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RESEARCH ARTICLE STEM CELLS AND REGENERATION

The carboxy-terminus of p63 links cell cycle control and the

proliferative potential of epidermal progenitor cells

Daisuke Suzuki1,2, Raju Sahu1,2,*, N. Adrian Leu1and Makoto Senoo1,2,‡

ABSTRACT

The transcription factor p63 (Trp63) plays a key role in homeostasis and regeneration of the skin. Thep63gene is transcribed from dual promoters, generating TAp63 isoforms with growth suppressive functions and dominant-negative ΔNp63 isoforms with opposing properties.p63also encodes multiple carboxy (C)-terminal variants. Although mutations of C-terminal variants have been linked to the pathogenesis of p63-associated ectodermal disorders, the physiological role of the p63 C-terminus is poorly understood. We report here that deletion of the p63 C-terminus in mice leads to ectodermal malformation and hypoplasia, accompanied by a reduced proliferative capacity of epidermal progenitor cells. Notably, unlike the p63-null condition, we find that p63 C-terminus deficiency promotes expression of the cyclin-dependent kinase inhibitor p21Waf1/Cip1 (Cdkn1a), a factor associated with reduced proliferative capacity of both hematopoietic and neuronal stem cells. These data suggest that the p63 C-terminus plays a key role in the cell cycle progression required to maintain the proliferative potential of stem cells of many different lineages. Mechanistically, we show that loss of Cα, the predominant C-terminal p63 variant in epithelia, promotes the transcriptional activity of TAp63 and also impairs the dominant-negative activity of ΔNp63, thereby controlling p21Waf1/Cip1 expression. We propose that the p63 C-terminus links cell cycle control and the proliferative potential of epidermal progenitor cells via mechanisms that equilibrate TAp63 andΔNp63 isoform function.

KEY WORDS: Cell cycle, Epithelia, Mouse, p21, p63, Proliferation, Stem cells

INTRODUCTION

Adult stem cells are capable of long-term self-renewal and differentiation, enabling their use as an important therapeutic approach in regenerative medicine (Green, 2008; Pellegrini et al., 2009; Rama et al., 2010). Epidermal stem cells are essential for maintaining homeostasis and regeneration of the skin, but the specific mechanisms that control their fate are not well understood (Bickenbach et al., 2006; Blanpain and Fuchs, 2009; Ghadially, 2012; Kaur, 2006; Watt and Jensen, 2009). We previously identified p63 (Trp63), a homolog of the tumor suppressor p53 (Trp53) (Osada et al., 1998; Schmale and Bamberger, 1997; Senoo et al., 1998; Trink et al., 1998; Yang et al., 1998), and showed that p63 deficiency leads to a loss of proliferative potential of epidermal stem

cells (Senoo et al., 2007). Indeed, p63-null mice display severe defects in epithelial development (Mills et al., 1999; Yang et al., 1999). Genetic studies suggest that mutations inp63contribute to the pathogenesis of a wide range of ectodermal dysplasias (EDs), characterized by ectodermal malformations and hypoplasias (Celli et al., 1999; Koster, 2010; Rinne et al., 2007; van Bokhoven and McKeon, 2002), and we have recently noted decreased p63 expression in chronic equine laminitis in which the proliferative epidermal layers appear dysplastic (Carter et al., 2011). Thus, it is clear that p63 plays a key role in both the normal physiology and pathophysiology of the epidermis.

The p63 gene is transcribed from dual promoters, generating TAp63 isoforms that contain a transactivation domain with growth suppressive functions (Guo et al., 2009) and dominant-negative ΔNp63 isoforms that lack this domain and exhibit opposing oncogenic properties (Keyes et al., 2011). Studies on isoform-specific knockout (KO) mice revealed that loss ofΔNp63 leads to the identical epidermal hypoplasia observed in p63-null mice (Romano et al., 2012). As ΔNp63 is the predominant isoform expressed in epidermal progenitor cells, including stem cells and transit-amplifying cells,ΔNp63 appears to play the major role in maintaining the proliferative potential of epidermal progenitors (Senoo, 2013). However, ΔNp63-specific KO mice also show an early onset of terminal differentiation (Romano et al., 2012) that is not observed in p63-null mice, suggesting that ΔNp63 normally counterbalances TAp63-driven differentiation and the consequent reduction in proliferative potential of epidermal stem cells. Notably, although TAp63-specific KO mice show grossly normal epidermal development, their isolated epidermal progenitor cells show reduced proliferative capacity in vitro (Su et al., 2009). These results suggest that TAp63 opposes ΔNp63 function, thereby preventing a premature reduction in proliferative potential. Thus, it is likely that p63 function reflects a cooperative effect between TAp63 andΔNp63 isoforms (Candi et al., 2006; Truong et al., 2006; Zhang et al., 2014).

Whereas the amino (N)-terminal functions of p63 are relatively well studied, carboxy (C)-terminal functions in vivo are poorly understood. By alternative splicing, thep63gene generates at least three C-terminus variants, termed Cα, Cβ and Cγ, for both the TAp63 and ΔNp63 isoforms (Yang et al., 1998). Notably, Cα uniquely harbors the sterile α-motif (SAM) domain ( p63SAM),

which is a protein-protein interaction domain (Qiao and Bowie, 2005; Thanos and Bowie, 1999), and the transcription inhibitory (TI) domain ( p63TI) (Serber et al., 2002). The significance of Cαis

evident from genetic studies ofp63-associated EDs, showing that mutations in either the p63SAM or p63TI domain or a complete

absence of Cα/β but not Cγ cause ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome, ectrodactyly-ectodermal dysplasia-clefting (EEC) syndrome and limb-mammary syndrome (LMS) (Barrow et al., 2002; Celli et al., 1999; Rinne et al., 2009; van Bokhoven et al., 2001). A recent study has shown that a point Received 30 September 2014; Accepted 14 November 2014

1

Department of Animal Biology, University of Pennsylvania School of Veterinary

Medicine, Philadelphia, PA 19104, USA.2Institute for Regenerative Medicine,

University of Pennsylvania, Philadelphia, PA 19104, USA.

*Present address: Department of Zoology, APC College, West Bengal State University, New Barrackpore, Kolkata, West Bengal 700131, India.

Author for correspondence (msenoo@vet.upenn.edu)

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mutation in the p63SAMdomain reduces the number of epidermal

progenitor cells (Ferone et al., 2012), highlighting the significance of Cαin regulating stem cell properties. However, how Cαexerts its function and the relative contribution of Cαin TAp63 andΔNp63 isoform functions remain largely unknown.

A precise coupling between cell proliferation and differentiation is required during embryonic development and self-renewal of adult tissues. The cyclin-dependent kinase (CDK) inhibitor p21Waf1/Cip1

(Cdkn1a) belongs to the Cip/Kip family of CDK inhibitors and was originally identified as a mediator of p53-induced growth arrest (El-Deiry et al., 1993; Harper et al., 1993). However, induction of p21Waf1/Cip1 in epidermal progenitor cells is independent of p53

function (Missero et al., 1995), indicating that alternative regulatory mechanisms are involved in this cell type. Indeed, accumulating evidence suggests that p63 can control p21Waf1/Cip1expression (Guo

et al., 2009; Su et al., 2013; Truong et al., 2006; Westfall et al., 2003) and, notably, p21Waf1/Cip1 itself acts as a negative regulator

of the proliferative potential of epidermal progenitor cells (Topley et al., 1999). However, whether p63 regulates p21Waf1/Cip1

expression in vivo to influence the proliferative potential of epidermal progenitor cells remains unknown.

To further investigate the global function of the p63SAMand p63TI

domains, we have generated mutant mice lacking Cα/β by gene targeting and found that homozygous mutant (referred to here as p63C−/−) mice show multiple phenotypes including ectodermal

hypoplasia, limb malformation and orofacial clefting. We further demonstrate that mice with p63 C-terminus deficiency show reduced cell cycle progression and enhanced p21Waf1/Cip1 expression in

epidermal progenitor cells, leading to their decreased proliferative capacity. Although the function of p63 is complex owing to the existence of multiple isoforms as well as inter- and intramolecular interactions, our present study shows that loss of Cαboth promotes transcriptional activity of TAp63 and reduces the dominant-negative activity ofΔNp63 in the control of p21Waf1/Cip1expression. Based

on these data, we propose that p63 links cell cycle control and proliferative potential of epidermal progenitor cells through C-terminus-dependent mechanisms that balance TAp63 and ΔNp63 isoform functions.

RESULTS

Generation of mice lacking the C-terminus of p63

The SAM and TI domains of p63 are encoded by exons 12-14 of the

p63gene (Fig. 1A). To generate mice lacking these two domains, we deleted exon 12 ofp63by gene targeting (supplementary material Fig. S1). This strategy allowed us to delete both p63SAMand p63TI

from Cα while leaving the Cγisoform intact, as it is encoded by alternative exon 10′(Fig. 1A). As Cαand Cβshare exon 12, these mice also lack full-length p63β isoforms. We confirmed that expression of both full-length Cαand Cβwas absent in homozygous mutant ( p63C−/−) mice, whereas expression of Cγ was similar

between p63C−/−mice and the wild-type (WT) control (Fig. 1B).

To analyze alternative splicing at the C-terminus resulting from the deletion of exon 12, we sequenced the fragments amplified from p63C−/−epidermal cell cDNA (Fig. 1B,C). Our data show that the

major transcript was encoded by exon 11 spliced to exon 13 (termed Cα′), while a minor transcript resulted from splicing of exon 11 to exon 14 (termed Cβ′). In both transcripts, stop codons appear shortly after the splicing sites by frameshift, resulting in the addition of only one and eight amino acids after exon 11, respectively (Fig. 1C; supplementary material Fig. S2). These Cα′ and Cβ′ isoforms in p63C−/−mice were collectively referred to as theΔC

isoform (Fig. 1D).

To determine whether targeting of exon 12 influencesp63gene promoter activities, we performed qPCR using TAp63- and ΔNp63-specific primers (Fig. 1E). Our data show that relative expression of TAp63 andΔNp63 was unchanged in p63C−/−mice

compared with WT littermates, indicating that the manipulation of thep63locus at the distal region does not affectp63gene promoter activities.

We next investigated p63 protein expression in p63C−/−mice by

western blot (Fig. 1F). AsΔNp63αis the predominant p63 isoform expressed in WT epidermal cells, the major p63 isoform detected in p63C−/−keratinocytes likely represents theΔNp63 isoform lacking

Cα (hereafter refered to as ΔNp63ΔC). Together, these data demonstrate that p63C−/− mice lack both p63SAM and p63TI

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domains from Cαwithout significant changes to either p63gene Fig. 1. Alterative splicing at the p63 C-terminus in p63C−/−mice. (A) Structure and splicing of the p63 C-terminus in WT andΔCp63alleles. Arrowheads indicate stop codons in each isoform. The p63SAMand p63TI domains are illustrated. Exons are numbered. (B) Expression of p63 C-terminus variants in WT and p63C−/−epidermis as assessed by PCR. p63C−/−

epidermal cells predominantly express Cα′, which lacks both the p63SAMand p63TIdomains, whereas WT cells express full-length Cα. (C) Sequencing of Cαand Cβexpressed in p63C−/−mice. Stop codons are underlined. Arrows in A indicate the primer pair used to amplify the Cαand Cβsplicing variants. (D) Structure of p63 isoforms expressed in WT and p63C−/−mice. p63Cα′and p63Cβ′isoforms are collectively referred to as p63ΔC. DBD, DNA-binding domain; OD, oligomerization domain. (E) qPCR analysis of the N-terminus of thep63gene in WT and p63C−/−epidermal cells. Shown is expression of

TAp63 relative toΔNp63, with theΔNp63 level in WT being set to 1.0. Error bars indicate s.d. (F) Western blot with anti-p63 antibody of E14.5 whole epidermal cell extracts from WT, p63C−/−and p63C+/−mice. Asterisk indicates non-specific signal. Full, full-lengthΔNp63α;ΔC,ΔNp63ΔC.

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promoter activity or p63γisoform expression. Thus, p63C−/−mice

are useful for elucidating the function of Cα/βin the context of both the TAp63 andΔNp63 isoforms.

Craniofacial and skeletal phenotypes in p63C−/−mice Heterozygous mutant ( p63C+/−) mice were grossly normal and

fertile. Although homozygotes were born at near Mendelian ratios ( p63C+/+:p63C+/−:p63C−/−=27.9%:43.7%:28.4%, n=197) they

died shortly after birth due to a significant loss of the skin, resulting in dehydration and neglect by mothers. Although this neonatal lethality is similar to that observed inp63-null mice (Mills et al., 1999; Yang et al., 1999), we noted that craniofacial defects in p63C−/−embryos were less significant than those inp63-null mice

(Fig. 2A). Whereas allp63-null mice show both cleft lip and cleft palate, some p63C−/−embryos (35%,n=23) lack cleft lip although

cleft palate is still evident (Fig. 2B). Asp63-null mice used in this

study were generated in parallel with p63C−/− mice in the same

genetic background (supplementary material Fig. S3), these data indicate that p63C−/− and p63-null mice are phenotypically

different and highlight the functional significance of the p63 C-terminus during embryonic development.

Skeletal analysis of whole embryos revealed further differences between p63-null and p63C−/− mice. Consistent with previous

studies (Mills et al., 1999; Yang et al., 1999),p63-null embryos exhibit severely impaired forelimb development and a complete absence of hindlimbs (Fig. 2C). By contrast, both fore- and hindlimbs in p63C−/−embryos were more developed (Fig. 2C,D).

For example, the majority of forelimbs in p63C−/− mice (81%,

n=42) show grossly normal development of the humerus and ulna, although the radius is lacking, with either syndactyly or ectrodactyly (Fig. 2D). Strikingly, in 75% of p63C−/−mice (n=52), hindlimbs

show normal femur development (Fig. 2D). The frequency of mice showing development of further hindlimb structure was lower; however, 23% and 8% of p63C−/− embryos showed

relatively normal development of tibia and fibula, respectively (Fig. 2D). Approximately 14% of p63C−/− embryos developed

digits with either syndactyly or ectrodactyly (Fig. 2D). Together, these data indicate that, in contrast to thep63-null condition, p63ΔC proteins support the initial development of limbs but that alterations in p63 C-terminus function restrict further progression of limb development.

Epidermal phenotypes in p63C−/−mice

Normal development of limbs requires a close interplay between the ectoderm and underlying mesenchyme (Johnson and Tabin, 1997). As described above, p63C−/−embryos show more advanced limb

development thanp63-null mice, suggesting that epidermal cells in p63C−/− embryos are still capable of supporting

epithelial-mesenchymal interactions. Indeed, macroscopic examination revealed that, whereas p63-null embryos are translucent and devoid of epidermis by embryonic day (E) 17.5 (supplementary material Fig. S3C,D), skin covered 60-80% of the body of p63C−/−

embryos at the same developmental stage, although it was severely eroded (Fig. 3A). Microscopic analysis using Hematoxylin and Eosin (H&E) staining showed that p63C−/− mouse epidermis is

hypoplastic and significantly thinner than that of WT littermates and lacks hair follicle development (Fig. 3B,C).

To characterize epidermal cell differentiation in p63C−/−embryos,

we stained sections of the epidermis with markers of basal cells [cytokeratin 14 (K14; also known as keratin 14, Krt14) and K5], a marker of the spinous layer (K10) and markers of terminally differentiated epithelium (loricrin and involucrin) (Eckert and Green, 1986; Freedberg et al., 2001; Hohl et al., 1991; Ivanyi et al., 1989). Our data show that marker expression was comparable in p63C−/−

and WT epidermis (Fig. 3D), suggesting that the hypoplastic epidermis in p63C−/−mice is not due to a block in differentiation.

Notably, however, staining of E15.5 epidermis with anti-p63 antibody showed that, whereas a large number of p63-positive cells were found in the suprabasal layer of WT epidermis, the majority of p63-positive cells in p63C−/−mice remained in the basal

layer (Fig. 3D, top). This hypoplastic characteristic of progenitor cells was also seen in other epithelial tissues in p63C−/− mice

(supplementary material Fig. S4). For instance, developing eyelids remained thinner and unfused in p63C−/−mice, whereas the eyelids

[image:3.612.95.251.258.627.2]

of WT littermates are densely populated by p63-positive epithelial progenitor cells and are completely fused at the midline. Likewise, dental epithelial progenitors expand and develop into a large number of outer and inner enamel epithelia of the molar in WT Fig. 2. Craniofacial and skeletal abnormalities in p63C−/−mice.(A) Gross

appearance of the head of E17.5 WT, p63C−/−andp63-null mice. Whereas

p63-null mice show cleft lip, p63C−/−mice frequently lack this characteristic as

indicated by asterisks. (B) H&E staining of coronal sections of E17.5 WT and p63C−/−mouse heads showing the absence and presence, respectively, of cleft of the secondary palate. nc, nasal cavity; p, palatal shelf; t, tongue. Scale bar: 250 µm. (C) Skeletal staining of E17.5 WT, p63C−/−andp63-null mice

showing relatively well developed forelimbs and hindlimbs in p63C−/−mice compared with those inp63-null mice. (D) Enlarged views of forelimbs and hindlimbs of WT and p63C−/−mice. s, scapula; h, humerus; r, radius; u, ulna;

d, digits; fe, femur; fi, fibula; t, tibia.

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embryos, but they remain in only a few cell layers in p63C−/−mice.

Together, these data indicate that epithelia remain hypoplastic in many tissues of p63C−/− mice due to reduced expansion of

epithelial progenitor cells.

We have shown previously that phosphorylation of serine residues at position 66/68 ofΔNp63 is associated with expansion of epidermal progenitor cells (Suzuki and Senoo, 2012, 2013). To determine whether S66/68 phosphorylation of ΔNp63 is reduced in p63C−/−

epidermal cells, we co-stained E15.5 epidermis with anti-pan-p63 and anti-S66/68 antibodies (Fig. 3E). Our data show that, whereas virtually all basal cells in WT epidermis exhibit relatively high levels of S66/68 phosphorylation, the majority of p63-positive cells in

p63C−/− mice were low to negative for this marker (Fig. 3E,F),

suggesting that epidermal progenitor cells in p63C−/−mice are less

proliferative than those in the WT control. We extended our analysis of S66/68 phosphorylation to tongue epithelium, another epithelial tissue showing hypoplasia in p63C−/− mice, and obtained similar

results (supplementary material Fig. S5A).

To determine whether increased apoptosis promotes the hypoplastic epidermis observed in p63C−/− mice, we stained

sections prepared from p63C−/−and WT embryos with anti-cleaved

caspase 3 antibody. However, no evidence of enhanced apoptosis in p63C−/− mouse epidermis was detected at E15.5 (supplementary

material Fig. S6), indicating that increased apoptosis does not account for the hypoplastic epidermis of p63C−/−mice. Collectively, these

data demonstrate that the C-terminus of p63 plays a crucial role in regulating the expansion of epidermal progenitor cells but is dispensable for their differentiation and survival.

Decreased proliferative capacity of epidermal progenitor cells in p63C−/−mice

Having excluded obvious alterations in differentiation and apoptosis, we next investigated whether hypoplastic epidermis in p63C−/− embryos is accompanied by decreased proliferation of

epidermal progenitor cells. We first investigated the proliferation of p63C−/−epidermal progenitor cellsin vivoby injecting BrdU into

pregnant mice of p63C+/− intercrosses 2 h prior to sacrifice,

followed by sectioning and staining of WT and p63C−/− mouse

epidermis with anti-p63 and anti-BrdU antibodies (Fig. 4A). Notably, our data show that the relative frequency of p63+BrdU+

epidermal progenitor cells was significantly lower in p63C−/−mice

than in WT littermates at E15.5 (Fig. 4B), indicating that the C-terminus of p63 is crucial for the proliferation of epidermal progenitors.

Next, to determine the long-term consequence of loss of the p63 C-terminus for the proliferative capacity of epidermal progenitor cells, we isolated epidermal cells from E14.0 WT and p63C−/−

embryos and cultured them at clonal density in a defined keratinocyte medium. Our data show that, in contrast to the densely packed and highly proliferative WT keratinocytes, p63C−/−

keratinocytes became large and flattened within the first few days, with reduced growth as determined by Ki67 staining and high expression of involucrin (Fig. 4C,D). These data are consistent with our in vivo observation that p63C−/− epidermal cells undergo

premature differentiation with a reduced ability to propagate into suprabasal cell populations (Fig. 3D,E). Accordingly, extended cultivation of these keratinocytes showed that, whereas WT cells grew into large clones, p63C−/− cells did not yield any

macroscopically visible clones at 3 weeks of culture as determined by Rhodamine B staining (Fig. 4E). Together, these data indicate that p63C−/−epidermal progenitor cells have a reduced proliferative

capacity compared with their WT counterparts.

Increased expression of p21Waf1/Cip1in epidermal progenitor

cells of p63C−/−mice

As epidermal progenitor cells in p63C−/− mice showed reduced

cell cycle progression (Fig. 4), we next investigated expression of the CDK inhibitor p21Waf1/Cip1, a well characterized downstream

target of p63 (Su et al., 2013) with growth suppressive function in keratinocytes (Di Cunto et al., 1998; Missero et al., 1996). We first stained sections of E15.5 WT and p63C−/− epidermis with

anti-p21Waf1/Cip1 antibody and found that, unlike the WT control,

p63C−/−epidermis had a high frequency of epidermal cells with

[image:4.612.52.298.57.411.2]

high p21Waf1/Cip1 expression (Fig. 5A). We confirmed that

Fig. 3. Epidermal hypoplasia in p63C−/−mice.(A) Representative E17.5 WT and p63C−/−mouse embryos (top) and an enlarged view of the p63C−/−mouse

abdomen showing severe skin erosion (bottom). (B) H&E staining of E17.5 WT and p63C−/−mouse epidermis. Note that p63C−/−mouse epidermis is significantly thinner than that of WT and lacks hair follicle development. (C) Changes in epidermal thickness during development (mean±s.d.). *P<0.01; n.s., not significant. (D) Immunofluorescence of WT and p63C−/− mouse epidermis with the indicated antibodies, counterstained with Hoechst 33342 (DNA, blue). Arrows indicate p63-positive cells expanding into the suprabasal layers in WT epidermis. Lori, loricrin; Inv, involucrin. (E) Immunofluorescence of E15.5 WT and p63C−/−mouse epidermis with anti-p63 and anti-phosphorylated anti-p63 ( panti-p63) antibodies, counterstained with Hoechst 33342. Arrows indicate high p63-positive cells with low phosphorylation in the basal layer of the p63C−/−mouse epidermis.

(F) Western blot of whole epidermal cell extracts from E15.5 WT and p63C−/− mice. The membrane was probed first with anti-pp63 antibody, stripped and then reprobed with anti-pan-p63 antibody. Full, full-lengthΔNp63α;ΔC, ΔNp63ΔC. Scale bars: 50 µm.

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expression of p21Waf1/Cip1was significantly higher in p63C−/−

mice than in WT littermates by western blot using whole epidermal cell extracts (Fig. 5B). Expression of p53, a strong activator of p21Waf1/Cip1expression, was undetectable in epidermal cells from

either p63C−/− or WT mice (supplementary material Fig. S7),

indicating that increased expression of p21Waf1/Cip1 in p63C−/−

mice is not due to dysregulated p53 expression. We also showed that expression of two other closely related CDK inhibitors, p27Kip1(Cdkn1b) and p57Kip2(Cdkn1c), was similar in p63C−/−

and WT mice (Fig. 5B). Asp57Kip2is a known p63 target gene (Beretta et al., 2005; Su et al., 2009), these data indicate that alterations to p63 C-terminus function selectively influence a subset of p63 target genes.

To determine whether the increase in p21Waf1/Cip1expression in

p63C−/−mice is specific to the skin epidermis or is common to other

epithelia, we performed additional staining of sections of WT and p63C−/− mouse esophagus, a tissue that expresses high levels of

p63. Like epidermis, the esophageal epithelium in p63C−/− mice

exhibited high p21Waf1/Cip1 expression, whereas cells with

detectable p21Waf1/Cip1 levels in WT mice were rare (Fig. 5C).

These data suggest that an increase in p21Waf1/Cip1 expression in

p63C−/−mice is common among different epithelial cell types that

normally express p63.

Finally, our data further show that esophageal epithelial cells in

p63-null mice had no detectable p21Waf1/Cip1expression (Fig. 5C),

indicating that increased expression of p21Waf1/Cip1in p63C−/−mice

does not result from the loss of function of p63 but is instead likely to reflect altered functions of p63ΔC isoforms. Collectively, these data suggest that p63ΔC proteins, in the context of either the TAp63 orΔNp63 isoform or a combination of both, promote p21Waf1/Cip1

expression in p63C−/−epithelia.

Cαbalances TAp63 andΔNp63 functions in the control of p21Waf1/Cip1expression

To gain insight into how deletion of the p63 C-terminus promotes

p21Waf1/Cip1 expression, we first compared the transcriptional

activity of TAp63ΔC with that of other TAp63 isoforms in the non-small cell lung carcinoma cell line H1299 using a minimal p21Waf1/Cip-luciferase reporter construct that harbors the p63/p53

binding site (Suzuki et al., 2012). H1299 cells are ideal for our study as they have a homozygous deletion of the p53 gene with no detectable endogenous p63 expression and thus inducep21Waf1/Cip1 gene expression in response to ectopic p63 (Zeng et al., 2002).

Unlike TAp63α, our data show that TAp63ΔC upregulates p21Waf1/Cip1reporter activity to a similar extent as transcriptionally

active TAp63βand TAp63γisoforms (Fig. 6A). We also show that the stimulation of the p21Waf1/Cip1 reporter reflects endogenous

p21Waf1/Cip1expression at both mRNA and protein levels (Fig. 6B,C).

[image:5.612.52.300.54.293.2]

This raises the possibility that the loss of the p63 C-terminus enhances the total activity of TAp63 in stimulatingp21Waf1/Cip1gene expression in p63C−/−mice as compared with the WT control. However, as

Fig. 4. Reduced proliferative capacity of p63C−/−epidermal cells. (A) Immunofluorescence of E15.5 WT and p63C−/−mouse epidermis with anti-BrdU and anti-p63 antibodies, counterstained with Hoechst 33342. Arrows indicate representative p63+BrdU+epidermal progenitor cells. Dotted lines

indicate the epidermal-dermal border. (B) Quantification of A (mean±s.e.m.). *P<0.01. (C) Epidermal cells were isolated from E14.0 WT and p63C−/−mouse embryos, seeded at clonal density in Matrigel-coated dishes and cultivated for 7 days. Inset shows high expression of involucrin (red) in p63C−/−epidermal

cells, which is absent in the WT counterpart. Nuclei were counterstained with Hoechst 33342. (D) Proliferation of WT and p63C−/−mouse epidermal cells at day 5 of cultivation. Shown are percentages of CK+Ki67+epidermal cells (mean±s.e.m.). *P<0.01. CK refers to pan-cytokeratin. (E) Staining of WT and p63C−/−mouse epidermal cells with Rhodamine B at 3 weeks of culture. No macroscopically visible clones were detected in p63C−/−cell cultures. Scale bars: 25 µm in A,C; 1 cm in E.

Fig. 5. Upregulation of p21Waf1/Cip1expression in p63C−/−mouse epithelia.(A) Immunofluorescence of E15.5 WT and p63C−/−mouse epidermis with anti-p21Waf1/Cip1and anti-pan-cytokeratin (CK) antibodies, counterstained with Hoechst 33342. Dotted lines indicate epidermal-dermal border. (B) Western blot of whole epidermal cell extracts from E15.5 WT and p63C−/−mice with the antibodies to p21Waf1/Cip1, p27Kip1and p57Kip2. Anti-Tubulinαantibody was used as a loading control. (C) Immunohistochemistry of mouse esophagus with anti-p63 (left) and anti-p21Waf1/Cip1(right) antibodies. Data shown are representative of WT and p63C−/−mice at E15.5 andp63-null

mice at E17.5. Arrows indicate epidermal cells with high p21Waf1/Cip1 expression. Scale bars: 25 µm in A; 50 µm in C.

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ΔNp63αnormally counterbalances TAp63-dependent transcriptional activity in a WT setting (Yang et al., 1998), we next determined whether ΔNp63ΔC has an impaired dominant-negative activity against TAp63γand TAp63ΔC, two transcriptionally active TAp63 isoforms expressed in p63C−/−mice. Indeed, our data show that,

whereas ΔNp63α inhibited both TAp63β- and TAp63γ-dependent transcriptional activation of the p21Waf1/Cip1 reporter in a

dose-dependent manner, ΔNp63ΔC lacked such ability against both the TAp63γ and TAp63ΔC isoforms (Fig. 6D). We confirmed that changes in p21Waf1/Cip1 reporter activity correlated with those of

endogenous p21Waf1/Cip1expression at both the mRNA and protein

levels (Fig. 6E,F). We conclude that Cαbalances TAp63 andΔNp63 isoform functions in the control of p21Waf1/Cip1expression.

DISCUSSION

Studies of mice deficient for p63 have shown that it is a key regulator of ectodermal development (Mills et al., 1999; Yang et al., 1999). In humans, mutations in thep63gene (TP63) cause at least seven syndromic and non-syndromic disorders, each with different combinations of ectodermal dysplasia, split hand/foot malformation

and orofacial clefting (Rinne et al., 2007). Our data show that p63C−/− mice exhibit all of these characteristics (Figs 2 and 3),

indicating that the C-terminus is central to p63 function during embryonic development. Cα is frequently mutated or deleted in AEC patients and indeed p63C−/−mice show AEC-like severe skin

erosion and fragility (Fig. 3A). However, the presence of abnormalities in orofacial and limb development in p63C−/−mice

[image:6.612.52.300.55.293.2]

indicates that they will also be useful for assessment of additional p63-associated disorders. Specifically, relatively rare mutations that lead to the generation of p63ΔC-like proteins are found in patients with EEC syndrome and LMS, both of which exhibit the three p63-associated characteristics mentioned above (Celli et al., 1999; van Bokhoven et al., 2001). Our studies reveal that loss of Cαleads to the dysregulation of both TAp63 and ΔNp63 isoform functions (Fig. 6). Although these changes can be explained by the loss of function of the TI domain, the SAM domain also plays a key role in regulating p63 functionin vivo(Ferone et al., 2012). Thus, it will be important to determine the specific roles of the p63SAMand p63TI

domains and whether a mutation in one domain affects the function (s) of the other during development. Answering these questions will contribute to our understanding of the molecular mechanisms underlying p63-associated EDs.

As a member of the p53 family of transcription factors, p63 is likely to carry out its function through controlling the expression of genes that are crucial for stem cell properties (Yang et al., 2006). p21Waf1/Cip1is one of the best-characterized downstream targets of

p63, and the growth-suppressing function of this CDK inhibitor is well established. However, how p21Waf1/Cip1expression is regulated

in epidermal progenitor cells in vivo remains an open question (Ohtani et al., 2007). In the present study, we found that p63 can regulatep21Waf1/Cip1gene expression through a mechanism that is dependent on the function of the p63 C-terminus. Our data suggest that the p63 C-terminus regulates the functional equilibrium between TAp63 and ΔNp63 isoforms in controlling target gene expression (Fig. 6). However, as p63C−/− epidermal cells show

significantly elevated levels of p21Waf1/Cip1but not of the closely

related p63 target p57Kip2(Beretta et al., 2005; Su et al., 2009), our

studies indicate that the p63 C-terminus influences only a subset of downstream target genes. Further investigation of the mechanistic basis for this effect will provide significant insight into stem cell regulatory pathways governed by p63.

Notably, p21Waf1/Cip1 KO mice have an increased number of

epidermal progenitor cells with high proliferative potential compared with WT mice (Topley et al., 1999), indicating that p21Waf1/Cip1plays

a key role in restricting the proliferative capacity of epidermal progenitors. The function of p21Waf1/Cip1in stem cell maintenance is

operative in other cell types, including hematopoietic and neuronal progenitor cells (Cheng et al., 2000; Kippin et al., 2005). However, as these cells do not express p63, it would be interesting to investigate whether cell type-specific regulators of stem cell maintenance (Lessard and Sauvageau, 2003; Molofsky et al., 2003; Park et al., 2003) are involved in the regulation of p21Waf1/Cip1expression. We

show in the present study that epidermal progenitor cells derived from p63C−/− mice have reduced proliferative capacity with enhanced

p21Waf1/Cip1expression (Figs 4 and 5). Thus, a connection has been

established between p63 C-terminus functions and cell cycle progression in control of the proliferative potential of epidermal progenitor cells. However, as we have reported previously, a complete absence of all p63 isoforms also reduces the proliferative capacity of epidermal progenitor cells (Senoo et al., 2007). Thus, it is likely that alternative pathways exist by which p63 regulates the proliferative potential of epidermal progenitor cells independently of p21Waf1/Cip1

Fig. 6. Altered p63ΔC functions in control of p21Waf1/Cip1expression. (A-C) Stimulation of p21Waf1/Cip1expression by TAp63ΔC. H1299 cells were transfected with 1.0 µg plasmid expressing each p63 isoform. Samples were prepared 24 h after transfection. (A) Reporter assays using the minimal p21Waf1/Cip1reporter (mean±s.d.). RLU, relative light unit. (B) qPCR analysis of endogenousp21Waf1/Cip1gene expression. Values are mean±s.d. with the basal level set to 1.0. *P<0.05. (C) Western blot with anti-p63 and anti-p21Waf1/Cip1antibodies. (D-F) Loss of dominant-negative activity of ΔNp63ΔC against TAp63-dependent transactivation ofp21Waf1/Cip1. (D) Reporter assays using the minimal p21Waf1/Cip1reporter. H1299 cells were transfected with 0.3 µg TAp63 plasmid alone or together with an increasing amount ofΔNp63 plasmid at ratios of 100:1 or 30:1 and cells were lysed 24 h after transfection. Data shown are mean±s.d. Transactivation by TAp63 alone was set to 1.0. (E) qPCR analysis of endogenousp21Waf1/Cip1gene expression. H1299 cells were transfected with 1.0 µg TAp63 plasmid alone or together withΔNp63 plasmid at a 50:1 ratio and RNA was extracted 24 h after transfection. Values are mean±s.d. with the basal level set to 1.0. *P<0.05. (F) Western blot analysis of p21Waf1/Cip1expression. H1299 cells were transfected with 1.0 µg TAp63 plasmid alone or together withΔNp63 plasmid at a 20:1 ratio and cells were lysed 36 h after transfection. The same cell extracts were used to verify expression of each p63 isoform (top). (C,F) Anti-tubulinαantibody was used as a loading control.

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function. Deciphering gene programs altered by p63 C-terminus deficiency versus total loss of p63 function will provide further insight into the molecular mechanisms that regulate proliferative potential.

Finally, cell proliferation and differentiation are coupled during embryonic development and in self-renewing tissues of the adult, including the skin. Skewing this balance toward proliferation can cause tumorigenesis (Owens and Watt, 2003; Perez-Losada and Balmain, 2003). In this regard, p63 and p21Waf1/Cip1might share

common tumor-suppressive machineries. For instance, loss of p21Waf1/Cip1cooperates withRasoncogene (Hras) in the induction

of aggressive and relatively undifferentiated tumorsin vivo(Missero et al., 1996). Conversely, Ras-driven transformation of p53-deficient cells is counteracted by ectopic expression of TAp63 in a p21Waf1/Cip1-dependent manner (Guo et al., 2009), whereas the ΔNp63 isoform cooperates with Rasto promote tumor-initiating stem-like proliferation (Keyes et al., 2011). It will be important to determine the molecular mechanisms by which p63 and loss of p21Waf1/Cip1 cooperate in the regulation of genes required for the

proliferative potential of epidermal progenitor cells versus those favoring malignant transformation. Thus, an exciting area of future study is the close interplay between the classical cell cycle and stem cell pathways in the control of self-renewal and tumorigenesis of epithelia.

MATERIALS AND METHODS Animals

All procedures were performed in accordance with a protocol approved by the Institutional Animal Care and Use Committee at the University of Pennsylvania. For staged embryos, the day of the vaginal plug was designated E0.5.

Generation of p63C−/−mice

Genomicp63 DNA was isolated from BAC clones (Children’s Hospital Oakland Research Institute, Oakland, CA, USA). The targeting vector consists of a 3.2 kbHindIII/HincII homologous fragment containing exon 11 followed by a PGK-NeoRcassette flanked byloxPsites and a 2.3 kb homologous fragment containing exon 13, and a PGK-TK cassette at the 3′-end. Gene targeting was performed in V6.5 (129×B6 F1 hybrid) embryonic stem cells (ESCs) (Eggan et al., 2001). Two correctly targeted ESC clones were microinjected into C57BL/6 blastocysts to obtain chimeric mice. Male chimeras were mated to female C57BL/6 mice to achieve germline transmission of the targeted (Neo) allele and heterozygous mutant mice were crossed with Actβ-Cre transgenic mice in a FVB/N background (Jackson Labs) to remove the Neo cassette (ΔNeoallele). Genotyping of progeny was performed by PCR using tail DNA and theNeoandΔNeo allele andCretransgene primers listed in supplementary material Table S1. Mutant mouse colony was maintained by intercrossing heterozygous mice in the absence of the Actβ-Cre transgene

Generation ofp63-null mice

Mice deficient for all p63 isoforms were generated and maintained in the same genetic background as described above. The 5′ homologous arm included a 5.0 kb fragment extending to the end of the coding sequences of

p63 exon 5, ligated in frame to a start codon (ATG)-depleted EGFP expression cassette derived from pEGFP-N1 (BD Biosciences). A 4.2 kb

SphI fragment harboringp63exons 8 and 9 was used as the 3′homologous arm. Mutantp63alleles were identified by PCR using tail DNA and the primer pairs listed in supplementary material Table S1.

Southern blot

Genomic DNA was digested with restriction enzymes, separated in 0.8% agarose gels and transferred to nylon membranes (Sigma-Aldrich). To confirm homologous recombination at the C-terminus of p63, 1.4 kb and a 560 bp genomic fragments outside the targeting vector were radiolabeled

with [32P]dCTP (GE Healthcare) using the Rediprime II DNA Labeling System (GE Healthcare) and used as probes. To confirm homologous recombination at the p63 DNA-binding domain, 600 bp and 350 bp genomic DNA fragments outside the targeting vector were radiolabeled and used as probes.

Skeletal staining

Skeletal staining was performed as previously described (Wallin et al., 1994) with some modifications. Briefly, embryos were eviscerated and the skin removed, then fixed in 95% ethanol for 5 days and then in 100% acetone for an additional 2 days at room temperature. Specimens were incubated in staining solution (0.015% Alcian Blue and 0.005% Alizarin Red S in 90% ethanol and 5% acetic acid) for 3 days at 37°C. Subsequently, specimens were rinsed in water and kept in 1% KOH for 2 days at room temperature, followed by clearing in a series of 0.8% KOH/20% glycerol, 0.5% KOH/50% glycerol and 0.2% KOH/80% glycerol for 3-5 days each. After complete clearing, specimens were stored in 100% glycerol.

Antibodies

The primary antibodies used in this study were mouse anti-p63 (4A4, Santa Cruz Biotechnology; 1:250), rabbit anti-phosphorylated p63 (#4981, corresponding to S66/68 ofΔNp63α, Cell Signaling Technology; 1:100), mouse anti-p21Waf1/Cip1 (F-5, Santa Cruz Biotechnology; 1:50 for

immunohistochemistry and immunofluorescence, and 1:300 for western blotting), mouse anti-p27Kip1( p27/Kip1, BD Biosciences; 1:2000), rabbit

anti-p57Kip2 (NBP1-61640, Novus Biologicals; 1:2000), mouse anti-p53

(PAb421, EMD Millipore; 1:2000), rabbit anti-mouse Ki67 (NB600-1209, Novus Biologicals; 1:50), rat BrdU (ICR1, Abcam; 1:100), rabbit cleaved caspase 3 (5A1E, Cell Signaling Technology; 1:200), rabbit anti-cytokeratin 5 (EP1601Y, Abcam; 1:4000), mouse anti-anti-cytokeratin 14 (LL001, Santa Cruz Biotechnology; 1:300), mouse anti-cytokeratin 10 (RSKE60, Abcam; 1:400), rabbit loricrin (PRB-145, Covance; 1:1000), mouse anti-involucrin (SY5, NeoMarkers; 1:1000), mouse anti-pan-cytokeratin (AE1/ AE3, Thermo Fisher Scientific; 1:200), rabbit anti-pan-cytokeratin (PA521985, Thermo Fisher Scientific; 1:100) and mouse anti-tubulin α (12G10, Developmental Studies Hybridoma Bank, University of Iowa, Iowa City, IA, USA; 1:500). Secondary antibodies used for immunofluorescence were Alexa 488-goat anti-mouse IgG, Alexa 488-goat anti-rabbit IgG, Alexa 594-goat anti-mouse IgG and Alexa 594-goat anti-rabbit IgG (Molecular Probes). When a combination of mouse and rat primary antibodies was used, pre-adsorbed DyLight 594-goat anti-mouse IgG and pre-adsorbed DyLight 488-goat anti-rat IgG antibodies (Abcam) were used to avoid cross-reactivity. For DAB staining and western blot, horseradish peroxidase (HRP)-conjugated goat anti-mouse IgG (KPL) and HRP-conjugated goat anti-rabbit IgG (Cell Signaling Technology) were used.

Immunohistochemistry

Tissues were fixed in 10% buffered formalin overnight at 4°C. Paraffin-embedded sections were cut into 6 µm sections and antigen retrieval was performed by incubating the slides in 0.01 M citric acid buffer ( pH 6.0) at 95°C for 20 min. Sections were then blocked with 10% fetal bovine serum (FBS) (Atlanta Biologicals) at room temperature for 30 min. Cultured epidermal cells were fixed in 10% buffered formalin for 10 min and permeabilized in 0.1% Triton X-100 in phosphate buffered saline (PBS) for 5 min, followed by blocking at room temperature for 30 min. Subsequently, samples were incubated with primary antibodies overnight at 4°C. After three washes in PBS containing 0.1% Tween 20, samples were incubated with either fluorescently labeled secondary antibodies for 1 h at room temperature followed by counterstaining with Hoechst 33342 (Molecular Probes), or HRP-conjugated secondary antibodies followed by detection of the antigens using a DAB reagent kit (KPL).

BrdU labeling and detection

Pregnant mice received an intraperitoneal injection of 100 mg/kg body weight 5-bromo-2′-deoxyuridine (BrdU) (BD Biosciences). Two hours after injection, embryos were collected, fixed, dehydrated and embedded in paraffin blocks. Sections were treated with 2 N HCl for 10 min at 37°C and

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washed three times in PBS, followed by treatment with 0.025% trypsin for 15 min at 37°C. Staining was then performed as described (Suzuki and Senoo, 2013).

Western blot

Cells were lysed in a protein lysis buffer containing 50 mM Tris-HCl ( pH 6.8), 5% 2-mercaptoethanol, 2% sodium dodecyl sulfate, 10% glycerol, 1 mM phenylmethanesulfonyl fluoride and 1 mM sodium orthovanadate. After boiling for 5 min, whole cell extracts were subjected to 8-12% SDS-PAGE followed by western blot.

Cell culture

Human embryonic kidney 293T (HEK293T) cells and human lung carcinoma H1299 cells were grown in DMEM containing 10% FBS, 10 U/ml penicillin and 100μg/ml streptomycin in a humidified chamber at 37°C with 5% CO2. Primary epidermal cells were isolated from

E14.0 mouse embryos. Briefly, embryos were collected into 1.5 ml microcentrifuge tubes and incubated in 0.25% trypsin at 37°C for 20 min with gentle agitation every 5 min without disrupting embryo structures. Cell suspensions were transferred into new tubes, neutralized and centrifuged at 1000 rpm (180g) for 5 min. Cells were then suspended in CnT-57 basal keratinocyte medium supplemented with growth supplements (Cellntec) and 1×105cells were seeded onto 35 mm dishes coated with Matrigel (BD

Biosciences) and incubated at 37°C with 5% CO2. After 3 weeks of culture,

epidermal cell clones were fixed in 10% buffered formalin and visualized by staining with 1% Rhodamine B (Sigma-Aldrich).

qPCR and RT-PCR

Total RNA was purified using Trizol reagent (Life Technologies) and 1 µg was reverse transcribed using the ProtoScript M-MuLV First Strand cDNA Synthesis Kit (New England BioLabs). Real-time PCR was performed using SYBR Green Master Mix (Life Technologies) in an ABI 7900 HT machine. Relative expression of each gene to the housekeeping geneRps18 orGAPDHwas determined by theΔΔCt method. Primer sequences used for qPCR are listed in supplementary material Table S1.

To analyze alternative splicing at the p63 C-terminus in p63C−/−mice, epidermal cell cDNAs were amplified with a primer pair Exon 11-forward and Exon 14-reverse. PCR products were separated in 1.2% agarose gels and DNA fragments corresponding to Cα′(494 bp) and Cβ′(400 bp) were purified and directly sequenced with primer 5′-GTGAGCCAGCTTATCAACCC-3′. Note that although the Exon 11-forward/Exon 14-reverse primer pair is also able to detect Cβtranscripts, they were below detection level in WT mice, probably owing to low expression and competition with Cαtranscripts. Therefore, a second primer pair was used to detect Cβtranscripts: Exon 6-forward and Exon 12/14-reverse (852 bp). Cγ transcripts were amplified using Exon 6-forward and Exon 10′-reverse (648 bp). Primers are listed in supplementary material Table S1.

Construction of p63 plasmids

Allp63cDNAs used in this study were of human origin.ΔNp63 isoforms (α, βandγ) were myc-tagged at the N-terminus and subcloned into the pcDNA3 vector (Life Technologies), while TAp63 isoforms (α,βandγ) were 2×HA-tagged at the N-terminus and subcloned into the pcDNA3.1 vector (Life Technologies). To generate p63ΔC isoforms, site-directed mutagenesis was performed usingΔNp63α in pUK21 as template with primer pair 5′-TTTCTTAGCGAGGTTGGGCTGTTC-3′ and 5′ -TGTT-GGCTCCCATGCCATCAGGAA-3′, followed by self-ligation and direct sequencing to verify correct amplification. Mutant C-terminus was excised as aBsrGI/XhoI fragment and replaced with that in TAp63αandΔNp63α.

Transient transfection and reporter assay

H1299 and HEK293T cells were seeded into 12-well plates at 1×105cells/

well the day before transfection. Transfections were performed using SuperFect transfection reagent (Qiagen). Twenty-four to 36 h later, cells were harvested and whole cell extracts and total RNA were prepared for western blot and qPCR, respectively. For reporter assays, H1299 cells were transiently transfected with p63-expressing plasmids along with 0.5 µg

minimal p21Waf1/Cip1reporter and 0.3 µgRenillaluciferase vector pRL-TK (Promega). The minimal p21Waf1/Cip1reporter was constructed by inserting the 72 bpHindIII-SacI fragment harboring the p63/p53 binding site (Suzuki et al., 2012) of WWP-luc (El-Deiry et al., 1993) into the pGL3-Basic vector (Promega). Luciferase activities were measured using the Dual-Luciferase Reporter Assay System (Promega). Firefly luciferase activities were normalized to Renilla luciferase control activities. In co-transfection experiments, pcDNA3 was used as carrier so that all wells received the same total amount of DNA.

Statistical analysis

Student’st-tests were performed andP<0.05 was considered statistically significant.

Acknowledgements

We thank Leslie King for critical reading of the manuscript, and Hirokuni Kobayashi and Malavika Bhattacharya for help in the initial development of this study.

Competing interests

The authors declare no competing financial interests.

Author contributions

D.S. designed and performed the majority of the experiments and analyzed data. N.A.L., R.S., D.S. and M.S. generated mutant mice. M.S. conceived the project, performed experiments, analyzed data and wrote the manuscript with input from coauthors.

Funding

This study was supported by grants from the Skin Disease Research Center [P30AR057217] and National Institutes of Health [R01AR066755] to M.S. Deposited in PMC for release after 12 months.

Supplementary material

Supplementary material available online at

http://dev.biologists.org/lookup/suppl/doi:10.1242/dev.118307/-/DC1

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DEVEL

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Figure

Fig. 1. Alterative splicing at the p63 C-terminus in p63C−Arrowheads indicate stop codons in each isoform
Fig. 2. Craniofacial and skeletal abnormalities in p63C−cleft of the secondary palate
Fig. 3. Epidermal hypoplasia in p63C−Δabdomen showing severe skin erosion (bottom). (B) H&E staining of E17.5 WTand p63C/− mice
Fig. 5. Upregulation of p21Waf1/Cip1counterstained with Hoechst 33342. Dotted lines indicate epidermal-dermalborder
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References

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