The protein EP300 and its paralog CREBBP (CREB-binding protein) are ubiquitously expressed transcriptional co-activators and histone acetyl transferases. The gene EP300 is essential for normal cardiac and neural development, whereas CREBBP is essential for neurulation, hematopoietic differentiation, angiogenesis and skeletal and cardiac development. Mutations in CREBBP cause Rubinstein-Taybi syndrome, which is characterized by mental retardation, skeletal abnormalities and congenital cardiac defects. The CBP/p300-interacting transactivator with ED-rich tail 2 (CITED2) binds EP300 and CREBBP with high affinity and regulates gene transcription. Here we show that Cited2-/- embryos die with cardiac malformations, adrenal agenesis, abnormal cranial ganglia and exencephaly. The cardiac defects include atrial and ventricular septal defects, overriding aorta, double-outlet right ventricle, persistent truncus arteriosus and right-sided aortic arches. We find increased apoptosis in the midbrain region and a marked reduction in ErbB3-expressing neural crest cells in mid-embryogenesis. We show that CITED2 interacts with and co-activates all isoforms of transcription factor AP-2 (TFAP2). Transactivation by TFAP2 isoforms is defective in Cited2-/- embryonic fibroblasts and is rescued by ectopically expressed CITED2. As certain Tfap2 isoforms are essential in neural crest, neural tube and cardiac development, we propose that abnormal embryogenesis in mice lacking Cited2 results, at least in part, from its role as a Tfap2 co-activator.

The vertebrate cranial base is a complex structure composed of bone, cartilage and other connective tissues underlying the brain; it is intimately connected with development of the face and cranial vault. Despite its central importance in craniofacial development, morphogenesis and tissue origins of the cranial base have not been studied in detail in the mouse, an important model organism. We describe here the location and time of appearance of the cartilages of the chondrocranium. We also examine the tissue origins of the mouse cranial base using a neural crest cell lineage cell marker, Wnt1-Cre/R26R, and a mesoderm lineage cell marker, Mesp1-Cre/R26R. The chondrocranium develops between E11 and E16 in the mouse, beginning with development of the caudal (occipital) chondrocranium, followed by chondrogenesis rostrally to form the nasal capsule, and finally fusion of these two parts via the midline central stem and the lateral struts of the vault cartilages. X-Gal staining of transgenic mice from E8.0 to 10 days post-natal showed that neural crest cells contribute to all of the cartilages that form the ethmoid, presphenoid, and basisphenoid bones with the exception of the hypochiasmatic cartilages. The basioccipital bone and non-squamous parts of the temporal bones are mesoderm derived. Therefore the prechordal head is mostly composed of neural crest-derived tissues, as predicted by the New Head Hypothesis. However, the anterior location of the mesoderm-derived hypochiasmatic cartilages, which are closely linked with the extra-ocular muscles, suggests that some tissues associated with the visual apparatus may have evolved independently of the rest of the “New Head”.

Malformations of the septum, outflow tract and aortic arch are the most common congenital cardiovascular defects and occur in mice lacking Cited2, a transcriptional coactivator of TFAP2. Here we show that Cited2 -/-mice also develop laterality defects, including right isomerism, abnormal cardiac looping and hyposplenia, which are suppressed on a mixed genetic background. Cited2 -/-mice lack expression of the Nodal target genes Pitx2c, Nodal and Ebaf in the left lateral plate mesoderm, where they are required for establishing laterality and cardiovascular development. CITED2 and TFAP2 were detected at the Pitx2c promoter in embryonic hearts, and they activate Pitx2c transcription in transient transfection assays. We propose that an abnormal Nodal-Pitx2c pathway represents a unifying mechanism for the cardiovascular malformations observed in Cited2 -/-mice, and that such malformations may be the sole manifestation of a laterality defect.Genetic, developmental and molecular studies over the past decade have identified a number of DNA-binding transcription factors that have key roles in cardiac morphogenesis and in the pathogenesis of common congenital heart defects 1 . The role of transcriptional coactivators, molecules that connect DNA-binding transcription factors to the core transcriptional machinery, in cardiac development has only recently become apparent. These coactivators are exemplified by the paralogous genes EP300 and CREBBP 2 . Mutations in CREBBP cause Rubinstein-Taybi Syndrome 3 and are frequently associated with cardiac malformations 4 . EP300 and CREBBP interact with high affinity with a ubiquitously expressed cytokine and hypoxia-inducible transcriptional coactivator called CITED2 (also called p35srj and Mrg1) [5][6][7][8] . Binding of CITED2 to EP300 competitively inhibits the binding of the transcription factor HIF1A to EP300, blocking hypoxia-activated gene transcription 5,8 . Cited2 is essential for normal development of the heart, adrenals and nervous system 9-13 and for fibroblast proliferation 14 . Mice lacking Cited2 die prenatally with diverse cardiovascular malformations, including atrial and ventricular septal defects, double-outlet right ventricle, common arterial trunk and aberrant aortic arches.In addition to functioning as a transcriptional repressor of HIF1A, CITED2 also physically interacts with and coactivates TFAP2 (transcription factor AP2, also called Tcfap2) and LIM-domain containing transcription factors by linking them to EP300 and CREBBP 9,15,16 . Mutations in Tcfap2a and TFAP2B (Char syndrome) result in cardiac and aortic arch malformations 17,18 , suggesting that coactivation of TFAP2 by CITED2, EP300 and CREBBP is necessary for the normal development of these structures 9 . An alternative explanation for the development of cardiac malformations in mice lacking Cited2 is dysregulation of hypoxia-activated gene transcription 12 .The cardiovascular malformations resulting from deficiency of Cited2 encompass a diverse and variable spectrum that is not explained by effects on...