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J Dent Res 82(12): 1002-1007, 2003
© 2003 International and American Associations for Dental Research


RESEARCH REPORT
Clinical

The Human KROX-26/ZNF22 Gene is Expressed at Sites of Tooth Formation and Maps to the Locus for Permanent Tooth Agenesis (He-Zhao Deficiency)

Y. Gao1, H. Kobayashi2, and B. Ganss1,*

1 Canadian Institutes for Health Research (CIHR) Group in Matrix Dynamics, University of Toronto, Faculty of Dentistry, Fitzgerald Building, Room 239, 150 College Street, Toronto, ON M5S 3E2, Canada; and
2 Tokyo Medical and Dental University, Department of Hard Tissue Engineering (Periodontology), Bunkyo-ku, Tokyo, Japan;

*corresponding author, b.ganss{at}utoronto.ca


   ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Tooth development is mediated by sequential and reciprocal interactions between dental epithelium and mesenchyme under the molecular control of secreted growth factors and responsive transcription factors. We have previously identified the transcription factor Krox-26 as a potential regulator of tooth formation in mice. The purpose of this study was to investigate a potentially similar role for the human KROX-26 orthologue. We cloned the KROX-26 gene and found its single mRNA transcript (2.4 kb) to be expressed in multiple adult tissues. During fetal development, KROX-26 is expressed in the epithelial component of the developing tooth organ during early bud and cap stages as well as in osteoblasts of craniofacial bone and the developing tongue. The KROX-26 gene was mapped to chromosome 10q11.21, a locus that has been associated with permanent tooth agenesis (He-Zhao deficiency). These results indicate a potential function for KROX-26 in the molecular regulation of tooth formation in humans.

KEY WORDS: tooth development • zinc finger • He-Zhao deficiency • transcription factor


   INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The early development of teeth as an epithelial appendage progresses through well-defined morphological changes, starting with the formation of the dental lamina as a thickened layer of dental epithelium and its subsequent protrusion into underlying mesenchyme during bud, cap, and bell stages. During the late-cap stage, multipotential precursor cells differentiate along tooth-specific lineages and secrete components of the extracellular matrix required for formation of mineralized structures such as dentin, enamel, cementum, and bone. These morphological changes and cellular activities are controlled by sequential and reciprocal interactions between dental epithelium and underlying mesenchyme (Kollar and Mina, 1991). On a molecular level, the communication between these tissue layers is established by the secretion of morphogenetic factors and the activation of responsive transcription factors (Peters and Balling, 1999). The main molecular signals during tooth formation include several multifunctional growth factors of the Transforming Growth Factor (TGF) ß, Fibroblast Growth Factor (FGF), Epidermal Growth Factor (EGF), Hedgehog (hh), and Wnt families (Jernvall and Thesleff, 2000). These molecules bind to their respective receptors and trigger downstream responses through the activation of transcription factors, leading to an altered gene expression profile in target cells. Several transcription factors of the homeobox, paired box, and high mobility group (HMG) box gene families are expressed at sites of tooth formation and have been implicated in the determination of tooth shape and identity (McCollum and Sharpe, 2001). Several of these regulators act downstream of odontogenic signaling molecules, and their functional importance in tooth development has been demonstrated by gene disruption in transgenic mice (Satokata and Maas, 1994; van Genderen et al., 1994; Peters et al., 1998). In humans, mutations in the genes for the paired-box-containing transcription factor PAX9 and the homeobox gene MSX1 have been linked to various tooth agenesis phenotypes (Frazier-Bowers et al., 2002).

The largest class of transcription factors in the mammalian genome is the C2H2 zinc finger gene family, which is comprised of several hundred individual members (Bellefroid et al., 1989; Tupler et al., 2001). Zinc finger genes have been recognized as critical regulators of many fundamental biological processes (Matise and Joyner, 1999), but little is known about the role of zinc finger transcription factors in the regulation of gene expression during tooth development and the specification of individual tooth cell phenotypes. A random screening for genes expressed in apical dental pulp cells of rat incisors has previously identified the novel zinc finger gene fragment Y150 (Matsuki et al., 1995). The full-length Y150 was later named Krox-26 due to the presence of five Krüppel-like zinc finger repeats. We have shown that the murine Krox-26 orthologue is expressed predominantly in developing craniofacial skeletogenic and dental structures, particularly in secretory-stage ameloblasts (Ganss et al., 2002), providing further evidence that Krox-26 may be involved in the molecular regulation of tooth development and amelogenesis. The aim of the present study was to identify and characterize the Krox-26 orthologue in humans, to analyze its expression with a particular emphasis on developing dental tissues, and to determine its chromosome localization.


   MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
All experiments were conducted under an approved human ethics protocol for the collection of aborted human fetal tissues from participants after their informed consent was obtained. The protocol was issued by the University of Toronto Health Sciences Review Committee in accordance with institutional and federal guidelines.

Isolation of Human KROX-26
The RPCI-11 Bacterial Artificial Chromosome (BAC) Library (Osoegawa et al., 2001) was screened with a random primed, 32P-dCTP-labeled 2-kb mouse Krox-26 cDNA fragment at the Centre for Applied Genomics (Hospital for Sick Children, Toronto, ON). DNA from one positive clone (RP11-285G1) was isolated, digested with restriction endonucleases, and further analyzed by Southern blot hybridization with the same 2-kb mouse Krox-26 cDNA probe. Positive restriction fragments were agarose-gel-purified, treated with Klenow enzyme (Amersham-Pharmacia Biotech, Baie d’Urfé, QC, Canada), cloned into the SrfI site of pCR Script Amp SK (+) (Stratagene, La Jolla, CA, USA), and sequenced (DNA Sequencing Facility, Centre for Applied Genomics, Hospital for Sick Children, Toronto, ON, Canada).

Northern Blot Analysis
A 674-bp PCR product was amplified from 30 ng of RP11-285G1 BAC DNA as template with the primers HKROX-3'.1 (AGCTCAAATCTCATTCAGCACCAG) and HKROX-5'.1 (GCCTGCACTTTCACAAATGTATCC) with the use of Advantage 2 DNA polymerase (BD Biosciences Clontech, Palo Alto, CA, USA) under the following conditions: one denaturation step at 94°C for 5 min, then 35 cycles of denaturation for 30 sec at 94°C, annealing for 30 sec at 62°C, and extension at 72°C for 40 sec, followed by a final extension step at 72°C for 7 min. A 32P-dATP and 32P-dCTP double-labeled DNA antisense probe was prepared from 100 ng of this PCR product with the primer HKROX-5'.1 and Klenow enzyme. A human 12-lane multiple-tissue Northern Blot (Clontech) was hybridized with this probe (3 x 106 cpm/mL) in ExpressHyb hybridization buffer (Clontech), according to the manufacturer’s instructions, and washed with 0.1 x SSC/0.1%SDS at 65°C for 30 min. Signals were detected by autoradiography. The blot was stripped (0.5% SDS at 85°C for 30 min) and re-hybridized with a random-primed, 32P-dCTP-labeled human ß-actin probe (T7 QuickPrime kit, Amersham-Pharmacia Biotech, Piscataway, NJ, USA) for control of equal loading between lanes and determination of relative expression levels. We re-hybridized the blot once with the Krox-26 probe to confirm reproducibility of results.

In situ Hybridization
    Preparation of tissue sections
Twelve-week-old human embryo tissues were fixed with 4% paraformaldehyde (PFA) in phosphate-buffered saline (PBS) at 4°C overnight, washed in PBS, dehydrated in ethanol, and embedded in paraffin. For in situ hybridizations, sections of 8-µm thickness were cut, mounted on SuperFrost/Plus microscopy slides (Fisher Scientific, Nepean, ON, Canada), air-dried at 45°C overnight, and stored at 4°C in a dry atmosphere.

    Probe synthesis
The 674-bp KROX-26 PCR fragment, described under "Northern Blot Analysis", was cloned into the pCR2.1-TOPO vector (Invitrogen, Burlington, ON, Canada) according to the manufacturer’s instructions, and the orientation of the insert was determined by digestion with SacI. Plasmids containing cDNA fragments in either orientation were linearized with HindIII, and digoxigenin-UTP-labeled antisense or sense RNA probes were synthesized with T7 RNA polymerase and the DIG RNA Labeling Kit (Roche Diagnostics, Laval, QC, Canada) according to the manufacturer’s instructions.

    Hybridization and signal detection
Tissue sections were deparaffinized in xylene and rehydrated through ethanol (100%, 95%, 70%) and PBS. They were then re-fixed for 10 min in 4% PFA in PBS, washed for 2 15 min in DEPC-treated PBS, and incubated for 45 min in 10 mM Sodium Citrate (pH 6.0) at 80°C. After equilibration in 100 mM triethanolamine at pH 8.0 (TEA) for 2 min at room temperature (RT), the sections were acetylated for 2 x 5 min in 0.25% acetic anhydride in TEA with stirring, washed in 2 x SSC (0.3 M NaCl, 0.03 M sodium citrate, pH 7.0) for 2 min, and dehydrated through a graded series of ethanol (70%, 95%, 100%). Sections were pre-hybridized in hybridization mix (50% de-ionized formamide, 300 mM NaCl, 10 mM Tris-HCl pH 7.6, 5 mM EDTA, 10 mM NaH2PO4, 10% dextran sulphate, 100 mg/mL yeast tRNA, 1 x Denhardt’s solution) for 1 hr at 58°C. The heat-denatured, digoxigenin-labeled cRNA probe was added at a concentration of 1 µg/mL and then hybridized overnight at 58°C in a chamber containing 50% Formamide/2xSSC as humidifying agent. Sections were then rinsed in 2 x SSC at RT, washed three times for 30 min each at 65°C in 50% formamide/2 x SSC, followed by one 30-minute wash at 65°C in 50% formamide/1 x SSC. The remaining probe was detected immunologically with an anti-digoxigenin/alkaline-phosphatase (AP)-conjugated antibody (Fab fragments, 1:100 dilution) and Nitro blue tetrazolium chloride (NBT) and 5-Bromo-4-chloro-3-indolyl phosphate (BCIP) as substrate, according to the manufacturer’s instructions (Roche Diagnostics).

Fluorescence in situ Hybridization (FISH)
Isolated BAC DNA from clone RP11-285G1 was biotinylated by nick translation and hybridized in situ to metaphase chromosomes prepared from normal human lymphocytes as described previously (Bray et al., 1991). Chromosomes were counterstained with propidium iodide and 4',6-diamidino-2-phenylindol-dihydrochloride (DAPI). After hybridization, the biotinylated probe was detected with avidin-fluorescein isothiocyanate (FITC). Images of metaphase chromosome preparations were captured digitally by a cooled CCD camera (SenSys 1401E, Photometrics Roper Scientific, Tucson, AZ, USA).


   RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Human KROX-26 DNA and Protein Sequence
One positive clone, RP11-285G1, was obtained from the BAC library screening experiment, and a NarI/Bst1107I restriction fragment (4.4 kb) was identified, cloned, and sequenced. This fragment contains an intron-less open reading frame (ORF) of 672 bp (Fig. 1Go). A sequence comparison between this ORF and the murine Krox-26 coding sequence (672 bp) revealed a sequence identity of 81.5% at the nucleotide level. The length of the Krox-26 3'-UTR from translation stop codon to polyadenylation signal is similar between mouse (1429 bp) and human (1262 bp). The conceptually translated human protein contains five consecutive C2H2 (Kruppel-type) zinc finger repeats as the only recognizable functional domain, and has a calculated molecular weight of 25915.4 Daltons and a predicted isoelectric point of 10.06. A sequence comparison of human and mouse Krox-26 proteins (Fig. 2Go) revealed an overall sequence identity of 85.3%, with the highest degree of conservation (94.0%) within the zinc finger domain. The human KROX-26 nucleotide sequence has been submitted to GenBank and was assigned the accession number AY137767.



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Figure 1. KROX-26 genomic DNA sequence. The NarI/Bst1107I genomic DNA fragment from BAC clone RP11-285G1 contains the entire KROX-26 open reading frame (underlined) as well as 2.4 kb of upstream sequence and 1.3 kb of downstream sequence. Several TATA and CCAAT box consensus sites in the upstream region are shown in bold, and the conserved polyadenylation site in the 3'-untranslated region is underlined. The sequence differences between KROX-26 and the HKR-T1 cDNA sequence are indicated in bold and italicized lower case in positions 2517, 2518, and 3074.

 


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Figure 2. Sequence alignment between mouse and human Krox-26 protein sequences. The zinc finger region in both proteins is indicated in bold. Conserved amino acids are indicated by asterisks, highly similar amino acid substitutions by colons, and conserved amino acid substitutions by periods. The highest degree of sequence conservation is found in the zinc finger region.

 
Expression of KROX-26 in Fetal and Adult Human Tissues
The cellular expression of KROX-26 mRNA was assessed by in situ hybridization in 12-week-old embryonic tissues (Fig. 3AGo) and by Northern hybridization in adult tissues (Fig. 3BGo). While hybridization with a digoxigenin-labeled cRNA sense probe did not produce any signals (Fig. 3AGo: b, d, f, h, j, l), the most prominent signals with an antisense cRNA probe were found in specific areas of developing craniofacial structures in tissues from 12-week-old embryos, including dental epithelium of maxillary molar tooth organs at various stages of development (Fig. 3AGo, a, c, e; arrows), tongue epithelium (g), tongue muscle (i), and osteoblasts of craniofacial bone (k). No signal could be detected in any other tissues investigated at this developmental stage, such as skeletal muscle, cartilage, or long bones (not shown).




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Figure 3. KROX-26 mRNA expression in embryonic (A) and adult (B) human tissues. Tissue sections from 12-week-old human embryos were hybridized with a digoxigenin-labeled KROX-26 antisense (a, c, e, g, i, k) or sense (b, d, f, h, j, l) probe and counterstained with methyl green. Positive signals in blue or brown (arrows), indicating KROX-26 expression, are seen in the epithelial component of the developing tooth (a, c, e), tongue epithelium (g), tongue striated muscle (i), and osteoblasts of craniofacial bone (k). Bars indicate 250 µm (a-f) or 100 µm (g-l). Abbreviations: B, bone; E, epithelium; M, mesenchyme. A multiple-tissue Northern Blot on human adult tissues (B) indicates the existence of a single 2.4-kb KROX-26 mRNA transcript in multiple tissues at various levels, relative to ß-actin mRNA expression.

 
The analysis of KROX-26 expression in adult tissues (Fig. 3BGo) revealed the existence of a single 2.4-kb mRNA transcript, which is most highly expressed, relative to ß-actin, in mesoderm-derived tissues such as skeletal muscle, heart, kidney, and liver. Intermediate expression levels were observed in spleen, thymus, and brain. Expression levels in endoderm-derived tissues such as intestine and colon were found to be relatively low.

Chromosomal Localization of KROX-26
The genomic locus of the KROX-26 gene was determined by FITC fluorescence in situ hybridization (FISH) on metaphase chromosome spreads (Fig. 4Go). The single hybridization signal on both alleles of chromosome 10 was fine-mapped to the long arm of the chromosome at 10q11.21 by DAPI banding.



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Figure 4. Chromosomal localization of the KROX-26 gene by FISH. Hybridization of a biotinylated KROX-26 DNA probe to human metaphase chromosome spreads and detection with FITC revealed signals on both alleles of chromosome 10 in position 10q11.21 (arrows).

 

   DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We have isolated the human orthologue of Krox-26, a zinc finger transcription factor that was previously identified as a potential regulator of early tooth formation and amelogenesis (Matsuki et al., 1995; Lee et al., 1997; Ganss et al., 2002; Teo et al., 2003). The predicted human KROX-26 protein sequence is coded by an intron-less open reading frame and, like its murine homologue, contains five consecutive Krüppel-type C2H2 zinc finger domains. A database search via the National Center for Biotechnology Information (NCBI) Basic Linear Alignment Search Tool (BLAST) program revealed that the human KROX-26 gene is most likely identical with the zinc finger gene fragment ZNF22/KOX15, which had previously been identified in a cluster of zinc finger genes on chromosome 10 (Rousseau-Merck et al., 1992), and with the zinc finger gene HKR-T1, which was isolated as a PCR artefact from T-lymphoid cells (Wu et al., 1992). However, our KROX-26 sequence, which is consistent with the draft sequence of the human genome (Lander et al., 2001), differs from the HKR-T1 cDNA sequence in two nucleotide substitutions (one silent C to G mutation in position 2517 and one G to C mutation in position 2518 leading to an E to Q amino acid substitution) and one nucleotide insertion (G at position 3074), which leads to a frame shift close to the 3'-end of the coding sequence of KROX-26 (Fig. 1Go). Analysis of our data shows a high degree of similarity between the human and mouse Krox-26 proteins in this region (Fig. 2Go), which indicates that the different C-terminal sequence in HKR-T1 may be the result of a mutation or a PCR or sequencing artefact. We propose to use the original designation for this gene, ZNF22 (Bray et al., 1991), as the common name for the KROX-26/HKR-T1/ZNF22/KOX15 genes.

In previous studies, a DNA "recognition code" for C2H2 zinc finger genes (Choo and Klug, 1997) has been developed. With this recognition code, the A-rich sequence 5'-AGAAGAAAAAAAAAA-3' has been predicted as the theoretical DNA binding site for Krox-26 (A. Klug, personal communication). In contrast, in our experiments, using a target detection assay protocol (Thiesen and Bach, 1990), we have determined the preferred DNA binding site cCAATG for recombinant mouse Krox-26 protein (Teo et al., 2003), suggesting that Krox-26 may be involved in the regulation of gene transcription through CCAAT-box sequences (Mantovani, 1999). Regardless of this discrepancy between theoretically predicted and experimentally determined binding sites, the high degree of sequence conservation between the zinc finger domains suggests that Krox-26 regulates a similar set of target genes in mice and humans. The identity of these target genes remains to be determined.

The sequence (ORF + 3'-UTR) between the KROX-26 translation initiation codon and the conserved polyadenylation signal is approximately 2 kb, and the single mRNA transcript detected by Northern blot is 2.4 kb. Therefore, the transcription initiation site can be expected to be located ca. 400 base pairs upstream of the translation initiation codon, unless the primary KROX-26 transcript contains an intron in this region. Patches of G/C-rich, usually methylation-free, DNA (CpG islands) occur frequently in the human genome and have been associated with active promoter regions (Cross and Bird, 1995). Such a G/C-rich region can be identified approximately 2 kb upstream of the KROX-26 translation initiation site. Several conserved binding sites for components of the basal transcriptional machinery and regulatory transcription factors are located upstream of the KROX-26 translation initiation codon, including several, in part inverted, TATA and CCAAT box sequences. Conserved and adjacent binding sites for the transcription factors Smad4 and FAST-1 were predicted (Quandt et al., 1995) approximately 350 bp upstream of the AUG start codon. Smad4 and FAST-1 interact to activate target gene expression (Inman and Hill, 2002) downstream of the TGF-ß/Bone Morphogenetic Protein (BMP)/activin signaling pathway, which is critical for tooth development (Heikinheimo et al., 1998). The possibility that these transcription factors are involved in the regulation of KROX-26 transcription during early tooth formation is currently under investigation.

At 12 wks of gestation, KROX-26 is expressed in the epithelium and striated muscle cells of the developing tongue, but not in skeletal muscle. Since tongue muscle differentiation is known to precede skeletal muscle differentiation (Shuler and Dalrymple, 2001), the differential expression of KROX-26 in these tissues may indicate its involvement in the regulation of myogenic gene expression. The prominent expression of KROX-26 in dental epithelium and osteoblasts, similar to that seen for its murine orthologue, indicates that this factor may be involved in the molecular regulation of gene expression in developing teeth and the craniofacial skeleton. We provide further support for the potential involvement of Krox-26 in tooth development by locating the KROX-26 gene close to the genetic locus for permanent tooth agenesis in humans (He-Zhao deficiency). He-Zhao deficiency was identified in a large Chinese kindred as a rare, hereditary developmental disorder (Wang et al., 2000), whose gene locus was mapped to chromosome 10q11.2 (Liu et al., 2001). This chromosomal region contains other potential candidate genes, including the Wnt antagonist Dickkopf-1 (Dkk-1; Fedi et al., 1999) and a cluster of other, poorly characterized zinc finger genes (Rousseau-Merck et al., 1992). The targeted overexpression of Dkk-1 in the skin of transgenic mice results in a pleiotropic phenotype, including a failure to develop teeth (Andl et al., 2002). However, while Dkk-1 mRNA is expressed in multiple tissues, it is absent in developing teeth during normal mouse development (Monaghan et al., 1999). In contrast, we have confirmed the expression of Krox-26 during tooth development in mice (Ganss et al., 2002) and humans (Fig. 3AGo).

Sequencing of the KROX-26 gene in individuals affected with He-Zhao deficiency is required either to substantiate the role of KROX-26 as a candidate gene for this disorder or to reduce the number of potential candidate genes. For functional studies on Krox-26 in tooth and craniofacial morphogenesis, it will be essential to identify upstream regulators and downstream targets and to develop and analyze transgenic mouse models for Krox-26. Our ongoing studies have identified two genetic loci for Krox-26 in mice, one of which likely contains a pseudogene (unpublished). The sequence information from the single human KROX-26 gene will facilitate the identification of the functional murine gene and the production of transgenic animals. The detailed understanding of the molecular regulation of tooth formation and ameloblast differentiation is a prerequisite for the development of molecular strategies for repair and regeneration of dental tissues.


   ACKNOWLEDGMENTS
 
This work was supported by an Operating Grant (MT-15054) from the Canadian Institutes for Health Research (CIHR). The assistance from the CIHR Genome Resource Facility at the Hospital for Sick Children (Toronto) in DNA sequencing, BAC library screening, and FISH analyses is greatly appreciated. We also thank Dr. Jaro Sodek and Dr. Sela Cheifetz for their support and helpful comments on the manuscript.

Received March 26, 2003; Last revision June 23, 2003; Accepted September 4, 2003


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IADR Journals Advances in Dental Research ®
Journal of Dental Research ® Critical Reviews (1990-2004)