comprised a very rare population of cells with an
average of 5.6 + 2.5 colonies per brain from naïve controls, with similar numbers from
GFAP-tk mice when grown in the presence or absence of GCV, and from AraC+GCV
treated GFAP-tk and NT mice (Figure 6A). The lack of expansion in numbers suggests
that AraC+GCV treatment results in asymmetric divisions of the AdpNSC to repopulate
the GFAP+ NSC during regeneration of the SE thereby maintaining their absolute
numbers. We reasoned that an expansion of this rare AdpNSC population might occur in
an injury model such as stroke where there is no depletion in the GFAP+ adult NSC
fraction (Zhang et al., 2004). We previously have demonstrated that the pial vessel
disruption (PVD) model of stroke results in increased numbers of EFH neurospheres post
stroke (Erlandsson et al., 2011). We used the PVD model to determine if LIF colony
formation was also increased following injury. Mice received a stroke lesion on day 0
and the number of AdpNSC derived LIF colonies was examined at 4, 7 and 11 days post-
stroke. We observed a significant 5.4 fold increase in the number of AdpNSC LIF
colonies at day 4 with a return to control numbers by day 7 post-stroke. Stroke also
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resulted in a significant 3.8 fold increase in the number of EFH neurospheres at day 7
post-stroke (Fig. 6B). These data suggest that AdpNSCs are sensitive to environmental
cues that result following injury. Most interesting, the AdpNSCs expansion occurs more
rapidly and prior to the definitive GFAP+ NSC expansion, supporting the hypothesis that
the AdpNSC resides upstream of the GFAP+ adult NSC.
Many types of injuries to the nervous system are accompanied by a rapid and
transient increase in LIF expression hence we asked whether increased LIF signaling
played a role in the activation of AdpNSCs in our stroke model (Banner et al., 1997;
Suzuki et al., 2005 Bauer et al., 2003). Intraventricular infusion of LIF for 4 days resulted
in a significant 2.5 fold increase in the number of LIF colonies from adult mice (Fig. 5C)
with no increase in the numbers of EFH responsive neurospheres (Fig. 6D). These data
indicate that the AdpNSC pool expands in response to LIF in vivo.
Discussion
Our results demonstrate the existence of a rare, pNSC in the adult brain that
expresses Oct4 and has the ability to integrate into the inner cell mass of blastocyst
chimeras. This LIF responsive population acts as a reserve pool capable of repopulating
the neural lineage in the SE in vivo. Similar to its embryonic counterpart, the AdpNSC is
a GFAP–, LIF-R+ cell from the periventricular region of the brain. The inability to
permanently ablate the GFAP+ neurosphere forming cells following a complete initial
loss, suggests that the AdpNSC is upstream of the GFAP+ adult NSC (Fig. 7D). This
lineage relationship is supported by both in vitro and in vivo findings. In vitro, the
passaging of the LIF colonies into standard adult neurosphere conditions (EFH) reveals
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Figure 7
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Figure 7. In vivo lineage analysis. A. Distribution of YFP+ cells at 48 hours post-
transplant (n=4 mice). B. Distribution of YFP+ cells at 14 days post-transplant (n=7
mice). C. Representative images of cells (i-ii) along the RMS and (iii) in the OB after 14
days. Insets show higher magnification of YFP+ cells. D. Adult pNSCs are GFAP
negative, responsive to LIF and express the pluripotency marker Oct4. The self-renewing,
multipotent AdpNSCs give rise to EFH responsive, definitive adult NSCs. The definitive
adult NSCs are neurogenic in the adult brain. Data represent mean + SEM. Scalebars=
(C-i) 200 µm (C-ii) 70 µm and (C-iii) 200 µm.
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that LIF colonies give rise to GFAP+, neurosphere-forming cells. In vivo, LIF colony
derived cells devoid of GFAP+ cells at the time of transplantation are able to migrate
along the RMS and contribute to neurogenesis. Further, we showed that Floxed Oct4-
Sox1Cre mice that completely lack AdpNSCs are unable to repopulate the GFAP+,
neurosphere forming NSCs following ablation in vivo. Hence, based on the studies
herein, we propose that the AdpNSC proliferates in response to injury and gives rise to
GFAP+ adult NSCs that repopulate the SE following their ablation in vivo.
There are several pieces of evidence that indicate that GFAP+ NSCs can be
ablated completely in vivo following GCV treatment in GFAP-tk mice and that they are
subsequently reconstituted from a GFAP– cell in the neural stem cell lineage. First, zero
neurosphere forming cells were observed immediately following GCV treatment for 21
days, as well as following AraC+GCV treatment in GFAP-tk mice. Second, GCV
remains toxic to GFAP+ cells for times exceeding those infused, yet inevitably GFAP+
NSC derived clonal neurospheres returned in vitro and their proliferating progeny
returned in vivo. Third, the neurospheres that returned at longer survival times post-GCV
infusion were lost if GCV was added in vitro in all instances, and, therefore, must have
been derived from GFAP+ NSCs. Fourth, the observation that EGF alone did not support
neurosphere formation immediately after GCV infusion indicates that the neurospheres
were not derived from transit amplifying cells. Finally, the finding that the kinetics of the
return of GFAP+ NSCs was dramatically different in paradigms that did not completely
eliminate neurosphere formation (i.e. AraC treatment alone) versus when there was a
complete loss of GFAP+ NSCs (AraC+GCV treatment) suggests that different cell
sources may be responsible for repopulation of the SE. Together, these data support the
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hypothesis that the GFAP– (resistant to GCV treatment), AdpNSC is able to repopulate
the GFAP+ NSC population.
The numbers of GFAP+ NSCs did not return to control levels at even the longest
survival times examined (approximately 1 month after AraC+GCV treatment). One
possibility is that we simply did not wait long enough to observe the complete return to
control values. Alternatively, the AdpNSCs may only be able to proliferate a limited
number of times as has been suggested by studies showing that serial transplantation of
hematopoietic stem cells for repopulation has been limited to 5-7 rounds (Harrison et al.,
1978; Harrison and Astle, 1982). The fact that the AdpNSC was not killed by the AraC
treatment demands that the cell has a relatively long cell cycle time, in line with studies
identifying slowly cycling cells in other systems (Fuchs, 2009). Indeed, reports suggest
that the blood system has a population of long-term label retaining cells that proliferate
only once every 4-5 months, translating into approximately 5 divisions in the life of the
animal (Foudi et al., 2009; Wilson et al., 2008). This dormancy may be important for
maintaining “stemness” or may be a property of the “master” stem cells that are activated
in times of stress or injury (Fuchs, 2009). The existence of an AdpNSC that can be
activated in response to injury suggests that these slowing cycling cells, rare AdpNSCs
are called upon to divide only rarely to generate the GFAP+ adult NSCs that are
responsible for maintaining adult neurogenesis under baseline conditions.
We propose that the AdpNSC is CD133– based on the lack of colocalization of
Oct4 with β-catenin; however, others have proposed the presence of a stem cell-like
CD133+ cell in the adult brain. It has been reported that quiescent CD133 expressing,
ciliated ependymal cells respond to injury by entering into cell cycle and contributing
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cells to tissue regeneration (Carlen et al., 2009). The activated ependymal cells were
unable to self-renew to maintain their population, suggesting that they may represent a
non-stem cell response to injury (Carlen et al., 2009). The lack of self-renewal capacity
of the CD133 positive ependymal cells is distinctly different from the AdpNSCs which
are able to self renew in vivo as illustrated by their expansion in number following LIF
infusion and stroke. CD133 has been shown to be present on the apical surface of GFAP+
adult NSCs (Mirzadeh et al., 2008) and we also detect CD133 in LIF colonies; however,
we suggest this CD133 expression is due to the presence of GFAP+ progeny within the
LIF colony. Further, we do not see colocalization of Oct4 with β-catenin, which has been
shown to identify ependymal cells in wholemount sections of the lateral ventricle
periventricular region (Mirzadeh et al., 2008). Taken together, these finding suggest that
AdpNSCs do not correspond with the CD133+ ependymal cells previously studied.
In conclusion, we have identified a rare pNSC that is present in the adult brain.
The adult derived pNSC has characteristics of pluripotency, including Oct4 expression
and the ability to integrate into the inner cell mass of blastocyst chimeras. The progeny of
the AdpNSC include the GFAP+, neurogenic, neurosphere forming, type B NSCs present
in the adult SE, similar to pNSCs derived from the embryonic brain. We propose this
LIF-R+ pNSC may be an additional target for the development of regenerative medicine
strategies in the adult CNS.
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96
Supplemental Figure 1
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Supplemental Figure 1. The periventricular region contains proliferating LIF-R+
cells in vivo. Confocal images showing the presence of LIF-R+ cells within the SE in
naïve control mice. A. A subpopulation of SE LIF-R+ cells (green) are proliferative
(Ki67+, red). B. After AraC+GCV infusions (7 days each), Ki67+ cells (red) are seen in
the SE of TK mice. A subpopulation of Ki67+ cells are LIF-R+ (arrows). C. Sox2 (red) is
widely expressed in both the ependyma and SE and colocalizes with LIF-R (arrows). D.
Some LIF-R+ cells also express GFAP (red) in the subependyma of AraC+GCV treated
TK mice (arrows). Scale bar =15 µm Blue = Hoechst labeled nuclei.
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Supplemental Figure 2
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Supplemental Figure 2. Expression profile of AdpNSCs. A. Gene expression profile
of AdpNSC derived LIF colonies (orange bars) and EFH neurospheres (green bars)
compared to ESCs assayed by quantitative qPCR (n=3 independent replicates per group).
Significance between LIF colonies and EFH neurospheres is denoted by (*) and
significant difference to ESCs is denoted by (#), calculated based on the log value by 2-
way ANOVA with Bonferroni post-hoc test (p<0.05). B. Immunohistochemical analysis
of wholemount sections from Oct4-GFP mice reveal (i) Oct4-GFP (arrows) does not co-
localize with GFAP but does co-localize with (ii) LIF receptor. (iii) Oct4-GFP does not
co-localize with β-catenin. Scalebars = 10 µm. C. Representative images of FACS
analysis on (i) periventricular cells derived from naïve adult Oct4-GFP animals as well as
a (ii) positive control using actin-GFP mice, (iii) negative control using CD1 mice, and
(iv) transgenic control using Oct4-GFP cortex to set appropriate gates (n=2 independent
experiments). Data represent mean + SEM.
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Supplemental Figure 3
101
Supplemental Figure 3. The effects of GCV in vitro and in vivo. A. Exposure to 20
µM GCV in vitro does not affect the size of neurospheres from NT littermate controls
(shown) or C57Bl/6 controls (data not shown) (n=3 independent experiments). B. 2 day
GCV infusion (n ≥ 4 mice/group) followed by sacrifice at various times post-infusion
results in a return of EFH neurosphere formation over time. C. GFAP– type C progenitor
cells are not responsible for the return of neurospheres in vitro as EGF responsive
neurospheres could be isolated from untreated control mice (NT, n=6), saline-infused
mice (S, n=3), and NT mice that received 7d GCV (n=3), AraC + GCV (n=2), or 21d
GCV (n=2). EGF-responsive neurospheres could not be isolated from TK mice following
7 day GCV (n=4), AraC + GCV (n=3), or 21 day GCV (n=3) exposure in the absence of
GCV in vitro. Data represent mean + SEM.
102
Supplemental Figure 4
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Supplemental Figure 4. Proliferating GFAP+ cells returned with longer survival
times following AraC+GCV treatment. (i, ii) Representative confocal images showing
GFAP+ and Ki67+ cells in the SE of TK (i) and NT (ii) mice immediately following
AraC+GCV infusions (7 days each) (day 14). (iii, iv) By day 42, post-infusion
GFAP+/Ki67+ SE cells are observed in both TK and NT mice. Scalebars = 10 µm.
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Supplemental Figure 5
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Supplemental Figure 5. Repopulation of proliferating cells after ablation in GFAP-
tk mice. A. An initial loss of BrdU+ cells in the subependyma (SE) and rostral migratory
stream (RMS) of TK mice is followed by a return to control levels by day 42. Data
represents mean ± s.e.m. (n=3-4 mice per group, 5 sections/mouse per region). *p<0.05.
B. GCV remains toxic to dividing GFAP+ cells at least 10 days after exposure. Astrocyte
cultures generated from TK and NT mice were exposed to GCV for 12 hours, re-plated in
fresh media and maintained as monolayer cultures for up to 21 days. On day 5, 8, 10 and
21 after GCV exposure, cells were induced to divide by passaging and plating in standard
neurosphere conditions (EFH). TK cell cultures failed to generate neurospheres up to 10
days post GCV pulse. Even at 21 days post GCV exposure, only rare neurospheres
formed from TK cultures (5 versus 746 neurospheres per 360 000 cells plated from TK
versus NT cultures respectively). (n ≥ 2 independent experiments/timepoint). C.
Representative pictures of cultures from TK and NT cultures. At all times examined, the
GCV exposed NT and TK cultures had viable, healthy cells in the standard EFH
conditions. Anti-GFAP immunostaining shows astrocytes in TK and NT derived cultures
at day 10 prior to dissociation and plating in the EFH. Data represent mean + SEM.
Scale bars: all TK cultures 200 µm; NT cultures at days 5 and 10, 100 µm, day 8, 200
µm. GFAP staining, 200 µm.
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Supplemental Figure 6
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Supplemental Figure 6. YFP-GFAP-tk derived colonies for transplantation. A.
YFP-GFAP-tk (YFP-TK) mice generate YFP positive LIF colonies in the presence of
GCV similar to non-transgenic littermate controls (YFP-NT) grown in GCV. B. The
frequency of YFP-TK derived LIF colonies in the presence of GCV is not different from
YFP-NT littermate controls; however, YFP-TK LIF colonies were smaller in size (n=3
mice/genotype). C. Only YFP-NT derived LIF colonies grown in GCV passage into EFH
conditions indicating that the LIF colonies YFP-TK derived LIF colonies do not contain
GFAP+ neurosphere forming cells (n=3 animals per genotype). D. Representative images
of cells (i) migrating, (ii-iii) differentiating, and (iv) expressing the neuroblast marker
DCX at 14 days post-transplant. Data represent mean + SEM. Scalebars = 20 µm.
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109
Chapter 3
Quiescent primitive neural stem cells repopulate the ablated definitive neural stem cell population in the
adult mouse brain
This chapter has been submitted for publication:
Leeder R, Yammine S, Xu W, Sachewsky N, Morshead C, van der Kooy D. Quiescent
primitive neural stem cells repopulate the ablated definitive neural stem cell population in
the adult mouse brain.
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Abstract
Adult primitive neural stem cells (pNSCs) are rare, LIF-dependent, GFAP–, Oct4+
cells that reside in the mouse forebrain subependyma. Label retention experiments in
Histone2B (H2B)-GFP mice indicated that adult pNSCs are predominantly quiescent,
dividing approximately once every 3-5 months. Adult pNSCs express the pluripotency
gene Oct4 and Oct4fl/fl;Sox1Cre/Cre (Oct4CKO) mice did not generate pNSC-derived
neurospheres, providing a pNSC loss of function mouse model. Four weeks after GFAP+
definitive (d)NSC ablation, Oct4CKO mice had significantly fewer dNSC-derived
neurospheres, proliferating cells and Sox2+GFAP+ cells in the periventricular region,
suggesting that pNSCs are necessary for dNSC repopulation. In addition, pNSCs exit
quiescence upon ablation of their downstream progeny, as an antimitotic agent infused
into H2B-GFP mice to ablate downstream progeny caused quiescent pNSCs to proliferate
and dilute their label. In conclusion, pNSCs are primarily quiescent and upstream of
dNSCs, but proliferate following downstream lineage ablation to repopulate the adult
neural lineage.
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Introduction
NSCs reside within the periventricular region of the adult mouse brain. dNSCs are
a population of GFAP+, multipotent cells that self-renew and also referred to as type B
cells (Doetsch et al., 1999; Morshead et al., 1994; Morshead et al., 2003). In the adult
mouse brain, GFAP+ dNSCs divide to produce transit amplifying cells that give rise to
neuroblasts, which migrate along the rostral migratory stream to the olfactory bulb where
they differentiate into interneurons (Doetsch et al., 1999). Adult dNSCs are epidermal
growth factor (EGF)- and fibroblast growth factor (FGF)-dependent and proliferate to
form clonal neurospheres in vitro (Reynolds and Weiss, 1992). This population of dNSCs
can be specifically ablated by administration of ganciclovir (GCV) to mice that express
the herpes simplex virus thymidine kinase under the GFAP promoter (GFAP-tk) (Bush et
al., 1998). Infusion of GCV into the lateral ventricle killed proliferating dNSCs and
depleted dNSC-derived neurospheres (Morshead et al., 2003), however the dNSC
population returned over time upon removal of GCV (Sachewsky et al., 2014).
We postulated that dNSC repopulation occurs due to the presence of an additional
NSC type upstream of dNSCs. In the developing mouse embryo, primitive (p)NSCs can
be isolated from the mouse embryo as early as embryonic day (E)5.5, in advance of
dNSCs that are first present at E7.5 (Hitoshi et al., 2004). Interestingly, pNSC-derived
neurospheres can be passaged into dNSC-derived neurospheres, but the reverse is not true
(Sachewsky et al., 2014), suggesting that pNSCs lie upstream of dNSCs in the NSC
lineage. We recently reported that pNSCs persist into the adult brain as a rare population
of GFAP– adult pNSCs (Sachewsky et al., 2014), and postulated that this distinct cell
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population is upstream dNSCs in vivo and thus responsible for the repopulation of ablated
dNSCs in the adult brain.
pNSCs generate clonal pNSC-derived neurospheres in the presence of leukemia
inhibitory factor (LIF) in vitro. Unlike dNSCs, they express low levels of Oct4 based on
qPCR, transgene expression, flow cytometry, immunostaining, drug selection, and
morula aggregation experiments (Sachewsky et al., 2014). In addition, cell surface
markers have been identified to distinguish pNSCs from dNSCs (DeVeale et al., 2014).
pNSCs can be passaged to self-renew or into dNSC culture conditions to produce dNSC-
derived neurospheres, which then express GFAP and are killed if derived from GFAP-tk
mice and exposed to GCV (Sachewsky et al., 2014). As pNSCs are rare in the adult
mouse brain and generate small pNSC-derived neurospheres, we hypothesized that they
may also be a predominantly quiescent population. In many stem cell lineages,
quiescence is hypothesized to be a mechanism of preventing stem cell exhaustion and/or
protecting against replication-related mutations (reviewed (Wang and Dick, 2005; Orford
and Scadden, 2008)). This is well characterized in the rare, long-term repopulating
hematopoietic stem cells (HSCs), which reside at the top of the HSC hierarchy (Foudi et
al., 2009; Wilson et al., 2008; Anjos-Afonso et al., 2013).
To investigate differences between the pNSC and dNSC populations, we used
doxycycline (DOX)-inducible H2B-GFP mice to assess the cell cycle times in these two
cell populations. We identified label-retaining cells in the subependyma as pNSCs, and
label-retaining pNSC-derived neurospheres could still be obtained after a one-year chase.
Therefore, pNSCs persist as a quiescent cell population in the adult mouse brain. pNSCs
express Oct4 and we assayed mice with a conditional knockout of Oct4 (Oct4fl/-
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fl;Sox1Cre/Cre mice, hereafter referred to as Oct4CKO mice) and observed that pNSCs
seemed dysfunctional as they did not give rise to pNSC-derived neurospheres. We
therefore used Oct4CKO mice as a loss of pNSC function mouse model to ask whether
pNSCs are responsible for the repopulation of ablated dNSCs in vivo. Oct4CKO mice
exhibited significantly reduced repopulation of dNSC-derived neurospheres following
antimitotic treatment as compared to control mice. Furthermore, after 4 weeks of
recovery from antimitotic treatment, Oct4CKO mice had significantly fewer proliferating
(EdU+) and Sox2+GFAP+ cells in the periventricular region. This suggests that pNSCs
are upstream in the neural lineage, and that Oct4 is required for pNSCs to repopulate
dNSCs. Finally, after administration of an antimitotic drug to H2B-GFP mice, pNSCs
diluted their labeled histones, thus confirming they are activated to proliferate in response
to ablation of their progeny. We conclude that pNSCs are a quiescent population
upstream of dNSCs that become activated following dNSC ablation to repopulate dNSCs
and the downstream neural lineage.
Methods
Mouse strains. H2B-GFP mice were a kind gift from Dr. K. Hochedlinger (Foudi et
al., 2009). Oct4fl mice were a kind gift from Dr. A. Tomlin (Kehler et al., 2004). Sox1Cre
mice were a kind gift from Dr. S. Nishikawa (Takashima et al., 2007). GFAP-tk mice
were a kind gift from Dr. M. Sofroniew (Bush et al., 1998). C57BL/6 mice were
purchased from Charles River. All mice were maintained in the Department of
Comparative Medicine at the University of Toronto and in accordance with the Guide to
the Care and Use of Experimental Animals and approved by the Animal Care Committee.
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Label retention analysis. H2B-GFP received doxycycline (DOX) in the drinking
water (2mg/ml in 1% sucrose) for 6 weeks starting at 6-10 weeks of age, followed by
various chase periods without DOX exposure (Foudi et al., 2009).
Ablation paradigms. Oct4CKO and Oct4CKO-tk mice were anaesthetized with 3-5%
isoflurane and injected with Ketoprofen (3 mg/kg). A cannula was implanted into the
lateral ventricle (+0.2 mm anterior, +0.7 mm lateral, depth of 2.5 mm below the skull,
relative to bregma) and connected to a mini osmotic pump placed subcutaneously on the
back (Alzet 1007D, Direct Corp.). Oct4CKO received a 14-day infusion of 4% AraC
(Sigma) at 0.25 µl/hr. Oct4CKO-tk mice received a 7-day infusion of 2% AraC at 0.5 µl/hr
followed immediately by a 3-day infusion of 200µM GCV at 1 µl/hr (Sigma). H2B-GFP
mice that received AraC were allowed 3 days to recover after DOX exposure and then
infused for 7 days with 2% AraC at 0.5 µl/hr.
Proliferation analysis. EdU (Life Technologies A10044) was added to the drinking
water (0.2 mg/ml in 1% sucrose) for 7 days during the last week of recovery after AraC
and GCV infusion in Oct4CKO-tk and Oct4Ctl-tk mice.
Primary dissections and neurosphere cultures. The neurosphere assay was
performed as previously described (Chiasson et al., 1999). Cells were plated at clonal
density of 10 cells/µl (Coles-Takabe et al., 2008) in 24 well culture plates (Nunclon).
pNSC-derived neurospheres were plated in serum free media (SFM) supplemented with
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leukemia inhibitory factor (LIF, 10 ng/ml). dNSC-derived neurospheres were grown in
SFM supplemented with epidermal growth factor (EGF, 20 ng/mL; Sigma), basic
fibroblast growth factor (FGF, 10 ng/mL; Sigma) and heparin (2 µg/mL; Sigma).
Neurospheres were counted after 7-10 days in vitro. Primitive neurospheres are 50 µm or
larger in diameter and definitive neurospheres are 100 µm or larger in diameter.
Immunohistochemistry. Mice were sacrificed with sodium pentobarbital and
perfused transcardially with cold PBS followed by 4% PFA. Brains were post-fixed
overnight at 4oC then cryoprotected in 30% sucrose. Coronal sections (14 µm) were
prepared on a cryostat (-16oC). Tissue was permeabilized with 0.5% TritonX and blocked
in 10% NGS. Primary antibodies, chicken anti-GFP (Aves Lab #GFP-1020, 1:500),
rabbit anti-Sox2 (Abcam ab97959, 1:1000), and mouse anti-GFAP (Millipore MAB3402,
1:500), were incubated overnight at 4oC. Secondary antibodies, 488 goat anti-chicken
(Alexa, A11039, 1:400), 568 goat anti-rabbit (Alexa A11036, 1:400), and 647 goat anti-
mouse (Alexa A21236, 1:400), were incubated for 30 min at room temperature. EdU was
detected with Click-iT EdU Alexa Fluor 488 Imaging Kit (Life Technologies C10337).
Nuclei were counterstained with Hoescht. Staining was imaged on an Olympus Fluoview
FV1000 confocal laser scanning microscope.
Statistics. Data are represented as means ± SEM unless otherwise stated. Statistical
analyses were performed using GraphPad Prism 5 (GraphPad Software, Inc., La Jolla,
CA) and Microsoft Excel. ANOVA with Bonferroni’s multiple comparison tests and
Student’s t-test were performed with a significance level of 0.05.
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Results
pNSCs are a quiescent stem cell population in the adult mouse brain
To compare the label retention and thus cell cycles of pNSCs and dNSCs, H2B-
GFP mice received DOX for 6 weeks to label periventricular cells. After DOX removal
cells diluted the GFP label as they proliferate (Fig. 1A), thus leaving quiescent cells
labeled over long chase periods (Foudi et al., 2009). Immediately following DOX
exposure (time 0), cells lining the lateral ventricle were labeled (Fig. 1B), as were pNSC-
derived and dNSC-derived neurosphere. Clonal neurospheres with any GFP expression
(including mottled expression) were considered labeled since we were interested in the
initial neurosphere-forming cell and the H2B-GFP label dilutes as the cells proliferate in
culture to form neurospheres. Mottled GFP staining in clonal neurospheres suggests
different cell cycle times of different precursor cells within the neurospheres. For these
experiments, we assumed that: 1) pNSCs and dNSCs were labeled equally in vivo. 2) All
cells dilute the label by half with every cell division. 3) There is not asymmetric
segregation of histones perhaps contrary to the immortal strand hypothesis. 4) Labeled
pNSCs and dNSCs dilute the label equally in vitro and form neurospheres where even
single GFP+ cells can be visualized.
Immediately after 6 weeks of DOX exposure 44 + 4% of dNSCs and 41 + 9% of
pNSCs were labeled (Fig 1C). The equal proportion of initially labeled pNSC- and
dNSC-derived neurospheres supports the unbiased, replication-independent labeling in
the H2B-GFP mouse model. In addition, we suggest that the equal percentages of pNSC-
and dNSC-derived neurospheres initially labeled after DOX exposure indicates that the in
vitro cell divisions and differences in neurosphere size do not affect our ability to detect
117
GFP+ cells within the sphere. The H2B-GFP model indicated that dNSCs quickly diluted
out their label while pNSCs retained their label over longer chase periods (Fig. 1C).
dNSCs significantly diluted their label from 44% labeled at baseline to 17 + 2%, 2 + 1%
and 0.2 + 0.1% after a 1-, 4- and 12-month chase, respectively. pNSCs did not reduce
their label during the first month of chase, then decreased to 33 + 3% and 9 + 3% labeling
after a 4- and 12-month chase, respectively (Fig. 1C).
To estimate pNSC and dNSC cell cycle times, we expressed the percentages of
labeled neurospheres as a percentage of spheres initially labeled. For example after 1
year, 9% of the total population of pNSC-derived neurospheres was GFP+, which is
approximately 22% of the population of pNSC-derived neurospheres that was initially
labeled immediately after DOX exposure (Fig. 1D). Since at 12 months post-DOX
exposure, the percentage of labeled dNSC-derived neurospheres was 0.2 + 0.1% (1 GFP+
neurosphere from 1 of 14 mice analyzed) and not significantly different from 0%, we
presumed that the dilution of label happened well before 12 months in dNSCs. If we
exclude this dNSC 12-month time point from, this increased the R2 value of the line of
best fit from 0.95 to 0.99. The GFP dilution was plotted on a logarithmic scale to confirm
that the label diluted exponentially, further demonstrating the label retention in pNSCs
(Fig. 1D). From the lines of best fit on the dilution graph (R2 value of 0.94 for pNSCs),
we set the y intercept to 50% to calculate the amount of time (x) required to dilute the
H2B-GFP label by half. Assuming that we can calculate the time required to lose half the
GFP label in vivo from our neurosphere assays, we calculated the cell cycle of dNSCs to
be 24 days (0.8 months) and pNSCs to be 5.1 months. More generally, this suggests that
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Figure 1
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Figure 1. Label retention in pNSCs and dNSCs in H2B-GFP mice. A. DOX was
delivered in the drinking water for 6 weeks followed by 1-, 4-, and 12-month chase
periods. B. DOX-induced GFP labeling in cells surrounding the lateral ventricle of H2B-
GFP mice (scale bar = 50 µm). C. During the chase periods, dNSCs divided more
frequently and diluted their GFP label while pNSCs retained labeling longer, expressed
as a percentage of total neurospheres isolated (2-way ANOVA F(3,54)=3.8, p=0.001,
n=4-8 mice per timepoint). D. GFP-labeled neurospheres expressed as a percentage of the
initial neurospheres labeled immediately after DOX exposure.
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pNSCs dilute their label 6 times slower than dNSCs, which can be used to make a
separate, more conservative cell cycle time estimate that is less dependent on the
neurosphere assay as an accurate readout of in vivo cell divisions. Given the 6 fold
difference in cell cycle times and previous calculations that the cell cycle time of dNSCs
in vivo is about 15 days (Morshead et al., 1998), we can perform a more conservative
estimate that pNSCs divide once every 3 months. Based on these two methods of
analyses, we conclude that the cell cycle time of pNSCs is 3-5 months.
pNSCs are depleted in mice lacking Oct4 expression in Sox1+ cells
As Oct4 expression is unique to pNSCs, we sought to determine whether loss of
Oct4 expression affects pNSCs using Sox1-driven Cre expression to induce a conditional
loss of Oct4 in all neural cells (Fig. 2A). Oct4CKO mice appeared phenotypically normal.
pNSC-derived neurospheres were absent from Oct4CKO, while Oct4wt/fl;Sox1cre (Oct4Ctl)
mice generated a normal abundance of pNSC-derived neurospheres not different from
wild type controls (Fig. 2B). This suggests that Oct4 is required by pNSCs, at least for
neurosphere formation. In contrast Oct4CKO mice gave rise to a normal abundance of
dNSC-derived neurospheres (Fig. 2C). dNSCs appeared unaffected in Oct4CKO mice,
possibly because Oct4 is not excised until after Sox1 expression begins at E7.5 (Wood
and Episkopou, 1999), therefore, pNSCs and dNSCs are already established in the brain
before Oct4 protein is removed. The absence of pNSC-derived neurospheres from
Oct4CKO suggests a requirement for Oct4 expression in pNSCs to form pNSC-derived
neurospheres, though it is unclear whether it is required for pNSC survival, proliferation,
or cell identity.
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pNSCs are required for dNSC-derived neurosphere repopulation after dNSC
ablation
To determine whether the loss of pNSC-derived neurospheres in Oct4CKO mice
resulted from a loss of pNSC function in vivo and whether pNSCs are required for
repopulation of dNSCs, we ablated dNSC and neural progenitor populations to determine
whether dNSCs recover in Oct4CKO mice. AraC, an antimitotic drug, was infused directly
into the lateral ventricle of Oct4CKO and Oct4Ctl mice continuously for two weeks to
ablate all proliferating cells, including neurosphere-initiating dNSCs (Fig. 2D). After
AraC treatment, the ability of pNSC loss of function (Oct4CKO) mice to repopulate dNSCs
after a 2- and 4-week recovery period was assessed using a neurosphere assay. The
dNSC-derived neurosphere repopulation was reduced significantly after 4 weeks of
recovery in Oct4CKO mice vs. Oct4Ctl control mice, which recovered to 24 + 5% and 91 +
8% of naïve baseline, respectively (Fig. 2D). Therefore, Oct4 expression is required for
pNSC ability to repopulate ablated dNSCs.
AraC infusion did not induce a complete loss of dNSCs, and since even a few
remaining dNSCs could be capable of proliferating to recover the dNSC population
(Morshead et al., 1994), we sought a better ablation protocol. We crossed the Oct4CKO
strain to GFAP-tk mice to take advantage of a more extensive ablation protocol using
GCV (Sachewsky et al., 2014). We infused AraC for 7 days to ablate all dividing
progenitors cells and push dNSCs into cycle to increase the efficiency of the subsequent
3-day GCV infusion (Fig. 2E). After initial ablation, dNSC-derived neurospheres were
completely absent after a 2-week recovery in Oct4CKO;tk mice, and had returned to just
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Figure 2
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Figure 2. Oct4fl/fl;Sox1Cre/Cre (Oct4CKO) mice are a pNSC loss of function model and
had significantly reduced ability to repopulate dNSCs. A. Mice are homozygous for
Cre recombinase insertion to the Sox1 locus, and the Oct4fl allele that has exon 1 flanked
by loxP sites. i. Constitutive Cre expressed, drive by the Sox1 promoter, drives excision
of the critical exon of Oct4, causing the condition knockout (ii). B. dNSC-derived
neurospheres were not affected by loss of Oct4 expression. C. pNSC-derived
neurospheres were absent from Oct4CKO, while Oct4Ctl are similar to wildtype control
mice. N=8. D. Oct4CKOand Oct4Ctl mice received a 2-week AraC infusion to ablate
dNSCs and progenitors. Oct4CKO had significantly reduced repopulation of dNSC-derived
neurospheres compared to Oct4Ctl (2-way ANOVA F(2,18)=12.45, p=0.001, N=4). E.
Ablation in Oct4CKO-tk mice with 7 days of AraC infusion followed by 3 days of GCV
infusion induced a further reduction in the dNSC and progenitor population. Oct4CKO-tk
did not exhibit any dNSC repopulation after 2-week recovery and significantly reduced
repopulation after 4-week recovery compared to Oct4Ctl (2-way ANOVA F(2,13)=11.42,
p=0.001, N=3).
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2.7 + 1.8% of untreated control neurosphere levels after a 4-week recovery, a significant
reduction compared to Oct4Ctl;tk mice (Fig. 2E). Strikingly, half of the Oct4CKO mice who
received this treatment had 0 dNSC-derived neurospheres 4 weeks post-ablation, and the
other half only gave rise to rare dNSC neurospheres (average of 5 neurospheres per 40
000 cells, a 2.5% recovery). This same effect was seen when we allowed mice to recover
from ablation for 8 weeks, suggesting this lack of repopulation without functioning
pNSCs is permanent and that Oct4+ pNSCs are required for dNSC repopulation
Fewer EdU+ and Sox2+GFAP+ cells are present in Oct4CKO;tk mice after ablation
After AraC/GCV ablation in Oct4CKO;tk mice, EdU was administered in the
drinking water during the last week (days 21-28) of recovery to label proliferating cells
(Fig. 3A). Non-ablated wildtype mice, Oct4Ctl;tk mice and Oct4CKO;tk mice received EdU
to compare the amounts of proliferation in the subependyma. EdU, Sox2, and GFAP were
quantified in the periventricular region after a 4-week recovery from AraC/GCV ablation.
After 4-week recovery, Oct4CKO;tk mice had significantly fewer EdU+ cells in the
subependyma of the forebrain as compared to Oct4Ctl;tk and untreated controls (Fig. 3B,
C). Quantification of Sox2+GFAP+ cells revealed significantly fewer double positive cells
in proximity to the lateral ventricle in Oct4CKO;tk mice compared to Oct4Ctl;tk mice and
untreated controls (Fig. 3D, E). The number of Sox2+GFAP+ cells includes the dNSC
population, and is consistent with the reduced repopulation of dNSC-derived
neurospheres in Oct4CKO;tk following AraC/GCV treatment (see Fig. 2E, 3E).
Sox2+GFAP+ cells that were also EdU+ were quantified to identify proliferating
dNSCs. A greater proportion of Sox2+GFAP+ cells that were present were EdU+ in
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Oct4CKO;tk mice compared to Oct4Ctl;tk (Fig. 3F). There were fewer EdU+ proliferating
cells and fewer Sox2+GFAP+ cells, but of the Sox2+GFAP+ cells that were present a
higher percentage were proliferating compared to Oct4Ctl;tk. This increased proliferation
within the reduced Sox2+GFAP+ population suggests that in the absence of functioning
pNSCs, non-dNSC Sox2+GFAP+ precursors may undergo more proliferation to attempt to
repopulate the neural lineage. Despite attempts through increased proliferation of the few
remaining Sox2+GFAP+ cells, the periventricular region of Oct4CKO;tk pNSC loss of
function mice are unable to repopulate the ablated dNSCs.
pNSCs become activated and proliferate after antimitotic ablation
To confirm that pNSCs leave the quiescent state and begin to proliferate
following downstream neural lineage ablation, we returned to the H2B-GFP mouse
model. Cells were labeled with DOX exposure; 3 days later AraC was infused into the
lateral ventricles for 7 days, then mice recovered for 21 days (Fig. 4A). In this paradigm,
cells activated to proliferate following AraC infusion will dilute their label compared to
control mice that did not receive AraC. While pNSCs usually retain the same amount of
labeling after 1 month, mice that received AraC gave rise to significantly fewer labeled
pNSC-derived neurospheres than control mice that did not receive AraC (Fig. 4B). This
indicates that pNSCs were induced to proliferate following AraC infusion. In contrast,
dNSC-derived neurospheres were equally labeled from 1-month control mice and 1-
month with AraC mice (Fig. 4B). This does not preclude the proliferation of dNSCs, but
rather may suggest that most of the dNSC repopulation after AraC treatment arose from
labeled pNSC precursors that passed on their labeling in vivo. The dilution of the H2B-
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Figure 3
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Figure 3. Reduced proliferation and dNSC recovery in the periventricular region of
Oct4fl/fl;Sox1Cre;GFAP-tk mice after ablation. A. Mice received AraC/GCV ablation
followed by a 4-week recovery with EdU delivered in the drinking water during the last
week of recovery (days 21-28). B. C. Oct4fl/fl;Sox1Cre;GFAP-tk mice had fewer EdU+
cells in the periventricular region as compared to Oct4wt/fl;Sox1Cre;GFAP-tk after
recovery (2-way ANOVA F(2,13)=21.31, p=0.0001, N=3). D. Visualization of
GFAP+Sox2+ cells and EdU+ coexpression. Regular arrow indicates EdU+Sox2+GFAP+,
short arrow indicates EdU+Sox2+GFAP–, arrowhead indicates EdU+Sox2–GFAP+. E.
Fewer GFAP+Sox2+ cells were observed in Oct4fl/fl;Sox1Cre;GFAP-tk mice as compared
to Oct4wt/fl;Sox1Cre;GFAP-tk and wildtype control (2-way ANOVA F(2,11)=7.40,
p=0.01, N=3). F. An increased proportion of Sox2+ GFAP+ cells were EdU+ in Oct4fl/-
fl;Sox1Cre;GFAP-tk compared to Oct4wt/fl;Sox1Cre;GFAP-tk suggesting that dNSCs
proliferate to contribute to dNSC repopulation (2-way ANOVA F(2,12)=5.17, p=0.02,
N=3).
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Figue 4
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Figure 4. pNSCs are activated to proliferate following AraC infusion. A. H2B-GFP
mice received DOX in the drinking water for 6 weeks then allowed to recovery for 3
days. AraC was infused into the brains for 7 days to ablate proliferating cells, followed
by a 21-day recovery. B. pNSCs do not dilute their label within 1 month without ablation,
but after exposure to AraC significantly diluted their label, indicating proliferation (2-
way ANOVA F(2,12)=36.22, p=0.001, N=3). dNSCs did not show reduced labeling after
AraC treatment compared to control 1 month chase.
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GFP label in pNSCs but not dNSCs after AraC treatment supports a lineage model where
pNSCs are upstream of dNSCs and proliferate to repopulate dNSCs after dNSC ablation.
Discussion
pNSCs are a rare stem cell population in the adult mouse brain, which is quiescent
but proliferates to repopulate the ablated dNSC population. Oct4CKO mice served as a
pNSC loss of function mouse model and were utilized to test the repopulation of dNSCs
after ablation of dNSCs and downstream progenitors. Oct4CKO;tk mice exhibited a
significantly reduced dNSC-derived neurosphere repopulation, and significantly fewer
EdU+ cells and Sox2+GFAP+ cells (comprising dNSCs). We suggest that the small
amount of repopulation of dNSCs and their progeny observed at 4 weeks post-ablation in
the pNSC loss of function mice likely resulted from dNSCs that were not ablated in our
AraC/GCV paradigm. This idea is supported by the observation that some Oct4CKO;tk
mice had zero and some had a few dNSC-derived neurospheres after 4 and 8 weeks of
recovery, with zero dNSCs presumably being the mice with complete ablations. In
addition, the increased Sox2+GFAP+EdU+ cells in Oct4CKO;tk compared to Oct4Ctl;tk
suggests that other Sox2+GFAP+ precursors are proliferating and may be compensating to
repopulate the progenitor pool in the absence of functioning pNSCs. In further support of
the involvement of wild type pNSCs to repopulate dNSCs, pNSCs were observed to
proliferate after AraC infusion in a H2B-GFP mouse model. Together, these data suggest
that pNSCs become activated after antimitotic treatment, and exit quiescence to
proliferate to repopulate the downstream neural lineage. Therefore, these data indicate
that pNSCs fit into a stem cell hierarchy that is similar to those reported in other lineages
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where rare, quiescent cells reside at the top of the lineage and act as a reserve stem cell
pool (Wang and Dick, 2005; Orford and Scadden, 2008).
Recovery of ablated dNSCs and downstream progenitors after AraC or AraC/GCV
in Oct4CKO;tk mice supports a NSC hierarchy whereby pNSCs give rise to dNSCs
(Sachewsky et al., 2014). It appears that dNSCs are capable of maintaining their own
population in the absence of ablation, since otherwise untreated Oct4CKO did not give rise
to any pNSC-derived neurospheres, but generated a normal abundance of dNSC-derived
neurospheres. Despite the ability to maintain their own population at baseline, dNSCs
require pNSCs for dNSC repopulation following dNSC ablation. After AraC/GCV
ablation in control mice, the best recovery of dNSC-derived neurospheres was
approximately 70% of the naïve baseline number of dNSC clonal neurospheres. This is in
agreement with past reports that dNSCs only recover to about 75% of baseline levels
after two consecutive ablations (Morshead et al., 1994; Sachewsky et al., 2014), and may
reflect an insufficient recovery time or a limited ability of adult dNSCs to recover, as
reported in the blood stem cell lineage (Harrison et al., 1978). Alternatively, a negative
feedback signal may exist whereby downstream postmitotic progeny, which are more
abundant in the adult niche, signal back and limit adult dNSC repopulation.
Long-term label retention indicated that pNSCs are quiescent in the adult mouse
brain and we estimated that they divide approximately once every 3-5 months, which
corresponds to 5-8 divisions in the lifetime of a mouse. This is similar to label-retaining
primitive HSCs (also referred to as long-term or dormant HSCs) that divide once every
4.8 months (Wilson et al., 2008; Foudi et al., 2009). These primitive HSCs are normally
quiescent, but become activated following exposure to 5-fluorouracil (5-FU), an
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antimitotic drug, to repopulate the downstream hematopoietic lineage (Wilson et al.,
2008). Primitive HSCs also are very rare but have the greatest repopulation ability
amongst blood stem cell types after transplantation (Wilson et al., 2007). In addition to
the commonalities of long cell cycle time and rarity between these two primitive cell
populations, primitive HSCs are negative for the common HSC marker CD34 (Anjos-
Afonso et al., 2013; Wilson et al., 2007). This may be considered similar to pNSCs being
negative for the traditional NSC marker, GFAP, and could reflect a mechanism whereby
lineage-related brain stem cells have different characteristics to limit their sensitivity to
similar stresses and maintain a reserve population. Therefore pNSCs fit into a stem cell
hierarchy where rare, quiescent cells reside at the top of the adult stem cell hierarchy
serving as a reserve pool of stem cells to repopulate the downstream lineage.
pNSCs express Oct4 in the adult mouse brain (Sachewsky et al., 2014), and the
present report demonstrates that Oct4 is necessary for pNSC function. Another study
reported the absence of Oct4 expression in the mouse brain and that conditional
inactivation of the Oct4 alleles did not result in any phenotypic abnormalities or changes
in subependymal Ki67+ labeling (Lengner et al., 2007). In contrast, we previously
reported Oct4 expression specifically within the adult subependyma (Sachewsky et al.,
2014) and herein demonstrate that Oct4 expression is crucial to pNSCs and the
repopulation of dNSCs after dNSC ablation. In agreement with Lengner et al., we did not
observe a difference in the abundance of EdU+ cells in the periventricular region of
Oct4CKO;tk untreated mice versus C57BL/6 mice, and only observed a difference in EdU
expression after antimitotic treatment. It remains unclear how the loss of Oct4 results in a
pNSC loss of function mouse model. Oct4 may maintain pNSCs through survival, self-
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renewal, or conservation of multipotentiality. Greater understanding of the molecular
biology surrounding Oct4 expression in pNSCs would be valuable to further our
understanding of the role of Oct4 in the adult mouse brain.
We report a population of quiescent pNSCs that are upstream and repopulate
dNSCs in the adult mouse brain. Despite reports of ependymal cells activated after injury
to act as stem cells (Carlén et al., 2009; Magnusson et al., 2014), pNSCs are not
ependymal-derived, based on the subependymal position of Oct4-GFP cells in
periventricular wholemounts and on the findings that pNSC-derived neurospheres self-
renew and are not ciliated (Sachewsky et al., 2014). We performed cell cycle analysis on
pNSCs and dNSCs with the H2B-GFP mouse model, which holds great benefit over
BrdU label retention models, since the H2B model is not biased towards proliferating
cells to take up the initial label. Further, we propose that pNSCs are upstream of the
recently described quiescent (q)NSCs (Codega et al., 2014) and pre-GEPCOT cells
(Codega et al., 2014; Mich et al., 2014), which we suggest may be subtypes of GFAP+
dNSCs or B1 cells. Pre-GEPCOT cells were reported to be upstream of GEPCOT cells,
which are GlastmidEGFRhighPlexinB2highCD24−/lowO4/PSA-NCAM−/lowTer119/ CD45−
(Codega et al., 2014; Mich et al., 2014). pNSCs are the only NSC type that are Oct4+ and
GFAP–; they are the most rare, slowest proliferating and have the lowest rate of
neurosphere formation. Pre-GEPCOT cells are slowly proliferating with low neurosphere
forming abilities and have mixed GFAP expression, and are the most abundant in the
niche (Mich et al., 2014). Quiescent (q)NSCs as defined by Codega et al. are the first cell
population in the lineage to be exclusively GFAP+, maintain a low rate of neurosphere
formation (Codega et al., 2014)). Therefore, pNSCs, Pre-GEPCOTS and qNSCs are all
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characterized by low neurosphere forming ability, although it remains possible that only a
subpopulation of cells positive for the classifying cell markers function as stem cells.
Downstream, activated NSCs are more mitotically active, have EGF-R expression, and
mixed mid/high GFAP expression (Codega et al., 2014). It remains unclear which of
these populations are independent or overlapping cell populations, and whether some cell
types may be different states of the same cell population. We suggest that pNSCs reside
at the top of the NSC lineage and future studies, including lineage tracing under baseline
conditions, would be beneficial to consolidate our report with these other quiescent NSCs
to directly illuminate their lineage relationship.
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Chapter 4
Targeted activation of primitive neural stem cells in the mouse brain
This chapter has been submitted for publication:
Leeder R, DeVeale B, van der Kooy D. Targeted activation of primitive neural stem cells
in the mouse brain.
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Abstract
Primitive neural stem cells (pNSCs) are the earliest appearing members of the
NSC hierarchy. NSCs generate all cells in the neural lineage and hold great potential if
activated to contribute to brain regeneration. Thus, pNSCs are an ideal population to
target to promote endogenous NSC activation. pNSCs arise early in embryonic
development and persist into the adult mouse brain as rare Leukemia Inhibitory Factor
(LIF)-responsive cells. We hypothesized that pup-derived pNSCs are more abundant but
otherwise comparable to adult-derived pNSCs, and can be used to identify selective
markers and activators of endogenous pNSCs. We tested the self-renewal ability,
differentiation capacity and gene expression profile of pup-derived pNSCs and found it to
be comparable to adult-derived pNSCs. Next, we used pup pNSCs to test
pharmacological methods that could be used to develop novel strategies of promoting
endogenous brain repair. We modulated cell surface proteins that were enriched on in
vitro ESC-derived primitive neurospheres, C-Kit and ErbB2, to activate pNSCs. C-Kit
and ErbB2 inhibition selectively affected pNSCs and not dNSCs in vitro, and when
infused directly into the adult brain in vivo. Targeting pNSCs with C-Kit and ErbB2
modulation provides a valuable strategy to activate the earliest cell in the neural lineage
to contribute to endogenous brain regeneration.
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Introduction
Identifying cell-type specific markers is a key goal in NSC biology. The lack of
selective cell markers currently limits efforts to isolate pure cell populations or test
selective pharmacological interventions (Obermair et al., 2010; Miller and Kaplan, 2012),
a problem that is magnified in rare cell populations. pNSCs are LIF-dependent, express
Oct4 and arise at day 5.5 of embryonic development in advance of FGF-dependent
dNSCs that arise at embryonic day 7.5 (Hitoshi et al, 2004; Akamatsu et al., 2009). Adult
pNSCs are rare Oct4+ cells in the adult forebrain periventricular region that arise first in
the NSC lineage and give rise to dNSCs and downstream neural and glial progenitors
(Sachewsky et al., 2014). pNSCs produce clonal LIF-dependent neurospheres in culture
that can be passaged to self-renew or give rise to dNSCs (also termed type B cells) that
are GFAP+ and EGF/FGF-dependent (Doetsch et al., 1999; Morshead et al., 2003).
Despite the presence of NSCs, the brain exhibits limited endogenous repair to
counteract neurodegenerative disease or heal after injury. Pharmacological compounds to
activate endogenous NSCs and guide their differentiation could improve brain
recovery/repair (Miller and Kaplan, 2012). Therapeutic benefit might be achieved by
activating pNSCs to lead to large expansion of dNSCs and their progeny from the top of
the neural lineage, which could then be guided to differentiate into needed cell types. We
identified pNSC-specific cell surface markers and tested candidate pNSC-mediators on
the relatively abundant pup population to identify activators of endogenous adult pNSCs.
A previous mass spectrometry-based screen identified cell surface proteins
expressed on embryonic stem cell (ESC)-derived pNSCs (DeVeale et al., 2014). In vitro,
pNSCs arise from ESCs passaged into serum free culture conditions containing LIF and
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proliferate to generate clonal primitive neurospheres (Tropepe et al., 2001). C-Kit and
ErbB2 were upregulated on pNSCs relative to upstream ESCs and downstream dNSCs
(DeVeale et al., 2014). C-kit is expressed in the olfactory bulbs, hippocampus and cortex
in the adult mouse brain and on neural progenitors in culture (Motro et al., 1991;
Erlandsson et al., 2004). C-kit is a tyrosine kinase receptor that is activated by Steel, mast
cell growth factor and stem cell factor (SCF), and activates PI3-kinase, STAT, and
RAS/MAPK pathways (Motro et al., 1991; Keshet et al., 1991; Blom et al., 2008). ErbB2
is an EGF-R family member that is expressed in the periventricular region and cortex of
the adult mouse brain (Fox et al., 2005). ErbB2 receptors are activated when they cross-
phosphorylate each other and activate downstream tyrosine kinases (Fox et al., 2005).
The ErbB2 receptor preferentially targets Ras/MAPK and to a lesser extent PI3-kinase
(Yarden and Sliwkowski, 2001). Once validated in vivo, these cell surface proteins will
provide novel candidates for pNSC-specific therapies.
To validate C-Kit and ErbB2 in vivo, we first characterized postnatal day 7 (P7)
pup-derived pNSCs to test their equivalence to adult-derived pNSCs. Pup-derived pNSCs
were comparable to adult pNSCs in terms of self-renewal, differentiation potential, and
gene expression profile. Cell sorting demonstrated that pup pNSCs arose from an Oct4+,
GFAP–, nestinmid population. Next, we tested candidate molecules (DeVeale et al., 2014)
to identify those that affected the ability of P7 pup-derived pNSCs, but not dNSCs, to
form clonal LIF neurospheres in culture. Both C-Kit and ErbB2 inhibitors selectively
increased pNSC-derived neurosphere formation. We confirmed the specificity of their
activation using siRNAs. Finally, we delivered the pharmacological inhibitors directly
into the lateral ventricle of adult mice to confirm their effectiveness at expanding the
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pNSC population in vivo. These in vitro to in vivo experiments suggest that markers and
inhibitors validated in the pup population have consistent effects on endogenous pNSCs
at the top of the adult NSC lineage. These cell surface molecules enable selective
targeting and activation of pNSCs in the adult brain.
Methods
Mouse strains. Oct4-GFP mice were a kind gift from Dr. A. Nagy (Viswanathan
et al., 2003). Nestin-GFP mice were a kind gift from Dr. G. Enikolopov (Mignone et al.,
2004). GFAP-GFP mice were purchased from Jackson (#010835). CD1 mice were
purchased from Charles River. All mice were maintained in the Department of
Comparative Medicine University of Toronto in accordance with the Guide to the Care
and Use of Experimental Animals and approved by the Animal Care Committee.
Primary dissections and neurosphere cultures. The neurosphere assay was
performed as previously described (Chiasson et al., 1999). Mice were sacrificed by
cervical dislocation, brains were removed and lateral ventricles walls were dissected.
Cells were plated at clonal density of 10 cells/µl (Coles-Takabe et al., 2008) in 24 well
culture plates (Nunclon). Primitive neurospheres were plated in serum free media (SFM)
(Tropepe et al., 1999), supplemented with leukemia inhibitory factor (LIF, 10 ng/ml).
Definitive neurospheres were grown in SFM supplemented with epidermal growth factor
(EGF, 20 ng/mL; Sigma), basic fibroblast growth factor (FGF, 10 ng/mL; Sigma) and
heparin (2 µg/mL; Sigma). Neurospheres were counted after 7-10 days in vitro. Primitive
neurospheres are > 50 µm and definitive neurospheres are > 100 µm in diameter.
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Pharmacological inhibitors dissolved in DMSO and siRNAs were added to the
cell culture media at the time of plating. Gleevec (a form of Imatinib) is a C-Kit inhibitor
(Toronto Research Chemicals, G407000), stem cell factor (SCF) a C-Kit ligand (R&D
Systems, 455-MC) and an ErbB2 inhibitor (VWR, CA95061-882) were used at varying
doses. Smart pool siRNAs included C-Kit siRNA (Dharmacon, ON-TARGETplus Kit
siRNA, LU-042174-00), ErbB2 siRNA (Dharmacon, ON-TARGETplus ErbB2, LU-
064147-00) and scramble siRNA (Dharmacon, ON-TARGETplus Non-targeting siRNA
#1, D-001810-01) were transfected using DharmaFECT 1 Transfection Reagent
(Dharmacon).
Neurosphere differentiation. After 7 days in culture, neurospheres were
individually picked and plated onto Matrigel coated plates (4% Matrigel in SFM, Sigma).
Spheres were differentiated for 7 days in the presence of 1% fetal bovine serum (Life
Technologies), and fixed in 4% paraformaldehyde (PFA) (Sigma) at room temperature.
Stem cell self-renewal assay. To test self-renewal, individual neurospheres were
picked, transferred to an Eppendorf tube containing 200 µl SFM with growth factors,
triturated 30-50 times with a pipette tip, and transferred into an additional 300 µL of
media in a 24 well plate. The number of secondary neurospheres per primary
neurosphere was counted after 7-10 days in vitro.
Immunostaining and imaging. Wholemounts were performed as previously
described (Mirzadeh et al., 2008). Briefly, brains were dissected to expose the lateral
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ventricle and fixed overnight in 4% PFA at 4oC. Wholemounts were washed,
immunohistochemistry performed, then dissected and the lateral ventricle wall was
placed onto a microscope slide with aquamount and a coverslip.
Fixed cells were stored in St-PBS at 4oC. Cell cultures were permeabilized with
0.3% Triton-X in PBS for 5 minutes at room temperature for internal proteins. Samples
were blocked with 10% NGS (normal goat serum (Jackson Labs)) in St-PBS (with 2%
TritonX for wholemounts) for 1 hour at room temperature. Primary antibodies were
diluted in blocking solution at 4oC overnight for plated cells and 48h for wholemounts.
Secondary antibodies were incubated again in blocking solution for 40 minutes at room
temperature for differentiated spheres and 48 hours at 4oC for wholemounts. Nuclei were
counterstained with Hoescht (1:1000, Sigma).
The primary antibodies were rabbit anti-GFAP (Sigma, G9269, 1:400), mouse
anti-O4 (Millipore, MAB345, 1:200), rabbit anti-GFAP (Sigma, G9269, 1:400), mouse
anti-βIII tubulin (Sigma, T8660, 1:400), chicken anti-GFP (Aves Lab, GFP-1020, 1:500),
rabbit anti-Sox2 (Abcam, ab97959, 1:500), rabbit anti-ß-catenin (Sigma, C2206, 1:500),
rabbit anti-LIF-R (Abcam, ab101228, 1:500). Secondary antibodies included: 488 goat
anti-chicken (Alexa, A11039, 1:400), 488 goat anti-mouse (Alexa, A11029, 1:400), 488
goat anti-rabbit (Alexa, A11034, 1:400), 568 goat anti-mouse (Alexa, A11031, 1:400),
568 goat anti-rabbit (Alexa, A11036, 1:400). Nuclei were stained with Hoescht (Sigma,
33258, 1:1000). Staining was visualized on an AxioVision Zeiss UV microscope and
Nikon 200 microscope or Olympus Fluoview FV1000 confocal laser scanning
microscope.
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Quantitative PCR. ESCs, ESC-derived pNSCs, pNSC pup- and adult-derived
colonies, pNSC pup-derived neurospheres, and dNSC pup- and adult-derived
neurospheres were collected in Buffer RLT with β-mercaptoethanol. RNA was extracted
using the RNeasy Micro Kit (Qiagen), including treatment with the RNase-free DNase
Set (Qiagen). cDNA was synthesized with Superscript III First Strand Synthesis System
(Invitrogen). qPCR was performed on a 7900HT Fast Real-Time PCR System (Applied
Biosystems). Cycling conditions were: 2 minutes at 50oC, 10 minutes at 95oC, followed
by 40 cycles of 15 seconds at 95oC, 1 minute at 60oC, 15 seconds at 95oC. Ct values were
normalized to GAPDH and expressed relative to ESCs. The Taqman Probes used were:
GAPDH (Mm03302249_g1), Oct4/Pou5fl (Mm03053917_g1), Sox2 (Mm03053810_s1),
Klf4 (Mm00516104_m1), Nanog (Mm02019550_s1), Mash1/Ascl1 (Mm03058063_m1),
Nestin (Mm00450205_m1), Sox1 (Mm00486299_s1) (Applied Biosystems).
FACS. Cells were isolated from primary dissections of Oct4-GFP, GFAP-GFP,
and nestin-GFP mice for FACS analysis using a FacsAria (BD Biosciences). Cells were
counterstained with propidium iodide (2.5 µg/µl, BD Biosciences) to assess viability and
exclude dead cells. CD1 mice were used as negative control and actin-GFP mice were
used as positive control to set analysis gates.
Intracerebral infusion. CD1 mice were anaesthetized with 3-5% isoflurane and
injected with Ketoprofen (3 mg/kg). A cannula was implanted into the lateral ventricle
(+0.2 mm anterior, +0.8 mm lateral, and depth of 2.5 mm below the skull, relative to
bregma) and connected to a micro-osmotic pump placed subcutaneously on the back
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(Alzet 1003D, Direct Corp.). Mice received a 3-day infusion of 400 µM C-Kit Inhibitor
(Toronto Research Chemicals) or 130 µM ErbB2 Inhibitor (VWR) delivered at 1 µl/hr.
Statistics. Data are represented as means ± SEM unless otherwise stated and as
biological replicates. Statistical analyses were performed using GraphPad Prism 5
(GraphPad Software, Inc., La Jolla, CA) and Microsoft Excel. ANOVA with
Bonferroni’s multiple comparison tests and Student’s t-test were performed with a
significance level of 0.05.
Results
Pup-derived pNSCs are comparable to adult-derived pNSCs
Primary dissections of P7 pup brains generated 30-fold more pNSC neurospheres
than adult brain dissections, 1.3 + 0.2 (mean + SEM) adult-derived neurospheres vs. 43 +
3 (mean + SEM) pup-derived neurospheres per 40 000 cells plated. Thus P7 pups were
used to generate pNSCs in this study. To confirm that pup-derived pNSCs are equivalent
to adult-derived pNSCs, we compared morphology, self-renewal, differentiation, and
gene expression between the two populations. Similar to adult-derived pNSCs
(Sachewsky et al., 2014), P7 pup-derived pNSCs formed clonal, free-floating
neurospheres > 50 µm in diameter with clearly defined borders, while P7 pup-derived
dNSCs are > 100µm in diameter (Fig. 1A). Single sphere passaging demonstrated that
pup- and adult-derived clonal pNSC colonies self-renewed at the same frequency, 0.44 +
0.03 (mean + SEM) per pup neurosphere passaged vs. 0.38 + 0.06 (mean + SEM) per
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Figure 1
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Figure 1. Characterization of pup-derived pNSCs. A. Morphology of a clonal pNSC-
derived neurosphere and dNSC-derived neurosphere from P7 mouse brain, scale bars =
50µm. B. Pup-derived pNSCs differentiate to give rise to ßIII+ neurons, GFAP+
astrocytes and O4+ oligodendrocytes. C. Differentiation profile of pNSC neurospheres
derived both postnatal day 7 pups (n=7-9 neurospheres from 3 independent experiments).
D. Differentiation profile of pup-derived dNSCs neurospheres (n=7-10 neurospheres
from 3 independent experiments). E. Pup- and adult-derived pNSC colonies express
similar levels of stem cell and neural genes. qPCR of pNSC colonies/spheres and dNSC
spheres are expressed relative to ESCs and normalized to GAPDH. Pup-derived pNSCs
express similar levels of the pluripotency factors Oct4, Klf4, and Nanog, equivalent
nestin expression, and increased Mash1 and Sox1 mRNA compared to adult-derived
pNSCs . (2-way ANOVA F(30,84)=13.6 p=0.001 n=3, only select statistical significances
are shown). UD = undetectable
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adult neurosphere passaged (Chi-square p=0.52). The self-renewal ability indicates the
same frequency of stem cells in pup- and adult-derived pNSC colonies.
We confirmed that pup-derived pNSCs are multipotent and that clonal
neurospheres gave rise to neurons, astrocytes and oligodendrocytes in culture (Fig.1B).
Similar to adult-derived pNSCs (Sachewsky et al., 2014), pup-derived pNSCs produced
fewer GFAP+ astrocytes than adult- and pup-derived dNSCs and their differentiation
profile was markedly different from pup-derived dNSCs (Fig. 1C, D). Pup-derived
pNSCs and dNSCs gave rise to an increased proportion of oligodendrocytes compared to
adult-derived pNSCs and dNSCs (Sachewsky et al., 2014). This may reflect a
contribution to the wave of oligogenesis that occurs predominantly between postnatal
days 7-21 during mouse brain development (Sauvageot and Stiles, 2002). Pup pNSC-
derived neurospheres gave rise to neurons, astrocytes and oligodendrocytes confirming
that they are a multipotent stem cell population, similar to adult pNSCs.
Next, qPCR for pluripotency and neural genes confirmed that pup-derived pNSCs
had gene expression similar to adult-derived pNSCs. We compared ESC-derived
primitive neurospheres, adult-derived pNSC colonies, and adult-derived and pup-derived
pNSCs colonies and neurospheres. Colonies are adherent and grown on a feeder layer in
the presence of serum whereas neurospheres are free floating in serum free media, both
cultures are only supplemented with LIF. Regardless of age of origin, pNSC-derived
colonies and neurospheres had higher expression of pluripotency genes Oct4, Klf4, and
Nanog, with lower expression of the neural genes Mash1 and nestin compared to dNSC
neurospheres (Fig. 1E). pNSCs had lower Sox2 expression than dNSCs, a gene
implicated in stem cell proliferation (Julian et al., 2013; Surzenko et al., 2013),
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suggesting that pNSCs might have reduced proliferative capacity compared to dNSCs.
The characterization of pup-derived pNSCs confirms that they are comparable to adult-
derived pNSCs and their increased abundance make them a valuable population to study
methods of targeting endogenous adult pNSCs.
Pup pNSCs are Oct4+, Sox2+, LIF-R+, ß-catenin+
Adult pNSCs are Oct4+, Sox2+, LIF-R+, ß-catenin- (Sachewsky et al., 2014). We
prepared wholemounts of the lateral ventricle from P7 Oct4-GFP pups to determine
whether these proteins are expressed in pup pNSCs. In the pup periventricular region,
Oct4+ cells were identified and colocalized with Sox2 and LIF-R (Fig. 2A-B). In contrast
to adult pNSCs, Oct4+ cells coexpressed ß-catenin in the pup brain (Fig. 2C). ß-catenin
stained the ventricular surface extensively and labeled fewer cells deeper in the SEZ
where it colocalized with Oct4. This may indicate a difference between the pup and adult
pNSCs, or may have resulted from the fact that ß-catenin is membrane bound while Oct4-
GFP is cytoplasmic and thus they did not appear to overlap in the previous study
(Sachewsky et al., 2014). Interestingly, Oct4+ cells often resided in close proximity to
blood vessels (Fig, 2B, 2C). Thus, the pup brain contains a population of Oct4+, Sox2+,
LIF-R+, ß-catenin+ cells in the periventricular region.
pNSCs can be isolated from dNSCs based on Oct4, GFAP and nestin expression
In addition to visualizing pNSCs in the periventricular region based on Oct4
expression to identify protein expression based on immunohistochemistry, we performed
FACS in conjunction with the neurosphere assay to determine genes expression in
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Figure 2
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Figure 2. pNSCs markers in the walls of the lateral ventricle. A. Wholemounts were
prepared from Oct4-GFP pups, stained with anti-GFP and counterstained for (B) Sox2
(C) LIF-R, and (D) ß-catenin. Inset shows boxed region of Oct4+ cell at higher
magnification. Scale bars = 10µm. Arrows indicate cells of interest. Arrowheads indicate
blood vessels.
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sphere-initiating pNSCs. This technique was not successful in adult-derived pNSCs due
to their rarity (Sachewsky et al., 2014). First, we confirmed that pup-derived sphere
initiating pNSCs are Oct4+. We performed FACS analysis on primary cells from the
periventricular region of Oct4-GFP P7 pups to isolate Oct4+ cells (Fig. 3A). Oct4– and
Oct4+ cells, along with an ungated control, were plated in the neurosphere assay to assess
for pNSCs and dNSCs. pNSC-derived neurospheres arose exclusively from the Oct4+
population at significantly increased frequency over the ungated control, confirming that
pNSCs are Oct4+ (Fig. 3B). dNSC-derived neurospheres arose exclusively from the Oct4–
population, confirming that dNSCs are Oct4– (Fig. 3C). We conclude that Oct4
expression is exclusive to pNSCs and a defining difference from dNSCs in the pup brain.
To confirm that pNSCs are GFAP– in contrast to dNSCs, we performed FACS on
primary cells from GFAP-GFP mice to isolate GFAP– and GFAP+ cells (Fig. 3D). As
previously reported (Sachewsky et al., 2014) we observed that pNSCs are GFAP– and are
significantly increased over the ungated control (Fig. 3E). Pup dNSCs were GFAP+ (Fig.
3F), as reported previously in adult dNSCs (Doetsch et al., 1999; Chiasson et al., 1999;
Morshead et al., 2003). The low amount of cross contamination between the positive and
negative bins likely resulted from gating to maximize viability at the expense of purity.
This did not cause cross contamination in our Oct4-GFP or nestin-GFP sorts but may
have due to low GFAP expression in dNSCs as compared to GFAP expression in
astrocytes. Therefore, we confirmed that pNSCs are GFAP–, in contrast to dNSCs that are
GFAP+.
Subsequently, we used the nestin-GFP mouse strain to determine nestin
expression in pNSCs. Nestin is commonly used as a neural stem/progenitor marker but is
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also expressed in many immature and proliferating cells (Gilyarov, 2008). We sought to
determine whether nestin is expressed in pNSCs, as it is in dNSCs. We performed
primary dissections and isolated cells based on low, middle, or high nestin expression
(Fig. 3G). pNSC-derived neurospheres arose exclusively from the nestinmid population, a
significant increase over the ungated control (Fig. 3H). dNSC-derived neurospheres arose
overwhelmingly from the nestin-high population, also a significant increase over ungated
control (Fig. 3I). Therefore, pNSCs and dNSCs have different levels of nestin expression
and reduced nestin is a defining feature of pNSCs relative to dNSCs.
Cell surface markers identified on ESC-derived pNSCs target pup-derived pNSCs
in vitro
A previous mass spectrometry-based analysis identified novel cell surface
markers upregulated on ESC-derived pNSCs, as compared to ESCs and dNSCs (DeVeale
et al., 2014). In this study, C-Kit and ErbB2 receptors were upregulated on ESC-derived
pNSCs and their inhibition affected pNSC-derived neurosphere formation. Here, we
cultured pup-derived pNSCs with pharmacological inhibitors and siRNAs to test whether
the cell surface markers target primary pNSCs in vitro.
To confirm that inhibition of C-Kit increases brain-derived pNSCs, we cultured
pup-derived primary cells with C-Kit inhibitor at varying concentrations (Fig. 4A).
Gleevec, a C-Kit inhibitor, had a significant interaction effect on pNSCs vs. dNSCs at
various concentrations and significantly increased pNSCs over dNSCs at 4 µM and 10
µM (Fig. 4B). We confirmed that the Gleevec-mediated increase in pNSCs was C-Kit
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Figure 3
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Figure 3. FACS analysis of primary pup brain cells. A. Cells from Oct4-GFP pups
were sorted to isolate Oct4+ vs. Oct4– cells. B. pNSCs arose exclusively from the Oct4+
population, a significant increase over the ungated control (1-way ANOVA F(2,6)=12.53,
p=0.01, n=3). C. dNSCs arose exclusively from the Oct4– population (1-way ANOVA
F(2,6)=171.4, p=0.001, n=3). D. GFAP-GFP periventricular cells were sorted into
GFAP– and GFAP+. E. pNSCs were increased in the GFAP– population (1-way ANOVA
F(2,6)=11.55, p=0.01, n=3). F. dNSCs arose from the GFAP+ population (1-way
ANOVA (F2,6)=6.34, p=0.03, n=3). G. Nestin-GFP pup cells were sorted for low,
middle and high nestin expression. H. pNSCs were increased in the nestinmid population
(1-way ANOVA F(3,8)=15.0, p=0.001, n=3). I. dNSCs were significantly increased in
the nestin-high population (1-way ANOVA F(3,8)=34.04, p=0.001, n=3).
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Figure 4
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Figure 4. Inhibition of C-Kit signaling increased pup-derived pNSC neurosphere
formation. A. Primary cultures of pNSCs and dNSCs were cultured with C-Kit inhibitor
and Kit siRNA. B. Addition of C-Kit inhibitor to primary cultures increased pNSCs and
depleted dNSCs at increasing concentrations, causing a significant increase in pNSCs
over dNSCs (2-way ANOVA F(3,24)=3.55, p=0.03, n=4). C. A siRNA specific to C-Kit
similarly increased pNSC spheres in primary culture significantly over scramble control
without effecting dNSC-derived neurospheres (2-way ANOVA F(1,12)=7.91, p=0.02,
n=4). D. Addition of the C-Kit ligand SCF had a significant effect on the interaction of
pNSCs vs. dNSCs at increasing doses. (2-way ANOVA F(5,24)=3.00, p=0.03, n=3). E.
To test stem/progenitor specific effects, primary cultures were passaged into secondary
cultures in the presence of C-Kit inhibitor. F. Addition of C-Kit inhibitor to secondary
cultures of passaged pNSCs and dNSCs similarly increased pNSCs and depleted dNSCs,
leading to significantly increased pNSCs over dNSCs (2-way ANOVA F(1,11)=4.96,
p=0.05, n=4). G. C-kit siRNA significantly increased secondary pNSC neurosphere
formation without an effect on dNSCs (2-way ANOVA F(1,8)=6.26, p=0.05, n=3).
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specific using a Kit siRNA, which decreased C-Kit transcripts to 20% of control
(DeVeale et al., 2014). Kit siRNA at 100 nM induced a significant increase in pNSCs
over thescrambled control, without affecting dNSCs (Fig. 4C). We did not detect a
change in neurosphere size in the presence of C-kit siRNA (control pNSC spheres were
61 + 1 µm vs. kit siRNA exposed were 62 + 2 µm (mean + SEM), n=3). Primary cells
were cultured with the C-Kit ligand stem cell factor (SCF) at varying concentrations (Fig.
4D). With SCF treatment, pNSC-derived neurospheres were depleted while dNSC-
derived neurosphere were increased, the opposite result of Gleevec treatment. Next, to
confirm the specificity of C-Kit inhibition on the stem/progenitor cells rather than a
secondary effect mediated by niche cells in primary culture, we passaged primary
untreated neurospheres into secondary culture with C-Kit inhibitor (Fig. 4E). The
increase in pNSC neurospheres continued in secondary culture and a significant increase
over inhibitor-treated dNSCs in the presence of C-Kit inhibitor (Fig. 4E). Together, these
data suggest that C-Kit inhibition preferentially targets pup-derived pNSCs over dNSCs.
ErbB2 also regulates pNSC proliferation (DeVeale et al., 2014). We investigated
whether ErbB2 inhibition depleted pup-derived pNSCs (Fig. 5A), similar to its effect on
ESC-derived primitive neurospheres (DeVeale et al., 2014). At high concentrations
(13µM) ErbB2 inhibition completely abolished pNSCs and dNSCs (data not shown), as
previously reported (DeVeale et al., 2014). At lower concentrations, ErbB2 inhibition
abolished dNSCs but not pup-derived pNSC neurospheres (Fig. 5B). ErbB2 siRNA
similarly attenuated dNSC neurosphere formation while slightly increasing pNSCs,
resulting in a significant increase over dNSCs (Fig. 5C). To confirm that the ErbB2
inhibitor targeted the stem cell populations rather than niche cells in the dish, we added
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ErbB2 inhibitor to secondary cultures (Fig. 5D). ErbB2 inhibitor in secondary cultures
severely depleted dNSCs and significantly increased pNSCs over dNSCs (Fig. 5E),
similar to its effect on primary cultures. These in vitro experiments confirm that ErbB2
has cell-type specific effects on pNSCs and dNSCs.
Cell surface proteins that increased pup-derived pNSCs targeted adult pNSCs in
vivo
To validate the cell surface markers that we tested on pup-derived neurospheres in
vitro, we delivered the C-Kit and ErbB2 inhibitors directly into the lateral ventricles of
adult mice via cannula connected to a micro-osmotic pump to determine the effects of C-
Kit or ErbB2 inhibition on pNSCs and dNSCs in vivo (Fig 6A). Mice received drug
infusions over 3 days and were dissected immediately following for the neurosphere
Direct infusion of the C-Kit inhibitor significantly increased pNSCs to 275 + 84% (mean
+ SEM) of vehicle infused control, without a significant effect on dNSCs (Fig. 6B).
ErbB2 inhibitor infusion significantly increased pNSCs to 278 + 49% (mean + SEM) of
control, without affecting dNSCs (Fig. 6C). Therefore, both cell surface marker targeting
drugs identified in culture on pup-derived neurospheres induced significant increases in
the pNSC population when infused into the brains of adult mice in vivo. C-Kit and ErbB2
inhibitors constitute novel mechanisms to enhance neurogenesis in the adult brain.
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Figure 5
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Figure 5. ErbB2 inhibition increased pup-derived pNSC neurospheres. A. Primary
cultures of pNSCs and dNSCs were cultured with ErbB2 inhibitor and ErbB2 siRNA. B.
Addition of ErbB2 inhibitor to primary cultures attenuated dNSC neurosphere formation,
while pNSC neurospheres were selectively increased at a low concentration (2-way
ANOVA F(3,19)=5.05, p=0.01, n=3). C. ErbB2 siRNA had a similar effect in primary
culture and decreased dNSCs while increasing pNSCs (2-way ANOVA F(1,12)=7.03,
p=0.02, n=4). D. To test stem/progenitor specific effects, primary cultures were passaged
into secondary cultures in the presence of ErbB2 inhibitor. E. In secondary cultures of
passaged pNSC and dNSC spheres, dNSCs spheres were severely attenuated with little
effect on pNSCs, leading to a significant increase in pNSCs over dNSCs (2-way ANOVA
F(1,9)=8.69, p=0.02, n=3). F. ErbB2 siRNA increased both secondary dNSC and pNSC
neurosphere formation (2-way ANOVA F(1,10)=6.02, p=0.03, n=4).
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Figure 6
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Figure 6. C-Kit and ErbB2 inhibitors delivered into the lateral ventricle of adult
CD1 mice increased pNSC neurosphere formation. A. Pharmacological inhibitors
were infused directly into the lateral ventricle of adult mice, then these mice were
assayed for pNSC and dNSC number. B. C-Kit infusion significantly increased pNSC
number relative to vehicle control without effecting dNSC number (2-way ANOVA
F(1,20)=5.12 p=0.04, n=6). C. ErbB2 infusion significantly increased pNSC number
relative to vehicle control without affecting dNSC number (2-way ANOVA
F(1,16)=4.81, p=0.04, n=5).
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Discussion
pNSCs located in the periventricular region of the mouse brain are at the top of
the NSC hierarchy (Tropepe et al., 2001; Hitoshi et al., 2004; Smukler et al., 2006;
Sachewsky et al., 2014). Here, we show that P7 pup-derived pNSCs are more numerous
than adult pNSCs but otherwise comparable. P7-derived pNSCs self-renewed at the same
frequency, were multipotential, and had similar gene expression by qPCR. Pup pNSCs
were Oct4+, Sox2+ and LIF-R+ similar to adult pNSCs (Sachewsky et al., 2014), but in
contrast were ß-catenin+. In addition, pup pNSC-derived neurospheres arose from the
Oct4+, GFAP–, nestinmid population after FACS. The increased abundance of pup pNSCs
makes them an ideal population to test the functions of specific cell surface markers. We
show that cell surface proteins identified on in vitro ESC-derived primitive neurospheres
and validated using pup-derived NSCs modeled pNSCs in the adult mouse brain.
We targeted endogenous pNSCs in order to develop strategies to activate the
earliest cell in the NSC lineage. pNSCs give rise to dNSCs and are Oct4-expressing as
shown by qPCR, immunohistochemistry, Oct4-driven antibiotic resistance, flow sorting
and the ability to integrate into the inner cell mass in morula aggregation experiment
(Sachewsky et al., 2014). Expanding pNSCs at the top of the neural hierarchy could lead
to larger increases in dNSCs and downstream progeny. These data suggest that pNSCs
have potential to contribute to endogenous repair strategies. Infusion of the
pharmacological inhibitors directly into the brains of adult mice induced an
approximately 3-fold increase in pNSCs over vehicle infused controls, without affecting
dNSCs. The 3-fold increase in pNSCs when C-Kit inhibitor or ErbB2 inhibitor were
infused in vivo suggests that niche cells may be maintaining pNSCs in a quiescent state
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and pharmacological inhibition can induce pNSCs to proliferate in vivo or prime cells to
proliferate when placed in culture. This may explain the larger effect observed after in
vivo delivery as the inhibitors are acting on pNSCs when they are within a restrictive
environment, rather than when added in vitro where the cells have already been removed
from their niche. C-Kit ligands are overexpressed following brain injury (Sun et al.,
2006), and ErbB2 signaling maintains cells in an undifferentiated state (Schmid et al.,
2003). Inhibiting them may modulate endogenous NSC activation. These studies suggest
that the balance of cell surface signaling may regulate NSC quiescence and activation,
and overcoming quiescence could enable pNSCs to contribute to endogenous repair. Our
data suggest that C-Kit and ErbB2 signaling could act as barriers to pNSC activation after
injury, and hold promise as valuable targets to modulate NSC-induced regeneration.
C-Kit is expressed at high levels in the neural tube and ventricular regions during
embryonic development and its expression continues in the periventricular region,
olfactory bulbs, cerebral cortex and hippocampus in the adult mouse brain (Keshet et al.,
1991; Motro et al., 1991; Jin et al., 2002). NSCs and their progeny also express the C-Kit
receptor in culture (Erlandsson et al., 2004). We did not detect a change in neurosphere
size in the presence of C-Kit siRNA suggesting that C-Kit does not exert a proliferation
effect on the progeny of pNSCs. Previous work showed that C-Kit does not exert a
survival effect (DeVeale et al., 2014). DeVeale et al. suggested that C-Kit inhibition
might repress a quiescence-inducing signal (2014), which is consistent with the present
report where we observed increased pNSC proliferative effects after the inhibitors were
delivered in vivo, where we predict that pNSCs are predominantly quiescent under
baseline conditions (chapter 3).
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ErbB2 inhibition reduced proliferative capacity of ESC-derived primitive
neurospheres when used at a high dose (13µM) (DeVeale et al., 2014). We observed that
low dose (1.3µM) ErbB2 inhibition increased pup-derived pNSCs when delivered in vitro
and increased adult-derived pNSCs approximately 3-fold when delivered in vivo, without
affecting dNSCs in vivo. ErbB2 expression is present in the brain at E13 and becomes
restricted during development so that by postnatal day 7 it is predominantly restricted to
the periventricular regions and persists into the adult (Fox and Kornblum, 2005).
Reduced ErbB2 activity led to differentiation of E9.5 derived radial glial cells into
astrocytes in culture (Schmid et al., 2003), which is consistent with the loss of dNSCs in
our culture experiments. The loss of dNSCs in vitro but not in vivo in response to ErbB2
inhibition suggests that the drug can target pNSCs in the brain without a detrimental
effect on dNSCs. Conversely, we found that pNSCs were not lost or induced to
differentiate, but increased. This supports ErbB2 inhibition as a potentially useful
mechanism to stimulate endogenous regeneration by activating the upstream pNSC,
leading to a greater expansion of the downstream dNSCs and improved ability to
generate neuronal and glial cells lost to injury.
The cell surface receptor inhibitors add to the differences between the two NSC
populations. pNSCs and dNSCs are both multipotential, but vastly differ in frequency,
differentiation profiles, gene and protein expression. pNSCs are Oct4+, Sox2+, LIF-R+, ß-
catenin+ and have higher expression of stem cell markers and lower expression of neural
commitment markers than dNSCs, regardless of age of origin. Whether derived from
postnatal day 7 or adult brain, pNSCs self renewed at a low frequency suggesting that
they undergo asymmetric division as a singly passaged neurosphere only gave rise to one
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new neurosphere, whereas dNSCs expand upon passaging suggesting symmetric
expansion divisions (Reynolds and Weiss, 1992; Morshead et al., 1994; Chiasson et al.,
1999). pNSCs generated fewer astrocytes than dNSCs, more oligodendrocytes from the
pup brain and more neurons from the adult brain compared to dNSCs. Together, these
findings support that pNSCs and dNSCs are distinct cell populations present in the
developing and adult mouse brain, with pNSCs able to generate dNSCs as previously
reported (Sachewsky et al., 2014).
Many neurodegenerative diseases and injuries lead to a loss of neurons and
demyelination. pNSCs generate equal proportions of neurons, astrocytes and
oligodendrocytes when differentiated in culture, unlike dNSCs that generate
predominantly astrocytes in vitro. The differentiation profiles suggest that pNSCs might
be the preferential population to target to generate non-astrocyte cell types if pNSCs
exhibit this characteristic in vivo. In this study, we demonstrate that a short infusion of
pharmacological inhibitors can increase the number of pNSCs and this could be used in
conjunction with a cue for differentiation to produce a 2-step strategy in the future.
Demyelinating diseases would benefit from the activation of an upstream NSC with the
capability of producing oligodendrocytes in the brain.
We compared pup and adult pNSCs and concluded that despite the large difference
in abundance, the populations are comparable. The perinatal peak suggests that pNSCs
might have a specific role in postnatal development, and the increased propensity to
differentiate into oligodendrocytes in culture suggests that pNSCs may contribute to the
wave of oligodendrogenesis postnatally. Flow cytometry for Oct4-GFP primary
periventricular cells suggested that approximately 0.08% of P7 pup-derived cells are
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Oct4+, similar to the number of Oct4+ cells reported in the adult periventricular region
(Sachewsky et al., 2014). This observation suggests two opposing hypotheses. First, that
the increased number of P7 pup pNSC-derived neurospheres may arise from a mixed
population of stem and progenitors that self-renew only perinatally (Seaberg et al., 2005;
Clarke and van der Kooy, 2011). Second, that all pup pNSCs survive but become
predominantly quiescent during development, and thus persist into the adult but most do
not generate neurospheres in our assay. These hypotheses could explain the consistent
number of Oct4+ cells but substantial decrease in pNSC-derived neurospheres in our adult
cell cultures. A long-term lineage tracing experiment initiated immediately after birth
might help elucidate pup pNSC fates.
Many cell surface markers were identified in the ESC-derived mass spectrometry-
based screen (DeVeale et al., 2014). We can continue to take advantage of the abundance
of pNSCs in the pup to screen for signaling molecules targeting adult pNSCs. This will
contribute to the development of pharmacological tools to target and activate NSCs in the
adult brain to aid in endogenous recovery in response to brain injury or disease.
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Chapter 5
General Discussion
168
Implications for the NSC lineage
The discovery of adult-derived pNSCs suggests the presence of a reserve NSC
population at the top of the adult NSC hierarchy. Adult pNSCs are Oct4+, quiescent,
upstream of dNSCs, and activated to proliferate following ablation of the downstream
neural lineage (Fig 1A). pNSCs reside in the periventricular zone in close proximity to
blood vessels (chapter 4), and it remains unknown whether they contact the CSF (Fig
1B). pNSCs can be targeted and activated using pharmacological manipulations and cell
specific markers, which can be utilized to enrich pNSCs to better study them and to
develop future therapies to promote endogenous regeneration. The unique characteristics
of pNSCs, including that they express Oct4 and act as an adult reserve stem cell pool,
suggests that they may be the ideal population to target to induce adult regeneration.
Oct4CKO transgenic mice implicated that the dNSC population is unperturbed by
pNSC loss of function under baseline conditions. However, pNSCs were responsible for
repopulating dNSCs after dNSC and downstream progenitor ablation. I propose that
pNSCs do not maintain dNSCs under baseline conditions in the adult mouse brain, at
least in our Oct4CKO mouse strain. In addition, pNSC-derived neurospheres increased
after a stroke lesion in advance of an increase in dNSC-derived neurospheres (chapter 2).
This posits an interesting lineage whereby pNSCs act as a reserve stem cell population
upstream of dNSCs that are only activated in ablation/injury situations.
The detection of Oct4 in adult somatic stem cells has been widely challenged
(Lengner et al., 2008; Liedtke et al., 2008; Zangrossi et al., 2007). Oct4 is the hallmark
gene of pluripotency and as such is traditionally exclusive to ESCs. However, we
demonstrated Oct4 expression in pNSCs both in vitro and in vivo in a variety of ways to
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quantify RNA, protein and contribution to chimeric blastocysts. We performed numerous
experiments to validate our report of Oct4-expressing pNSCs. In addition, our
experiments always employed the correct controls, including ESCs as positive control
and dNSCs as negative controls, in contrast to the criticism by Lengner et al. that controls
are absent in reports of somatic Oct4 expression (2008). Oct4CKO mice that did not give
rise to pNSC-derived neurospheres and had reduced ability to repopulate the neural
lineage after AraC/GCV provide functional data that Oct4 plays a critical role in pNSCs.
While the function of Oct4 remains unclear in pNSCs, be it survival, proliferation, self-
renewal or multipotency, these data suggest that Oct4 is not merely expressed but in fact
essential to pNSC function.
pNSCs, as adult somatic cells expressing Oct4, may have interesting implications
for their contribution to the adult neural lineage as an Oct4+ cell was previously not
reported in the adult mouse brain. pNSCs are quiescent under baseline but activated
following injury/ablation, which suggests that they have potential to contribute to
endogenous repopulation if targeted pharmacologically. We have yet to confirm that
pNSCs are multipotent in vivo and instead tested the intrinsic potential of the cells with
our cell culture techniques (chapter 2). To address the ability of pNSCs to differentiate in
vivo we transplanted pNSC-derived colonies into the brain and observed labeled cells
migrating along the RMS to the olfactory bulb where they adopted a neuronal-like
morphology (chapter 2). It will be interesting to determine whether pNSCs give rise
directly to astrocytes and oligodendrocytes in vivo, and this might be achieved with
lineage tracing in the adult or in the pup brain when these cell types are being born.
Neurons, astrocytes and oligodendrocytes are generated in the adult brain (Doetsch and
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Figure 1 A.
B.
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Figure 1. The NSC lineage and niche supported in this thesis. A. NSC lineage where
pNSCs are upstream of dNSCs in the adult mouse brain. B. NSC niche with pNSCs,
which appear to reside within close proximity of blood vessels but it remains unknown
whether they contact the lateral ventricle. TA – transit amplifying cell, N – neuroblasts,
E – ependymal cells, A – astrocytes.
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Alvarez-Buylla, 1996; Nait-Oumesmar et al., 1999; Menn et al., 2006), and if pNSCs
contribute to these newborn cell types in vivo they would be a valuable target to increase
neurogenesis or gliogenesis. Since pNSCs become activated following injury they may
contribute to increase the speed of regeneration of downstream progenitors.
Repopulation of dNSCs after ablation
A kill paradigm with two thymidine-H3 ablations two days apart led to two
conclusions important to this thesis (Morshead et al., 1994). First, it only took two days
for 50% of dNSCs to be activated to repopulate their downstream progeny (Morshead et
al., 1994). That the majority of dNSCs become activated within 2 days of ablation fits
with the findings in this thesis. We observed a strong dNSC-derived neurosphere ablation
with 7 days of AraC treatment, fitting with the initial report of quick dNSC activation
(Morshead et al., 1994). What remains unknown, and of great interest, is how quickly
pNSCs become activated to repopulate their downstream progeny (dNSCs). In particular,
we determined the repopulation potential of pNSCs in Oct4CKO after ablation, as
supported with AraC delivered to H2B-GFP mice, but it remains unclear how long
pNSCs take to activate/proliferate since if the AraC was still present it would have
targeted the pNSCs. While we would not expect AraC, an antimitotic drug, to directly
target a quiescent cell population, the finding that pNSCs are becoming activated but not
ablated by AraC suggests a method of activation other than proliferation or at least a
delay in the proliferation until the toxic signal is gone.
A second intriguing conclusion was that the number of proliferating cells never
recovered back to baseline numbers (Morshead et al., 1994). It was originally predicted
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that the incomplete recovery was due to the second kill targeting dNSCs as they became
activated to repopulate the lineage after the first kill. Interestingly, although we now
know that pNSCs are upstream of dNSCs in the adult mouse brain, it remains unknown
why dNSC-derived neurospheres never recovered to baseline levels in this Morshead et
al., experiment or the AraC and AraC/GCV experiments reported in this thesis. Multiple
reasons could explain why the dNSCs never fully recover, for example the possibility that
pNSCs are also targeted by AraC, thus their population has reduced ability to contribute
to repopulation. Although other quiescent NSC populations have been reported to not be
targeted by AraC (Codega et al., 2014; Mich et al., 2014), I presume that if AraC is given
for a long enough period of time or administered in pulses, that an ablation paradigm
could be developed to activate and target quiescent cells as they occasionally proliferate.
This inability to recover the stem cell population to baseline numbers has also been
reported in the hematopoietic system following serial transplantation (Harrison et al.,
1978). Possibly, cells may limit their proliferation to prevent against replication-
dependent mutations (reviewed in (Wang and Dick, 2005; Orford and Scadden, 2008)).
Therefore, it remains interesting to determine the cause of the limited regenerative
capacity.
Other quiescent NSC hypotheses
As a result of the absence of selective cell markers and the limitations of the
retrospective nature of cell culture techniques, a unified NSC lineage remains unknown.
We report a pNSC that is Oct4+, GFAP–, nestinlow, Sox2+ and has a very slow cell cycle
time of approximately 3-5 months. Other groups have reported other quiescent NSCs
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with an array of cell markers in the periventricular region. It remains unclear whether
these quiescent cell populations overlap, to what extent, and how they fit together into a
cohesive NSC lineage. In Figure 2, I present a proposed unified hypothesis of the NSC
lineage taking into recent reports in the field (Codega et al., 2014; Mich et al., 2014).
A population of quiescent (q)NSCs was proposed by Fiona Doetsch’s group that
are GFAP+, CD133+, EGF-R– (Codega et al., 2014). It was proposed that qNSCs can
become activated (a)NSCs and cycle between quiescence and proliferation by
upregulating nestin and EGF-R expression (Pastrana et al., 2009; Codega et al., 2014).
Both qNSCs and aNSCs reside in the center of pinwheels in close proximity to each other
and in contact with the ventricle (Pastrana et al., 2009; Codega et al., 2014). These
qNSCs are much more abundant and have shorter cell cycle time than pNSCs. qNSCs
were suggested to comprise 25-30% of the periventricular GFAP+ cell population (2.3-
2.8% total periventricular zone population) while aNSCs comprise 20-25% of GFAP+
cells (1.9-2.3% total periventricular zone population) (Codega et al., 2014). In addition, a
major difference is that qNSCs are GFAP+ while pNSCs are GFAP–. Potentially, qNSCs
are a subpopulation of dNSCs that are upstream of the aNSCs, which I propose is more
similar to a TA cell (Fig. 2). Interestingly, a similarity between qNSCs and pNSCs is
their low nestin expression (chapter 4), which reflects their distinction from the
proliferating adult aNSCs. In addition, qNSCs were reported to express Sox2 but lower
levels than aNSCs, with approximately 60% of qNSCs described as Sox2dim based on
flow cytometry (Codega et al., 2014), and pNSCs have lower Sox2 expression than
dNSCs by qPCR (chapter 2 and 4). qNSCs gave rise to fewer colonies in the presence of
EFH as compared to aNSCs, and it was concluded that quiescent stem cells cannot
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proliferate to generate colonies in culture (Codega et al., 2014). This poses an interesting
question for pNSCs as we report that pNSC-derived neurospheres are quite rare, but may
reflect a reduced ability to proliferate to generate neurospheres. In addition, qNSCs were
reported to be quiescent based on BrdU retention (Codega et al., 2014), but a large caveat
of BrdU retention models is that cells must replicate their DNA to incorporate BrdU. This
model biases towards cells that are cycling when the initial population is labeled. In
chapter 3, we took advantage of the H2B-GFP mouse model for unbiased label retention
studies due to the replication-independent initial labeling and identified label-retaining
cells after 1 year of chase that were pNSC neurosphere initiating cells.
Another group recently reported a NSC classification system termed pre-
GEPCOT and GEPCOT cells (Mich et al., 2014). Contrary to the dogma of stem cell
hierarchies, pre-GEPCOT cells were more abundant than GEPCOT cells (Mich et al.,
2014). Pre-GEPCOT cells are classified as GlasthighEGFRlowPlexinB2low, and I propose
that these cells fall within the dNSC population (Fig. 2). Pre-GEPCOT cells form
neurospheres at low frequency and approximately 3% incorporate BrdU after a 24 h pulse
(Mich et al., 2014), which extrapolates to a cell cycle time of 33 days. GEPCOT cells are
GlastmidEGFRhighPlexinB2high and a cell cycle time of 6 h (based on our calculation from
their BrdU pulse data), which suggests they may be more similar to a transit amplifying
cell than a dNSC (Fig. 2).
In Figure 2, I present a possible hypothesis of a unified NSC lineage. In this
lineage I propose that pre GEPCOT and qNSCs are subpopulations of dNSCs.
Interestingly, pre-GEPCOT and qNSC cell cycle times (33 and 5-6 days, respectively,
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Figure 2
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Figure 2. Unified theory of the NSC lineage. pNSCs are the only NSC that are Oct4+
and GFAP–, they are the most rare, slowest proliferating and have lowest neurosphere
forming ability. I present a hypothesis integrating our data on pNSCs, recent reports of
Codega et al., and Mich et al., (2014), and past reports of dNSCs/type B cells. We used
data presented within these reports as best possible to generate data for comparisons
across the cell populations to generate a proposed NSC lineage. % pop = % of population
within the periventricular region. % NIC = % of neurosphere initiating cells in the
neurosphere assay (all cultured in EFH except for pNSCs, which are cultured in LIF).
GFAP: Codega et al., Fig. 3A, C; Mich Fig. 4A. % pop: Codega et al., Fig. 3A, B; Mich
et al., Fig. 1B, 3E. cell cycle: Codega et al., Fig. 3E (qNSCs were 0.8% labeled after 1h
BrdU pulse = 100% labeled after 5.2 days), Fig. 3E (aNSCs were 35.5% labeled after 1h
BrdU pulse = 100% labeled after 3h);Michet al., Fig. 1D (GEPCOTS were 35% labeled
after 2h BrdU pulse = 100% after 6h), Fig. 4C (pre-GEPCOTS were 3% labeled after 24h
BrdU pulse = 100% labeled after 33 days). % NIC: Codega et al., Fig. 5K; Mich et al.,
Fig. 1C, 4B.
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based on my calculations from their BrdU pulse data) average to approximately the cell
cycle time previously reported for dNSCs (15 days, Morshead et al., 1998). In addition,
their neurosphere initiating cell (NIC) frequencies (0.06% and 1%) also approximately
average to the NIC of dNSCs (0.6%). I believe these data together with GFAP expression
maintained in the populations suggest they could be subpopulations of dNSCs.
The relationship of each cell population within the periventricular region and
whether this is a traditional hierarchy of distinct cell fates or whether some populations
could be described as different fates of the same cell type remains to be consolidated. In
addition, I propose that aNSCs may be either dNSCs or TA cells and that GEPCOT cells
are TA cells. I suggest this based on their cell cycle time, reduced GFAP expression and
high nestin expression. However, TA cells do not form neurospheres and this is in
contrast to the reports of aNSCs and GEPCOT cells. Therefore these criteria remain to be
confirmed, but due to the low size restrictions used in Mich et al., and Codega et al., I
suggest that aNSCs and GEPCOT cells are in fact TA cell populations (2014). Further
classification of the adult NSC lineage remains of exceptional interest to investigate these
cell populations in a single study to test a cohesive NSC lineage.
Reports suggesting that ependymal cells become activated following injury to
repopulate the NSC lineage debate these SEZ quiescent NSC hierarchies (Devaraju et al.,
2013). Although previous work has excluded the possibility that ependymal cells are
NSCs (Chiasson et al., 2009), it was proposed that ependymal cells activate following
injury to act as NSCs. FoxJ1 protein is expressed in motile cilia and was used as an
marker exclusive to ependymal cells for lineage tracing (Devaraju et al., 2013). However,
upon closer inspection of the data in this report, I propose that FoxJ1 was not exclusive to
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ependymal cells and appears to be expressed in cells that resemble dNSCs (removed from
the ventricle and extending a single process into the CSF). Therefore, the specificity of
FoxJ1 is called into question, and I propose that the lineage tracing that identified labeled
ependymal cells activated following injury and generating new neurons in the olfactory
bulb (Devaraju et al., 2013) is in fact indicative of accidently labeled dNSCs. Therefore,
ependymal cells are not NSCs and do not have neurogenic potential, thus are not included
in the proposed NSC lineage in Figure 2.
Great progress is being made to identify and classify NSCs and determine their
proliferative capacity in the adult mouse brain. I propose that pNSCs either proliferate to
give rise to dNSCs or transition from their quiescent state to a less quiescent, GFAP+
state to comprise dNSCs. Classic stem cell hierarchies are based on the dogma that cells
exist in distinct cell states. However, less distinct cell states are being considered and
challenging this dogma and suggesting that cells might transition between states and can
exist as intermediates between tiers in the hierarchies. Despite this trend, distinct cell
states are still advantageous, as specific cell surface markers are needed to classify cells
and determine their contribution to tissue homeostasis and repair.
Are all neurospheres NSC-derived?
The neurosphere assay is essential to the NSC field. Neurospheres are derived
from NSCs cultured at low cell density, generating a clonal colony that enables testing of
the stem cell criteria of self-renewal and multipotency. However, despite it’s widespread
use, debate over its ability to exclude progenitors exists (reviewed in (Pastrana et al.,
2011)). Neurospheres are measured with a strict size requirement, based on the premise
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that NSCs have increased potential to proliferate and generate a large colony compared to
progenitors (Morshead et al., 1994). In the brain, TA cells proliferate faster than dNSCs
since their role is to amplify the NPC pool. However, TA cells are not the source of
neurospheres in culture as shown by a double kill with thymidine as a single dose did not
ablate neurospheres but a double dose, that targets the dNSCs pulled into division,
depletes neurospheres (Morshead et al., 1994). TA cells do not generate neurosphere to
meet the size cutoff of 100 µm and the small neurospheres do not self-renew. Therefore,
despite the concern over TA-derived neurospheres, proper assay execution including
strict size criteria and passaging the neurospheres multiple times excludes any non NSC-
derived neurospheres (Reynolds and Rietze, 2005). In addition, only large neurospheres
are multipotent and provides further evidence that they are NSC-derived (Chiasson et al.,
1999).
Many of the limitations of the neurosphere assay are associated with the lack of
clonality of the neurospheres that arise from improper cell culture technique. This
interferes with the ability to test self-renewal and multipotency, and even gene expression
or any other characteristic that neurospheres can be assayed. The gold standard to ensure
clonality is to plate less than one cell per well and thereby guarantee that the starting
population is a single stem cell. However, plating less than one cell per well isolates the
cell from any signaling factors released from neighboring niche cells that play a role in its
survival or proliferation (reviewed in (Pastrana et al., 2011)). Very rare cell populations
cannot be reasonably studied in this system due to physical limitations in the number of
cells that can be plated and counted. These limitations lead to insufficient numbers of
cells studied and increase the risk of a sampling error that could mislead experimental
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conclusions. With increasing stem cell rarity the sampling risks outweigh the risk of non-
clonality, especially when cultured at low density. Clonality can be achieved without
single cell plating as long as cells are plated at 10 cells/µl (Coles-Takabe et al., 2008), as
performed in all experiments in this thesis. Therefore, even though single cell cultures are
often considered ideal, in the case of very rare cell populations the cons outweigh the
pros and single cell culture is not necessarily feasible.
How many pNSCs are really in the brain?
Calculating the number of pNSCs and even dNSCs in the adult niche is a difficult
task. Many of the methods we use to quantify a cell population involve processing tissue,
which leads to cell death and thus interferes with our ability to draw an accurate
conclusion. The initial experiments on pNSCs calculated the abundance of pNSCs in the
adult mouse brain based on the frequency of pNSC-derived neurosphere formation in the
neurosphere assay. This calculation suggested that pNSCs are extremely rare in the adult
brain, and that only 5 pNSC exist per brain. While pNSCs are evidently rare in the brain,
I believe that they are more numerous than 5 per brain.
The neurosphere assay involves many opportunities for cell death. It is extremely
difficult to estimate the amount of cell death that occurs during tissue dissection in
preparation for cell culture. Cell death occurs during the dissection, during exposure to
enzymes, during trituration to dissociate the tissue, during the time required to prepare
and plate the cells for culture, and finally during the culture period. These processes
likely produce a lot of cell death, but it is difficult to estimate the number of cells lost to
calculate the proportion of the starting population that survives into culture. Even if we
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did estimate the amount of cell death, certain cell populations could die preferentially
over other populations and thus provide limited insight. Flow cytometry analysis of
primary dissections of the periventricular region from Oct4-GFP transgenic mice
suggested that 0.08% of the sorted cell population was Oct4+, which suggests that there
are 80 Oct4+ cells in the mouse brain, and perhaps all of these are pNSCs. This number
can be reconciled with the estimates from the neurosphere assay because pNSC
quiescence may hinder proliferation and thus neurosphere generation in culture. Possibly,
the increase in pNSC-derived neurospheres we reported after pharmacological
manipulaton with C-kit inhibitor and ErbB2 inhibitor in vivo (chapter 4) might reflect
activation of quiescent pNSCs to increase neurosphere formation. Together, these data
suggest an increased abundance of pNSCs compared to previous estimates.
It is not surprising that the number of pNSCs remains unclear as reports vary on
the number of dNSCs present in the adult mouse brain. If we use the neurosphere assay
as a direct readout of the number of NSCs present in vivo we calculate that approximately
600 dNSCs are present in the adult mouse brain (assuming 30 dNSC-derived
neurospheres per 5000 cells and 100 000 cells per dissection). This number is lower than
other estimates of the number of dNSCs. Morshead et al. estimated that there are 1200
dNSCs, which equivocates to 0.2-0.4% of SE cells (1998). On the other hand, Mirzadeh
et al. reported that 6225 B1 cells are present on the lateral wall of one hemisphere lateral
ventricle, suggesting that there are 12 450 B1 cells per brain (2008). Further, Mirzadeh et
al., suggest that 31% of all cells contacting the lateral ventricle are B1 cells. These
numbers contrast with each other and offer a large range for the number of dNSCs
present in the adult mouse brain. Therefore it should be expected that there might be a
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range of abundances for pNSCs in the adult mouse brain, which future studies will
address.
Cell cycle times
Estimating the cell cycle time of pNSCs is a difficult task that is amplified by
variation amongst the cell cycle time of dNSCs and other NPCs. The H2B-GFP label
retention experiment suggested that pNSCs divide very slowly, and that the rate of
proliferation of pNSCs is 6-fold slower than dNSCs. From two methods of calculating the
pNSC cell cycle time, we calculated that pNSCs proliferate once approximately every 3-5
month. The 3 month cell cycle time is dependent on the 6-fold difference in proliferation
rate and previous experiments that proposed that dNSCs proliferate once every 15 days
(Morshead et al., 1998). This previous calculation arose from the observation that dNSCs
divide 1:1 to repopulate constitutively proliferating cells, and since the constitutively
proliferating cells survive in the niche for 15 days dNSCs likely divide once in that time
frame. Therefore taking the 15-day dNSC cell cycle time and the 6-fold difference in
proliferation, we calculated that pNSCs divide once every 3 months. However, we also
calculated pNSC cell cycle time based on the assumption that labeled neurosphere
detection is a sufficient readout of the in vivo cell divisions as well as other assumptions
set out in chapter 3. In this calculation, we set the y intercept to 50% GFP dilution, to
represent one cell cycle and calculated the time this takes to occur. In this instance, we
independently estimate the cell cycle time of dNSCs as 24 days and pNSCs as 5.1
months. Therefore, we suggest that pNSCs divide approximately once every 3-5 months.
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The H2B-GFP mouse model assumes that H2B protein only turns over during
mitosis (Kanda et al., 1998), but if H2B protein turns over independent of mitosis, it
would result in even longer cell cycle times than we calculated. In addition, a caveat to
the H2B-GFP model is if one cell type preferentially maintains the GFP label through
asymmetric histone segregation (Lark et al., 1966; Potten et al., 1978; Potten et al., 2002;
Karpowicz et al., 2005). The “immortal strand hypothesis” suggests that an upstream,
quiescent stem cell will retain the original DNA strand and that the more-restricted
daughter cell will inherit the new strand (Cairns, 1975). Thus if the original strand is
associated with and retains labeled histones it might remain GFP+ despite undergoing
divisions. However, the immortal strand hypothesis remains controversial in many stem
cell systems and it has not been reported yet to include asymmetric H2B segregation
(reviewed in (Wilson et al., 2008)). If pNSCs retained labeled histones it would negate
our cell cycle estimates but still support our conclusion that pNSCs are an upstream cell
population.
Comparing pNSCs to other stem cell hierarchies
The hematopoietic system serves as a great model system because our HSC
knowledge is years ahead of the NSC field. HSCs are well characterized with extensive
cell surface marker classifications to distinguish each cell type. Many groups have set out
to characterize NSCs with specific cell markers, however the NSC field is still striving
for a collective cell classification system. Since the HSC field is more developed than the
NSC field, it is intriguing to draw comparisons between quiescent (q)HSCs and pNSCs.
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The frequency of pNSCs is similar to qHSCs. Within the periventricular tissue,
0.005% of cells are pNSC neurosphere initiating cells and 0.08% are Oct4+ cells by flow
analysis (chapter 2). One estimate of the frequency of long-term reconstituting HSCs
(Thy-1loLin–Sca-1+) estimated that they comprise 0.02-0.05% of bone marrow cells
(Smith et al., 1991), while another estimate suggested that they comprise 0.00125% of
the bone marrow population (Wilson et al., 2007). It is interesting that on a percentage
basis, the populations are comparable and the numbers of cells in the brain vs. blood are
also similar. There are approximately 1x108 cells in the mouse brain (Williams, 2000) and
5x108 cells in the mouse bone marrow (Colvin et al., 2004). Therefore, pNSCs and
qHSCs could be considered comparable with respect to their rarity and quiescent nature.
Similar to pNSCs, dormant HSCs that retain H2B-GFP labeling are activated to
proliferate and dilute their label after exposure to fluorouracil (5-FU) indicating that they
are activated by ablation of their downstream progenitors (Wilson et al., 2008).
Interestingly, dormant HSCs are activated quickly after this treatment, with
approximately 40% of dHSCs undergoing mitosis 2 days after 5-FU treatment (Wilson et
al., 2008). This is very similar to the 2-day activation time reported in dNSCs (Morshead
et al., 1994). In addition, the quick repopulation of dNSCs following AraC and
AraC/GCV ablations (chapter 2 and 4) suggests that pNSCs may be activated to
proliferate quickly after downstream lineage ablation. How quickly pNSCs are activated
remains to be determined, and will be discussed in the future directions.
In addition to the commonalities of long cell cycle time and rarity between these
two primitive cell populations, qHSCs and pNSCs share other cell characteristics. Of
note, primitive HSCs are negative for the traditional HSC marker CD34 (Anjos-Afonso et
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al., 2013), which could be considered similar to pNSCs not expressing GFAP. CD34–
qHSCs were proposed to not contribute to baseline hematopoiesis and instead act as a
reserve pool for injury recovery where they upregulate CD34 as they become activated
(Wilson et al., 2007). In addition, qHSCs have lower frequency of colony formation but
are responsible for repopulating the entire HSC lineage following transplant into an
irradiated recipient mouse (Wilson et al., 2007). Therefore, similarities can be derived
between pNSCs and qHSCs but the pNSC field is in its infancy and more research is
needed to determine if they are the neural equivalent of cells at the top of the HSC
hierarchy.
Why target pNSCs for regeneration?
In chapter 4, I describe selective pNSC markers as well as methods to
pharmacologically target and activate pNSCs. The cell specific markers will improve our
ability to enrich for pNSCs and thus study them in the future. The collective
characterization suggests that pNSCs are Oct4+, GFAP–, LIF-response, nestinlow, and they
are activated by C-kit and ErbB2 inhibition. The identification of pNSC-specific cell
markers is valuable for the development of targeted therapies and pNSCs may be the only
NSC with an exclusive cell marker.
Despite the presence of NSCs, the brain exhibits limited endogenous repair to
counteract neurodegenerative disease or recover after injury. The ability to endogenously
activate pNSCs with pharmacological manipulation might lead to future regenerative
therapies focused on pNSC-driven regeneration. Pharmacological compounds to activate
endogenous NSCs and guide their differentiation could improve brain recovery/repair
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(reviewed in (Miller and Kaplan, 2012)). Initiating regeneration by activating pNSCs to
lead to large expansion of dNSCs, and thus their progeny, could lead to greater
therapeutic benefit than regenerative methods focused on the downstream progenitors. In
fact a two-step strategy is being developed to target NPCs whereby metformin is
administered to promote NPC expansion followed by cyclosporin A to promote migration
away from the niche and differentiation into newborn neurons (Hunt et al., 2010;
Erlandsson et al., 2011; Wang et al., 2012). A similar approach could be developed to
target pNSCs to promote their contribution to endogenous regeneration after injury. The
larger expansion of progenitors induced from the top of the lineage could then be guided
with other pharmacological methods to differentiate into the cell types needed. In
addition, pNSCs give rise to a different cell type distribution when differentiated in
culture compared to dNSCs. pNSCs give rise to increased neurons and oligodendrocytes
at the expense of astrocytes. Since most endogenous recovery would benefit more from
newborn neurons or oligodendrocytes to remyelinate these neurons, pNSCs might be the
better cell population to target.
Are pNSCs present in the human brain?
It remains unknown whether pNSCs exist in the human brain. Although one
would hypothesize that a NSC present in the mouse is present in all mammals, one reason
that they may not exist in humans is because human ESCs are very different from mouse
ESCs. Human ESCs have different colony morphology and are not LIF-dependent
(Dahéron et al., 2004), which posits an interesting question whether they give rise to LIF-
dependent NSCs. Human ESCs are more similar to mouse epiblast stem cells. It is
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unknown whether a LIF-dependent NSC is even present in human embryonic
development. Early attempts to derive pNSCs from human ESCs in culture suggest that
ESCs were primed to a neural identity in maintenance conditions (Chaddah et al., 2012).
The generation of naïve human ESCs which are LIF-dependent (Hanna et al., 2010;
Gafni et al., 2013), suggests that pNSCs may be derived from human ESCs in the future.
Therefore, while pNSCs in the human brain were outside of the scope of this thesis, it
remains interesting to determine if they exist.
Conclusions
This thesis proposes a novel NSC lineage whereby a pNSC at the top of the NSC
lineage acts as an adult reserve stem cell pool to repopulate the lineage. This pNSC is
best characterized as Oct4+, GFAP–, LIF-R+ and is rare in the adult mouse brain. pNSCs
give rise to dNSCs embryonically, but then dNSCs appear able to maintain their own
population and the downstream lineage, except in response to antimitotic ablation of the
dNSC pool itself. pNSCs are distinct from dNSCs and have unique cell surface markers
and gene expression profiles that can be utilized to independently target and activate
them within their niche.
Wholemount imaging suggest that pNSCs reside within the subependyma, similar
to dNSCs, and that pNSCs may be located within close proximity to blood vessels. It
remains unknown if pNSCs contact CSF in the lateral ventricle and whether they reside
within pinwheels next to dNSCs. pNSCs reside upstream of dNSCs in the NSC lineage
and give rise to dNSCs, which generate TA cells and then neuroblasts. pNSCs represent a
novel finding in the NSC lineage and hold great implications for the NSC field.
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Future Directions
The discovery that pNSCs persist in the adult mouse brain brings with it a
plethora of new research questions to be addressed. In this thesis, I report that pNSCs are
Oct4+, repopulate dNSCs in an ablation model, and that pNSCs can be selectively
targeted and activated within the mouse brain. However, many more experiments remain
to determine the role of pNSCs throughout development and under baseline in the adult
mouse brain.
We have begun to address the role of pNSCs in the adult brain, but their role
between E8.5 (when they were previously thought to disappear) and the adult remains
completely unknown. We identified a peak in the abundance of pNSCs perinatally but do
not have any information as to whether this peak in abundance has a specific function.
Finally, we observed that pNSCs are required for repopulation of dNSCs after ablation in
the adult mouse brain, but we do not know their role under baseline conditions. All three
of these questions could be addressed with a lineage tracing experiment. Fortunately, due
to unique expression of Oct4 in pNSCs, an Oct4CreERT2 mouse strain can be used to
address all these questions. One issue that may arise around identifying the contribution
of pNSCs embryonically with Oct4CreERT2 is that other cells in the embryo continue to
express Oct4 at this time and it will require a careful teasing apart how early we can label
pNSCs without labeling other cells. In addition to the lineage tracing, the Oct4CreERT2
mouse can be used for a diptheria toxin receptor (DTR) ablation to target pNSCs
specifically. This would be different than the ablations presented in this thesis because it
would kill pNSCs entirely, rather than remove Oct4 function as in our Oct4CKO mouse.
The Oct4CreERT2 mouse strain could be used to address the NSC lineage proposed in
190
Figure 2. Labeling pNSCs followed by subsequent analysis at various survival times
might speak towards a cohesive NSC lineage hypothesis.
We demonstrated that pNSC-derived neurospheres are multipotential and the
pNSC-derived colonies transplanted into the brain gave rise to neurons. However, it
remains to be determined whether pNSCs give rise to these differentiated cell types
directly, whether they give rise to unipotential progenitors, or whether they always pass
through a dNSC intermediate. This could be determined in vitro by culturing and
differentiating pNSC-derived neurospheres from GFAP-tk mice in the presence of GCV.
While we predict that astrocytes cannot be generated in the presence of GCV, it could
still be determined if pNSCs can give rise to neurons or oligodendrocytes without the
ability to pass through the dNSC fate. In addition, culturing dNSCs in the presence of
EGF in culture biases the progeny towards a glial fate, while lower concentrations
increases neural differentiation (Burrows et al., 1997). Therefore, it remains possible that
the different percentage of differentiated progeny from dNSC and pNSC may be
influenced by the cell culture conditions in addition to the cell type. Thus it would also be
interesting to attempt to culture pNSCs in the presence of both LIF and EFH to determine
a) if pNSC-derived neurospheres can still be derived and b) if they can, if they generate
the same distribution of differentiated cells as neurospheres from LIF alone conditions.
Further characterization of the differentiation profile of pNSCs remains to be interesting.
Although the number of pNSCs present in the adult mouse brain can be predicted
and debated based on evidence in this thesis, it remains to be confirmed. We reported an
increased abundance of pNSC-derived neurospheres from the postnatal day 7 pup brain,
but the fate of these cells remains unknown. It remains unclear whether these increased
191
pNSCs are true stem cells or whether they could apoptose or differentiate. Potentially
they remain in the adult brain but as quiescent pNSCs that are not identified in the
neurosphere assay. The abundance of pNSCs remains closely linked with whether a
subpopulation of quiescent pNSCs is present but do not form neurospheres. Interestingly,
the rapid repopulation of dNSCs after AraC treatment might suggest that quiescent
pNSCs are becoming activated to proliferate. This would be interesting to test and might
be elucidated with short AraC infusions and survival times to determine how quickly
pNSCs can be activated. Preliminary data suggests that pNSC-derived neurospheres are
increased after AraC infusion. This is contradictory to what we might expect since if
pNSCs were proliferating to increase their population in order to give rise to more pNSC-
derived neurospheres, AraC would kill them. An alternate hypothesis, suggests that
pNSCs might be activated in response to an ablation of their downstream progenitors and
exit quiescent, thus form neurospheres in culture. Preliminary data suggests that pNSC-
derived neurosphere abundance is increased as early as 24 hours after the initiation of
AraC infusion, which might suggest that activation of quiescent cells is the more likely
explanation. An increase as a result of proliferation would take a longer amount of time
and expose pNSCs to AraC-induced death. This would require that pNSCs become
activated in the brain when exposed to AraC but do not begin to proliferate until after
they are removed from the AraC exposure.
Finally, the role of Oct4 in pNSCs remains elusive. Oct4CKO mice suggest that
pNSCs require Oct4 expression, but whether this is for survival, self-renewal,
maintenance or multipotency remains unknown. Since Oct4 is not widely believed to be
expressed in the adult brain, it remains interesting to see what it’s role could be. In
192
addition, the Oct4CreERT2 mouse strain could be used for lineage tracing to elucidate
whether pNSCs persist in Oct4CKO mice but do not generate pNSC-derived neurospheres
or contribute to dNSCs repopulation, or whether they are absent. Whether Oct4 activates
similar or different signaling pathways as it does in ESCs would shed light on whether its
role in pNSCs is in fact related to pNSC potential.
In conclusion, this thesis begins to characterize pNSCs in the mouse brain, but
their full role and potential remains to be elucidated.
193
194
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