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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Hematol.</journal-id>
<journal-title>Frontiers in Hematology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Hematol.</abbrev-journal-title>
<issn pub-type="epub">2813-3935</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/frhem.2023.1292589</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Hematology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Generation, characterization, and use of EKLF(Klf1)/CRE knock-in mice for cell-restricted analyses</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Xue</surname>
<given-names>Li</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mukherjee</surname>
<given-names>Kaustav</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1519243"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kelley</surname>
<given-names>Kevin A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Bieker</surname>
<given-names>James J.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/439445"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Cell, Developmental, and Regenerative Biology, Mount Sinai School of Medicine</institution>, <addr-line>New York, NY</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Black Family Stem Cell Institute, Mount Sinai School of Medicine</institution>, <addr-line>New York, NY</addr-line>, <country>United States</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Friedman Brain Institute, Mount Sinai School of Medicine</institution>, <addr-line>New York, NY</addr-line>, <country>United States</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Tisch Cancer Institute, Mount Sinai School of Medicine</institution>, <addr-line>New York, NY</addr-line>, <country>United States</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Mindich Child Health and Development Institute, Mount Sinai School of Medicine</institution>, <addr-line>New York, NY</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: John Strouboulis, King&#x2019;s College London, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Elaine Dzierzak, University of Edinburgh, United Kingdom</p>
<p>Kristbjorn Orri Gudmundsson, National Cancer Institute at Frederick (NIH), United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: James J. Bieker, <email xlink:href="mailto:james.bieker@mssm.edu">james.bieker@mssm.edu</email>
</p>
</fn>
<fn fn-type="other" id="fn003">
<p>&#x2020;These authors share first authorship</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>19</day>
<month>01</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>2</volume>
<elocation-id>1292589</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>09</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>12</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Xue, Mukherjee, Kelley and Bieker</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Xue, Mukherjee, Kelley and Bieker</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>EKLF/Klf1 is a tissue-restricted transcription factor that plays a critical role in all aspects of erythropoiesis. Of particular note is its tissue-restricted pattern of expression, a property that could prove useful for expression control of a linked marker or enzymatic gene.</p>
</sec>
<sec>
<title>Methods and results</title>
<p>With this in mind, we fused the CRE recombinase to the genomic EKLF coding region and established mouse lines. We find by FACS analyses that CRE expression driven by the EKLF transcription unit recapitulates erythroid-restricted expression with high penetrance in developing embryos. We then used this line to test its properties in the adult, where we found EKLF/CRE is an active and is a robust mimic of normal EKLF expression in the adult bone marrow. EKLF/CRE is also expressed in erythroblastic island macrophage in the fetal liver, and we demonstrate for the first time that, as seen during embryonic development, EKLF is also expressed in adult BM-derived erythroblastic island macrophage. Our data also support lineage studies showing EKLF expression at early stages of hematopoiesis.</p>
</sec>
<sec>
<title>Discussion</title>
<p>The EKLF/CRE mouse lines are novel reagents whose availability will be of great utility for future experiments by investigators in the red cell field.</p>
</sec>
</abstract>
<kwd-group>
<kwd>CRE/LoxP</kwd>
<kwd>EKLF/KLF1</kwd>
<kwd>fetal liver</kwd>
<kwd>bone marrow</kwd>
<kwd>erythroid cells</kwd>
<kwd>macrophage cells</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="48"/>
<page-count count="10"/>
<word-count count="4000"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Red Cells, Iron and Erythropoiesis</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Highlights</title>
<list list-type="bullet">
<list-item>
<p>Mice with CRE expression under the control of the EKLF promoter have been established.</p>
</list-item>
<list-item>
<p>These exhibit highly penetrant CRE activity that precisely mimics endogenous EKLF expression patterns in fetal liver and adult erythroid cells as well as in island macrophages.</p>
</list-item>
<list-item>
<p>These mice have been used to demonstrate that adult bone marrow macrophages retain similar phenotypic properties as their fetal liver counterpart.</p>
</list-item>
</list>
</sec>
<sec id="s2" sec-type="intro">
<title>Introduction</title>
<p>The ability to selectively ablate genes within specific tissues or cell types has provided a powerful genetic approach to enable molecular, biochemical, and cellular analyses of gene function (<xref ref-type="bibr" rid="B1">1</xref>). Foremost among these techniques is the use of the CRE recombinase, which is a phage-derived protein that targets recombination between two loxP sites (<xref ref-type="bibr" rid="B2">2</xref>). Given the availability of a &#x201c;floxed&#x201d; target gene, directed expression of CRE will efficiently remove the intervening DNA sequence at the cell(s) of interest (<xref ref-type="bibr" rid="B3">3</xref>).</p>
<p>Erythroid Kr&#xfc;ppel-like Factor (EKLF; KLF1) is a zinc finger transcription factor that plays a critical role in all aspects of erythropoiesis (<xref ref-type="bibr" rid="B4">4</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>). EKLF&#x2019;s expression pattern makes it appealing for use as a driver for restricted CRE recombinase expression, as it is highly restricted throughout early development and in the adult. EKLF mRNA first appears at the neural plate stage (E7.5), localized to the earliest morphologically identified erythroid cells in the blood islands of the yolk sac (<xref ref-type="bibr" rid="B12">12</xref>). Expression switches to the fetal liver by E9.5, then ultimately to the adult bone marrow and splenic red pulp (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>). During hematopoiesis its levels are highest in the common myeloid and megakaryocyte/erythroid progenitors, after which it remains elevated only in the erythroid cell (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). Additional studies demonstrate EKLF is also expressed in the unique central macrophage cell of the erythroblastic island (<xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B20">20</xref>).</p>
<p>As a result we have knocked-in the CRE recombinase into the EKLF transcription unit and here present its use for expression analyses in the developing embryo and in the adult.</p>
</sec>
<sec id="s3">
<title>Methods</title>
<sec id="s3_1">
<title>EKLF-CRE mice</title>
<p>Donor DNA (IDT) and gRNA (IDT; designed via crispr.mit.edu) (as a Crispr Cas9 RNP) (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>) were co-microinjected into 1- to 2-cell mouse embryos, implanted into pseudo-pregnant females, and allowed to come to term (sequences are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>). Out of 84 pups, 12 were positive by genomic PCR genotyping (using 5&#x2019; and 3&#x2019; primer pairs as indicated in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>), and 5 males were chosen to be further analyzed. One did not transmit via the germ line, and out of the remaining 4 lines we chose 2 for the extended analysis below. These were designated &#x2018;EKLF-CRE&#x2019; mice.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Design and use of EKLF/CRE genomic knock-in. <bold>(A)</bold> A Crispr/donor DNA approach was used to insert a linker/T2A/linker/CRE construct in frame into the EKLF coding region, as indicated. Also shown are diagnostic primers for genomic analysis; note the size for F0.5/3A is for WT, no insert. Sequences for donor DNA, Crispr RNA, and primers are in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>. <bold>(B)</bold> Schematic of the mouse cross between EKLF/CRE and Rosa26/stop/YFP strains used in the present studies.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frhem-02-1292589-g001.tif"/>
</fig>
<p>To assess tissue-specificity of CRE activity, male EKLF-CRE mice were crossed with female R26R-YFP mice (kind gift from N Dubois (<xref ref-type="bibr" rid="B23">23</xref>)), all at 4-6 weeks of age.</p>
<p>Genotyping was performed on 20 ng genomic DNA isolated from tails by PCR analysis using the diagnostic oligonucleotide primers in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>. These assessed the 5&#x2019; (F0.5/CreR) and 3&#x2019; (CreF/3A) junctions between the knock-in donor DNA and the EKLF gene (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1A</bold>
</xref>). Use of the &#x2018;outer&#x2019; primer pair (F0.5/3A) yields a small product in the absence of the knock-in (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1A</bold>
</xref>). Subsequent experiments show that multiplex PCR will also work with these oligos (not shown), thus enabling single-lane monitoring of knock-in and WT alleles for hetero- and homo-zygosity. Expression levels of endogenous EKLF RNA do not decrease, but rather appear to be stabilized by the knock-in (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1B</bold>
</xref>).</p>
</sec>
<sec id="s3_2">
<title>Cellular analyses</title>
<p>Fetal livers were dissected from embryonic day E13.5 embryos or adult bone marrow and mechanically dispersed into single cells for fluorescence activated cell sorting (FACS). Briefly for bone marrow (BM), femurs were removed and the marrow was flushed by gently inserting a 23-gauge needle fitted with 3 ml syringe into the opening of the bone using 1 ml cold PBS/10%FBS. Fetal liver or bone marrow dissociated cells were filtered through a 70uM cell strainer (Falcon # 352350), and collected by centrifugation for 5 min at 1000rpm, and finally washed with PBS/10%FBS.</p>
<p>Cells to be analyzed for macrophage included the FWV peptide during the isolation procedure to help prevent aberrant macrophage/erythroid cell associations when used in combination with effective dispersal and singlet enrichment (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B24">24</xref>).</p>
<p>Suspended cells were stained with the following antibodies: anti-mouse F4/80-PE (eBiosciences #12-4801-80), CD71-PE (eBioscience #12-0711-81), Ter119-APC (eBioscience #17-5921-81), CD44-FITC (Biorad #MCA89FT), anti-spectrin b1 (Santa Cruz #sc-374309) conjugated with AlexaFluor 647 (Invitrogen #Z11235), Sca1 (Ly6A/E)-PE (BD #BDB561076), B220 (CD45R)-PE (BD #BDB561878), CD3-PE, BD #BDB561799). Flow cytometry data was analyzed by FCS Express software, and gates were drawn based on unstained and single-color compensation controls from the same samples, using the same dyes and within the same experiment.</p>
<p>Erythroblastic island clusters were enriched from dispersed adult BM using a serum gradient (<xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>For immunofluorescence of BM single cells or island clusters, cytospins were incubated with anti-spectrin b1 (Santa Cruz #sc-374309), anti-F4/80 (eBiosciences #12-4801-80), or anti-EKLF 7b2a (<xref ref-type="bibr" rid="B25">25</xref>) as described (<xref ref-type="bibr" rid="B17">17</xref>). Secondary antibodies included Alexa flour 568 goat anti-mouse IgG (Invitrogen #A11031) and Alexa flour 647 donkey anti-mouse IgG (Invitrogen #A-31571).</p>
<p>Photography was performed with a Zeiss Axio Imager.Z2(M) equipped with a Q-Imaging camera.</p>
</sec>
<sec id="s3_3">
<title>Magnetic nanoparticle isolation of HSCs, T-cells, and B-cells</title>
<p>BM cells were obtained as above. Sca1+, CD3+, B220+ and Ter119+ BM cells were then isolated using the EasySep mouse PE positive selection kit (Cell Signaling Technologies #17656) according to the manufacturer&#x2019;s instructions (detailed method available in (<xref ref-type="bibr" rid="B24">24</xref>)). 0.3ug of the selected PE-labeled antibodies (as used above for flow cytometry) were added for each isolation. For Ter119+ cells we used 0.3ug of anti-mouse TER-119-PE antibody (BD #553673).</p>
</sec>
<sec id="s3_4">
<title>RNA isolation and RT-qPCR</title>
<p>RNA was isolated from selected BM cells using Trizol and purified RNA was treated with Turbo DNase (Invitrogen #AM1907). cDNA was synthesized using the SuperScript IV VILO kit (Invitrogen #11756050) and real time qPCR was performed using a Qiagen QuantiTect SYBR Green RT-PCR Kit. Primers are listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>.</p>
</sec>
</sec>
<sec id="s4" sec-type="results">
<title>Results</title>
<sec id="s4_1">
<title>Establishment of EKLF-CRE mice</title>
<p>A Easi-Crispr-cas9 approach (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>) was used to knock in the iCRE coding segment into the 3&#x2019; sequence of the endogenous mouse EKLF gene, fused in-frame to the final leucine amino acid (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). This entailed the design of a directed Crispr gRNA along with a single-stranded donor DNA. The donor DNA included a self-cleaving T2A sequence (<xref ref-type="bibr" rid="B26">26</xref>) flanked by linkers, adjacent to the NLS/iCRE sequence (derived from pCAG-iCRE (<xref ref-type="bibr" rid="B27">27</xref>)). The ultimate design (based on (<xref ref-type="bibr" rid="B28">28</xref>)) relies on the endogenous EKLF polyA signal. Two lines were more extensively analyzed.</p>
</sec>
<sec id="s4_2">
<title>EKLF-CRE is expressed and functional in the erythroid lineage</title>
<p>To test for CRE functionality, we crossed the EKLF-CRE mice with the Rosa26/stop/EYFP reporter line (<xref ref-type="bibr" rid="B29">29</xref>), which expresses YFP only if CRE is active and removes the flox-embedded stop sequence (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). This yielded mice at the expected Mendelian ratios; we used littermate embryos for comparison. E13.5 embryos were harvested, and individual fetal livers cells were dispersed and analyzed by FACS. At this stage ~90% of cells are erythroid (<xref ref-type="bibr" rid="B30">30</xref>). Erythroid cells were monitored by CD71/Ter119 cell surface markers (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>) as these provide a good initial survey of immature to mature red cells. After proper gating and enrichment of singlets we find that the number of live cells are equivalent when comparing YPF+ to YFP- littermates (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>i), and that the percentage of erythroid cells within this population is equivalent (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>ii). There is an excellent signal with respect to YFP detection, which is near absent in cells without EKLF-CRE (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>iii). Importantly, we find the YFP+ cells overlap the CD71/Ter119 expression pattern identically to that seen endogenously (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>iv). These data indicate that CRE expression driven by the EKLF transcription unit recapitulates erythroid-restricted expression with high penetrance in developing embryos.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Analysis of CRE activity in E13.5 fetal liver erythroid cells. In each case, comparison is between YFP+ (+; <italic>top</italic>) or YFP- (-; <italic>bottom</italic>) littermates; n=9. <bold>(A)</bold> FACS analysis of YFP+ overlap with CD71/Ter119: (i) <italic>live cells</italic>, (+) 92.5 &#xb1; 1.8%, (-) 94.2 &#xb1; 5.2%; (ii) <italic>CD71+/Ter119+ erythroid cells</italic>, (+) 86.2 &#xb1; 1.8%, (-) 85.4 &#xb1; 3.6%; (iii) <italic>YFP signal</italic>, (+) 89.9 &#xb1; 2.3%, (-) 2.3 &#xb1; 0.9%; (iv) <italic>overlap</italic>, 90.4 &#xb1; 1.3%. <bold>(B)</bold> FACS analysis of YFP+ overlap with CD44/Ter119: (i) <italic>live cells</italic>, (+) 97.5 &#xb1; 4.2%, (-) 94.2 &#xb1; 9.1%; (ii) <italic>CD44+/Ter119+ erythroid cells</italic>, (+) 84.7 &#xb1; 1.3%, (-) 84.4 &#xb1; 2.8%; (iii) <italic>YFP signal</italic>, (+) 80.5 &#xb1; 1.8%, (-) 0.4 &#xb1; 0.3%; (iv) <italic>overlap</italic>, 88.6 &#xb1; 0.6%. <bold>(C)</bold> FACS analysis of YFP+ overlap with CD44/Ter119/FSC: <italic>YFP signal</italic>, (+) 85.9 &#xb1; 1.8%, (-) 0.7 &#xb1; 0.4%; <italic>CD44+/Ter119+/FSC</italic>, (+) 91.0 &#xb1; 0.2%. P1, P2, P3 regions indicate erythroblast maturation from less to more mature (<xref ref-type="bibr" rid="B31">31</xref>); P1 subpopulation is colored in red.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frhem-02-1292589-g002.tif"/>
</fig>
<p>To monitor CRE activity earlier in erythroid differentiation, we analyzed YFP overlap with the CD44 marker (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). The CD44 sialoglycoprotein is expressed highest in proerythroblasts but then decreases as maturation proceeds (<xref ref-type="bibr" rid="B32">32</xref>). As before, there is no effect on live cell numbers (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>i) or the CD44/Ter119 pattern (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>ii), and the YFP+ signal remains unique to the EKLF-CRE expressing cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>iii). These analyses again show complete overlap of YFP+ with the CD44/Ter119 range of expression seen endogenously (e.g., double positive cells are similar in number; <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>iv). Combining these markers along with cell scatter properties (FSC) provides an accurate assessment of maturity of erythroid cells (<xref ref-type="bibr" rid="B31">31</xref>). As seen in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>, the CD44+/FSC profile within the Ter119+ subset shows that CRE expression is apparent in stages from proerythroblast to orthochromatic erythroblast, distributed as seen in prior fetal liver erythroid analyses (i.e., P2&gt;P1&gt;P3 (<xref ref-type="bibr" rid="B25">25</xref>);), and highest in the least mature population (P1; colored in red). This is a direct overlap with the known EKLF RNA and protein expression patterns (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>).</p>
<p>To assess whether EKLF-CRE is also functional in the adult, we performed the analogous study using bone marrow (BM) cells as our starting material. These data again show a direct overlap of YFP+ with CD71/Ter119 (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref> <italic>top</italic>); however, in this case there are differences in detail compared to the fetal liver material. Although YFP+ overlaps with CD71+Ter119-, CD71+Ter119+, and CD71-Ter119+ cells as expected, there are a considerable number of YFP+ cells that are double negative, properties that had not been observed with fetal liver erythroid cells (likely these are F4/80+ cells, as explained below). To assess more subtle changes, we monitored subpopulations by gating on total live cells and color-coding the output (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref> <italic>bottom</italic>, i and ii). These reproduce <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref> <italic>top</italic> (judged by the orange color YFP+ subset within the total cell population) but additionally show that not all CD71+Ter119+ cells are YFP+ (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref> <italic>bottom</italic>, iii), observations likewise not seen with fetal liver-derived cells. Analysis of CD44/Ter119 expression shows that YFP+ cells segregate into discrete subpopulations encompassing different levels of CD44 and Ter119 (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>i), and inclusion of FSC with selective gating (Ter119+ in combination with the CD44-lo to -hi (<xref ref-type="bibr" rid="B31">31</xref>)) shows that EKLF-CRE (YFP+) is most highly expressed in the least mature (ie, CD44+/Ter119+/FSC-mid to -hi) erythroid populations (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>ii), as perhaps more readily apparent by comparison to the total live cell population (i.e., both YFP+/-; <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>iii).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Analysis of CRE activity in adult bone marrow cells. n=2-5 analyses from 3 separate matings <bold>(A)</bold> <italic>TOP</italic>: FACS analysis of YFP+ overlap with CD71/Ter119, focusing on YFP+ cells: <italic>YFP+</italic>, 88.6 &#xb1; 2.2%; <italic>YFP+/CD71+/Ter119+</italic>, 32.8 &#xb1; 2.2%; <italic>YFP+/CD71-/Ter119-</italic>, 50.6 &#xb1; 0.6%. <italic>BOTTOM</italic>: FACS analysis of YFP+ overlap with CD71/Ter119, focusing on total cells, color coded throughout: (i) <italic>live cells</italic>, 94.8 &#xb1; 0.9%; <italic>YFP+</italic>, 81.0 &#xb1; 2.6%; (ii) <italic>CD71+/Ter119+</italic>, 35.1 &#xb1; 1.1%; <italic>CD71-/Ter119-</italic>, 43.5 &#xb1; 4.0%; (iii) <italic>CD71+/Ter119+/YFP+</italic>, 71.0 &#xb1; 1.5%. <bold>(B)</bold> FACS analysis of YFP+ (65.4 &#xb1; 1.9%) overlap with CD44/Ter119 (i), then selectively coupled to FSC (ii) (<italic>top</italic>) (<italic>CD44hi</italic>, 14.0 &#xb1; 1.2%; <italic>CD44mid</italic>, 14.2 &#xb1; 0.4%; <italic>CD44lo</italic>, 0.0%) (<xref ref-type="bibr" rid="B31">31</xref>). <italic>Bottom</italic> is same analysis after gating on total (YFP+ and -) cells (iii).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frhem-02-1292589-g003.tif"/>
</fig>
<p>Collectively these data demonstrate that EKLF-CRE is active and is a robust mimic of normal EKLF erythroid expression in the developing embryo and in the adult.</p>
</sec>
<sec id="s4_3">
<title>EKLF-CRE is expressed and functional in erythroblastic island macrophage in the embryo and in the adult</title>
<p>EKLF is also expressed within the central macrophage of the erythroblastic island (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B35">35</xref>), a niche that provides a physiological support environment for erythroid maturation (<xref ref-type="bibr" rid="B36">36</xref>&#x2013;<xref ref-type="bibr" rid="B39">39</xref>). F4/80 is an excellent marker for this cell (<xref ref-type="bibr" rid="B20">20</xref>). Using E13.5 fetal liver cells as our source we find that CRE is expressed in the F4/80+ cell population (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>); however, as seen in earlier studies, not all cells are positive, but rather 39 &#xb1; 3% are, which matches that previously seen by marked GFP+ (36% (<xref ref-type="bibr" rid="B17">17</xref>)). These results, using an independent approach from those used previously (<xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B20">20</xref>), provide additional support for EKLF&#x2019;s expression in the F4/80+ central macrophage of the erythroblastic island.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Analysis of CRE activity in F4/80+ macrophage. <bold>(A)</bold> FACS analysis of YFP+ overlap with F4/80 in E13.5 fetal liver cells, n=4. <italic>F480+tot/live cells</italic>=9.2 &#xb1; 0.9% (as previously observed (<xref ref-type="bibr" rid="B20">20</xref>)). <bold>(B)</bold> FACS analysis of YFP+ overlap with F4/80 in adult bone marrow cells, n=6. As BM has not been previously analyzed in the context of F4/80 and EKLF expression, forward/side scatter gates along with the DAPI- selection used for this experiment are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>. <italic>YFP+F480+/(F480+ tot)</italic> negative control &lt;2% (not shown); <italic>F480+tot/live cells</italic>=17.0 &#xb1; 1.1%. <bold>(C)</bold> Immunofluorescence analysis of EKLF protein (<italic>white</italic>) overlap with F4/80+ (<italic>red</italic>) in adult bone marrow cells (<italic>white arrow</italic>). As expected, not all cells are double positive (<italic>red arrow</italic>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frhem-02-1292589-g004.tif"/>
</fig>
<p>One issue not hitherto addressed is whether EKLF is also expressed in the adult BM F4/80+ macrophage cell. As with our published fetal liver analyses (<xref ref-type="bibr" rid="B20">20</xref>), we included the FWV peptide to interfere with erythroid/macrophage interactions (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B24">24</xref>) and used stringent forward- and side-scatter sorting prior to analysis (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>). Using YFP positivity as a surrogate marker for EKLF expression, we find that YFP expression is expressed in almost all (&gt;90%) BM F4/80+ cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). In this case it is also noteworthy that the total number of F4/80+ cells is ~17%, which is higher than that seen in the fetal liver, and serves to identify most of the large percentage of non-erythroid cells (i.e., double negative for CD71/Ter119) observed before (in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). To further verify that the YFP signal is a true mimic of endogenous EKLF expression, we performed immunofluorescent analysis of BM cells and find that indeed EKLF protein is colocalized in single F4/80+ cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>; cytoplasmic EKLF signal is expected (<xref ref-type="bibr" rid="B40">40</xref>)). These data show for the first time that, as seen during embryonic development, EKLF is also expressed in adult BM-derived erythroblastic island macrophage. The unexpected surprise, however, is that it is expressed in almost all F4/80+ cells.</p>
<p>We had previously found that Adducin (Add2), &#xdf;-spectrin (Sptb), and to a lesser extent Adra2b, are cell surface markers enriched in EKLF-expressing fetal liver F4/80+ macrophage (<xref ref-type="bibr" rid="B20">20</xref>). To assess whether this is the case in adult BM, we performed FACS analyses for each of these. Although the levels of Add2 and Adra2b expression in F4/80+ BM cells were insignificant (not shown), we find that 11% of F4/80+ BM cells are positive for both Sptb+ and YFP+ (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>). Immunofluorescent analyses show co-expression of EKLF/YFP, F4/80, and &#xdf;-spectrin in single cells (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>) and in erythroblastic islands (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). These results demonstrate that expression of the Sptb surface marker in adult F4/80+ cells that express EKLF are as observed in the developing embryo.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Co-expression of island macrophage markers in adult bone marrow cells. <bold>(A)</bold> FACS of F4/80+ cells gated for dual Sptb+ and YFP+ expression. Forward/side scatter gates along with the DAPI- selection used for this experiment are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>. <bold>(B, C)</bold> Immunofluorescent analysis of overlapping expression, showing nuclear stain (dapi) in <italic>blue</italic>, F4/80 in <italic>red</italic>, YFP (EKLF) in <italic>green</italic>, Sptb in <italic>white</italic>. Visualization of single cells <bold>(B)</bold> or an erythroblastic island <bold>(C)</bold> are shown. Consistent with FACS analyses, not all cells are positive for all markers.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frhem-02-1292589-g005.tif"/>
</fig>
<p>Of relevance to the present resource, these data demonstrate that EKLF-CRE can be used to target a specific subset of macrophage, one that is highly enriched within the island niche, in both fetal liver and adult BM cells.</p>
</sec>
<sec id="s4_4">
<title>Lineage tracing by EKLF-CRE</title>
<p>The level of adult BM YFP+ cells that are CD71-/Ter119- is not completely accounted for by F4/80+ macrophage cells. We investigated this more carefully, initially by immunofluorescence (IF) where we find that, as expected, not all bone marrow cells are YFP+; surprisingly however, not all YFP+ are EKLF+ (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Lineage analysis of adult bone marrow cell populations. <bold>(A)</bold> Immunofluorescence analysis of overlapping expression patterns, showing YFP (EKLF) in <italic>green</italic>, EKLF in <italic>red</italic>, and nuclear stain (dapi) in <italic>blue</italic>. A subset of multiple fields that totaled &gt;450 cells is shown; these show that ~30% BM cells are YFP+, and ~4% are EKLF+. All EKLF+ cells are positive for YFP. <bold>(B)</bold> RT-qPCR analysis of EKLF expression in cells enriched by magnetic beads using cell surface markers for HSCs (Sca1), erythroid (Ter119), or lymphoid (CD3/B220) cells. (+) and (-) populations were analyzed separately, and adult liver cells served as a negative control. <bold>(C)</bold> Semi-quantitative analysis of EKLF-CRE RNA in magnetic bead-enriched cells as in <bold>(B)</bold>. Primers used were Cre-F/3A (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). &#xdf;-actin (Actb) was used as a normalization control for all samples. <bold>(D)</bold> FACS analysis of YFP expression overlap with HSCs (Sca1) or lymphoid (CD3 and B220) cells. Percentages of each cell type is shown. Gating parameters for this experiment are shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S3</bold>
</xref>, and purity of the sorted populations was verified by RT-qPCR analysis (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S4</bold>
</xref>).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frhem-02-1292589-g006.tif"/>
</fig>
<p>The onset of EKLF expression during hematopoiesis begins prior to the megakaryocyte-erythroid progenitor (MEP) stage within the multipotent progenitor (MPP) and retained in the myeloid progenitor (CMP) but not the lymphoid progenitor (CLP) (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). We FACS-sorted adult BM populations by using Sca1 as a cell surface marker for HSCs, B220 for B cells, and CD3 for T cells, and verified by RNA analysis that EKLF expression resides in the Sca1-, CD3-, and B220- populations (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). As a positive control, Ter119+ erythroid cells were found to be highly enriched for expression (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>), consistent with the earlier analyses (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). In addition and importantly, using primers specific for the EKLF-CRE fusion RNA product, we find expression only within the Ter119+ cell population (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). These results verify the expected tissue-specificity of EKLF RNA expression and that of the knock-in fusion variant.</p>
<p>These data suggest that our IF observations follow from a lineage trace that began within the first hematopoietic cell that expresses EKLF. In our knock-in mice, such early expression of EKLF-CRE will stably mark those cells and YFP expression will be retained in any progeny. We tested this idea by FACS sorting, which shows that YFP+ cells are present within a majority (~75%) of Sca1+ HSCs (or MPPs) and progeny that includes B (B220+) and T (CD3+) cell populations (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S3</bold>
</xref>). The purity of the cell types was verified by RT-qPCR analysis of the sorted populations (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S4</bold>
</xref>).</p>
<p>These data fill in the contributions of EKLF-CRE expression to YFP positivity in adult BM marrow cell populations and support prior analyses that showed EKLF expression begins early within the hematopoietic hierarchy, likely within the MPP or even the HSC and thus prior to the CMP/CLP split. Even though EKLF expression is restricted to and expanded within the erythroid lineage, remnants of its early hematopoietic onset remain visible by YFP tracing.</p>
</sec>
</sec>
<sec id="s5" sec-type="discussion">
<title>Discussion</title>
<p>We have taken advantage of EKLF&#x2019;s restricted localization to generate a novel mouse reagent for directed expression of CRE recombinase. This property, established via a knock-in strategy, provides it with an inherent advantage over other CRE designs that have relied on transgenic approaches to marking cells. The inclusion of a cis-cleaving linker between CRE and the 3&#x2019; end of the EKLF coding region circumvents potential complications from haploinsufficiency or from interference with EKLF function.</p>
<p>The highly penetrant yet restricted CRE function in the early developing embryo as well as in the adult demonstrates the versatility of this strain. We have expanded upon prior observations to show that EKLF is expressed within the island F4/80+ macrophage in adult bone marrow. The F4/80+ population is heterogeneous, and it is likely that CRE is expressed only within a subset of these cells, as was the case for EKLF expression in fetal liver F4/80+ cells (<xref ref-type="bibr" rid="B20">20</xref>). Our present analyses also support this idea.</p>
<p>Our earlier studies showing EKLF expression early in hematopoiesis utilized Lin-Kit+Sca1+Thy1.1-Flk2- cell surface markers for prospective sorting of MPPs from bone marrow (<xref ref-type="bibr" rid="B14">14</xref>). However, as Sca1 expression is also seen in LT-HSCs (<xref ref-type="bibr" rid="B41">41</xref>), our present data can be construed to suggest HSCs also express EKLF. There have been other reports that EKLF is expressed at low levels in HSCs (<xref ref-type="bibr" rid="B42">42</xref>&#x2013;<xref ref-type="bibr" rid="B44">44</xref>), including those derived from mouse fetal livers (<xref ref-type="bibr" rid="B45">45</xref>), where downstream committed cell population numbers are altered in its absence, On the other hand, increased EKLF expression in HSCs is found in cells with activated NF-kB, where EKLF represses c-Mpl expression, leading to reduced HSC quiescence and activation of an erythroid-enriched program emanating from these progenitors (<xref ref-type="bibr" rid="B46">46</xref>).</p>
<p>We suggest that this mouse line will be useful for analogous studies as presently described and will also serve to complement other recent recombinase mouse models (e.g., G1BCreER (<xref ref-type="bibr" rid="B47">47</xref>)) and EpoR-tdTomato-Cre (<xref ref-type="bibr" rid="B48">48</xref>)).</p>
</sec>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Institutional Animal Care and Use Committee, Icahn School of Medicine at Mount Sinai. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>LX: Investigation, Writing &#x2013; review &amp; editing. KM: Investigation, Writing &#x2013; review &amp; editing. KK: Investigation, Writing &#x2013; review &amp; editing. JB: Conceptualization, Funding acquisition, Supervision, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
</body>
<back>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by NIH grants R01 DK121671 and R01 DK046865 to JB, and a <italic>Black Family Stem Cell Institute</italic> award to KM.</p>
</sec>
<ack><title>Acknowledgments</title>
<p>We thank Philippe Soriano for critical suggestions regarding the knock-in design, Nicole Dubois for R26R-YFP mice, the Mount Sinai Flow Cytometry core facility, and acknowledge discussion and comments from the rest of the Bieker lab, Yelena Ginzburg, and Marina Planoutene.</p></ack>
<sec id="s11" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s12" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s13" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/frhem.2023.1292589/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/frhem.2023.1292589/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
</sec>
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