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MADM results in the reconstitution of functional green and red fluorescent proteins with two daughter cells each expressing one of the two fluorescent proteins upon G2-X chromosome segregation events (Figure 1A). Because MADM events result in permanent and distinct labeling of the two descendent lineages, quantifiable assessment of green and red daughter cell lineages (subclones) can be performed. Variables including division pattern (e.g., symmetric versus asymmetric) and potential (e.g., the number of progeny) of the original progenitor can be determined. Quantifying each fluorescently labeled subclone is informative when retroactively determining if the original progenitor cell is undergoing symmetric proliferative divisions, or asymmetric, neurogenic divisions at the time of TM induction. Previous studies grouped Emx1-CreERT2 or Nestin-CreERT2 derived excitatory projection clones in the cortex into two broad classes7,11,46. The first, termed "symmetric proliferative clones", are composed on average of a considerable number of neurons, with both green and red subclones containing four or more neurons each. The second group, "asymmetric clones" defines a class of clones where the "minority" subclone contains fewer than three neurons and the "majority" subclone, four or more11. These definitions are specific to cortical RGPs and may need to be revisited for other brain regions and tissues. For both classes of cortical clones, progeny will be distributed throughout the superficial and deep layers.
When designing MADM clonal studies there are a number of aspects that must be taken into consideration. The time when MADM events are induced by administration of TM is a key consideration (Figure 3). For cortical excitatory projection neuron MADM clones (i.e., using Emx1-CreERT2 or Nestin-CreERT2) at E10, nearly all RGPs were still undergoing symmetric divisions11. Therefore, induction at E10 with TM captured multiple rounds of proliferative RGP amplification and resulted in clones with high neuron numbers. However, the number of RGPs at E10 was generally small and thus TM administration generated very few MADM events (sometimes less than one per brain). The majority of RGPs switched from symmetric to asymmetric neurogenic divisions at around E12. To target strictly asymmetric neurogenic clones, it was best to induce at E12 or later (Figure 3). The time between TM induction and observing MADM recombination events in the cortex tended to be less than 24 h. IP injections were the preferred method for administering TM at embryonic stages for this method because it led to greater reproducibility in clonal induction. It is also important to keep the TM dose to a minimum for two reasons. First, if the MADM recombination rate increases, the probability of inducing multiple, perhaps overlapping, clones is higher. Second, if too much TM is delivered, an increased rate of abortion, embryo reabsorption, and smaller litter sizes may be observed. Abortions in approximately half of all pregnant dams was observed when TM injections were delivered at E10. This frequency decreased from E11 onwards and diminished to approximately 1/3 of pregnant dams aborting. For a summary of TM doses, induction times, and CreERT2 drivers used in previous MADM studies, refer to Table 1. Reporter activity in the absence of TM was observed with some TM-inducible CreERT2 drivers69. Ectopic expression or MADM recombination events in the absence of TM was not observed with the Emx1-CreERT2 of Nestin-CreERT2 drivers. This may be partially due to the fact that TM-mediated chromosomal trans-recombinations occur at approximately 1:1,000 to 1:10,000 lower frequency than cis-recombinations, reducing the probability of ectopic MADM labeling.
Another factor to consider when planning a MADM clonal analysis experiment is the duration of the study. Varying the length of the time between TM induction and when the experiment was analyzed (A) (time window) displays stem cell dynamics over time64. Short embryonic time windows (i.e., TM/E11−A/E13; TM/E11−A/E16) captured the dynamics of embryonic neurogenesis (Figure 4). Comparing clones from two or more time windows provides quantitative insight into the number of cells produced and how neuron distribution varies at different stages of lineage progression64. To capture the entire potential of individual clones, it is necessary to extend the time window analyzed into postnatal or adult timepoints7,11,12. Examples of neocortical clones induced in the embryo and analyzed in the adult are shown in Figure 5. Of note, cortical neurogenesis is mostly completed and gliogenesis increases by E17. Approximately 1/6 neurogenic RGP also proceed to generate astrocytes and/or oligodendrocytes11.
Symmetric clones occur when RGPs undergo one or more rounds of proliferative division11. RGP clones induced between E10−E12 were on average larger in size and provided more spatial features of the final neuron distribution (Figure 4A-C). Clones with neurons relatively equally distributed throughout deep and superficial layers took on a "cylinder" shape while clones with neurons more dispersed in superficial layers than deeper layers developed a "cone" shape11. To fully capture the spatial and morphological information of a clone, it was necessary to computationally reconstruct each clone using sequential images. To measure clonal dispersion, the maximal lateral dispersion (measured in all dimensions) in superficial layers (LII−VI) of a clone was compared to neuron dispersion in deep layers (LV/LIV). This ratio (distribution upper:distribution lower) provided a quantifiable readout of the overall clone shape.
Asymmetric clones, where the minority subclone was three or less, provided insight into the neuronal output of a single RGP (Figure 4D-F and Figure 5A-F)7,11,12. The majority population (large subclone) could be labeled either in red or green, with an average of approximately seven excitatory projection neurons per clone when induced using an Emx1-CreERT2 or Nestin-CreERT2(Figure 5G)7,11,12. The total number of cells in a MADM clone could be further dissected by analyzing the distribution of neurons in the large subclone across superficial and deep layers. The minority population (small subclone) was labeled by the reciprocal color and was on average 1−2 cells per clone (Figure 5H). The total "unit size", which was on average 8−9 neurons, could be calculated by adding the small and large subclones together (Figure 5I)7,11,12. It is important to note that while the neuronal output of RGPs was highly predictable, there was a degree of clonal heterogeneity12,70.
Introduction of a mutation distal to the MADM cassette enables the generation of genetic mosaics, providing a unique method to dissect the molecular regulators of stem cell lineage progression. As such, MADM provides an unparalleled experimental platform to study the cell-autonomous function of a gene (e.g., its association to microcephaly or macrocephaly). By comparing clones induced in a MADM genetic mosaic to clones induced in a control MADM, a highly quantitative readout of changes in neuron numbers and distribution can be generated. Previous MADM-based studies quantified the cell-autonomous function of Otx1 in microcephaly formation at the clonal level (see Figure 6A-E for a representative example)11. In another study, MADM clonal analysis demonstrated that Ndel1 does not cell-autonomously regulate projection neuron numbers, but instead the ability of newborn neurons to enter or migrate within the cortical plate, which later forms the adult cortex46. These studies demonstrated the highly quantitative nature of MADM clonal analysis in studying the cell-autonomous functions of genes regulating cortical development. There are currently no examples in the literature using MADM to study genes implicated in macrocephaly at the clonal level. However, in future studies analysis of genes relevant to the control of cortical size in general can provide highly desirable insights at the molecular and cellular level.

Figure 1: The MADM principle for lineage tracing and clonal analysis at single stem cell level. (A) To perform lineage tracing and clonal analysis with MADM, two components must be present. First, MADM cassettes must be targeted to identical loci on homologous chromosomes. Cassettes consist of two chimeric fluorescent reporter genes, eGFP (green, [G]) and tandem dimer Tomato (red, tdT[T]). The GT cassette contains the N-terminus of eGFP and the C-terminus of tdT, separated by an intron containing a loxP site. The TG cassette is constructed inversely, with the N-terminus of tdT and the C-terminus of eGFP. Second, the expression of Cre recombinase must occur in the cell containing the targeted MADM cassettes. The loxP sites serve as a target for Cre-mediated interchromosomal recombination, resulting in the reconstitution of both expression cassettes simultaneously. If recombination occurs during the G2 phase of the cell cycle followed by X segregation (G2-X), the two daughter cells will express one of the two fluorescent proteins. (B) MADM principle for genetic mosaic analysis at a single clone level. Mutant alleles (point mutations, deletions, insertions, loxP-flanked conditional alleles as depicted in Figure 1B, etc.) can be introduced distal to the TG-MADM cassette via meiotic recombination (see Figure 2 and Hippenmeyer et al.46 for details on how to introduce mutant alleles into the MADM system). If a G2-X Cre recombinase-mediated interchromosomal trans-recombination occurs between MADM cassettes it results in one GFP+ homozygous mutant cell (GeneX-/-) for the gene of interest and one tdT+ homozygous wild type cell (GeneX+/+) in an unlabeled heterozygous environment46,47,71. Alternate labeling outcomes not used in the clonal analysis (i.e., yellow cells) have been previously described in detail11,46,47. Please click here to view a larger version of this figure.

Figure 2: Breeding schemes for generation of experimental MADM mice for lineage tracing. Breeding scheme for the generation of control MADM (A) and Gene X MADM (B) experimental MADM mice for clonal analysis. For more information regarding MADM breeding paradigms see Beattie et al.7 and Hippenmeyer et al.7,46. Please click here to view a larger version of this figure.

Figure 3: Time course paradigms for MADM-based clonal lineage analysis. Schematic of the experimental design time windows. For longitudinal sampling paradigms, the timepoint of clone induction remained constant and the length of time before analysis varied. In progressive interval sampling, the timepoint of analysis remained constant, but the time of induction varied. A combination of one or both approaches can be used depending on the questions addressed. Please click here to view a larger version of this figure.

Figure 4: MADM clonal analysis in the developing and adult neocortex. TM-mediated MADM clone induction in symmetrically proliferative (TM at E10) (A-C) and asymmetrically neurogenic (TM at E12) (D-F) dividing RGPs. Depicted are individual MADM clones in vivo in the developing (TM/E10−A/E16 and TM/E12−A/E16) (B,E) and adult (TM/E10−A/P21 and TM/E12−A/P21) (C,F) in MADM-11GT/TG; Nestin-CreERT2+/- (B,E) and MADM-11GT/TG; Emx1-CreERT2+/- (C,F). Neuron output was independent of subclone color and green majority/minority subclones could be compared to red majority/minority subclones under control conditions7,11. Approximately 1/6 of adult clones also contained astrocytes and/or oligodendrocytes, indicated by white asterisks. Panels B and F are reproduced with permission from Hippenmeyer et al.46 and Rulands and Simons72, respectively. CP = Cortical plate. Please click here to view a larger version of this figure.

Figure 5: MADM clonal analysis to quantify RGP-mediated neuron output. Analysis of excitatory neuron (unit) production by individual neurogenic RGPs at the clonal level using MADM7,11. (A) Experimental paradigm for inducing mostly asymmetric MADM clones in the developing cortex. (B) Possible asymmetric clone outcomes with the majority subclone labeled in either green or red (C) Representative consecutive sections spanning a single neurogenic asymmetric clone (D,E) 3D reconstruction images of representative asymmetric G2-X MADM clones with majority population in red (D) or green (E) in MADM-11GT/TG; Emx1-CreERT2+/- with TM induction at E12 and analysis at P21. Note both green and red labeled cells are wild type. (F) Schematic indicating the two possible experimental MADM clone outcomes. (G) Quantification of the size of the majority population arising from renewing RGPs in MADM-11 clones. (H) Quantification of the size of the minority population arising from renewing RGPs in MADM-11 clones. (I) Quantification of the unitary size of asymmetric neurogenic MADM-11 clones. Hypothetical values could represent mean ± SEM. Scale bar = 100 µm (D and E). TM = Tamoxifen. Please click here to view a larger version of this figure.

Figure 6: MADM clonal analysis to study genes that lead to microcephaly and macrocephaly. Hypothetical MADM clonal analysis results when performing functional genetic dissection of candidate genes that lead to microcephaly or macrocephaly. To dissect the cell-autonomous functions of a gene of interest (Gene X) on neuron output, MADM requires mutant alleles to be introduced distal to the MADM cassettes via meiotic recombination (for details how to introduce mutant alleles into the MADM system see also Figure 2, Hippenmeyer et al.46, and Laukoter et al.46,73). (A,B) Schematic indicating experimental MADM paradigm for functional analysis of clonal RGP units. The mutant subclone can either form the minority (A) or majority (B) population. (C-E) Hypothetical MADM clonal analysis results when quantifying control MADM (white bars), Gene-X MADM microcephaly (gray bars) and Gene-X MADM macrocephaly black bars) asymmetric clones. (C) Quantification of the size of the majority population. (D) Quantification of the size of the minority population. (E) Quantification of the unitary size of asymmetric neurogenic clones. Hypothetical values could represent mean ± SEM. S = Hypothetical scenario where difference in subclone cell number could reach significance, relative to control. Please click here to view a larger version of this figure.
Table 1: MADM clonal studies in the literature. Summary of studies in the literature containing MADM clonal lineage experiments, including CreERT2 driver used, TM dose, and time of injection. Please click here to view this table (Right click to download).