From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Blood First Edition Paper, prepublished online July 11, 2012; DOI 10.1182/blood-2012-04-424507 PERSPECTIVES Two anatomically distinct niches regulate stem cell activity Running title: Stem cell niches Hideo Ema and Toshio Suda Department of Cell Differentiation, Sakaguchi Laboratory of Developmental Biology, Keio University School of Medicine 35 Shinano-machi, Shinjuku-ku, Tokyo 160-8582, Japan Tel & Fax: (81)-3-5363-3474 E-mail: [email protected] Keywords: stem cells, niche, hematopoietic stem cells, intestinal stem cells, interfollicular epidermal stem cells, hair follicle stem cells, Paneth cells, bulge 1 Copyright © 2012 American Society of Hematology From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Summary The niche microenvironment controls stem cell number, fate, and behavior. The bone marrow, intestine, and skin are organs with highly regenerative potential, and all produce a large number of mature cells daily. Here, focusing on adult stem cells in these organs, we compare the structures and cellular components of their niches and the factors they produce. We then define the niche as a functional unit for stem cell regulation. For example, the niche possibly maintains quiescence and regulates fate in stem cells. Moreover, we discuss our hypothesis that many stem cell types are regulated by both specialized and non-specialized niches, although hematopoietic stem cells, as an exception, are regulated by a non-specialized niche only. The specialized niche is composed of one or a few types of cells lying on the basement membrane in the epithelium. The non-specialized niche is composed of various types of cells widely distributed in mesechymal tissues. We propose that the specialized niche plays a role in local regulation of stem cells, while the non-specialized niche plays a role in relatively broad regional or systemic regulation. Further work will verify this dual-niche model to understand mechanisms underlying stem cell regulation. 2 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Introduction Stem cells are defined by self-renewal and differentiation potential. Tissue-specific stem cells play an essential role in tissue generation, maintenance, and repair. A large number of blood cells, epithelial cells, and epidermal cells are produced daily over an individual’s lifetime. To understand how stem cells that give rise to these tissues are regulated extrinsically and intrinsically is a fundamental issue in biology and also highly relevant to regenerative medicine. Stem cells reside in a microenvironment known as the niche. Schofield, who was the first to put forth the concept of stem cell niche, proposed that the niche (1) provides an anatomical space to regulate stem cell number; (2) instructs a stem cell to either self-renew in close proximity or commit to differentiation at a distance; and (3) influences stem cell motility 1. Lajtha first proposed that most stem cells are not cycling, that is, are in G0 phase 2. To be able to return to a quiescent state from cycling is perhaps one of the most important properties of a stem cell because progenitor cells cannot do so. The importance of the niche has not been fully appreciated in part because stochastic rather than instructive models of stem cell behavior have been preferred 3. The stochastic model predicts that stem cell fate is determined randomly. Thus far it has been difficult to show that the likelihood of self-renewal is influenced by external 3 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. factors. To understand niche function may require application of an instructive model. Analysis of germline stem cells (GSCs) in the fruitfly Drosophila melanogaster suggests that niche factors govern asymmetric division 4. In the ovary, two or three GSCs reside in a niche composed of cap cells and other cells. When a GSC gives rise to two daughter cells, one remains a stem cell in the niche upon receipt of a decapentaplegic (Dpp, a homolog of human bone morphogenetic proteins 2 and 4) signal. The other moves out of the niche and begins the differentiation program 4. This asymmetric division would have been exactly what Schofield would have predicted. This early work in Drosophila led to an interest in the niche regulation of adult stem cells in mammals. Here we summarize progress in understanding of the stem cell niche since publication of an excellent review by Moore and Lemischka 5. Hematopoietic stem cells (HSCs) are the best studied, as transplantation assays were established for this cell type early on and their purification techniques have progressed significantly 6,7 . The niche concept also emerged from studies of HSCs. Intestinal stem cells (ISCs) provide a simpler stem cell system that produces epithelial cells continuously 8. In that system, not only do stem cells and niche cells lie next each other, but stem cells may create their own niche 9. Hair follicular stem cells (HFSCs) have been successfully marked with 4 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. β-gal or fluorescent proteins, enabling in vivo tracing studies. Clonal assays are crucial to analyze stem cell differentiation potential, and it is now possible to study single HSCs, ISCs, and HFSCs 10-14 . We focus on the niche of these three types of adult stem cells because they share certain properties. We examine stem cell heterogeneity, niche components, and extrinsic niche signals regulating stem cells, and discuss the niche as a functional unit. Lastly, we introduce of the concept that specialized and non-specialized niches regulate stem cell activity. 5 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. The hematopoietic stem cell niche Functional heterogeneity of HSCs has been suggested self-renewal potential. 15 , particularly with regard to CD34-negative, Kit-positive, Sca-1-positive, and lineage marker-negative bone marrow cells are highly enriched in mouse adult bone marrow HSCs 10 . Among this population, HSCs with high self-renewal potential express CD150 at higher levels than do HSCs with limited self-renewal potential 16-18 . Self-renewal potential may also be inversely proportional to the number of divisions a cell has undergone19. Only when sensitive methods to monitor the division history of cells become available will the molecular basis for HSC self-renewal potential in HSCs be thoroughly understood. Most HSCs presumably enter the cell cycle once a month so-called “dormant” HSCs entering the cycle less frequently may be interchangeable 20-22 23 , with the remaining . These two cell types 24 . Of note, both types are in G0 phase. Single-cell transplantation studies have revealed a rare HSC subset, latent HSCs, that show significant repopulating activity only after secondary transplantation, suggesting latent HSCs have long quiescent intervals influenced by different niches. 18 . Alternatively, quiescent intervals of HSCs are In support of this concept, it has been found that bone marrow and spleen HSCs are functionally equivalent but their quiescence times differ 25. An interpretation of these data would be that quiescent intervals are cell-extrinsically 6 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. regulated in most HSCs but are cell-intrinsically determined in a particular type of HSCs. Angiopoietin-1 (Ang-1) and transforming growth factor (TGF) β1 maintain HSCs in G0 phase 26,27. HSCs express the receptor tyrosine kinase Tie2, and its ligand Ang-1 inhibits HSC division in vitro. Ang-1, expressed in osteoblasts and mesenchymal cells, likely supports HSC quiescence in vivo through integrins and N-cadherin26. TGFβ1, which is produced by several different types of cells, must be activated from a latent form. Elegant studies indicate that integrin αvβ8-mediated TGFβ activation is essential to induce regulatory T cell activation and prevent autoimmune disease 28 . Moreover, structural analysis suggests that specific integrins are required to generate an active form of TGFβ1 from the latent form 29. These data indicate that cells expressing integrin β8 may play a role similar to TGFβ1 activation in bone marrow. For example, Schwann cells appear to be such integrin β8+ cells, suggesting that they participate in niche function 30. Adult HSCs, and likely their niches, are widely distributed in marrow of various bones in the body rather than in any particular anatomical site. Moreover, HSCs are not necessarily locked in the niche but instead are mobile 31 . Nevertheless, investigators currently propose both endosteal and perivascular HSC niches (Fig. 1). The endosteal 7 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. niche is mainly composed of osteoblasts vascular endothelial cells reticular (CAR) cells 35 32,33 . The perivascular niche is composed of 16 , mesenchymal stem cells (MSCs) , perivascular stromal cells Macrophages may also participate in the niche 37,38 . 36 34 , Cxcl12-abundant , and Schwann cells 30 . After highly purified HSCs were transplanted into irradiated mice, homing analysis detected transplanted HSCs near the endosteum, particularly in the trabecular area 39,40. Since that area is well-vascularized, it is likely the primary homing site. These data suggest that both endosteal and perivascular niches are present in the trabecular area. Whether the endosteal niche regulates HSCs differently than the perivascular niche does is not clear. One attractive hypothesis is, however, that infrequently cycling HSCs reside in the endosteal niche, while frequency cycling HSCs reside in the perivascular niche 23,41. It will be necessary to demonstrate that HSCs migrate from the endosteal zone to the perivascular zone, or the other way around, to verify the two-zone model for stem cell regulation 41. Stem cell factor (SCF; c-Kit ligand) candidate niche factors. 36 , thrombopoietin 42,43 , and Cxc112 35 are SCF expression is detected in blood cells, osteoblasts, nestin+ mesenchymal cells, endothelial cells, and perivascular stromal cells 36 . Conditional deletion of SCF in endothelial cells and perivascular stromal cells, but not in blood cells, osteoblasts, or nestin+ mesenchymal cells, results in a significant decrease in HSC 8 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. number, suggesting that endothelial cells and perivascular stromal cells play a major role in HSC maintenance 36. SCF, Cxcl12, Pdgfr, and the leptin receptor are apparently similarly expressed in both perivascular stromal and CAR cells; thus these cells likely overlap. Interestingly, pericytes may be closely related to MSCs 44 , suggesting that MSCs are a heterogeneous population, a portion of which overlaps with perivascular stromal and CAR cells. The intestinal stem cell niche The ISC niche is less complex (than the HSC niche): the epithelial monolayer is composed of one type of absorptive cell (enterocyte) and four types of secretory cells (Goblet, Paneth, enteroendocrine, and Tuft cells) 45. The mucosal surface forms crypts which project downward and villi which project upward. Stem cells have been identified in the crypt of the small intestine, which consists of the duodenum, jejunum and ileum. Two types of ISCs, leucine-rich G protein-coupled receptor 5 (Lgr5)+ stem cells and Bmi1+ stem cells, have been characterized (Fig. 2). Lgr5+ stem cells (also called columnar basal cells) reside at the crypt base (10 or more per crypt) and continuously cycle 46,47 . Paneth cells, which are distributed between stem cells at the base of the crypt, secrete lysozyme and antimicrobial peptides such as defensins to 9 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. protect epithelial cells from infection and are now considered to be niche cells 9. Lgr5+ stem cells give rise to both themselves and Paneth cells, which in turn regulate stem cells 9. It is suggested that infrequently cycling stem cells are located around the +4 position in the crypt (the fourth cell above the base) 8 although positions can range from +2 to +7. These stem cells express the polycomb group protein Bmi1 48 . Whether Bmi1+ stem cells express Lgr5 or Lgr5+ stem cells express Bmi1 is not yet clear. The diphtheria toxin (DT) receptor (DTR) is expressed in human but not mouse cells 49 . The DTR gene has been knocked into the mouse Lgr5 locus in order to kill Lgr5+ stem cells conditionally with DT 50. After Lgr5+ stem cells but not Bmi1+ stem cells were eliminated, the crypt was maintained. Furthermore, lineage tracing shows that Bmi1+ stem cells give rise to Lgr5+ stem cells, suggesting a hierarchical organization among these two stem cell populations. R-spondin1 (Rspo1), which activates the canonical Wnt pathway, reportedly induces epithelial hyperplasia in the intestine after injection into normal mice 51 . It was found that Rspo1 along with Noggin and epidermal growth factor can form crypt-villus structures from single Lgr5+ stem cells in culture (organoid culture) 12. The Lgr family (Lgr 4, 5, and 6) proteins are 7-transmembrane receptors, as are Frizzled proteins. Frizzled forms a heterodimer receptor for Wnt, with LDL receptor-related protein (Lrp) 10 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. 5/6. Lgr had long been an orphan receptor, but Lgr appears to form a heterodimer receptor for Rspo, with the Lrp 5/6 synergistically to activate β-catenin 52-54 52-54 . Interestingly, Wnt3a and Rspo1 act . If these ligands share a common signal transducer, it is not yet clear how this synergy can be explained, although it is also possible that different signaling pathways are activated by Wnt3a and Rspo1. Paneth cells reportedly express Wnt3, Wnt11, Rspo1, epidermal growth factor (EGF), transforming growth factor (TGF) α, and Dll4 9,55 , and these factors likely regulate Lgr5+ stem cell cycling. Nonetheless, how Bmi1+ and Lgr5+ stem cells are differently regulated under similar circumstances remains unknown. Paneth cells also require further study to define their niche function and identify their niche factors. The hair follicle stem cell niche The skin is composed of the epidermis, dermis, and hypodermis (subcutaneous fatty layer). The epidermis is of ectodermal origin, while the dermis and hypodermis are mesoderm-derived. The epidermis is composed of a multi-layered epithelium. Skin cells exhibiting hairs have an appendage called the pilosebaceous unit consisting of the hair shaft, hair follicle, sebaceous gland, and erector pili muscle (Fig. 3). membrane separates the epidermis from the dermis. The basement Skin stem cells are located in two 11 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. distinct regions: interfollicular epidermal stem cells (IFESCs) are found in the basal layer of the epidermis and hair follicle stem cells (HFSCs) reside at the bottom of the non-cycling portion in the outer root sheath, in a region called the bulge. IFESCs play a major role in adult epidermal homeostasis. When they exit the cell cycle and commit to differentiation, they give rise to keratinocytes. Despite their essential role, IFESCs have not yet been isolated. Whether all or just a portion of cells in the basal layer constitute the stem cell pool is unclear. Studies of the skin, particularly in the mouse tail, suggest that a single population of proliferating progenitors is sufficient for homeostasis of epidermis 56 . This finding challenges the fundamental concept of stem cells because highly proliferative tissue like the epidermis can be maintained without stem cells. Nevertheless, little is yet known about the IFESC niche. Under physiological conditions, HFSCs mainly regenerate the hair follicle, which cycles through anagen (growth), catagen (apoptosis), and telogen (quiescence) phases. Keratin (K) promoter-driven reporters were first used to mark bulge stem cells 57,58 . The K5 promoter-driven tetracycline-off system was used for conditional labeling of K5-expressing cells with histone H2B-GFP fusion protein in the bulge 57 . The K15 promoter-derived fusion protein consisting of Cre recombinase and a truncated progesterone receptor was also used for conditional labeling of K15-expressing cells in 12 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. the bulge 58. These K15-Cre mice were crossed with Cre-responsive R26R reporter mice 58 . In this system, Cre is translocated to the nucleus only in the presence of the progesterone agonist. Infrequently cycling cells were detected and isolated using these markers and characterized, suggesting the presence of K5+ stem cells and K15+ stem cells in the bulge. Since then, various promoters have been used to mark HFSCs 59 . Lgr5+ stem cells have also been found near the bulge 60 and can give rise to follicle cells, sebaceous cells, and interfollicular epidermis but mainly contribute to the hair follicle under physiological circumstances. Sox9 and Gli1 seem to be also expressed in these stem cells 61,62. The upper portion of the bulge apparently contains stem cells different from those in the middle and lower portions (Fig. 3). Lgr6+ cells found in the upper portion mainly give rise to sebaceous gland cells and interfollicular epidermis 63. In addition, Lring1+ cells and Mts24+ cells are found in the isthmus, the junction between the epidermis and the hair follicle (Fig. 3) 64,65 . These stem cells mainly give rise to interfollicular epidermis. Blimp1+ cells found in sebaceous glands only give rise to sebaceous gland cells 66. These cells may be progenitors rather than sebaceous gland-restricted stem cells. Various overlapping populations of stem cells or progenitors are seen in, near, and 13 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. moving around the bulge 67 . It is not known whether there is a hierarchical order in these populations, and whether specific niches control different stem cells. Growth of the hair germ (Fig. 3) is stimulated by sonic hedgehog signaling from the dermal papilla 68, which behaves like a niche for these cells. HFSCs are in close contract with the dermal papilla at the telogen. Thus, the dermal papilla can also temporarily act as a stem cell niche. IFESCs and HFSCs are also regulated by signaling from the dermis 69 . Periodic Wnt/β-catenin signaling positively regulates the hair follicle cycle, and periodic secretion of bone morphogenetic proteins (Bmp) 2 and 4 negatively regulates the hair follicle cycle 69 . Bmp2 is produced by adipocytes, and Bmp4 is produced by dermal papilla, dermal fibroblasts, and interfollicular epithelium. Although the bulge has been implicated as the HFSC niche, little is known of its cellular components and factors. The niche as a functional unit Currently, proposed niche functions include regulation of stem cell number, cell cycle, fate determination, and motility. For example, stem cell number is thought to be maintained constant by the niche under physiological conditions. To date, however, we have no evidence for that the physical space in the mammalian niche determines the 14 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. number of stem cells as originally proposed by Schofield 1. We rather think that stem cell number is regulated in a more complex manner (Fig. 4). The niche likely provides positive and negative factors controlling proliferation. In addition, positive and negative feedback from progenitors likely maintains stem cell supply and demand, as are autocrine and paracrine mechanisms. Feedback signaling may also be mediated by the niche. The probability that a stem cell makes a decision to self-renew should be taken to account as well. These regulations have long been postulated but so far no study has successfully shown the existence of such a regulatory system. Perhaps, we are only able to address this issue by using mathematical modeling and computational analysis. The maintenance of stem cell quiescence is a common niche feature. Both cycling and non-cycling stem cells have been found in the small intestine and skin 46 48 56. Stem cells are distinguished from progenitors in the hematopoietic system, providing the principle for hierarchical organization. Once again, most HSCs are in G0 phase, whereas most hematopoietic progenitors are cycling. Although it is yet to be demonstrated, some cycling stem cells in the intestine and skin may act as progenitors. Among the TGFβ superfamily, BMP2 and BMP4 negatively regulate the cell cycle in HFSCs and ISCs 69,70 , and TGFβ1 negatively regulates the cell cycle in HSCs 27,30 . Smad1, 5, and 8 mediate BMP signaling, and Smad 1 and 5, but not Smad8, are 15 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. expressed in HSCs. Conditional Smad1 and 5 double knockout mice exhibit normal HSC function, but show intestinal abnormalities 71. TGFβs but not BMPs are negative regulators for HSCs. Quiescence of ISCs, HFSCs, and HSCs may be similarly regulated by TGFβ superfamily members. Wnt and Notch signaling plays crucial roles in cell fate determination in embryonic development and are therefore candidate niche factors. In the absence of Wnt protein, β-catenin is sequestered in the cytoplasm by a large complex consisting of APC, axin, casein kinase 1α, and glycogen synthase kinase 3β (GSK3β). complex is phosphorylated, ubiquitinylated, and degraded. β-catenin in that In the presence of Wnt signals, axin is recruited to the Frizzled/Lrp5/6 receptor, and β-catenin is free to move into the nucleus to interact with a member of the Tcf/Lef family to activate transcription of target genes 72. Activating point mutations of β-catenin are seen in colorectal cancer pilometrixoma, a benign skin tumor 74 73 , and in . They are not, however, seen in leukemia 75 . Analyses of conditional β-catenin knockout mice show that β-catenin is essential to maintain ISCs 76 and HFSCs 77 . The role of Wnt/β-catenin signaling in regulating HSCs, however, remains controversial 78-82. Notch receptors (Notch1, 2, 3, 4) and their ligands (Delta1, 3, and 4, and Jag1 and 2) 16 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. exist as transmembrane proteins. So called canonical Notch signal pathway is summarized as follows: ligand binding stimulates two sequential proteolytic cleavages of Notch receptor, mediated by a tumor necrosis factor α-converting enzyme and a presenilin-dependent γ-secretase 83 . The Notch intracellular domain (NICD) then translocates to the nucleus where it interacts with a complex consisting of recombination signal binding protein for immunoglobulin kappa J region (Rbpj-κ) and Longevity-assurance gene-1. Basic helix-loop-helix transcription factors in the Hes and Hey families are upregulated by signaling 83. NICD transgenic mice in which NICD was expressed in all intestinal epithelium using the Villin promoter, showed hyperplasia of the intestinal epithelium with a complete loss of goblet cells 84 . In contrast, conditional Rbpj-κ knockout mice constructed using P450-Cre, exhibit increased numbers of goblet cells in the intestinal epithelium and decreased enterocytes 85 . These data indicate that Notch signaling is required for ISCs to commit to an enterocyte rather than a goblet cell lineage. Interestingly, treatment of APC mutation-induced adenoma cells with a γ-secretase inhibitor converted them to goblet cells, suggesting cross-talk between Notch and Wnt signaling pathways 85. NICD transgenic mice in which NICD was expressed in the skin using the Involucrin 17 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. promoter showed enhanced differentiation of epidermal keratinocytes 86 . In contrast, conditional Rbpj-κ knockout mice harboring K14-Cre, showed thinner epidermis 87 , suggesting that Notch signaling promotes IFSC differentiation into keratinocytes. Notch-dependent asymmetric division is suggested to be required for IFSC differentiation 88. It has also been reported that Notch signaling acts downstream of Wnt signaling to determine epidermal cell fate 89. Notch1 is activated under control of the T cell receptor-β locus in human T cell acute lymphoblastic leukemia via the t(7;9) chromosomal translocation 83. Notch1 is essential for generation of HSCs in the aorta-gonad-mesonephros region 90 and for T cell commitment in the thymus 91. T cell leukemia can be induced in mice transplanted with NICD-transduced bone marrow cells 92 . Conditional Notch1/2 double knockout mice harboring Mx1-Cre develop chronic myelomonocytic leukemia 93 . These data indicate that Notch signaling can either positively or negatively regulate commitment or proliferation, depending on blood lineage. In this regard, Notch signaling may be more important at the progenitor level than at the stem cell level. HSCs enter the circulation at a low but constant rate 31 . Intra- and inter-marrow mobilization of HSCs may occur in physiological conditions. This issue has not been directly addressed, because, unlike HFSCs and ISCs, HSCs have not been specifically 18 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. marked using fluorescent reporters. HFSCs appear to move back and forth between the bulge and the hair germ regions 67, and ISCs may similarly move around the crypt base. The question remains, do HFSCs move into different follicles and do ISCs move into different crypts? Single stem cell-derived progeny apparently occupy one crypt, but likely not two or more 94. Classically, the niche is physically close to or in direct contact with stem cells so that membrane-bound proteins can serve as niche signals; soluble factors can also regulate stem cells, and extracellular matrix (ECM) provides structural support and functions in adhesion and provides a spatial context for signaling 95 . If HFSCs and ISCs are regulated only by neighboring niches, are the large numbers of stem cells distributed in the body regulated totally independently? One possibility is that there could be another type of niche covering wider areas: for instance, the dermis for HFSCs and IFESCs or the lamina propria for ISCs. Specialized and non-specialized niches We propose two types of niches, based on the anatomical structure, and hypothesize that each plays a distinct role in stem cell regulation. One can be viewed as a specialized niche, while the other is non-specialized (Fig. 5). Most stem cells are presumably under the dual regulation of both niche types. The specialized niche, composed of one or a few 19 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. cell types, resides next to stem cells to support them directly (local regulation). Both stem cells and specialized niche cells together rest on a basement membrane of specialized ECM consisting of laminins, collagen IV, perlecan, and nodogens 96. The basement membrane is considered a portion of the specialized niche that directly regulates the cell cycle and stem cell polarity. The specialized niche could also be termed the epithelial niche because specialized niche cells are often present in the epithelium. The non-specialized niche is composed of mesenchymal cells such as mesenchymal stem cells, fibrocytes, fibroblasts, adipocytes, vascular endothelial cells, neurons, and blood cells. Signals from the non-specialized niche are likely not as simple as those from the specialized niche because they are multiple and impact stem cells directly and indirectly. The non-specialized niche may also affect stem cells via a specialized niche or be responsible for spatial organization or regional synchronization of stem cells. If stem cells are damaged in a particular region, the remaining stem cells could be recruited to that region to rescue them. In this sense, the non-specialized niche plays a role in relatively broad regional or systemic regulation of stem cells. The non-specialized niche can alternatively be considered a mesenchymal niche because of its localization. 20 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Fig. 5 illustrates the concept of specialized and non-specialized niches among representative stem cells. Both ISCs and Paneth cells form in a two-dimensional plane on the basement membrane (Fig. 5A) to create a specialized niche that directly regulates ISC proliferation. The lamina propria, found in villi and between crypts, contains actin filaments, blood vessels, lymphatic vessels, peripheral nerves, macrophages, and lymphocytes. It is interesting to know whether the lamina propria, as part of the non-specialized niche, has an effect on ISCs. If this is the case, there is supposedly a regional or systemic regulation of ISC number per crypt. In the skin the specialized niche is less well understood than the non-specialized niche. Niche cells are presumably present in the bulge and basal layer on the basement membrane (Fig. 5B, upper). The dermis is the connective tissue containing fibroblasts, endothelial cells, and nerve cells. Epidermal-dermal interactions are considered important in development of the hair follicle, support of the hair cycle, and epidermal wound repair. However, the role of the dermis as a non-specialized niche requires further study. The seminiferous epithelium in the testis has the unique three-dimensional structure consisting of spermatogenic cells and Sertoli cells (Fig. 5C). Spermatogonial stem cells rest on the basement membrane between Sertoli cells. Like Paneth cells, Sertoli cells 21 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. exhibit a large number of lysosomes. Sertoli cells function as the specialized niche by secreting glial cell-derived neurotrophic factor, which induces self-renewal of spermatogonia 97. The interstitium located between seminiferous tubes likely acts as the non-specialized niche. Myoid cells lie beneath the basement membrane, and Leydig cells, fibrocytes, vascular endothelial cells, macrophages, and neurons are present in the interstitium. All these cells could be members of the non-specialized niche, supporting the previous proposal 98. There is no specialized niche for HSCs. Instead, heterogeneous connective tissue or stromal cells function as a non-specialized niche (Fig. 1). This conversely permits HSC mobilization in the bone marrow. The basement membrane is located underneath the vascular endothelium monolayer in bone marrow. The non-specialized niche where HSCs reside can be regarded as lying under the basement membrane, similar to the non-specialized niche in other tissues (Fig. 5D). The unusual anatomical sites of HSCs in the non-specialized niche but not in the specialized niche suggest that HSCs may be regulated in a manner that is fundamentally different from that of other stem cells. If so, it may not be so crucial to specify niche cells and their anatomical sites for HSCs as it is for other stem cells in order to understand niche function at the molecular level. In E10.5 mouse embryos, HSCs emerge from subaortic patches underneath the 22 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. basement membrane of the dorsal aorta 99 . A positional relationship between HSCs and a non-specialized niche may be maintained from embryonic to adult stages, although the functional role of non-specialized niche may differ between the aorta-gonad-mesonephros region and adult bone marrow. It is noteworthy that in the yolk sac, hemangioblasts, the common progenitors of blood cells and vascular endothelial cells, likely arise from the mesodermal monolayer above the basement membrane. In this regard, the developmental niche in the yolk sac differs structurally and functionally from that of the adult bone marrow. Concluding remarks A variety of niche components act together to regulate stem cells in a complex but concerted manner. Whether stem cells are regulated in an instructive fashion is an important issue in stem cell biology, particularly when we intend to manipulate stem cells. Action of specialized niche factors is possibly more instructive than is that of non-specialized niche factors. On the other hand, the regulation by non-specialized niche may be broader and systemic than that by the specialized niche. The niche supposedly maintains a quiescent state, determines cell fate and controls stem cell mobility. To determine how specialized and non-specialized niches contribute to these functions we must define molecular mechanisms underlying stem cell regulation in both 23 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. steady and dynamic states, such as developmental or regenerative processes. Once we know how the stem cells are regulated in physiological conditions or dysregulated in pathological conditions, new therapeutic strategies targeting stem cells can be designed that could be useful for stem cell-targeted cancer therapy or regenerative medicine. 24 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Acknowledgements We thank Fumio Arai for critical reading of the manuscript. This work was supported by Grants-in-Aid for Scientific Research (A) and (C), and Grants-in-Aid for Scientific Research on Innovative Areas in Japan. Authorship Contributions Hideo Ema wrote the manuscript. Toshio Suda wrote the manuscript. Disclosure of Conflicts of Interest The authors have no conflict of interest to declare. 25 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. References 1. Schofield R. The relationship between the spleen colony-forming cell and the haemopoietic stem cell. Blood Cells. 1978;4(1-2):7-25. 2. Lajtha LG. Stem cell concepts. Differentiation. 1979;14(1-2):23-34. 3. Ogawa M. Stochastic model revisited. Int J Hematol. 1999;69(1):2-5. 4. Xie T, Spradling AC. A niche maintaining germ line stem cells in the Drosophila ovary. Science. 2000;290(5490):328-330. 5. Moore KA, Lemischka IR. Stem cells and their niches. Science. 2006;311(5769):1880-1885. 6. Harrison DE, Jordan CT, Zhong RK, Astle CM. Primitive hemopoietic stem cells: direct assay of most productive populations by competitive repopulation with simple binomial, correlation and covariance calculations. Exp Hematol. 1993;21(2):206-219. 7. Weissman IL, Shizuru JA. 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Mesenchymal stem cells (MSCs), perivascular stromal cells, Cxcl12-rich reticular (CAR) cells, and sympathetic neurons together with Schwann cells constitute the perivascular niche surrounding endothelial cells. Macrophages and adipocytes may lie between these niches and influence HSC/niche interaction. Figure 2 Stem cells in the small intestine Representative architecture of a crypt in the small intestine. Quiescent stem cells, or label-retaining cells (infrequent cycling stem cells can be labeled with 3H thymidine or BrdU for a long time), reside immediately above the uppermost Paneth cell at the fourth position and express Bmi1. Cycling stem cells, or columnar basal cells, lie between Paneth cells at the bottom of a crypt and express Lgr5. Figure 3 Stem cells in the skin Stem cells in the basal layer of the interfollicular epidermis replenish the multi-layered 33 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. epithelium (spinous, granular, clear, and cornified layers). The hair follicle comprises the cycling (epithelial hair germ cell) and non-cycling (bulge, isthmus, infundibulum, and sebaceous gland) portion. The bulge is separated into upper, middle, and lower portions. Hair follicle stem cells in the bulge replenish hair, but also the sebaceous gland and interfollicular epidermis in response to injury. Figure 4 Stem cell number and niche Stem cell number is regulated by a niche composed of cells, ECM, and soluble factors, and also by positive and negative feedback loops from progenitors. Autocrine and paracrine loops may also regulate stem cell number. Figure 5 Basement membrane and niches Specialized and non-specialized niches are anatomically distinct in relation to the basement membrane (bm). The specialized niche in close proximity to stem cells arrays on the basement membrane in the epithelium. In concept, the specialized niche is composed of particular cell types directly regulating survival and proliferation of stem cells. The non-specialized niche, composed of numerous cell types widely distributed among connective tissues, directly or indirectly regulates stem cells in a region. (A) 34 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. ISCs and specialized niche cells, Paneth cells, form a monolayer of the epithelium on the basement membrane . The lamina propria under the basement membrane may function as the non-specialized niche. (B) IFSCs and specialized niche cells in the basal layer lie on the basement membrane of the epidermis. as a non-specialized niche. The dermis may function (C) Spermatogonia, lying on the basement membrane, give rise to spermatocytes and spermatids in the seminiferous epithelium of the testis. Sertoli cells most likely serve as specialized niche cells. Leydig cells, myoid cells, and vascular endothelial cells under the basement membrane may serve as a non-specialized niche. (D) In the bone marrow, the basement membrane is found underneath the vascular endothelium. HSCs do not lie on the basement membrane with endothelial cells. HSC lie among the non-specialized niche. 35 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Ema Fig. 1 Osteoblasts Osteoclast Macrophage Perivascular stromal cells Sympathetic nerve with Schwann cell Adipocyte MSC CAR Ang1 Wnt TPO SCF Cxcl12 Endothelial cells TGFβ 36 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Ema Fig. 2 Wnt Rspo1 +4 position Bmi1+ stem cell Paneth cell Lgr5+ stem cells BMP 37 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Ema Fig. 3 Interfollicular epidermis Hair shaft Epidermis Sebaceous gland Isthmus Upper Middle Bulge Lower Dermis Wnt BMP Hair germ Dermal papilla Shh 38 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Ema Fig. 4 Stem cell Progenitor Mature cell Positive feedback Niche e Negative feedback 39 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Ema Fig. 5 (A) Intestine bm Stem cell Paneth cell (B) Skin bm Stem cell (C) Testis bm Spermatogonium Sertoli cell Leydig cell Myoid cell (D) Bone marrow bm Stem cell Niche cells 40 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Prepublished online July 11, 2012; doi:10.1182/blood-2012-04-424507 Two anatomically distinct niches regulate stem cell activity Hideo Ema and Toshio Suda Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Advance online articles have been peer reviewed and accepted for publication but have not yet appeared in the paper journal (edited, typeset versions may be posted when available prior to final publication). Advance online articles are citable and establish publication priority; they are indexed by PubMed from initial publication. 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