SAMD1 knockout mice are embryonic lethal
The SAMD1 gene was deleted from C57BL/6J mice by recombineering (Fig. 1a), which led to the removal of 2396 bps of the SAMD1 gene. Successfully obtained heterozygous mice were mated. The ratios between the wild-type (WT, aka SAMD1+/+), heterozygous (HET, aka SAMD1+/−), and knockout (KO, aka SAMD1−/−) mice were close to the expected Mendelian ratios through E12.5. The first dead SAMD1 KO embryos, and abnormal phenotypes were observed at E14.5 (Fig. 1b) and manifested at later time points (Supplementary Table S1) (p = 0.049). Dying pups were not seen, so the few KO mice that had not been resorbed by E18.5 died just prior to birth (Supplementary Table S1). This suggests there was variable expression and penetrance, and thus multiple embryonic lethal SAMD1 KO phenotypes. Crossing SAMD1+/− mice with SAMD1+/− mice and phenotyping 3 weeks after birth (P21) also showed no KO’s (p = 5.1 x 10− 13) (Supplementary Table S2), confirming the lethality of the SAMD1 KO.
In contrast, the E14.5 heterozygous (HET) embryos were not noticeably different from that of the WT embryo, and HET mice were born alive. However, genotyping at P21 showed that the number of observed HETs was significantly lower than the expected number, when SAMD1+/− mice were crossed with SAMD1+/− mice (p = 0.003) (Supplementary Table S2), or when SAMD1+/+ mice were crossed with SAMD1+/- mice (p = 0.003) (Supplementary Table S3).
Embryonic fibroblasts (MEFs) raised from WT, HET, and KO mice were investigated for SAMD1 expression via RT-qPCR. SAMD1 mRNA was absent in the homozygous KO cells and slightly but not significantly reduced in the heterozygous cells (Fig. 1c).
Defects of the SAMD1 KO embryos are visually obvious
Macrolevel photography of the E14.5 WT embryos within the yolk sac showed normal development, noting branching blood vessels in the yolk sac (Fig. 1b,d). In contrast, the yolk sac of the KO embryos lacked obvious blood vessels, it had only a few broken thin red lines, and the amniotic fluid was pink as if blood had leaked into it (Fig. 1b, 1d). In the KO the yolk sac did not seem to be normally attached to the placental disk.
When the yolk sac was removed, the KO embryo within the amnion appeared developmentally delayed and visually smaller than the WT (Fig. 1e). Bloody fluid was also pooled around the midsection within the amnion (Fig. 1e). The embryo surface was very pale, and across the back the edema could be seen separating the skin from the tissue beneath. Red blood cells were not obvious in the skin, other than on the head and back, where a few small hemorrhages and a few broken red lines that were probably failed blood vessels were recognizable.
The KO placenta was pale compared to the WT (Fig. 1e), probably because the labyrinth contained fewer RBCs and the vasculature seemed to be pink instead of red. The metrial gland lacked obvious blood vessels and the decidua appeared to be thinner. Maternal blood vessels could be seen in a few locations immediately beneath the decidua. The umbilical cord was avascular (Fig. 1e).
At E15.5 (Fig. 1f), a SAMD1 KO embryo lacked a skull vault, had obvious exencephaly, and had a hypertrophic brain. Clear edema fluid separated the skin from most of the embryo surface. Some areas of the embryo surface beneath the skin, particularly above the brain, had spots and lines of RBCs that may have once been contained in vessels, and small hemorrhages. RBCs could not have arrived at these locations without a functional circulatory system. Since the E14.5 KO had a skull vault, the investigated E15.5 KO embryo is likely an example of a different SAMD1 KO phenotype, but the surface RBC patterns appear similar to the E14.5 KO. Failed skull vault development may be caused by failure of neural tube closure. Fluid leakage due to failing capillaries likely produced the edema (Fig. 1f), although failing lymphatic vessels, which are also constructed from ECs and SMCs, may have added to the edema fluids.
Given the strong defects observed in SAMD1 KO embryos, we used public gene transcription data to assess embryonic SAMD1 expression16,17. SAMD1 mRNA was detected in very early developmental stages (Fig. 1g) as well as in all investigated organs during all embryonic stages (Fig. 1h). Similar results were also obtained using RT-qPCR experiments from isolated embryonic organs (Supplementary Figure S1). This observation suggests that SAMD1 has a biological function during all embryonic stages and in most embryonic tissues.
SAMD1 KO embryos have multiple organ defects
To further assess the consequence of the SAMD1 KO on specific organs, we first used hematoxylin and eosin (H&E) staining on sagittal slices of an E14.5 embryo (Fig. 2). Hematoxylin reveals not only nuclei, but also glycosaminoglycans, for example in cell walls, and thus allows visualization of fragmenting cells, while eosin stains cytoplasm and most connective tissue pink, orange, and/or red18. A comparison of embryonic tissues and organs in WT and KO mice revealed several abnormalities (Fig. 2). Although cardiac muscle cells stained red and had associated nuclei, the heart appeared to be breaking up, and the atria, ventricles, and pulmonary trunk had partially collapsed (Fig. 2a). Endocardium was separating from the chamber walls. Red-stained RBCs were absent, and the ventricles appeared to contain some lymphocytes/immune cells instead of RBCs (Fig. 2a). This suggests RBCs were trapped due to ejection failure and became necrotic.
The KO lung appeared also to be fragmenting, and RBCs were not apparent, in contrast to the WT lung where RBCs filled large vessels (Fig. 2b). Bronchioles had formed but were smaller than those in the WT. They appeared to be degrading and may not have formed correctly. Faint pink staining of connective tissue in the lung and diaphragm may indicate dying cells.
The KO liver had lobes and was large enough to have developed at least until E12.5 (Fig. 2c). Similar to the heart, the liver had no RBCs, again in contrast to the WT, where RBCs filled large vessels. The tissue was broken up in patterns that suggested degradation rather than a malformation. The fact that organs were substantially developed means that a functional circulatory system necessarily existed prior to E14.5.
SAMD1 deletion led to disorganization and reduced levels of RBCs in the skin
The most obvious difference between the appearances of WT and KO embryos was the paleness of the latter, suggesting impaired blood circulation. The E12.5 KOs appeared normal, and E14.5 has been established as an optimal time point for mouse developmental disorder phenotype analyses19. Thus, we tested an E14.5 embryo for the presence of endothelial cells (ECs), which line all blood vessels, from primitive endothelial tubes to fully mature arteries and veins, as well as lymph vessels. We used H&E, CD31 or VEGFR2 staining (with hematoxylin counterstain) to mark ECs and provide morphological identification of other cells. Cluster of Differentiation 31 (CD31, also known as PECAM1) is widely used as a marker for ECs, staining the cell surface. Vascular endothelial growth factor 2 (VEGFR2, also known as FLK1), stains the cytoplasm of ECs. Using these different markers, we investigated the organs and tissues of the SAMD1 KO embryo.
Looking first at the embryo surface, H&E staining of the WT embryo showed groups of RBCs in the skin and RBCs in a larger blood vessel beneath the subcutaneous tissue. Here, CD31 stained ECs of capillaries and larger vessels (Fig. 3a-c), as expected. In contrast, KO skin, except around the limbs and skull, appeared to have been lost during fixation (Fig. 3a), likely due to edema separating the skin from the tissue beneath. In locations beneath the lost skin, the KO embryonic surface appeared to consist of degrading and fragmenting skeletal muscle (Fig. 3a, d). This tissue included individual RBCs and a few scattered clusters of RBCs that, lacking typical organizational patterns, did not appear to be contained in vessels (Fig. 3a-c). Coagulation in the clusters could not be determined, but gradations in red staining implied the recent onset of RBC degradation. These RBCs could be the result of fresh microhemorrhages, or RBCs recently stranded as vessel development failure halted circulation. Consistent with this second hypothesis, intact vessels were not obvious, but RBCs could not have arrived at their present locations unless at least functional endothelial tubes had once been present. CD31 stained numerous misshapen subcutaneous ECs in broken brown lines (Fig. 3e). These patterns suggested that the ECs were part of capillaries or larger vessels that had ceased providing circulatory function. Cytoplasmic instead of cell surface CD31 brown staining patterns suggest necrosis, and the association of CD31 staining with rounded nuclei suggests possible phagocytosis. Several broken small circles of stained ECs also suggested failed vessels (Fig. 3d, e).
Edema did not separate the skin from the KO forepaws, which appeared to have developed normally except for being smaller, pale, and lacking intact blood vessels (Fig. 3f). H&E staining of the forepaw showed a small group of faintly stained RBCs, where faint blurred hematoxylin stain suggested impending necrosis. CD31 showed a few nuclei partially surrounded by brown-stained EC material, suggesting ingestion. The patterns of broken lines suggest the presence of failed small vessels in the forepaw (Fig. 3f, arrow). Interestingly, red-stained RBCs were noted primarily at the embryo surface, but not in the heart or other organs. Surface perfusion may have been sufficient to delay RBC necrosis compared to locations deeper in the embryo.
SAMD1 KO embryos have degraded internal organs
To determine the impact of SAMD1 deletion on internal organs, we stained lung, liver (Fig. 4), and heart samples (Fig. 5) from E14.5 WT and KO mice with H&E, CD31, or VEGFR2. In all WT samples, H&E staining showed normal organ development and large blood vessels filled with RBCs (Fig. 4, 5). Larger lung and liver vessels, identified by sizeable areas of RBCs, were encircled by stained ECs (Fig. 4b,4d). Capillaries were also made evident by the presence of EC markers and RBCs. Pulmonary vascular ECs normally line the surfaces of the lung vasculature, which stained strongly for CD31 and VEGFR2, and epithelial cells in bronchioles stained faintly for VEGFR2 (Fig. 4c). Liver sinusoidal ECs also stained for CD31 and VEGFR2 (Fig. 4e).
In contrast, in the lung and liver of the SAMD1 KO mice, CD31 and VEGFR2 staining were almost absent. In KO organs, no RBCs or intact ECs were visible (Fig. 4a, b, d, e). The limited CD31 and VEGFR2 staining in the lung and liver appeared to be cell fragments of necrotic vessel wall ECs, and the thin lines of associated faint hematoxylin stain likely mark dermatan sulfate and heparan sulfate from these ECs. Examples of probable phagocytosis were indicated by uneven brown staining around strongly blue-stained round nuclei (Fig. 4b, c, e, red arrow, Supplementary Figure S2). This implies that ECs had been present, became necrotic, and were being removed. Bronchioles had formed in the KO lungs but were much smaller than those in the WT lungs (Fig. 4c). Based on the available data, it is not possible to judge whether the smaller bronchioles in the KO were due to incomplete formation during development or whether they had degraded (Fig. 4c).
In the WT hearts, normal CD31 and VEGFR2 staining patterns were noted in ECs of capillaries and larger vessels (Fig. 5a, b, c). H&E staining of the WT pulmonary trunk showed numerous RBCs contained in the vessel, demonstrating normal heart function. VEGFR staining also identified ECs at the lumen and several layers of circumferentially oriented spindle-shaped vascular smooth muscle cells (VSMCs) (Fig. 5d). As expected, epithelial cells in the endocardium stained for CD31 and VEGFR2 (Fig. 5e).
In the KO heart, H&E staining uncovered signs of epithelial, cardiac muscle cell, and EC degradation (Fig. 2a, Fig. 5b). Hematoxylin counterstain in the CD31 and VEGFR2 slides revealed fragmenting cardiac muscle cells (Fig. 5b). In a few places, round hematoxylin-blue nuclei were loosely associated with faint CD31 or VEGFR2-brown patterns demonstrating the presence of necrotic ECs and epithelial cells (Fig. 5c). Phagocytosis was indicated by uneven and foamy brown staining around strongly blue-stained round nuclei (Supplementary Figure S2). CD31 and VEGFR2 stained broken circles and lines of misshapen ECs and EC fragments. These patterns suggested incomplete and/or failed vessels (Fig. 5b, c). This was seen deep in the heart muscle where capillaries should have been (Fig. 5b), and more frequently at the heart’s surface, where larger stained circles suggested failed coronary vessels (Fig. 5c). Spindle-shaped VSMCs (blue) that were noted next to coronary artery ECs in the WT, were absent from the KO (Fig. 5e). The KO pulmonary trunk wall consisted only of the myocardium, with a few disconnected ECs above the lumen, and lacked the VSMCs that were seen in the WT (Fig. 5a, d). The lumen of the KO pulmonary trunk contained no RBCs and only a few rounded probable immune cells (Fig. 5d). The heart chambers and large vessels were partially collapsed, possibly due to serum fluid being insufficient to maintain shape (Fig. 2a, 5a-c). The ventricles contained dark blue stained rounded probable immune cells and cell fragments that may have been RBCs, but trabeculation was not observed. Epithelial and endothelial cells are closely linked - during embryonic development, the epithelial layer is the source of endothelial cells for the heart’s blood vessels20. CD31- and VEGFR2-stained epithelial cell fragments were detectable in the KO endocardium, including detached cells and cells undergoing probable necrosis and phagocytosis (Fig. 5e). These above findings suggest that in the investigated SAMD1 KO mouse the development of the heart may have stopped before VSMC differentiation.
SAMD1 KO ribs showed premature ossification
Next, we investigated ribs and associated skeletal muscles. Structural organization in the E14.5 WT and KO mice were roughly similar (Fig. 6a), but H&E staining highlighted substantial differences. The WT rib consisted of cartilage primordium, while in the KO mouse, the rib was ossifying, as seen by the bubbly appearance of hypertrophic chondrocytes, some of which lack nuclei (Fig. 6b, arrow). Bone development is tightly linked to hypoxia21, which is required for the transition from proliferating cartilage to endochondral ossification. Hypoxia interior to the developing bone causes chondrocytes to become hypertrophic and delays chondrocyte apoptosis/necrosis. Subsequent apoptosis/necrosis is required for ossification21. Thus, we hypothesize that in the SAMD1 KO mice, the hypertrophic chondrocytes appeared to have begun necrosis before E14.5, instead of the normal condition at approximately E18, suggesting an early hypoxic condition, possibly due to the lack of RBC delivery.
Skeletal muscle cells in the WT mouse stained strongly with H&E and had associated blue nuclei (Fig. 6c). Strands of cells are separated by lines of unstained connective tissue (Fig. 6c). In the KO, there are several signs of degradation. The KO has fewer eosin-stained red strands, which are less strongly stained red and are more widely separated from each other than in the WT (Fig. 6c). The strands are also interspersed with many nuclei. Some of these nuclei may be immune cells that are attracted to necrotizing muscle cells. Hypoxia from a lack of delivery of RBCs is the likely cause of muscle cell necrosis.
RBCs (bright orange) in a blood vessel above a WT rib do not have nuclei, and few if any lymphocytes are seen (Fig. 6d). RBCs are absent from the KO, other than a few scattered pools near the embryo surface and near ribs (Fig. 6a). A small blood pool above a KO rib contains some RBCs with eccentric nuclei and many lymphocytes/immune cells (rounded, blue) (Fig. 6d). The initiation of heartbeat around E8.5 marks the onset of embryo-vitelline circulation, as yolk sac-derived hematopoietic cells are spread through the developing embryo22. These primitive erythroid (EryP) cells enucleate between E12.5 and E16.523. RBCs could not have arrived at these locations unless a functional circulatory system existed prior to E14.5. EryP enucleation takes several days after entering circulation, suggesting that circulation continued until at least E12, and subsequent circulation failure trapped EryPs in a nonfunctioning vessel. Some KO RBCs appeared faded (Fig. 6d), implying a recent loss of O2 from hemoglobin, and faint pink staining between RBCs and lymphocytes/immune cells suggests phagocytosis of RBCs.
SAMD1 is required for proper neuronal differentiation in vitro
To better understand the molecular source of the many defects upon SAMD1 deletion, we investigated our previously published RNA-Seq data upon undirected ES cell differentiation4. We found that multiple pathways are affected upon SAMD1 KO, implicating a rather pleiotropic role of SAMD1 in the differentiation process, consistent with the multifaceted mouse phenotype. A closer investigation of the data using GSEA (gene set enrichment analysis) suggests that pathways related to angiogenesis are mostly downregulated (Supplementary Figure S3a). Intriguingly, vascular endothelial growth factor A (VEGFA), PECAM1 (CD31), and THY1, which are critical factors for angiogenesis and arteriogenesis24,25, were downregulated in SAMD1 KO cells, both in differentiated and undifferentiated cells (Supplementary Figure S3b). Furthermore, we found that pathways related to cardiac chamber development were significantly dysregulated in differentiated SAMD1 KO cells (Supplementary Figure S3c). This includes key transcription factors such as GATA4, GATA6, and MEF2C26 (Supplementary Figure S3d). In addition to defects in blood vessel maturation, we also observed malformation of the brain and skull vault (Fig. 1f). Several genes related to brain development, such as CBLN1, NTRK2, and PLXNA4, are directly bound by SAMD1 and become derepressed upon SAMD1 deletion during differentiation (Supplementary Figure S3f). Consistently, pathways that are linked to brain development, such as synapse assembly (Supplementary Figure S3e), become predominantly upregulated in SAMD1 KO cells upon differentiation, suggesting that SAMD1 may enhance neuronal differentiation processes.
Mouse ES cells can be differentiated into various lineages using specific protocols27. Since we observed severe exencephaly at E15.5 (Fig. 1f), implicating defects during neuronal developmental processes, and since neuronal differentiation belongs to the most commonly performed differentiation procedure27, we addressed the role of SAMD1 during neuronal differentiation (Fig. 7a). We used our previously established SAMD1 KO mouse ES cells (Fig. 7b)4 and differentiated them into neuronal cells. First, we created embryoid bodies, which already showed dysregulation of multiple genes (Fig. 7c). The embryoid bodies were differentiated into neuronal progenitor cells (NPCs) and subsequently into neuronal cells (Fig. 7a). We observed no significant differences in the cell growth of the NPCs, although SAMD1 KO NPCs trended to grow slightly faster than wild-type NPCs (Fig. 7d). Upon differentiation of NPCs into neuronal cells, we observed that several marker genes, such as glial fibrillary acidic protein (GFAP) and Nestin (NES), were dysregulated upon SAMD1 KO (Fig. 7e). Immunofluorescence of the differentiated cells on day 6 showed an enhanced level of Tuj1 (Tubb3)-stained neurons in the KO cells (Fig. 7f), indicating that SAMD1 KO enhances the differentiation preferentially towards neurons. Furthermore, we observed higher levels of H3K4me2 in the differentiated cells (Fig. 7f, g). This observation supports that SAMD1 deletion may impair the activity of the KDM1A histone demethylase complex during neuronal differentiation, in line with our previous observation in undifferentiated ES cells4. However, other indirect effects could also be the source of this observation. Combined, these data support the hypothesis that the absence of SAMD1 leads to aberrant neuronal differentiation processes.
SAMD1 heterozygous mice fail to strive
Finally, we assessed the consequence of a heterozygous deletion of SAMD1. H&E and CD31 staining in an E14.5 heterozygous (HET) embryo were not noticeably different from that in the WT embryo (Supplementary Fig. 4), and HET mice were born alive, but approximately 30% of the HETs failed to survive past P21 (Supplementary Table S2, S3)
Longitudinal body weight analysis on regular chow revealed that male and female HET mice weighed less than WT mice (Fig. 8a). High-fat diet (HFD) is commonly used to induce metabolic changes in mice. HFD (60% fat by kcal, vegetable shortening) was started at 4 weeks and continued for 15 weeks. We found that after HFD, HETs weighed less than control WT (Fig. 8b), and fat depots from HET mice weighed approximately half as much as those from the WT mice (Fig. 8c). Consistent with what appeared to be reduced adiposity in the SAMD1 HET mice on the HFD, glucose disposal was increased in the HET mice during the oral glucose tolerance test (OGTT) (Fig. 8d) and baseline (time 0) fasted glucose levels were significantly lower in the HET mice following the HFD challenge (Fig. 8e). Insulin measurements from the blood samples collected during the OGTT found that insulin levels in the HET mice did not increase following the HFD (Fig. 8f) and were significantly lower than the corresponding levels in the WT mice (Fig. 8g).
Serum VLDL (very low-density lipoprotein) and LDL (low-density lipoprotein) were higher in the HETs, while HDL (high-density lipoprotein) was lower in the HETs (Fig. 8h). Proper steroidogenesis is essential for correct lipid metabolism28. Indeed, the steroid hormone levels appeared to be altered in adult HETs. Corticosterone, aldosterone, and angiotensin II levels were significantly increased, and testosterone levels trended higher (Fig. 8i). Steroidogenesis and transformation of cholesterol to oxysterols occurs in many cell types29. It is possible that the approximately 10–15% reduction in SAMD1 expression in SAMD1 HET mice (Fig. 1c) caused or required a compensatory change in steroid expression. The lower weights and adiposity may also be related to steroidal differences. Notably, we measured large differences in the above markers between individual adult HETs. It is likely that the HETs dying prior to postnatal week 3 expressed a more severe phenotype, resulting in a failure to thrive.