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First published online 16 April 2008
doi: 10.1242/dev.015297
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Section of Cell and Developmental Biology, Division of Biological Sciences, University of California, San Diego, La Jolla, CA 92093-0380, USA.
Author for correspondence (e-mail:
dtraver{at}ucsd.edu)
Accepted 27 March 2008
| SUMMARY |
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Key words: Hematopoiesis, Hematopoietic stem cells, Zebrafish
| INTRODUCTION |
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In the zebrafish, the development of hematopoietic cells also proceeds
through multiple embryonic locations. The first functional hematopoietic cells
are embryonic macrophages that derive from cephalic mesoderm and begin
migrating throughout the embryo by 18 hours post-fertilization (hpf)
(Herbomel et al., 1999
).
Concomitant with macrophage maturation, bilateral stripes of
gata1+ cells converge to the midline, forming a structure
termed the intermediate cell mass (ICM)
(Al-Adhami and Kunz, 1977
).
This axial band of erythroid precursors is then enveloped by endothelial cells
of the developing cardinal vein, through which they enter circulation upon
initiation of heart contractions at
24 hpf
(Detrich, 3rd et al., 1995
).
These first two waves of embryonic hematopoiesis have been termed primitive.
This nomenclature is consistent with findings in mammals, where both primitive
macrophages and erythrocytes develop in the yolk sac without passing through a
multipotent progenitor stage (Keller et
al., 1999
; Palis et al.,
1999
; Bertrand et al.,
2005a
; Bertrand et al.,
2005b
).
In contrast to adult hematopoiesis, where committed progenitors are the
progeny of HSCs, embryonic hematopoiesis generates committed progenitors
before HSCs can be detected. Definitive, or multilineage, hematopoiesis
initiates with the formation of committed erythromyeloid progenitors (EMPs) in
the posterior blood island (PBI) of the zebrafish embryo at
24 hpf
(Bertrand et al., 2007
). EMPs
exist only transiently, and like their counterparts recently described in the
murine yolk sac (Palis et al.,
1999
; Cumano et al.,
2001
; Bertrand et al.,
2005c
; Yokota et al.,
2006
), lack lymphoid and self-renewal potential.
Embryonic hematopoiesis culminates with the formation of HSCs, the first
multipotent precursors endowed with lymphoid and self-renewal potentials
(Cumano et al., 1996
;
Delassus and Cumano, 1996
;
Bertrand et al., 2005c
).
Precisely where and when the first HSCs are born in the mammalian embryo
remains controversial. Cells capable of long-term, multilineage reconstitution
(LTR) of transplanted recipient animals have been isolated from murine
embryonic day (E) 9 yolk sac (Weissman,
1978
; Yoder et al.,
1997a
; Yoder et al.,
1997b
), E9 para-aortic splanchnopleura (P-Sp; the precursor of the
AGM region) (Yoder et al.,
1997b
; Cumano et al.,
2001
), E11 AGM (Muller et al.,
1994
; Medvinsky and Dzierzak,
1996
) and E11 placenta (Gekas
et al., 2005
; Ottersbach and
Dzierzak, 2005
). Furthermore, recent experiments have demonstrated
multilineage hematopoietic activity in the murine allantois and chorion before
circulation and before these tissues fuse to become the placenta
(Zeigler et al., 2006
). Taken
together, these results demonstrate the complexity of HSC formation and
suggest that the generation of mammalian HSCs may occur de novo in several
embryonic locations.
In the zebrafish embryo, cells expressing the HSC-associated genes
cmyb and runx1 have been observed between the ventral wall
of the dorsal aorta and the cardinal vein between 28 and 48 hpf
(Thompson et al., 1998
;
Burns et al., 2002
;
Kalev-Zylinska et al., 2002
).
Based on the similarities to other vertebrate AGM regions, these cells have
been presumed to be the first HSCs to arise in the zebrafish. Until recently,
however, functional data have been lacking. Lineage tracing studies
demonstrated that the ventral aortic region contained cells with hematopoietic
potential, the progeny of which colonized the thymus and the pronephros, the
sites of adult hematopoiesis (Murayama et
al., 2006
; Jin et al.,
2007
). More recently, we have shown by lineage tracing that
CD41+ (itga2b+ - Zebrafish Information Network)
EMPs in the PBI between 30 and 40 hpf lacked thymic population potential,
whereas CD41+ cells targeted along the ventral aortic wall
displayed robust thymic colonization
(Bertrand et al., 2007
).
Subsequent studies by Herbomel and colleagues
(Kissa et al., 2008
) confirmed
that CD41+ cells from the zebrafish AGM first colonized the
developing thymus, a hallmark of embryonic HSCs in other vertebrate species
(Moore and Owen, 1967
;
Owen and Ritter, 1969
;
Jotereau et al., 1980
;
Jotereau and Le Douarin, 1982
;
Delassus and Cumano, 1996
;
Jaffredo et al., 2003
). These
findings suggest that HSCs are indeed present in the zebrafish AGM equivalent
and, like murine AGM HSCs (Ferkowicz et
al., 2003
; Mikkola et al.,
2003
; Bertrand et al.,
2005c
), can be identified by expression of CD41.
In the present study, we used CD41:eGFP
(Lin et al., 2005
) and
cmyb:eGFP (North et al.,
2007
) transgenic animals to isolate and characterize prospectively
the first HSCs generated in the zebrafish embryo. CD41+ cells
colonized the thymus following purification by flow cytometry and isochronic
transplantation into wild-type recipient embryos. The behavior of
CD41+ or cmyb+ cells was also observed by lineage
tracing analyses and timelapse microscopy. Our studies reveal a previously
undescribed HSC migration pathway from the AGM to the developing pronephros
along the pronephric tubules. Quantitative polymerase chain reaction (QPCR)
analyses show gene expression profiles specific to EMPs and HSCs. These
studies provide the means to identify and discriminate between hematopoietic
stem and progenitor cells by anatomic location, gene expression and
function.
| MATERIALS AND METHODS |
|---|
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Whole-mount RNA in situ hybridization
Whole-mount RNA in situ hybridization was performed as previously described
(Thisse et al., 1993
;
Bertrand et al., 2007
).
Fluorescence-activated cell sorting (FACS)
Whole or dissected embryos were dissociated at 30, 42, 65 or 72 hpf and
processed for cellular dissociation and flow cytometry as previously described
(Bertrand et al., 2007
).
Hematopoietic cell transplantation
CD41:eGFP+gata1:DsRed- cells were prepared
and sorted as described above and transplanted into 72 hpf wild-type (WT)
embryos as previously described (Traver et
al., 2003
).
Real-time quantitative polymerase chain reaction (QPCR)
For QPCR analyses, RNA was isolated using the RNAeasy Kit (Qiagen,
Valencia, CA), and cDNA obtained using a SuperscriptIII RT-PCR kit
(Invitrogen, Philadelphia, PA). QPCR reactions were performed using the
Mx3000P System according to the manufacturer's instructions (Stratagene, La
Jolla, CA). Each sample was tested in triplicate. In independent experiments,
elongation factor 1
(ef1a) expression was measured for each
population and used to normalize signals for each queried transcript using the

Ct method. These data were normalized to whole kidney marrow
(WKM) expression, defined as 100% for all analyses. Primers were designed with
Primer3 software (Rozen and Skaletsky,
2000
) (Table
1).
|
Imaging and microscopy
Embryos were imaged as described previously
(Bertrand et al., 2007
).
silent heart morpholino injections
A silent heart (tnnt2 - Zebrafish Information Network)
morpholino (Sehnert et al.,
2002
) (4 ng) was injected into the cell of cmyb:eGFP
zygotes. Morphants were visualized daily by fluorescence microscopy.
Generation of Tg(CD45:DsRed) and Tg(gata3:AmCyan) transgenic animals
A 7.6 kb fragment immediately upstream of the CD45 transcriptional
start site was cloned from the bacmid DKEY-47C5 by PCR into the
pDsRed-Express-1 vector (Clontech, Mountain View, CA) using the following
primers: CD45-FP, CTACTGTATGGACAGAAGACCTGAATC; and CD45-RP,
TCCAAAAGTTCAAACGCCTCTTC. A 2 kb fragment immediately upstream of the
gata3 transcriptional start site was cloned from the bacmid BX901908
by PCR into the pAmCyan-N1 vector (Clontech). The primers used were:
gata3-FP, GTATAGTTTTCGGGGCGGCTTC; and gata3-RP,
TCACCGATACACACAACACG. Transgenic constructs were excised and ligated into Tol2
transgenesis vectors (Kawakami et al.,
2004
). Resulting constructs were co-injected with Tol2 mRNA into
one-cell stage embryos to generate transgenic founders. A
gata-3:AmCyan transgenic line with expression specific to the
pronephric tubules was used in this study.
|
| RESULTS |
|---|
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30-36 hpf
(Fig. 1B-E). By comparison,
expression of cmyb was observed slightly earlier in the AGM, from
27 hpf onwards (Fig.
1G-J). cmyb is therefore an earlier marker of AGM
hematopoietic precursors than CD45, consistent with findings in the
mouse AGM (Bertrand et al.,
2005c
A CD41:eGFP transgene marks definitive precursors in the AGM
CD41 has been described as the earliest surface marker of committed
definitive precursors in the mouse
(Mitjavila-Garcia et al.,
2002
; Ferkowicz et al.,
2003
; Mikkola et al.,
2003
; Bertrand et al.,
2005c
; Yokota et al.,
2006
). Our previous observations of transgenic CD41:eGFP
zebrafish embryos showed the presence of rare GFP+ cells scattered
between the aorta and the vein in 48 hpf embryos
(Lin et al., 2005
). Here, we
have expanded upon these observations to show that CD41+ cells are
present as early as 27 hpf in the trunk of the embryo, appearing to arise
randomly between the axial vessels (Fig.
2). After this time, CD41+ cells expand in number
throughout the AGM (Fig.
2J-N).
CD41+ cells were also observed bilaterally along each pronephric
tubule (Fig. 2F-I). Appearance
of ductal, GFP+ cells were visible from
32 hpf
(Fig. 2F), and GFP+
cells increased in number over time, until
30-40 GFP+ cells
per duct were observed by 48 hpf (Fig.
2G). In contrast to GFP+ cells between the axial
vessels, which displayed either a spindle-shaped or spherical morphology,
GFP+ cells along the pronephric ducts appeared flattened
(Fig. 2F-I). In addition,
timelapse microscopy demonstrated dynamic behavior of CD41+ cells
within the AGM. Lateral views of the AGM region in CD41:eGFP animals
from 48 to 55 hpf showed GFP+ cells to migrate from between the
axial vessels to the pronephric ducts, often quickly returning to the vessel
region (see Movie 1 in the supplementary material). In addition,
CD41+ cells were observed to seed the thymic lobes as early as 48
hpf (Fig. 2C; see Movie 2 in
the supplementary material). Numbers of CD41+ cells peaked in the
thymus between 72 and 80 hpf (Fig.
2D) before developing thymocytes lost expression of the CD41
transgene (Fig. 2E).
Examination of cmyb:eGFP transgenic embryos
(North et al., 2007
) showed
similar patterns of expression (see Fig. S1 in the supplementary material).
cmyb+ cells were first apparent between the axial vessels in the
AGM at 27 hpf (see Fig. S1J in the supplementary material), within the
developing thymus by 48 hpf (see Fig. S1C in the supplementary material), and
along the pronephric tubules by 32 hpf (see Fig. S1F in the supplementary
material). Together, these expression patterns suggest that GFP transgenes
driven by the CD41 or cmyb promoters label similar
populations of hematopoietic precursors in the AGM region.
Transplanted CD41+ precursors colonize the thymus and caudal hematopoietic tissue
Antibodies against the CD41 receptor have been extensively used to purify
and transplant hematopoietic precursors from the mouse embryo
(Mitjavila-Garcia et al.,
2002
; Ferkowicz et al.,
2003
; Mikkola et al.,
2003
; Bertrand et al.,
2005c
; Yokota et al.,
2006
). In order to test the homing potentials of zebrafish
CD41+ AGM cells functionally, we performed similar prospective
isolation approaches using CD41:eGFP; gata-1:DsRed double transgenic
embryos. CD41+gata-1- cells were isolated by
flow cytometry from 72 hpf embryos and transplanted into aged-matched
wild-type embryos. One day after injection, we observed robust colonization of
host thymic and caudal hematopoietic tissues
(Fig. 3A,B) by donor-derived
cells. Based on lineage tracing of cells along the aorta, it has previously
been suggested that HSCs may migrate from the AGM to colonize the CHT
(Murayama et al., 2006
;
Jin et al., 2007
). Our
transplantation results support this hypothesis in that the majority of
donor-derived cells appear within the CHT 1 day after intravenous injection,
and many appear to differentiate rapidly there, based on upregulation of the
gata-1:DsRed transgene (Fig.
3D). That CD41+ cells from the AGM can populate the
thymus suggests that these cells are markedly different from EMPs that arise
earlier in the PBI. We were concerned that the transplanted cells that
populated the thymus may have come from existing thymic immigrants in the
donor embryos. We therefore transplanted CD41+ cells from dissected
embryonic trunks to remove potentially contaminating thymic residents. We
obtained similar results to whole embryo transplants, with donor cells
colonizing the CHT and thymic lobes (not shown). Thus, the CD41:eGFP
transgene marks cells in the AGM region with the ability to colonize
definitive hematopoietic organs in transplant recipients.
|
We next wished to determine whether these thymic immigrants were lymphoid.
We therefore performed uncaging experiments using animals carrying two
transgenes, CD41:eGFP and Rag-2:eGFP. GFP expression from
the lymphoid-specific Rag2 promoter is never observed within the AGM region in
single transgenic embryos (J.Y.B. and D.T., unpublished). Within the thymus,
there is also little overlap in GFP expression between the two transgenes in
double transgenic animals. Expression from the CD41 promoter disappeared from
the thymus by 5 dpf (Fig. 4B,
left panel), whereas GFP expression from the Rag2 promoter initiates in the
thymus around 4 dpf (Fig. 4B,
right panel). To determine whether rag2+ cells are the
descendants of CD41+ cells in the AGM, we uncaged rhodamine in 10
CD41+ cells at 40 hpf and analyzed thymic cells after 5 dpf in
double transgenic animals. We observed robust clusters of
rhodamine+ cells that expressed the Rag-2:eGFP transgene
in 5/6 targeted double transgenic embryos
(Fig. 4C). In addition,
confocal microscopy demonstrated rhodamine+ cells migrated into the
thymus along ductal structures, and became Rag2:eGFP+ upon
reaching the thymic interior (Fig.
4D). Together, our results suggest that CD41+ cells in
the AGM immigrate to the thymus where they differentiate into T lymphocyte
precursors, similar to classic findings on colonization of the thymus in
mouse, quail and chick embryos by immature hematopoietic precursors
(Moore and Owen, 1967
;
Owen and Ritter, 1969
;
Jotereau et al., 1980
;
Jotereau and Le Douarin,
1982
).
|
|
|
A CD45:DsRed transgene labels a subset of CD41+ AGM cells and differentiated leukocytes
Since our whole-mount in situ hybridization analyses suggested that CD45
was expressed in AGM HSCs, we generated a CD45:DsRed transgenic
animal to enable more precise study of early hematopoiesis. DsRed expression
was observed in all described regions of embryonic leukocyte production,
including the rostral blood island, posterior blood island and AGM (not
shown). Generation of double transgenic CD45:DsRed, CD41:eGFP animals
demonstrated that a subset of GFP+ cells in the AGM co-expressed
DsRed (see Fig. S3A in the supplementary material). After 5 dpf, expression
was observed in the thymic lobes (not shown) and regions of the developing
pronephric glomeruli (see Fig. S3B in the supplementary material). Overall,
expression of DsRed in CD45:DsRed transgenic animals closely
recapitulated the endogenous expression pattern of CD45
(Fig. 1), suggesting that it
serves as an accurate marker of zebrafish leukocytes, similar to that shown
for mammalian CD45 (Woodford-Thomas and
Thomas, 1993
).
|
|
190 µm over this 30-hour interval
(Fig. 6C). To determine the
endpoints of these directed anterior migrations, we performed fate-mapping
experiments by targeting CD41+ cells along each duct. Five
GFP+ cells were targeted on one of the two ducts to uncage FITC
(Fig. 7A). When embryos were
fixed and processed 3 days later, robust colonization of the anterior
pronephros was observed (Fig.
7B). Only the pronephric lobe on the side of the duct targeted was
colonized (Fig. 7B), and
neither thymic lobe was colonized when cells were targeted on or after 3 dpf
(Fig. 7B, and not shown). We
purified CD41:eGFP+ cells from dissected 4 dpf embryonic
trunks by flow cytometry and showed these cells to express cmyb at
levels similar to those found in WKM (Fig.
7A), suggesting that CD41:eGFP and cmyb:eGFP
transgenes mark similar cell types on the pronephric tubules. We similarly
isolated migrating ductal cells from dissected trunks of cmyb:eGFP
animals. By 65-75 hpf, GFP expression largely disappeared from cells between
the axial vessels and from neuronal cells by this time
(Fig. 7C), resulting in
excellent purity of sorted ductal cells. Molecular analyses of purified ductal
cmyb+ migrants demonstrated relatively high expression of
CD45 and intermediate expression of runx1, when compared
with WKM (Fig. 7C). As
migrating cells reached the anterior ends of the ducts, CD41 expression was
lost (Fig. 7C, see Fig. S3B in
the supplementary material). Concomitant with this apparent downregulation of
CD41, CD45 expression increased in the anterior pronephros (see Fig. S3B in
the supplementary material). In the mouse, CD45 expression has been shown to
increase upon hematopoietic differentiation
(Bertrand et al., 2005c
|
| DISCUSSION |
|---|
|
|
|---|
27 hpf.
Although many previous publications have presumed that HSCs arise in this
region, functional studies to verify this hypothesis have been lacking. Two
recent lineage tracing studies have demonstrated that cells along the aorta
generate progeny that migrate to the CHT, thymus and pronephros
(Murayama et al., 2006
Expression of CD41 has been demonstrated to be one of the first markers of
mesodermal commitment to the hematopoietic fates in embryonic stem cell models
(Mitjavila-Garcia et al.,
2002
; Mikkola et al.,
2003
) and during murine embryonic development
(Tronik-Le Roux et al., 2000
;
Ferkowicz et al., 2003
;
Mikkola et al., 2003
;
Ottersbach and Dzierzak,
2005
). In the zebrafish, expression of CD41 similarly marks
commitment to the definitive hematopoietic fates. EMPs born in the PBI express
low levels of CD41 beginning at 30 hpf
(Bertrand et al., 2007
), and
presumptive HSCs localized along the dorsal aorta express higher levels,
beginning at 27 hpf. It is unclear what functional role CD41 plays on the
surface of hematopoietic precursor cells as mutant mice display defects only
in platelet function (Tronik-Le Roux et
al., 2000
) and not in AGM HSC production or function
(Emambokus and Frampton,
2003
).
The roles of integrins, and other homing and chemoattractant receptors, in
the processes of thymic and pronephric colonization by AGM HSCs remain to be
determined. Pronephric migrants displayed different morphologies while on the
ducts, appearing larger and flatter than CD41+ cells in the AGM,
which were often observed to fluctuate between small round cells and
spindle-shaped cells that frequently intercalated into the ventral wall of the
dorsal aorta (see Movie 1 in the supplementary material). Before 3 dpf,
timelapse imaging of CD41:eGFP animals showed frequent translocations
of fluorescent cells between the axial vessels and ducts along the region
dorsal to the yolk tube extension. After 3 dpf, ductal CD41+ cells
were rarely observed to exit the ducts, rather appearing fixed in their
directional migration towards the anterior pronephros (see Movie 4 in the
supplementary material). Accordingly, our fate-mapping results after 3 dpf
showed that CD41+ anterior ductal cells (dorsal to the yolk ball)
colonized the pronephros only; labeled progeny were not observed in other
tissues, including the thymus. Furthermore, donor-derived progeny of
transplanted CD41+ cells were only rarely detected in the regions
of the developing anterior pronephros, whereas transplanted CD41+
cells rapidly and robustly seeded the thymic anlage. These results suggest
that lymphopoiesis initiates in the thymus upon immigration by blood-borne
precursors, in accordance with the recent results of Kissa and colleagues
(Kissa et al., 2008
). In
contrast to the statement by Kissa et al., however, that CD41+
cells on the pronephric tubules are not hematopoietic
(Kissa et al., 2008
), our
results demonstrate that ductal CD41:eGFP+ cells express
the hematopoietic-specific CD45 gene, HSC-affiliated runx1
and cmyb genes, and migrate to the anterior pronephros. When
circulation was abolished by a morpholino against the silent heart
gene, thymi were not seeded by cmyb:eGFP+ cells, whereas
ductal colonization and migration was unaffected. Accordingly, we believe that
CD41+ cmyb+ cells initiate hematopoiesis in the
zebrafish kidney via a circulation-independent route along the pronephric
tubules.
In the murine system, LTR of transplant recipients is the most rigorous
assay for HSC function. We performed an extensive number of transplantation
experiments using CD41+ cells purified from the zebrafish AGM into
both wild-type and mutant embryonic recipients. Despite robust colonization of
embryonic thymi and CHT, recipient animals showed a uniform loss of
donor-derived cells over time. There may be several reasons that AGM cells
fail to provide LTR. The simplest explanation is that CD41+ cells
in the zebrafish AGM are not HSCs. The similarities of these cells to
CD41+ HSCs in the murine AGM, the expression of HSC-affiliated
genes such as cmyb, runx1 and gata3 in zebrafish
CD41+ AGM cells, and the fact that CD41+ AGM cells are
the first cells in the zebrafish embryo with lymphoid differentiation
potential collectively make this possibility unlikely. Unlike the erythroid
and myeloid lineages, which first arise from committed hematopoietic
precursors independently of HSCs (Palis et
al., 1999
; Bertrand et al.,
2005c
; Bertrand et al.,
2007
), the first cells in the vertebrate embryo with lymphoid
differentiation potential are multipotent at the single-cell level
(Delassus and Cumano, 1996
),
and capable of LTR (Bertrand et al.,
2005c
). It is therefore likely that the CD41+
cmyb+ CD45+ cells characterized here are HSCs. Formal
validation awaits the development of zebrafish assays able to support LTR from
embryonic donor cells.
If establishment of adult hematopoiesis requires HSC immigration to the
pronephros via the pronephric tubules, then cells transplanted into
circulation may lack the ability to engraft within the teleostean equivalent
of mammalian bone marrow. Our previous results using adult kidney cells as
donors, however, resulted in LTR (Traver
et al., 2003
). This suggests either that adult HSCs are markedly
different from those in the AGM, or that other factors contribute to the
difficulty in achieving LTR using embryonic donor cells. In addition to many
transplantation experiments from embryo to embryo, we also transplanted AGM
CD41+ cells into conditioned adult recipients. Whereas we routinely
achieve LTR using adult kidney cells transplanted into sublethally irradiated
adult hosts (Traver et al.,
2004
), we have not observed LTR when using any cell population
from embryonic donors. In the mouse, it has been demonstrated that embryonic
cells do not express class I MHC molecules before E10.5
(Ozato et al., 1985
). The
inability of pre-E11 AGM cells, which have been shown to possess multilineage
(including lymphoid) differentiation capacity in vitro
(Cumano et al., 1996
), to
engraft adult animals may thus be due to immune rejection via natural killer
(NK) cells that are highly radioresistant
(Waterfall et al., 1987
) and
efficiently destroy MHCI-deficient cells
(Lanier, 2005
). Surface
molecules related to mammalian NK receptors are expressed in zebrafish
leukocytes (Panagos et al.,
2006
), suggesting that improved methods to ablate host NK cells
may result in improved donor cell engraftment.
The ontogeny of HSCs has been extensively described in the mouse, where
several sites of hematopoiesis may independently generate HSCs. In the
zebrafish, we have detected lymphoid potential only from cells in the AGM. In
our previous characterization of zebrafish EMPs, we could not detect thymus or
pronephros homing potentials from these progenitors born in the PBI. The ICM,
the zebrafish equivalent of the yolk sac blood island, forms within the
cardinal vein and is thus located just ventral to where CD41+ HSCs
are first detectable in the narrow region between the cardinal vein and dorsal
aorta. As we can currently only detect HSCs by their expression of GFP, it
remains to be determined where nascent HSCs arise, and whether they share a
common ancestry with primitive erythroid precursors. Likewise, further
analyses will be necessary to determine whether HSCs share a common precursor
with endothelial cells, as has been previously proposed following experiments
in avian (Jaffredo et al.,
1998
) and murine models
(Sugiyama et al., 2003
). Our
studies in the zebrafish help form the foundation for the continued study of
the differences among the embryonic hematopoietic programs, and should lead to
a better understanding of the genetic requirements of HSC formation and
function in the vertebrate embryo.
Supplementary material
Supplementary material for this article is available at
http://dev.biologists.org/cgi/content/full/135/10/1853/DC1
| ACKNOWLEDGMENTS |
|---|
| Footnotes |
|---|
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