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Fig. 7. Hierarchy of transcription factors during in vitro endocardial differentiation. Only transcription factors present at the different stages are indicated. Note that GATA5 is the earliest factor that is transcriptionally induced followed by Msx1 and EPAS1. Expression of GATA4 and Tbx20 is maintained, though at a reduced level. Reduced expression of GATA5 following cyclosporine A treatment suggests that calcium signaling may be an upstream GATA5 activator in endocardial cells. The results obtained suggest that GATA5 is required at an early stage of endocardial differentiation. Consistent with in vivo data, NF-ATc transcripts are present from the earliest stages of endocardial commitment, but NF-ATc is activated and required at later stages that remain undefined (Ranger et al., 1998 ). The role of Msx1 and EPAS1 in endocardial differentiation is still undefined; Msx1 is present in endocardial cushion cells but not in the endocardium, consistent with a role in epithelial-mesenchymal transformation (Chan-Thomas et al., 1993 ). EPAS-1 is required at terminal stages of endothelial maturation and remodeling (Peng et al., 2000 ). The appearance of both factors after GATA5 during in vitro endocardial differentiation is consistent with their in vivo distribution and function, at later stages of endocardial differentiation.
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