Reviewer #3 (Public Review):
The authors observed phenotypes of ciliopathy model mice and they seem to coincide with those in human patients. They used mutants in which cilial function genes are deleted in cranial neural crest cells, and found the mutants exhibit abnormal cell differentiation in both neural crest- and mesoderm-lineage cells. The finding clearly shows the importance of tissue/cell interaction. The authors mainly observed the mouse in which Ofd1 gene that is coded on the X chromosome is deleted, therefore, Ofd1fl/WT;Wnt1Cre(HET) mice show that about one-fourth of neural crest cells can exhibit Ofd1 function whereas Ofd1fl;Wnt1Cre (HM) shows null Ofd1 function and show severer phenotypes than HET.
For ectopic brown adipose tissue in the tongue is derived from mesoderm and the authors tried to show that the hypoglossal cord failed to obtain myogenic lineage after entering branchial arches in HET and HM due to lack of communication with neural crest cells. For ectopic bone formation, they found that it is due to the lack of Hedgehog signaling in neural crest cells, which was consistent with the reports in the Smofl/fl;Wnt1-Cre (Xu et al., 2019) and Ift88fl/fl;Wnt1Cre (Kitamura et al. 2020). The ectopic bone is connected to the original mandibular bone. The authors attribute the ectopic bone formation to the migration of mandibular bone neural crest cells into the tongue-forming area.
For the poor tongue frenum formation, the authors found the importance of cell migration from the lateral sides of the branchial arch to the midline and its formation relies on non-canonical Wnt signaling. The authors observed similar phenotypes in the human patients as those in the mutants. The adipose tissue in the tongue area is normally found in the salivary gland region and intermuscular space, and it is intriguing to find the brown adipose tissue anterior to the cervical area in which the most anterior brown adipose tissue develops. qRT-PCR indicates that some of the marker genes are expressed in the laser micro-dissected sections of the ectopic brown adipose tissue. However, histology does not show the typical brown adipose tissue feature. In addition, brown adipose tissue is normally recognized in the sixth pharyngeal region as the cervical brown tissue from around E14.5 (Schulz and Tseng 2013), not E12 as the authors observe. Although the mutants develop under abnormal conditions, is it possible to say they are brown adipose tissue? The point has to be further investigated with more marker expression by immunohistochemical detection and other methods. Since the mutants seem to show impaired midline formation (which is consistent with the condition of human ciliopathy), is it possible to hypothesize that the adipose-like tissue is derived from the mesoderm of posterior branchial arch levels if the tissue is brown adipose tissue?
Cranial neural crest cells start migrating around E8.0 and reach their destination by E9.5. The authors show the lack of neural crest cells in the midline, the fluorescence is absent from the midline in HM, however, they studied it in the E11 mandible (Fig. 4E), almost more than two days after neural crest migration completes. Since the mandibular arch seems to form at the beginning in the mutants, is there a failure in allocating the neural crest and mesoderm at the beginning of the mandibular arch formation?<br /> The authors tried to disturb the interaction between the hypoglossal cord and neural crest cells by making incisions in the dorsal area of the branchial arches. That area contains both neural crest and mesoderm but not the hypoglossal cord-derived mesoderm. The hypoglossal cord passed through the posterior edge of the caudal (6th) pharyngeal arch, along the lateral side of the pericardium towards the anterior, ventral to branchial arches, and then inside the 2nd and 1st branchial arches (Adachi et al., 2018). It expresses Pax3 before entering the branchial arches, then Myf5 in the branchial arches. It seems that the migration of the hypoglossal cord does not require interaction with neural crest cells but it has to be confirmed as well as neural crest migration into the branchial arches from the beginning. Although the hypoglossal cord migrates mostly in mesoderm-derived mesenchyme, we cannot exclude the possibility that hypoglossal cord migration is affected.
The lack of Myf5 expression in Ofd1fl;Wnt1Cre (HM) was explained as a failure in the differentiation of the hypoglossal cord into myoblasts on entrance into the branchial arches. Most of the cervical brown adipose tissue is derived from either Myf5- or Pax3- expressing lineage (Sanchez-Gurmaches and Guertin, 2014). Although the authors suggest that brown adipose cells are fate-changed mesoderm in the branchial arches, how do they explain the association with Myf5- or Pax3- expression?
In addition, the cervical brown tissue is supposed to be derived from the branchial arch mesoderm (Mo et al., 2017). Is the formation of the cervical brown tissue affected in the Ofd1fl/WT;Wnt1Cre(HET) or Ofd1fl;Wnt1Cre (HM) if dysfunction of neural crest cells results in the cell fate change of mesoderm?
For the tongue frenum development, it is hard to understand to hypothesize that its formation is unlikely to associate with midline formation. Although Lgr5 and Tbx22 are not expressed in the midline, the defect in midline formation could cause unnecessary interaction between the right and left tissues.
Tissue morphogenesis takes place in three dimensions, which were not considered in the data, especially in the labeling experiments. When the authors labelled the cells, which cells in which area were labelled? In the textbook, tongue formation is a result of the fusion of the midline processes derived from the branchial arches, therefore, it is important to identify which cells in which area are labelled.
The weakest point is that the authors demonstrate many interesting phenotypes but fail to show the mechanism of altered cell differentiation and direct evidence of the tissue origin of ectopic brown tissue. Without the data, suggestion from the authors' argument is weak, which is reflected in the conclusion of the abstract.