Literature DB >> 35617216

Regulation of myoepithelial differentiation.

Renee F Thiemann1, Scott Varney2, Nicholas Moskwa3, John Lamar4, Melinda Larsen3, Susan E LaFlamme1.   

Abstract

The salivary gland can be permanently impaired by radiation treatment for head and neck cancers. Efforts at tissue regeneration have focused on saliva-producing acinar cells. However, myoepithelial cells are also critical to gland function, but mechanisms that regulate their differentiation are poorly defined. To study myoepithelial differentiation, we employed mSG-PAC1 murine salivary gland epithelial cells. We demonstrate that mSG-PAC1 spheroids exhibit phenotypic plasticity between pro-acinar and myoepithelial cell fates. Increased expression of pro-acinar/acinar or myoepithelial RNAs was identified from spheroids cultured under different media conditions by microarray followed by gene-set enrichment analysis. Spheroids cultured with different medium components expressed proteins typical of either acinar or myoepithelial cells, as detected by immunocytochemistry. We demonstrate that the pattern of TAZ expression in the epithelial compartment of the differentiating murine salivary gland correlates with the expression of the myoepithelial marker alpha-SMA, as is the case for TAZ expression in mSG-PAC1 spheroids. Our analysis also indicates that YAP/TAZ target genes are upregulated together with myoepithelial markers. Importantly, siRNA targeting of TAZ expression in mSG-PAC1 spheroids diminished the expression of myoepithelial markers. Our results in this in vitro cell model implicate TAZ signaling in myoepithelial differentiation.

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Year:  2022        PMID: 35617216      PMCID: PMC9135247          DOI: 10.1371/journal.pone.0268668

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.752


Introduction

Tissue regeneration has become the focus of investigation in multiple contexts and in the salivary gland in particular. Permanent salivary gland damage is a consequence of radiation therapy for head and neck cancers [1-3]. In many cases, damage targets multiple cell types including the saliva-producing acinar cells and myoepithelial cells of the submandibular salivary gland [1-3]. Murine models are currently being employed to understand mechanisms that contribute to regeneration of salivary gland tissue following damage induced by radiation, obstruction, or resection, focusing on the submandibular salivary gland [4-9]. Several therapeutic approaches are promising, including transplantation of murine salivary gland stem cells to restore function of damaged glands, as well as tissue engineering methods for the generation of functional organoids [9-13]. Interestingly, lineage tracing experiments in damaged glands demonstrated that cellular plasticity is an important contributor to salivary gland regeneration, and in particular to the expansion of acinar cells to replace those lost due to tissue damage [4, 5, 14, 15]. Important efforts to promote salivary gland regeneration is a knowledge of mechanisms that regulate the differentiation of cell types critical to gland function. Multiple approaches have been used to identify mechanisms that regulate acinar cell differentiation, including mouse genetic models, ex vivo organ explants and organoid cultures, as well as three-dimensional (3-D) cell culture [16-22]. Similar approaches have been used to understand the formation of ducts in the developing gland [6, 22–24]. However, in spite of the critical contribution of myoepithelial cells to the secretary function of the salivary gland [25-29], little effort has focused on identifying mechanisms that regulate their differentiation. To facilitate the identification of pathways that guide myoepithelial differentiation, we developed a three-dimensional (3-D) cell culture system to model myoepithelial differentiation. We employed the pro-acinar murine salivary gland epithelial cells, mSG-PAC1 that we established from P2 murine submandibular salivary glands as we previously described and characterized [18]. We first demonstrated the phenotypic plasticity of mSG-PAC1 between proacinar and myoepithelial cell fates. Using immunofluorescence imaging, qPCR and microarray analyses, together with gene set enrichment analyses, we identified conditions that promote the myoepithelial differentiation of mSG-PAC1 cells and demonstrated a role for the TAZ (Wwtr1) transcriptional co-activator in regulating this process.

Results

Differentiation towards a myoepithelial phenotype in three-dimensional culture

The murine submandibular salivary gland begins to develop by the invagination of an initial epithelial bud into underlying mesenchymal tissue at embryonic day 12.5 (E12.5) [30]. Multiple rounds of branching morphogenesis follow leading to the arborized structure of the adult gland together with the differentiation of acinar cells that produce saliva and contractile myoepithelial cells that promote the secretion of saliva through ducts to the oral cavity [27, 31, 32]. Recent studies showed that myoepithelial cells differentiate from the outer cuboidal layer of epithelial cells of buds of developing acini [33]. The expression of the myoepithelial marker, α-SMA (Acta2) was detectable by E-15.5—E16 [20, 33]. Similar to the outer polarized cuboidal layer of epithelial cells in developing acini of the murine salivary gland, mSG-PAC1 spheroids can be induced to adopt a pro-acinar phenotype, characterized by the establishment of a polarized layer of cuboidal cells at the basal surface of spheroids and by the expression of the pro-acinar marker, aquaporin-5 (AQP5) when cultured in a medium referred to as pro-acinar medium (Pro-A medium) [18]. Because of these similarities, we asked whether we could induce the outer cells of mSG-PAC1 spheroids to differentiate into myoepithelial cells. Others reported that the addition of serum to luminal epithelial cells from the mammary gland can contribute to their differentiation towards a myoepithelial phenotype [34]. To test whether mSG-PAC1 cells could serve as progenitors cells of the myoepithelial cell fate, we compared the phenotype of spheroids cultured for six days in Matrigel with Pro-A medium or pro-myoepithelial (Pro-M) medium (See Materials and Methods for details). Myoepithelial cells are characterized by their stellate shape with extended processes, flattened nuclear morphology, and expression of smooth muscle proteins important for contraction [35]. While mSGPAC1 spheroids cultured in Pro-A medium maintained an organized structure with outer columnar cells at the basal edge (Fig 1A) as previously reported [18], the cells at the basal surface of spheroids cultured in Pro-M medium adopted morphologies characteristic of myoepithelial cells and expressed the myoepithelial markers, alpha smooth muscle action (α-SMA/Acta2) and calponin-1 (Cnn1) (Fig 1A). Additionally, these spheroids displayed enhanced expression of α-SMA and the integrin β4 subunit, which is also a myoepithelial marker [36], as well as decreased expression of the pro-acinar marker AQP5 (Fig 1B and 1C). Additionally, cells along the basal surface of spheroids cultured in Pro-M medium have significantly flatter nuclei compared to those cultured in Pro-A medium, quantitated by the increased ratio of nuclear diameter to height (Fig 1E and 1F), which is a characteristic of myoepithelial cells [27, 35]. Altogether, these data suggest that mSG-PAC1 cells exhibit phenotypic plasticity and are capable of differentiating into pro-acinar or myoepithelial phenotype in 3-D culture depending upon culture conditions.
Fig 1

mSG-PAC1 cells can be induced to express myoepithelial markers and characteristics.

(A) Representative confocal images of mSG-PAC1 spheroids cultured for six days in Matrigel in either a medium (Pro-A) that promoted pro-acinar phenotype or a medium (Pro-M) that promoted a myoepithelial phenotype and then immunostained for αSMA, calponin, AQP5 and DNA. Images are maximum projection images of five Z-slices acquired at 40X in 0.4 μm increments. Scale bar, 25 μm. Images are representative of three and two independent experiments for α-SMA and calponin, respectively. (B-D) Relative mRNA expression of α-SMA (B), the integrin β4 subunit (C) or AQP5 (D) in mSG-PAC1 cells cultured for six days in Matrigel either in Pro-A or Pro-M medium. Expression is normalized to β-actin and then to expression in Pro-A condition. Data are from three independent experiments and plotted as the mean ± s.e.m. analyzed by Student’s T-test. ND = not detected. **p<0.01, ****p<0.0001. (E, F) mSG-PAC1 cells cultured in Pro-M medium display significantly flatter nuclei in cells at the basal periphery pf the spheroid. (E) Graphical representation of the method used to quantify nuclear shape using ImageJ. (F) Spheroids were cultured in either Pro-A or Pro-M medium for 6 days and immunostained for nuclei using DRAQ5. Width and height of nuclei relative to the basement membrane were quantitated in each cell at the basal periphery of spheroids using ImageJ Fiji. Data are from three independent experiments. Plotted is the mean nuclear width/height measured for each of eighteen spheres (n = 18) ± s.e.m. and analyzed by Student’s T-test. ****p<0.0001.

mSG-PAC1 cells can be induced to express myoepithelial markers and characteristics.

(A) Representative confocal images of mSG-PAC1 spheroids cultured for six days in Matrigel in either a medium (Pro-A) that promoted pro-acinar phenotype or a medium (Pro-M) that promoted a myoepithelial phenotype and then immunostained for αSMA, calponin, AQP5 and DNA. Images are maximum projection images of five Z-slices acquired at 40X in 0.4 μm increments. Scale bar, 25 μm. Images are representative of three and two independent experiments for α-SMA and calponin, respectively. (B-D) Relative mRNA expression of α-SMA (B), the integrin β4 subunit (C) or AQP5 (D) in mSG-PAC1 cells cultured for six days in Matrigel either in Pro-A or Pro-M medium. Expression is normalized to β-actin and then to expression in Pro-A condition. Data are from three independent experiments and plotted as the mean ± s.e.m. analyzed by Student’s T-test. ND = not detected. **p<0.01, ****p<0.0001. (E, F) mSG-PAC1 cells cultured in Pro-M medium display significantly flatter nuclei in cells at the basal periphery pf the spheroid. (E) Graphical representation of the method used to quantify nuclear shape using ImageJ. (F) Spheroids were cultured in either Pro-A or Pro-M medium for 6 days and immunostained for nuclei using DRAQ5. Width and height of nuclei relative to the basement membrane were quantitated in each cell at the basal periphery of spheroids using ImageJ Fiji. Data are from three independent experiments. Plotted is the mean nuclear width/height measured for each of eighteen spheres (n = 18) ± s.e.m. and analyzed by Student’s T-test. ****p<0.0001.

Transcriptome analysis support the phenotypic plasticity of mSG-PAC1 spheroids

To further explore the physiological relevance of mSG-PAC1 cell plasticity, we employed Clarion S microarrays to identify transcriptional profiles of mSG-PAC1 cells culture as spheroids in either Pro-M or Pro-A medium. The availability of single-cell RNA sequencing data (scRNA-seq) from murine salivary gland myoepithelial cells and acinar cells [37], allowed us to perform GSEA. We found that the myoepithelial gene sets from both developing (P1) and adult glands are significantly enriched in mSG-PA1 spheroids culture in Pro-M medium, whereas the acinar gene sets from developing (P1) and adult glands are enriched in mSG-PAC1 spheroids cultured in Pro-A medium (Fig 2). Additionally, GSEA analysis using scRNA-seq data from the murine mammary gland [38] showed that myoepithelial specific genes are modestly enriched in mSG-PAC1 spheroids cultured in Pro-M medium (S1 Fig in S1 Appendix). Notably, genes specific to luminal progenitor and mature luminal cells are significantly enriched mSG-PAC1 spheroids cultured in Pro-A medium (S1 Fig in S1 Appendix). These analyses further demonstrate the plasticity of mSG-PAC1 cells and support the utility as a discovery tool to identify mechanisms that regulate myoepithelial cell fate decisions.
Fig 2

The culture of mSG-PAC1 spheroids in Pro-M or Pro-A results in the expression of myoepithelial or acinar enriched genes respectively.

GSEA using scRNA-seq gene-sets generated from murine SMG from P1 pups or adult mice [37] showed murine myoepithelial gene upregulation in Pro-M medium and murine acinar gene upregulation in Pro-A medium. (A, B) myoepithelial cells from P1 and adult mice, (C, D) pro-acinar cells from the Smgc and PSP clusters from P1, and (E) acinar cells from adult mice. NES = Normalized Enrichment Score and FDR = False Discovery Rate. *FDR q-value < 0.25 represent significant enrichment.

The culture of mSG-PAC1 spheroids in Pro-M or Pro-A results in the expression of myoepithelial or acinar enriched genes respectively.

GSEA using scRNA-seq gene-sets generated from murine SMG from P1 pups or adult mice [37] showed murine myoepithelial gene upregulation in Pro-M medium and murine acinar gene upregulation in Pro-A medium. (A, B) myoepithelial cells from P1 and adult mice, (C, D) pro-acinar cells from the Smgc and PSP clusters from P1, and (E) acinar cells from adult mice. NES = Normalized Enrichment Score and FDR = False Discovery Rate. *FDR q-value < 0.25 represent significant enrichment.

Transcriptome analysis reveals enhanced expression of genes involved in processes associated with myoepithelial differentiation, as well as myoepithelial markers, and YAP/TAZ targets

Using the Transcriptome Analysis Console (TAC) from ThermoFisher, we found that the expression of 3870 genes were changed by 2-fold or greater. The expression of 2183 genes were upregulated and 1678 were downregulated in Pro-M compared to Pro-A. The top five hundred genes upregulated in myoepithelial spheroids were compared to hallmark and curated gene sets available from the Molecular Signatures Database (MSigDB) from the Broad Institute. Spheroids cultured in Pro-M medium display enhanced expression of genes associated with processes important to myoepithelial differentiation including tissue morphogenesis (Fig 3A), cell differentiation (Fig 3B), cell projection organization, cytoskeletal organization, and actin filament-based processes, among others (Fig 3C).
Fig 3

Genes upregulated in mSG-PAC1 spheroids cultured in Pro-M medium are associated with processes involved in myoepithelial differentiation.

Gene microarrays were performed on RNA isolated from mSG-PAC1 spheroids cultured either in Pro-A or Pro-M medium. N = 3 independent experiments. The top 500 genes most highly expressed by spheroids cultured in the Pro-M medium compared to those expressed in Pro-A M were used to compute overlap with hallmark and curated gene sets from Molecular Signatures Database (MSigDB) from the Broad institute. Genes more highly expressed in the Pro-M conditions are associated with (A) tissue, (B) cellular, and (C) myoepithelial developmental processes.

Genes upregulated in mSG-PAC1 spheroids cultured in Pro-M medium are associated with processes involved in myoepithelial differentiation.

Gene microarrays were performed on RNA isolated from mSG-PAC1 spheroids cultured either in Pro-A or Pro-M medium. N = 3 independent experiments. The top 500 genes most highly expressed by spheroids cultured in the Pro-M medium compared to those expressed in Pro-A M were used to compute overlap with hallmark and curated gene sets from Molecular Signatures Database (MSigDB) from the Broad institute. Genes more highly expressed in the Pro-M conditions are associated with (A) tissue, (B) cellular, and (C) myoepithelial developmental processes. Not surprisingly, genes that were significantly upregulated in spheroids cultured Pro-M medium included genes for myoepithelial markers, including α-SMA (Acta2) and calponin (cnn2/cnn3) and others (Fig 4A). Moreover, these spheroids display a reduction in the expression of the acinar maturation marker, AQP5 (Fig 4A), which phenocopies the reduction in expression observed by qPCR (Fig 1D). These data suggest that culturing mSG-PAC1 cells in Pro-M medium inhibits their acinar differentiation and promotes differentiation towards a myoepithelial lineage. Interestingly, several genes upregulated in Pro-M medium are established YAP/TAZ target genes, including connective tissue growth factor (Ctgf), cysteine-rich protein 61 (Cyr61), thrombospondin (Thbs1), Ajuba Lim protein (Ajuba), and ankyrin repeat domain 1 (Ankrd1) (Fig 4B), suggesting YAP/TAZ signaling pathway may be an important regulator of this differentiation event.
Fig 4

mSG-PAC1 spheroids cultured in Pro-M medium up regulate myoepithelial markers & YAP/TAZ target genes.

(A) List of myoepithelial genes upregulated in mSG-PAC1 spheroids Pro-M medium cultured in for six days. Data is presented as the fold increase compared to spheroids cultured in Pro-A medium. (B) List of YAP/TAZ target genes upregulated in by spheroids cultured Pro-M medium. Data is presented as the fold increase compared to spheroids cultured in Pro-A medium.

mSG-PAC1 spheroids cultured in Pro-M medium up regulate myoepithelial markers & YAP/TAZ target genes.

(A) List of myoepithelial genes upregulated in mSG-PAC1 spheroids Pro-M medium cultured in for six days. Data is presented as the fold increase compared to spheroids cultured in Pro-A medium. (B) List of YAP/TAZ target genes upregulated in by spheroids cultured Pro-M medium. Data is presented as the fold increase compared to spheroids cultured in Pro-A medium.

Subcellular localization of TAZ is associated with α-SMA expression during morphogenesis of the SMG

Since many of the genes upregulated in the microarray were canonical target genes of YAP and TAZ, we sought to investigate their role in the differentiation of the myoepithelial layer in mSG-PAC1 cells. YAP/TAZ signaling has been reported to be important in the development and differentiation of branched organs [39-42], and since TAZ has been implicated as a regulator of myoepithelial differentiation in mammary epithelial cells [41], we asked whether TAZ contributed to myoepithelial differentiation in the murine submandibular salivary gland. We first compared the expression and subcellular localization of TAZ in the submandibular gland, at various stages of embryonic development (Fig 5). While TAZ was expressed at E14 and lasted through E19, its expression was increased in acini at E15 and E16 (Fig 5) concurrent with the onset of myoepithelial differentiation [33]. Interestingly, there was also a switch in the subcellular localization of TAZ during this time. While TAZ seemed primarily cytosolic at E14 and E19, its localization appeared nuclear in a subset of suprabasal cells of developing acini at E15 and E16 (Figs 5 and 6A). Quantitation of TAZ nuclear localization supported this conclusion (Fig 6B). Moreover, this nuclear localization of TAZ was associated with αSMA expression in these cells, suggesting a possible relationship between TAZ activity and myoepithelial differentiation during salivary gland development (Fig 6A).
Fig 5

Expression of TAZ during SMG morphogenesis.

Representative confocal images of embryonic SMGs from E14 through E19 immunostained for TAZ and DNA. Images are a single Z-slice acquired at 63X representative of four SMGs. Scale bar, 10 μm. Insets represent a magnified view of TAZ and DNA around the basal edge of each pro-acinus. Scale bar, 5 μm. White arrows emphasize the co-localization of TAZ and the nuclear marker DRAQ5. White arrowheads emphasize nuclei showing no TAZ co-localization.

Fig 6

Expression of α-SMA expression and TAZ in E15 and E16 SMGs.

(A) Representative confocal images of E15 and E16 embryonic SMGs immunostained for TAZ, α-SMA, and DNA. Images are a single Z-slice acquired at 63X representative of four SMGs. White arrows represent cells with α-SMA expression and with TAZ co-localization with the nuclear marker DRAQ5. White arrowhead indicates a representative cell lacking α-SMA expression and also the lack of TAZ co-localization with the nuclear marker DRAQ5. Images are single z-slices acquired at 63x. Size bar, 5 μm. (B) The expression of TAZ colocalized with nuclei at E14, E15, E16 and E19 was measured using ImageJ. Only cells on the basal surface of developing buds were analyzed. Plotted is the integrated fluorescence intensity of nuclear TAZ ± s.d for individual nuclei measured from four single slice confocal images acquired at 63X from two glands for each timepoint. a.u = arbitrary units. Measurements taken from each individual image are shown different colors. *p<0.05 using one-way ANOVA followed by Tukey Post-hoc test. ns = not significant.

Expression of TAZ during SMG morphogenesis.

Representative confocal images of embryonic SMGs from E14 through E19 immunostained for TAZ and DNA. Images are a single Z-slice acquired at 63X representative of four SMGs. Scale bar, 10 μm. Insets represent a magnified view of TAZ and DNA around the basal edge of each pro-acinus. Scale bar, 5 μm. White arrows emphasize the co-localization of TAZ and the nuclear marker DRAQ5. White arrowheads emphasize nuclei showing no TAZ co-localization.

Expression of α-SMA expression and TAZ in E15 and E16 SMGs.

(A) Representative confocal images of E15 and E16 embryonic SMGs immunostained for TAZ, α-SMA, and DNA. Images are a single Z-slice acquired at 63X representative of four SMGs. White arrows represent cells with α-SMA expression and with TAZ co-localization with the nuclear marker DRAQ5. White arrowhead indicates a representative cell lacking α-SMA expression and also the lack of TAZ co-localization with the nuclear marker DRAQ5. Images are single z-slices acquired at 63x. Size bar, 5 μm. (B) The expression of TAZ colocalized with nuclei at E14, E15, E16 and E19 was measured using ImageJ. Only cells on the basal surface of developing buds were analyzed. Plotted is the integrated fluorescence intensity of nuclear TAZ ± s.d for individual nuclei measured from four single slice confocal images acquired at 63X from two glands for each timepoint. a.u = arbitrary units. Measurements taken from each individual image are shown different colors. *p<0.05 using one-way ANOVA followed by Tukey Post-hoc test. ns = not significant.

TAZ regulates the expression of myoepithelial genes in spheroids

To determine whether TAZ expression is altered when mSG-PAC1 spheroids are cultured for six days in Pro-M medium to promote a myoepithelial-like phenotype, we examined TAZ expression by immunofluorescence microscopy. The data revealed that TAZ expression was increased in spheroids cultured in Matrigel in Pro-M medium compared with those cultured in Pro-A medium (Fig 7A), with a subset of cells displaying nuclear localization (Fig 7A, insets). Moreover, these spheroids displayed enhanced expression of the canonical YAP/TAZ target genes, CTGF and CYR61 when compared to spheroids cultured in Pro-A medium (Fig 7B and 7C), suggesting that TAZ expression and activity in epithelial cells contributes to the differentiation of the myoepithelial layer.
Fig 7

mSG-PAC1 cells cultured in Pro-M medium display characteristics of myoepithelial cells.

(A) Increased expression of TAZ in the cells at the periphery mSG-PAC1 spheroids cultured in Pro-M. Representative confocal images from 2 independent experiments of mSG-PAC1 cells cultured for six days in Matrigel in either Pro-A or Pro-M medium and immunostained for TAZ (red) and DRAQ5 (pseudocolored blue). Insets represent a magnified view of nuclear staining. Images are maximum projection images of two z-slices acquired at 40X in 0.4 μm steps. Size bar, 25 μm. (B, C) Relative mRNA expression of YAP/TAZ target genes, CTGF (B) and CYR61 (C), in mSG-PAC1 cells cultured in Matrigel in either Pro-A or Pro-M medium. Expression normalized to β-actin and the expression in Pro-A medium. Data are from three independent experiments plotted as the mean ± s.e.m. analyzed by Student’s T-test. **p<0.01; ***p<0.001. (D) SiRNA targeting TAZ expression inhibits the expression of α-SMA. Plotted is the relative mRNA expression of YAP, TAZ, AQP5, and α-SMA in mSG-PAC1 spheroids cultured in Matrigel in Pro-M medium. Expression is normalized to β-actin and the expression in cells treated with non-targeting (NT) siRNA. Data are from 4 independent experiments and plotted as the mean ± s.e.m. analyzed by Student’s T-test. ns, not significant, **p<0.01; ***p<0.001; ****p<0.0001. (E) SiRNA targeting TAZ also inhibited the expression of calponin, but not the expression of the integrin β4 subunit. Plotted is the relative RNA expression of TAZ, calponin, and the integrin β4 subunit in mSG-PAC1 spheroids cultured in Matrigel and Pro-M medium. Expression is normalized to β-actin and the expression of these genes after treatment with NT siRNA. Data are from three (calponin) and four (TAZ, Integrin β4) independent experiments and plotted as the mean ± s.e.m. analyzed by Student’s T-test. ns, not significant, **p<0.01.

mSG-PAC1 cells cultured in Pro-M medium display characteristics of myoepithelial cells.

(A) Increased expression of TAZ in the cells at the periphery mSG-PAC1 spheroids cultured in Pro-M. Representative confocal images from 2 independent experiments of mSG-PAC1 cells cultured for six days in Matrigel in either Pro-A or Pro-M medium and immunostained for TAZ (red) and DRAQ5 (pseudocolored blue). Insets represent a magnified view of nuclear staining. Images are maximum projection images of two z-slices acquired at 40X in 0.4 μm steps. Size bar, 25 μm. (B, C) Relative mRNA expression of YAP/TAZ target genes, CTGF (B) and CYR61 (C), in mSG-PAC1 cells cultured in Matrigel in either Pro-A or Pro-M medium. Expression normalized to β-actin and the expression in Pro-A medium. Data are from three independent experiments plotted as the mean ± s.e.m. analyzed by Student’s T-test. **p<0.01; ***p<0.001. (D) SiRNA targeting TAZ expression inhibits the expression of α-SMA. Plotted is the relative mRNA expression of YAP, TAZ, AQP5, and α-SMA in mSG-PAC1 spheroids cultured in Matrigel in Pro-M medium. Expression is normalized to β-actin and the expression in cells treated with non-targeting (NT) siRNA. Data are from 4 independent experiments and plotted as the mean ± s.e.m. analyzed by Student’s T-test. ns, not significant, **p<0.01; ***p<0.001; ****p<0.0001. (E) SiRNA targeting TAZ also inhibited the expression of calponin, but not the expression of the integrin β4 subunit. Plotted is the relative RNA expression of TAZ, calponin, and the integrin β4 subunit in mSG-PAC1 spheroids cultured in Matrigel and Pro-M medium. Expression is normalized to β-actin and the expression of these genes after treatment with NT siRNA. Data are from three (calponin) and four (TAZ, Integrin β4) independent experiments and plotted as the mean ± s.e.m. analyzed by Student’s T-test. ns, not significant, **p<0.01. Our data suggest that the expression and activity of TAZ contributes to the differentiation of the myoepithelial layer in mSG-PAC1 cells cultured in Matrigel. Therefore, we next asked whether the expression of TAZ was required for the expression of myoepithelial markers. We treated Matrigel cultures of mSG-PAC1 cells in Pro-M medium with siRNA targeting TAZ. Two distinct siRNA sequences resulted in a significant reduction in TAZ expression levels (Fig 7D and S2 Fig in S1 Appendix). Inhibiting TAZ expression did not significantly alter the expression of YAP or the acinar marker AQP5 (Fig 7D and S2 Fig in S1 Appendix). However, there was a significant reduction in the expression of myoepithelial markers, α-SMA and calponin using two independent siRNAs (Fig 7D and 7E and S2 Fig in S1 Appendix), suggesting that TAZ plays an important role in the transcriptional regulation of these myoepithelial genes. Interestingly, the expression of the integrin β4 subunit was not significantly altered by knockdown of TAZ, suggesting that the expression of the integrin β4 subunit is regulated by a different mechanism.

Discussion

In our current study, we first demonstrated the phenotypic plasticity of mSG-PAC1 salivary gland epithelial cells. We then used these cells to develop a 3-D cell culture model to study myoepithelial differentiation. Employing this model, we identified a role for the transcriptional co-activator TAZ in contributing to this differentiation process. The regulation of YAP and/or TAZ activity is important for the proper development and differentiation of many branched organs, including the salivary gland [39-43]. In the developing gland, YAP promotes the transcription of genes that contribute to the expansion of ductal progenitors and the suppression of YAP activity by the LATS kinase, a component of the Hippo pathway, is required for proper ductal maturation [40]. The activity of TAZ in the developing salivary gland is also regulated by the LATS kinases and this regulation is needed for normal branching morphogenesis [42]. During salivary gland morphogenesis, TAZ is sequestered at cell-cell junctions by a mechanism dependent upon LATS kinases. RNAi-mediated depletion of LATS resulted in defects in branching morphogenesis, and duct formation. These phenotypes were associated with the loss of the localization of TAZ at cell-cell junctions and inappropriate TAZ activation [42]. In our studies, we examined the subcellular localization TAZ in embryonic buds at E14-E19. Consistently, we also found that TAZ was localized at cell-cell junctions in the majority of cells in epithelial buds at E15 and E16. However, in a subset of cells at the basal surface that expressed α-SMA, TAZ was co-localized in the nucleus. This localization is consistent with a role for TAZ in regulation myoepithelial differentiation in the developing salivary gland. Others have demonstrated that the interaction of cells with the basement membrane regulates the activation of YAP or TAZ depending on contexts [44-48]. Thus, the interaction of outer cuboidal epithelial cells with the maturing basement membrane of developing buds of the salivary gland may activate TAZ to promote myoepithelial differentiation. It will be important to directly demonstrate a functional role for TAZ in regulating myoepithelial differentiation during the development of the salivary gland in vivo and to determine whether integrin-mediated adhesion plays a role in this regulation. Interestingly, in the mammary gland, loss of TAZ leads to defects in morphogenesis, as well as a loss of the proper balance of luminal to basal epithelial cells [41]. Additionally, TAZ was identified in a screen for transcriptional regulators that can trigger phenotypic switches between luminal and basal/myoepithelial differentiation using mammary epithelial cell lines [41]. Expression of recombinant TAZ in luminal cells led them to adopt a myoepithelial phenotype, while the inhibition of TAZ in basal/myoepithelial cells resulted in a luminal phenotype [41]. Our results are consistent with these findings. Our data also showed that conditions that promote myoepithelial differentiation inhibit the expression of the acinar marker, AQP5, but our data did not implicate TAZ in this regulation. However, a recent study demonstrated that inappropriate activation of TAZ (and not YAP) inhibited acinar differentiation [49]. The mechanism for TAZ-specific transcription is not fully understood. In the case discussed above, the ability of TAZ to regulate mammary epithelial cell fate was dependent upon its interaction with a component of the SWI/SNF chromatin remodeling complex [41]. An interestingly recent study suggests that specificity is governed by the ability of TAZ (and not YAP) to “phase separate” together with its DNA-binding partner TEAD4 and co-activators [50]. The notion of liquid-liquid phase separation of transcriptional regulators is a relatively new area of investigation into mechanisms of transcriptional control [51]. It will be interesting to determine how widely it is applicable to TAZ-specific transcription in other contexts. Although we have identified conditions that promote the ability of mSG-PAC1 cells to recapitulate aspects of either acinar [18] or myoepithelial differentiation as reported here, we have not been able to identify culture conditions that allow mSG-PAC1 cells to differentiate into mature acinar or myoepithelial cells, or to simultaneously differentiate into both acinar and myoepithelial cells in the same Matrigel culture. It is important to note, however, that the addition of serum to Pro-A medium is not sufficient to promote mSG-PAC1 spheroids toward a myoepithelial phenotype, suggesting that components Pro-A medium may have an inhibitory effect on myoepithelial differentiation. Indeed, FGF2 has been shown to inhibit YAP/TAZ-dependent transcription in some contexts [52]. Thus, FGF2 may function to maintain a pro-acinar phenotype by suppressing TAZ activity. Additional environmental signals are likely required to support the further differentiation of mSG-PAC1 cells. During development, both morphogenesis and differentiation of the salivary gland require signals from the surrounding mesenchyme, as well as developing nerve and endothelial networks [53, 54]. Signals from the mesenchyme have recently been shown to promote acinar differentiation [19]. It is not yet known whether myoepithelial differentiation also requires signals from surrounding cells types. The identification of environmental signals that regulate both acinar and myoepithelial differentiation may provide the needed information to allow the modelling of these differentiation events in culture. In summary, we demonstrate that our previously characterized salivary gland epithelial cell line, mSG-PAC1, is capable of further differentiating into a myoepithelial-like layer in 3D Matrigel culture. Moreover, we identify TAZ as a regulator of myoepithelial differentiation in culture by regulating the transcription of myoepithelial genes. The expression pattern of TAZ during the differentiation of myoepithelial cells of the developing salivary gland is consistent with a similar role for TAZ in vivo.

Materials and methods

Cell culture

The establishment and characterization of the murine pro-acinar cell line, mSG-PAC1 was accomplished via the collaboration of the LaFlamme and Larsen labs as previously described [18]. These cells were maintained in a modification of the culture medium previously described for the isolation of the mammary epithelial cell line MCF10A [55, 56], which consisted of DMEM/F12 supplemented with 5% donor horse serum (Atlanta Biologicals, #S12150), 100 U/ml penicillin/streptomycin (Hyclone, #SV30010), 20 ng/ml human recombinant EGF (Gibco, #PHG0311L), 100 ng/ml Cholera Toxin (Sigma, #C8052), 2.5 μg/ml hydrocortisone (Sigma, #H0396), and 20 μg/ml human insulin (Sigma, #I9278). To induce a more pro-acinar phenotype, human recombinant EGF was replaced with 100 ng/ml bFGF/FGF2 (Peprotech, #450–33) [19]. This medium is referred to as Pro-A. To induce more myoepithelial characteristics, cells were cultured Pro-M medium, which consisted of DMEM/F12 medium supplemented with 10% FBS (Atlanta Biologicals, #S11150) and 100 U/ml penicillin/streptomycin (Hyclone, #SV30010). For three-dimensional (3-D) spheroid cultures, matrices were prepared in 8-well chamber slides (Corning, #08-774-208). Matrices consisted of 100% Matrigel (Corning, #354230, protein concentration ~10 mg/ml, endotoxin <1.5 mg/ml). Approximately, 1000 cells were plated per well and cultured for 5–7 days in medium supplemented with 2% Matrigel in either Pro-A ore Pro-M medium as indicated in the Figure Legends.

Submandibular salivary gland explants

Murine submandibular salivary glands were dissected as previously described [57] from embryos harvested from timed-pregnant female mice (CD-1 strain, Charles River Laboratories) at E14, E15, E16, and E19 with E0 as designated by the discovery of a vaginal plug. Embryonic salivary glands were placed on Whatman Nuclepore filters in 35 mm MatTek dishes (MatTek, #P35G-1.5-14-C) and fixed in 4% paraformaldehyde at 4°C overnight and then processed for immunostaining.

Immunostaining

Spheroids cultured in Matrigel were fixed for 20 min in 4% paraformaldehyde, washed in 0.5% PBST, permeabilized in 0.4% Triton-X-100/1X PBS for 20 min, and then washed in 0.5% PBST before blocking 1–2 h in 20% donkey serum/PBST. Primary and secondary antibodies were incubated overnight in 3% BSA/PBST. A list of antibodies and dilutions used for immunostaining is provided in S1 Table in S1 Appendix. Submandibular glands were washed in 0.5% PBST after overnight fixation in 4% paraformaldehyde, permeabilized in 0.4% Triton-X-100/PBS for 30 min and then washed in 0.5% PBST before blocking 1–2 h in 20% donkey serum/PBST. Primary and secondary antibodies were incubated overnight in 3% BSA/PBST. DRAQ5 (Cell Signaling) was used at a dilution of 1:1000 to detect nuclei. Coverslips and slides were mounted using SlowFadeGold antifade mounting medium (Life Technologies, #P36930).

RNA isolation & quantitative PCR (qPCR)

RNA was extracted with TRIzol (Ambion, ##15596026) and genomic DNA was removed with TURBO DNaseI (ThermoFisher Scientific, #AM1907) according to the manufacturers’ protocols. cDNA was synthesized from 500 ng-1μg of RNA using the iScript Reverse Transcription Supermix kit (Biorad, #1708840). Equal concentrations of cDNA were used in the qPCR reactions with iQ or iTaq SYBR Green Supermix (Biorad, #170–8880; #1725120). Reactions were run in triplicate using the BioRad CFX96 Real-time C1000 Touch Thermal Cycler. Ct values were normalized to β-actin. A list of primer sequences can be found in S2 Table in S1 Appendix.

RNA interference

mSG-PAC1 cells were cultured in Matrigel in Pro-M medium for two days. After two days, the resulting spheroids were transfected with siRNA in OptiMEM over the course of two consecutive days using Lipofectamine RNAiMAX, according to the manufacturer’s protocol. Non-targeting siRNA or siRNA targeting YAP or TAZ was transfected at a final concentration of 400 nM. Transfection medium was replaced with Pro-M medium and 2% Matrigel for 24 hours prior to processing for RNA. siRNA sequences can be found in S3 Table in S1 Appendix.

RNA microarray and bioinformatic analysis

Microarrays were performed using RNA isolated as described above from mSG-PAC1 spheroids cultured in Matrigel in either Pro-A or Pro-M medium from three independent experiments. Samples were analyzed using the mouse Clariom S array (Invitrogen, #902930) at the Center for Functional Genomics at The University at Albany Health Sciences Campus, Rensselaer, NY, and analyzed using the Transcriptome Analysis Console (TAC) 4.0 software from ThermoFisher. Principal component analysis (PCA) and volcano plots indicate that these culture conditions promote significant differences in gene expression (S3a, S3b Fig in S1 Appendix). Gene overlaps were computed using hallmark and curated gene sets from Molecular Signatures Database available from the Broad institute. Gene-set enrichment analysis was performed using GSEA software [58] from the Broad Institute with published scRNA-seq gene sets [37, 38]. Gene sets for myoepithelial, proacinar and acinar cells isolated from the murine submandibular salivary gland were downloaded from Supplementary Fig 6 [37]. ScRNA-seq data sets from murine mammary glands for myoepithelial cells and luminal cells from pregnant females and luminal progenitor cells from virgin females were downloaded from Supplemental Table 5 [37, 38]. In instances where gene sets were larger than recommended for use in GSEA, subsets of genes with the highest adjusted p values were generated for the analysis. Data sets will be deposited in the NCBi Gene Expression Omnibus (GEO) data base once the manuscript is accepted for publication.

Microscopy

Images were acquired using an inverted Nikon TE2000-E microscope with phase contrast and epifluorescence, a Prior ProScanII motorized stage, and Nikon C1 confocal system with EZC1 and NIS-Elements acquisition software, or using the Zeiss LSM 880 confocal microscope with AiryScan on an AxioObserver.Z1 motorized inverted microscope with Zeiss ZEN2.3 software. Confocal images were acquired either at 40X, 63X, or 100X, and are represented as maximum projection images or single slices, as indicated in the Figure Legends. Images were processed and analyzed using the Imaris 9 software, where indicated in the Figure Legends.

Animal experiments

All animal experiments and procedures were performed in accordance with the Albany Medical College Institutional Animal Care and Use Committee (IACUC) regulations. In accordance with protocols approved by the Albany Medical College IACUC, mouse submandibular salivary glands (SMGs) were dissected from timed-pregnant female mice (strain CD-1, Charles River Laboratories) at embryonic day 14 (E14), 15(E15), 16 (E16) or 19 (E19) with the day of plug discovery designated as E0.

Statistical analysis

Statistical analyses were performed using the GraphPad Prism software employing either a Student’s T-test or one-way Anova followed by Tukey Post-hoc analysis as indicated in the Figure Legends. P values of <0.05 were deemed statistically significant. (PDF) Click here for additional data file. 10 Nov 2021
PONE-D-21-32307
Regulation of myoepithelial differentiation
PLOS ONE Dear Dr. LaFlamme, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Two experts in the field have taken part of your work and have some detailed comments that they want you to address. Please answer each reviewer point by point. Please let me know if you need extra time. I look forward to receiving the revised manuscript. Please submit your revised manuscript by Dec 25 2021 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript:
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Please update your submission to use the PLOS LaTeX template. The template and more information on our requirements for LaTeX submissions can be found at http://journals.plos.org/plosone/s/latex. 3. We note that the grant information you provided in the ‘Funding Information’ and ‘Financial Disclosure’ sections do not match. When you resubmit, please ensure that you provide the correct grant numbers for the awards you received for your study in the ‘Funding Information’ section. 4. We note that you have stated that you will provide repository information for your data at acceptance. Should your manuscript be accepted for publication, we will hold it until you provide the relevant accession numbers or DOIs necessary to access your data. If you wish to make changes to your Data Availability statement, please describe these changes in your cover letter and we will update your Data Availability statement to reflect the information you provide. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Partly Reviewer #2: Yes ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: I Don't Know ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: No Reviewer #2: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes Reviewer #2: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: Overall the manuscript offers some novel observations about the control of differentiation of cells to a myoepithelial phenotype. The core observation is that the transcription factor Taz drives changes in several genes associated with a myoeothelial phenotype. Thus with the Pro-Mmedia Figure 6 shows Taz upregulated on outer cells of the spheroids and Figure 1 shows upregulation of aSMA and Calponion. However as one reads the manuscript, there are various points that could have been presented with greater clarity, and other areas where additional immunohistochemistry would confirm location of the changes implied by the averaged RTPCR arising from analysis of the spheroids. 1. Readers encounter the mSG-PAC1 cell line name on page 4. This is th ekey line upon which the whole paper is based. There is no explanation offered as to what the cells are which would have helped. I ran off to the Methods to find that the only explanation was a reference. Help your readers with a brief explanation and reference in the results. 2. In the paper the changes in levels of aSMA, b4, aquaporin 5, calponoin and YAP are through RNA analysis of the spheroids. Thu sthe data re the average of the whole spheroid despite the data presented clearly implying that the myoepithelial phenotype induced by the FCS containing media predominantly occurs at the outer surface of the oral submandibular spheroids. Immunohistochemistry of these proteins on the spheroids should be supplied to show where the expression of these proteins is occurring. This is especially true for integrin beta4 which is an epithelial marker not a myoepithelial marker. All the cells in the spheroid are epithelial in origin so I would expect that all the cells express this integrin. Again, the aquaporin should be higher in the inner epithelial cells of the spheroids compared with the outer layer, so show it by IHC. As presented it is not valid to imply the changes in these genes is associated with the myoepithelial phenotype if the cells with that phenotype have not been directly analysed. 3.The data on TAZ transition to the nucleus, required for transcriptional activity, should be presented more clearly by showing images of just the TAZ staining. This would show exactly where the TAZ is within cells. The purple colour (red and blue pixels co-localised) in the overlays is not wholly clear. 4. The paper is based on an RNAseq analysis of the spheroids treated with different media. 1000s of genes changed. The manuscript has chosen to pick out a handful of genes that addresses the myoepithelial phenotype, linking them with TAZ. Where is the link to the uploaded transcriptional data for the other changed genes? Isnt it possible that there are other genes that have changed that may also have implications for the myoepithelial phenotype? Overall there are some correlations that implicate molecular processes in myoepithelial differentiation. With additional data outlined the message would be more secure. Reviewer #2: The authors of manuscript PONE-D-21-32307 described a 3-D culture system with mSG-PAC1 salivary gland derived cell line that was useful for identifying factors involved in differentiation into the myoepithelial lineage. Supporting data were provided by IF analysis developing murine salivary gland. The authors convincingly demonstrated that TAZ (WWTR1) is and important transcription factor for myoepithelial differentiation. Critiques: 1) Figure 1A (particularly the PRO-A condition) would benefit from addition of nuclear staining. It kind of looks like a hazy green blob, even though I am pretty sure it is an acinus. 2) Figure 1F would be substantially improved by showing every data point that was used to derive the mean w/h ratio. In its current form it is impossible to understand how the error bars are so tight, and why the statistic looks so strong. Perhaps it really is that good, but cells in nature tend towards variation in morphometrics. 3) There is no reference in the text to Figure 5C. 4) Statements about the subcellular localization of TAZ in developing glands in vivo (Figure 5) or in the mSG-PAC1 model (Figure 6) were not clearly supported by the microscopy. It was difficult to see supposed examples of localization at the cell-cell junction vs cytoplasm vs nucleus. e.g. Cytoplasmic vs Nuclear quantification would help, as would higher resolution images. ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No Reviewer #2: No [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step. 19 Apr 2022 The authors thank the reviewers for their helpful comments and suggestions. We addressed these below. Please note that because of the addition of new data, old Fig.5 became too large to upload. Data in old Fig. 5 together with new data are now presented in Figs. 5 and 6. Old Fig. 6 is now Fig. 7. Additionally, we edited the text to reflect changes in response to reviewers’ comments and also to correct typographical errors and to improve readability. REVIEWER 1 Comment 1: Readers encounter the mSG-PAC1 cell line name on page 4…. Help your readers with a brief explanation and reference in the results. Response: In our revised manuscript, we describe how we established mSG-PAC1 cells at the end of the Introduction together with the citation. Comment 2: In the paper the changes in levels of aSMA, b4, aquaporin 5, calponin and YAP are through RNA analysis of the spheroids… Immunohistochemistry of these proteins on the spheroids should be supplied to show where the expression of these proteins is occurring. This is especially true for integrin beta4 which is an epithelial marker not a myoepithelial marker. Response: This data has been provided in revised Figure 1, with the exceptions of the b4 subunit, which we did not detect at the protein level. The reviewer is correct that b4 is a marker for basal epithelial cells however it is also a marker for mature myoepithelial cells (see ref #36) Comment 3:The data on TAZ transition to the nucleus, required for transcriptional activity, should be presented more clearly by showing images of just the TAZ staining. Response: These images are provided in our new Figure 6. Old Figure 6 is now Fig. 7. Comment 4: Where is the link to the uploaded transcriptional data for the other changed genes? Isn’t it possible that there are other genes that have changed that may also have implications for the myoepithelial phenotype? Response: The link to our transcriptional data is provided in our revised manuscript. Yes, it very likely that other genes have changed that also have implications for the myoepithelial phenotype. REVIEWER 2 Comment 1: Figure 1A (particularly the PRO-A condition) would benefit from addition of nuclear staining. It kind of looks like a hazy green blob, even though I am pretty sure it is an acinus. Response: We have revised Figure 1 to address this and other issues. Comment 2: Figure 1F would be substantially improved by showing every data point that was used to derive the mean w/h ratio. In its current form it is impossible to understand how the error bars are so tight, and why the statistic looks so strong. Perhaps it really is that good, but cells in nature tend towards variation in morphometrics. Response: We have revised this graph. Comment 3: There is no reference in the text to Figure 5C. Response: Fig.5 has been separated into new Fig. 5 and new Fig. 6 Old Fig. 6 is now Fig. 7. All panels are now appropriately referenced in the text. Comment 4: Statements about the subcellular localization of TAZ in developing glands in vivo (Figure 5) or in the mSG-PAC1 model (Figure 6) were not clearly supported by the microscopy. It was difficult to see supposed examples of localization at the cell-cell junction vs cytoplasm vs nucleus. e.g. Cytoplasmic vs Nuclear quantification would help, as would higher resolution images. Response: We agree with the reviewer that we cannot justify the localization of TAZ at cell-cell junctions. We have removed this statement from our revised manuscript. We analyzed the nuclear localization of TAZ at E14, E15, E16, and E17. This analysis is provided in our new Fig. 6. Old Fig. 6 is now Fig 7 in our revised manuscript. Submitted filename: Response to Reviewers.docx Click here for additional data file. 4 May 2022 Regulation of myoepithelial differentiation PONE-D-21-32307R1 Dear Dr. LaFlamme, Congratulations!!! We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Rajeev Samant Academic Editor PLOS ONE Additional Editor Comments (optional): The revised manuscript has addressed Reviewers comments. The edited/revised manuscript is much improved. Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #2: All comments have been addressed ********** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #2: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #2: I Don't Know ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #2: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #2: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #2: (No Response) ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #2: No 17 May 2022 PONE-D-21-32307R1 Regulation of myoepithelial differentiation Dear Dr. LaFlamme: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. 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