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Rathke’s cleft-like cysts arise from Isl1 deletion in murine pituitary progenitors
Michelle L. Brinkmeier, … , Flávio S.J. de Souza, Sally A. Camper
Michelle L. Brinkmeier, … , Flávio S.J. de Souza, Sally A. Camper
Published May 26, 2020
Citation Information: J Clin Invest. 2020;130(8):4501-4515. https://doi.org/10.1172/JCI136745.
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Research Article Development Genetics

Rathke’s cleft-like cysts arise from Isl1 deletion in murine pituitary progenitors

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Abstract

The transcription factor ISL1 is expressed in pituitary gland stem cells and the thyrotrope and gonadotrope lineages. Pituitary-specific Isl1 deletion causes hypopituitarism with increased stem cell apoptosis, reduced differentiation of thyrotropes and gonadotropes, and reduced body size. Conditional Isl1 deletion causes development of multiple Rathke’s cleft-like cysts, with 100% penetrance. Foxa1 and Foxj1 are abnormally expressed in the pituitary gland and associated with a ciliogenic gene-expression program in the cysts. We confirmed expression of FOXA1, FOXJ1, and stem cell markers in human Rathke’s cleft cyst tissue, but not craniopharyngiomas, which suggests these transcription factors are useful, pathological markers for diagnosis of Rathke’s cleft cysts. These studies support a model whereby expression of ISL1 in pituitary progenitors drives differentiation into thyrotropes and gonadotropes and without it, activation of FOXA1 and FOXJ1 permits development of an oral epithelial cell fate with mucinous cysts. This pituitary-specific Isl1 mouse knockout sheds light on the etiology of Rathke’s cleft cysts and the role of ISL1 in normal pituitary development.

Authors

Michelle L. Brinkmeier, Hironori Bando, Adriana C. Camarano, Shingo Fujio, Koji Yoshimoto, Flávio S.J. de Souza, Sally A. Camper

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Figure 2

Isl1Prop1KO cysts expand with age and have characteristics of hRCCs.

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Isl1Prop1KO cysts expand with age and have characteristics of hRCCs.
(A...
(A–I) Pituitary gland sections from control and Isl1Prop1KO mutants collected at 7 weeks (control, n = 4; Isl1Prop1KO, n = 10), 18 weeks (control, n = 3; Isl1Prop1KO, n = 4), and 1 year (control, n = 2; Isl1Prop1KO, n = 2) were stained with H&E. Multiple cysts are evident throughout adulthood in Isl1Prop1KO mutants. Cysts contain ciliated epithelium (C), nonciliated epithelium (NC), or a combination of ciliated and nonciliated epithelium (C/NC). (J–L) Immunostaining for cytokeratin 8 (KRT8), acetylated tubulin (TUBA1A), and FOXJ1 at 7 weeks detected expression of characteristic markers of hRCCs in Isl1Prop1KO mutants (n = 3). (M–O) Alcian blue/PAS staining detects mucosal cell (arrows) lining within the cyst walls from weaning (3 weeks, n = 1) through adulthood (7 weeks, n = 7; 18 weeks, n = 3) in Isl1Prop1KO mutants. Scale bars: 50 μm (A, D, M–O); 100 μm (B, C, E–L).

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ISSN: 0021-9738 (print), 1558-8238 (online)

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