Abstract
Stem cells from the apical papilla (SCAPs) are important for the formation and regeneration of root dentin. Here, we examined the expression of Notch signaling components in SCAPs and investigated crosstalk between microRNA miR-34aand Notch signaling during cell differentiation. We found that human SCAPs express NOTCH2, NOTCH3, JAG2, DLL3, and HES1, and we tested the relationship between Notch signaling and both cell differentiation and miR-34a expression. NOTCH activation in SCAPs inhibited cell differentiation and up-regulated the expression of miR-34a, whereas miR-34a inhibited Notch signaling in SCAPs by directly targeting the 3′UTR of NOTCH2 and HES1 mRNA and suppressing the expression of NOTCH2, N2ICD, and HES1. DSPP, RUNX2, OSX, and OCN expression was consequently up-regulated. Thus, Notch signaling in human SCAPs plays a vital role in maintenance of these cells. miR-34a interacts with Notch signaling and promotes both odontogenic and osteogenic differentiation of SCAPs.
Keywords
Introduction
Stem cells from the apical papilla (SCAPs) are mesenchymal stem/progenitor cells residing in the root apex of immature permanent teeth. These post-natal stem cells contribute to the formation of developing radicular pulp as well as the odontoblasts that are responsible for root dentinogenesis. They play a vital role in pulp healing and regeneration. SCAPs can also be used in tissue engineering, an example of which is stimulation of SCAPs to establish root formation in immature teeth (Banchs and Trope, 2004; Chueh and Huang, 2006). Dentin-pulp-like tissues in the empty root canal space and bioengineered roots that can support a porcelain crown have been generated by utilizing SCAPs recombined with biological scaffolds in vivo (Sonoyama et al., 2006; Huang et al., 2009).
The Notch signaling pathway is evolutionarily conserved and controls fate decisions through cell-cell interactions during development and post-natal life. Notch receptors and their ligands Delta/Jagged are single-pass transmembrane proteins expressed on neighboring cells. Notch signaling is activated by ligand-receptor binding, which induces proteolytic cleavage of the intracellular domain of the Notch receptor (NICD). There are 2 possible proteolytic cleavage events: the first is catalyzed by ADAM-family metalloproteases, whereas the second is mediated by γ-secretase. DAPT is one of the major inhibitors of γ-secretase and thus has been widely used as an inhibitor of the Notch signaling pathway. The NICD translocates into the nucleus and binds to members of the CSL (CBF-1, Suppressor of Hairless, Lag-1) transcription factor family. Following NICD binding, CBF-1/RBP-JK becomes a transcriptional activator and induces downstream targets, such as hairy/enhancer of split (HES) genes, a family of basic helix-loop-helix (bHLH) transcription factors.
Evidence has been accumulating that Notch signaling plays a critical role in tooth repair and regeneration (Mitsiadis et al., 1995). During tooth development, complementary expression of the Delta/Jagged ligands and Notch receptors in adjacent epithelial and mesenchymal cells correlates with ameloblast and odontoblast differentiation. Moreover, NOTCH1 expression is found in the stem cell compartment in continuously growing rodent incisors, whereas it is mainly absent in mouse molars (Harada et al., 1999; Thesleff and Mikkola, 2002). NOTCH2 is expressed in odontoblasts and pre-odontoblasts during dentin repair (Mitsiadis et al., 2003). Hes1, the downstream effector of Notch signaling, has been found in stellate reticulum cells and outer dental mesenchyme (Mustonen et al., 2002) and is considered important in the maintenance of stemness and cell fate determination in tooth development. Activation of Notch1/Jagged/Hes1 signaling increases proliferation of stratum intermedium cells and contributes to enamel formation (Harada et al., 2006). Inhibition of Hes1 results in decreased cell proliferation as well as massive apoptosis in the epithelial stem cell niche (Felszeghy et al., 2010). Because the Notch signaling pathway functions in a context-dependent manner, the mechanism of Notch signaling in tooth development and repair/regeneration remains incompletely understood.
Emerging evidence suggests that microRNAs (miRNAs) function as key regulators of various biological and pathologic processes (Xie et al., 2011). Recently, it has been reported that transfection of miR-34a into glioma cells led to decreased expression of Notch-1, Notch-2, and CDK6 (Li et al., 2009), and that over-expression of miR-200b significantly inhibited Notch-1 expression (Wang et al., 2010). Previous studies suggested that miR-34a plays an important role in dentinogenesis by targeting NOTCH1 and BMP7 (Wan et al., 2012). Furthermore, Notch signaling and miR-34a interact in colon cancer stem cells (CCSCs) during self-renewal. miR-34a dampens Notch signaling and promotes asymmetric division, whereas low miR-34a levels retain plasticity in daughter cells (Bu et al., 2013). However, the underlying mechanism of the crosstalk between miR-34a and Notch signaling pathway in SCAPs is not known.
In the present study, we investigated the Notch signaling pathway in SCAPs and elucidated the crosstalk between Notch signaling and miR-34a in cell fate determination.
Materials & Methods
Ethics Statement
All human tissues were collected from patients (ages 12-20 yr) in the Dental Clinics at West China Hospital of Stomatology, Sichuan University under approved guidelines. The study and the consent procedure were approved by Ethical Committees of West China School of Stomatology, Sichuan University and the State Key Laboratory of Oral Diseases.
Cell Culture and Characterization
SCAPs in primary culture were generated from the root apex of immature teeth (third molars or premolars) as previously described (Appendix Fig. A) (Sonoyama et al., 2008). Cell-surface molecule characterization was carried out by immunofluorescence (Appendix Figs. B-F). Multi-lineage differentiation was characterized as described previously (Appendix Figs. G-J) (Sonoyama et al., 2008). RNA was purified and lineage-specific gene expression level was tested by real-time reverse-transcription polymerase chain reaction (qRT-PCR) before and after induction (Appendix Fig. K). (See Appendix for details.)
Total RNA of SCAPs was isolated and purified with an RNeasy Mini Kit (Qiagen, Valencia, CA, USA). cDNA synthesis for messenger RNA was performed with the SuperScriptIII First-Strand Synthesis System (Life Technologies, Foster City, CA, USA). Products were amplified with primers for human Notch signaling pathway components. PCR conditions and primer design are included in the Appendix Table. The PCR products were separated on 1.5% agarose gels and photographed.
SCAPs were plated in 6-well plates containing embedded glass coverslips and grown until 70% confluent. Immunofluorescence was performed as described in the Appendix. Primary antibodies against NOTCH2, NOTCH3, JAG2, HES1 (all 1:100, Abcam, Cambridge, MA, USA), and DLL3 (1:100, Santa Cruz Biotechnology, Santa Cruz, CA, USA) were used.
Functional Blockade
To test Notch signaling activity, we treated SCAPs for 72 hr with recombinant JAG1 protein at concentrations of 10 ng/mL, 20 ng/mL, 50 ng/mL, 100 ng/mL, and 200 ng/mL or with DAPT at 0.2 μM, 1 μM, 2 μM, 5 μM, and 10 μM. For rescue experiments, cells were treated with JAG1 for 7 days and then treated by DAPT for another 7 days. JAG1 and DAPT were added at 50 ng/mL and 10 μM, respectively. SCAPs cultured in basic cell culture medium were referred to as control. Cells treated by either JAG1 or DAPT alone for 14 days were also examined for interpretation of the rescue results. Meanwhile, we also added JAG1/DAPT for 7 days followed by stopping the treatment for another 7 days. JAG1 and DAPT together for 14 days were alternatively referred to as control of JAG1-14 days and DAPT-14 days. To verify the relationship between Notch signaling and cell differentiation in SCAPs, we cultured cells in mineralization medium for 14 days.
Oligonucleotide Transfection
miR-34a mimic and miR-34a inhibitor (anti-miR-34a, chemically modified antisense oligonucleotides designed to specifically target mature miR-34a) were synthesized by Ribobio, Guangzhou, China. Oligonucleotide transfection was performed as described previously (Wan et al., 2012) (see Appendix for details). Cells were harvested 72 hr after oligonucleotide transfection. The mRNA levels of Notch signaling molecules (NOTCH2, NOTCH3, JAG2, DLL3, HES1) and differentiation markers DSPP, ALP, RUNX2, OSX, OCN, and OPN were examined by qRT-PCR. Primers and probe sets included an endogenous GAPDH control and were purchased from Applied Biosystems (Foster City, CA, USA). miR-34a reverse transcription was performed with the TaqMan® microRNA Reverse Transcription Kit (Life Technologies) and the miR-34a specific RT primer. The reactions were performed as described previously (Wan et al., 2012) (see Appendix for details).
Western Blotting
Total cellular protein was extracted with the Reagent kit (KeyGEN, Nanjing, Jiangsu, China) after the same treatment of real-time qRT-PCR. Nuclear proteins such as HES1, N2ICD (NOTCH2 intercellular domain), and H3.1 were extracted with Nuclear and Cytoplasmic Extraction Reagents (Beyotime Institute of Biotechnology, Haimen, Jiangsu, China). Protein concentration was determined with the BCA protein assay reagent (Beyotime Institute of Biotechnology) (see Appendix for details).
Alkaline Phosphatase and Alizarin Red Staining
To determine whether miR-34a promotes mineralization in vitro, we performed alkaline phosphatase (ALP) and alizarin red staining. Briefly, SCAPs were cultured in mineralization induction media plus oligonucleotide transfection. For alkaline phosphatase (ALP) staining, 2 wk after induction, cells were fixed with 4% paraformaldehyde and incubated with a solution of 0.25% naphthol AS-BI phosphate and 0.75% Fast Blue BB dissolved in 0.1 M Tris buffer (pH 9.3); 2% Alizarin Red was stained to detectcalcification.
Dual Luciferase Assays
Oligonucleotide pairs that contain NOTCH2 and HES1 miRNA target seed regions or mismatched sequences were ordered from Takara Biotechnology, Dalian, China (see the Appendix for details). For luciferase activity analysis, the double-stranded miR-34a mimic and mimic negative control were synthesized by Ribobio, Guangzhou, China. The final concentration of miR-34a mimic or mimic negative control and pmirGLO Vector constructs was 50 nM and 100 ng, respectively. For details of the dual luciferase assay, please refer to the Appendix.
Sequence Alignments and microRNA Target Prediction
The potential microRNA target sites within the 3′UTR of NOTCH2 and HES1 were identified by the Web-based bioinformatics databases Target Scan (http://www.targetscan.org/vert_42/), microRNA.org (http://www.microrna.org/microrna/home.do), and miRBase (http://microrna.sanger.ac.uk/sequences/). miRNA-mRNA hybridization structures and free energies between microRNA seed sequences and mRNA sequences were determined by RNAhybrid (http://bibiserv.techfak.uni-bielefeld.de/rnahybrid/).
Statistical Analysis
All experiments were performed independently at least 3 times in triplicate. Numerical data are presented as mean ± SD. The difference between means was analyzed with one-way analysis of variance (ANOVA). Differences were considered significant when p < .05. All statistical analyses were done with the software SPSS13.0 (SPSS Inc., Chicago, IL, USA).
Results
SCAPs Express NOTCH2, NOTCH3, JAG2, DLL3, and HES1 in vitro
We performed RT-PCR and found that, in cultured SCAPs, NOTCH2, NOTCH3, JAG2, DLL3, and HES1 were expressed, whereas there was no NOTCH1, NOTCH4, JAG1, DLL1, or DLL4 expression (Fig. 1A). Immunofluorescence confirmed the expression of these Notch signaling components (Figs. 1B-1F).

Determination of the Notch signaling components in SCAPs. (
Notch Signaling in SCAPs Inhibits Cell Differentiation
To determine if the Notch signaling pathway is active in SCAPs, we examined HES1, a downstream Notch signaling target and key transcriptional effector of the pathway. The HES1 mRNA expression level was up-regulated by recombinant JAG1 protein, most dramatically at a concentration of 50 ng/mL (Fig. 2A), and down-regulated by DAPT treatment, most significantly at 10 μM (Fig. 2B). DSPP, ALP, RUNX2, OSX, OCN, and OPN mRNA expression levels were down-regulated by JAG1 treatment and reversed by DAPT (Fig. 2C). After mineralization induction, mRNA expression levels of JAG2, DLL3, and HES1 were significantly down-regulated, and DSPP, ALP, RUNX2, OSX, OCN, and OPN were up-regulated in the cells (Fig. 2D).

Notch signaling inhibits cell differentiation in SCAPs. (
Activation of Notch Signaling Promotes miR-34a Transcription
To study the relationship between miR-34a and Notch signaling, we detected miR-34a expression after treatment. miR-34a was significantly up-regulated after JAG1 treatment and down-regulated by DAPT treatment (Fig. 3A). The miR-34a expression level in SCAPs was decreased after mineralization, most significantly at 2 wks (Fig. 3B).

miR-34a crosstalk with Notch signaling pathway, promoting cell differentiation. (
miR-34a Targets the NOTCH2 and HES1 3′ UTR in SCAPs
After miR-34a mimic transfection, NOTCH2 mRNA expression was down-regulated, while HES1 and DLL3 mRNA expression levels were up-regulated significantly (Fig. 3C). Western blotting showed that NOTCH2, N2ICD, and HES1 were all significantly down-regulated after miR-34a mimic transfection (Fig. 3E). Additionally, we detected up-regulation of both mRNA and protein expression levels of DSPP, RUNX2, OSX, and OCN in SCAPs (Figs. 3C, 3F). After mineralization, SCAPs transfected with miR-34a formed more calcified nodules and showed elevated alkaline phosphatase (ALP) staining compared with control (Figs. 3G, 3H). After miR-34a inhibitor transfection, the mRNA levels of NOTCH2 and HES1 were up-regulated (Fig. 3D), and Western blotting showed that NOTCH2, N2ICD, and HES1 protein levels were increased (Fig. 3E). This resulted in down-regulation of both mRNA and protein expression levels of DSPP, RUNX2, OSX, and OCN (Figs. 3D, 3F). The miR-34a expression level during mineralization duration was validated by qPCR and showed consistent effects of transfection through the treatment (Fig. 3I).
To test for a direct interaction between miR-34a and NOTCH2 and HES1, we first located the seed sequences for miR-34a at the 3′UTR of NOTCH2 and HES1 mRNA by TargetScan and miRBase (Figs. 4A, 4B). The oligonucleotide pairs region was synthesized and cloned into the luciferase reporter vector pmirGLO and co-transfected with the miR-34a or a scrambled miRNA negative control in 293T cells. We found that miR-34a effectively suppressed luciferase reporter activity. Furthermore, the mutations significantly impaired the activity of miR-34a, relieving repression of luciferase activity. Analysis of these data suggests that miR-34a directly binds to the 3′UTR of NOTCH2 and HES1, thereby post-transcriptionally regulating mRNA levels (Figs. 4C, 4D).

miR-34a suppresses Notch signaling and promotes cell differentiation of SCAPs by targeting NOTCH2 and HES1. (A, B) Schematic representation of luciferase reporter constructs. The predicted structure of each base-paired HES1
Discussion
The expression pattern and biological outcome of Notch signaling are context-dependent. JAG1, DLL1, NOTCH1, NOTCH2, and NOTCH3 are all expressed in dental epithelial and mesenchymal cells (Mitsiadis et al., 1997). NOTCH1 has been found to be expressed in stem/progenitor cells in several cell types in human and mouse teeth. These include human dental follicle cells (Harada et al., 1999; Morsczeck et al., 2005), human dental pulp stem cells (Ji et al., 2008), and stem cellsisolated from mouse incisors (Felszeghyet al., 2010). In cultured SCAPs, we found that distinct components of the Notch signaling pathway were expressed, such as NOTCH2, NOTCH3, JAG2, and DLL3. In terms of functional effects, previous work has shown that activation of Notch signaling inhibited the odontoblastic differentiation of DPSCs in vitro and in vivo (Ji et al., 2008) and that over-expression of NICD inhibited OCN expression in osteoblastic lineage cells (Nofziger et al., 1999). Our results are consistent with these reports, since, in SCAPs, activation of Notch signaling by JAG1 inhibited DSPP, ALP, RUNX2, OSX, OCN, and OPN expression.
Recently, it has been reported that miRNAs play critical roles in the regulation of Notch signaling. Several miRNAs have been shown to have crosstalk with Notch signaling (Li et al., 2011; Poulton et al., 2011). Our previous study (Wan et al., 2012) analyzed miRNA expression in the human developing tooth germ (early bell and late bell stages), and we found that miR-34a expression varied significantly during tooth development. A recent study suggested that overexpression of miR-34a inhibited early commitment and late osteoblastic differentiation of hMSCs in vitro, whereas inhibition of miR-34a by anti-miR-34a enhanced these processes (Chen et al., 2013). It has also been found that 2 members of the miR-34 family—miR-34b and miR-34c—are highly enriched in osteoblasts, and miR-34s have been found to restrict bone formation by targeting a key regulator of osteoblast differentiation, SATB2 (Ellies and Krumlauf, 2006; Wei et al., 2012). These studies indicated a functional role of miR-34a in odontogenesis and osteogenesis, and the function may be tissue- and cell-specific.
The present study indicated that Notch signaling activation led to up-regulation of miR-34a, whereas mineralization of SCAPs resulted in down-regulation of miR-34a expression (Figs. 3A, 3B). This was further investigated with miR-34a perturbation. These experiments showed that with miR-34a mimic transfection, differentiation markers such as DSPP, RUNX2, OSX, and OCN were significantly up-regulated, and vice versa with inhibitor transfection. Thus, miR-34a is a negative regulator of Notch signaling but a positive regulator of mineralization/cell differentiation. This notion was further confirmed by Alizarin red and ALP staining (Figs. 3G, 3H). By targeting NOTCH2 mRNA, miR-34a repressed translocation of N2ICD into the nucleus (Figs. 3C, 3E). Although we found up-regulation of DLL3 in SCAPs after miR-34a mimic transfection, which, in turn, resulted in up-regulation of HES1 mRNA expression, Western blotting showed that HES1 protein was significantly down-regulated. The inconsistency between the mRNA and protein levels suggested that miR-34a post-transcriptionally regulates HES1 expression by targeting the 3′UTR of HES1, thus leading to degradation of HES1 mRNA, as suggested by dual luciferase assay (Fig. 4C). The overall outcome of miR-34a transfection in SCAPs was inhibition of Notch signaling and induction of cell differentiation (Fig. 4E).
It is known that RUNX2 plays a critical role in odontoblastic differentiation and tooth development (Gaikwad et al., 2001), as well as in osteoblastic differentiation (Byers and Garcia, 2004). It has been reported that RUNX2 transcriptionally induced the expression of dentin sialophosphoprotein (DSPP) (Huang et al., 2008) and osteogenic differentiation genes (Byers and Garcia, 2004; Zhang et al., 2006). The concurrent up-regulation of the lineage-differentiation genes (DSPP, OSX, OCN, and RUNX2) after miR-34a transfection in the present study was consistent with that in these previous studies. ALP and OPN expression at the mRNA level was not affected by miR-34a, which may be related to the late-stage expression of these 2 markers or to regulation by other post-transcriptional mechanisms.
Analysis of our data, together, shows that miR-34a-triggered Notch repression results in cell differentiation and that activation of Notch signaling in SCAPs results in elevated miR-34a transcription.
Footnotes
This study was supported by
The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article.
References
Supplementary Material
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