E8.5 embryos were stained by immunofluorescence following this protocol to analyze the number of migrating neural crest cells that were in the G2/M phase of the cell cycle. Samples were stained using antibodies targeting PHH3 to visualize the G2/M phase of the cell cycle and SOX10 to visualize migrating neural crest cells. Embryos were further stained with appropriate secondary antibodies. Nuclei were stained with DAPI. Samples were imaged using the Olympus SpinSR spinning disk confocal microscope with a 10x objective (NA = 0.4). Images were acquired using a Hamamatsu Orca Fusion BT camera and a 50 µm pinhole spinning disk. Images were captured using the tile and stitch function as Z stacks, with a Z-spacing of 1.99 µm. Neural crest cell delamination and subsequent migration by epithelial to mesenchymal transition (EMT) requires pre-migratory neural crest cells to be in the S or G2/M stage of the cell cycle20. Here, we are able to visualize cells in the G2/M phase of the cell cycle, indicated by PHH3 staining (green), within the population of migratory neural crest cells, indicated by SOX10 (magenta) (Figure 2A). The number of migrating neural crest cells in G2/M in control and treatment-exposed embryos can be quantified to determine if our treatment affects the number of migratory neural crest cells in G2/M, and therefore whether our treatment may also perturb neural crest delamination by EMT. Some embryos had a residual yolk sac attached from dissection (Figure 2A’, red arrowhead). The residual yolk sac is sensitive to staining by anti-mouse secondary antibodies, prevalent in this sample, as the anti-PHH3 antibody was raised in a mouse. Thus, the entire yolk sac fluoresces brightly with the fluorophore conjugated to the anti-mouse antibody. In this extreme example, the non-specific staining could affect the quantification of PHH3, and therefore, this sample should be excluded from analysis. Furthermore, the use of anti-mouse antibodies leaves a non-specific ‘streak’ adjacent to the heart tube in E8.5 embryos (Figure 2A’, red arrowhead). This region should be accounted for when quantifying the signal from a primary antibody raised in a mouse.
E9.5 embryos were stained by immunofluorescence using this protocol to examine blood vessel structure and cardiac progenitor cell distribution. Samples were stained using antibodies targeting ISLET1 (ISL1) to visualize the second heart field, SOX10 to visualize migrating neural crest cells, ENDOMUCIN (EMCN) to visualize venous and capillary endothelial cells, and appropriate secondary antibodies. Nuclei were stained with DAPI. Tissue clearing was used to obtain better depth of imaging. Samples were imaged using an Olympus SpinSR spinning disk microscope with a 10x objective (NA = 0.4). At E9.5, we see migration of cardiac neural crest cells, which form part of the aortic arch (SOX10, yellow), and second heart field progenitor cells (ISL1, green), which form parts of the atria, the outflow tract, and the left ventricle21 (Figure 2B). Disruption of cardiac progenitor cells is a key driver of congenital heart disease22,23. Using this method, we are able to visualize cardiac progenitor cell patterning and number. The next stage would be to compare the patterning of cardiac progenitor cells between control and treatment groups to determine if our intervention perturbs migration or leads to loss of key cell types.
To determine the relationship between neural crest cell stage and Wnt signaling, E8.5 embryos were stained by RNAscope using this protocol to examine neural crest cells in different stages of migration and differentiation, and a Wnt signaling marker. Probes indicating the neural plate border, from where neural crest cells emerge (Msx1), migratory neural crest cells (Sox10), and neural crest cell differentiation (Dlx2) were used and compared to a probe indicating Wnt signaling (Sp5). TSA-vivid 520, 570, and 650, and Opal 780 fluorophores were used to visualize probes. Samples were imaged using an Evident FV4000 microscope with a 10x objective (NA=0.4), 144 µm pinhole, and a pixel size of 621 nm. Images were captured using the tile and stitch function as Z stacks, with a Z-spacing of 4.32 µm. The neural plate border (Msx1, green) and migratory neural crest cells (Sox10, magenta) occupy distinct regions in the head, with some overlap as cells begin to migrate from the neural tube (Figure 3A). Some regions of migrating neural crest cells are co-localized with Dlx2 (cyan), suggesting some cells are progressing towards craniofacial differentiation (Figure 3A). Wnt signaling (Sp5, yellow) occupies regions of the neural plate border, which is pertinent as modulation of Wnt signaling is required for neural crest cell delamination and differentiation24,25, but also a distinct region adjacent to the migratory neural crest cells (Figure 3A).
Further staining aimed to look at the relationship between neural crest cell migration and Wnt signaling at E9.5 by staining for markers of neural crest state and Wnt signaling. Probes indicating the neural plate border (Msx1) and migratory neural crest cells (Sox10) were used and compared to a probe indicating Wnt signaling (Sp5). TSA-vivid 520, 570, and 650 fluorophores were used to visualize probes. Samples were imaged using an Olympus SpinSR spinning disk microscope with a 10x objective (NA = 0.4). Here we can see the neural plate border (Msx1, green), distinct from migrating neural crest cells (Sox10 magenta) (Figure 3B). Wnt signaling (Sp5, yellow) can be seen strongly in the dorsal region of the embryo, where trunk neural crest cells are delaminating, as well as in distinct regions in the head, around the 1st and 2nd branchial arch, below the outflow tract, and within the otic vesicle (Figure 3B). Comparing the spatial patterning of neural crest cells and Wnt signaling between control and treatment groups using this method would allow us to determine whether our intervention perturbs neural crest cell delamination and migration, and whether any perturbation is due to alterations in Wnt signaling.
To determine the cell cycle state of cells in the neural plate border, we used this protocol to combine immunofluorescence and RNAscope staining. An RNAscope probe indicating the neural plate border (Msx1) was used. Samples were stained using antibodies targeting PHH3 and PCNA to visualize the G2/M and S-phases of the cell cycle, respectively. Embryos were further stained with appropriate secondary antibodies. Nuclei were stained with DAPI. Samples were imaged using the Olympus SpinSR spinning disk microscope with a 10x objective (NA = 0.4) (Figure 4A,B), or an Evident FV4000 confocal microscope with a 10x objective (NA = 0.4), 127 µm pinhole, and a pixel size of 311 nm. (Figure 4B’). Here we can see cells in both G2/M (PHH3, yellow) and S-phase (PCNA, magenta) overlapping with the neural plate border (Figure 4A). Using this method, we can quantify the proportion of cells within the neural plate border in each stage of the cell cycle and determine if these proportions are altered by our treatment groups. Notable in this embryo are holes that result from dissection damage to the embryo by excessive manipulation of the embryo using fine forceps. This highlights the need for care in dissection to prevent damage, particularly at E8.5 when the embryos are particularly fragile.
Combining RNAscope and immunofluorescence can lead to dimmer staining of the RNAscope probe than performing RNAscope alone. When combined with a primary antibody that is very brightly fluorescing with a nearby fluorophore (e.g., Fluorescein and Cy3), this can lead to bleed-through of signal from the brighter to the dimmer channel (Figure 4B). The way to prevent this is to use a more dilute concentration of the very bright antibody, selecting fluorophores that are more spectrally distinct, or to change imaging parameters in samples. Spinning disk microscopes are very fast at imaging embryos, but as they utilize band-pass emission filters with fixed emission windows, there is no way of narrowing detection windows dynamically to match specific fluorophores. Using a point-scanning microscope, e.g., Evident FV4000, the detection window can be narrowed by the operator with nanometer precision, so bleed-through can be reduced when fluorophores are used that have a slight overlap in emission spectra (Figure 4B’).
To determine which proportions of cells were in different stages of the cell cycle in E8.5 embryos, we used this protocol to analyze the proportion of nuclei and intensity of signal in both the S-phase and G2/M phase of the cell cycle. Samples were stained using antibodies targeting PHH3 and PCNA to visualize the G2/M and S-phases of the cell cycle, respectively. Embryos were further stained with appropriate secondary antibodies. Nuclei were stained with DAPI. Samples were imaged using the Olympus SpinSR spinning disk microscope with a 10x objective (NA = 0.4). Zeiss Arivis Pro was used to identify all nuclei, nuclei positive for PHH3, nuclei positive for PCNA, and double-positive nuclei (Figure 5A). Using this method, we were able to compare the proportions of cells in G2/M (PHH3+) and S (PCNA+) phases of the cell cycle (Figure 5B), and the intensity of PHH3 or PCNA staining in each individual nucleus (Figure 5C). We can see that there was a slightly higher proportion of PCNA+ nuclei in the heart region compared to the head and whole embryo (Figure 5B). Furthermore, the head had a higher proportion of PHH3+ and double-stained nuclei compared to the heart and the whole embryo (Figure 5B). There were no overt differences in intensity of PHH3 or PCNA between regions (Figure 5C). These data are derived from a single representative embryo (n = 1) and are presented to demonstrate the analysis workflow; no inferential statistical analysis was performed. Together, this method allows us to determine patterns of cell cycle propagation at a stage of development crucial for cardiac and craniofacial development. This method will allow us to determine if our treatment affects cell cycle propagation in different regions of the embryo.

Figure 2: Immunofluorescence staining of proteins in E8.5 and E9.5 embryos. (A, A’) E8.5 mouse embryos were stained by immunofluorescence for PHH3 to visualize cells in the G2/M-phase of cell cycle, SOX10 to visualize migrating neural crest cells, and DAPI to visualize nuclei. N = 11 embryos from 1 experiment. (B) E9.5 embryos were stained for ISL1 to visualize second heart field progenitors, SOX10 to visualize migrating neural crest cells, EMCN to visualize capillary and venous blood vessels, and DAPI (to visualize nuclei. Red arrowheads indicate non-specific staining of the yolk sac, and non-specific staining within the embryo from anti-mouse secondary antibodies (n = 15 embryos from 1 experiment). Scale bar = 200 µm. DAPI: 4′,6-diamidino-2-phenylindole; PHH3: Phosphohistone H3; EMCN: Endomucin. Please click here to view a larger version of this figure.

Figure 3: Staining transcripts in E8.5 and E9.5 embryos by RNAscope. (A) E8.5 embryos were stained by RNAscope for probes targeting Msx1 to visualize the neural plate border, Sox10 to visualize migrating neural crest, Dlx2 to visualize differentiating neural crest, and Sp5 for Wnt signaling. n = 13 embryos from 1 experiment. (B) E9.5 embryos were stained by RNAscope for probes targeting Msx1 to visualize the neural plate border, Sox10 to visualize migrating neural crest, and Sp5 to visualize Wnt signaling. n = 4 embryos from 1 experiment. Scale bar = 200 µm. Please click here to view a larger version of this figure.

Figure 4: Combined immunofluorescence staining and RNAscope in E8.5 embryos. (A, B, B’) E8.5 embryos were stained by RNAscope for probes targeting Msx1 to visualize the neural plate border and by immunofluorescence for PCNA to visualize cells in S-phase and PHH3 antibodies to visualize cells in G2/M phase of the cell cycle. Orange arrowheads indicate specific Msx1 staining, red arrowheads indicate bleed-through fluorescence, (B), or specific PHH3 staining without bleedthrough into the Msx1 channel (B'). N = 2 embryos from 1 experiment. Scale bar = 200 µm. Please click here to view a larger version of this figure.

Figure 5: Analysis of cell cycle stage in E8.5 embryos using Arivis Pro. (A) E8.5 mouse embryos were stained by immunofluorescence for PCNA to visualize cells in S-phase of the cell cycle (green), PHH3 to visualize cells in G2/M phase of the cell cycle (magenta), and DAPI to visualize nuclei (blue). Detected 3D objects (multicolored spheres) were overlaid and visualized using the 4D viewer in Zeiss Arivis Pro. (B) The graph demonstrates the proportion of PCNA+, PHH3+, and double-positive nuclei in the whole body, head, and heart of a single embryo. (C) The graph demonstrates the mean intensity of PCNA and PHH3 staining per nucleus in the whole body, head, and heart of a single embryo. Circles represent the mean; error bars represent the standard deviation of all nuclei within a single sample. Graphs were made using GraphPad Prism. Scale bar = 200 µm. Quantitative analysis was performed on n = 1 embryo. No inferential statistics were performed. Error bars indicate standard deviation between individual nuclei. 3D: Three-dimensional; DAPI: 4′,6-diamidino-2-phenylindole. Please click here to view a larger version of this figure.