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Lessons from the swamp: developing small molecules that confer salamander muscle cellularization in mammals
Clinical and Translational Medicine volume 6, Article number: 13 (2017)
The ability of salamanders, such as newts, to regenerate damaged tissues has been studied for centuries. A prominent example of this regenerative power is the ability to re-grow entire amputated limbs. One important step in this regeneration process is skeletal muscle cellularization, in which the muscle fibers break down into dedifferentiated, mononuclear cells that proliferate and form new muscle in the replacement limb. In contrast, mammalian skeletal muscle does not undergo cellularization after injury. A significant proportion of research about tissue regeneration in salamanders aims to characterize regulatory genes that may have mammalian homologs. A less mainstream approach is to develop small molecule compounds that induce regeneration-related mechanisms in mammals. In this commentary, we discuss progress in discovering small molecules that induce cellularization in mammalian muscle. New research findings using these compounds has also shed light on cellular processes that regulate cellularization, such as apoptotic signaling. Although formidable technical hurdles remain, this progress increases our understanding of tissue regeneration and provide opportunities for developing small molecules that may enhance tissue repair in humans.
For centuries, scientists have been both fascinated and beguiled by the regenerative capacity of animals such as flatworms, starfish and salamanders [1, 2]. Among these species, salamanders can be thought of as the ‘champions of regeneration’ because they are tetrapod vertebrates that can completely regenerate multiple tissues, such as the lens, ventricle and limb, and partially regenerate their intestine and spinal cord ([3,4,5], two examples of salamander species are shown in Fig. 1a–b). Characterizing the cellular and molecular mechanisms underlying limb regeneration responses have been the subject of high profile research (for example, [6,7,8,9]), with the aim of identifying genes or developing strategies to confer this ability to humans. Much progress has been made in characterizing the signals and cellular responses that initiate and guide these regeneration processes, although our knowledge remains incomplete. However, it has become clear that there are fundamental differences in the initial response of mammals and salamanders to injuries such as limb amputation. One difference is the cellularization of skeletal muscle in salamanders, which contributes dedifferentiated cells to a zone of regenerative cells termed the blastema (described below). In the context of limb regeneration, this had led to the development of small molecules that can change the behavior of mammalian muscle tissue in vitro to resemble the injury response observed in salamanders. In this commentary, we summarize recent progress in the characterization of these small molecules and discuss their potential to be developed as therapeutic agents to enhance tissue regeneration in humans. Moreover, we also describe recent advances in the identification of new drug targets that could be used for the screening and development of compounds that enhance regeneration responses.
There are fundamental differences in the cellular response of salamanders and mammals to limb amputation (discussed in ). In mammals, there is simple closure of the wound, followed by healing and scarring. In salamanders, wound closure also occurs with the formation of a blood clot at the site of injury. However, within 6–12 h post-amputation, epidermal cells from the limb stump start to migrate and eventually cover the entire wound surface, forming a structure termed the wound epithelium (Fig. 1c). This epithelium proliferates to form an apical epidermal cap. The epidermis also synthesizes retinoic acid, which is produced as a gradient across the proximal–distal axis of the blastema to provide positional identity [11,12,13]. The cells in the tissues beneath the wound cap begin to dedifferentiate, including multinucleated skeletal muscle fibers, which break down into single, proliferating cells via the process of cellularization (Fig. 1c). Thus, the limb tissues beneath the amputation site revert to a mass of dedifferentiated cells termed the blastema . A significant proportion of blastema cells originate from multinucleated skeletal muscle fibers in the limb stump [15, 16]. The blastema cells proliferate and re-differentiate over a period of weeks to produce the tissues of the regenerating limb [17, 18]. Blastema cells that originated from cellularized muscle fibers retain memory of their tissue of origin and only form musculature in the regenerating limb . This dedifferentiation does not occur in mammalian skeletal muscle after amputation, suggesting that cellularization is an important step in limb regeneration.
An interesting feature of muscle fiber cellularization is that it can be modelled in vitro using skeletal muscle myotubes . Genetic manipulations or exogenous agents that induce myotube fragmentation can be observed using microscopy and provide a simple assay for candidate compounds that produce cellularization in mammalian muscles . The development of combinatorial chemistry in the 1990s provided small molecule libraries based on known bioactive molecules (in the order of thousands or tens of thousands ) that could be screened for inducers of cellularization.
The first reported success using this approach was the discovery of myoseverin (Table 1), which produced cellularization in myotubes derived from the mouse C2C12 myoblast cell line . Myoseverin was found to bind tubulin in the myotubes and destabilize the cytoskeletal network. However, in contrast to other known tubulin binding molecules, myoseverin also increased the expression of genes related to the wound healing response. Subsequent analysis showed that myoseverin down-regulated the myogenic transcription factor, Myf5, in salamander myotubes, which is also observed during the early stages of cellularization . However, further studies of myoseverin using single cell analysis indicated that this compound may only produce myotube fragmentation . The mononuclear cells did not proliferate and remained refractory. Work from our own laboratory showed that further manipulation was required to produce cellularization, such as down-regulation of the cell cycle inhibitor, p21Cip1 . Therefore, myoseverin should be categorized alongside other tubulin-binding molecules that cause myotube fragmentation, such as taxol, colchicine and nocodazole. Nevertheless, myoseverin has been useful in the development of small molecule cocktails to induce cellularization (described below).
Numerous genetic manipulations have been shown to produce cellularization in mammalian myotubes, such as down-regulation of retinoblastoma protein (Rb) and Ink4a/alternative reading frame (ARF) , ectopic expression of Msx-1 , or overexpression of Twist . This suggests that small molecules could be developed that modulate these targets in mammalian myotubes. The response of mammalian muscle to injuries such as amputation is fiber death rather than regeneration. Paliwal and Conboy  speculated that BpV, a tyrosine phosphatase inhibitor that delays myoblast differentiation and increases proliferation, could be used to produce myotube cellularization. However, cell cycle reentry in myotube nuclei has been linked with apoptosis . Therefore, Paliwal and Conboy combined BpV treatment with the apoptosis inhibitor, Q-VD (Table 1). Using genetically labelled mouse myotubes that express yellow fluorescent protein, they observed that the combined chemical treatment induced cellularization, with approximately 10–15% of the myotube nuclei reverting to proliferating mononucleated cells. Marker gene analysis indicated that these cells resembled myoblasts, with increased expression of the myogenic factors Pax7 and MyoD. After transplantation into sites of skeletal muscle damage, the cells re-differentiated into muscle fibers, providing further evidence that combined treatment with BpV and Q-VD induced reversible cellularization in mammalian myotubes. This study provided the first evidence that compound treatment could induce a prominent step of salamander limb regeneration (cellularization) in mammalian muscle tissue.
A critical step in the cellularization process is the initiation of proliferation in the nuclei of the differentiated myotube. It can be hypothesized that small molecules which have been previously shown to induce proliferation in differentiated mammalian cells, such as cardiomyocytes, could be combined with myotube fragmentation compounds to achieve cellularization. In our laboratory, we tested the compound, BIO (Table 1), an inhibitor of glycogen syntheses kinase-3β (GSK-3β), which was previously shown to increase proliferation in refractory mammalian cardiac muscle cells [31, 32]. Sequential treatment of mouse primary myotubes with myoseverin and BIO induced cellularization . Step-wise treatment with the small molecule, reversine, an epigenetic regulator that produces dedifferentiation , induced pluripotent potential in the mononuclear cells as indicated by re-differentiation into the neuronal lineage. The cell cycle inhibitor, p21Cip1 is known as a ‘gatekeeper’ that maintains skeletal muscle differentiation. Using three different small molecules that have been shown to down-regulate p21 expression or stability; lysophosphatidic acid (activator of G-protein-coupled receptors), SQ22536 (adenylyl cyclase inhibitor) and SB203580 (p38 MAP kinase inhibitor) (Table 1) our laboratory demonstrated that these molecules can induce cellularization in mouse C2C12 myotubes when combined with myoseverin treatment . This suggests that different signaling pathways can be manipulated to induce cellularization if they converge on a common target, such as p21Cip1.
Recently, new insights about the role of chemically-induced apoptosis in cellularization were reported . Mammalian myotube fragmentation using myoseverin was shown to induce apoptosis in the mononuclear cells. Using the well-known apoptosis-inducing compound, staurosporine (Table 1), it was observed that the induction of apoptosis is a critical event in myotube fragmentation. However, to prevent cell death and achieve cellularization, the apoptotic process should be ‘intercepted,’ which was achieved using the anti-apoptotic small molecules DIDS (inhibitor of voltage-dependent anionic channels) and Z-VAD or Q-VD (pancaspase inhibitors) (Table 1) . Significantly, similar processes were revealed in regenerating salamander limb tissues. Tracing the activity of the apoptosis ‘executioner’ cleaved caspase-3 showed that blastema cells maintained caspase activity without undergoing apoptosis. Therefore, sequential treatment with staurosporine and DIDS/Q-VD produces cellularization in mammalian myotubes, which mimics the initiation and suppression of apoptosis pathways observed in the regenerating salamander limb.
Table 1 provides a list of the small molecules that have been used to induce cellularization in mammalian myotubes. Currently, these molecules are only effective in combination: there is no reported single molecule treatment for producing cellularization. An interesting feature is that, even though numerous genetic manipulations have been shown to achieve cellularization, such as over-expression of Msx-1 or down-regulation of Rb/ARF [9, 27], these molecules target different proteins, such as tubulin or GSK-3β. Therefore, there is ample scope to develop new small molecules that achieve cellularization by targeting known genetic regulators.
In summary, significant progress has been achieved in the development of small molecules that produce a critical step of limb regeneration: cellularization in mammalian muscle tissue. Recent research indicates that apoptotic signaling without full progression to apoptosis is a significant stage of regeneration in salamanders. Therefore, focusing on small molecules that induce apoptosis in muscle, such as doxorubicin , could provide new candidate compounds for initiating cellularization. However, it is also apparent that major technical hurdles remain before there is any possibility of completely regenerating mammalian limb tissues. For example, the cellularization process has been recapitulated in mammalian myotubes, but there is no data to suggest that this can be reproduced in fully differentiated mature muscle fibers, which are thicker and striated with contractile proteins. Moreover, small molecule-induced cellularization has only been reported for mouse myotubes. There is no report about the effectiveness of this methodology in human muscle tissue. Finally, there is no established animal model for testing the potential for these small molecules to enhance tissue regeneration in vivo. The p21Cip1 knockout mouse shows appendage regeneration with the closure of ear punctures . It could be envisaged that small molecules which induce myotube cellularization by targeting p21Cip1 could be tested in an ear punch model using genetically normal mice. Overall, numerous small molecules have been developed that induce a key step of salamander limb regeneration, cellularization, in mammalian muscle tissue. Unfortunately, research progress is stalled at in vitro analyses of myotubes derived from rodent tissues. Further studies of these molecules in vivo using animal models and confirmation of their effects in human tissues are required to assess their potential to regenerate tissues that have been lost to injury or disease.
Tanaka EM, Reddien PW (2011) The cellular basis for animal regeneration. Dev Cell 21(1):172–185
Dubois P, Ameye L (2001) Regeneration of spines and pedicellariae in echinoderms: a review. Microsc Res Tech 55(6):427–437
O’Steen WK, Walker BE (1962) Radioautographic studies or regeneration in the common newt. III. Regeneration and repair of the intestine. Anat Record 142:179–187
Egar M, Singer M (1972) The role of ependyma in spinal cord regeneration in the urodele. Triturus Exp Neurol 37(2):422–430
Odelberg SJ (2005) Cellular plasticity in vertebrate regeneration. Anat Record Part B New Anat 287(1):25–35
Kumar A, Godwin JW, Gates PB, Garza-Garcia AA, Brockes JP (2007) Molecular basis for the nerve dependence of limb regeneration in an adult vertebrate. Science 318(5851):772–777
Sugiura T, Wang H, Barsacchi R, Simon A, Tanaka EM (2016) MARCKS-like protein is an initiating molecule in axolotl appendage regeneration. Nature 531(7593):237–240
Nacu E, Gromberg E, Oliveira CR, Drechsel D, Tanaka EM (2016) FGF8 and SHH substitute for anterior–posterior tissue interactions to induce limb regeneration. Nature 533(7603):407–410
Odelberg SJ, Kollhoff A, Keating MT (2000) Dedifferentiation of mammalian myotubes induced by msx1. Cell 103(7):1099–1109
Brockes JP, Kumar A (2008) Comparative aspects of animal regeneration. Annu Rev Cell Dev Biol 24:525–549
Maden M (1982) Vitamin A and pattern formation in the regenerating limb. Nature 295(5851):672–675
Stocum DL, Crawford K (1987) Use of retinoids to analyze the cellular basis of positional memory in regenerating amphibian limbs. Biochem Cell Biol 65(8):750–761
Brockes JP (1992) Introduction of a retinoid reporter gene into the urodele limb blastema. Proc Natl Acad Sci USA 89(23):11386–11390
Karczmar AG (1947) The effect of repeated amputation and blastema formation on regeneration. Anat Record 99(4):567
Thorton CR (1938) The histogenesis of muscle in the regenerating forelimb of larval Amblystoma punctatum. J Morph 62:17–47
Hay ED (1959) Electron microscopic observations of muscle dedifferentiation in regenerating Amblystoma limbs. Dev Biol 1:555–585
Spallanzani A (1769) Reproductions of the legs in the aquatic salamander. An essay on animal reproductions. Becket and de Hondt, London, pp 68–82
Hay ED, Fischman DA (1961) Origin of the blastema in regenerating limbs of the newt Triturus viridescens. An autoradiographic study using tritiated thymidine to follow cell proliferation and migration. Dev Biol 3:26–59
Kragl M, Knapp D, Nacu E, Khattak S, Maden M, Epperlein HH et al (2009) Cells keep a memory of their tissue origin during axolotl limb regeneration. Nature 460(7251):7260–7265
Capers CR (1960) Multinucleation of skeletal muscle in vitro. J Biophys Biochem Cytol 7:559–566
Bischoff R, Holtzer H (1968) The effect of mitotic inhibitors on myogenesis in vitro. J cell Biol 36(1):111–127
Schreiber SL (1998) Chemical genetics resulting from a passion for synthetic organic chemistry. Bioorg Med Chem 6(8):1127–1152
Rosania GR, Chang YT, Perez O, Sutherlin D, Dong H, Lockhart DJ et al (2000) Myoseverin, a microtubule-binding molecule with novel cellular effects. Nat Biotechnol 18(3):304–308
Imokawa Y, Gates PB, Chang YT, Simon HG, Brockes JP (2004) Distinctive expression of Myf5 in relation to differentiation and plasticity of newt muscle cells. Int J Dev Biol 48(4):285–291
Duckmanton A, Kumar A, Chang YT, Brockes JP (2005) A single-cell analysis of myogenic dedifferentiation induced by small molecules. Chem Biol 12(10):1117–1126
Jung DW, Williams DR (2011) Novel chemically defined approach to produce multipotent cells from terminally differentiated tissue syncytia. ACS Chem Biol 6(6):553–562
Pajcini KV, Corbel SY, Sage J, Pomerantz JH, Blau HM (2010) Transient inactivation of Rb and ARF yields regenerative cells from postmitotic mammalian muscle. Cell Stem Cell 7(2):198–213
Hjiantoniou E, Anayasa M, Nicolaou P, Bantounas I, Saito M, Iseki S et al (2008) Twist induces reversal of myotube formation. Differ Res Biol Divers 76(2):182–192
Paliwal P, Conboy IM (2011) Inhibitors of tyrosine phosphatases and apoptosis reprogram lineage-marked differentiated muscle to myogenic progenitor cells. Chem Biol 18(9):1153–1166
Endo T, Nadal-Ginard B (1998) Reversal of myogenic terminal differentiation by SV40 large T antigen results in mitosis and apoptosis. J Cell Sci 111(Pt 8):1081–1093
Tseng AS, Engel FB, Keating MT (2006) The GSK-3 inhibitor BIO promotes proliferation in mammalian cardiomyocytes. Chem Biol 13(9):957–963
Kim WH, Shen H, Jung DW, Williams DR (2016) Some leopards can change their spots: potential repositioning of stem cell reprogramming compounds as anti-cancer agents. Cell Biol Toxicol 32(3):157–168
Kim WH, Jung DW, Kim J, Im SH, Hwang SY, Williams DR (2012) Small molecules that recapitulate the early steps of urodele Amphibian Limb regeneration and confer multipotency. ACS Chem Biol 8(6):1271–1282
Chen S, Zhang Q, Wu X, Schultz PG, Ding S (2004) Dedifferentiation of lineage-committed cells by a small molecule. J Am Chem Soc 126(2):410–411
Wang H, Loof S, Borg P, Nader GA, Blau HM, Simon A (2015) Turning terminally differentiated skeletal muscle cells into regenerative progenitors. Nat Commun 6:7916
Sardao VA, Oliveira PJ, Holy J, Oliveira CR, Wallace KB (2009) Morphological alterations induced by doxorubicin on H9c2 myoblasts: nuclear, mitochondrial, and cytoskeletal targets. Cell Biol Toxicol 25(3):227–243
Bedelbaeva K, Snyder A, Gourevitch D, Clark L, Zhang XM, Leferovich J et al (2010) Lack of p21 expression links cell cycle control and appendage regeneration in mice. Proc Natl Acad Sci USA 107(13):5845–5850
Stebbins RC, Cohen NW (1995) A natural history of Amphibians. Princeton University Press, Princeton, p 3
Stewart S, Rojas-Munoz A, Izpisua Belmonte JC (2007) Bioelectricity and epimorphic regeneration. BioEssays News Rev Mol Cell Dev Biol 29(11):1133–1137
JU researched the manuscript and made the figure and table. DWJ and DRW wrote the manuscript. All authors read and approved the final manuscript.
All authors of the manuscript have read and agreed to its content and are accountable for all aspects of the accuracy and integrity of the manuscript in accordance with ICMJE criteria. The images of the salamanders in Fig. 1 were obtained from Wikimedia and used under the Creative Commons Attribution-Share Alike 4.0 International license.
The authors declare that they have no competing interests.
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All material in this commentary is stored on the institutional computer of the corresponding author (DRW) with cloud based back-up.
This work was supported by the following grant: Bio & Medical Technology Development Program of the NRF funded by the Korean government, MSIP (NRF-2015M3A9C6030838) and by the GIST Research Institute (GRI) in 2017.
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Um, J., Jung, D. & Williams, D.R. Lessons from the swamp: developing small molecules that confer salamander muscle cellularization in mammals. Clin Trans Med 6, 13 (2017). https://doi.org/10.1186/s40169-017-0143-8
- Limb regeneration
- Small molecules