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Howard Hughes Medical Institute, Department and School of Medicine, University of California, San Diego, La Jolla, California
ABSTRACT I. INTRODUCTION II. INITIAL STEPS OF THE ANTERIOR PITUITARY DEVELOPMENT A. Origin of the Ectodermal Pituitary Primordium B. Initial Steps of Rathke's Pouch Development III. SIGNALING MOLECULES THAT REGULATE STRATIFICATION OF RATHKE'S POUCH AND PITUITARY CELL TYPE DETERMINATION A. Shh B. FGFs C. BMPs D. Notchs E. Wnts F. EGF IV. TRANSCRIPTIONAL FACTORS THAT CONTROL THE EARLY PHASES OF PATTERNING A. Pitx B. LIM Homeodomain Transcription Factors: Isl1, Lhx3, and Lhx4 C. Hesx1 D. Prop1 E. Six Homeodomain Transcription Factors F. Pax6 V. CORTICOTROPE DIFFERENTIATION A. Corticotrope Lineage Specification B. Regulation of POMC Expression VI. DIFFERENTIATION OF PIT1 LINEAGES: SOMATOTROPES, LACTOTROPES, AND THYROTROPES A. Pit1 B. Regulation of Pit1 Expression C. Regulation of Somatotrope/Lactotrope Determination D. Regulation of Somatotrope-Specific Gene Expression E. Regulation of Lactotrope-Specific Gene Expression F. Specification of Thyrotrope Lineage G. Regulation of alphaGSU Gene Expression H. Regulation of TSHbeta Gene Expression VII. GONADOTROPE DIFFERENTIATION A. SF1 and Other Transcription Factors in Gonadotrope Lineage Differentiation and Function B. Transcriptional Regulation of Gonadotrope Specific Genes 1. FSHbeta gene regulation 2. LHbeta gene regulation VIII. THE HYPOTHALAMIC/PITUITARY REGULATORY SYSTEM A. Sox3 and the Morphogenesis of Pituitary B. Specification of GHRH Neurons: Hmx2/3 and Gsh-1 C. Genetic Hierarchy of Magnocellular Neuron Formation: Otp, Sim1/Arnt2, Sim2/Arnt2, and Brn2 D. Specification and Migration of GnRH-1 Neurons IX. CONCLUSIONS GRANTS ACKNOWLEDGMENTS REFERENCES
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ABSTRACT |
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I. INTRODUCTION |
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-subunit (GSU) and a hormone-specific 
-subunit (TSH, LH, FSH). The intermediate lobe melanotropes secrete melanocyte-stimulating hormone (-MSH), a cleaved product of POMC, regulating production and distribution of melanin by melanocytes. The posterior lobe of the pituitary is composed of axonal terminals of the magnocellular neurons, surrounded by specialized astroglia known as pituicytes. The magnocellular neurons synthesize peptide hormones oxytocin and vasopressin and transport them to the axonal terminals located in the posterior lobe where they are secreted into the general circulation. The proper function of the pituitary is regulated by the hypothalamus, which secretes trophic factors modulating cell proliferation, hormone synthesis, and secretion (58, 245, 255, 258, 287, 302, 328, 329). |
II. INITIAL STEPS OF THE ANTERIOR PITUITARY DEVELOPMENT |
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The ectodermal primordium of the anterior pituitary is considered to be a member of cranial placodes (reviewed in Refs. 15, 237). Fate map analysis in amphibians, birds, and mammals traced the origin of the anterior pituitary to the anterior neural ridge, the ectodermal midline structure located immediately anterior to the neural plate (51, 133, 150). The adjacent midline part of the neural plate is destined to become hypothalamus and the posterior lobe of pituitary (neuropituitary) (50).
In zebrafish as well as in amphibian embryos, the anterior pituitary starts to develop directly from the placode in close contact with the developing neural tissue (91, 135). In birds and mammals, two adjacent areas that are involved in the formation of the pituitary gland are displaced from their anterior position in the process of head morphogenesis. As a result, the pituitary primordium finally ends up as a part of the stomodeal ectoderm at the roof of the oral cavity; concurrently, the presumptive hypothalamus and neuropituitary that still keeps close contact with the hypophysial placode move ventrally and become a part of ventral diencephalon. In birds and mammals, the development of the anterior pituitary per se starts from the formation of the Rathke' s pouch, a fingerlike invagination of the roof of oral cavity toward ventral diencephalon. Almost simultaneously, the ventral diencephalon of mammals generates an outgrowth termed infundibulum that is the primordium of the posterior lobe of pituitary. The infundibulum and Rathke's pouch proceed to form a definite pituitary gland. In chick embryo, outgrowth of the infundibulum, as well as further development of the posterior lobe of the pituitary gland, is much less manifested morphologically than in mammals.
There are some disputes in the literature regarding neuroectodermal/placodal versus oral ectoderm origin of the anterior pituitary primordium. In a sense, these arguments are purely semantic. Fate map studies clearly indicate a placodal origin of the anterior pituitary in all vertebrates (135). In bird and mammals, transposition of the anterior pituitary primordium into the stomodeal area due to head morphogenesis partially obscures its placodal origin.
B. Initial Steps of Rathke's Pouch Development
The initial step of Rathke's pouch formation as an invagination of the oral ectoderm is apparently dependent on the bone morphogenetic protein (BMP)4, which is expressed in the overlying ventral diencephalon at E8.5 and later in the infundibulum and subsequently diminished. Deletion of BMP4 results in embryonic lethality around gastrulation (E6.5). In some genetic background, however, a proportion of the mutant embryos survive until E9.5. In these mutant animals, the initial ectodermal thickening and the invagination of Rathke's pouch fail to occur (279). However, cautions should be taken given that these mutant animals are consistently developmentally delayed compared with their wild-type littermates (162). It has also been suggested that the initial Rathke's pouch and infundibulum formation as invaginations of oral ectoderm and ventral neuroectoderm, respectively, precedes their commitment to the pituitary fate and may be induced by morphogenetic signals from prechordal plate/notochord. Nonspecific Rathke's pouchlike ectodermal invagination can be induced by heterotopic transplantation of prechordal plate/notochord at lateral head ectoderm of early chick embryo (92). This is in agreement with the known ability of notochord-derived signal(s), Shh in particular, to affect adjacent mesenchyme and the composition of extracellular matrix which in turn impacts the migration of placode-derived cells (76).
Ectodermal invagination brings primordium of the anterior pituitary in close physical contact with ventral diencephalon. It has been shown that the interaction between these tissues is absolutely essential for further pituitary development (reviewed in Ref. 134). Intriguingly, ventral diencephalon/infundibulum not only promotes further development of Rathke's pouch and terminal differentiation of all endocrine cell types of the anterior pituitary (80, 81, 83, 84, 301), but also can induce the differentiation of the anterior pituitary cell types in naive head ectoderm of early chick embryo, such as lateral head ectoderm, presumptive lens, and face ectoderm, as has been demonstrated by in vitro organ culture experiments (78, 79, 92). The process of induction is strictly contact-dependent and also requires the presence of mesenchyme. The exact nature of the inducing signal(s) is still unknown. It is unlikely that these signals are identical to growth factor/morphogens responsible for the stratification of the anterior pituitary primordium such as Shh, fibroblast growth factor (FGF)8 and -10, Bmp2/4, and Wnts factors (see below), as these factors either alone or in combination fail to induce any signs of pituitary differentiation in naive head ectoderm of chick embryo.
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III. SIGNALING MOLECULES THAT REGULATE STRATIFICATION OF RATHKE'S POUCH AND PITUITARY CELL TYPE DETERMINATION |
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The secreted factor Shh plays an important role in embryo patterning, as well as in the specification of different cell types and in the control of proliferation of numerous cell types. In the early embryo, the major source of Shh production is the notochord (72). Both surgical ablation of notochord in chick embryos and deletion of the Shh gene in mouse result in similar profound changes in the embryo axis patterning and dramatic distortion of head morphogenesis accompanied by malformation of midline structures, cyclopia, and absence of Rathke's pouch (44, 76, 77). Three related zinc finger transcription factors, Gli1, Gli2, and Gli3, acting downstream of the Shh pathway, are expressed in the ventral diencephalon and developing Rathke's pouch (117). Inactivation of Gli2 causes variable loss of the pituitary, and deletion of both Gli1 and Gli2 results in complete absence of the pituitary (214). The effect on the pituitary development upon ablation of Shh signaling, however, seems to be a consequence of a general defect of midline structures including diencephalon/infundibulum rather than a defect in the anterior pituitary primordium itself. Furthermore, loss of either Shh or the notochord affects dramatically the formation of paired trigeminal ganglia that normally are located laterally to the pituitary gland. In the absence of Shh, a fused single trigeminal ganglion is formed in the place where the pituitary normally develops (76). In zebrafish, Shh produced by neuroectoderm instead of notochord or oral ectoderm is crucial for the initial patterning of the pituitary placode (246). Mutations that severely disrupt HH signaling, such as smu/smoothened and yot/Gli2, result in the development of lens tissue from the presumptive pituitary (149). Mutations that attenuate HH signaling, including syu/sonic hedgehog and dtr/Gli1, lead to hypoplasia of the pituitary gland (111, 246). Interestingly, lens tissue differentiation in naive head ectoderm of early chick embryo seems to be the default developmental pathway as opposed to the alternative anterior pituitary formation induced by ventral diencephalons and mesenchyme (16, 78, 79, 92). In mice during pituitary development, Shh is expressed in the ventral diencephalon and oral ectoderm but is excluded from the invaginating Rathke's pouch. The HH downstream target gene Patched1 is expressed in the developing pituitary, indicating that pituitary progenitors respond to the HH signaling. Pituitary-specific blockage of Shh signaling by overexpressing the Shh antagonist Hip almost completely prevents Rathke's pouch growth and appearance of endocrine cell lineages. In contrast, Shh overexpression in the developing pituitary under the control of GSU regulatory element results in mild hyperplasia with expansion of ventral gonadotrope and thyrotrope cell lineages (286). This is consistent with the observation in zebrafish where overexpression of shh causes pituitary expansion (246), suggesting that Shh exerts effects on both proliferation and cell type determination.
Multiple members of the FGF growth factor family play important roles in every known organogenesis and cell type differentiation, including anterior pituitary. Three members of this family, FGF8, -10, and -18, have been found in the ventral diencephalon and subsequently in the posterior lobe of pituitary during mouse pituitary development (75, 188, 285, 286, 316), and at least two of them, FGF8 and FGF10, have been shown to play important roles in the pituitary development. In mice lacking either FGF10 or the gene encoding its high-affinity receptor, FGF receptor 2 IIIb, the Rathke's pouch initially forms but rapidly undergoes extensive apoptosis resulting in agenesis of the anterior pituitary by E14.5 (206, 234). A similar observation has been made in transgenic mice expressing a dominant negative form of FGFR2 (IIIb) (40), suggesting that FGF10 signaling is essential for cell survival. Inactivation of FGF8 in mice causes early lethality at E8.5 before pituitary development. The function of FGF8, which binds to a different set of FGF receptors, in pituitary development, is largely drawn from studies of transgenic animals and in vitro organ culture. Overexpression of FGF8 under the control of GSU regulatory element leads to ectopic Lhx3 induction and pituitary hyperplasia with dramatic expansion of POMC-producing cell lineages and simultaneous inhibition of other pituitary cell types (285, 286). When cocultured in vitro, the infundibulum can stimulate proliferation and induce Lhx3 expression, meanwhile antagonizing BMP2-induced expression of Isl1, GSU in Rathke's pouch explants. The patterning activity of the infundibulum can be mimicked at least in part by FGF8, and impeded by the FGF receptor antagonist SU5402, suggesting that FGF8 is an important component of signals emanated from ventral diencephalon. It functions in the patterning of Rathke's pouch by maintaining proliferation and opposing the ventral BMP2 differentiation signal (75, 203). The function of FGF signaling in pituitary development has previously been implicated in mice lacking Titf1, where the entire pituitary is completely absent at birth. Titf1 is expressed in the ventral diencephalon. In Titf1–/– mice, the region that expresses FGF8 and FGF10 is deleted leading to a failure of Lhx3 and Lhx4 induction. The initial oral ectoderm invagination is ultimately eliminated by apoptosis (145, 279). In zebrafish, it has also been found that Fgf3, a ligand for FGFR2 (IIIb), is required for activation of genes regulating early steps of pituitary specification, including lim3/Lhx3 and pit1, and is essential for subsequent cell survival. Mutations in Fgf3 or blocking FGF signaling by the FGFR inhibitor SU5402, however, affect neither pituitary morphogenesis nor pituitary cell proliferation (110). Fgf3 is also required for pituitary-specific expression of ascl1a, which encodes a homolog of basic helix-loop-helix (bHLH) proteins of the achaete-scute subfamily. Similar to Fgf3/lia mutants, ascl1a/pia mutants exhibit a failure of terminal differentiation of all pituitary cell types, lacking expression of pit1 and neurod. Interestingly, implanted Fgf3 beads can enhance pituitary ascl1a expression but fail to rescue pit1 expression and pituitary development defects of ascl1a/pia mutants, suggesting that ascl1a might act in parallel or downstream of Fgf3 signaling to mediate some effects of Fgf3 (219).
BMP signaling is crucial for the anterior pituitary development. At least two members of the BMP family, BMP4 and BMP2, participate in the development of the anterior pituitary. As noted above, BMP4 is suggested to be essential for the invagination of Rathke's pouch (279). Consistently, oral ectoderm invagination occurs in Titf1–/– mice, wherein expression domain of BMP4 is maintained at E9.5 despite lacking FGF8 and FGF10. Similarly, in transgenic mice intended to block early BMP signaling by overexpressing Noggin, a high-affinity BMP2/4 antagonist, in the oral ectoderm and Rathke's pouch under the control of Pitx1 regulatory sequences, pituitary development is arrested at E10 after the pouch formation lacking all pituitary cell types except for a few corticotropes (285), suggesting that BMP4 signaling is critical for the continued progression of pituitary development. The pituitary phenotype of Pitx1-Noggin transgenic mice is almost identical to that of the Lhx3–/– mice (259). It remains to be determined whether BMP4, like FGF8, also regulates the expression or functions of Lhx3.
Subsequent to the onset expression of BMP4 in ventral diencephalon, BMP2 signal emanates from a ventral part of the anterior pituitary primordium at E10.5. In vitro culture of Rathke's pouch in the presence of BMP2 has shown that BMP2 is capable of inducing the expression of Isl1 and GSU, both of which are ventral markers of pituitary, and suppressing the expression of ACTH. Moreover, overexpression of BMP4 in the developing pituitary under the pituitary-specific promoter GSU leads to mild hyperplasia of the anterior pituitary with overgrowth of ventral cell types as judged by their transcription factor profile. These data collectively suggest that BMP2 signaling provides a ventralizing positional cue for pituitary development (75, 285). This BMP2 signal together with a dorsal FGF8 signal appear to create opposing gradients that are suggested to generate temporally and spatially distinct patterns of transcription factors expression underlying cell lineage specification events (58, 75, 285). Interestingly, while BMP signaling is absolutely essential for the initiation of the cell type determination process, it has to be attenuated to achieve terminal differentiation. Normally, during anterior pituitary development the expression of BMP2 decreases dramatically after E14–15. Overriding this decline by sustained expression of BMP4 in GSU-BMP4 transgenic mice leads to a failure of terminal differentiation as evidenced by lack of any terminal differentiation markers (285).
Notch signaling is an evolutionally conserved mechanism that regulates proliferation, apoptosis, cell fate determination, and morphogenesis. Notch signaling is active during the early phases of pituitary development as indicated by expression of Dll1, Jag1, Notch2, Notch3, as well as the direct downstream targets Hes1 and Hey1. Their expression becomes downregulated in the perspective anterior pituitary at E13.5 as cells undergo lineage commitment (226, 228, 330). Pituitary-specific inactivation of Rbp-J, which encodes a central mediator of the Notch signaling, using the transgenic Cre line under the control of Pitx1 regulatory sequences, leads to premature differentiation of progenitor cells as well as a conversion of the Pit1 lineage into corticotrope lineage. The former phenotype is recapitulated in mice deleted for the Hes1 gene, while the later phenotype is largely attributed to the significant downregulation of Prop1 at E12.5, which encodes the tissue-specific paired-like homeodomain transcription factor necessary for Pit1 expression. It has been shown that Rbp-J can bind to the evolutionally conserved recognition site in the first intron of the Prop1 gene and is recruited to this region during pituitary development, suggesting that Notch signaling directly regulates Prop1 transcription and is required for maintaining high-level expression of Prop1. These data collectively demonstrate that Notch signaling is required for generating diverse precursor pools and suggest that duration/intensity of Notch activity plays a critical role in lineage commitment (330).
In the later phases of pituitary development, Notch activity is dramatically attenuated, which is absolutely required for terminal differentiation of distinct cell lineages (228, 330). Overexpression of the constitutively active form of Notch1 in Pit1+ cells under the control of Pit1 regulatory information (Pit1-NICD) completely blocks terminal differentiation of all three Pit1 lineages. Consistently, overexpression of the constitutively active form of Notch2 in thyrotropes and gonadotropes directed by the GSU regulatory sequences leads to defects in thyrotrope and gonadotrope differentiation. Other components of the Notch pathway, including a subset of Notch-repressed neurogenic bHLH factors Mash1 and Math3, are expressed during pituitary development. It has also been shown that Mash1 and Math3 play critical roles in differentiation and functions of specific cell types (330; unpublished data).
Wnt signaling plays an important role in the control of proliferation of many cell types as well as in the patterning and in the maintenance of stem cell fate. During pituitary development, the Wnt/-catenin pathway is active between E11.5 and E15.5, as indicated by expression of a direct downstream target Axin2, and is functionally required for Pit1 lineage determination and pituitary gland growth. Targeted inactivation of the -catenin gene in pituitary progenitors using the Pitx1-Cre transgenic line results in a smaller gland with no Pit1 expression, absence of three Pit1 lineages, and reduced number of gonadotropes. Unlike in most other developmental processes regulated by the canonical Wnt pathway where Wnt signaling is conveyed by association of -catenin with the Lef/Tcf family of transcription factors, induction of Pit1 expression is mediated by direct interactions between -catenin and the tissue-specific paired-like homeodomain transcription factor Prop1, through an evolutionarily conserved Pit1 early enhancer (66, 208, 273). The Prop1/-catenin complex also acts as a transcriptional repressor for Hesx1, based on the recruitment of Groucho-related Tle, histone deacetylase (HDAC), and Reptin corepressors. Genetic studies have demonstrated that temporal control of the Wnt/-catenin signaling is essential for proper pituitary development as premature activation of -catenin leads to Hesx1 repression and pituitary gland agenesis by E13.5 (208).
Ten of 19 Wnt genes are detected in the developing E12.5 pituitary (208). So far, two of them, Wnt4 and Wnt5a, have been reported to be specifically associated with the developmental events in the anterior pituitary. Wnt5a is expressed in the ventral diencephalon and infundibulum of mouse embryo since at least E9.5, while Wnt4 expression is detected in Rathke's pouch and sustained later through E14.5 (285). Surprisingly, ablation of either gene results in relatively mild phenotype in the developing anterior pituitary. Wnt4–/– mice have anterior pituitary hypoplasia with reduced number of gonadotropes, thyrotropes, and somatotropes, but not corticotropes (285). Wnt5a–/– mice have morphologically distorted pituitary with enlarged intermediate lobe and increased number of POMC+ in the anterior and intermediate lobes (41; unpublished observations). The double Wnt4/Wnt5a knockout mice display a combined phenotype with significantly abnormal shape of pituitary gland, hyperplasia of the intermediate lobe, and hypoplasia of the anterior lobe accompanied by an increased number of corticotropes and decreased number of all other endocrine cell types (unpublished observations). It seems that these two factors target independent, discrete, nonoverlapping populations of pituitary precursors, and they play a role not in the specification of particular cell lineages but rather in the expansion of endocrine cell types. Whether other members of the Wnt family in combination with Wnt4, -5a play a role in lineage specification, as implicated by the pituitary specific deletion of the -catenin gene, awaits further investigation.
Other components of the Wnt/-catenin signaling pathway, including frizzled2 (Fzd2), Lef1, Tcf3, and Tcf4, are expressed during pituitary development (69, 208). Fzd2 is detectable in Rathke's pouch and infundibulum at E12.5 (69). Tcf3 is expressed from E9.0 to E14.5 but is restricted from the Pit1-expressing caudomedial region of the gland. Tcf4 is detectable in early pituitary as well as in surrounding tissues and is markedly diminished by E13.5. Lef1 exhibits biphasic expression, initial transiently at E9.0 in Rathke's pouch and later reappearing at E13.5 in anterior and intermediate lobes of the gland (208). Targeted inactivation of Tcf4 results in hyperplasia of the anterior lobe without affecting other aspects of pituitary development (30). Deletion of Lef1, on the other hand, leads to elevated expression of Pit1 as well as GH and TSH, consistent with a role of Lef1 in inhibiting Prop1/-catenin-mediated Pit1 activation (208).
While EGF signaling plays a very important role in many developmental processes, its role in the development of pituitary gland has not been studied in detail. Recently, it has been found that blocking EGF/transforming growth factor (TGF)- signaling, by the expression of a dominant-negative form of EGF receptor lacking its intracellular protein kinase domain, has a profound stage-specific effect (240). Expression of mutated EGF receptor in GH-producing cells of embryonic pituitary results in dwarfism and pituitary hypoplasia with reduced numbers of both somatotropes and lactotropes. Delaying mutated receptor expression in somatotropes to the postnatal period or targeting its expression to lactotropes does not cause any discernable phenotype. These data demonstrate an essential role of EGF or TGF- signaling in the early steps of development of somatotrope/lactotrope cell lineages. Whether this pathway is involved in any other developmental events in the pituitary gland remains to be addressed.
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IV. TRANSCRIPTIONAL FACTORS THAT CONTROL THE EARLY PHASES OF PATTERNING |
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Three bicoid-related Pitx transcription factors have been identified. Two of them, Pitx1 and Pitx2, exhibit overlapping and distinct expression patterns during pituitary development (reviewed in Ref. 89). Both transcription factors can recognize the same bicoid binding site and activate the promoters of multiple pituitary hormones including GSU, TSH, LH, FSH, GnRHR, PRL, and GH (289). Genetic studies have demonstrated that they are required for cell proliferation, survival, and differentiation in a dosage-sensitive manner, with Pitx2 playing a more prominent role than Pitx1, and they function redundantly in controlling Lhx3 expression (43, 146, 274). Pitx1 was identified on the basis of its ability to interact with the NH2-terminal transactivation domain of Pit1 (278) and to bind a cis-acting element of the POMC promoter (159). Inactivation of Pitx1 results in defects in hindlimb development and craniofacial morphogenesis (160, 277). The anterior pituitaries of Pitx1–/– mice exhibit mild defects with decreased expression of FSH, LH, and TSH and increased expression of POMC.
The Pitx2 gene was initially identified as the gene responsible for human Rieger syndrome type I, an autosomal dominant condition characterized by variable defects including anomalies of anterior chamber of the eye, dental hypoplasia, a protuberant umbilicus, mental retardation, and isolated growth hormone deficiency (256). Pitx2 knockout mice display multiple developmental defects including failure of body-wall closure, right pulmonary isomerism, and defects in heart, tooth, eye, and pituitary organogenesis (88, 148, 170, 181). In the pituitary, a definite pouch forms with induction of Lhx3, Hesx1, Pitx1, and GSU. However, the gland fails to progress further with only a few POMC-positive corticotropes and no Pit1 induction. Decreased proliferation or reduced gland size has been observed in the pituitaries of Pitx2–/–, Pitx1+/– Pitx2+/– and Pitx1–/–Pitx2neo/neo (a hypomorphic allele of Pitx2) embryos, suggesting that Pitx1 and Pitx2 function in the same pathway to stimulate cell proliferation. Consistent with this view, overexpression of Pitx2 under the control of Pit1 or GSU regulatory elements leads to an increase in the number of somatotropes and gonadotropes, respectively (43, 146, 274). Cell culture studies also show that the Wnt/-catenin pathway can stimulate expression of Pitx2, which in turn regulates expression and mRNA stability of critical cell cycle regulators including Cyclin D1, D2 (13, 27, 146). It has also been demonstrated that Pitx2 is required for cell survival, and Pitx1 and Pitx2 together are obligatory for Lhx3 induction (43). In addition to the early roles of Pitx2 in pituitary development, studies of Pitx2neo/neo mice reveal that Pitx2 is necessary for expansion of the Pit1 lineages and differentiation of gonadotropes at later stages of pituitary organogenesis (274). The requirement of Pitx1 and Pitx2 for terminal differentiation in the ventral cell types maybe explained, at least in part by the fact that both Pitx1 and Pitx2 are preferentially expressed in these cells (43).
B. LIM Homeodomain Transcription Factors: Isl1, Lhx3, and Lhx4
LIM homeodomain proteins (LIM-HD) are characterized by two tandemly repeated LIM domains located NH2-terminally of the DNA binding homeodomain. The LIM domain provides a protein-protein interaction interface that recruits cofactors mediating LIM-HD functions (reviewed in Ref. 118). At least 12 members of the LIM-HD family have been identified in mammals, and several of them are expressed in Rathke's pouch, including Isl1, Lhx3, and Lhx4. Expression of Isl1 in pituitary is dynamic. It is initially detected in the oral ectoderm at E8.5, throughout Rathke's pouch at E9.5, and then by E10.5 confined to the most ventral region of the pouch, apparently colocalized with GSU in the rostral tip thyrotropes. Isl1 expression is induced by BMP2 and repressed by FGF8/FGF2, the opposing ventral and dorsal signals critical for pituitary development (75). Inactivation of Isl1 results in embryonic lethality at approximately E10 with defects in heart, pancreas, and motor neuron development. In E9.5 Isl1–/– embryos, the primitive pouch forms with aberrant thin epithelium, suggesting that Isl1 is necessary for proliferation and differentiation of pituitary progenitors (279). Similar functions of Isl1 have been elucidated in heart development, where Isl1 is expressed in precursors of the second heart field and essential for their proliferation, survival, and migration (34).
Lhx3 is expressed in the pituitary gland, motor neurons of the spinal cord and hindbrain, the retina, and the pineal gland. Lhx3 expression is first evident in Rathke's pouch at E9.5 and persists predominantly in the anterior and intermediate lobes of the adult pituitary. Mice with disrupted Lhx3 are stillborn or die within 24 h lacking the anterior and intermediate lobes of the pituitary. In Lhx3–/– mice, the pituitary gland is arrested after the formation of a definite Rathke's pouch with a failure to maintain Hesx1 expression and to induce Pit1. Except for some residual corticotropes, all other cell types in the anterior and intermediate lobes are completely absent (259). A more extensive analysis of the Lhx3Cre/Cre mutants, which carry a Cre recombinase expressing cassette in the 3'-UTR of the Lhx3 gene leading to reduced expression of Lhx3 protein and pituitary defects identical to those in Lhx3–/– mutants, reveal that Lhx3 is required for cell survival, consistent with the view that Lhx3 acts downstream of Pitx1 and Pitx2 in preventing cell apoptosis (326). The function of LHX3 is conserved in humans. Patients with loss-of-function mutations in LHX3 have combined pituitary hormone deficiency (CPHD) (reviewed in Refs. 21, 46, 53, 193).
Because disruption of either Lhx3 or Isl1 results in an arrest of pituitary development at early stages, their functions in the later stages cannot be determined by analyzing the mutant mice. In vitro studies have shown that Lhx3 can interact with other transcription factors found in pituitary and synergistically regulate the promoters of pituitary hormones and transcription factor genes. For example, Lhx3 with Pitx1 synergistically activates the promoter of GSU and with Pit1 regulates the promoter of PRL, Pit1 and TSH (11, 271).
A closed related gene, Lhx4, is also expressed in the invaginating pouch at E9.5. In contrast to Lhx3 that is expressed throughout adulthood, Lhx4 expression becomes restricted to the future anterior lobe of pituitary and diminished at E15.5. Mice homozygous for the Lhx4 deletion die shortly after birth due to a failure of pulmonary maturation. In Lhx4–/– mice, there is increased cell death in E12.5 and E14.5 pituitary, and by E18.5 different cell types, including somatotropes, corticotropes, thyrotropes, and gonadotropes, are present, but with markedly reduced numbers leading to a hypoplastic anterior lobe. In addition to distinct roles of Lhx3 and Lhx4 in pituitary organogenesis, Lhx3 and Lhx4 act redundantly in the formation of a definitive pouch. Inactivation of both Lhx3 and Lhx4 results in a more severe phenotype than either single mutant with an earlier developmental arrest in pituitary (227, 257).
Hesx1 is a member of the paired-like class of homeodomain genes. It is first expressed in the anterior midline endoderm and prechordal plate precursor, subsequently activated in the overlying ectoderm of the cephalic neural plate, and ultimately restricted to the ventral diencephalon and Rathke's pouch at E9.5 (108, 109, 280). Expression in the developing pituitary persists until E12, when Hesx1 is downregulated in a spatial and temporal order that coincides with the rise of Prop1 transcripts and progressive differentiation of pituitary specific cell types. Hesx1 expression is regulated by Lhx3 and Prop1. While Lhx3 is necessary to maintain Hesx1 expression, Prop1/-catenin is required for Hesx1 repression (208, 259, 273). Inactivation of Hesx1 results in variable anterior central nervous system (CNS) defects, including a reduced prosencephalon, absence of developing optic vesicles, and defective olfactory development (59, 187). The phenotypes in the pituitary diverge greatly. Five percent of Hesx1–/– embryos exhibit a complete lack of pituitary gland. The initial thickening of oral ectoderm and minimal induction of Lhx3 occur at E12.5; the pituitary gland however is absent at E18.5, probably owing to ectopic expression of FGF8 in the oral ectoderm. The majority of Hesx1–/– mice are characterized by multiple oral ectoderm invagination and/or overproliferation of all pituitary cell types. In these mutants, the expression domain of FGF10 extends rostrally in the ventral diencephalon, leading to ectopic Lhx3 induction and formation of multiple pituitary glands, consistent with the role of FGF signaling in pituitary proliferation and development (56, 75, 206, 233, 285). The phenotype of Hesx1–/– mice is similar to that of septo-optic dysplasia (SOD) in human, which is characterized by midline forebrain abnormalities, optic nerve hypoplasia, and hypopituitarism ranging from CPHD to isolated growth hormone deficiency (IGHD) (reviewed in Refs. 46, 53, 193, 328).
Hesx1 is a transcriptional repressor with two repressor domains located in the NH2-terminal and homeodomain regions, respectively (28, 56). The homeodomain recruits the NcoR/Sin3/HDAC corepressor complex. The NH2 terminus eh1 motif mediates the interaction with the Groucho-related Tle corepressor, and their association is essential for Hesx1 function. Tle1 exhibits similar temporal and spatial patterns of expression to Hesx1 in Rathke's pouch. Overproduction of both Hesx1 and Tle1, but not the mutant Hesx1 incapable of interacting with Tle1, in Rathke's pouch results in near-complete absence of gonadotropes and three Pit1 lineages, probably by antagonizing the transactivation function of Prop1 on endogenous targets, suggesting that the interaction between Hesx1 and Tle is required for Hesx1 function and the temporal regulation of Hesx1/Tle complex is fundamental for pituitary organogenesis (56, 273). Recent identification of a homozygous mutation in the eh1 motif of human HESX1 in a patient with CPHD has further underlined that Tle association is an integral mechanism for Hesx1 function in vivo (38).
In addition to Tle1, other members of the Tle family, including Tle3, Tle4, and Aes, are expressed during pituitary development. Tle3 is first detectable in the ventral diencephalon, and by E14.5, Tle3 is localized in the dorsal region of Rathke's pouch and later confined to the intermediate lobe. Tle4 is expressed in the developing infundibulum and posterior lobe and diminished by E16.5. Aes is transiently expressed in the dorsal region of Rathke's pouch from E12.5 to E16.5. While the endogenous functions of Tle1, Tle3, and Tle4 during pituitary development are currently unknown, it has been shown that Aes is required for modeling the shape of pituitary gland. Inactivation of Aes leads to bifurcations of the pouch and severe pituitary dysmorphogenesis at birth (30).
Prop1 is a paired-like homeodomain transcription factor essential for pituitary development and function. Prop1 can bind to its cognate site and activate target gene via the COOH-terminal transactivation domain, whereas the NH2 terminus and the homeodomain of Prop1 possess repression function (266, 273), suggesting that Prop1 can function as both a transcriptional activator and a repressor. Consistent with this notion, recent studies of the pituitary specific inactivation of the -catenin gene reveal that Prop1/-catenin complex acts as a transcriptional activator for Pit1 and a transcriptional repressor for Hesx1, depending on the associated cofactors (208). Expression of Prop1 is restricted in the developing pituitary. It is initially detected at E10 to E10.5, peaks at E12.5, and declines after E14.5. It has been shown recently that the Notch signaling is required for maintaining high levels of Prop1 expression at E12.5, a process mediated by an evolutionarily conserved Rbp-J binding site within the first intron of the Prop1 gene (330). A homozygous mutation in the Prop1 homeodomain in the Ames dwarf mice (df/df) or targeted deletion of the Prop1 gene leads to a failure of Pit1 gene activation and delayed gonadotrope development. Proliferation of the pituitary progenitors surrounding the lumen is not affected. However, they fail to migrate to the caudomedial region of the developing gland where Pit1 is normally expressed, resulting in an expansion of luminal structure and dramatic dysmorphogenesis (8, 86, 87, 199, 208, 273, 299). Enhanced apoptosis is evident in the postnatal pituitaries of df/df mice, leading to a hypoplastic anterior pituitary (299). In addition to Pit1, both Wnt pathway and Notch pathway are apparently affected in the Ames mice (69, 226). Human PROP1 possesses similar function in pituitary development. Mutations in PROP1 are the leading cause of CPHD in humans (46, 53, 193, 315).
Genetic studies have demonstrated that temporal regulation of Prop1 expression is critical for proper pituitary development. Premature expression of Prop1 in Rathke's pouch proves to be deleterious leading to agenesis of the anterior pituitary gland probably by inhibiting the endogenous function of Hesx1 (56). In contrast, persistent expression of Prop1 in thyrotropes and gonadotropes under the control of GSU element delays gonadotrope differentiation and leads to transient hypogonadotropic hypogonadism and increased susceptibility to pituitary adenomas (54, 295).
E. Six Homeodomain Transcription Factors
Six genes are mammalian homologs of Drosophila melanogaster sine oculis (so) homeobox containing genes. Studies in Drosophila and mammalian systems reveal that an interactive network of the regulatory genes comprising eyeless (ey)/Pax6, so/Six, eyes absent (eya)/Eya, and dachshund (dach)/Dach is required for the eye patterning (reviewed in Refs. 132, 268, 304). In mammals, six members of the Six family have been identified, which belong to three subfamilies based on sequence conservation: (so) Six1, 2; (six4) Six4, 5; (optix) Six3, 6. Four of the Six genes, Six1, Six3, Six4, and Six6, are expressed in the developing pituitary. Six1 and Six4 are coexpressed in many embryonic primordium structures including Rathke's pouch (reviewed in Ref. 132). Six1 is required for the development of many organs and plays an important role in regulating cell proliferation. Loss of Six1 results in defects in most of the organs where Six1 is expressed, whereas inactivation of Six4 does not cause any embryonic defects (47, 154, 155, 167, 210, 211, 320, 327, 331). However, pituitary development is not affected in either Six1–/– or Six4–/– embryos. A recent screen for target genes of Six1 and Six4, respectively, reveal that they regulate overlapping and distinct sets of genes, implying that Six1 and Six4 may share overlapping functions (10). Indeed, inactivation of both Six1 and Six4 leads to more severe phenotypes than either single mutant with craniofacial and rib defects and general muscle hypoplasia (99). Further analysis of Six1–/– Six4–/– will facilitate our understanding of the roles of Six1/4 in the process of pituitary organogenesis.
Six1 regulates transcription of its target genes by recruiting cofactors via the Six domain. Six1 can either function as a repressor by interaction with Dach or Tle family members, or as an activator by interaction with Eya proteins. Eya family proteins are characterized by a highly conserved COOH-terminal region known as the Eya domain, which mediates interactions with Six and Dach, as well as the less conserved NH2-terminal transactivation domain (31, 106, 167, 205, 267, 319). Recently, three laboratories have independently demonstrated that Eya domains possess intrinsic phosphatase activity that is required for Eya proteins function (167, 229, 283; reviewed in Ref. 230). Six1 and Eya1 exhibit genetic interactions in regulating organogenesis. Loss of Eya1 leads to phenotypes resembling those of Six1–/– mice in renal and otic development with abnormal apoptosis of organ primordia; pituitary development is nonetheless not affected (167, 318, 331). However, in Six1–/– Eya1–/– embryos, the pituitary gland is 
5- to 10-fold smaller than the wild-type gland, suggesting that Six1 and Eya1 cooperate to regulate pituitary development. In zebrafish, six1 and eya1 are coexpressed in all pituitary cell types. While consistent with findings in other systems, six1 plays a role in modulating proliferation of pituitary cells; eya1 is required for lineage-specific differentiation. All the cell lineages except lactotropes are affected in eya1 mutants. Differentiation of corticotropes, melanotropes, and gonadotropes is completely impaired, whereas differentiation of somatotropes and thyrotropes initiates; expression of cognate hormone genes gh and tsh, however, fails to be maintained probably due to progressive loss of pit1 expression. Unlike in other systems or organs, eya1 is not required for the survival of pituitary cells, thereby uncoupling the differentiation-promoting and antiapoptotic functions of Eya proteins (202).
Six6 expression in pituitary exhibits a dorsal-ventral gradient at the early stage of pituitary development. At E13.5, the expression declines in the differentiated cells while persistent in periluminal cells. Deletion of Six6 results in hypoplastic pituitary and retina with reduced number of terminal differentiated cells due to defects in precursor cell proliferation. In retina, Six6 directly represses expression of p27Kip1 by recruiting corepressor complexes (168). Six3 is expressed in the most anterior part of the developing neural plate and later is restricted in retina precursor cells and pituitary. Six3 promotes cell proliferation and counteracts Wnt and BMP signalings and therefore specifying anterior identity (90, 156). Because of anterior patterning defects associated with loss of Six3, the specific requirement of Six3 in pituitary development remains to be determined. Intriguingly, Six3 can also promote proliferation by sequestering Geminin from Cdt1, the key component for the assembly of the prereplication complex (64, 182).
Pax6 is a highly conserved member of a family of transcription factors containing a paired domain and a homeodomain. Studies of the mice carrying mutations in the Pax6 gene and Pax6-deleted mice have established that Pax6 is required for the development of the eye, olfactory system, brain, spinal cord, and pancreas. Pax6 is initially expressed in the anterior neural plate that will become telencephalon, diencephalon, eyes, and pituitary. During pituitary development, Pax6 is expressed in the oral ectoderm at E9.0, but is excluded from the Shh expressing region. By E10-E12, Pax6 expression is detected in the Rathke's pouch with an apparent dorsal/ventral gradient and becomes downregulated at E13.5 and diminished when cells reach terminal differentiation at E17.5. Pax6 deficiency leads to a dorsal expansion of ventral GSU-expressing cell types, predominately thyrotropes, at the expense of dorsal cell types somatotropes and lactotropes. Thus the transient expression of Pax6 is required to establish the boundary between dorsal somatotropes/lactotropes and ventral thyrotropes/gonadotropes territories (19, 147). The similar scheme of Pax6 in the dorsal/ventral patterning and specification of cell types is reiterated in CNS forebrain and spinal cord development (reviewed in Ref. 270).
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V. CORTICOTROPE DIFFERENTIATION |
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ACTH-producing corticotrope is the first pituitary cell type to reach terminal differentiation. The POMC-expressing corticotropes occur at E12.5 followed by TSH-positive thyrotropes at E14.5, GH-positive somatotropes at E15.5, PRL-positive lactotropes at E16.5, and finally FSH and LH expression gonadotropes around E16.5 (124, 269). With the use of transgenic mice, it has been demonstrated that the 480-bp POMC promoter is sufficient to target expression in developing pituitary (103, 174, 291), whereas the distal enhancer region (–13 to –9 kb) is required for expression in ventral diencephalon (63). Analyses of regulatory elements in the POMC promoter, using transgenic mice or the corticotrope cell line AtT20 as a model system, have revealed the binding sites for bHLH proteins, orphan nuclear receptors Nur, Pitx factors, and T-box factors (158, 159, 175, 185, 217, 218). The zebrafish POMC gene promoter –451 to +61, containing similar regulatory elements, can target expression in corticotropes, suggesting a conserved mechanism to regulate corticotrope differentiation (179).
NeuroD1 is a class B bHLH transcription factor. It is expressed in pancreatic endocrine cells, the intestine, developing CNS, and pituitary. In pituitary, NeuroD1 protein is detectable between E12 and E15.5. It has been shown that NeuroD1/E47 heterodimer can bind to an E-box in the promoter of POMC and activate transcription either alone or in synergy with Pitx1 and Tbx19 through direct interactions of E47/Pitx1 and E47/Tbx19 (157, 220, 221). Human and mice with NeuroD1 deficiency develop diabetes due to a failure to develop mature islets (200). Corticotrope differentiation is transiently delayed in NeuroD1+/– and NeuroD1–/– mice in a dosage-sensitive manner. However, corticotrope lineage commitment, indicated by Tbx19 expression, is not affected in the absence of NeuroD1, suggesting that NeuroD1 is required for the appropriate timing of corticotrope terminal differentiation (157, 176). Whether other members of bHLH family can function redundantly with NeuroD1 to control lineage commitment remains to be determined (176).
Tbx19, also known as Tpit, is a member of T-box transcription factors with a characteristic 180-amino acid DNA binding domain that plays a critical role in embryonic development (reviewed in Ref. 197). Mouse Tbx19 was identified in a screen for genes encoding T-box binding proteins present in POMC expressing AtT20 cells (158). It was also cloned as a homolog of the human TBX19 gene (176). Tbx19 expression is initiated at E11.5 in the most caudoventral region of the Rathke's pouch before the onset of POMC expression. Tbx19 is also expressed in the ventral diencephalon, although wherein no protein is detected. In the pituitary, Tbx19 is restricted in the two POMC-expressing lineages, anterior lobe corticotropes and intermediate lobe melanotropes (158, 176). Tbx19 recognizes a T-box element located next to the Pitx1 binding site in the POMC promoter and synergizes with Pitx1 in activating the POMC promoter by recruiting SRC/p160 coactivators (158, 176, 184). The function of Tbx19 has been revealed by both loss-of-function and gain-of-function studies. Inactivation of Tbx19 leads to a failure of corticotrope and melanotrope terminal differentiation, although early corticotrope lineage commitment seems to be intact as indicated by NeuroD1 expression. Tbx19 is also required in POMC-expressing cells to repress alternate cell fates. In the absence of Tbx19, the intermediate lobe is hypoplastic with almost complete loss of the POMC-expressing melanotropes. The presumptive melanotropes as well as corticotropes in the ventrocaudal region of the anterior pituitary instead adopt cell fates of gonadotrope and Pit1-independent rostral tip thyrotrope (223). In contrast, overexpression of Tbx19 under the control of GSU regulatory sequences results in ectopic activation of ACTH in the rostral tip and marked reduction of GSU, TSH, LH, FSH, and SF1 expression in thyrotropes and/or gonadotropes (158, 176, 223). Thus Tbx19 promotes terminal differentiation of corticotropes and melanotropes by stimulating POMC expression and preventing differentiation of alternative cell fates (136, 223). Consistent with this notion, Tbx19 can antagonize Lhx3 and Pitx1 on the GSU promoter and SF1 on an SF1-responsive promoter (176, 223). Interestingly, NeuroD1 is not expressed in the ectopically induced corticotropes in Tbx19 transgenic mice, implying that NeuroD1 is not obligatory for corticotrope differentiation and Tbx19 functions independent of NeuroD1 (158). Tbx19–/– mice have low plasma ACTH levels and impaired adrenal function (222). Similarly, mutations in human TBX19 gene are the leading cause for neonatal-onset isolated ACTH deficiency (222, 293).
B. Regulation of POMC Expression
The major role of corticotropes is their ability to respond rapidly to a variety of stress and inflammation stimuli. The POMC promoter is positively regulated by hypothalamic hormone corticotropin-releasing-hormone (CRH) through rapid and transient activation and induction of the three Nur subfamily transcription factors, including Nur77, Nurr1, and NOR1. Two Nur binding sites have been identified in the POMC promoter, the distal Nur response element (NurRE), which can be recognized by either homo- or heterodimers formed between subfamily members, and proximal monomer Nur77-binding response element (NBRE). However, only the NurRE site is necessary for CRH responsiveness in AtT20 cells. Additionally, a dominant negative mutant of Nur77 blocks the action of CRH on the POMC promoter, suggesting that the Nur factors are the major integrator of the CRH signal in pituitary corticotropes (185, 218). CRH stimulation activates Nur factors through the protein kinase A (PKA) pathway by increasing the DNA binding activity of Nur77 dimers and enhancing recruitment of p160/SRC transcription coactivators via the AF-1 domain of Nur77 (184).
ACTH regulates metabolic functions through stimulation of glucocorticoid synthesis in the adrenal gland. Glucocorticoids in turn mediate the feedback repression of the POMC expression by interaction with the glucocorticoid receptor (GR). Consistent with this notion, in GR–/– mice where the negative feedback is disrupted, there is a marked increase in POMC expression in corticotropes (232). DNA binding of GR is required for repression of the POMC gene in vivo as demonstrated in the mice carrying a point mutation in the dimerization domain of GR (GRdim, Ala458Thr) (231). In AtT20 corticotropes, glucocorticoids antagonize the actions of CRH by transrepression involving Swi/Snf chromatin remodeling protein Brg1-mediated recruitment of GR and coreprerssor HDAC2 to the Nur77-bound NurRE site (22, 186). Loss of nuclear expression of Brg1 or HDAC2 is associated with 50% glucocorticoid-resistant human and dog corticotrope adenomas (22).
Leukemia inhibitory factor (LIF) is a pleiotropic neuroimmune cytokine that promotes corticotrope differentiation and induces POMC expression and ACTH secretion. The role of LIF in corticotrope differentiation has been demonstrated by gain-of-function studies. Transgenic mice expressing LIF in somatotropes exhibit striking dwarfism with decreased number of somatotropes and lactotropes and increased number of corticotropes. Overexpressing LIF early during pituitary development under the control of GSU regulatory sequences leads to a significant expansion of corticotropes and a dramatic decrease of somatotropes, lactotropes, and gonadotropes as well as a variably diminished thyrotropes. Lhx3 and Pit1 expression are decreased at E14.5 in transgenic mice. Thus LIF may repress Lhx3-dependent cell fates (somatotropes, lactotropes, thyrotropes, and gonadotropes) and drive pituitary progenitors differentiation toward corticotrope lineage (4, 321). In contrast, inactivation of LIFR results in a 30% decrease in pituitary POMC mRNA levels, consistent with the idea that LIF regulates POMC expression (300). LIF stimulates POMC expression by activating the JAK/STAT pathway. Two regions in the POMC promoter are responsive to LIF induction. A distal region harbors a STAT binding site, whereas a proximal site does not display STAT binding activity and may thus involve a DNA binding-independent mechanism (196).
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VI. DIFFERENTIATION OF PIT1 LINEAGES: SOMATOTROPES, LACTOTROPES, AND THYROTROPES |
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Pit1 is a member of POU domain containing transcription factors. The POU domain consists of a NH2-terminal POU-specific domain and a COOH-terminal POU homeodomain, which are both required for high-affinity DNA binding (reviewed in Ref. 9). Pit1 was identified by its specific binding to AT-rich elements in the rat PRL and GH genes. The expression of Pit1 is restricted to the caudomedial region of the pituitary gland. Its expression begins at E13.5 and continues in somatotropes, lactotropes, and thyrotropes throughout adult life. Genetics studies of the Snell (dw) and Jackson (dwj) mice, which carry nature mutations in the Pit1 gene, have established that Pit1 is essential for the terminal differentiation and expansion of three lineages: somatotrope, lactotrope, and thyrotrope, as well as for repressing gonadotrope cell fate (36, 57, 166). Furthermore, Pit1 is necessary for the transcriptional regulation of genes encoding the hormone products of these cell types, including GH, PRL, TSH, and GHRHR (reviewed in Ref. 9). Recently, in zebrafish, two null alleles in the pit1 gene have been identified in a systematic screen for genes required for pituitary formation and patterning (110, 201). Somatotropes, lactotropes, and thyrotropes are completely absent in pit1 mutants, which also exhibit expansion of corticotropes and possibly gonadotropes, suggesting that Pit1 function is largely conserved throughout evolution. In humans, mutations in the PIT1 gene are associated with CPHD (reviewed in Refs. 46, 53, 193).
B. Regulation of Pit1 Expression
The initial activation of the Pit1 gene at E13.5 in anterior pituitary requires the concerted actions of Prop1 and the Wnt/-catenin signaling and is mediated by an early enhancer located between –5.1 and –10.2 kb upstream of the transcription start site (66, 208). From E16.5, maintenance of Pit1 gene expression requires a distinct autoregulated distal enhancer located at –10 kb upstream of the transcription start site. The distal enhancer contains three functional Pit1 binding sites, a vitamin D receptor binding site, and a retinoic acid (RA) response element that confers Pit1-dependent RA induction (235). In the Snell (dw) mice, Pit1 expression is activated normally at E14.5, but because the Pit protein is defective and autoregulation is therefore nonfunctional, Pit1 expression declines and becomes extinguished in the perinatal period (235).
C. Regulation of Somatotrope/Lactotrope Determination
Studies of the cis-acting sequences of the rat growth hormone gene (rGH) have established that the minimal information required for selective expression in somatotropes but not lactotropes resides in the proximal 320 bp of the promoter, with as little as 180 bp being sufficient to target reporter in vivo (173). This region contains binding sites for Pit1, thyroid hormone receptor (TR), Sp1, a zinc finger protein Zn-15, and a yet unidentified protein. Extensive mutational analyses in transgenic mice have revealed that multiple elements within this region are essential to mediate GH gene activation in somatotropes and repression in lactotropes, respectively. Sp1 binding site and the zinc finger protein binding site (Z box) are apparently only required for GH activation in somatotropes while –161/–146 site is required only for GH restriction from lactotropes. On the other hand, thyroid hormone response element (TRE) and Pit1 binding sites (GH-1, 2) are required for both activation in somatotropes and repression in lactotropes. Interestingly, replacing the GH-1 site with the Pit1 binding site (Prl-1P) from the PRL gene results in a loss of restriction from the lactotropes without affecting expression in somatotropes. The allosteric effect of Pit1 sites is further supported by the cocrystals of the Pit1 POU domain dimer bound to either GH-1 or Prl-1P sites. The data reveal that the spacing between the DNA contacts made by the POU specific domain and the POU homeodomain of each monomer is increased by 2 bp on the GH-1 site. Deletion of these 2 bp in GH-1 leads to a failure to effectively repress reporter gene expression in lactotropes, suggesting that the configuration of Pit1 bound to the GH-1 site is critical for restriction of GH gene expression in lactotropes. The transcriptional corepressor N-CoR, which can interact with Pit1, has been found by chromatin immunoprecipitation (ChIP) assay to be associated with the nontranscribing GH promoter in nonsomatotrope cells. In addition, overexpression of a dominant negative form of N-CoR in lactotropes results in derepression of the endogenous GH gene. Thus cell type-specific restriction of GH requires combinatorial efforts of Pit1, TR, and an unknown factor that recognizes –161/–146 site together with the corepressor machinery including N-CoR (254).
The –500 bp promoter of human pituitary GH (hGH-N) gene contains binding sites for Pit1, Sp1, and zinc finger proteins. However, it is not sufficient for efficient expression in transgenic mice and a locus control region (LCR), located 14.5 to 32 kb upstream, is required for efficient and position-independent expression of the hGH-N transgene (127). Further dissection of the hGH-N LCR reveals that a 1.6-kb region containing two pituitary specific DNase I hypersensitive sites (HSI and HSII) is sufficient to activate hGH transgene expression. The major functional activity within this region resides in a 404-bp fragment coincident with the HSI, which encompasses three closely spaced Pit1 binding sites (18, 260). All three Pit1 binding sites within the 404-bp fragment contribute to the LCR activity. Furthermore, these three Pit1 sites are sufficient to confer position-independent and somatotropes-restricted –0.5hGH-N transgene activation (261, 262). In pituitary gland of transgenic mice carrying the intact hGH locus, ChIP assays reveal a 32-kb domain of pituitary-specific histone hyperacetylation extending from the LCR to the hGH-N promoter with peaks at HSI and HSII sites. Targeted deletion of a region in HSI that contains two Pit1 sites results in a striking loss of the acetylated domain and a marked reduction of hGH-N transgene expression in the pituitary. Thus the Pit1 sites at HSI play an essential role in the establishment of acetylated active chromatin domain and in the transcriptional activation of the hGH-N gene (112). Interestingly, HSI is also required for the active intergenic Pol II transcription in a domain that includes the hGH-N LCR and adjacent B lymphocyte-specific CD79b gene. Insertion of an exogenous transcriptional terminator within this domain blocks CD79b transcription and represses hGH-N expression without affecting histone acetylation within the hGH locus, suggesting that distal LCR transcription plays a critical role in long-range hGH-N activation (35, 113). It certainly will be interesting to appreciate the discrepancy between the rGH and hGH promoters and to determine whether the similar LCR sequence and function are conserved in rodents.
D. Regulation of Somatotrope-Specific Gene Expression
The rGH gene transcription is strongly stimulated by the TH and by RA via the TRE element that binds TR/retinoid X receptor (TR/RXR) and RAR/RXR heterodimer. Pit1 interacts strongly with RXR and to a lesser extent with TR and RAR and synergistically regulates the GH promoter (212, 213, 247). The functional significance of the TRE in regulation of GH expression has been demonstrated in transgenic mice where TRE mutation results in lower reporter gene expression in somatotropes (254). Consistently, in TR1–/– –/– mutant mice which lack all known TRs, there are reduced numbers of somatotropes in anterior pituitary and reduced serum levels of insulin-like growth factor (IGF) and pituitary GH lead
