Role of marsupial tammar wallaby milk in lung maturation of pouch young
© Modepalli et al.; licensee BioMed Central. 2015
Received: 31 October 2014
Accepted: 26 February 2015
Published: 21 March 2015
Marsupials such as the tammar wallaby (M.Eugenii) have a short gestation (29.3 days) and at birth the altricial young resembles a fetus, and the major development occurs postnatally while the young remains in the mother’s pouch. The essential functional factors for the maturation of the neonate are provided by the milk which changes in composition progressively throughout lactation (300 days). Morphologically the lungs of tammar pouch young are immature at birth and the majority of their development occurs during the first 100 days of lactation.
In this study mouse embryonic lungs (E-12) were cultured in media with tammar skim milk collected at key time points of lactation to identify factors involved in regulating postnatal lung maturation. Remarkably the embryonic lungs showed increased branching morphogenesis and this effect was restricted to milk collected at specific time points between approximately day 40 to 100 lactation. Further analysis to assess lung development showed a significant increase in the expression of marker genes Sp-C, Sp-B, Wnt-7b, BMP4 and Id2 in lung cultures incubated with milk collected at day 60. Similarly, day 60 milk specifically stimulated proliferation and elongation of lung mesenchymal cells that invaded matrigel. In addition, this milk stimulated proliferation of lung epithelium cells on matrigel, and the cells formed 3-dimensional acini with an extended lumen.
This study has clearly demonstrated that tammar wallaby milk collected at specific times in early lactation contains bioactives that may have a significant role in lung maturation of pouch young.
Fetal lung development is a programmed cascade and any interruption in this process may cause abnormalities in neonates after birth . The process of lung development in all mammals is similar  and is only different in the timing of development during perinatal and postnatal periods . In eutherians, the placenta performs gaseous exchange between the fetus and the mother [4,5] and during gestation the lung matures and is capable of performing gaseous exchange after birth . The main cause of respiratory complication in new born infants is due to pulmonary immaturity, known as respiration distress syndrome (RDS) and the main cause of RDS in preterm infants is lack of surfactant proteins in the lung [7-9].
During evolution of mammals, marsupials and eutherians have adopted different reproductive strategies which have given rise to differences in lung maturation at birth. Marsupials are placental mammals but they have a primitive form of placenta and give birth to immature young after a short gestation. The major growth and development of marsupial young occurs postnatally during early lactation . The majority of eutherians, including the human, have a well-developed placenta and the lungs of neonates are at the alveolar stage of development . In contrast, the lung in the marsupial newborn is immature and is still progressing from canalicular to early saccular stage of development . The lung morphology of newborn marsupials, such as the short-tailed opossum (Monodelphis domestica) and tammar wallaby (Macropus eugenii), are comprised of large terminal air sacs with a small surface area for respiration . Due to limited development of the neonatal lung the marsupial performs respiration through the skin to meet the demand for oxygen, and as the lung develops the total gaseous exchange is gradually shifted to the lung [14,15]. In all mammals, the extent of pulmonary development depends on the period of intrauterine development as the factors responsible for fetal development are provided through the maternal supply . In marsupials the immature neonates rely on these maturation factors being provided through milk . In eutherians at the end of gestation, the density of septal formation is high as the lung is progressing from saccular stages to the alveolar stage of development at birth. This septal division is carried out after birth to increase surface area for respiration by dividing large air sacs into alveoli. However alveolization requires necessary signalling factors for cell proliferation and function to produce surfactants and these are regulated by hormones in the newborn . In contrast, the marsupial newborn lacks established functional hormonal systems [19,20]. In order to survive and develop they most likely need support from their mother through maternal milk .
Milk is composed of various bioactive components supporting early development of the neonate . Eutherians, such as the human, undergo a long gestation followed by a relatively short lactation and the composition of milk does not change significantly [22,23]. In contrast, marsupials have a short gestation and a long lactation and milk composition changes significantly throughout lactation to provide factors for growth and development of the immature neonate [23,24]. The tammar wallaby is one of most studied marsupials and its lactation is divided into three phases (phase 2A, phase 2B and phase 3) based on the composition of the milk and growth and development of the young. Tammar young are born after 26 days of gestation and weigh approximately 440 milligrams . During the early phase of lactation, the young remain permanently attached to the teat and the mother secretes dilute milk with a low concentration of protein and lipids but a high concentration of carbohydrates [25,26]. During the first 100 days the development of the neonate is similar to a late stage eutherian fetus and therefore the signalling factors involved in the development of the eutherian fetus are most likely delivered in the milk . The pouch young are born with immature organs and during early lactation the organs necessary for their survival such as respiratory system , lymphoid tissues , nervous system including brain and spinal-card [30,31] are rapidly developed. Fostering experiments performed with tammars to understand regulatory effects of milk composition on rate of pouch young development, have demonstrated that by transferring the early pouch young to a late lactating tammar can accelerate the growth and physical development of pouch young [32,33]. Subsequent studies showed that cross fostering the young also accelerated maturation of specific organs such as the stomach . Hence, the tammar provides an exceptional model for correlating milk composition with defined developmental changes in the immature lungs of the newborn as the respiratory process progresses from gas exchange across the skin to functional lungs during lactation. In this study we demonstrate the effect of bioactives in tammar wallaby milk collected in early lactation to accelerate growth and development of cultured mouse embryonic lungs.
Postnatal development of lungs from tammar wallaby
Tammar wallaby day 60 milk stimulates development of cultured mouse embryonic lung
Tammar wallaby milk proteins from early lactation differentially regulate embryonic mouse lung development
Developmental marker gene expression in cultured mouse embryonic lungs
Effect of tammar milk on mouse embryonic lung epithelium and mesenchymal cell proliferation
Effect of tammar milk on isolated mouse embryonic lung epithelium in matrix
Effect of tammar milk on isolated mouse embryonic lung mesenchyma in matrix
To investigate whether there was a direct effect of tammar milk on lung mesenchyma, the isolated mesenchyma from E12 embryonic mouse lung was cultured for 3 days as a 3D explant in matrigel and treated with tammar milk (day 20, day 60 and day 120). Control mesenchymal explants, cultured in media with no milk proteins, initially aggregated and did not develop further exhibiting cell shrinkage indicative of necrotic cells after 3 days of culture (Figure 7 M-P). The mesenchyma treated with day 20 milk showed no growth and became condensed (Figure 7A-D). The mesenchyma treated with day 60 milk showed morphological cell differentiation and proliferation and elongated mesenchymal cells invaded the matrigel (Figure 7E-H). Whole mount staining of these explants demonstrated the cells were flat, elongated and spindle shaped similar to either airway smooth muscle cells or myofibroblast cells derived from primary mesenchyma (Figure 7Q&T). Mesenchymal explants treated with day 120 milk (Figure 7I-L) were similar to control cultures (Figure 7 M-P) with cells failing to survive and condensing with apparent necrosis. Whole mount staining of these explants indicated likely necrosis and a large reduction of cell population (Figure 7R&S).
Tammar lactation is programmed to potentially regulate lung development in pouch young by stimulating branching morphogenesis and growth
The tammar is born after a short gestation (~28 days) and lungs are immature at birth with the majority of development occurring during early postnatal life . The in depth analysis of tammar lung development described here showed fetal lungs were still at the canalicular stage of development during the final stages of gestation (~day 24 gestation) similar to eutherian fetal rat at ~ E14 gestation [31,36]. The lungs at birth were at a transitional stage from a canalicular to saccular structure with the formation of primitive air sacs and most of the lung was comprised of mesenchyme tissue. In contrast, in the majority of eutherian species the lung develops prior to birth, while respiration is supported by the maternal placenta . Unlike eutherians, the marsupial newborn has immature organs, including the lung  and most of their early development relies on factors supplied through milk . Interestingly, the delay in gut maturation is considered advantageous in neonatal mammals like marsupials, as their gastro-intestinal system is immature during early lactation and it has the capacity to absorb maternal proteins like immunoglobulins in milk through the gut . Indeed, absorption of macromolecules persists throughout most of pouch young life [38,39]. The current study examined whether marsupial tammar wallaby milk includes bioactives with the potential to stimulate branching morphogenesis in lung. Mouse embryonic lungs were cultured with tammar milk protein and results showed a significant effect on branching morphogenesis and growth of lung explants treated with day 60 tammar milk.
Analysis of the pattern of gene expression in the tammar wallaby mammary gland has shown that the majority of genes are differentially expressed during lactation . Moreover there is a gradual change in the number of milk proteins secreted across lactation with the potential to influence development and immune protection of pouch young [40-43]. Previous studies have shown that transfer of tammar pouch young to a mother at a more advanced stage of lactation can specifically accelerate the rate of stomach development in pouch young  and the current study is consistent with the hypothesis that tammar lactation may also be programmed to regulate postnatal lung development during early lactation after the first 40 days postpartum. The potential inhibitory effect of milk at day 20 on in vitro lung development correlates with the time when the early saccular phase of development is evident and the lung displays a slow rate of septal formation. This may result from milk that includes a negative regulator or potentially that the milk is lacking necessary signals for branching morphogenesis and increased lung volume. However, this observation correlates with the time when a significant proportion of respiration occurs through the skin of the pouch young . In tammar pouch young the majority of lung development was observed around day 40 as the lung progressed from saccular stage to alveolar stage. During this process the septal crest density increased from ~ day 40 – ~ day 100 and was observed as the most active state of alveolarization in relation to growth of lung. At this time lungs progress from saccular to alveolar (day 40) stage although a significant increase in alveolar number was observed until the end of phase 2A (day 100 lactation). This profound increase in branching morphogenesis indicates the milk at day 40 – day 100 may have the necessary bioactivity to regulate lung development in pouch young and correlates with the timing of increased bioactivity of milk in the in vitro lung model. Further, morphological changes observed in tammar pouch young lung after phase 2A lactation at day 120 clearly indicate a slow rate of development of septal density which is consistent with the effects induced by milk from day 120 and day 190 of lactation when there was very limited increase in terminal branches and growth in cultured mouse lungs.
RNA analysis on mouse embryonic lung explants treated with milk from day 20, day 60 and day 120 of lactation were analysed for expression of a group of marker genes to assess lung development in culture; surfactant proteins (SP-C & SP-B) and branching morphogenesis proteins (BMP-4 & Wnt7b). Surfactant proteins SP-C and SP-B are the two major surfactant proteins expressed in the early developmental stage of the lung . SP-C is involved in postnatal respiration  and SP-B is involved in immune protection . Increased expression of these surfactant proteins in mouse lung explants treated with day 60 milk indicate that factors in milk were able to stimulate proliferation of Type-II epithelial cells and increase synthesis of surfactant proteins. Expression of surfactant protein is essential for successful respiration in newborns and decreased expression of surfactant proteins may cause respiratory distress syndrome in preterm infants .
The early stage of lung development involves increased branching morphogenesis from the main bronchus to increase surface area for gaseous exchange [9,48]. Expression of BMP-4 and Wnt7b are involved in branching morphogenesis during embryonic lung development [49,50]. Terminal end buds from the primary branches progress to terminal air sacs , a process associated with increased epithelial cell proliferation . Tammar milk was shown to include bioactives that increase terminal end buds and signal epithelial cell proliferation and branching morphogenesis when cultured with lungs isolated from mouse embryos. A significant increase in terminal end buds was observed in lungs treated tammar milk collected specifically at day 40 - day 100 of lactation and the increase in the level of expression of the BMP-4 and Wnt7b genes is consistent with tammar milk proteins activating branching morphogenesis. These data suggest that milk secreted during early lactation may have the potential to signal branching morphogenesis of altricial young in the pouch. Escalated branching morphogenesis supports the increase of total volume of the lung providing the required area for lung alveolarization in later stages of development, which in turn provides required surface areas for respiration after birth. In addition, during this process in cultured embryonic lungs there are progenitor cells located in terminal end buds that can differentiate into epithelial cells in the alveolar and bronchial regions. Expression of the Id2 gene is a marker for these progenitor cells  and expression of the Id2 gene was increased in embryonic lungs treated with tammar milk day 60, but not in lung explants treated with milk from early (day 20), late lactation and under control conditions. Further, cell proliferation was higher in embryonic lung treated with day 60 milk and the increased rate of cell proliferation observed in mesenchyme in embryonic lungs treated with day 120 milk indicates that these changes most likely results from increased mesenchymal signalling factors.
Tammar milk protein regulates the growth of mouse lung epithelium and mesenchyma
The current study showed a difference in the ratio of epithelium and mesenchyme in embryonic lung when treated with tammar milk protein collected from different time points. Subsequent experiments showed that tammar milk stimulated epithelium and mesenchyma separately to regulate cell differentiation, proliferation and polarity of the cells. Epithelial explants specifically treated with day 60 milk preparation developed a large lumen surrounded with a single layer of columnar epithelial cells. As mesenchymal-epithelial interactions are essential for epithelial branching morphogenesis [54,55]. The addition of day 60 milk stimulated the cell behaviour of a primitive mesenchyma, with an increase in cell proliferation and elongation of mesenchymal cells invading the surrounding matrigel. The role of day 60 milk in mesenchymal cell proliferation and differentiation is still unclear, however, observation of cells during culture showed they were flattened, elongated and spindle shaped, representing either airway smooth muscle cells or myofibroblast cells derived from primary mesenchyma . A decrease in mesenchymal tissue can lead to a delay or prevention of epithelial branching during lung development [55,57]. In contrast, the treatment of lung with day 20 milk showed a reduced effect on epithelium and mesenchymal cell populations which is consistent with a similar effect observed when the whole embryonic lung was cultured in day 20 milk protein. Therefore, factors in milk responsible for postnatal lung maturation were expressed from day 40 of lactation until the end of the early lactation period (phase-2A) and this temporal effect was lost in later phases of lactation (phase 2B & phase 3). The timing of this stimulatory activity of milk on mouse embryo lungs is consistent with increased lung development in tammar neonates and reduced level of lung development after phase 2A lactation.
Taken collectively the results presented in this study indicate that tammar milk can temporally regulate cell proliferation and differentiation of both epithelium and mesenchyma cell populations from lung. This concept of the timed presentation of milk bioactives to the young for lung development is consistent with the timed appearance of milk bioactives that regulate gut development in the young and protection of the young from infection [33,43,44]. This unique model may offer new opportunities for the identification of signalling molecules that are presented to the marsupial young at a time that correlates with prenatal presentation of signalling factors by the placenta and amniotic fluid for the development of a range of tissues during eutherian foetal development.
A colony of tammar wallabies (M. eugenii) was maintained at Deakin University, Geelong, Victoria, Australia and at CSIRO Ecosystem Sciences, Canberra, Australia. All animal experimentation was approved by The Deakin University and CSIRO Animal Ethics committees.
Histological analysis of tammar wallaby lung during postnatal development
Lung tissues were collected from tammar young’s at late gestation, ~ day 24 and postpartum day 1, 3, 20, 40, 60, 80 and 120 (n = 3-5 young’s per state). The age of pouch young was either determined from known birth dates or estimated by measuring head length . The lung was removed, rinsed thoroughly with sterile PBS and fixed overnight in 4% formaldehyde prior to paraffin embedding. Tissue sections (5–6 μm) were prepared and stained with haematoxylin and eosin (H&E) for examination of morphological development.
Milk collection and processing
Tammars were anaesthetised with Isoflurane and 0.2 IU of Oxytocin-S® (Intervet, Boxmeer, The Netherlands) was administered intramuscularly prior to milk collection. Milk was collected from each animal by applying gentle pressure to the mammary glands and milk was stored at −80°C until further analysis. Milk was obtained from mothers at 20, 40, 60, 80, 90, 100, 120 & 190 days of lactation. Milk samples were thawed on ice and centrifuged at 5000xg to isolate the fat and cells. Skim milk was centrifuged at 17,000Xg for 10 min to remove the majority of casein. The whey was sterilised using a 0.22 μm filter (Corning Costar Spin-X Centrifuge Tube Filters) and samples were aliquotted and stored at −80°C until further analysis.
Mouse embryonic lung isolation and culture
A total of 32 C57BL/6 wild-type mice were killed at E12.5 pregnancy and the lungs were excised from 108 embryos. After removal from the uterus, the embryos were washed in Dulbecco’s Phosphate Buffered Saline (DPBS) and transferred to a Petri dish with Hanks’ Balanced Salt solution (HBSS) placed on ice. Embryonic lungs dissected from each embryo were transferred to Transwells with serum free Dulbecco’s Modified Eagle’s Medium/F12 (DMEM/F12) media that included 1% Penicillin and streptomycin , and cultured in media with 10% whey prepared from milk collected at different stages of wallaby lactation. Control lungs were cultured in media with 10% PBS only. Lung explants were incubated at 37°C, 5% CO2 for 3–4 days and the media and milk protein was replaced every 24 h. Due to less quantity availability of day 20 milk the treatment was carried out on 4 embryonic lungs. The remaining treatments were performed approximately 10–14 embryonic lungs and the experiments were performed at least 3 times.
Culture of embryonic lung epithelium and mesenchyma
Lungs were isolated from the E-12 mouse embryos. The lungs were treated with dispase (1.5 U/ml DPBS) at 37°C for 30 min to separate the epithelium and mesenchymal tissue. The distal mesenchyma was separated from the epithelial bud by using a pair of tungsten needles and a dissection microscope . Geltrex® Matrix (Life TechnologiesTM) was prepared by 1:1 dilution with culture media and transferred to a culture dish with separated epithelium and mesenchyma. Matrix together with cells was allowed to polymerize at 37°C for 1 hr. After polymerization 1 ml of DMEM/F12 media that included 1% Penicillin, 1% streptomycin and 1% Fetal Bovine Serum (FBS) was added and the cells incubated at 37°C in 5% CO2. The cells were cultured in media with 10% wallaby whey (as above) and the control lungs were cultured in media with 10% PBS only. The explants were cultured for 3 days and the images were collected at 24 hr intervals.
Morphological analysis of embryonic lung
At the completion of culture lung explants were washed twice with PBS, fixed in 4% formaldehyde in PBS and embeded in paraffin. Lung sections (5-6 μm) were stained with H&E to examine lung morphology. Branching morphogenesis of lung explants after different treatments was quantified by counting the number of terminal end buds around the circumference of each explant. For each treatment a minimum of four embryonic lungs were analysed. Results were analysed using a one Tailed, Type-2 T-test to estimate the statistical significance and the error bars indicate sample ± SEM.
Total RNA isolation and quantitative RT-PCR
Total RNA was extracted from lung tissue using a PureLink® RNA Mini Kit (Life Technologies) and following the manufacturer’s instructions, and subsequently quantified by spectrophotometry (Nano drop ND-1000, Biolab, VIC, Australia). First-strand cDNA was synthesised using Superscript IIITM Reverse Transcriptase (Invitrogen), following the manufacturer’s instructions. Quantitative RT-PCR (qPCR) was performed using the SsoFast EvaGreen Supermix (Bio-Rad) and CFX96TM Real-Time PCR Detection System (Bio-Rad). The PCR reaction (20 μL) contained 1× master mix, 0.25 μM of forward and reverse primers (see Additional file 2: Table S1) and diluted cDNA template. All samples were assayed in triplicate. Amplification curves were generated with an initial denaturing step for 30 minutes at 94°C, followed by 40 cycles at 94°C for 30 seconds, 60°C for 30 seconds and 72°C for 30 seconds. The GAPDH gene was used as an internal control.
The cultured embryonic lungs were immediately fixed in 4% formaldehyde, dehydrated and embedded in paraffin. Sections (5-6 μm) were prepared and deparaffinised. The sections were treated with 3% H2O2 and the antigen retrieval was achieved in 10 mM citrate buffer (PH 6.0). Immunohistochemistry of surfactant proteins SP-C and SP-B was performed using primary antibody Goat anti-SftpC (1:200, Santa Cruz, (C-19): sc-7705) and Rabbit anti-Pro SftpB (1:600, Abcam, ab15011). A Streptavidin-HRP conjugated Rabbit anti-Goat IgG anti-HRP (1:200, Bethyl, A50-100p) and Goat anti-Rabbit HRP (1:100, Abcam, ab97051) secondary antibody and the DAB substrate kit (DAB Substrate Kit, Cell Signaling, #8059) was used for detection. The nuclear counter stain was performed using haematoxylin.
Paraffin embedded embryonic lungs and epithelial explants were sectioned (5–6 μm) and the mesenchyme and epithelial cell proliferation was measured using a PCNA kit (PCNA staining kit, Invitrogen, 93–1143) following the manufacturer’s instructions. The number of PCNA positively stained cells in both mesenchyme and epithelium was counted in random parts of a section by using Image J software.
Analysis of 3D epithelium and mesenchyma culture by immunofluorescence staining
Lung epithelial explants were collected after 3 days of culture and prepared for paraffin sectioning. The slides were processed for staining as described above. The epithelial sections were incubated overnight with E-cadherin (1:400, Cell Signaling Technology, 24E10) primary antibody. The sections were washed with PBS and incubated with secondary antibody conjugated with Alexa Fluor® 488 (1:400, Life Technologies). Finally all samples were mounted with Dapi mounting media (Fluoroshield Mounting Medium with DAPI, Abcam, ab104139) prior to photography with fluorescence microscopy. For whole-mount staining the mesenchyma in matrix were fixed in 4% formaldehyde for 1 hr and stained for nuclei using Hoechst (1:1000).
We thank Lyn Hinds, Steve Henry and Sameer Sharma from CSIRO, Canberra, in providing the samples. We also thanks Deakin animal house faculty in maintain the wallaby facility. We cherish all fellow lab mates from Kevin Nicholas lab. We would like to thanks GATES foundation for funding this project. Modepalli.V is funded by the Deakin University PhD program.
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