Cited by 17Pluripotent Stem Cells ResearchPancreatic function and diabetesDevelopmental Biology and Gene Regulation

Loss of TBX3 enhances pancreatic progenitor generation from human pluripotent stem cells

Open access
Mukherjee, Somdutta, French, Deborah L., Gadue, Paul·2021·Stem Cell Reports

Abstract

Tbx3 has been identified as a regulator of liver development in the mouse, but its function in human liver development remains unknown. TBX3 mutant human pluripotent stem cell (PSC) lines were generated using CRISPR/Cas9 genome editing. TBX3 loss led to impaired liver differentiation and an upregulation of pancreatic gene expression, including PDX1, during a hepatocyte differentiation protocol. Other pancreatic genes, including NEUROG3 and NKX2.2, displayed more open chromatin in the TBX3 mutant hepatoblasts. Using a pancreatic differentiation protocol, cells lacking TBX3 generated more pancreatic progenitors and had an enhanced pancreatic gene expression signature at the expense of hepatic gene expression. These data highlight a potential role of TBX3 in regulating hepatic and pancreatic domains during foregut patterning, with implications for enhancing the generation of pancreatic progenitors from PSCs.

AI snapshot

Written from the paper’s full text.

TL;DR

TBX3 loss in human pluripotent stem cells impairs hepatocyte differentiation while de-repressing pancreatic genes, and enhances generation of PDX1+/NKX6.1+ pancreatic progenitors. The authors propose TBX3 helps maintain hepatic lineage fidelity during foregut patterning.

Key findings

  • CRISPR/Cas9-generated TBX3 mutant iPSC and ESC lines with a 6.9-kb deletion showed impaired hepatocyte differentiation: reduced SERPINA1 and ALBUMIN expression, fewer HNF4α+/AFP+ and AAT+/ALBUMIN+ cells, and significantly reduced CYP3A4 activity in iPSC−/− hepatocytes.
  • During hepatocyte differentiation, TBX3 loss led to PDX1 expression, increased ISL1 and MNX1, and greater chromatin accessibility at the PDX1 promoter and at MNX1/ISL1 loci; MG132 treatment increased PDX1 protein in iPSC−/− cells.
  • In pancreatic differentiation, iPSC−/− cells generated a higher percentage of PDX1+/NKX6.1+ PP2 cells, with higher NKX6.1 and ISL1 expression and lower hepatic gene expression than iPSC+/+ cells.
  • RNA-seq/ATAC-seq analyses showed pancreatic gene signatures enriched in iPSC−/− PP1 cells and hepatic cord genes enriched in iPSC+/+ GT cells; 1,398 genes were similarly dysregulated across GT, PP1, and hepatoblast stages, and 1,787 genes had more accessible chromatin in iPSC−/− hepatoblasts versus 396 with less accessibility.

Methods

  • TBX3 mutant human PSC lines were generated by CRISPR/Cas9 in CHOPi004-A iPSC and Mel1 ESC backgrounds, using two gRNAs to create a 6.9-kb deletion including the transcriptional start site and DNA binding domain.
  • Cells were differentiated to hepatocytes using an Ogawa et al. protocol and to pancreatic progenitors/PP2 using a Rezania et al. protocol; analyses included qRT-PCR, western blot, flow cytometry, CYP3A4 activity, RNA-seq, and ATAC-seq.
  • RNA-seq was performed on day 12 hepatoblasts and days 6 and 8 of pancreatic differentiation with three biological replicates per genotype/time point; ATAC-seq was performed on day 12 hepatoblasts with two biological replicates per genotype; GSEA used a published human embryonic dorsal pancreatic bud versus hepatic cord gene set.

Limitations

  • The paper does not include a dedicated limitations section. It states that generating functionally mature terminal cell types in vitro remains difficult, and that further studies are needed on how TBX3 loss affects later pancreatic differentiation.
  • Evident from the text: the study focuses on in vitro PSC differentiation and progenitor stages, without in vivo functional validation or transplantation; some pancreatic differentiation comparisons are trends or not statistically significant, such as PDX1 mRNA at PP1/PP2.
  • Evident from the text: ATAC-seq used two biological replicates per genotype, and the authors note that EMT dysregulation did not appear to have clear implications for liver versus pancreas fate at the stages examined.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.stemcr.2021.09.004

Cites

36 of 36 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

1 of 1 cited sources checked · 1 supported · 0 flagged

  • Premisecitation

    Tbx3 is a regulator of liver development in the mouse.

    “Tbx3 has been identified as a regulator of liver development in the mouse”
    • Also stated in: § Introduction · hedged
      “Tbx3 has also been implicated in liver development.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Lüdtke et al., 2009 source
  • Findingown data

    Cells lacking TBX3 have an enhanced pancreatic gene expression signature at the expense of hepatic gene expression.

    “and had an enhanced pancreatic gene expression signature at the expense of hepatic gene expression.”
    • Also stated in: § iPSC−/− cells are enriched for a pancreatic gene signature · plain
      “At both the GT and the PP1 stages, pancreatic genes were upregulated while hepatic genes were downregulated in iPSC−/− versus iPSC+/+”
    Quote in the paperSubstantial claim
  • Findingown data

    Loss of TBX3 impairs hepatocyte differentiation from human pluripotent stem cells.

    “TBX3 loss led to impaired liver differentiation and an upregulation of pancreatic gene expression, including PDX1, during a hepatocyte differentiation protocol.”
    • Also stated in: § Loss of TBX3 impairs hepatocyte differentiation in human PSCs · hedged
      “These results indicate that the loss of TBX3 impairs the ability of PSCs to differentiate to hepatocytes”
    Quote in the paperSubstantial claim
  • Findingown data

    Expression of hepatocyte markers SERPINA1 and ALBUMIN is significantly reduced in iPSC−/− cells compared with iPSC+/+ cells.

    “expression of hepatocyte markers SERPINA1, which encodes the α1-antitrypsin (AAT) protein, and ALBUMIN were significantly reduced in iPSC−/− cells compared with iPSC+/+ cells (Figure 1E).”
    Quote in the paperSubstantial claim
  • Findingown data

    Promoter regions of MNX1 and ISL1 are more accessible in iPSC−/− hepatoblasts than iPSC+/+ hepatoblasts.

    “the promoter regions of both MNX1 and ISL1 are more accessible in iPSC−/− hepatoblasts than in iPSC+/+ hepatoblasts (Figure 2E).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 2
  • May combine two claims. 20
  • The quote only partly states this claim. 1
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    There is a minor upregulation of CDX2 in iPSC−/− line.

    “and a minor upregulation of CDX2 in the iPSC−/− line.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In presence of MG132, iPSC−/− cells have higher PDX1 protein levels than without MG132, while iPSC+/+ line displays no PDX1 protein expression with or without MG132.

    “In the presence of MG132, iPSC−/− cells had higher PDX1 protein levels than without MG132, while the iPSC+/+ line displayed no PDX1 protein expression with or without MG132 (Figure 2B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    TBX3 expression is induced at the definitive endoderm stage and peaks at the hepatoblast stage (day 12) in iPSC+/+ cells.

    “In iPSC+/+ cells, TBX3 expression was induced at the definitive endoderm stage of differentiation and peaked at the hepatoblast stage (day 12).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Similar defects are seen in ESC−/− line, slightly more severe, including greater downregulation of HNF4α.

    “Similar defects were seen in the ESC−/− line (Figure S2) which were slightly more severe, including a greater downregulation of HNF4α”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    There are fewer HNF4α+/AFP+ cells and AAT+/ALBUMIN+ cells in iPSC−/− line compared with iPSC+/+ line.

    “At the protein level, there were fewer hepatocyte nuclear factor 4 (HNF4)α+/AFP+ cells (Figures 1F and 1G) and AAT+/ALBUMIN+ cells (Figures 1H and 1I) in the iPSC−/− line compared with the iPSC+/+ line.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    E-cadherin protein levels are higher in iPSC−/− cells than iPSC+/+ cells, while effect on N-cadherin protein is subtle.

    “E-cadherin protein levels were higher in iPSC−/− cells than in iPSC+/+ cells, while the effect on N-cadherin protein was subtle (Figures S4F and S4G).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    PROX1 and CDH2 are downregulated in iPSC−/− hepatoblasts.

    “PROX1, which is required for hepatoblast migration and is downregulated in Tbx3−/− mice (Lüdtke et al., 2009), and CDH2, encoding mesenchymal marker N-cadherin, were downregulated in iPSC−/− hepatoblasts”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    PDX1 mRNA levels trend higher in iPSC−/− at PP1 but do not reach statistical significance, and there is no difference at PP2.

    “PDX1 mRNA levels trend higher in the iPSC−/− line at the pancreatic progenitor 1 stage (PP1, day 8) of the pancreas differentiation but do not reach statistical significance, and there was no difference at the PP2 stage (day 11).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    1,787 genes had more accessible chromatin in iPSC−/− hepatoblasts, while 396 genes had less accessible chromatin.

    “1,787 genes had more accessible chromatin in iPSC−/− hepatoblasts, while 396 genes had less accessible chromatin (Figure 4G)”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Expression of ISL1 is markedly increased, while MNX1 trends higher in iPSC−/− cells compared with iPSC+/+ cells during pancreatic differentiation.

    “expression of ISL1 was markedly increased, while MNX1 trended higher in iPSC−/− cells compared with iPSC+/+ cells (Figure 3D).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    At both GT and PP1 stages, pancreatic genes are upregulated while hepatic genes are downregulated in iPSC−/− versus iPSC+/+.

    “At both the GT and the PP1 stages, pancreatic genes were upregulated while hepatic genes were downregulated in iPSC−/− versus iPSC+/+ (Figures S4A and 4C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    CDH1 expression is higher in iPSC−/− cells than iPSC+/+ cells at GT and hepatoblast stages, with no significant difference at PP1.

    “At the GT and hepatoblast stages, CDH1, encoding epithelial marker E-cadherin, expression was higher in iPSC−/− cells than iPSC+/+ cells, while there was no significant difference at the PP1 stage.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    NEUROG3 and NKX2.2 are not expressed in iPSC−/− hepatoblasts.

    “Although they are more accessible, NEUROG3 and NKX2.2 are not expressed in iPSC−/− hepatoblasts (Figures 4H and 4I).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PDX1, ISL1, and MNX1 are upregulated in iPSC−/− hepatoblasts.

    “Consistent with our prior gene expression findings, PDX1, ISL1, and MNX1 were upregulated in iPSC−/− hepatoblasts (Figures S4C).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    TBX3 is important in both mouse and human liver development.

    “suggesting that TBX3 is important in both mouse and human liver development.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    The deletion in both alleles was verified by sequencing and the edited line has a normal karyotype.

    “The deletion in both alleles was verified by sequencing and confirmed to have a normal karyotype (Figures S1A and S1B).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductown data

    The TBX3 mutant lines carry a 6.9-kb deletion including the transcriptional start site and entire DNA binding domain, generating a nonfunctional protein.

    “Two guide RNAs were designed to generate a 6.9-kb deletion that includes the transcriptional start site and the entire DNA binding domain, generating a nonfunctional protein (Figure 1A).”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Interpretationown data

    Downregulation of PROX1 and CDH2 suggests a migratory defect in iPSC−/− hepatoblasts.

    “suggesting a migratory defect.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Loss of TBX3 helped drive cells toward a pancreatic fate and away from a hepatic fate.

    “These data further confirm that the loss of TBX3 helped drive cells toward a pancreatic fate and away from a hepatic fate.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    TBX3 is critical for proper hepatocyte development and maturation in humans, similar to the role of Tbx3 in mouse liver development.

    “We established that TBX3 is critical for proper hepatocyte development and maturation in humans, similar to the role of Tbx3 in mouse liver development.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationown data

    EMT may be dysregulated in liver and pancreas cells with loss of TBX3.

    “Taken together, these data suggest that EMT may be dysregulated in liver and pancreas cells with the loss of TBX3.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    TBX3 not only represses genes involved in early pancreatic development such as PDX1, but also is involved in keeping genes expressed later in pancreatic endocrine cell development in a less accessible state.

    “These data suggest that TBX3 not only represses genes involved in early pancreatic development such as PDX1, but also is involved in keeping genes expressed later in pancreatic endocrine cell development in a less accessible state.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Lack of TBX3 improves differentiation efficiency and purity, as iPSC−/− generated more PP2 cells with increased expression of pancreas genes and decreased expression of hepatic genes.

    “These data suggest that a lack of TBX3 improves differentiation efficiency and purity, as the iPSC−/− line generated more PP2 cells with increased expression of pancreas genes and decreased expression of hepatic genes, compared with the iPSC+/+ line.”
    Quote in the paperSubstantial claim
23 of 23
  • The paper relies on this without support.

    The function of TBX3 in human liver development is unknown.

    “but its function in human liver development remains unknown.”
    “The role of TBX3 in human liver and pancreas development remains unclear.”
  • The paper relies on this without support.

    The role of TBX3 in human pancreas development is unclear.

    “The role of TBX3 in human liver and pancreas development remains unclear.”
  • The paper relies on this without support.

    The function of Tbx3 in the mouse pancreas is unknown.

    “Tbx3 has been detected in the mouse pancreas, both during development and in the adult, but its function remains unknown (Begum and Papaioannou, 2011).”
  • The paper relies on this without support.

    It is difficult to generate functionally mature terminal cell types in vitro.

    “However, it is still difficult to generate functionally mature terminal cell types in vitro.”
4 of 4

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Authors
Mukherjee, S., French, D. L., & Gadue, P.
Affiliations
Children's Hospital of Philadelphia (US)
Corresponding author
Gadue, Paul
Venue
Stem Cell Reports
Publisher
Elsevier BV
Published
2021-11
Volume
16
Issue
11
Pages
2617-2627
ISSN
2213-6711 (ISSN-L)
OpenAlex
W3205005506
Cited by
17
References
36
Citations by year
2026: 3 · 2025: 3 · 2024: 4 · 2023: 7
FWCI
0.94
Type
journal article
Language
en
Open access
Locations
  • Stem Cell Reports (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Scholarly Commons (University of Pennsylvania) (submittedVersion)
  • PubMed Central (submittedVersion, cc-by-nc-nd)
  • ScholarlyCommons (University of Pennsylvania) (submittedVersion)
Funders
National Institutes of Health (R01 DK118155, R01 DK123162)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Developmental Biology and Gene Regulation
Keywords
TBX3, pancreatic progenitors, human pluripotent stem cells, liver development, hepatocyte differentiation, PDX1, Neurog3, Nkx2.2, chromatin accessibility, CRISPR/Cas9 genome editing, pancreatic differentiation
MeSH terms
RNA-Seq, Animals, Cell Differentiation, Cell Line, Humans, Mutation, Pancreas, Species Specificity, Blotting, Western, Reverse Transcriptase Polymerase Chain Reaction, T-Box Domain Proteins, Gene Expression Profiling, Hepatocytes, Pluripotent Stem Cells, Mice, Induced Pluripotent Stem Cells

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