First published online 29 June 2005
doi: 10.1242/dev.01917
Development 132, 3431-3443 (2005)
Published by The Company of Biologists 2005
Forkhead box A1 regulates prostate ductal morphogenesis and promotes epithelial cell maturation
Nan Gao1,*,
Kenichiro Ishii2,*,
Janni Mirosevich2,
Satoru Kuwajima4,
Stacey R. Oppenheimer3,5,
Richard L. Roberts6,
Ming Jiang2,
Xiuping Yu2,
Scott B. Shappell6,
Richard M. Caprioli3,5,
Markus Stoffel4,
Simon W. Hayward2,3 and
Robert J. Matusik1,2,3,
1 Department of Cell and Developmental Biology, Vanderbilt University,
Nashville, TN 37232, USA
2 Department of Urologic Surgery, Vanderbilt University, Nashville, TN 37232,
USA
3 Department of Cancer Biology and Vanderbilt-Ingram Cancer Center, Vanderbilt
University, Nashville, TN 37232, USA
4 Laboratory of Metabolic Diseases, The Rockefeller University, New York, NY
10021, USA
5 Mass Spectrometry Research Center, Vanderbilt University, Nashville, TN 37232,
USA
6 Department of Pathology, Vanderbilt University, Nashville, TN 37232, USA

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Fig. 1. Distribution of Foxa1 and Foxa2 in mouse UGS. (A) Foxa1 (green) is
expressed in E18 mouse UGE (asterisk). (B) Ck14 staining (red) reveals
peripheral basal epithelial layers. (C) Triple immunofluorescence merges from
A and B, plus DAPI. (D) Nuclear Foxa1 staining (inset) is seen in 6-week-old
mature prostate epithelium. (E) E18 UGE expresses Foxa2 (green nuclear
staining) with strongest level in peripheral basal epithelium. Inset shows
entire UGS counterstained with DAPI. (F) Same basal epithelial cells express
Shh (red signal on cell-membrane). (G) Merges of E and F. (H) In E21 UGS,
Ptch1 (green) is expressed in both UGE and mesenchymal cells (arrow).
Arrowhead indicates Ptch1-expressing nascent prostatic buds. (I) Shh is
co-expressed in E21 UGE and nascent epithelial buds (arrowhead). (J) Merges of
H and I. (K) E21 UGS double stained for AR (green) and SMA (red).
SMA-expressing cells are the same population expressing Ptch1 (arrow). (L) E21
UGS double-stained for AR (green) and Ck14 (red). (M) E21 UGS double-stained
for Ck8 (red) and p63 (green). (N) ß-Catenin (red) is expressed in both
epithelium and surrounding mesenchyme in E18 UGS, with strongest signal
detected in the peripheral epithelium (arrowhead). (O) E18 UGS stained for
p63. (P) Magnified merges of N and O. (Q,R) In situ hybridization. Foxa1 and
Foxa2 are expressed in P1 prostate rudiments (arrows, parasagittal sections).
Insets show strongly stained epithelial buds (arrowheads in R). (S,T) Foxa1,
but not Foxa2, is expressed in mature glands. BL, Bladder.
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Fig. 2. Foxa1 regulates prostate ductal morphogenesis. (A) Upper panels: urogenital
organs (lateral, left, and dorsal, right, views) dissected from P1 pups. The
bladder was removed as indicated by broken lines. Lower panels: prostate
rudiments (asterisks) and seminal vesicle (SV) were grafted as renal rescue
tissue. (B-D) Upper panels: 8-week-old rescued tissues, with indicated
genotypes, developed in the host renal capsules. SVs are circled with broken
lines. Rescued Foxa1/ prostate (asterisk in
D) is smaller than controls upon comparison after fine dissection (lower
panels). (E-G) ß-Galactosidase staining on 8-week-old rescued prostates.
(H) Twelve-week-old tissue recombinants derived from wild-type (left) or
Foxa1/ (right) epithelium that was
recombined with E18 rUGM. (I) The Foxa1/
recombinants have significantly lower weights than controls (n=3,
P<0.01). (J-K) Hematoxylin and Eosin staining of 4-week-old
rescued Foxa1/ and
Foxa1+/+ VPs. (L,M) AR staining. (N,O) High magnification
views of regions framed in L and M (arrowheads). (P,Q) Toluidine Blue staining
on 1 µm thin section of 12-week-old rescued
Foxa1/ and wild-type VPs. (R,S) E-cadherin
staining (red) on 12-week-old rescued Foxa1/
and wild-type VPs. Foxa1-null epithelial cell polarity is disrupted
(arrowheads). (T,U) Hematoxylin and Eosin staining of 12-week-old tissue
recombinants from Foxa1/ and control
epithelium.
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Fig. 3. Foxa1-deficient prostate has altered epithelial cell population and stromal
pattern. (A) Ck5 staining on 4-week-old rescued
Foxa1/ VP. (B) Ck5-positive basal epithelial
cells (arrow) expanded within the null epithelial cords. (C) Ck5 staining on
rescued wild-type VP. (D,E) Dual-staining of p63 (green) and Ck8 (red) on
4-week-old rescued Foxa1/ and
Foxa1+/+ DLPs. (F,G) Some
Foxa1/ cells co-expressed of both markers
(arrowhead in F), while control cells expressed these markers separately (G).
(H-J) SMA staining on 4-week-old rescued VPs. Expansion in smooth muscle layer
(arrowheads) was seen in null prostate (H,I), but not in control (J).
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Fig. 4. Altered gene expression profiles in
Foxa1/ prostates. RT-PCR was performed using
gene specific primers, on rescued Foxa1+/+ and
Foxa1/ prostates, with Gapdh gene
as an internal standard. Cycle numbers of amplification are indicated on the
top.
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Fig. 5. No mature luminal cells in Foxa1/
prostate. (A-D) EM analysis on 12-week-old rescued
Foxa1+/+ and Foxa1/ VPs.
Scale bars: 2 µm in A,B; 500 nm in C,D. Asterisks indicate the lumen.
Wild-type cells (A,C) contain secretory materials seen in apical vesicles
(arrow) and at luminal surface (arrowhead). Secretory material was absent in
Foxa1/ cells (B,D). (E) MALDI-MS protein
profiles of m/z range 3000-16,000 obtained from 4-week-old rescued
Foxa1+/+, Foxa1+/ and
Foxa1/ prostates. Continuous profiles were
zoomed in at m/z range 16,100-26,000. Arrows indicate peaks that were absent
in Foxa1/ but present in control prostates.
(F) RT-PCR for Pbsn and Sbp. Bs, basement membrane.
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Fig. 6. Elevated Shh and Foxa2 but reduced Nkx3.1 expression in
Foxa1/ epithelium. (A) Shh expression in
4-week-old rescued Foxa1/ VP epithelium,
with strong and focused activity evident in the epithelial buds (B). (C) Ptch1
is detected in the same null epithelial buds. (D,E) Triple-immunofluorescence
of ß-catenin (red), p63 (green) and DAPI (blue) on rescued
Foxa1/ and Foxa1+/+
prostates. (F-I) Foxa1/ epithelium is
negatively or faintly stained for nuclear Nkx3.1 (F,H). Arrowheads indicate
the same epithelial buds illustrated in B. Foxa1+/+
luminal epithelium show strong nuclear Nkx3.1 immunoreactivity (G,I). (J-L)
Foxa2 is expressed in Foxa1/ epithelium
(J,K), but not in Foxa1+/+ epithelium (L).
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Fig. 7. Foxa1 regulates early ductal pattern formation and promotes epithelial cell
maturation. The embryonic urogenital sinus is composed of undifferentiated
epithelial and stromal cells. During early prostate morphogenesis, systemic
androgens and elevated epithelial cell Foxa1 and Nkx3.1 proteins modulate cell
growth and differentiation. The Foxa1-null prevents cytodifferentiation and
results in a population of intermediate epithelial and basal-like cells that
individually express markers representative of both cell types (i.e. Ck5, Ck8
and Ck14). The mesenchymal cells differentiate into an atypically thick layer
of smooth muscle. Prostatic embryonic signaling pathways remain active as
reflected by the elevation of Shh, Bmp, Fgf and Notch. Foxa2, which is
normally expressed only in prostatic buds in the embryo, remains elevated
while Nkx3.1 is downregulated. The Foxa1-null prostate produces limited
secretory proteins. An Nkx3.1-null prostate shows an epithelial cell
hyperplasia by four weeks of age with limited differentiation as reflected by
dramatically reduced levels of secretory proteins. By 40 weeks of age, the
Nkx3.1-null prostate contains both epithelial cells hyperplasia and prostatic
intraepithelial neoplasia a precursor lesion for prostate cancer. A
prostate that has AR-null epithelium but retains AR in the stromal cells
results in normal development of the ductal structural, including both
epithelial and basal cells. However, full differentiation does not occur as
secretory proteins are not expressed. The normal adult prostate exhibits
functional cytodifferentiation with fully differentiated basal and luminal
cells exhibiting a full profile of secretory activity.
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© The Company of Biologists Ltd 2005