Presented here is a protocol for whole-mount in situ RNA hybridization analysis in zebrafish and tube formation assay in patient-derived induced pluripotent stem cell-derived endothelial cells to study the role of endoglin in vascular formation.
Vascular development is determined by the sequential expression of specific genes, which can be studied by performing in situ hybridization assays in zebrafish during different developmental stages. To investigate the role of endoglin(eng) in vessel formation during the development of hereditary hemorrhagic telangiectasia (HHT), morpholino-mediated targeted knockdown of eng in zebrafish are used to study its temporal expression and associated functions. Here, whole-mount in situ RNA hybridization (WISH) is employed for the analysis of eng and its downstream genes in zebrafish embryos. Also, tube formation assays are performed in HHT patient-derived induced pluripotent stem cell-differentiated endothelial cells (iPSC-ECs; with eng mutations). A specific signal amplifying system using the whole amount In Situ Hybridization – WISH provides higher resolution and lower background results compared to traditional methods. To obtain a better signal, the post-fixation time is adjusted to 30 min after probe hybridization. Because fluorescence staining is not sensitive in zebrafish embryos, it is replaced with diaminobezidine (DAB) staining here. In this protocol, HHT patient-derived iPSC lines containing an eng mutation are differentiated into endothelial cells. After coating a plate with basement membrane matrix for 30 min at 37 °C, iPSC-ECs are seeded as a monolayer into wells and kept at 37 °C for 3 h. Then, the tube length and number of branches are calculated using microscopic images. Thus, with this improved WISH protocol, it is shown that reduced eng expression affects endothelial progenitor formation in zebrafish embryos. This is further confirmed by tube formation assays using iPSC-ECs derived from a patient with HHT. These assays confirm the role for eng in early vascular development.
A single mutation on eng (CD105) has been reported in patients with HHT. The mutation leads to increased EC proliferation and reduced flow-mediated EC elongation1,2. It has also been previously reported that ENG deficiency reduces endothelial markers expression (i.e., kdrl, cdh5, hey2) in zebrafish3. Endoglin, mainly expressed in endothelial cells, is a transmembrane glycoprotein and functions as a co-receptor for transforming growth factor β (TGF-β) family members. It directs BMP9 binding on the cell surface to regulate downstream gene, including Id1 expression, to induce stem cell differentiation toward ECs4. Thus, the eng gene plays important roles in vasculogenesis and human vascular disease5,6. We have previously examined the effects of endoglin knockdown on vessel formation in zebrafish embryos, followed by analysis of iPSCs-derived ECs acquired from an HHT patient bearing an eng mutation7. This protocol demonstrates the effects of ENG deficiency on endothelial progenitor marker expression and tube formation, which is a quantifiable method for measuring in vitro angiogenesis.
To study eng spatial and temporal expression, WISH is employed to detect gene expression in vivo8. In situ hybridization (ISH) is a method of using labeled probes with complement sequences of target nucleic acids (DNA or mRNA) to detect and visualize target nucleic acid hybrids in a fixed specimen. The process amplifies gene expression signals in vivo and is used to detect the expression of genes by microscopy. WISH has been widely used in various model animals, especially in zebrafish9. It is also used to acquire the following data: 1) gene spatial/temporal expression patterns, which provide information about gene function and classification; and 2) specifically expressed gene markers that are used in high-throughput drug or mutant screening10.
Chromogenic probes are easily degraded with traditional chromosome in situ hybridization (CISH), which results in high background noise and nonspecific signals11,12. The WISH method uses two independent double Z probes, which are designed to hybridize to target RNA sequences. Each probe contains an 18-25 sequence complementary to the target RNA and a 14 base tail sequence (conceptualized as Z). The target probes are used in a pair (double Z). The two tail sequences together form a 28 base hybridization site for the preamplifier, which contains 20 binding sites for the amplifier. The amplifier, in turn, contains 20 binding sites for the label probe and can theoretically yield up to 8,000 labels for each target RNA sequence.
This advanced technology facilitates simultaneous signal amplification and background suppression to achieve single-molecule visualization while preserving tissue morphology13. Further modification of the WISH methods is based on previous research14, including extra fixation and DAB staining. Provided here is an improved WISH protocol that can work even if the target RNA is partially decreased or degraded. Advantages include that it can be completed in 24 h without RNase-free conditions. Signals can also be simultaneously detected through multiple channels from multiple targets, and the results are consistent and compatible with results from different high-throughput automation platforms.
Results from animal models do not necessary reflect the same phenomenon that occurs in humans. ENG contains two pairs of conserved cysteines, C30-C207 and C53-C182, which form disulfide bridges in orphan regions. To further study the role of eng in HHT patients, tube formation assays with iPSCs derived from HHT patients have been carried out in cells without/with eng mutations (Cys30Arg, C30R)15. After Kubota et al. first reported the tube formation experiment16, the assay has been developed in several ways. It has been used to identify angiogenic or antiangiogenic factors, define the signaling pathways in angiogenesis, and identify genes regulating angiogenesis17.
Prior to the availability of patient-derived iPSC-ECs, researchers used primarily cultured ECs to study angiogensis16. However, for endothelial cells, it is a technical challenge to transduce exogenous genes with a virus, because of the limited passage number that ECs can undergo. This is because there is hardly enough cellular material to be collected from human vessels either from surgery or matched approved donors. With the invention of the iPSC generation technique by Shinya Yamanaka, human ECs derived from iPSCs can be used reliably in in vitro experiments, as reported previously18.
Using virally transduced ECs with limited numbers and passages may be sufficient for signaling studies, but for functional studies, it is better to generate mutant pluripotent stem cell lines, (either iPSCs or CRISPER/Cas9-targeted hESCs), then differentiate them into ECs for angiogenesis studies that use tube formation assays19. Tube formation can be used to evaluate the function of endothelial cells bearing mutations. This protocol also describes tube formation on an µ-slide angiogenesis plate, which is an easy, cost-effective, and reproducible method.
The protocol below provides a reliable and systemic method for studying the role of specific genes in vascular formation, along with details for in vivo expression pattern and in vitro functional quantification for modeling human disease.
All animal experiments described were approved by the Research Ethics Committee of Zhejiang University school of medicine.
1. Whole-mount in situ hybridization
2. Tube formation assay
NOTE: The eng mutant and wildtype ECs (control) were differentiated from iPSCs derived from an HHT patient (here, a 62 year-old female patient with recurrent epistaxis since 22 years old, gastrointestinal bleeding, pulmonary arteriovenous malformations, carrying a missense eng mutation in position c.88T>C of exon 2) and a healthy donor (without eng mutation), which were provided by Peking Union Medical College Hospital with approval from the college research ethics committee.
Whole mount in situ hybridization is based on a principle similar to fluorescence resonance energy transfer. It is designed to improve both sensitivity and specificity in zebrafish ISH as well as amplify target-specific signals without affecting the background signal.
In 24 hpf zebrafish embryos, endoglin is highly expressed in the posterior cardinal vein (PCV), intersegmental vessels (ISVs), and blood islands3. It is hard to control the staining time in traditional chromogenic in situ hybridization (CISH), with non-positive signals occurring in some regions, such as yolk sac (Figure 1A). To investigate the role of eng in early vascular development, a hemogenic endothelial marker was used (aplnra) as well as another endothelial progenitor marker (nrp1a) to examine which type of endothelium was affected by eng silencing20. The expression of aplnra and nrp1a was weak in 24 hpf embryos. Compared to CISH, the weak signal from the two genes was clearly demonstrated in the tail region after eng knockdown in WISH (Figure 1B). The knockdown of eng RNA caused reduced expression of two types of endothelial cells marker genes expression in an HHT animal model.
Before conducting experiments on differentiated iPSCs, the cells were identified and confirmed as ECs. Morphologically, they appeared as cobblestone shape. Expression of endothelial cell surface molecular markers CD31, CD146, VE-cadherin, and vWF was confirmed with IF staining21. After magnetic-based isolation using CD31, the functional assay was conducted as described below.
Here, the tube formation assay was performed using the eng mutant and control iPSC-derived endothelial cells. Statistical analysis was performed based on the number, branches, and lengths of tubes. A novel parameter was also introduced based on previous work3, points of angiogenesis, in order to reflect tube formation of endothelial cells. Eventually, it was found that eng mutant endothelial cells formed fewer branches than control endothelial cells, and that branches in eng mutant endothelial cells significantly increased after stimulation with vascular endothelial growth factor (VEGF) (Figure 2A,B). The mutation in eng resulted in defective vessel tube formation.
Figure 1: Endoglin knockdown decreased the expression of endothelial markers. (A) CISH and WISH were performed to determine the expression of endoglin in 24 hpf embryos (n > 30). The red box represents the enlarged region. Scale bars = 200 µm. (B) aplnra and nrp1a expression by WISH in 24 hpf zebrafish embryos of the control-MO and eng-MO group. The red arrow indicates regions where the expression of these genes significantly decreased. Please click here to view a larger version of this figure.
Figure 2: Tube formation of eng mutant and control iPSC-ECs. (A) The tube formation by the four groups, including the control group, the control + VEGF (control endothelial cells + 30 ng/mL VEGF), the eng mutant (eng mutant endothelial cells) group, and the eng mutant + VEGF (eng mutant endothelial cells + 30 ng/mL VEGF) group. Tube formation was assessed and photographed after 3 h. Scale bars = 100 µm. (B) Quantitative results of tube formation are shown. At the covered area the number of branches and their length of tubes were calculated by Image J. Error bars represent the SD of the mean values from three independent experiments. A value of P was considered statistically significant when *p < 0.05. Please click here to view a larger version of this figure.
Embryonic period | Fixation time |
4-cells to 8 hpf | 4 hours |
8 hpf to 24 hpf | 1 hours |
24 hpf to 4 dpf | 30 minutes |
Table 1: Fixation time required for different embryonic stages.
Embryonic period | Digestion time |
4-cells to 8 hpf | 2 minutes |
8 hpf to 24 hpf | 5 minutes |
24 hpf to 4 dpf | 10 minutes |
Table 2: Digestion time required for different embryonic stages.
This protocol applied an improved whole-mount in situ RNA analysis platform for zebrafish and tube formation assays on iPSC-ECs derived from an HHT patient. The traditional ISH method requires a longer experimental cycle with extra experimental steps. The protocol has some important improvements, the use of independent double Z probes and iPSCs derived from a patient with HHT that were applied in WISH assays and tube formation, respectively. These refinements are crucial for enhancing the detection sensitivity compared with what is observed with traditional ISH. The uniquely designed probes and target signal amplification allow the detection of rarely expressed transcripts (aplnra is a poorly expressed gene in 24 hpf embryos). One modification is the extra fixation after probe hybridization. The extra fixation can enhance the combination of probes and transcripts. DAB staining is also applied rather than fluorescence staining, because it was found that it was difficult to perform fluorescence staining in certain low-abundance genes. Then, iPSCs were used for angiogenesis assays, which increases the significance and clinic relevance of this work. Generation of iPSCs requires strict culture conditions and represents a limitation of the protocol.
Some critical steps must be highlighted. In WISH analysis, the digestion time of zebrafish embryos should be followed in strict accordance with the text. A shorter digestion time cannot guarantee that the probe combines with transcripts successfully. In contrast, extended digestion time will destroy the integrity of embryos. In the tube formation experiments, the imaging timing should be well-controlled. Generally, the endothelial cells will become tubes within 12 h but the tubular structure tends to disintegrate after 24 h. The cell number is also important for tube formation, as a cell density that is too high or too low can lead to failed tube formation. If it is difficult to induce endothelial cells to form tubes, it is helpful to include adding growth factors such as VEGF to the culture medium as a positive control to test the ability of ECs to form tubular structures.
In summary, the improved WISH method has been considered an advantageous technique for laboratory workflows. Recently, our research group has started to test this assay in clinical samples. Considering higher sensitivity and more efficient detection than observed in traditional methods, this improved WISH method holds significant promise for developing and implementing RNA-based molecular diagnostics22.
Performance of tube formation assay using patient iPSC-ECs allows confirmation of results from animal studies as well as identification of disease-causing mutations from single nucleotide polymorphism in the eng gene. The combination of these methods clarifies the role of eng in vascular formation and hold potential in gene correction of patient iPSC-ECs for cardiovascular cell therapy23.
The authors have nothing to disclose.
This work was supported by grants from the National Key Research and Development Program of China-stem cell and translational research [grant number 2016YFA0102300 (to Jun Yang)];the Nature Science Foundation of China [grant number 81870051, 81670054 (to Jun Yang)]; the CAMS Innovation Fund for Medical Sciences (CIFMS) [grant number 2016-I2M-4-003 (to Jun Yang)]; the PUMC Youth Found and the Fundamental Research Funds for the Central Universities [grant number 2017310013 (to Fang Zhou)].
µ-Slide Angiogenesis | ibidi | 81506 | Cell culture |
Amp 1-FL | ACD | SDS 320852 | Signal Amplification |
Amp 2-FL | ACD | SDS 320853 | Signal Amplification |
Amp 3-FL | ACD | SDS 320854 | Signal Amplification |
Amp 4 Alt B-FL | ACD | SDS 320856 | Signal Amplification |
Corning Matrigel Matrix | Corning | 354234 | Growth factor-reduced Matrigel |
DEPC | Sigma | D5758 | RNAase-free Water |
Human Endothelial-SFM | Thermofisher | 11111044 | Cell culture |
Paraformaldehyde | Sigma | 30525-89-4 | Fixed embryos |
Paraformaldehyde | Sigma | 30525-89-4 | Fixed Cells |
Protease K | ACD | SDS 322337 | Digest tissue |
Sodium Citrate | Sigma | 6132-04-3 | SSCT solution: Wash Buffer |
VEGF-165 | STEMCELL Technologies | 78073 | Growth factor |