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Subepicardial endothelial cells invade the embryonic ventricle wall to form coronary arteries.
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PMID:  23797856     Owner:  NLM     Status:  Publisher    
Coronary arteries bring blood flow to the heart muscle. Understanding the developmental program of the coronary arteries provides insights into the treatment of coronary artery diseases. Multiple sources have been described as contributing to coronary arteries including the proepicardium, sinus venosus (SV), and endocardium. However, the developmental origins of coronary vessels are still under intense study. We have produced a new genetic tool for studying coronary development, an AplnCreER mouse line, which expresses an inducible Cre recombinase specifically in developing coronary vessels. Quantitative analysis of coronary development and timed induction of AplnCreER fate tracing showed that the progenies of subepicardial endothelial cells (ECs) both invade the compact myocardium to form coronary arteries and remain on the surface to produce veins. We found that these subepicardial ECs are the major sources of intramyocardial coronary vessels in the developing heart. In vitro explant assays indicate that the majority of these subepicardial ECs arise from endocardium of the SV and atrium, but not from ventricular endocardium. Clonal analysis of Apln-positive cells indicates that a single subepicardial EC contributes equally to both coronary arteries and veins. Collectively, these data suggested that subepicardial ECs are the major source of intramyocardial coronary arteries in the ventricle wall, and that coronary arteries and veins have a common origin in the developing heart.Cell Research advance online publication 25 June 2013; doi:10.1038/cr.2013.83.
Xueying Tian; Tianyuan Hu; Hui Zhang; Lingjuan He; Xiuzhen Huang; Qiaozhen Liu; Wei Yu; Liang He; Zhongzhou Yang; Zhen Zhang; Tao P Zhong; Xiao Yang; Zhen Yang; Yan Yan; Antonio Baldini; Yunfu Sun; Jie Lu; Robert J Schwartz; Sylvia M Evans; Adriana C Gittenberger-de Groot; Kristy Red-Horse; Bin Zhou
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Type:  JOURNAL ARTICLE     Date:  2013-6-25
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Title:  Cell research     Volume:  -     ISSN:  1748-7838     ISO Abbreviation:  Cell Res.     Publication Date:  2013 Jun 
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Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Graduate School of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai 200031, China.
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Journal ID (nlm-ta): Cell Res
Journal ID (iso-abbrev): Cell Res
ISSN: 1001-0602
ISSN: 1748-7838
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Copyright © 2013 Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences
Received Day: 06 Month: 02 Year: 2013
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Accepted Day: 15 Month: 05 Year: 2013
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DOI: 10.1038/cr.2013.83

Subepicardial endothelial cells invade the embryonic ventricle wall to form coronary arteries Alternate Title:Formation of coronary arteries by subepicardial endothelial cells
Xueying Tian1*
Tianyuan Hu1*
Hui Zhang1*
Lingjuan He1
Xiuzhen Huang1
Qiaozhen Liu1
Wei Yu1
Liang He1
Zhongzhou Yang2
Zhen Zhang3
Tao P Zhong4
Xiao Yang5
Zhen Yang6
Yan Yan6
Antonio Baldini7
Yunfu Sun8
Jie Lu9
Robert J Schwartz10
Sylvia M Evans11
Adriana C Gittenberger-de Groot12
Kristy Red-Horse13
Bin Zhou1*
1Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Graduate School of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai 200031, China
2Model Animal Research Center of Nanjing University, Nanjing, Jiangsu 210061, China
3Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
4State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai 200433, China
5State Key Laboratory of Proteomics, Institute of Biotechnology, Beijing 100071, China
6Zhongshan Hospital, Fudan University, Shanghai 200032, China
7Institute of Genetics and Biophysics CNR, University of Naples Federico II, 80138 Naples, Italy
8School of Medicine, Tongji University, Shanghai 201000, China
9Shanghai 10th People's Hospital, Tongji University, School of Medicine, Shanghai 200072, China
10Department of Biology and Biochemistry, University of Houston, Houston, TX 77204, USA
11The Skaggs School of Pharmacy and Pharmaceutical Science, University of California San Diego, La Jolla, CA 92093, USA
12Department of Cardiology, Leiden University Medical Center, Postal zone S-5-24, PO Box 9600, 2300 RC Leiden, The Netherlands
13Department of Biology, School of Medicine, Stanford University, Stanford, CA 94305, USA
*These three authors contributed equally to this work.


Coronary heart disease is the leading cause of death worldwide resulting from pathology of the coronary arteries, the vessels that supply blood to the heart muscle1. Despite their importance to human health, the origins of coronary arteries and their developmental pathways have not been fully delineated. A more complete understanding of the origin and developmental program of coronary vessels would contribute important information to the field of cardiovascular regenerative medicine2.

Scientists have been interested in coronary artery development for many years. Histological observations made a century ago gave rise to the belief that coronary arteries sprout out from the aorta3. With the advent of immunohistochemistry enabling researchers to directly follow vascular cells, it was determined that a vasculature forms first, and then invades the aorta, excluding the possibility of aortic sprouting4. These data were consistent with subsequent avian transplantation studies showing that coronary vascular cells arise from the (pro)epicardium and migrate anteriorly from the posterior side of the heart5,6. This model of coronary artery development became dominant in the field and was thought to be similar in other species.

A recent burst of research based on mouse genetic lineage-tracing techniques has suggested that, in this species, cell types other than the (pro)epicardium contribute to the coronary vasculature. First, mouse lines that express Cre recombinase in the (pro)epicardium induce genetic labeling of either a subset of (Scx-Cre, Sema3d-Cre)7 or very few to no (Wt1-Cre, Tbx18-Cre)8,9,10 coronary endothelial cells (ECs). Other studies have shown that coronary vessels in the embryo express the sprouting marker, Apelin (Apln), and are formed by vascular sprouting from the sinus venosus (SV) and endocardium11,12. These observations are consistent with reports that the SV is physically connected to coronary veins13,14. However, the tracing of SV-derived sprouts into intramyocardial arteries and capillaries in addition to veins suggested that venous endothelium could undergo a reprogramming event to form all coronary vessel subtypes11. Marker analysis suggested that this event involved endothelial dedifferentiation into progenitors that redifferentiate into arteries, capillaries, and veins based on their final location within the heart. In rodents, these locations are such that coronary arteries and capillaries are within the myocardium, whereas veins are on the surface just beneath the epicardium11,15. In spite of these advances, conflicting conclusions emerge on the origin and growth of intramyocardial coronary arteries. For the majority of intramyocardial coronary arteries, recent work suggested SV as origin11, whereas another group concluded that ventricular endocardial cells directly migrate into compact myocardium to form these coronary arteries12.

Here, we address the pattern by which coronary vessels expand through lineage tracing of the derivatives of the early subepicardial ECs. We found that nascent vascular sprouts located just beneath the epicardium give rise to a large proportion of the coronary arteries, capillaries, and veins throughout the ventricle wall at later stages. Clonal analysis of early subepicardial ECs shows that they possess the capability to differentiate into coronary arteries, capillaries, and veins. The distribution of sister cells within the clones reveal that each subepicardial EC equally gives rise to the arterial or venous lineage. These data show that a significant number of ECs within the early subepicardial plexus give rise to cells that migrate into the compact myocardium to form coronary arteries.

Quantification of subepicardial and intramyocardial coronary development

The heart is avascular before E10.5, but is gradually covered by a sprouting vessel network spreading from the SV region over the ventricles of the developing heart (Figure 1A). The earliest coronary vascular plexus is located on the surface just beneath the epicardium, but eventually appears deep within the myocardium where the vessels differentiate into coronary arteries and capillaries (Figure 1B). We carried out a systematic quantification of coronary vessels in the subepicardial (in contact with the epicardium) and intramyocardial (in contact with cardiomyocytes) locations over developmental time. Our data indicated that the ventricle wall contains only subepicardial coronary ECs before E12.5 (Figure 1B). Intramyocardial vessels appear only after E12.5 when they dramatically increase and, by E15.5, outnumber the subepicardial fraction by more than five-fold (Figure 1C). Next, we counted the number of intramyocardial vessels that are in continuity with and within 20 μm of subepicardial ECs. The same criteria were used to assess intramyocardial coronary vessels association with endocardial ECs. This analysis revealed that, as intramyocardial coronary vessels appeared in the ventricle wall, a significant number is continuous with the subepicardial fraction (Figure 1D). In contrast, a consistent, 20-μm wide vascular-free zone that almost never contained ECs separated intramyocardial vessels from the endocardium in the ventricle wall (Figure 1D). The avascular zone separating the endocardium from intramyocardial vessels does not appear to be generated by localized compact myocardial expansion. This is because the whole region (from epicardium to endocardium) is expanding through cardiomyocyte proliferation, and, during this time, intramyocardial and subepicardial vessels continously connect (Figure 1D). In summary, the presence of subepicardial coronary ECs precedes intramyocardial vessel development, and the two are closely associated while a vessel-free border exists around the endocardium throughout all stages (E11.5-E14.5).

Production and characterization of an AplnCreER transgenic mouse line

The spatiotemporal appearance of subepicardial and intramyocardial populations, and the physical association between the two led us to investigate whether a substantial proportion of intramyocardial vessels arise from subepicardial ECs. Here we use the term subepicardial ECs to describe the ECs of a primary subepicardial vascular plexus, which is assessed by their lack of differentiation markers11, and ability to become either artery or vein11. To specifically label the subepicardial fraction and all its progeny, we generated a mouse line expressing an inducible Cre recombinase coupled to the estrogen receptor under the control of the Apln promoter (AplnCreERT2/+) (Supplementary information, Figure S1). In situ hybridization revealed that Apln was expressed in a pattern consistent with that of coronary vessel distribution (Figure 2A). qRT-PCR on sorted Tie2-positive cardiac ECs showed that Apln expression increased from E11.5, whereas pan expression of EC markers Pecam and Vegfr2 (in ratio to Gapdh) was similar across all ages (Figure 2B–2E). Immunostaining for the estrogen receptor (ESR) as a surrogate for Apln expression in the AplnCreERT2/+ line indicated no colocalization with WT1+, TBX18+, or RALDH2+ (pro)epicardial cells from E9.5 to E12.5 (Figure 2F–2J).

Sema3d is expressed in a subset of Wt1;Tbx18 proepicardial cells that can contribute to coronary ECs7. To test whether Apln is expressed in Sema3d+ proepicardial cell compartment, we generated a Sema3dLacZ/+ mouse line (Supplementary information, Figure S2) and crossed it to AplnCreERT2/+ (Supplementary information, Figure S1). X-gal staining verified that LacZ expression recapitulated the endogenous expression pattern of Sema3d in the proepicardium and epicardium (Supplementary information, Figure S3)7. By immunostaining for ESR on X-gal-treated AplnCreERT2/+;Sema3dLacZ/+ tissue, we found no colocalization of Apln with Sema3d+ proepicardial cells (E9.5, Supplementary information, Figure S4) or Sema3d+ epicardial cells (E10.5 and E11.5, data not shown). Taken together, Apln is not expressed in WT1+, TBX18+, RALDH2+, and SEMA3D+ (pro)epicardial cells in the developing heart from E9.5 to E12.5.

In contrast to the absence of epicardial colocalization, a robust Apln signal was detected in subepicardial coronary ECs and ECs in other vessels of the embryo. Apln was not expressed in cells deep within the heart where the endocardium is located (Figures 2H–2J and 3), which is consistent with previously reported results11,16. A separate Apln reporter line, AplnLacZ/+, verified that Apln expression is restricted to subepicardial ECs, and not in endocardial ECs, at E12.5 (Figure 2K and Supplementary information, Figure S5). Thus, AplnCreER is specific for coronary vascular ECs.

We next used AplnCreERT2/+ hearts in a functional culture assay to test whether fate-traced cells arise from the SV/atria or ventricle endocardium. Pairing the SV/atria portion of transgenic hearts with wild-type (WT) ventricle gave rise to labeled coronary ECs on the ventricle surface only in the presence of tamoxifen. As a control, the above pairing did not lead to labeled coronary ECs if tamoxifen was not added (Figure 4A). Conversely, these same ECs sprouting from the SV was no longer detectable when a WT SV/atria portion was paired with a transgenic AplnCreERT2/+ ventricle (Figure 4A). Thus, AplnCreERT2/+-labeled coronary vessels arise from the endocardium of SV and/or atria, but less likely from ventricle endocardium. We also paired the SV/atria portion from a Tie2-Cre;Rosa26LacZ/+ mouse with a WT ventricle, and the results were similar (Figure 4B).

Maintaining our cultures for 72 h using both AplnCreERT2/+;Rosa26RFP/+ and Tie2-Cre;Rosa26LacZ/+ E11.5 hearts did not produce ventricles that were as vascularized as those from E14.5 embryos. The inability to fully recapitulate the coronary vessel growth is a limitation of our in vitro assay. However, our data, together with previous work11, support a model that a substantial amount of Apln+ cells originate from endocardium of the SV/atria, whereas much fewer are from ventricular endocardium.

Subepicardial ECs invade the myocardium to form coronary arteries

To investigate the distribution of coronary vessels arising from the earliest subepicardial ECs, we specifically labeled E10.5 and E11.5 Apln+ cells by injecting tamoxifen into AplnCreERT2/+;Rosa26LacZ/+ mice at E10.517, or fluorescence reporter lines Rosa26mTmG/+ that express green-fluorescence protein after Cre recombination18, or Rosa26RFP/+ that express red-fluorescence protein tdTomato after Cre recombination19 (Figure 4C). This induces a permanent genetic lesion that is transferred to all daughter cells17,18,19. Analyzing a time course post-injection demonstrated that subepicardial ECs migrate step-wise down from AV groove and into the myocardium to contribute to significant portions of the entire coronary vasculature within the ventricle walls (Figure 4D). Remarkably, hearts injected with a single E10.5 dose of tamoxifen gave rise to a fate-traced pattern that was very similar to that of endogenous expression11, that is, most coronary cells were lineage-labeled. To exclude the potential penetration problem of X-gal whole mount staining, we sectioned AplnCreERT2/+;Rosa26LacZ/+ hearts and performed both the X-gal reaction and β-GAL immunostaining directly on slides. These experiments confirmed that endocardial cells were not genetically labeled, but that a substantial number of intramyocardial coronary vessels were (Supplementary information, Figure S6). Interestingly, although coronary vessels in the compact myocardium of the ventricle wall were mostly derived from subepicardial ECs, very few within the ventricular septum were genetically labeled. This result indicates that septal vessels are not descendants of subepicardial ECs or from coronaries in the ventricle wall (Figure 4D). Again, this is not due to a penetration problem, as X-gal staining on sections verified that septal vessels were β-GAL-negative (data not shown).

To strengthen our findings, we used two additional reporter lines and detected the same pattern when AplnCreERT2/+ was coupled with the Rosa26RFP/+ or Rosa26mTmG/+ reporter alleles18,19 (Figure 4F and 4G). As a control, genetic labeling was dependent on the presence of tamoxifen (Figure 4E, Supplementary information, Figure S7A–S7C). Immunostaining results were also verified by direct detection of fluorescence reporters (Figures 4G, 5 and Supplementary information, Figure S8), and the emission spectra were always consistent with the expected signal range for each fluorophore (Supplementary information, Figure S7D).

Tissue sections revealed that labeled subepicardial ECs produced vessels that migrate into the ventricular myocardium in addition to spreading along its surface (Figure 4D, 4F and 4G). Contributions of subepicardial ECs to intramyocardial coronary arteries were high. We quantified this by counting the number of lineage-labeled intramyocardial cells and comparing it to the total number of PECAM+ coronary ECs in the same location. Of 10 samples with high tamoxifen induction efficiency (this is determined by heavy labeling of vessels on the embryonic body surface), the average percentage of labeled coronary vessels was more than 90% and the numbers were the same for both the left and right ventricle (left ventricle wall, 93.21% ± 1.90 %; right ventricle wall, 92.01% ± 2.30 %). In four samples, subepicardial ECs contributed to as high as 99% of the intramyocardial coronary vessels in the ventricle wall at E15.5 (Figure 4G). Thus, subepicardial coronary ECs or subepicardial ECs present at E10.5-E11.5 can give rise to a substantial amount of intramyocardial coronary vessels within the compact myocardium of free ventricle wall.

We performed additional control experiments to provide direct evidence that E10.5 tamoxifen injections only label subepicardial ECs at E10.5-E11.5 and not intramyocardial coronary vessels present after E12.5. We took advantage of the observations described above that an E10.5 tamoxifen injection does not label coronary vessels in the ventricular septum. As septal vessels start to form at E12.5 (data not shown), a tamoxifen injection at this time point should induce their labeling (Figure 5). Indeed, an E12.5 tamoxifen injection labeled both septal and intramyocardial vessels, whereas labeling induced at E10.5 was restricted to the intramyocardial population (P < 0.05, Figure 5). Importantly, both strategies produced high-efficiency labeling of intramyocardial coronary vessels in the ventricle wall (Figure 5). Thus, the E10.5 tamoxifen injection does not induce recombination at E12.5 and only labels subepicardial ECs, providing a basis for specific genetic lineage tracing of this population at E10.5-E11.5, and detection of their progeny at E12.5-E15.5 (Figure 4C).

Blood islands (BIs) and coronary vessels in the ventricular septum

BIs were previously reported to arise from endocardium by clonal analysis11. We noticed that the BIs on the ventricle wall were isolated and separated from the surrounding coronary plexus (Figure 6B). We measured the separation distance and found that it was similar to the width of the avascular zone in ventricle wall (Figure 6A–6C). We also observed that BI formation was mostly at the midline near the interface between the septum and ventricle wall (Figure 6E). These structures are connected with the heart lumen (Figure 6D) and clonally related to the endocardium11, raising the possibility that they arise from endocardial budding. BI presence was most prominent on the ventral face of the heart (Figure 6E), which is the last region to be populated by migrating subepicardial vessels (Figures 1A and 4D). In addition, some mutant mice with faulty subepicardial coronary sprouting (Fog2 and VCAM mutants) that do not properly develop coronary vessels exhibit an overproduction and enlargement of ectopic BIs in the ventricle walls (Figure 6F; data not shown). This could indicate a possible compensatory attempt to provide coronary vessels when subepicardial vascular sprouting fails. Such a notion requires additional investigation, but is important to acknowledge during studies of injury and disease.

Tracing early coronary sprouts revealed a surprisingly striking inheritance pattern in the ventricular septum. While almost all coronary vessels of the ventricle-free wall arose from early subepicardial ECs, very few, if any, vessels in the septum derived from this source (Figures 4D and 5). We first confirmed that PECAM+ cells in the septum were coronary vessels based on Apln expression. Septal ECs, like intramyocardial ECs, but not trabecular endocardium, directly expressed Apln as early as E12.5, and more at E13.5-E14.5 onward (data not shown). In addition, the AplnCreERT2/+ transgene was able to mark septal ECs when tamoxifen induced recombination at either E12.5 or E13.5 (Figure 5 and data not shown). While these septal ECs were clearly not from early traced subepicardial ECs, the definitive origin remains unknown for these de novo formed vessels. It is likely that these vessels developed through trabecular coalescence, as they become sealed off from luminal blood flow. Embryonic hearts injected with FITC-lectin showed that the central portion of the septum was not perfused, and thus, not continuous with the heart lumen, as early as E12.5 (Figure 6G). Direct evidence of the origin of these septal vessels requires additional specific and inducible lineage tracing of ventricular endocardial cells, which merits further investigation.

Coronary arteries and veins have a common developmental origin

Co-immunofluorescence with arterial- and venous-specific antibodies indicated that E10.5-E11.5 subepicardial ECs produced both intramyocardial coronary arteries and subepicardial veins at E15.5 (Figures 7A and 7B). Consistent with previous work11,12, most coronary arteries were located in the compact myocardium, and coronary veins were located in the subepicardial space (Supplementary information, Figure S9). The ability of a single cell to give rise to both populations has been reported for cells within the SV and endocardium11,12. We went on to test whether subepicardial coronary ECs that had migrated onto the heart retained this ability. Clonal analysis was performed using the AplnCreERT2/+ driver paired with the Confetti multicolor reporter Rosa26Rainbow/+20. The advantage of this reporter allele is that it is very resistant to recombination, and, when recombination occurs, one out of four different permanent labels is selected. Out of 85 AplnCreERT2/+;Rosa26Rainbow/+ hearts, only 14 hearts were labeled with a low dose of tamoxifen, instilling high confidence in their clonality, particularly as most had 1-2 isolated clusters per heart (Figure 7C and 7D). The Confetti reporter Rosa26Rainbow/+ never exhibited tamoxifen-independent activity (data not shown). Each of the clones, which were labeled when only subepicardial cells were present, contained offspring in both the subepicardial and intramyocardial locations, but never endocardium (Figure 7E and 7F). The subepicardial and intramyocardial sister cells expressed venous and arterial markers, respectively (Figure 7F). In addition, the cells were distributed equally among the arterial and venous compartments when cell numbers were normalized to total number of subepicardial and intramyocardial vessels (Figure 7G, total distribution from Figure 1C).

We next reanalyzed a previously published data set of VE-Cad-CreER-induced SV-derived coronary clones to determine the distribution of their progeny across the subepicardial or intramyocardial locations11. Similar to the AplnCreERT2/+-induced clones, sister cells were distributed throughout the thickness of the heart (Figure 7H). The average spread was 30% and 50% in the subepicardial and intramyocardial compartments, respectively, with the remaining 20% in the SV (Figure 7I). This is similar to the distribution pattern of total vessels at this stage of development (E13.5) (total distribution from Figure 1C). In both AplnCreERT2/+- and VE-Cad-CreER-induced clones, sister cells were never confined to just the subepicardial or intramyocardial compartment, but were always present in both compartments.

Lineage tracing of other cardiac cell types: few to no contributions to coronary arteries

Several Cre-expressing mouse lines are available, which label various cardiac cell types including neural crest (Wnt1-Cre), (pro)epicardium (Wt1-Cre, Tbx18-Cre), the first and second heart fields (Nkx2-5) and the second heart fields (Mef2c-Cre, Isl1-Cre, Tbx1-Cre), the latter of which also marks a subset of the right ventricle endocardium. Lineage-tracing experiments with these Cre lines excluded a significant contribution from any of these cell types to coronary vessels within the ventricular-free wall (Supplementary information, Figure S10). Given that previous studies have identified the endocardium as a source of coronary vessels11,12, we quantified cells derived from the second heart field that labeled right ventricle endocardium. Three different Cre lines, Mef2c-Cre, Isl1-Cre, and Tbx1-Cre, were coupled with reporter alleles to permanently label endocardial cells and all their progenies21,22,23 (Figure 8A). These Cre lines labeled a subset of the endocardium within the right ventricle (Figure 8B, 8C and 8F); however, very few coronary ECs in the outer layer of ventricle wall were lineage traced at E15.5 or P7 (Figure 8B–8F). Quantification of the Isl1-Cre experiment showed that 50% of the endocardium was labeled, whereas 3% of coronary vessels were positive for the lineage marker (Figure 8B). This subset was able to give rise to coronary endothelium in other locations as Mef2c-Cre labeled a substantial amount of coronary vessels in the ventricular septum at E15.5 (Figure 8F). Therefore, the small number of labeled coronary vessels in the compact myocardium likely reflects a lack of endocardial contribution, rather than an inability of the subset to chase into the coronary compartment.


A recent series of reports studying coronary artery development in mice have challenged the textbook model that describes the (pro)epicardium as the sole source of the heart's vasculature9,10,24. These studies have found that SV sprouting11 and endocardial budding11,12 make a substantial contribution to the mammlian coronary vascular endothelium. Although the (pro)epicardium does not appear to be the primary source of the coronary endothelial layer in mice, it is widely accepted that it gives rise to most coronary smooth muscle and is a potent source of epicardial-derived factors that support coronary growth9,10,15,24. To more completely understand coronary development, we must now define, at the cell population level, the relative contributions of the different sources and how the descendants of each are spatially organized within the entire heart. We developed a new tool to address this issue, the AplnCreERT2/+ mouse line, which allowed us to permanently label only subepicardial ECs and all of their progenies. We found that subepicardial ECs present before E12.5 dramatically expanded and migrated in large numbers into the myocardium of the embryonic ventricle free walls (Figure 9). Clonal analysis revealed that single subepicardial EC gave rise to both coronary veins and intramyocardial coronary arteries/capillaries.

Although Apln-driven CreERT2 line could lineage-trace the subepicardial ECs and reveal their fate at later stages, the tool alone could not define the origins of these subepicardial ECs. Clues for the possible origin of these subepicardial vessles come from histological observations and clonal analysis where the vessels appear to migrate in from the venous inflow tract of the heart called the SV11,13. Our in vitro culture experiments where genetically labeled (AplnCreERT2/+;Rosa26RFP/+ or Tie2-Cre;Rosa26LacZ/+) SV/atria were paired with unlabeled ventricles suggested that the endocardium of SV/atria, but not the ventricle, gives rise to the primary coronary vessel plexus. Our results of coronary vessels in ventricle wall are consistent with earlier studies on the SV11, but are in contrast with others, showing that the ventricular endocardium is the primary source of intramyocardial coronary vessels12.

Lineage-tracing work using an Nfatc1-Cre line detected a large ventricle endocardial contribution to intramyocardial coronary vessels12. However, we found little histological evidence of ventricular endocardial cells migrating into the myocardium of the ventricle-free wall in any of the stages examined. Subepicardial sprouts were continuously connected with intramyocardial vessels (Figure 1D). This observation suggests that it is less likely that a substantial number of coronary artery progenitors delaminate from the endocardium and populate the compact myocardium. In the previous study12, clonal analysis revealed that single Nfatc1+ cell gives rise to both coronary arteries and veins, but with greater contributions to the intramyocardial (86%) than the subepicardial fraction (14%)12. However, when this Nfatc1-based clonal data are normalized to the distribution of total vessels within each compartment, 84.4% intramyocardial versus 15.6% subepicardial vessels (Figure 1C), the relative distribution of Nfatc1-derived cells of single clone would be almost equal for arteries and veins. Thus, Nfatc1-inducible Cre-mediated clonal analyses seem to reveal that single Nfatc1-positive cell contributed to both arterial and venous ECs with similar frequency.

Wu et al.12 also performed functional analyses that support a ventricular endocardial origin of intramyocardial coronary arteries. Deleting VEGFR2, a receptor required for EC growth, using Nfatc1-Cre resulted in a decrease in coronary vessel development that was more dramatic in intramyocardial vessels. One caveat to these experiments is that thinned myocardium was also present, which is known to specifically affect the intramyocardial vessel fraction25,26. Another issue is that Nfatc1-Cre labels part of the endocardium of SV and atrium in addition to that of the ventricle12, and it was also reported that Nfatc1 itself was expressed in the proximal SV27. As atrial, ventricular, and SV endocardial cells are all labeled by Nfatc1-Cre, we reason that Nfatc1-derived coronary arteries could not be simply interpreted as originating from ventricular endocardium by direct migration into compact myocardium12. It remains equally possible that, instead of ventricular endocardium, these vessels derive from the endocardium of the atrium and SV11.

Difference in conclusions in the origins of coronary arteries may have resulted from the difficulty of finding promoters that are expressed only in the cell population of interest. This can be particularly challenging in the developing heart where the proposed three sources (PEO, SV, and endocardium) for coronary vessels are all adjacent to each other and sometimes continuous. For example, Sema3d-Cre proepicardial cells also lineage-label a proportion of the SV and endocardium7. In addition, the SV neighbors and is the precursor of some atrial endocardial cells, making it not surprising that Nfatc1-Cre traces a subset of the SV12,27. A solid understanding should emerge from multiple studies by independent experiments and more specific tools, such as Cre lines highly specific to an individual component. Inducible Cre lines could also be helpful in circumventing the inherent limitations of their constitutive counterparts8,28,29,30.

In our study, we bypass some of these issues by carrying out lineage-tracing experiments at a stage (E10.5-E11.5) when descendent cell types are more spatially separated. Specifically, we focused on the behavior of early subepicardial ECs by using an inducible AplnCreER. We show that nascent subepicardial ECs massively expand and migrate into the compact myocardium where they form a large number of intramyocardial coronary arteries/capillaries, in addition to coronary veins (Figure 9). Unexpectedly, there were region-specific effects. Subepicardial ECs did not give rise to many of the coronary vessels within the ventricular septum. This new mouse line and experimental regimes described here should be useful in studying coronary vessel behavior during postnatal growth and in the adult during injury, regeneration, and diseases.

Materials and Methods
Generation of AplnCreERT2/+ and Sema3dLacZ/+ knockin lines

A 129-mouse BAC clone containing the complete mouse Apln gene was obtained from Sanger Institute (UK). A targeting vector was constructed using the following fragments: CreERT2 cDNA, SV40 polyA sequence, and PGK-EM7-Neo-resistant gene flanked by Frt sites. Two homologous arms on 5′ and 3′ sides of the first coding exon of Apln gene were generated on targeting vectors by recombination from BAC. The targeting vector was digested with I-CeuI for linearization, and then electroporated in mouse ES cells. The targeting vector was knocked into Apln locus for endogenous expression of CreERT2 cDNA (Supplementary information, Figure S1). After G418 selection, 192 clones were selected for retrieval of genomic DNA and for screening of positive clones. Neomycin-resistant clones were tested for correct gene targeting by long PCR assays, with primer pairs spanning the targeting vector and flanking genomic DNA. Correct ES-targeted clones were confirmed by Southern blot using 5′ and 3′ probes. Following verification of correct targeting and karyotype, positive clone ES cells were expanded and injected into blastocyst for mice generation. The obtained chimera mouse lines were crossed to C57B6 lines for germline transmission. PCR was carried out to test the correct genotype, and the established AplnCreERT2/+ mice were maintained on C57B6 background.

For Sema3dLacz/+ knockin mice, we obtained the targeting vector from KOMP. This targeting vector uses knockout-first strategy, in which Sema3d transcription is blocked before Flp recombination in the targeted mice, and LacZ cDNA is expressed as surrogate for Sema3d mRNA (Supplementary information, Figure S2). After Flp recombination, it could be switched into conditional allele. Targeting vector was linearized by AsiSI and electroporated into mouse ES cells for G418 selection. The following screening step, ES cell injection into blastocyst, and germline transition were same as AplnCreERT2/+ mouse generation. Germline-transmitted mice were crossed to C57B6 lines for maintenance.


All mice were used in accordance with the guidelines of the Institutional Animal Care and Use Committee of the Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences. AplnCreERT2/+ and Sema3dLacZ/+ mice were constructed by knocking exogenous cDNA into Apln or Sema3d locus. Mice were maintained on a C129/C57BL6/J-mixed background. Tamoxifen (Sigma) was dissolved in corn oil and introduced by gavage at the indicated time (0.1-0.15 mg/g). For clonal analysis, dams received an injection of tamoxifen 0.25-0.5 mg dissolved in corn oil. AplnLacZ/+16, Rosa26LacZ/+17, Rosa26mTmG/+18, Rosa26RFP/+19, Rosa26Rainbow/+20, Fog2-mut31, Tie2-GFP32, Tie2-Cre33, Wnt1-Cre34, Nkx2-5Cre/+35, Wt1GFPCre/+10, Wt1CreERT2/+10, Islet1Cre/+9, Mef2c-Cre23, Tbx1-Cre22, VE-Cad-CreERT236, Tbx18-Cre9, EphB4LacZ/+37, and Efnb2LacZ/+38 mice were described previously.

In situ hybridization

Whole-mount in situ hybridization was performed as previously described39. Briefly, whole dissected embryos were fixed overnight in 4% paraformaldehyde. Fixed embryos were dehydrated in a gradient concentrations of methanol and could be stored at −20 °C for a couple of weeks. After dehydration, the embryos should be rehydrated and digested with Proteinase K at a concentration of 20 μg/ml. Embryos were re-fixed with 0.2% glutaraldehyde and 4% paraformaldehyde for 20 min, followed by a wash with 0.1% Tween 20 in PBS and incubation in hybridization buffer for 1 h at 70 °C. Embryos were transferred into fresh hybridization buffer containing 1 μg/ml digoxigenin UTP-labeled RNA probes and incubated overnight with rocking at 70 °C. After washing in a serial of wash solution buffers and treating with ribonucleases, the embryos were incubated with anti-digoxigenin alkaline phosphatase (AP)-conjugated antibody (Roche) overnight with rocking at 4 °C. Next day, embryos were washed with 2 mM levamisole in TBST for a whole day to remove the residual antibody and to inhibit endogenous AP activity. AP activity for probe detection was developed in BM purple (Roche) in dark until the color has been developed to the desired extent. For in situ hybridization on cryosection, dissected embryos were fixed overnight in 4% paraformaldehyde and embedded in optimal cutting temperature (OCT, Sakura). Embryos were sectioned at 6-10 μm thick. Slides were digested with Proteinase K, acetylated with triethanolamine, dehydrated, and hybridized overnight with probes. The slides were then washed in SSC buffer and treated with ribonucleases at 37 °C for 30 min. After incubation with anti-digoxigenin antibody, the slides were developed with BM purple in dark.


Immunostaining was performed as previously described40. Embryos and adult hearts were collected in PBS on ice and then fixed in 4% PFA at 4 °C for 2 h to overnight. After washing in PBS, tissues were treated sequentially with 15% and 30% sucrose until tissue was fully penetrated. Then they were embedded in OCT (Sakura) and snap frozen. Cyrosections of 6-10 μm thickness were collected on positively charged slides. Tissues were blocked with PBS supplemented with 0.1% Triton X-100 and 5% normal donkey serum (NDS, Jackson ImmunoResearch) for 1 h at room temperature, followed by first antibody incubation at 4 °C for 2 h to overnight. Signals were developed with Alexa fluorescence antibodies (Invitrogen). For weak signals, we used HRP- or biotin-conjugated antibodies with tyramide signal amplification kit (PerkinElmer). Before coverslip addition, tissues were counterstained with 4' 6-diamidino-2-phenylindole (DAPI, Vector lab). Images were acquired by Zeiss confocal microscope LSM510, Leica stereo microscope M165 FC, and Olympus microscope BX53. The sources and dilutions of antibodies used in this study are listed in Supplementary information, Table S1.

Whole-mount PECAM staining

Whole-mount PECAM staining was performed as previously described41. Briefly, embryonic hearts at different time points were collected and fixed in Zinc fixative (Becton Dickinson) overnight at room temperature or 4% fresh PFA overnight at 4 °C. Embryonic hearts were washed in PBS three times, followed by serial dehydration by methanol. Samples were bleached in 5% hydrogen peroxide in 100% methanol for 2 h at 4 °C to inhibit endogenous peroxidase activity, followed by rehydration. Samples were blocked in PBS containing 5% NDS and 0.1% Triton X-100 for 1 h at 4 °C. Samples were then incubated in block solution containing PECAM antibody (BD) overnight at 4 °C, followed by five times wash in PBS. Then, samples were incubated with secondary antibody anti-rat-biotin (BD) in block solution for 12 h, followed by five times PBS wash. Finally, samples were incubated with ABC (Vector Lab) for 2 h at room temperature and washed in PBS for five times, then developed by chromogen AEC or DAB (Vector Lab) at room temperature.

X-gal staining

X-gal staining was performed as previously described41. Hearts were fixed in LacZ fix solution (0.2% glutaraldehyde, 5 mM EGTA, and 100 mM MgCl2 in PBS) for 15-30 min based on the size. After washing three times for 15 min in LacZ wash buffer containing 2 mM MgCl2, 0.01% sodium deoxycholate, 0.02% NP-40 in 100 mM sodium phosphate buffer, specimens were stained overnight at 37 °C in LacZ stain solution containing 1 mg/ml 5-bromo-4-chloro-3-indolyl β-D-galactopyranoside (X-gal) in LacZ wash buffer. Pictures were taken under Leica stereo microscope M165 FC.

Ex vivo explant assay

Organ culture protocol was followed as described, with minor modifications11. E11.5 embryonic hearts were from Tie2-Cre;Rosa26LacZ/+ or AplnCreERT2/+;Rosa26RFP/+ mice. In brief, mutant SV/A and ventricle were separated by fine forceps and recombined with WT ventricle and SV/A. The recombined hearts were placed dorsal side up at air-liquid interface on Millicell-CM inserts (Millipore). Cultures were conducted at 37% and 5% CO2 for 72 h in DMEM supplemented with 10% fetal bovine serum, 200 U/ml penicillin, 200 μg/ml streptomycin, 0.292 mg/ml L-glutamine, 0.25 μg/ml amphotericin B, 0.25 U/ml heparin, and 100 nM 4-hydorxytamoxifen (Invitrogen). Hearts from Tie2-Cre;Rosa26LacZ/+ mice were cultured in medium without 4-hydroxytamoxifen and subjected to whole mount X-gal staining afterwards.

Statistical analysis

Data were analyzed by unpaired Student's t-tests for two groups, and ANOVA test for over two groups. Significance was accepted when P < 0.05. All data are presented as mean ± SEM.


(Supplementary information is linked to the online version of the paper on the Cell Research website.)

We thank William Pu, T Quertermous, Sergei Tevosian, M Yanagisawa, Luisa Iruela-Arispe, Hongkui Zeng, David Anderson, and Yosuke Mukoyama for mouse strains, NH Jing for valuable comments, INS facility and animal facility members for technical help. BZ was supported by the Ministry of Science and Technology of China (2012CB945102 and 2013CB945302), Chinese Academy of Sciences (874 and KSCX2-EW-R-09), Shanghai PuJiang Talent program (11PJ1411400), and the National Natural Science Foundation of China (31271552 and 31222038). KR was supported by NIH (4R00HL10579303).

Riley P,Smart N. Vascularizing the heartCardiovasc ResYear: 20119126026821282300
Riley P. Developmental biology: Plumbing the heartNatureYear: 201046449849920336126
Hutchins G,Kessler-Hanna A,Moore G. Development of the coronary arteries in the embryonic human heartCirculationYear: 198877125012573286038
Bogers A,Gittenberger-de Groot A,Poelmann R,Peault B,Huysmans H. Development of the origin of the coronary arteries, a matter of ingrowth or outgrowthAnat Embryol (Berl)Year: 19891804374412619086
Majesky M. Development of coronary vesselsCurr Top Dev BiolYear: 20046222525915522744
Perez-Pomares J,Phelps A,Sedmerova M,et al. Experimental studies on the spatiotemporal expression of WT1 and RALDH2 in the embryonic avian heart: a model for the regulation of myocardial and valvuloseptal development by epicardially derived cells (EPDCs)Dev BiolYear: 200224730732612086469
Katz Tamar C,Singh Manvendra K,Degenhardt K,et al. Distinct compartments of the proepicardial organ give rise to coronary vascular endothelial cellsDev CellYear: 20122263965022421048
Merki E,Zamora M,Raya A,et al. Epicardial retinoid X receptor alpha is required for myocardial growth and coronary artery formationProc Natl Acad Sci USAYear: 2005102184551846016352730
Cai C,Martin J,Sun Y,et al. A myocardial lineage derives from Tbx18 epicardial cellsNatureYear: 200845410410818480752
Zhou B,Ma Q,Rajagopal S,et al. Epicardial progenitors contribute to the cardiomyocyte lineage in the developing heartNatureYear: 200845410911318568026
Red-Horse K,Ueno H,Weissman I,Krasnow M. Coronary arteries form by developmental reprogramming of venous cellsNatureYear: 201046454955320336138
Wu B,Zhang Z,Lui W,et al. Endocardial cells form the coronary arteries by angiogenesis through myocardial-endocardial VEGF SignalingCellYear: 20121511083109623178125
Bennett HS. The development of the blood supply to the heart in the embryo pigAm J AnatYear: 1936602753
Poelmann R,Gittenberger-de Groot A,Mentink M,Bokenkamp R,Hogers B. Development of the cardiac coronary vascular endothelium, studied with antiendothelial antibodies, in chicken-quail chimerasCirc ResYear: 1993735595688348697
Lavine K,Long F,Choi K,Smith C,Ornitz D. Hedgehog signaling to distinct cell types differentially regulates coronary artery and vein developmentDevelopmentYear: 20081353161317118725519
Sheikh A,Chun H,Glassford A,et al. In vivo genetic profiling and cellular localization of apelin reveals a hypoxia-sensitive, endothelial-centered pathway activated in ischemic heart failureAm J Physiol Heart Circ PhysiolYear: 2008294H889817906101
Soriano P. Generalized lacZ expression with the ROSA26 Cre reporter strainNat GenetYear: 19992170719916792
Muzumdar M,Tasic B,Miyamichi K,Li L,Luo L. A global double-fluorescent Cre reporter mouseGenesisYear: 20074559360517868096
Madisen L,Zwingman T,Sunkin S,et al. A robust and high-throughput Cre reporting and characterization system for the whole mouse brainNat NeurosciYear: 20101313314020023653
Snippert H,van der Flier L,Sato T,et al. Intestinal crypt homeostasis results from neutral competition between symmetrically dividing Lgr5 stem cellsCellYear: 201014313414420887898
Milgrom-Hoffman M,Harrelson Z,Ferrara N,et al. The heart endocardium is derived from vascular endothelial progenitorsDevelopmentYear: 20111384777478721989917
Huynh T,Chen L,Terrell P,Baldini A. A fate map of Tbx1 expressing cells reveals heterogeneity in the second cardiac fieldGenesisYear: 20074547047517610275
Verzi M,McCulley D,De Val S,Dodou E,Black B. The right ventricle, outflow tract, and ventricular septum comprise a restricted expression domain within the secondary/anterior heart fieldDev BiolYear: 200528713414516188249
Wilm B,Ipenberg A,Hastie N,Burch J,Bader D. The serosal mesothelium is a major source of smooth muscle cells of the gut vasculatureDevelopmentYear: 20051325317532816284122
van den Akker N,Caolo V,Wisse L,et al. Developmental coronary maturation is disturbed by aberrant cardiac vascular endothelial growth factor expression and Notch signallingCardiovasc ResYear: 20087836637518093989
Lavine K,Ornitz D. Shared circuitry: developmental signaling cascades regulate both embryonic and adult coronary vasculatureCirc ResYear: 200910415916919179669
Misfeldt A,Boyle S,Tompkins K,et al. Endocardial cells are a distinct endothelial lineage derived from Flk1+ multipotent cardiovascular progenitorsDev BiolYear: 2009333788919576203
Christoffels V,Grieskamp T,Norden J,et al. Tbx18 and the fate of epicardial progenitorsNatureYear: 2009458E8E919369973
Rudat C,Kispert A. Wt1 and Epicardial Fate MappingCirc ResYear: 201211116516922693350
Zhou B,Pu WT. Genetic Cre-loxP assessment of epicardial cell fate using Wt1-driven Cre allelesCir ResYear: 2012111e276e280
Tevosian SG,Deconinck AE,Tanaka M,et al. FOG-2, a cofactor for GATA transcription factors, is essential for heart morphogenesis and development of coronary vessels from epicardiumCellYear: 200010172973910892744
Motoike T,Loughna S,Perens E,et al. Universal GFP reporter for the study of vascular developmentGenesisYear: 200028758111064424
Kisanuki Y,Hammer R,Miyazaki J,et al. Tie2-Cre transgenic mice: a new model for endothelial cell-lineage analysis in vivoDev BiolYear: 200123023024211161575
Danielian PS,Muccino D,Rowitch DH,Michael SK,McMahon AP. Modification of gene activity in mouse embryos in utero by a tamoxifen-inducible form of Cre recombinaseCurr BiolYear: 19988132313269843687
Moses K,DeMayo F,Braun R,Reecy J,Schwartz R. Embryonic expression of an Nkx2-5/Cre gene using ROSA26 reporter miceGenesisYear: 20013117618011783008
Monvoisin A,Alva J,Hofmann J,et al. VE-cadherin-CreERT2 transgenic mouse: a model for inducible recombination in the endotheliumDev DynYear: 20062353413342217072878
Gerety S,Wang H,Chen Z,Anderson D. Symmetrical mutant phenotypes of the receptor EphB4 and its specific transmembrane ligand ephrin-B2 in cardiovascular developmentMol CellYear: 1999440341410518221
Wang H,Chen Z,Anderson D. Molecular distinction and angiogenic interaction between embryonic arteries and veins revealed by ephrin-B2 and its receptor Eph-B4CellYear: 1998937417539630219
Cai C,Liang X,Shi Y,et al. Isl1 identifies a cardiac progenitor population that proliferates prior to differentiation and contributes a majority of cells to the heartDev CellYear: 2003587788914667410
Zhou B,von Gise A,Ma Q,Hu Y,Pu W. Genetic fate mapping demonstrates contribution of epicardium-derived cells to the annulus fibrosis of the mammalian heartDev BiolYear: 201033825126120025864
Zhou B,Ma Q,Kong S,et al. Fog2 is critical for cardiac function and maintenance of coronary vasculature in the adult mouse heartJ Clin InvestYear: 20091191462147619411759
Supplementary Information Supplementary information, Figure S1

Generation of AplncreERT2/Y knockin mouse line.

Supplementary information, Figure S2

Generation of Sema3dLacZ/+ knockin mouse line.

Supplementary information, Figure S3

Characterization of Sema3dLacZ/+ knockin line.

Supplementary information, Figure S4

X-gal and ESR double staining on E9.5 AplncreERT2/+;Sema3dLacZ/+ embryos show no overlapping signal on proepicardial cells (PEO, white arrowheads)

Supplementary information, Figure S5

Apln expression map by AplnLacZ/+ line.

Supplementary information, Figure S6

Fate map of AplncreERT2/+ by Rosa26LacZ/+ reporter.

Supplementary information, Figure S7

Controls for AplncreERT2/+ fate map.

Supplementary information, Figure S8

Fate map of AplncreERT2/+ by Rosa26RFP/+ and Rosa26mTmG/+ line.

Supplementary information, Figure S9

Beta-GAL and PECAM staining of E 15.0 EphB4LacZ/+ and Efnb2LacZ/+ hearts.

Supplementary information, Figure S10

Fate mapping of coronary endothelial cells from various cardiac lineages.

Supplementary information, Table S1

List of antibodies used in the study.

Article Categories:
  • Original Article

Keywords: coronary artery, origin, development, subepicardial endothelial cell, angiogenesis.

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