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From the Department of Dermatology,*
the Cutaneous
Biology Research Center, Massachusetts General Hospital and Harvard
Medical School, Charlestown, Massachusetts; and the Shiseido Life
Science Laboratories,
Yokohama, Japan
| Abstract |
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| Introduction |
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,9,13
epidermal growth factor,14
keratinocyte growth factor,14
and the tumor promoter
12-O-tetradecanoylphorbol-13-acetate (TPA).15
Based on these findings, it has been suggested that the avascular
epidermis satisfies its increased nutritional needs during hyperplasia
via a paracrine mechanism that involves secretion of VEGF by
keratinocytes and binding of VEGF to its receptors on dermal
microvessels, leading to increased skin vascularity.16
Indeed, selective overexpression of VEGF in the epidermis of transgenic
mice resulted in increased numbers of tortuous and hyperpermeable
cutaneous microvessels.17 VEGF is a homodimeric, heparin-binding glycoprotein occurring in at least four isoforms of 121, 165, 189, and 201 amino acids, because of alternative splicing of a single gene.18,19 VEGF binds to two type III tyrosine kinase receptors on vascular endothelial cells, Flt-1 and KDR/Flk-1.20,21 Although tissue-specific differences of the relative expression levels of these isoforms have been reported, with predominant expression of VEGF121 and VEGF165 in the skin, the different VEGF isoforms seem to respond equally well to up-regulation by growth factors, TPA, or hypoxia.15 Increased stability of VEGF mRNA contributes to the enhanced VEGF mRNA expression observed under hypoxic conditions.5,22 However, the transcriptional regulation of the VEGF gene seems to play the pre-eminent role in the control of VEGF expression, and several response elements within the VEGF promoter region have been characterized in vitro.13,23-25
Localization of the site of origin of VEGF transcription to distinct cell populations in situ, together with a quantitative temporal analysis of VEGF gene expression, would enable a much more thorough analysis of the role of VEGF during the angiogenic process. However, monitoring of VEGF transcription in vivo has been complicated by the inability to distinguish between the relative contribution of modified transcription or mRNA stability, using standard techniques such as in situ hybridization. Moreover, immunohistochemical studies frequently detect VEGF immunoreactivity at sites distant from VEGF mRNA expression, because of secretion and binding of VEGF protein to its receptors on endothelial cells. To circumvent this problem, transgenic mice expressing green fluorescent protein (GFP), driven by a portion of the VEGF promoter have been generated.26 Surprisingly, the expression observed deviated significantly from the predicted pattern.
We have also generated a transgenic mouse model in which the gene expression of GFP is controlled by the VEGF promoter (VEGF/GFP mice). Here, we demonstrate a distinct expression pattern of GFP fluorescence in different tissues of these mice, which are in accordance with previously reported patterns of VEGF mRNA expression. Up-regulation of VEGF gene transcription was easily detectable in epidermal keratinocytes after wounding of the skin; these cells also strongly expressed VEGF mRNA as assessed by in situ hybridization. GFP fluorescence was also detected in outer root sheath keratinocytes of hair follicles, but little or no fluorescence was detected in dermal cells. Importantly, TPA-induced up-regulation of VEGF/GFP fluorescence could be detected by confocal laser microscopy in living transgenic mice, thereby allowing real-time monitoring of VEGF gene expression in vivo.
| Materials and Methods |
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Because polymerase chain reaction (PCR)-based amplification of the entire VEGF promoter was difficult due to the existence of the GC-rich region near the transcriptional starting site, initially, a 1.6-kbp fragment of VEGF genomic DNA (-2362 to -783; GenBank accession #M63971, nucleotide position is numbered from the transcriptional start site;18 nt 1042 in ref. 42 ) was obtained by genomic PCR amplification. Using this fragment as a probe, a clone containing a 5.0-kb fragment of the VEGF sequence, including the 5'-flanking DNA of human VEGF, was isolated from a human placenta genomic library (Clontech, San Francisco, CA). The sequence was confirmed by multiple restriction enzyme analyses and by direct sequencing. A 2,453-bp EcoRIAgeI fragment (-2362 to +91) was excised from the agarose gel. This promoter fragment was inserted into a GFP vector (pEGFP-1, Clontech; digested with EcoRI and XbaI) and was designated as pVEGF-GFP. The transgene cassette used for the VEGF-GFP transgene was described previously.27
In Vitro Transfection Experiments
Primary murine keratinocyte cultures and dermal fibroblast cultures were prepared as previously described.28,29 Cells were grown to semiconfluence and 2 µg per 60-mm dish of VEGF-GFP vector or control pEGFP-N1 (GFP under cytomegalovirus promoter control) vector plasmid DNA were introduced using the Fugene 6 transfection reagent (Boehringer, Mannheim, Germany). After 48 hours, epifluorescent and phase contrast pictures were taken, using a Nikon microphot-FXA microscope.
Generation of Transgenic Mice
The fragment for pronuclear injection was excised with
EcoRI and AflII from the pVEGF-GFP plasmid vector
(Figure 1)
. This transgene fragment was
injected into fertilized oocytes of DBA2xC57BL/6 (DBF1) mice (Charles
River, Wilmington, MA) and the eggs were implanted into pseudopregnant
foster mothers. The offspring (F0) were tested for chromosomal
integration of the transgene by genomic PCR and Southern blot analysis
using a HincII VEGF fragment as a probe following a protocol
previously established.30
All experiments were done with
F1 to F3 offspring mice.
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Tissue Preparation for GFP Detection and Epifluorescence Microscopic Observation
Freshly dissected, unfixed tissue was snap-frozen and immediately cut into 12-µm thick frozen sections using a Reichert (Leica, Deerfield, IL) cryostat. Epifluorescent microscopic observation was performed immediately after sectioning, using a fluorescein isothiocyanate/tetramethylrhodamine B isothiocyanate double excitation and emission filter (Chroma, Brattleboro, VT). This double-bandpass filter enabled us to distinguish GFP-derived fluorescence from tissue autofluorescence because the GFP signal remained green whereas autofluorescent structures such as hair shafts exhibited orange color under double fluorescence.
Wounding and TPA Treatment
Full-thickness skin wounds were produced with a 4-mm biopsy punch on the shaved back skin of 4- to 6-week-old transgenic mice (n = 5). After 48 hours, normal and wounded tissues were collected and 10-µm cryostat sections were prepared and analyzed as described above.
For induction of VEGF gene expression by TPA, 5 µg of TPA or acetone alone were applied to the dorsal side of transgenic mouse ears (n = 6, mouse age ranged from 6 weeks to 3 months) and skin biopsy samples were collected at 4.5 hours, 6 hours, 12 hours, and 24 hours after treatment. For additional noninvasive in vivo experiments, a single dose of 5 µg of TPA in 50 µl of acetone or acetone alone were topically applied to the back skin of transgenic mice and mice were subjected to confocal microscopic observation after 12 hours. All animal procedures were approved by the Massachusetts General Hospital Committee on Research Animal Care.
Anti-Keratin 5 Immunostaining
Freshly cut frozen sections were incubated with a keratin 5-specific polyclonal antibody (1:1000 dilution, kindly provided by Dr. P. Dotto, Harvard Medical School, Boston, MA) for 4 hours, washed briefly with phosphate-buffered saline (PBS), and were then incubated with 1:100 diluted lissamine rhodamine-conjugated secondary antibodies to distinguish the resulting fluorescence signal from the GFP fluorescence signal. After three washes with PBS, slides were coverslipped and were immediately observed under the microscope.
In Situ Hybridization
In situ hybridization was performed on 5-µm thick sections of paraffin-embedded tissue as described.17 Briefly, slides were processed through xylene to remove paraffin, then passed sequentially through graded alcohols; 0.2 mol/L HCl; Tris/ethylenediaminetetraacetic acid (EDTA) with 3 mg/ml proteinase K; 0.2% glycine; 4% paraformaldehyde in phosphate-buffered saline, pH 7.4; 0.1 mol/L triethanolamine containing 1/200 (v/v) acetic anhydride; and 2x standard saline citrate (SSC). Slides were hybridized overnight at 50°C with 35S-labeled riboprobes in the following mixture: 0.3 mol/L NaCl, 0.01 mol/L Tris, pH 7.6, 5 mmol/L EDTA, 50% formamide, 10% dextran sulfate, 0.1 mg/ml yeast tRNA, and 0.01 mol/L dithiothreitol. Posthybridization washes included 2x SSC/50% formamide/10 mmol/L dithiothreitol at 50°C; 4x SSC/10 mmol/L Tris/1 mmol/L EDTA with 20 µg/ml ribonuclease at 37°C; and 2x SSC/50% formamide/10 mmol/L dithiothreitol at 65°C, and 2x SSC. Slides were then dehydrated through graded alcohols containing 0.3 mol/L ammonium acetate, dried, coated with Kodak NTB 2 emulsion (Eastman Kodak, Rochester, NY) and stored in the dark at 4°C for 2 weeks. The emulsion was developed with Kodak D19 developer and the slides were counterstained with hematoxylin. Antisense and sense single-stranded 35S-labeled RNA probes for VEGF were prepared from a 393-bp rat VEGF cDNA fragment, cloned into pGEM-3Z (Promega, Madison, WI).
Confocal Microscopy In Situ and In Vivo
For confocal microscopy, sections were fixed with 4% paraformaldehyde for 5 minutes. To visualize cell nuclei, sections were counterstained with 7-aminoactinomycin D (7-AAD) (5 µg/ml; Sigma, St. Louis, MO) for 20 minutes at ambient temperature, washed with PBS, and mounted with fluoromount-G (Southern Biotechnology, Birmingham, AL). Five-mm biopsies of ear skin of TPA- or acetone-treated hairless transgenic mice were dissected, placed on glass slides, and were coverslipped for inverted positioning on the confocal microscope plate.
To examine intact skin in living transgenic mice by confocal microscopy, hairless transgenic mice were anesthetized with avertin by intraperitoneal injection and were placed directly on a Petri dish in a dorsal position, and directly examined by confocal microscopy, using a Leica DM IRBE inverted microscope and a Leica TCS NT4D confocal microscopic system (Leica, Heidelberg, Germany) with a 530/30 nm band-pass filter, detecting emission at wavelengths between 515 to 545 nm.
Quantification of Fluorescence Intensity
The images obtained with the confocal laser microscope were digitized and stored as 768 x 512 pixel files. Leica Confocal Microscope System TCS/NT (Version 1.6.568) software program was used to quantify the intensity of GFP fluorescence in each of the files, and the average of pixels with fluorescence intensity was measured. To avoid the signal being saturated because of the bright fluorescence in the TPA-induced ear skin tissue, the same threshold value was chosen for each file and for deducted signal levels.
| Results |
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The function of the pVEGF-GFP transgene construct was confirmed by
transfection of the pVEGF-GFP plasmid into primary murine
keratinocytes, demonstrating strong cell-based fluorescence in
keratinocytes (Figure 2, a and b)
. The
promoter activity of the VEGF vector was as strong as the activity of a
cytomegalovirus promoter vector that was used as a control (Figure 2, e and f)
. In contrast, virtually no signal was observed when the VEGF
promoter vector was transfected into dermal fibroblasts (Figure 2, c and d)
, although control transfection with a CMV promoter construct
exhibited strong GFP fluorescence in fibroblast cultures (Figure 2, g and h)
. Although the transfection efficiency seemed to be low (~3 to
5%), flow cytometric analysis also showed that the VEGF promoter gave
higher GFP fluorescence signals when transfected into
keratinocytes than into fibroblasts (data not shown). These findings
suggested that the VEGF promoter activity was stronger in keratinocytes
than in fibroblasts in vitro.
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Out of 30 F0 mice, three founders positive for chromosomal
transgene insertion were detected by PCR (data not shown) and Southern
analysis (Figure 3a)
. The number of
integrated transgene copies varied from a single insertion to >10
copies as measured by comparison with a copy number standard (Figure 3a)
. These lines showed GFP-derived fluorescence in the epidermis as
assessed by epifluorescence microscopy of intact tail tissue. In
contrast, no fluorescence was detected in wild-type littermates (Figure 3b)
. The expression pattern of VEGF promoter activity was evaluated in
neonatal F1 mice of these three lines. The lung, kidney, and brain,
previously shown to express VEGF by in situ hybridization
studies31,32
were chosen for initial examination of GFP
fluorescence. Fluorescence was observed in lung alveoli (Figure 3c)
and
in the lateral ventricle wall in the brain (Figure 3d)
. Detection of
fluorescence in the glomeruli of the kidney was complicated by strong
autofluorescence (data not shown). Strong GFP fluorescence was also
detectable in chondrocytes of developing cartilage tissue (Figure 3e)
. All three transgenic lines showed similar expression patterns, but
the intensities of the fluorescent signals differed (data not shown).
Further analyses were performed in line J108, which gave the most
intense GFP signal and had multiple transgene integrations (Figure 3a)
.
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VEGF-GFP expression was further evaluated in the skin of young and
adult transgenic mice. Unfixed frozen sections of skin from 7-day-old
transgenic mice revealed strong GFP fluorescence in the outer root
sheath of growing hair follicles, mostly at the lower part (Figure 4A)
. The dermal papilla, derived from
condensed mesenchyme in the embryonic hair germ, was GFP-negative
(Figure 4A)
. Also, weak GFP signals were occasionally observed in the
epidermis (Figure 4B)
. The hair follicle-specific fluorescence was also
observed in 4-week-old transgenic mice (Figure 4B)
. However, hair
follicle fluorescence was not seen in the skin of 7-week-old animals
(data not shown). Higher magnification of confocal microscopic images
revealed that the follicular fluorescence was likely confined to the
nucleus, as assessed by double labeling with 7-AAD that stains nuclei
(Figure 4C)
. Double labeling with keratin 5-specific antibodies showed
that hair follicle-derived GFP signals partially overlapped with K5
expression. GFP fluorescence was localized within the K5 signal (Figure 4D)
.
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Because normal epidermal keratinocytes showed only weak GFP
fluorescence, we tested the inducibility of VEGF-driven GFP during
wound healing. Forty-eight hours after wounding, the new epidermis
beneath the scab showed a very strong and distinct fluorescent signal
as compared with the adjacent unwounded epidermis (Figure 5a)
. For nuclear counterstaining, fresh
cryostat sections were briefly fixed and incubated with 7-AAD and were
examined by laser confocal microscopy (Figure 5b)
. Only little
up-regulation of VEGF-specific fluorescence was observed in the
granulation tissue of full-thickness wounds, mainly localized to single
cells. A similar VEGF mRNA expression pattern was found in the
epidermis by in situ hybridization (Figure 5, c and d)
.
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To confirm that TPA can induce GFP expression in the epidermis via
the VEGF promoter used, and to establish a noninvasive monitoring
technique for changes of VEGF gene expression, we studied the effect of
topical application of TPA on the skin. Acetone or TPA were applied to
the dorsal ear skin of transgenic hairless mice, and ear skin samples
were examined by confocal imaging at 4.5 hours, 6 hours, 12 hours, and
24 hours after treatment. The first and highest induction of GFP
expression was observed at 6 hours. At 6 hours, the induction of VEGF
was significantly higher compared with the acetone-treated control side
of the same mouse (Figure 6a)
and this
induction could be quantified by image analysis (Figure 6b)
. Background
levels of GFP fluorescence differed between individual mice.
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| Discussion |
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Previously, prominent VEGF mRNA expression has been reported in lung
alveoli31
and in the lateral ventricle of the
brain32
by in situ hybridization. Evaluation of
neonatal VEGF-GFP transgenic mice confirmed these findings. Recently, a
similar tissue distribution pattern of ß-galactosidase activity was
reported in a VEGF-LacZ "knock-in" mouse model.33
The
detection of VEGF promoter activity in developing cartilage is also
consistent with the recent findings of VEGF immunoreactivity in human
neonatal cartilage.34
The failure to detect fluorescence
in the kidney glomeruli was most likely because of the strong
autofluorescence of this tissue, although we cannot exclude the lack of
a tissue-specific response element in the 2.3 kbp of 5'-flanking region
of VEGF DNA used for injection. However, this region includes the
TGF-
responsive region (-88 to -65),13
the presumable
hypoxia-inducible responsive element (-2013 to -2006),23
the platelet-derived growth factor-responsive element (-85 to
-50),35
and the von Hippel-Lindau responsive element
(-194 to -50).25
Nucleotide positions are numbered from
the transcriptional start site.
In skin from 1- or 4-week-old transgenic mice, normal epidermal keratinocytes showed basal levels of GFP expression, whereas bright fluorescence was observed in the outer root sheath of hair follicles. This GFP signal overlapped with keratin 5 expression which is a characteristic marker for keratinocytes,36 confirming that the source of GFP signal in hair follicles did not originate from the surrounding dermal fibroblast sheath. The skin of older mice (7 weeks old) did not show equivalent GFP expression in the hair follicles, suggesting that VEGF expression in the follicles may be correlated with the hair cycle. Because of the stability of GFP protein (~2 days half-life),26 determining the precise timing of the turn-off of VEGF gene expression during the hair cycle may be difficult. Although VEGF expression in hair dermal papilla cells (specialized mesenchymal cells in the hair follicle) has been previously reported by immunohistochemistry and by PCR-based detection methods,37-39 we could not detect a significant VEGF signal assessed by GFP fluorescence in this transgenic model.
We have shown the acute inducibility of GFP during wound healing (within 48 hours) and after TPA treatment (within 6 hours), confirming that the GFP expression pattern is highly VEGF promoter-dependent.8,11 These data exclude a possible delay of fluorescent signal production because of slow chromophore formation as reported in Drosophila embryos.40 In anticipation of this difficulty, we had selected the red-shifted variant of GFP for these studies, and the correct folding of the chromophore appears to occur in skin as well as in internal tissues.
In both the wound model and after TPA treatment, our transgenic model showed little or no fibroblast-derived VEGF expression. These findings differ from the previously reported fibroblast-derived GFP fluorescence in VEGF promoter-driven GFP transgenic mice,26 but are in accordance with previous studies showing primarily epithelial expression of VEGF.6,8-10,14,17,31 This discrepancy may be because of the different promoter regions used to generate the transgenic mice. The promoter we used for the studies described above includes an additional 500-bp sequence of the 5'-upstream region of the VEGF promoter which was absent in the previously reported transgenic model. This region may contain cell type-specific suppressor elements.
Laser confocal microscopic evaluation of living transgenic mouse skin indicates that GFP is readily detectable within the epidermis. These results suggest the potential use of GFP transgenic mice for noninvasive monitoring of long-term gene expression in vivo. When the transgenic GFP reporter gene is combined with confocal microscopy, the system has a great advantage over conventional transgenic reporter gene methods in animals because it reduces the number of animals used, utilizes a simple monitoring system, and allows long-term monitoring of changes in gene expression in the same individual. However, several limitations of this model should be mentioned. 1) Posttranscriptional control mechanisms of VEGF expression act by stabilizing VEGF mRNA,22,41,42 a process that is not detected in our transgenic system. 2) Reporter molecules might not completely represent endogenous gene expression correctly in all tissues and cell types, because regulatory elements for transcriptional control might exist far from the promoter region, and such factors might be present within intronic regions, making it nearly impossible to insert the complete transcriptional control unit into the transgene cassette. 3) This type of transgenic model does not allow protein localization of the target gene product in tissue.
In conclusion, the detection of GFP in transgenic mouse skin will facilitate the examination of the regulation of VEGF gene expression in inflammatory and neoplastic skin diseases, providing a powerful in vivo monitoring and screening tool.
| Acknowledgements |
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| Footnotes |
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Supported by the Cutaneous Biology Research Center, Massachusetts General Hospital; by Shiseido Co., Ltd., Tokyo, Japan; and by National Institutes of Health/National Cancer Institute grant CA69184.
Accepted for publication March 16, 2000.
| References |
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