Shahensha Shaik1, Elizabeth C Martin2, Daniel J Hayes3, Jeffrey M Gimble4, Ram V Devireddy5. 1. Bioengineering Laboratory, Department of Mechanical Engineering, Louisiana State University, Baton Rouge, LA, USA. 2. Department of Biological and Agricultural Engineering, Louisiana State University, Baton Rouge, LA, USA. 3. Department of Biomedical Engineering, Pennsylvania State University, University Park, PA, USA. 4. La Cell LLC and Center for Stem Cell Research & Regenerative Medicine and Departments of Medicine, Structural & Cellular Biology, and Surgery, Tulane University School of Medicine, New Orleans, LA, USA. 5. Bioengineering Laboratory, Department of Mechanical Engineering, Louisiana State University, Baton Rouge, LA, USA. rdevir1@lsu.edu.
Abstract
Adipose-derived stromal/stem cells (ASCs) are multipotent in nature that can be differentiated into various cells lineages such as adipogenic, osteogenic, and chondrogenic. The commitment of a cell to differentiate into a particular lineage is regulated by the interplay between various intracellular pathways and their resultant secretome. Similarly, the interactions of cells with the extracellular matrix (ECM) and the ECM bound growth factors instigate several signal transducing events that ultimately determine ASC differentiation. In this study, RNA-sequencing (RNA-Seq) was performed to identify the transcriptome profile of osteogenic induced ASCs to understand the associated genotype changes. Gene ontology (GO) functional annotations analysis using Database for Annotation Visualization and Integrated Discovery (DAVID) bioinformatics resources on the differentially expressed genes demonstrated the enrichment of pathways mainly associated with ECM organization and angiogenesis. We, therefore, studied the expression of genes coding for matrisome proteins (glycoproteins, collagens, proteoglycans, ECM-affiliated, regulators, and secreted factors) and ECM remodeling enzymes (MMPs, integrins, ADAMTSs) and the expression of angiogenic markers during the osteogenesis of ASCs. The upregulation of several pro-angiogenic ELR+ chemokines and other angiogenic inducers during osteogenesis indicates the potential role of the secretome from differentiating ASCs in the vascular development and its integration with the bone tissue. Furthermore, the increased expression of regulatory genes such as CTNNB1, TGBR2, JUN, FOS, GLI3, and MAPK3 involved in the WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways suggests the regulation of osteogenesis through interplay between these pathways. The RNA-Seq data was also validated by performing QPCR on selected up- and down-regulated genes (COL10A1, COL11A1, FBLN, FERMT1, FN1, FOXF1, LAMA3, LAMA4, LAMB1, IGF1, WNT10B, MMP1, MMP3, MMP16, ADAMTS6, and ADAMTS14).
Adipose-derived stromal/stem cells (ASCs) are multipotent in nature that can be differentiated into various cells lineages such as adipogenic, osteogenic, and chondrogenic. The commitment of a cell to differentiate into a particular lineage is regulated by the interplay between various intracellular pathways and their resultant secretome. Similarly, the interactions of cells with the extracellular matrix (ECM) and the ECM bound growth factors instigate several signal transducing events that ultimately determine ASC differentiation. In this study, RNA-sequencing (RNA-Seq) was performed to identify the transcriptome profile of osteogenic induced ASCs to understand the associated genotype changes. Gene ontology (GO) functional annotations analysis using Database for Annotation Visualization and Integrated Discovery (DAVID) bioinformatics resources on the differentially expressed genes demonstrated the enrichment of pathways mainly associated with ECM organization and angiogenesis. We, therefore, studied the expression of genes coding for matrisome proteins (glycoproteins, collagens, proteoglycans, ECM-affiliated, regulators, and secreted factors) and ECM remodeling enzymes (MMPs, integrins, ADAMTSs) and the expression of angiogenic markers during the osteogenesis of ASCs. The upregulation of several pro-angiogenic ELR+ chemokines and other angiogenic inducers during osteogenesis indicates the potential role of the secretome from differentiating ASCs in the vascular development and its integration with the bone tissue. Furthermore, the increased expression of regulatory genes such as CTNNB1, TGBR2, JUN, FOS, GLI3, and MAPK3 involved in the WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways suggests the regulation of osteogenesis through interplay between these pathways. The RNA-Seq data was also validated by performing QPCR on selected up- and down-regulated genes (COL10A1, COL11A1, FBLN, FERMT1, FN1, FOXF1, LAMA3, LAMA4, LAMB1, IGF1, WNT10B, MMP1, MMP3, MMP16, ADAMTS6, and ADAMTS14).
There are two types of bone forming mechanisms- endochondral ossification and intramembranous ossification[1-3]. In endochondral ossification, the cells first differentiate into chondrocytes secreting large volumes of extracellular matrix which eventually fuse together to be replaced by bone cells[1-3]. In the case of intramembranous ossification, cells directly differentiate into bone cells, a process that occurs pre-dominantly in flat bones[1-3]. The vascularization of bone tissue is especially important for proper bone formation during endochondral ossification[1-3]. Thus, the synchronization between osteogenesis, extracellular matrix production, chondrogenesis, and angiogenesis is critical for the development, remodeling, repair and functioning of healthy bone tissue. In particular, the interactions between cells and extracellular matrix (ECM) regulates cell proliferation, differentiation, migration, and signaling[4,5]. Some of the main components of ECM are fibronectin, collagens, laminins, proteoglycans, glycoproteins, et cetera[6-8]. ECM is secreted by the cells and its composition, structure, and other material properties such as elasticity and stiffness varies from tissue to tissue that ultimately determines the stem cell fate[4-6,9]. For example, stiffer ECM generally promote osteogenesis whereas softer ECM favors chondrogenic and adipogenic differentiations[9,10].ECM’s regulatory ability is compromised by imbalances in ECM remodeling enzymes, ECM injury, or biological aging and senescence of the cells that deposit ECM[11]. The ECM regulation and homeostasis is accomplished by a remodeling process that involves degradation and regeneration of ECM components. Matrix metalloproteinases (MMPs) and a disintegrin along with metalloproteinase with thrombospondin motifs (ADAMTS) are the two major enzymatic families that degrade ECM whereas tissue inhibitors of metalloproteinases (TIMPs) inhibit the activity of MMPs and ADAMTSs enzymes[12]. MMPs, also called Matrixins, are a group of endopeptidases that are Ca2+ and Zn2+ dependent for proteolytic activation and play an active role to degrade collagens in ECM[13]. ADAMTSs are secreted extracellularly and cleave mainly proteoglycans, aggrecans, and pro-collagens within the ECM[12]. Integrins are heterodimeric transmembrane receptors that act as molecular bridges between the cytoplasm and the ECM to facilitate the transmission of mechano-transductory signals stimulated by binding of ECM components to the receptor portion of integrins. This interplay between the cytoplasm and ECM via the integrins regulates proliferation, cell-migration, survival, and differentiation[14]. In addition, the secretome from ASCs is known to exhibit pro-angiogenic effects by autocrine and paracrine signaling[15,16]. The secretome composition may differ in response to the cell differentiation and can influence the cell’s differentiation potential[15,16]. Furthermore, the pro-angiogenic paracrine effects of ASCs are evident when the ischemic models treated with ASCs restored the blood flow by the regeneration of vasculature[17-19]. Thus, the ECM synthesis and the secretion of secretome plays a vital role in the behavior of ASCs in response to several intrinsic and extrinsic stimuli to develop into fully functional bone.In this article, we performed RNA-Seq analysis to compare the global gene expression of undifferentiated ASCs and osteogenic differentiated ASCs. The differentially expressed genes between these two groups were analyzed to determine the enriched pathways using the gene ontology functional analysis by DAVID bioinformatics. Based on the enriched pathways, we studied the ECM genes associated with the matrisome, ECM remodeling enzymes (MMPs, and ADAMTSs), integrins, and secretomic genes to gain insight into the regulatory roles of osteo-ECM and the secretome during osteogenesis to enhance bone formation and vascularization. Furthermore, the RNA-Seq data was analyzed to correlate and contrast the relationship between angiogenic and osteogenic genes and their transcription factors.
Materials and Methods
ASC cell culture
Human ASCs frozen at P0 were procured from LaCell LLC, New Orleans, LA. The vials were thawed at 37 °C in a water bath for 1–2 minutes and diluted with StromaQual™ medium supplemented with 10% FBS and 1% antibiotic dropwise to remove cryoprotectant agent. The samples were centrifuged at 300 g for 5 min and the obtained pellet was suspended in StromaQual and cultured until passage2 (P2) in a cell culture incubator at 37 °C with 5% humidified CO2 as described elsewhere[20-22].
Osteogenic differentiation
ASCs at P2 from 3 different donors were counted and pooled together with equal numbers and plated in 12 well plates at a density of 1 × 104 cells/cm2 and cultured to at least 90% confluence. Osteogenic differentiation was carried out using stromal media supplemented with 10 mM β-glycerophosphate, 50 µg/ml L-Ascorbic acid 2-phosphate sesquimagnesium salt hydrate, and 10 nM dexamethasone for 21 days by replacing media every 3 days[21,23]. To stain the deposited calcium in extracellular matrix the cells were fixed in 70% ice cold ethanol and stained with 2% alizarin red solution (pH adjusted to 4.1–4.3).
RNA isolation, Reverse transcription, and QPCR
RNA was isolated using the Purelink RNA kit (Life Technologies) according to manufacturer’s instructions. The quality and quantity of isolated RNA was measured using nanodrop spectrophotometer. The first strand cDNA synthesis was done by using high capacity cDNA synthesis kit (Applied Biosciences). For quantitative real time PCR sybr green (Applied Biosystems) kit was used as per manufacturer’s instructions on abi QPCR machine. Following the QPCR the relative fold change in expression was calculated 2 method with GAPDH as internal reference control[24]. All the primer sequences are presented in Supplemental Table S1.
cDNA Library preparation for RNA-sequencing
SMART-Seq v4 Ultra Low Input RNA Kit for Sequencing (Clontech, Cat. No. 634888) was used to perform cDNA synthesis using template switching technology. Prior to generating the final library for Ion Torrent sequencing, 2.5 µg of cDNA was simultaneously digested with AfaI restriction endonuclease to remove SMART adapters and enzymatically sheared using reagents from the Ion Xpress Plus Fragment Library Preparation Kit (Life Technologies, Cat. No. 4471269). Templates for RNASeq were prepared with the Ion PI™ Hi-Q OT2 200 template Kit (Life Technologies, Cat. No. A26434) using the Ion OneTouch™ 2 System for Ion Proton™ System semiconductor sequencing. These templates were sequenced using the Ion PI™ Hi-Q Sequencing 200 Kit (Life Technologies, Cat. No. A26433) and Ion PI™ Chip v3, on the Ion Proton Sequencer. Preliminary analysis of the ensuing sequencing data pertaining to quality of the run, read lengths and coverage were performed using the torrent suite software.
Differential gene expression analysis on RNA-Seq data
The data obtained in FASTQ file format from RNA-sequencing was aligned to ensemble hg38human genome using the STAR program. RSEM was used to determine the differential expression between undifferentiated and osteogenic differentiated ASCs. The differentiation fold change between undifferentiated and differentiated ASCs was calculated by dividing the number of counts of differentiated sample over number of counts of undifferentiated sample. The genes with the fold change (FC) above 1.5 were considered as upregulated whereas the genes with the fold change (FC) below 0.66 were treated as downregulated and are chosen for further analysis.
Gene Ontology (GO) Functional analysis
The upregulated (above FC 1.5) and the downregulated (below FC 0.66) genes were sorted into different groups based on the fold change in gene expression. Under the upregulated category, 5 groups are made such as above 25 fold, between 24.99–10 fold, 9.99–5 fold, 4.99–2.5 fold, and 2.49–1.5 fold. Similarly, for the downregulated category, 4 groups are made such as between 0.66–0.4 fold, 0.39–0.2 fold, 0.19–0.1 fold, and less than 0.09 fold. Each group was subjected to gene ontology (GO) functional annotation analysis under biological processes category using DAVID Bioinformatics Resources (http://david.abcc.ncifcrf.gov/home.jsp) to determine significantly enriched genes[25].
Results
To assess the overall gene changes following osteogenic differentiation, three pooled donor ASCs were induced with osteogenic differentiation media for 21 days and next generation RNA sequencing was performed as described in the methods. Confirmation of osteogenic induction was observed through alizarin red stain and is shown in Sup Fig. S1. Briefly, positive staining was observed in osteogenic medium treated ASCs indicating osteogenic differentiation (Sup Fig. S1). After the alignment of RNA-Seq data to the human genome hg38, the expression of pro-osteogenic genes was evaluated to confirm osteognic differentiation (Sup Table S2). Most notable osteogenic genes that shown increased expression were BGLAP (Osteocalcin), COL10A1, alkaline phosphatase (ALPL), and BMP4. Visualization and confirmation of enhanced gene expression between control and osteo-induced ASCS were also evaluated through the Integrative Genome Viewer (IGV)[26]. Representative images for individual osteogenic genes are shown in (Sup Fig. S2).Classification of Genes Based on Expressional Fold Changes’. The genes with fold change above 1.5 considered as upregulated and less than 0.66 were categorized as downregulated.
Gene ontology functional analysis
To better understand the overall changes induced in ASCs following osteogenic differentiation, total gene changes were evaluated through non-biased means. Amongst all the gene changes, there are ninety three genes above 25 FC, two hundred and sixteen genes between 24.99–10 FC, five hundred and twenty eight genes between 9.99–5 FC, one thousand six hundred and four genes between 4.99–2.5 FC, and three thousand seventy three genes between 2.49–1.5 FC, and for the downregulated, there are one thousand four hundred and twenty two between 0.66–0.4 FC, seven hundred and three between 0.39–0.2 FC, two hundred and sixty six between 0.19–0.1 FC, and one hundred and seventy one below 0.09 FC (Fig. 1). Each cohort group mentioned above was separately subjected to functional annotation analysis using DAVID Bioinformatics Resources[25,27] to find significantly enriched genes and associated pathways. The non-biased pathway analysis of upregulated gene groups revealed that there was a heavy association with pathways modulating extracellular matrix organization, angiogenesis, cell adhesion regulation of ERK1 and ERK2 cascade, MAPK cascade and regulation of endothelial cell proliferation (Fig. 2a–d). While the gene ontology analysis of downregulated genes below also suggested the enrichment of extracellular matrix organization and disassembly, angiogenesis, collagen catabolic process, MAPK cascade, ERK1 and ERK2 cascade, and calcium dependent cell-cell adhesion (Fig. 3a–d).
Figure 1
Classification of Genes Based on Expressional Fold Changes’. The genes with fold change above 1.5 considered as upregulated and less than 0.66 were categorized as downregulated.
Figure 2
Gene Ontology Enrichment Analysis performed using David Bioinformatics Resources on the upregulated gene groups classified based on their fold changes (FC). (a) Genes above Fold change 25, (b) between 24.99–10 FC, (c) between 4.99–2.5 FC, (d) between 9.99–5 FC, (e) between 2.49–1.5 FC.
Figure 3
Gene Ontology Enrichment Analysis performed using David Bioinformatics Resources on the downregulated gene groups classified based on their fold changes (FC). (a) Genes between 0.66–0.4 FC, (b) between 0.39–0.2 FC, (c) between 0.19–0.1 FC, (d) below 0.09 FC.
Gene Ontology Enrichment Analysis performed using David Bioinformatics Resources on the upregulated gene groups classified based on their fold changes (FC). (a) Genes above Fold change 25, (b) between 24.99–10 FC, (c) between 4.99–2.5 FC, (d) between 9.99–5 FC, (e) between 2.49–1.5 FC.Gene Ontology Enrichment Analysis performed using David Bioinformatics Resources on the downregulated gene groups classified based on their fold changes (FC). (a) Genes between 0.66–0.4 FC, (b) between 0.39–0.2 FC, (c) between 0.19–0.1 FC, (d) below 0.09 FC.
Matrisome gene expression
The matrisome is defined as the set of all the proteins that comprise in the ECM; they are sub classified into glycoproteins, collagens, proteoglycans, ECM-affiliated, ECM-regulators, and secreted factors[7,28]. The list of genes encoding matrisome proteins was obtained from matrisome database (http://matrisomeproject.mit.edu/other-resources/human-matrisome/). We found that 35% of glycoproteins, 22% of collagens and proteoglycans, 41% of ECM-affiliated, 29% of regulators, and 50% of secreted factors were upregulated during osteogenesis in each matrisome sub-class (Fig. 4). It should also be noted that total number of genes in secreted factors and ECM-affiliated categories are low which resulted in high percentages than glycoproteins. The expression of matrisome genes in each subclass during osteogenesis was evaluated (Fig. 5, and Sup Tables S3–S8).
Figure 4
Gene expression of matrisome proteins; (a) (Top): Number of genes expressing in each sub-class of matrisome proteins. (b) (Bottom): Percentage of upregulated matrisome genes in each sub-class.
Figure 5
Gene expression of glycoproteins, collagens, proteoglycans, ECM affiliated ECM regulators, and secreted factors represented by heat maps. The log2 fold change values were used to generate heat maps.
Gene expression of matrisome proteins; (a) (Top): Number of genes expressing in each sub-class of matrisome proteins. (b) (Bottom): Percentage of upregulated matrisome genes in each sub-class.Gene expression of glycoproteins, collagens, proteoglycans, ECM affiliated ECM regulators, and secreted factors represented by heat maps. The log2 fold change values were used to generate heat maps.
Expression of ECM remodeling enzymes and Integrins
MMPs and ADAMTSs are the essential enzymes that participate in matrix remodeling. The list of MMPs and ADAMTSs genes was obtained from (https://www.genenames.org) and their expression was evaluated. There was downregulation of MMPs and ADAMTSs in the osteogenic induced ASCs relative to the undifferentiated ASCs (Fig. 6 and Sup Tables S9–S10). The MMPs with increased expression are MMP2, MMP15, and MMP28; while ADAMTSs 18, 15, 8, and 13 increased in expression with the osteogenic induction of ASCs (Fig. 6 and Sup Tables S9–S10). Integrins are heterodimer transmembrane molecules that are formed by combination of α and β chains and act as molecular bridges between cytoplasm and ECM. So far 24 α subunits and 9 β subunits have been identified in mammals which form different heterodimeric combinations to bind to various ECM proteins[29,30]. We found that during osteogenesis in ASCs, the alpha integrins ITAG 10, 4, 7, E, and 3 and beta integrins ITGB 2, 8, L1, and 4 shown increased expression (Fig. 6 and Sup Tables S11–S12).
Figure 6
Gene expression changes of MMPs, ADAMTSs, and Integrins between osteogenic and undifferentiated ASCs as determined by RNA-Seq. The log2 fold change values were used to generate heat maps.
Gene expression changes of MMPs, ADAMTSs, and Integrins between osteogenic and undifferentiated ASCs as determined by RNA-Seq. The log2 fold change values were used to generate heat maps.
Osteogenic and Angiogenic genes expression
The expression of the osteogenic and angiogenic genes are represented in the heatmaps (Fig. 7a,b) and in the Sup Tables (S2, S13). It was found that several osteogenic genes such as COL10A1, NOG, BGLAP, ALPL and angiogenic genes such as LEP, ANGPT1, HGF, and several CXC cytokines are upregulated during the osteogenesis of ASCs.
Figure 7
(a) Expression of osteogenic genes in ASCs undergoing osteogenesis after 21 days by RNA-Seq; (b) Expression of angiogenic genes in ASCs undergoing osteogenesis after 21 days by RNA-Seq.
(a) Expression of osteogenic genes in ASCs undergoing osteogenesis after 21 days by RNA-Seq; (b) Expression of angiogenic genes in ASCs undergoing osteogenesis after 21 days by RNA-Seq.
Expression of regulatory genes in WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways
The expression of major regulatory genes involved in the WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways are shown in the Fig. 8 and Table 1. Major regulatory genes of these pathways such as CTNNB1, TGBR2, JUN, FOS, GLI3, and MAPK3 are upregulated indicating the regulation of osteogenesis through interplay between these pathways (Fig. 8 and Table 1).
Figure 8
The expression of major regulators of WNT signaling pathway, TGF-β signaling, HedgeHog signaling, and ERK1/2 pathways are shown.
Table 1
Expression of regulatory genes in WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways.
Gene
Control Count (CC)
Control FPKM
Osteo Count (OC)
Osteo FPKM
Fold Change (OC/CC)
WNT11
54.00
0.74
97.62
1.31
1.81
WNT5B
1791.93
25.60
3114.00
45.28
1.74
FZD6
1684.02
12.67
1581.63
12.35
0.94
FZD7
985.96
6.43
736.56
4.76
0.75
ROR2
983.81
6.29
3785.68
28.58
3.85
LEF1
9.00
0.29
37.00
0.35
4.11
LRP5
1447.00
7.45
2823.46
14.13
1.95
WNT9A
50.03
0.32
5.00
0.03
0.10
SFRP2
19264.29
247.69
2656.32
33.81
0.14
CTNNB1
4602.24
45.58
7320.38
78.25
1.59
GSK3B
1124.98
8.46
1519.08
10.62
1.35
AXIN1
580.00
4.15
717.62
5.39
1.24
AXIN2
222.85
2.71
222.74
2.18
1.00
DVL1
2227.00
22.56
1581.09
15.28
0.71
DVL2
1759.84
21.04
3116.55
38.01
1.77
SMAD2
2143.02
28.33
2968.44
43.56
1.39
SMAD3
5425.58
39.72
5155.08
37.06
0.95
SMAD7
2198.90
24.34
633.34
8.12
0.29
TGFB1
4702.29
71.86
2142.55
37.60
0.46
TGFB2
80.00
0.83
118.60
0.58
1.48
TGFBR1
4759.46
41.74
3530.18
34.88
0.74
TGFBR2
14775.10
79.97
41096.61
220.77
2.78
PTH1R
79.00
2.06
117.00
2.06
1.48
PRKACA
429.83
4.60
794.39
9.58
1.85
FOS
107.00
1.50
323.40
4.24
3.02
JUN
1333.68
9.51
2454.04
17.36
1.84
MAPK8
566.99
17.71
385.81
11.92
0.68
MAPK9
1644.04
14.31
1702.58
15.01
1.04
MAPK10
29.00
0.40
53.71
0.65
1.85
PTCH1
135.29
1.25
337.14
3.01
2.49
GLI2
764.97
13.16
220.89
4.16
0.29
GLI3
908.90
6.03
1992.76
13.80
2.19
MAP2K1
2835.54
28.45
2462.08
25.17
0.87
MAP2K2
4909.45
106.62
6965.68
146.39
1.42
MAPK1
10938.19
127.56
8654.65
100.43
0.79
MAPK3
925.06
15.90
1719.48
30.11
1.86
The expression of major regulators of WNT signaling pathway, TGF-β signaling, HedgeHog signaling, and ERK1/2 pathways are shown.Expression of regulatory genes in WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways.
RNA-Seq validation of differentially expressed genes
To confirm the RNA-Seq data we have selected the following 16 upregulated genes (LAMA4, FN1, LAMA3, COL10A1, COL11A1, IGF1, FOXF1, FBLN1, WNT10B, and LAMB1) and 5 downregulated genes (MMP1, MMP3, MMP16, ADAMTS6, and ADAMTS14) that are known to have prominent role in the extracellular matrix organization, and cell adhesion pathways. Expression was measured by QPCR and normalized to GAPDH. QPCR evaluation indicates the expression changes of LAMA4, IGF1, FBLN1, LAMB1, FN1, COL11A1, MMP1, MMP3, MMP16 and ADAMTS6 were found to be correlated with the expression changes of these genes revealed by RNA-Seq (Fig. 9 and Table 2). Note that ADAMTS14 was shown to be neither downregulated nor upregulated in the QPCR data. Similar observations can be made for COL10A1, FOXF1, LAMA3 and WNT10B where the QPCR data is not in conformity with the RNA-Seq data. The upregulation of pro-angiogenic cytokines (ANGPT1, HGF and CXC) as well as the ELR+ chemokines (CXCL1, CXCL5, CXCL6, and CXCL8) was also evaluated by QPCR (Fig. 10). The data suggested an increased expression for these cyto- and chemo-kines with the exception of CCL2 gene during osteogenesis of ASCs (Fig. 10).
Figure 9
RNA-Seq validation of upregulated and downregulated genes by QPCR. Comparison of the expression changes of 16 genes COL10A1, COL11A1, FBLN, FERMT1, FN1, FOXF1, LAMA3, LAMA4, LAMB1, IGF1, WNT10B, MMP1, MMP3, MMP16, ADAMTS6, and ADAMTS14 as determined by RNA-Seq and QPCR.
Table 2
Comparison between RNA-Seq and QPCR.
RNA-Seq
QPCR
Gene
Control Counts
Osteo Counts
Fold Change
Fold Change
Col10A1
5.00
281.00
56.20
0.98 ± 0.14
Col11A1
545.58
10800.60
19.80
27.83 ± 11.71
FBLN1
37245.64
130866.10
3.51
4.27 ± 0.67
FERMT1
18.00
67.00
3.72
1.64 ± 0.35
FN1
1222356.00
3391541.00
2.77
3.74 ± 1.17
FOXF1
1.00
3.34
3.34
0.28 ± 0.03
IGF1
50.92
137.92
2.71
2.94 ± 0.86
LAMA3
93.00
425.97
4.58
1.17 ± 0.45
LAMA4
14447.68
37124.57
2.57
4.00 ± 1.09
LAMB1
8165.41
36493.15
4.47
4.62 ± 0.26
WNT10B
1.00
3.00
3.00
0.19 ± 0.05
MMP1
2327.16
64.99
0.02
0.03 ± 0.01
MMP3
2299.93
51
0.02
0.61 ± 0.26
MMP16
599.47
48.02
0.08
0.22 ± 0.02
ADAMTS6
764.97
184
0.24
0.56 ± 0.28
ADAMTS14
833.36
45.01
0.05
1.46 ± 0.45
ANGPT1
120
1639.72
13.66
14.83 ± 2.17
HGF
68.79
935.39
13.59
4.38 ± 0.44
CCL2
1101.39
7375.72
6.69
0.61 ± 0.01
CXCL1
32
121
3.78
29.16 ± 7.81
CXCL5
79
376.09
4.76
10.83 ± 1.84
CXCL6
59
136.87
2.31
3.46 ± 0.10
CXCL8
38
87
2.28
18.83 ± 0.90
Figure 10
Expression of pro-angiogenic cytokines during osteogenesis. The upregulation of pro-angiogenic cytokines determined using RNA-Seq is also observed by QPCR with the exception of CCL2 gene.
RNA-Seq validation of upregulated and downregulated genes by QPCR. Comparison of the expression changes of 16 genes COL10A1, COL11A1, FBLN, FERMT1, FN1, FOXF1, LAMA3, LAMA4, LAMB1, IGF1, WNT10B, MMP1, MMP3, MMP16, ADAMTS6, and ADAMTS14 as determined by RNA-Seq and QPCR.Comparison between RNA-Seq and QPCR.Expression of pro-angiogenic cytokines during osteogenesis. The upregulation of pro-angiogenic cytokines determined using RNA-Seq is also observed by QPCR with the exception of CCL2 gene.
Discussion
The role of ECM was once presumed mainly to be static and limited to providing structural support as a matrix. Recent studies have shown the regulatory role of ECM[31,32] and secretome in the differentiation process[33]. Thus, the development of bone and vasculature and their integration with each other requires robust cell to cell communication between osteoblasts through ECM and secretome. The comprehensive transcriptomic characterization of ECM from ASCs, BMSCs and other MSCs has been reported in literature[34]. However, to our knowledge this is the first study to characterize and correlate the ECM transcriptome and the secretome of ASCs undergoing osteogenesis. GO analysis in biological process category revealed the enrichment of ECM and angiogenesis pathways with both upregulated and downregulated genes in every FC cohort group except 2.49–1.5 FC (Figs 2, 3). This output from GO analysis suggests that the potential regulatory role of ECM synthesis and secretome linked to osteogenic differentiation in ASCs. Therefore, we focused on the expression of the ECM genes which make the core matrisome proteins (collagens, glycoproteins and proteoglycans), matrisome associated proteins (ECM-affiliated proteins, ECM-regulators, and secreted factors), ECM remodeling enzymes and secretomic genes. The expression levels of all these matrisome encoding genes under each sub-class in the ASCs undergoing osteogenesis was evaluated (Figs 4–6, Sup Tables S3–S8, S9–S12).Collagens are the important components of ECM and also play a crucial role in osteogenesis. Among the upregulated collagens, the expression of COL10A1, COL4A4, COL4A5, COL4A6, COL12A1 and COL24A1 was found to be increased (Fig. 5 and Sup Table S4). COL12A1 and COL24A1 are previously reported to have a role in the regulation of osteogenesis. For example, COL12A1 is crucial for the terminal osteogenic differentiation and also helps in cell-cell communications by regulating gap junction protein, GJA1[35]. It was found the null mice with COL12A1 deletion showed altered bone development with reduced bone mass[35]. COL24A1 overexpression enhances osteogenesis while silencing COL24A1 reduces osteogenic potential. COL24A1 interacts with the integrin β3 chain to activate TGF-β/SMADS signaling pathway and thus regulates osteogenesis[36]. COL10A1 is a key marker in the chondrogenesis as its induction will lead to the chondrogenic differentiation in MSCs[37,38].Glycoproteins play important roles in the ECM assembly, cell signaling and binding to growth factors[8]. Laminins and fibulins are well known categories of glycoproteins. Laminins are the heterotrimeric glycoproteins, with 3 different chains α, β, and γ, that are found primarily in the basement membrane and mediate cell adhesion, proliferation, migration, differentiation and angiogenesis[39]. In laminins, we have the upregulation of LAMA1, LAMA2, LAMA3, and LAMA4 (Fig. 5, Sup Table S3). The pro-angiogenic properties of Laminin alfa 1(LAMA1) chain have been well documented. The peptide with amino acid sequence SIKVAV derived from LAMA 1 when injected into nude mice along with melanoma cells promoted tumor growth by enhancing the angiogenesis of the tumor[40]. Similarly, A13 and AG73 peptides from LAMA1 were found to be robust angiogenic inducers[41,42]. Furthermore, C57BL/6J mice with a missense mutation in the LAMA1 gene develops abnormal retinal vasculature leading to impaired inner limiting membrane formation[43]. On the other hand, transfecting LAMA1 chain in HT29 colonic cancer cells increased angiogenesis by recruiting fibroblasts that led to the significant growth in tumor[28].LAMA4 subunit expression restricted to certain tissues and is mainly found in vascular endothelial basement membranes of brain, muscle, and bone marrow. Antibodies against the G1/G2 domain of LAMA4 subunit impede the branching morphogenesis of microvascular endothelial cells[44]. LAMA4 deficient mice develops impaired microvessel organization with poor structural integrity leading to hemorrhage in subcutaneous tissues[45]. More importantly, the G domain of LAMA4 chain has shown to exhibit high affinity to bind to integrins, α3β1 and αVβ3, on endothelial cells which ultimately leads to angiogenesis[46]. LAMA2 is majorly found in the basement membrane surrounding skeletal muscle and mutation in this gene can cause poor muscle development leading to muscular dystrophy[47]. Laminin 332, similar to other laminins is found in basement membranes, aids in cell migration and invasion. The interactions between LAMA3 subunit of laminin 332 with α6β4 integrin and syndecan 1 leads to the activation of protein kinase C (PKC) pathway which causes tumor cell migration and invasion[48].The two fibulins, FBLN1 and FBLN5, are found to be upregulated during osteogenesis (Fig. 5, Sup Table S3). FBLN1 enhances the osteogenesis (both endochondral and intramembranous) by positively regulating of BMP2 and Osterix[49]. Lack of FBLN1 expression in the perinatal mice resulted in the improper skull development and premature death[50]. In FBLN5 deficient mice pre-maxillary bone defects are observed and FBLN5 is crucial for the MSCs proliferation within the facial suture[51]. Other notable glycoproteins upregulated that are known to regulate osteogenesis and angiogenesis are FibronectinFN1, BMPER, VWF, THBS1, FRAS1, and NID1 (Fig. 5, Sup Table S3).Proteoglycans are mainly found in the ECM of connective tissues and facilitate hydrodynamic swelling of the tissue to sustain the external compressional forces[52]. HAPLN1 and Osteoglycin (OGN) are two proteoglycans that are increased in expression due to osteogenic induction in ASCs (Fig. 5, Sup Table S5). In MC3T3-E1 cells, overexpression of OGN reduced the expression of RUNX2 and Osterix while significantly upregulated ALPL, type I collagen (Col1), and osteocalcin (OCN), β-catenin and calcium mineralization[53].The ECM remodeling enzymes (MMPs and ADAMTSs) are known to degrade ECM as a part of ECM repair and remodel process. The MMPs 2, 5, 28 and the ADAMTSs 18, 15, 8, 13 are overexpressed in the ASCs undergoing osteogenesis (Fig. 6, Tables S9 and S10). MMP2 is known to play key role in the wound healing process by degrading type IV collagen[54] and is also found to be significantly expressed by osteoarthritic cartilage[55]. MMP28 is also known to be involved in wound healing and repair process in the injured keratinocytes and testis[56]. ADAMTS18 is a bone mass candidate gene where the loss of expression is directly correlated to skeletal fractures[57]. ADAMTS8 and ADAMTs15 are shown to be the clinical markers of breast cancers[58] whereas ADAMTS13 is known to regulate blood clotting through mediating the von Willebrand factor (VWF)[59].The overall fate of angiogenesis is dependent on the balance between angiogenic and angiostatic factors. CXC chemokines contain two conserved cysteine (C) residues towards the amino terminus and are separated by any other amino acid represented as X. The CXC chemokines with amino acids, glutamic acid-leucine-arginine (termed as ELR motif) towards the amino terminal side of the first cysteine residue are ELR positive CXC chemokine which are regarded as proangiogenic while the CXC chemokines without ELR motif are angiostatic[60,61]. Examples of ELR+ CXC chemokines are CXCL1, CXCL2, CXCL3, CXCL5, CXCL6, CXCL7, and CXCL8. We found increased expression of ELR+ chemokines especially CXCL1, CXCL5, CXCL6 and CXCL8 during osteogenesis (Fig. 7b and Sup Table S13). It was demonstrated that CXCL1 secreted by human endothelial cells increases rate of angiogenesis by autocrine response and effects surrounding epithelial cells by paracrine signaling while blocking CXCL1 resulted in decreased ability to induce angiogenesis[62]. Furthermore, CXCL1 results in the expression of EGF, another angiogenic inducer, through ERK1/2 pathways mediation[62]. Consistent with this, we found the upregulation ERK1/2 pathways indicating CXCL1 mediated autocrine signaling in osteogenic induced ASCs (Fig. 2b,d). CXCL8 is another angiogenic chemokine whose expression was found to be increased in osteogenesis. Similar to CXCL1, CXCL8’s expression correlates to the angiogenic development in humanpancreatic, ovarian and non-small lung cancer (NSLC)[63]. CXCL5, along with CXCL8, also plays a crucial role in mediating angiogenesis in NSLC whose expression levels correlates with angiogenic potential[64]. In MSCs, overexpression of CXCL6 enhances the upregulation of pro-angiogenic genes such as VEGF-A, IGF-1, HGF and CXCL8[65]. The secretome from cardiac progenitor cells containing CXCL6, CXCL1, and CXCL8 promoted angiogenic activity of HUVEC cells[66]. QPCR studies performed to confirm the upregulation of ELR+ chemokines (CXCL1, CXCL5, CXCL6, and CXCL8) and other pro-angiogenic cytokines (ANGPT1, HGF, and CCL2) suggested the increased expression of these genes (Fig. 10 and Table 2). Contrary to the upregulation of CCL2 gene as indicated by RNA-Seq, we found the downregulation of CCL2 by QPCR while all other pro-angiogenic genes studied by QPCR showed increased expression as indicated by RNA-Seq (Fig. 10 and Table 2). The upregulation of these ELR+ chemokines during osteogenesis suggests the possible paracrine effect to induce angiogenesis of the endothelial progenitor cells in vicinity.The expression of major regulators of WNT signaling pathway, TGF-β signaling, HedgeHog, and ERK pathways are shown (Fig. 8). WNT signaling has been shown to upregulate osteogenesis through both β-catenin dependent and β-catenin independent pathways[67-69]. The binding of WNT ligands to the frizzled receptors (Frz) facilitates a complex formation that involves a transmembrane receptor low-density lipoprotein receptor-related protein 5 (LRP5) with a disheveled proteins (DVL1, DVL2)[70]. The disheveled proteins inhibit the complex (Axin, GSK3β, APC) that degrades β-catenin (CTBBN1) which eventually translocates to the nucleus, hetero-dimerizes with lymphoid enhancer-binding factor/T cell factor (LEF/TCF) and regulates transcriptional process. The expression of CTBBN1, LRP5, LEF1, and DVL2 are found to be increased during osteogenesis of ASCs indicating that the β-catenin dependent canonical WNT signaling pathway is likely regulating osteogenesis (Fig. 8, Table 1). TGF-β signaling is also in regulating osteogenesis through TGF-β receptors and SMADs[3]. The binding of ligands to TGF-β receptors (TGFBR1 and TGFBR2) elicits the SMAD proteins especially SMAD2, SMAD3, and SMAD4 to form a complex that translocates to nucleus to regulate gene activity whereas SMAD7 disintegrates the SMAD2/3 and SMAD4 complex preventing it from entering the nucleus[3]. The expression of TGFBR2 is increased and SMAD7 (inhibitor of SMAD2/3 and SMAD4 complex) expression decreased while the expression of SMAD2/3 and SMAD4 remained unchanged in our data suggesting the possibility of TGF-β regulation of osteogenesis in ASCs (Fig. 8, Table 1). HedgeHog pathway is also known to influence osteogenic pathway through the transcription factor Gli3[67]. The expression of Gli3 was found to be upregulated suggesting the likelihood of hedgehog pathway’s involvement (Fig. 8, Table 1).The AP-1 complex proteins mainly c-JUN (JUN) and c-FOS and the MAPK10 (JNK3 enzyme) are found to be upregulated during osteogenesis indicating that JNK pathway is also involved in osteogenic regulation. The expression of MAPK3, a major enzyme of ERK1/2 pathway, was found to be increased suggesting that ERK1/2 pathway involvement in osteogenesis (Fig. 8, Table 1). The upregulation of both MAPK signaling pathways (JNK and ERK1/2) was also indicated by GO functional analysis (Fig. 2b–d) as these two pathways were significantly enriched. The enrichment MAPK signaling pathways and AP1 transcription factor (JUN) has also been demonstrated in a recent study by Martin et al., where ASCs were treated with serum from heterotopic ossificationpatients in a ectopic bone formation model[71]. Overall, this data suggests that the interplay and crosstalk between WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways regulates osteogenesis in ASCs through the ECM and pro-angiogenic secretome release that could function as paracrine signaling facilitating the vascularization of bone tissue.
Comparative analysis between ASCs and BMSCs secretome during osteogenesis
The secretome of BMSCs undergoing osteogenesis was analyzed by Kim et al.[72] using LC-MS/MS technique. Kim et al., identified 315 secretome proteins out of which 177 were upregulated during osteogenesis of BMSCs (Fig. 11a). We have examined the genes coding for those 315 proteins identified by Kim et al.[72] in our ASC data. In the ASCs, during the osteogenic differentiation, 67 secretome genes were found to be upregulated of which 46 of them were found to be in common between ASCs and BMSCs (Fig. 11a,c and Table 3). There are 21 genes (the difference between 67 and 46) which are upregulated exclusively in ASCs (Fig. 11d and Table 4). Gene ontology (GO) analysis performed on each of these categories suggest the enriched pathways as cell-cell adhesion, collagen catabolic process, endothelial cell migration, and ECM regulation with all the upregulated ASC secretome genes (Fig. 11b). While the GO analysis with the genes exclusively expressed in ASCs revealed the enrichment of insulin-like growth factor (IGF) receptor signaling pathway, ECM regulation, response to hypoxia, collagen catabolic process, cell adhesion pathways (Sup Fig. S3). Although up- and down-regulated pathways/proteins/genes during BMSCs osteogenesis are reported in the literature[33,67,70,72], the raw RNA-Seq data that will be enable us to perform a comparative analysis isn’t easily accessible. Further studies are clearly required to better our understanding of the differences and the commonalities in the differentiation pathways of BMSCs and ASCs.
Figure 11
The expression of secretome genes exclusive for ASCs during osteogenesis. (a) Venn diagram representing the comparison of secretome genes between BMSCs and ASCs during osteogenesis. The 177 upregulated secretome proteins includes 46 common genes and 131 genes exclusively found in BMSCs. Similarly, the 67 upregulated proteins includes 46 common genes and 21 genes exclusive to ASCs. (b) Gene ontology functional analysis of upregulated secretome genes in ASCs under biological process category. (c) Representation of the 46 common upregulated genes between ASCs and BMSCs. (d) Twenty one genes were found to be exclusively upregulated in ASCs that were downregulated in BMSCs; Representation of 21 exclusively upregulated secretome genes in ASCs during osteogenesis.
Table 3
Upregulated Common Secretome Genes between ASCs and BMSCs.
Gene
Control Count (CC)
Control FPKM
Osteo Count (OC)
Osteo FPKM
Fold Change (OC/CC)
FIG4
544.03
4.84
1675.97
14.38
3.08
MYH14
1
0.01
3.01
0.01
3.01
RPGRIP1
1
0.01
3
0.04
3
VPS37D
16
0.32
48
0.78
3
AHNAK
12132.45
79.99
36115.7
135.96
2.98
LGALS3
6197.81
214.73
18369.56
607.02
2.96
SPTBN1
5923.66
17.05
15472.51
44.27
2.61
GSN
13723.85
142.23
34481.69
342.32
2.51
TMSB4X
151621.9
7675.33
361105.8
17855.98
2.38
EEF2
15942.91
194.19
36593.72
417.97
2.3
FTL
201179.1
6708.51
459786.7
15057.5
2.29
SH3BGRL
1594
22.87
3604.26
55.1
2.26
S100A13
4311.37
215.58
9683.15
487.87
2.25
AHCY
2182.72
27.82
4623.48
56.1
2.12
PDLIM1
3293.45
64.87
6497.59
125.26
1.97
DBI
2215.56
110.27
4349.96
211.35
1.96
NPEPPS
2686.97
27.28
5157.74
51.27
1.92
PEBP1
5154.32
82.34
9880.23
156.3
1.92
FKBP1A
4932.81
131.67
9453.96
254.75
1.92
CNN2
9507.53
145.71
17678.32
287.58
1.86
GBE1
4573.82
40.56
8415.44
73.61
1.84
DDT
729.49
46.3
1312
95.21
1.8
HSPB1
7900.95
255.19
14131.4
441.36
1.79
SCRN1
7802.09
38.29
13949.53
72.82
1.79
CAST
3612.26
46.44
6441.29
88.46
1.78
HSPA1L
41.04
0.41
73.04
0.73
1.78
TAGLN
24600.35
882.13
43504.04
1507.41
1.77
EEF1A1
129725.6
1731.55
227632.6
3015.19
1.75
AMOT
34
0.21
59
0.53
1.74
RAD23B
984.41
6.73
1701.35
10.39
1.73
CTTN
6249.58
57.39
10716.97
100.68
1.71
TPM2
30125.95
625.52
50360.31
1004.06
1.67
ACTN4
2162.61
26.71
3551.22
37.81
1.64
RPSA
11390.87
274.38
18508.11
442.78
1.62
MAP4
17604.14
122.59
28564.79
214.31
1.62
ALDOC
269.37
4.23
432
6.57
1.6
RPS27A
12341.8
395.16
19762.15
614.94
1.6
PGM1
3813.51
40.26
6073.19
63.25
1.59
EEF1G
17832.26
314.76
28299.97
493.15
1.59
PDLIM5
4369.17
70.32
6930.35
111.21
1.59
HSPA8
24738.1
386.96
39034.45
625.1
1.58
CFL2
1823.38
42.15
2843.95
63.71
1.56
LMO7
5126.86
61.06
7980.4
105.15
1.56
GSTO1
4637.47
143.36
7178.85
214.55
1.55
PRDX2
3049.21
88.69
4619.64
133.47
1.52
RPS12
7138.81
361.07
10769.94
531.45
1.51
Table 4
Secretome Genes Exclusively Upregulated in ASCs.
Gene Name
Control
Control
Osteo
Osteo FPKM
Fold change (OC/CC)
Count (CC)
FPKM
Count (OC)
SRGN
158.00
3.62
3697.73
84.51
23.40
COL11A1
545.58
2.91
10800.60
46.77
19.80
IGFBP2
106.01
2.15
1428.76
32.55
13.48
VCAM1
75.00
0.62
801.89
6.58
10.69
LTBP1
2924.00
19.74
14915.07
108.48
5.10
CTSB
91894.27
1282.22
282894.50
3819.71
3.08
CTHRC1
5076.21
144.23
14407.83
446.09
2.84
FN1
1222356.00
4839.91
3391541.00
12484.05
2.77
PTX3
59930.91
810.25
164989.80
2207.37
2.75
CST3
6566.97
223.63
14576.58
489.93
2.22
THBS1
72760.73
351.28
159590.70
873.93
2.19
IGFBP7
10382.54
225.71
21559.07
454.89
2.08
TPT1
9248.75
250.27
18336.73
524.83
1.98
HTRA1
41243.08
696.12
78015.36
1305.63
1.89
FAM3C
2197.27
22.76
4153.87
43.09
1.89
IGFBP4
45780.88
540.30
85875.61
1003.59
1.88
MMP2
84805.54
1162.58
146515.20
1924.06
1.73
ADAM9
9804.65
70.22
16845.59
119.40
1.72
TIMP2
2247.62
15.61
3657.11
25.26
1.63
COL12A1
15090.88
57.83
23514.44
84.27
1.56
CPPED1
1545.70
13.49
2338.56
19.49
1.51
The expression of secretome genes exclusive for ASCs during osteogenesis. (a) Venn diagram representing the comparison of secretome genes between BMSCs and ASCs during osteogenesis. The 177 upregulated secretome proteins includes 46 common genes and 131 genes exclusively found in BMSCs. Similarly, the 67 upregulated proteins includes 46 common genes and 21 genes exclusive to ASCs. (b) Gene ontology functional analysis of upregulated secretome genes in ASCs under biological process category. (c) Representation of the 46 common upregulated genes between ASCs and BMSCs. (d) Twenty one genes were found to be exclusively upregulated in ASCs that were downregulated in BMSCs; Representation of 21 exclusively upregulated secretome genes in ASCs during osteogenesis.Upregulated Common Secretome Genes between ASCs and BMSCs.Secretome Genes Exclusively Upregulated in ASCs.
Conclusion
In this study, we used RNA-Seq to determine the differential gene expression between undifferentiated ASCs and ASCs induced into osteogenesis on day 21. The differentially expressed genes were subjected to gene ontology functional analysis that revealed the enrichment of ECM and angiogenesis along with ERK1/2 and JNK pathways. The expression of matrisome genes (glycoproteins, collagens, and proteoglycans) and the expression of ECM remodeling enzymes (MMPs and ADAMTSs) and integrins with respect to osteogenesis in ASCs has been elucidated. The change in the expression patterns of pro-angiogenic genes between differentiated and undifferentiated ASCs into osteogenic lineage was evaluated and it indicates the secretion of several pro-angiogenic ELR+ chemokines and other angiogenic inducers suggesting the possible regulatory role of differentiating ASCs in the development of vasculature to accomplish functional bone formation. The depicted results suggest that the ECM and angiogenic gene expression varies with the induction of osteogenesis in ASCs. The expression of regulatory genes such as CTNNB1, TGBR2, JUN, FOS, GLI3, and MAPK3 involved in the WNT, TGF-β, JNK, HedgeHog and ERK1/2 pathways are found to be upregulated suggesting the regulation of osteogenesis through interplay between these pathways. Further validation of RNA-Seq data was performed by QPCR.
Authors: Ke Yuan; Yu Liu; Yue Zhang; Abinaya Nathan; Wen Tian; Joyce Yu; Andrew J Sweatt; Elya A Shamshou; David Condon; Ananya Chakraborty; Stuti Agarwal; Natasha Auer; Serena Zhang; Joseph C Wu; Roham T Zamanian; Mark R Nicolls; Vinicio A de Jesus Perez Journal: Am J Respir Cell Mol Biol Date: 2020-06 Impact factor: 6.914
Authors: Mehran Dadras; Caroline May; Johannes Maximilian Wagner; Christoph Wallner; Mustafa Becerikli; Stephanie Dittfeld; Bettina Serschnitzki; Lukas Schilde; Annika Guntermann; Christina Sengstock; Manfred Köller; Dominik Seybold; Jan Geßmann; Thomas Armin Schildhauer; Marcus Lehnhardt; Katrin Marcus; Björn Behr Journal: J Cell Mol Med Date: 2020-09-03 Impact factor: 5.310
Authors: Andreina Bruno; Caterina Di Sano; Hans-Uwe Simon; Pascal Chanez; Angelo Maria Patti; Serena Di Vincenzo; Paola Dino; Vittoria D'Esposito; Pietro Formisano; Francesco Beguinot; Elisabetta Pace Journal: Front Cell Dev Biol Date: 2021-07-13