First published online 15 April 2009
doi: 10.1242/dev.029140
Development 136, 1727-1739 (2009)
Published by The Company of Biologists 2009
Notch signaling controls liver development by regulating biliary differentiation
Yiwei Zong1,
Archana Panikkar1,
Jie Xu1,
Aline Antoniou2,
Peggy Raynaud2,
Frederic Lemaigre2 and
Ben Z. Stanger1,*
1 Division of Gastroenterology, Abramson Family Cancer Research Institute,
University of Pennsylvania School of Medicine, 512 BRB II/III, 421 Curie
Boulevard, Philadelphia, PA 19104, USA.
2 Université Catholique de Louvain and de Duve Institute, Avenue
Hippocrate 75/7529, 1200 Brussels, Belgium.
*
Author for correspondence (e-mail:
bstanger{at}exchange.upenn.edu)
Accepted 17 March 2009
 |
SUMMARY
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In the mammalian liver, bile is transported to the intestine through an
intricate network of bile ducts. Notch signaling is required for normal duct
formation, but its mode of action has been unclear. Here, we show in mice that
bile ducts arise through a novel mechanism of tubulogenesis involving
sequential radial differentiation. Notch signaling is activated in a subset of
liver progenitor cells fated to become ductal cells, and pathway activation is
necessary for biliary fate. Notch signals are also required for bile duct
morphogenesis, and activation of Notch signaling in the hepatic lobule
promotes ectopic biliary differentiation and tubule formation in a
dose-dependent manner. Remarkably, activation of Notch signaling in postnatal
hepatocytes causes them to adopt a biliary fate through a process of
reprogramming that recapitulates normal bile duct development. These results
reconcile previous conflicting reports about the role of Notch during liver
development and suggest that Notch acts by coordinating biliary
differentiation and morphogenesis.
Key words: Notch, Bile ducts, Liver, Mouse
 |
INTRODUCTION
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Bile plays an important role in metazoan biology by emulsifying fats and
transporting the products of liver detoxification. After its synthesis by
hepatocytes, bile is carried from the liver to the intestine by the bile
ducts. Dysfunction of the biliary system, either through obstruction,
destruction, congenital malformation or cancer, is a significant cause of
morbidity and mortality. The large proximal ducts of the liver [extrahepatic
bile ducts (EHBDs)] arise by branching of a primitive gut-derived
diverticulum, whereas the smaller intrahepatic bile ducts (IHBDs), which
constitute the largest component of the biliary tree, form in situ. During
IHBD development, hepatic progenitor cells (hepatoblasts) adjacent to portal
veins undergo ductal commitment, forming a structure known as the ductal
plate, while progenitors located in the parenchyma, away from the portal
veins, become hepatocytes (Lemaigre and
Zaret, 2004
). Prior to birth, tubular structures arise at discrete
sites within the ductal plate, ultimately giving rise to IHBDs, while the
remaining progenitor cells regress during the first few weeks of life (see
Fig. 1A). It is not known how
communication is established between the extra- and intrahepatic biliary
systems.
Notch signaling is necessary for normal bile duct development. In humans,
mutations in the Notch ligand JAG1 or in the NOTCH2 receptor are responsible
for Alagille syndrome (AGS), an autosomal-dominant disorder, the features of
which include IHBD paucity and associated heart and skeletal abnormalities
(Alagille et al., 1987
;
Emerick et al., 1999
;
Li et al., 1997
;
McDaniell et al., 2006
;
Oda et al., 1997
).
Importantly, inheriting a single mutant JAG1 or NOTCH2
allele is sufficient to cause human disease, suggesting that bile duct
development is sensitive to small (twofold) changes in ligand or receptor
levels. Several studies have examined the expression of Notch signaling
components in embryonic and adult tissues
(Crosnier et al., 2000
;
Flynn et al., 2004
;
Jones et al., 2000
;
Kodama et al., 2004
;
Loomes et al., 2002
;
Louis et al., 1999
;
McCright et al., 2002
;
Nijjar et al., 2001
;
Sumazaki et al., 2004
;
Tanimizu and Miyajima, 2004
),
and in vivo studies in the mouse have confirmed a requirement for Notch
signaling in biliary development (Geisler
et al., 2008
; Kodama et al.,
2004
; Lozier et al.,
2008
; McCright et al.,
2002
). Nevertheless, the cellular and molecular mechanisms by
which Notch regulates bile duct development are unclear.
The Notch pathway is an evolutionarily conserved signaling module. Upon
ligand binding, a portion of the Notch receptor [the Notch intracellular
domain (NICD)] translocates to the nucleus, where it associates with the
DNA-binding protein Rbpj (also known as RBP-J
) and mediates changes in
gene transcription. During development, Notch regulates embryonic patterning
by conferring fate instructions to neighboring cells, most commonly through
the Hes/Hey family of transcriptional repressors
(Ehebauer et al., 2006
;
Kageyama et al., 2007
). Notch
could play a similar role in liver development by regulating a hepatocyte
versus biliary epithelial cell (BEC) fate choice, and several studies have
implicated Notch in the regulation of hepatoblast differentiation
(Ader et al., 2006
;
Kodama et al., 2004
;
Tanimizu et al., 2003
;
Tanimizu et al., 2004
).
Arguing against such a model, mice with mutations in Notch2 or in the
Notch target Hes1 exhibit abnormal duct morphology but normal biliary
induction, raising the possibility that Notch signaling is dispensable for
embryonic biliary specification and required only for morphogenesis
(Geisler et al., 2008
;
Kodama et al., 2004
;
Lozier et al., 2008
).
In the present study, we have performed a detailed in vivo analysis of
Notch function during liver development by blocking or activating core
components of the pathway at distinct developmental stages. We describe a
novel mechanism for duct morphogenesis that relies upon sequential
differentiation of adjacent layers of precursor cells. In addition, we report
that Notch functions earlier than previously described in the embryonic liver,
where it plays important roles in differentiation and tubule formation at
distinct stages of development. Taken together, these results indicate that
Notch acts in a temporal- and dose-dependent manner to coordinate biliary fate
and morphogenesis.
 |
MATERIALS AND METHODS
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Mouse studies
Mice were maintained in a pathogen-free environment. All strains have been
described: AFP-Cre (Kellendonk et al.,
2000
), Foxa3-Cre (Lee et al.,
2005
), Albumin-CreER (Schuler
et al., 2004
), RosaNICD
(Murtaugh et al., 2003
) and
RbpjloxP/loxP (Han et
al., 2002
) mice were kindly provided by G. Schutz, K. Kaestner, P.
Chambon, D. Melton and T. Honjo (RIKEN BioResources), respectively. A null
allele of Rbpj (Rbpj
) was made by crossing
RbpjloxP/+ and Sox2-Cre mice
(Hayashi et al., 2002
). For
activating Notch signaling in differentiated hepatocytes, 6 mg tamoxifen (TM)
was administered to Albumin-CreER; RosaNICD mice on
alternating days for a total of 3-5 doses, and sections were examined 5-21
days later. Serum chemistries were measured by Analytics (Gaithersburg, MD,
USA). All studies were performed in accordance with policies for the humane
use of animals established by the University of Pennsylvania and the NIH.
Immunostaining and immunoblotting
Tissues were fixed in zinc-buffered formalin (Polysciences), embedded in
paraffin and cut at 5 µm. For antigen retrieval, slides were incubated with
R-buffer A (Electron Microscopy Sciences) at 120°C using a Pickcell 2100
antigen retrieval system. Sections were blocked with 2% donkey serum or CAS
Block (Invitrogen). Primary antibodies are listed in
Table 1. Rabbit anti-Ck19 and
anti-Hes1 antibodies were made by synthesizing peptides as described
(Ito et al., 2000
;
Tanimizu et al., 2003
),
conjugating to Keyhole limpet hemocyanin (KLH), and immunizing rabbits with
each peptide (Covance). For immunohistochemistry, sections were sequentially
incubated with biotinylated secondary antibodies (Jackson ImmunoResearch),
peroxidase-conjugated streptavidin (ABC Staining Kit, Vector Labs), DAB
substrate and Hematoxylin. Alexa 488- or Alexa 594-conjugated secondary
antibodies (Invitrogen) were used with DAPI counterstaining for
immunofluorescence. For Hes1 and Jag1 immunostaining, tyramide signal
amplification was performed using the TSA Fluorescence System (PerkinElmer).
All reported results were observed in at least three animals. For western
blotting, total protein was extracted from whole liver, separated by SDS-PAGE
and transferred to nitrocellulose. Membranes were blocked with 5% milk powder
and visualized using Chemiluminescence Reagent Plus (PerkinElmer) following
incubation with an appropriate secondary antibody. Mouse anti-Gapdh (US
Biological) was used as a loading control.
Duct and BEC quantification
To quantify symmetric versus asymmetric ducts during development, over 100
ductal structures (sampled from three or more animals at each time point) were
scored. To quantitate Sox9+ or Ck19+ cells, four mutant
animals and four controls (lacking Cre) were examined and positive cells were
scored from at least ten portal tracts per animal. To measure the number of
ducts per portal vein, slides at a comparable level of section from at least
three mutant and three control animals were selected. Portal veins were
identified by the presence of five or more biliary cells in the perivascular
region, and associated bile ducts were counted. To measure proliferation,
AFP-NICD and control livers (n=5 for each genotype, more than 500
cells per liver) at P2 were co-stained for Ki67 and Ck19 and the number of
Ki67+ cells was calculated as a percentage of the total
Ck19+ cells counted. P-values were calculated by Student's
t-test.
Quantitative PCR
Total RNA was extracted from whole liver using the RNeasy Mini Kit (Qiagen)
and 1 µg used to synthesize cDNA using the SuperScript Kit (Invitrogen,
11752). Quantitative PCR was performed with SYBR Green Master Mix Reagent
(Applied Biosystems) using an ABI 7900 sequence detector. Transcript
quantities were determined using the difference of Ct method;
standard curves were constructed for each primer pair and values were
normalized to Hprt. Primer sequences are listed in
Table 2.
Chromatin immunoprecipitation (ChIP) analysis
ChIP was performed using the ChIP Assay Kit (Upstate). Liver tissue (100
mg) was minced in PBS and cross-linked using 1% formaldehyde for 10 minutes.
Cross-linking was quenched by the addition of glycine to a final concentration
of 0.125 M. Cells were lysed with 1 ml lysis buffer supplemented with protease
inhibitor (Roche). DNA was sheared into fragments of 100-500 bp by BioRuptor
sonication (Diagenode), and cross-linked proteins were immunoprecipitated
using Notch1 antiserum (Fang et al.,
2007
). After protein-A bead pull-down, cross-links were reversed
and the DNA was purified using the QIAquick PCR Purification Kit (Qiagen). DNA
copy number was measured by quantitative PCR, normalized to 28S ribosomal DNA
sequences (Rubins et al.,
2005
). Enrichment of DNA was analyzed by comparing DNA copy number
in ChIP samples with that of input. Primer sequences are listed in
Table 2.
 |
RESULTS
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Notch signaling during IHBD development
We sought to confirm the normal sequence of events during IHBD development
by examining the expression of the duct-specific cytokeratin Ck19 (Krt19
– Mouse Genome Informatics) at various stages
(Fig. 1A-D). As described
previously (Lemaigre, 2003
),
IHBD development is characterized by the appearance of ductal plate precursor
cells adjacent to branches of the portal vein (
E14-16), the appearance of
dilations at discrete points along the ductal plates (
E16-P2), and the
postnatal disappearance of unincorporated biliary precursor cells
(
P2-15). In addition, we observed that nascent ducts pass through a
previously undescribed intermediate stage characterized by the asymmetric
expression of biliary and hepatoblast markers. Specifically, Ck19 was
expressed by cells on the portal side, but not the parenchymal side, of these
asymmetric tubules, whereas Hnf4
was expressed by cells on the
parenchymal side, but not the portal side
(Fig. 1B,E; see Fig. S1 in the
supplementary material). Other markers of BECs, including Epcam, acetylated
tubulin (AcT), Sox9, Hnf1β, and osteopontin (Opn; Spp1 – Mouse
Genome Informatics) (Antoniou et al.,
2009
; Coffinier et al.,
2002
; Zhang et al.,
2008
), were also expressed exclusively by cells on the portal side
of these primitive ductal structures (Fig.
1B',F-H; see Movies 1, 2 in the supplementary material; data
not shown). The asymmetry resolved after birth (P2), by which point the ducts
had adopted a mature configuration and were symmetrically encircled by BECs
(Fig. 1C,C',J). These
changes in biliary tubule composition were also apparent ultrastructurally
(Fig. 1I; see Fig. S2 in the
supplementary material). Thus, during IHBD development, lumen formation
precedes the terminal differentiation of cells that will ultimately line the
outer layer of the ducts.
To directly examine the expression of Notch signaling components during
liver development, we measured stage-specific transcript levels for all four
Notch receptors, Jagged and Delta ligands, and targets from the Hes and Hey
families by real-time PCR. At all stages examined, multiple signaling pathway
components were expressed (see Fig. S3 in the supplementary material),
indicating that functional redundancy might mitigate the loss of any single
pathway component. We further characterized the expression of the Notch ligand
Jag1 and Notch target Hes1 by immunostaining. Jag1 protein was detected in
portal vein endothelium as early as E12.5, where it persisted throughout
development (Fig. 2A-D). Jag1
was also expressed in BECs at later stages
(Fig. 2D, arrows), consistent
with several previous reports (Flynn et
al., 2004
; Loomes et al.,
2002
; Louis et al.,
1999
). Hepatoblasts surrounding the portal vein expressed Hes1
starting at
E14.5 (Fig.
2E,F), earlier than previously reported
(Kodama et al., 2004
). At
later stages, Hes1 was expressed in ductal plate cells and mature ducts
(Fig. 2G,H; see Fig. S4 in the
supplementary material). Markers of terminal biliary differentiation such as
Ck19 were expressed 1-2 days after Hes1
(Fig. 2I-L). These results
suggest that activation of Notch signaling precedes the differentiation of the
first (portal) layer of the ductal plate and persists in differentiated
BECs.
To examine the possibility that Notch activation might also precede
differentiation in the second (parenchymal) layer of the ductal plate, we
examined Jag1 and Hes1 expression during tubulogenesis. At E16.5, Jag1
staining was observed in portal endothelium (and possibly portal mesenchyme)
as well as in cells on the portal side, but not the parenchymal side, of
primitive ductal structures (Fig.
2M). Surprisingly, Hes1 was expressed by cells on both the portal
and parenchymal sides of primitive ductal structures; co-staining revealed
that a subset of cells comprising the second biliary layer expressed both Hes1
and Hnf4
(Fig. 2N).
These results suggest that the field of Notch-responsive cells expands during
biliary development in a focal manner, preceding fate acquisition in the
second layer at sites of tubulogenesis.
Notch regulates embryonic biliary fate
The role of Notch signaling in liver development has previously been
assessed in mice bearing deletions in Jag1, Notch1, Notch2 or
Hes1 (Geisler et al.,
2008
; Kodama et al.,
2004
; Loomes et al.,
2007
; Lozier et al.,
2008
; McCright et al.,
2002
). To circumvent possible functional redundancy, we employed
mice with a conditional mutation in the Rbpj gene
(Han et al., 2002
). Rbpj
constitutes the DNA-binding portion of the Notch transcription complex and is
a necessary effector of canonical Notch signaling
(Bolos et al., 2007
;
Oka et al., 1995
). To examine
the consequences of Rbpj loss on liver development, we obtained Foxa3-Cre mice
(Lee et al., 2005
), which
permit early and efficient recombination in hepatoblasts (see Fig. S5A in the
supplementary material). We then generated Foxa3-Cre;
RbpjloxP/
(Foxa3-RBP) embryos, in which
the DNA-binding domain of Rbpj was deleted on one allele and flanked by loxP
recombination sequences on the other allele. Rbpj deletion was
confirmed by genomic PCR, and loss of Notch signaling was documented by a
reduction of Hes1 staining in the ductal plate region
(Fig. 3A). Compared with
controls, Foxa3-RBP mutants exhibited a reduced number of ductal plate cells
at E16.5 and P0 (Fig. 3B,C; see
Fig. S6 in the supplementary material) and a significant decrease in the
number of bile ducts at P0 (Fig.
3C). These results indicate that Rbpj is necessary for normal
ductal plate development in the embryonic liver.

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Fig. 1. Biliary tubules arise as asymmetric structures in the ductal plate.
(A-D') Timecourse of mouse intrahepatic bile duct (IHBD)
formation. Ck19+ (A-D) and Epcam+ (A'-D')
ductal plate precursor cells arise between E14.5 (A,A') and E17.5
(B,B'). Tubules initially form as asymmetric structures (E17.5, insets),
in which cells on the portal side express Ck19 (B) and Epcam (B'),
whereas cells on the parenchymal side do not express these markers
(arrowheads). Bile ducts achieve symmetry early in postnatal life (P2,
C,C' insets). During the first 2 weeks of life, most ductal plate cells
that are not integrated into a duct regress, leaving behind mature bile ducts
(D,D'). (E-H) Nascent tubules (asterisks) at E16.5 are lined by
cells that express Ck19, Sox9, acetylated tubulin (AcT, arrowheads) and
Hnf1β within the inner portal layer, and Hnf4 within the outer
parenchymal layer (arrows). In E, note the presence of numerous
Hnf4 -negative nuclei, reflecting the preponderance of hematopoietic and
other `non-parenchymal' cells in the embryonic liver. (I) Transmission
electron micrograph of an E17.5 asymmetric primitive ductal structure. Outer
layer cells (h) and inner layer cells (b) can be distinguished by the presence
of glycogen in the former (arrowheads). (J) Quantitation of ductal
asymmetry during liver development (±s.e.m.). pv, portal vein; e,
endothelial cell. Scale bars: 20 µm in E-H; 4 µm in I.
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Previous in vitro studies have suggested that Notch signaling induces
biliary differentiation in hepatic cells
(Kodama et al., 2004
;
Tanimizu et al., 2003
;
Tanimizu et al., 2004
). To
determine whether Notch plays an instructive role in biliary differentiation
in vivo, we employed Rosa26Notch1IC mice
(Murtaugh et al., 2003
)
(henceforth referred to as RosaNICD), which harbor a
constitutively active form of Notch1 downstream of loxP-flanked
transcriptional stop sequences (Fig.
3D) (Murtaugh et al.,
2003
). This strain has been used to activate the Notch signaling
cascade in a variety of tissues (Cheng et
al., 2007
; Jadhav et al.,
2006
; Niranjan et al.,
2008
; Stanger et al.,
2005
). We obtained bigenic Foxa3-Cre;
RosaNICD/+ (Foxa3-NICD) embryos at the expected Mendelian
ratio. Widespread Hes1 staining was observed in Foxa3-NICD livers prior to
E16.5, confirming that Notch signaling was activated in hepatic precursor
cells (Fig. 3D). Ectopic BECs
expressing a full repertoire of ductal markers were observed in the parenchyma
of Foxa3-NICD livers as early as E16.5
(Fig. 3D; see Fig. S6B in the
supplementary material; data not shown). Remarkably, some of these cells had
assembled into bile ducts of mature appearance
(Fig. 3D, inset; see Fig. S6B
in the supplementary material). Taken together, these results suggest that
Notch signaling (acting via Rbpj) regulates the differentiation of embryonic
biliary precursors.
Notch regulates formation of the second biliary layer
We next sought to determine whether Notch plays a role in the development
of primitive ductal structures. We employed AFP-Cre mice, in which Cre
recombinase is expressed under the regulatory control of the
-fetoprotein (Afp) enhancer and albumin promoter
(Kellendonk et al., 2000
), and
confirmed by RosaYFP reporter analysis that recombination
occurs later with AFP-Cre mice than with Foxa3-Cre mice. At E15.5, 36% of
Hnf4
+ cells were labeled in AFP-Cre;
RosaYFP mice, significantly less than the 81% of
Hnf4
+ cells labeled in Foxa3-Cre;
RosaYFP mice at this stage. By contrast, 88% of
Hnf4
+ cells were labeled in AFP-Cre;
RosaYFP mice at E16.5 (see Fig. S5 in the supplementary
material). By P2, 95% of Hnf4
+ cells (hepatocytes) and 98%
of Ck19+ cells (BECs) were labeled in AFP-Cre;
RosaYFP mice. Thus, AFP-Cre exhibits peak activity (as
measured by this assay) during the formation of the second ductal layer
(
E16.5). AFP-Cre; RbpjloxP/loxP (AFP-RBP) livers
exhibited a less severe reduction in peri-portal Hes1+ cells at
E16.5 than that observed with Foxa3-Cre (e.g. compare
Fig. 3A with
Fig. 4A). Consistent with less
efficient deletion at this stage, mutant animals had ductal plates of normal
appearance at E16.5 (Fig. 4B,
top panels). At P1 and P2, however, AFP-RBP livers exhibited a significant
reduction in the number of bile ducts (Fig.
4B,C). This defect was also apparent at P6
(Fig. 4B, bottom panels),
indicating that the phenotype was not due to delayed bile duct maturation.
These results suggest that following induction of the first ductal plate
layer, Rbpj is required for the subsequent formation of mature ducts.

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Fig. 2. Notch signaling is active during biliary development. (A-L)
Immunofluorescence (green) for Jag1 (A-D), Hes1 (E-H) and Ck19 (I-L)
demonstrates stepwise expression of Notch signaling components. Jag1 is
expressed in the portal vein endothelium from E12.5 onward, whereas Hes1 is
expressed in peri-portal cells (and endothelial cells) after E14.5. Expression
of Ck19, a marker of terminal biliary differentiation, is observed at E16.5.
Both Jag1 and Hes1 are expressed in mature ductal structures at E18.5
(arrows). All sections have been counterstained with DAPI (blue). (M)
Jag1 staining is detected in portal endothelium (adjacent to dotted lines) and
in cells on the portal side of primitive ductal structures at E16.5
(asterisks), where it overlaps with the expression of Sox9 and Ck19
(arrowheads). No Jag1 staining is observed in cells on the parenchymal side of
asymmetric tubules. (N) Hes1 is expressed in endothelial cells and in
both layers of asymmetric tubules at E16.5; in the outer layer, co-expression
of Hes1 and Hnf4 is detected (arrowheads). Scale bars: 50 µm in A-L;
25 µm in M,N.
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|
To determine whether Notch directly regulates tubulogenesis, we crossed
RosaNICD mice to AFP-Cre mice, yielding bigenic AFP-Cre;
RosaNICD/+ (AFP-NICD) embryos. AFP-NICD livers exhibited
an increase in Hes1 transcript levels and protein, confirming that
Notch signaling was activated throughout the hepatic lobule
(Fig. 5A). Whereas the ductal
plates appeared normal at E16.5, AFP-NICD mice exhibited an increase in portal
vein-associated BECs at P0 and P2 (Fig.
5B). This change was associated with an increase in the size and
number of bile ducts at P2 from a mean of 2.3 (control) to 3.5 ducts per
portal vein (AFP-NICD) (n=3 for each genotype, P<0.001).
Although most BECs were confined to the portal region, ectopic
Ck19+ cells were also detected in the lobules starting at P2
(Fig. 5B,
Fig. 6). These Ck19+
cells failed to undergo regression, leading to the persistence of BECs at P15
in a portal-to-lobular gradient (Fig.
5C). Ck19+ cells showed higher proliferation in
AFP-NICD livers compared with control (1.44% versus 1.06%, respectively;
P=0.042), indicating that enhanced proliferation might contribute to
the phenotype.

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Fig. 3. Notch signaling controls embryonic biliary fate. (A) Deletion
of Rbpj was achieved by creating Foxa3-Cre;
RbpjloxP/ (Foxa3-RBP) mice, in which one
allele of Rbpj has been deleted and the other allele contains loxP
sites flanking crucial coding sequences. PCR for the wild-type, mutant and
deleted alleles, using liver DNA as template, shows deletion of the
Rbpj gene in Foxa3-RBP animals at E16.5. Since as many as half of the
cells in the E16.5 liver are hematopoietic in origin (see
Fig. 1E), the observed
reduction in RbpjloxP PCR product reflects efficient
deletion in hepatoblasts at this stage. A reduction in the number of
Hes1+ cells in the peri-portal region of Foxa3-RBP mice confirms
the loss of ductal plate Notch signaling at this stage. (B,C)
Foxa3-RBP mutants exhibit a reduced number of Sox9+ BECs at E16.5
and P0 and a reduced number of bile ducts at P0. Bar charts show the mean
(±s.e.m.) of Sox9+ cells or ducts per portal vein (pv). Each
bar represents measurements from four independent animals.
*P<0.05, **P<0.01. (D)
Activation of Notch signaling in Foxa3-Cre; RosaNICD
(Foxa3-NICD) mice results in an expansion of the Hes1 expression domain and
ectopic biliary differentiation at E16.5; structures resembling mature bile
ducts are found in Foxa3-NICD lobules (inset; nuclei are counterstained with
DAPI). pv, portal vein. Scale bars: 100 µm.
|
|
Notch regulates tubulogenesis in a dose-dependent manner
At P2, AFP-NICD mice exhibited ectopic tubule formation in the lobules, an
area normally occupied by hepatocyte-lined sinusoids
(Fig. 6). The tubules were
lined by Ck19+ cells and Hnf4
+ cells in a manner
reminiscent of the asymmetric tubules present during normal biliary
tubulogenesis (Fig. 6A, top
right inset). Acetylated tubulin (AcT), a cilia marker that is confined to
ductal plate BECs in control livers, was expressed in these ectopic structures
(Fig. 6A, bottom panels). The
tubules disappeared over the first 2 weeks of life and were replaced by
duct-like structures (Fig. 5C;
see Fig. S7E in the supplementary material), indicating that Notch-induced
tubulogenesis is transient in nature.
Human bile duct development is sensitive to changes in JAG1 and
NOTCH2 gene dosage. Therefore, we hypothesized that biliary
tubulogenesis might be influenced by increasing the dose of Notch signaling.
To test this possibility, we bred two copies of the
RosaNICD allele into the AFP-Cre background (AFP-N/N),
resulting in graded levels of Notch signaling in relation to
RosaNICD copy number
(Fig. 6B). AFP-N/N mice
exhibited a profound tubulogenesis phenotype with dilated tubules in the
ductal plate region as early as E16.5 (see Fig. S7C in the supplementary
material). At P2, AFP-N/N livers exhibited dilated bile ducts and ectopic
tubules throughout the lobule that completely disrupted normal hepatic
architecture (Fig. 6C). Cells
lining the tubules resembled their counterparts in AFP-NICD mice (i.e. cells
expressed either Hnf4
or Ck19). A majority of the cells lining the
tubules also expressed Hes1 (Fig.
6C, inset), again evoking the primitive ductal structures normally
present at E16-17. In contrast to AFP-NICD mice, AFP-N/N mice exhibited bile
ducts of mature appearance in the lobules at P15 (see Fig. S7F in the
supplementary material). Surprisingly, these animals exhibited preserved liver
chemistries (see Fig. S8 in the supplementary material). Notably, serum
bilirubin was undetectable in AFP-N/N animals, raising the possibility that
the ectopic ducts in these animals were functional. Notch signaling can
therefore exert a direct effect on morphogenesis during liver development,
promoting tubule formation and bile duct maturation in a dose-dependent
manner.

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Fig. 4. Late deletion of Rbpj preserves ductal plate formation
but results in abnormal tubulogenesis. (A) Deletion of the
transcriptional regulator Rbpj in AFP-Cre; RbpjloxP/loxP
results in a more modest reduction in peri-portal Hes1+ cells at
E16.5 than is seen in Foxa3-RBP mice (see
Fig. 3). (B) AFP-RBP
mutants have normal ductal plate development (E16.5) but have fewer mature
bile ducts postnatally (arrowheads). cv, central vein. (C) Bar chart
showing the mean number (±s.e.m.) of bile ducts per portal vein (pv);
each bar represents the scoring of at least 50 portal regions (n=3
animals for each genotype). **P<0.01. Scale bars: 100
µm.
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Sox9 is a Notch target
To better understand the mechanism underlying Notch-induced biliary
differentiation and tubulogenesis, we examined the expression of known
regulators of biliary development – Oc1 (Onecut1
– Mouse Genome Informatics), Oc2, Hnf1b, Hhex and Sox9
– by real-time PCR. Transcripts for Hnf1b and Sox9,
but not Oc1, Oc2 or Hhex, were significantly increased in
AFP-NICD livers compared with controls at P0
(Fig. 7A). Immunostaining
confirmed that Sox9 and Hnf1β were ectopically expressed throughout the
lobules of AFP-NICD livers at E16.5 and P0
(Fig. 7B,C). Conversely, no
increase in Oc1 or Hhex staining was detected (data not shown). To determine
whether Sox9 is direct target of Notch, we scanned upstream sequences
of the Sox9 gene and identified ten consensus Rbpj binding sites. We
chose four elements – three sites close to the Sox9 promoter
region and one conserved element 14 kb upstream – for chromatin
immunoprecipitation (ChIP) studies in AFP-NICD livers. When compared with a
control sequence, the two sequences closest to the Sox9
transcriptional start site were significantly enriched following ChIP with an
anti-Notch1 antibody, whereas the other sequences showed no enrichment
(Fig. 7D). This result suggests
that Notch1 is capable of binding directly to the Sox9 promoter in
vivo. Because these two sites (#9 and #10) are within
400 bp of each
other, this result could represent binding of NICD to both or a single
site.
Notch signaling reprograms postnatal albumin+ cells
Because BECs first appear in the lobules of AFP-NICD mice postnatally,
several days after the onset of ectopic Hes1, Sox9 and Hnf1β expression,
we hypothesized that terminally differentiated hepatocytes might retain
competence to respond to Notch signals. To test this possibility, we employed
the Albumin-CreER strain (Schuler et al.,
2004
), which mediates loxP recombination in hepatocytes following
tamoxifen (TM) administration (see Fig. S5 in the supplementary material). We
induced recombination by giving TM to 6-day-old Albumin-CreER;
RosaNICD/+ (AlbuminCreER-NICD) mice and examined liver
sections 5, 11 or 21 days following the first dose
(Fig. 8).
Within 5 days after receiving TM, Hes1 expression was observed in a
pan-lobular distribution, indicating broad activation of Notch signaling in
hepatocytes. Widespread expression of Sox9, and to a lesser extent Hnf1β
and AcT, was also observed at this stage. Eleven days after TM administration,
lobular expression of Hes1, Sox9, Hnf1β and AcT remained high, and
expression of Opn (and, to a lesser extent, Ck19) was also detected in the
lobules. All markers exhibited robust staining 21 days after TM injection,
resulting in an extensive lobular Ck19+ ductal network. Notably,
the morphology of the BEC-like cells also changed between 5 and 21 days after
TM treatment, transitioning from a scattered distribution and assembling into
duct-like structures (e.g. compare Sox9 staining in Fig.
8F and
8H). To determine whether these
neo-biliary cells resulted from cell-autonomous or non-cell-autonomous effects
of Notch, we gave a low dose of TM to AlbuminCreER-NICD mice to induce clones
with activated Notch signaling. In these clones, identified as small clusters
of ectopic Opn+ cells within the hepatic lobule, Hes1 staining
co-localized completely with the biliary marker Opn
(Fig. 8D, inset). These results
suggest that Notch acts in a cell-autonomous manner to induce a biliary
program in hepatocytes.

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Fig. 5. Notch signaling promotes ectopic biliary differentiation in the
periportal region. (A) Real-time PCR or staining for Hes1
(n=3 animals of each genotype per time point) shows increased
expression throughout the hepatic lobule in AFP-NICD mouse embryos. (B)
Ductal plate precursor cells appear at E16.5 in the correct peri-portal
location in AFP-NICD embryos. An increase in peri-portal BECs at P0 and P2 is
associated with more elongated and numerous ducts in AFP-NICD livers
(arrowheads) compared with controls (arrows). (C) Ectopic biliary cells
persist in AFP-NICD livers. (Left) By P15, control portal tracts exhibit
near-complete regression of the ductal plate; most remaining Ck19+
cells are incorporated into bile ducts (arrows). (Right) Age-matched AFP-NICD
livers exhibit abundant Ck19+ cells arranged in a ductal plate
conformation (arrowheads). The peri-portal concentration of these cells,
resulting in a portal-to-central gradient, can be appreciated at low
magnification (top panels). Note the presence of enlarged bile duct lumens in
AFP-NICD livers (arrows). p, portal vein; c, central vein. Scale bars: 200
µm in B (P0 and P2); 100 µm for all others.
|
|
 |
DISCUSSION
|
|---|
Notch regulates biliary fate in vivo
Among the factors that could regulate biliary differentiation, the Notch
pathway has long stood out as a compelling candidate. Our results provide
strong in vivo evidence in support of this hypothesis: (1) spatial and
temporal expression of Jag1 and Hes1 in the developing liver is consistent
with a role in biliary induction; (2) early deletion of Rbpj, an essential
mediator of Notch signaling, results in a reduced number of BEC precursors and
bile ducts; and (3) activation of the pathway with an NICD transgene results
in ectopic biliary differentiation. Remarkably, activation of Notch signaling
in the postnatal liver resulted in widespread biliary differentiation.
Although we cannot exclude the possibility that Notch mediates this effect by
acting in a rare subpopulation of albumin+ progenitor cells, our
data are most consistent with the conclusion that Notch signaling converts
differentiated hepatocytes into BECs.
Transdifferentiation of hepatocytes to BEC-like cells has been observed
following biliary injury (Michalopoulos et
al., 2005
) and in hepatocytic spheroids in vitro, where the fate
change was accompanied by an increase in the expression of Notch pathway
components (Nishikawa et al.,
2005
). The molecular mechanisms underlying biliary reprogramming
by Notch are unclear. We found that the process recapitulated features of
normal biliary development, including induction of Sox9 and Hnf1β. Since
components of the Notch signaling pathway are upregulated in a number of adult
liver diseases (Flynn et al.,
2004
; Nijjar et al.,
2001
; Nijjar et al.,
2002
), our finding that hepatocytes retain biliary competence in
response to Notch signals raises the possibility that Notch regulates
hepatobiliary remodeling following injury.
How does Notch regulate the biliary program? During development, progenitor
cells near the portal vein appear to be more sensitive to the effects of
ectopic Notch signaling than those within the lobules, indicating that Notch
might act in concert with other factors located near the portal vein (e.g. see
Fig. 5 and Fig. S7 in the
supplementary material). One candidate for such a cooperating signal is the
TGFβ/activin pathway, an important regulator of embryonic biliary
differentiation (Clotman et al.,
2005
). TGFβ/Notch cross-talk occurs in several settings,
including myogenesis, where Hes1 is synergistically regulated by both pathways
(Blokzijl et al., 2003
;
Dahlqvist et al., 2003
). Since
TGFβ/activin is active in a portal-to-central gradient during liver
development (Clotman et al.,
2005
), cooperation between the Notch and TGFβ/activin
pathways could confer additional spatial cues during bile duct development, as
has been proposed (Ader et al.,
2006
; Clotman and Lemaigre,
2006
). Our results also suggest a role for Sox9, a transcription
factor that modulates TGFβ signaling during biliary development
(Antoniou et al., 2009
) and the
expression of which was increased in AFP-NICD mutants and decreased in
Foxa3-RBP mutants. Cross-talk between Notch and Sox9 has been reported in the
pancreas (Seymour et al.,
2007
) and central nervous system
(Taylor et al., 2007
), and our
ChIP results suggest that Sox9 is a direct target of Notch signaling. A
connection between Notch signaling and Sox9 is also consistent with recent
observations that Sox9 controls the timing of maturation of primitive ductal
structures (Antoniou et al.,
2009
).

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Fig. 6. Notch promotes dose-dependent tubulogenesis at postnatal day 2.
(A) Ectopic tubules exhibit expression of Ck19 and AcT. (Top) Lobular
tubules in AFP-NICD mice (arrow) are lined by cells expressing either
Hnf4 + or Ck19+ (inset shows high magnification).
(Bottom) AcT, a cilia marker normally confined to ductal plate progenitor
cells, is ectopically expressed in the lobular tubules of AFP-NICD animals
(inset shows high magnification). (B) Mice having one (AFP-NICD) or two
(AFP-NICD/NICD) copies of RosaNICD exhibit graded levels
of Notch1 transcripts by real-time PCR (top; n=3 animals for
each genotype) and Hes1 protein by western blot analysis (bottom). (C)
NICD gene dosage affects tubulogenesis at P2. Hematoxylin and Eosin staining
reveals an increase in the number of lobular tubules with increasing
RosaNICD gene dosage (H&E, top). A parallel increase
in the size and number of peri-portal bile ducts (arrowheads) and lobular
asymmetric tubules (bottom) is evident by Ck19 staining. Most cells
surrounding the tubules express Hes1. Since over 90% of hepatic cells exhibit
recombination at the Rosa26 locus prior to birth (see Fig. S5 in the
supplementary material), these changes are likely to reflect increased
`per-cell' activity of NICD rather than an increase in the number of cells
expressing NICD. Scale bar: 100 µm.
|
|
Although our findings are consistent with the in vitro observation that
Notch can induce a biliary fate, they are at odds with in vivo studies
suggesting that Notch is dispensable for biliary specification
(Geisler et al., 2008
;
Kodama et al., 2004
;
Lozier et al., 2008
;
Tanimizu et al., 2003
;
Tanimizu et al., 2004
). This
discrepancy might in part be due to functional redundancy. We and others have
observed the expression of multiple Notch ligands, receptors and Hes/Hey
family members in embryonic liver
(Crosnier et al., 2000
;
Flynn et al., 2004
;
Jones et al., 2000
;
Kodama et al., 2004
;
Loomes et al., 2002
;
Louis et al., 1999
;
McCright et al., 2002
;
Nijjar et al., 2001
;
Sumazaki et al., 2004
;
Tanimizu and Miyajima, 2004
).
Therefore, our studies relied on deletion of Rbpj, an essential
mediator of canonical Notch signaling, to achieve complete pathway
inactivation. It is also possible that differences in timing might account for
the earlier phenotypes we observed. Ductal plate phenotypes appeared only when
the early acting Foxa3-Cre strain was used to delete Rbpj (Figs
3,
4,
5; see
Fig. 6A in the supplementary
material). Although deletion of Rbpj with AFP-Cre had no effect on
ductal plate development, it did result in a reduced number of bile ducts at
birth, similar to the phenotypes resulting from Albumin-Cre-mediated deletion
of Notch2 (Geisler et al.,
2008
; Lozier et al.,
2008
). In our hands, the Albumin-Cre strain mediates recombination
late in embryonic development, exhibiting kinetics similar to those of AFP-Cre
(data not shown). Therefore, the absence of an embryonic phenotype in previous
studies might have resulted from Notch2 loss after ductal plate specification.
As discussed below, we propose that duct morphogenesis, which is a late event
in liver development, occurs through Notch-dependent regulation of
differentiation in the second biliary layer.

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Fig. 7. Notch induces Hnf1β and Sox9 expression. (A) Real-time
PCR measuring transcript levels (mean±s.e.m.) for several transcription
factors involved in biliary development, comparing control and AFP-NICD mice
at P0 (n=3 for each group). Hnf1b and Sox9 are the
only two (other than Hes1) that exhibit a significant increase. Data
are representative of two independent experiments. (B,C)
Immunostaining for Hnf1β (B) and Sox9 (C) confirms widespread expression
of both transcription factors throughout the mutant lobule as early as E16.5.
(D) Schematic view of the Sox9 gene (5' and 3'
untranslated regions in yellow, coding sequence in blue) showing the location
of putative Rbpj binding sites and the control site. Chromatin prepared from
AFP-NICD livers (P10) was subjected to immunoprecipitation with a Notch1
antibody followed by real-time PCR amplification using primers specific for
each candidate binding site (see Materials and methods). The data represent
the mean (±s.e.m.) of five independent experiments.
*P<0.05, **P<0.01,
***P<0.001; all other differences were not significant
at the P=0.05 level. Scale bars: 100 µm.
|
|
Biliary morphogenesis and Notch
We have shown that bile ducts form through a process of sequential
differentiation of two adjacent cellular layers, a mechanism that is distinct
from other types of tube formation in the body
(Hogan and Kolodziej, 2002
;
Lubarsky and Krasnow, 2003
).
During biliary tubulogenesis, lumens form at discrete sites along the first
layer of the ductal plate, giving rise to asymmetric, primitive ductal
structures at E16-17. Cells lining the two sides of the lumen are similar
ultrastructurally but cells comprising the inner (first) layer express a set
of distinctive BEC markers: Ck19, Sox9, Hnf1β and AcT. This asymmetric
intermediate has been independently observed
(Antoniou et al., 2009
), and
our results extend their findings. We do not know why bile ducts form through
this process, as opposed to the `budding' or `wrapping' mechanisms used in
many other tissues (Lubarsky and Krasnow,
2003
). One possibility stems from the fact that, unlike many other
tubes, bile ducts must retain connectivity in two planes – hepatocyte
canaliculi (x axis) and the ductal tree (z axis) – and
thus lack a `terminal' branch. Sequential differentiation might facilitate the
development of this interconnected arrangement by ensuring contact between
hepatocytes and BECs throughout development.

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Fig. 8. Notch activation in differentiated hepatocytes promotes biliary
differentiation. (A-T) Albumin-CreER; RosaNICD
mice were given five doses of tamoxifen (TM) (6 mg) starting at P6 and
examined by immunofluorescence for the indicated markers 5, 11 or 21 days
after the first dose. Expression of Hes1, Sox9, Opn, Hnf1β, AcT and Ck19
was initially restricted to the portal tract (arrowheads, left column; insets
show high magnification). TM treatment leads to rapid induction of Hes1, Sox9
and Hnf1β, but a more gradual induction of AcT, Opn and Ck19. Note the
rearrangement of ectopic biliary cells from a diffuse lobular distribution to
a more organized ductal configuration. Clones of ectopic biliary cells
generated by administering a low dose of TM are found in the lobule and show a
tight correspondence between Hes1 and Opn expression (inset, upper right
panel). All sections are counterstained with DAPI (blue). Scale bars: 100
µm.
|
|
Several lines of evidence suggest that Notch functions during the formation
and/or maturation of primitive ductal structures. First, the expression of
Notch signaling components is consistent with a role in the differentiation of
the second layer. Within asymmetric tubules, Jag1 expression is detected in
BECs of the first layer, whereas Hes1 expression is detected in second-layer
cells that still express Hnf4
. This suggests that Hes1 expression
precedes biliary differentiation in the second layer of the ductal plate.
Second, late deletion of Rbpj (with AFP-Cre) permits differentiation
of the first layer but results in a significant reduction in the number of
bile ducts, consistent with a role in the formation of the second layer and
associated tubulogenesis. Third, Notch activation results in an increase in
the number of bile ducts at birth. Finally, ectopic Notch activation promotes
the formation of tubules that resemble primitive ductal structures; these
ectopic tubules arise in a dose-dependent manner and gradually acquire a
ductal morphology (Fig. 6 and
see Fig. S7 in the supplementary material).
Taken together, these findings are consistent with a model in which Notch
controls bile duct development by regulating biliary fate at successive stages
of development (Fig. 9).
Initially, endothelial Jag1 activates Notch signaling in peri-portal
hepatoblasts, resulting in biliary differentiation and the appearance of the
first (portal) layer of the ductal plate (E14.5-16.5). The nascent BECs also
express Jag1, prompting activation of Notch signaling in the adjacent second
layer, lumen formation, and the emergence of primitive ductal structures
(E16.5-17.5). Subsequently, cells in the second layer complete the biliary
program, giving rise to mature symmetrical ducts (P2). This model accommodates
our results and reconciles conflicting reports from the literature regarding
whether Notch acts as a regulator of differentiation or morphogenesis
(Geisler et al., 2008
;
Kodama et al., 2004
;
Lozier et al., 2008
;
Tanimizu et al., 2003
;
Tanimizu et al., 2004
). The
observation that Notch functions in the differentiation of the second biliary
layer, an event that is intimately associated with tubulogenesis, suggests
that Notch serves both tasks, linking its activity as a regulator of cell fate
with a role in morphogenesis.

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Fig. 9. Model of bile duct development. Early in liver development
(E12.5-14.5), endothelial-derived Jag1 (yellow) activates Notch signaling and
Hes1 expression in adjacent hepatoblasts (blue nuclei), resulting in formation
of the first ductal plate layer at E14.6-16.5 (cells outlined in green).
Between E16.5 and E17.5, tubulogenesis occurs at discrete sites of active
Notch signaling in adjacent hepatocytes (pink nuclei), giving rise to a
primitive ductal structure (asterisk). Cells comprising the second (outer)
layer of this asymmetric tubule undergo biliary differentiation between E17.5
and P2. Subsequent growth of the portal mesenchyme and loss of unincorporated
BECs leads to the formation of a mature portal tract by P15. Note that BECs in
both the first and second layers of the ductal plate express Jag1. See text
for details.
|
|
This model leaves several questions unanswered. First, how is biliary
development controlled spatially? Although Notch signaling is activated
throughout the first layer of the ductal plate, lumens arise at discrete
locations, and it is unclear what governs the focal formation of these
primitive structures. A related question concerns how expression of the ligand
(Jag1) spreads to BECs. One possibility is `lateral induction', a process by
which Notch signaling in a cell results in the activation, rather than
repression, of ligand expression in that cell
(Eddison et al., 2000
;
Timmerman et al., 2004
). In
addition, other mechanisms are likely to restrict Notch signaling. For
example, Jag1 is highly expressed in newborn BECs, where it results in the
induction of Hes1, but other cells adjacent to these ligand-producing cells do
not express Hes1 (see Fig.
2D,H). Furthermore, although our study demonstrates that biliary
tubulogenesis is responsive to increasing Notch dosage, consistent with the
known sensitivity of human bile duct development to JAG1 or
NOTCH2 haploinsufficiency (Li et
al., 1997
; McDaniell et al.,
2006
; Oda et al.,
1997
), the mechanism underlying this dose responsiveness remains
unclear.
It is worth pointing out two caveats. First, despite the fact that Notch2
is the major Notch receptor involved in bile duct development
(Geisler et al., 2008
;
McDaniell et al., 2006
), our
experiments used the intracellular domain of Notch1 for gain-of-function.
Despite this mismatch, we believe that the Notch1 ICD serves as a reasonable
surrogate for Notch activity in the liver. Domain-swapping experiments have
shown that the C-terminal portion of the Notch1 and Notch2 ICDs are
functionally interchangeable in vivo
(Kraman and McCright, 2005
).
In addition, the RosaNICD strain we used is capable of
rescuing a renal fate specification phenotype caused by Notch2 deficiency
(Cheng et al., 2007
). This
indicates that Notch2 targets are appropriately activated by this transgene.
Furthermore, our observations with the Notch1 ICD are in agreement with the
loss-of-function phenotype resulting from Rbpj deletion.
Nevertheless, confirmation that Notch2 promotes biliary differentiation will
ultimately be needed. Second, our model proposes a role for Jag1 in the
induction of the second layer in primitive ducts. However, conditional
deletion of Jag1 in the hepatic epithelium is not associated with
bile duct abnormalities during development
(Loomes et al., 2007
). Timing
of deletion or functional redundancy with other hepatic ligands (Jag2, Dll1 or
Dll4) could account for the lack of an embryonic Jag1 mutant
phenotype, issues that can be addressed by earlier Jag1 deletion and
with compound mutants.
 |
Footnotes
|
|---|
Supplementary material
Supplementary material available online at
http://dev.biologists.org/cgi/content/full/136/10/1727/DC1
We thank G. Schutz, K. Kaestner, P. Chambon, T. Honjo and D. Melton for
sharing mice; T. Sudo, A. Miyajima and C. Bogue for sharing aliquots of Hes1,
Ck19 and Hhex antisera, respectively; J. Lelay and Y. Ohtani for help with
ChIP; K. Kaestner, W. Pear, K. Loomes, M. Ryan and M. Pack for helpful
discussions; J. Friedman for reading the manuscript; D. Ludwig and the AFCRI
Histology Core for assistance with sample preparation; and Y. Sofer and A.
Stout for help with confocal imaging. Monoclonal antibody G8.8 was provided by
the Developmental Studies Hybridoma Bank. B.Z.S. was supported by grant
DK076583 from
NIDDK and support from the
Penn Center for Molecular Studies in Digestive and Liver
Disease. F.L. was supported by the
Interuniversity Attraction Poles Program
(Belgian Science Policy), the DG Higher Education and
Scientific Research of the French Community of Belgium, the
Alphonse and Jean Forton Fund, and the
Fund for Scientific Medical Research. A.A. and
P.R. hold fellowships from the Université Catholique de Louvain.
Deposited in PMC for release after 12 months.
 |
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