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THE ANATOMICAL RECORD PART A 279A:761–767 (2004)

Spatiotemporal Distribution of Apoptosis During Normal Cloacal Development in Mice

CHIHARU SASAKI, KUMIKO YAMAGUCHI, AND KEIICHI AKITA* Unit of Clinical Anatomy, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan

ABSTRACT To understand normal cloacal developmental processes, serial sagittal sections of mouse were made every 6 hrs from embryonic day 11.5 (E11.5) to E13.5. During cloacal development to form the and anorectal canal, fusion of the with the was not observed, and the ventral and dorsal parts of the were continuously connected by the canal until disappearance of the cloacal membrane to open the vestibule formed by the urogenital sinus and anorectal canal to the outside at E13.5. Ventral shifting of the dorsal part of the cloaca was observed until E12.5. The dorsal part was transformed in accordance with ventral shifting. In addition, apoptosis was seen to occur around the dorsal part. However, from E12.25, apoptotic cells are observed in a linear arrangement in the urorectal septum just ventral to the peritoneal cavity. Interestingly, extension of this line reaches the area of the cloacal membrane disintegrated by apoptosis. The present findings suggest that in the early stages (until E12.0), distribution of apoptosis in mesenchyme around the dorsal part of the cloaca might be strongly related to the transformation and ventral shifting of this part. Conversely, the apoptosis pattern in uro- rectal septum mesenchyme in later stages (from E12.0) might be involved in transformation of the urorectal septum and disintegration of the cloacal membrane. © 2004 Wiley-Liss, Inc.

Key words: normal cloacal development; mouse development; apoptosis; TUNEL method;

Despite a long history of embryological research, the part of the cloaca and transformations of the distal part of developmental processes of the anorectal canal remain the were also observed. contentious. The most debated point is whether fusion of Such dramatic changes in the morphology and configu- the urorectal septum with the cloacal membrane occurs in ration of embryonic structures in the cloacal region are normal development (Keibel, 1895; Pohlman, 1911; considered to be the result of embryonic cell differentia- Politzer, 1931; De Vries and Friedland, 1974a, 1974b; Van tion, cell proliferation, and apoptosis (programmed cell der Putte and Neeteson, 1983; Van der Putte, 1986; Ste- death). Cell death is known to play an important role in phens and Smith, 1988; Kluth et al., 1995; Miller and the formation of various embryonic organs and is recog- Briglin, 1996; Nievelstein et al., 1998; Kromer, 1999; Pai- nized as an important contributor to various areas inte- das et al., 1999; Qi et al., 2000a, 2000b, 2000c). In addi- gral to vertebrate development, such as limbs and digits tion, discussion has also centered around whether the (Saunders et al., 1962; Saunders and Fallon, 1967; Mori et cloacal membrane is divided into urogenital and anal membranes by the urorectal septum. To determine possi- ble answers to these problems, we examined serial sagit- tal sections in mouse embryos from embryonic day 11.5 Grant sponsor: Grant-in-Aid for Scientific Research of the Min- istry and Education, Culture, Sports, Science and Technology; (E11.5) to E13.5 in detail, with particular focus on mor- Grant number: 13671639. phological changes in the dorsal part of the cloaca. Accord- *Correspondence to: Dr. Keiichi Akita, Unit of Clinical Anat- ing to the present findings, neither fusion of the urorectal omy, Graduate School, Tokyo Medical and Dental University, septum with the cloacal membrane nor division of the 1-5-45 Yushima Bunkyo Tokyo 113-8519, Japan. Fax: 81-3-5803- cloacal membrane occurred, as mentioned by Nievelstein 0116. E-mail: [email protected] et al. (1998) in humans. Disintegration of the cloacal mem- Received 5 February 2004; Accepted 4 May 2004 brane is observed in one region, forming a vestibule into DOI 10.1002/ar.a.20062 which the urogenital sinus and hindgut open. During clo- Published online 7 July 2004 in Wiley InterScience acal developmental processes, ventral shift of the dorsal (www.interscience.wiley.com).

© 2004 WILEY-LISS, INC. 762 SASAKI ET AL. al., 1995), heart (Pexieder, 1975), and tooth germs (Sasaki RESULTS et al., 2001). The present study also examined distribution Development and Growth of Genital Tubercle of apoptotic cells and bodies in the cloacal region. Distri- Affects Cloacal Development bution of apoptosis in the epithelial layers has already been reported by Qi et al. (2000b), and the present find- We examined normal development of the cloacal region ings are similar. However, spatial and temporal distribu- sequentially using serial sagittal sections of mouse em- tion of apoptosis in the mesenchyme remains unclear. bryos from E11.5 to E13.5 (Fig. 1A–J). In addition, sche- Computer-assisted three-dimensional reconstruction im- matic representation revealed development processes of ages were useful in understanding the spatial distribu- the cloacal region based on the present studies. Cloacal tions of apoptosis, and dramatic changes in the distribu- development started before E11.5, and the cloaca was tion of apoptosis in mesenchyme were noted at completely divided into the urogenital sinus and anorectal approximately E12.0. Before this stage, distribution is canal by E13.5. During these stages, the genital tubercle primarily around the dorsal cloaca, but is subsequently developed and grew substantially. Ventrocaudal out- found in the urorectal septum as a line that, when ex- growth of the genital tubercle caused dorsocaudal rotation tended, passes through the area of disintegration of the of the cloacal membrane. The cloaca shifted ventrocau- cloacal membrane. This spatiotemporal distribution of ap- dally according to genital tubercle development, and the optosis is deeply involved with the developmental pro- distal part of the hindgut also shifted. In the cloaca, the cesses of the cloaca, and possible roles of apoptosis in urorectal septum was observed in sagittal sections, and cloacal development are discussed herein. the septum divided the cloaca into ventral and dorsal parts. During development, the ventral part of the cloaca MATERIALS AND METHODS was expanded ventrally according to development of the Animals and Tissue Preparation for Light genital tubercle, whereas the dorsal part decreased in size Microscopy to become the distal part of the hindgut, which could Mature female ICR mice (SLC, Shizuoka, Japan) were represent a precursor to the anorectal canal. mated overnight with a male mouse. The morning of the Ventral and Dorsal Parts of Cloaca Are day on which a vaginal plug was found was designated as Continuously Connected E0.5. For sequential examination of normal development in the cloacal region, two pregnant mice were sacrificed As mentioned above, whether the urorectal septum every 6 hr from E11.5 to E13.5 (n ϭ 18). Handling of fuses with the cloacal membrane has long been debated. animals conformed to the guidelines for care and use of We examined serial sagittal sections of mouse embryos experimental animals as established by the Institutional during cloacal development to observe the border between Animal Care and Use Committee of Tokyo Medical and the ventral and dorsal parts of the cloaca. At E11.5 and Dental University (no. 10087). Embryos were fixed in 10% E11.75, no clear border between the two parts of the cloaca formalin, dehydrated, and embedded in paraffin. A total of was apparent, and the distal part of the hindgut and 52 embryos were serially sectioned in the sagittal plane at proximal part of the tailgut opened into the dorsal wall of 5 ␮m thickness. In two embryos at each stage, all sections the cloaca (Figs. 1A, B, F, G, K, and L and 2). From E12.0 were stained with hematoxylin and eosin (H&E). In all to E12.25, the urorectal septum was transformed accord- other embryos, sections were collected alternately, and ing to ventral shifting of the hindgut and tailgut (Figs. 1C, one subset was stained with H&E. H, and M and 3). The ventrocaudal part of the urorectal In order to confirm the presence of apoptotic cells and septum descended and expanded. The dorsal part of the bodies, nuclear DNA fragmentation of apoptotic cells in cloaca became a distal part of the hindgut, and the tailgut the other subset were labeled using TUNEL methods began to disappear. Outgrowth of the septum made a (Gavrieli et al., 1992) with an In Situ Cell Death Detection small canal between the two parts of the cloaca by E12.25. Kit (Roche Diagnostics, Tokyo, Japan). Peroxidase activity The ceiling of the canal was formed by epithelial layers of was visualized by immersion for 10 min in 0.02% diami- the tip of the urorectal septum, and the floor of the canal nobenzidine (DAB) in 0.05 mol/l Tris-HCl buffer (pH 7.4) was formed by the cloacal membrane. containing 0.01% H2O2. These sections were compared At E12.5 and E12.75, the dorsalmost part of the cloacal with adjacent H&E-stained sections to examine the dis- membrane started to disintegrate (Figs. 1D, I, and N and tribution of apoptotic cells and bodies and intensely he- 4). Disintegration occurred between the tip of the urorec- matoxylin-stained granules. tal septum and the dorsal end of the cloacal membrane. The position of the dorsal end of the cloacal membrane Three-Dimensional Reconstructions was similar to that of the junction of the perineal region Spatiotemporal distribution of pyknotic cells, apoptotic and tail bud until E12.25, but shifted ventrally thereafter. cells, and/or bodies was analyzed using computer-assisted The canal was still observed between the urogenital sinus three-dimensional reconstruction. Three-dimensional re- and distal part of the hindgut (Fig. 4E), but was so thin constructions were made from serial paraffin sections of that only one section from each showed this struc- E11.5, E11.75, and E12.0 specimens stained with H&E. ture in the serial sagittal sections (Fig. 4B and D). Com- All sections were photographed and epithelial layers were plete fusion of the septum and cloacal membrane was not traced. Findings from sections with respect to the spatio- observed. The cloacal membrane disintegrated in the dis- temporal distribution of granular substances intensely tal end of the hindgut to form a small vestibule, and the stained with H&E were marked, and distinction was made canal and hindgut opened into this vestibule. between granular substance in the epithelial layer and At E13.0, the vestibule was isolated from the outside mesenchyme. Section sequences were reconstructed using only by a thin membrane (Fig. 5A and B). The tip of the TRI/3D-VOL software (Ratoc System Engineering, Tokyo, urorectal septum descended and extended into the vesti- Japan). bule. During the whole process from E11.5 to E13.0, the APOPTOSIS IN NORMAL MOUSE CLOACAL DEVELOPMENT 763

Fig. 1. Sagittal H&E sections (A–J) and schematic representation tubercle and cloacal regions were dramatically changed compared with (K–O) of the cloacal region of mouse embryos at E11.5 (A, F, K), E11.75 the other organs. Scale bars ϭ 1 mm (A–E) and 200 ␮m (F–J). Ac, anal (B, G, L), E12.0 (C, H, M), E12.5 (D, I, N), and E13.5 (E, J, O) around the canal; Cl, cloaca; Cm, cloacal membrane; Gt, genital tubercle; Hg, median plane. Low-magnification pictures show the whole embryo (A– hindgut; Pc, peritoneal cavity; Ta, tail; Tg, tailgut; Ur, urorectal septum; E), while high-magnification pictures show the corresponding cloacal Us, urogenital sinus.[Color figure can be viewed in the online issue, region (F–J). During these stages, shapes and relative sizes of the genital which is available at www.interscience.wiley.com]. urogenital sinus and distal end of the hindgut, i.e., the At E11.5 and E11.75, apoptotic cells and/or bodies were ventral and dorsal parts of the cloaca in the earlier stages, distributed in the epithelial layers and the underlying were constantly connected to each other. At E13.5, the mesenchyme region. In the underlying mesenchyme of the cloacal membrane that isolated the vestibule from the epithelial layer, the cells and/or bodies were particularly outside was completely disintegrated (Figs. 1E, J, and O abundant around the dorsal part of the cloaca, distal part and 5C). The vestibule was completely divided into the of the hindgut, and proximal part of the tailgut. At E11.5, ventral urogenital sulcus and the dorsal anorectal canal pyknotic cells in the epithelial layers were mainly distrib- by the extended tip of the urorectal septum. uted in the ventrocranial part of the cloacal membrane, dorsal part of the cloaca, distal part of the hindgut, and Spatiotemporal Distribution of Apoptosis proximal part of the tailgut. At E11.75, patterns of distri- During Cloacal Development bution were similar to those at E11.5, but at E11.75, cells In this study, H&E and TUNEL staining were used to were also clearly observed in the dorsal end of the cloacal analyze spatial and temporal distribution patterns of membrane. During these stages, cells were distributed in apoptosis during cloacal development. Distribution of the mesenchyme close to the epithelial layer containing intensely hematoxylin-stained granular substances was pyknotic cells, but distribution in mesenchyme was identical to that of structures labeled with TUNEL slightly less than in epithelial layers. staining in the adjacent section of the cloacal region At E12.0, pyknotic cells in epithelial layers were also (Fig. 2). Intensely hematoxylin-stained granules (py- distributed in the ventralmost part of the cloacal mem- knotic cells) were therefore almost confirmed as repre- brane. The distribution observed at E11.75 became con- senting apoptotic cells and/or bodies (Sasaki et al., centrated (Fig. 6B). In the median section at E12.0, py- 2001). The distribution of pyknotic cells in the cloacal knotic cells were clearly observed in the dorsalmost part of region from E11.5 to E13.0 was investigated. Three- the cloacal membrane and middle region in the epithelial dimensional reconstructions of serial H&E sections at layer between the cloacal membrane and entrance of the E11.5, E11.75, and E12.25 were made to determine the tailgut. In mesenchyme, the distribution was restricted to distributions of pyknotic cells (Fig. 6). the joint region between the hindgut and tailgut. At 764 SASAKI ET AL.

Fig. 2. Sagittal sections of the cloacal region at E11.5. In A, posi- tional relationship among the hindgut, tailgut, and urorectal septum are shown by H&E staining. Most of the tailgut is not shown, but the point of entrance of the tailgut is present. In B and C, condensed chromatin could indicate apoptosis in sagittal sections of the cloacal region exam- ined using H&E (B) and TUNEL staining (C). Apoptosis occurs in the epithelial layer (white arrowhead) of the urorectal septum and cloacal membrane and mesenchyme (black arrowhead) of the dorsal surface of ϭ ␮ the caudal hindgut. Scale bars 100 m. Fig. 4. Sagittal (A–D) and transverse (E) sections of cloacal region using H&E (A, C, and E) and TUNEL (B and D) staining at E12.5 (A and B) and E12.75 (C–E). Arrowheads indicate pyknotic cells (A and C) and apoptotic cells and/or bodies (B and D) in epithelium (white) and mes- enchyme (black). E: Transverse section showing the canal between the urogenital sinus and distal hindgut. Section level is indicated by two asterisks in C. Scale bars ϭ 100 ␮m. Ta, tail.

Fig. 5. Sagittal section of cloacal region using H&E (A and C) and TUNEL (B) staining at E13.0 (A and B) and E13.5 (C). Arrowheads indicate pyknotic cells (A and C) and apoptotic cells and/or bodies (B) in epithelium (white) and mesenchyme (black). Scale bars ϭ 200 ␮m. Uc, urogenital sulcus; Ve, vestibule. Fig. 3. Sagittal sections of cloacal region stained with H&E at E12.0 (A and B) and E12.25 (C, D, and E). Arrowheads indicate pyknotic cells in epithelium (white) and mesenchyme (black). White arrows indicate the midpoint between the tailgut entrance and the cloacal membrane. At mesenchyme of the urorectal septum. According to the E12.0, pyknotic cells are not observed in the underlying mesenchyme of three-dimensional reconstruction from serial sagittal sec- the dorsal cloaca. At E12.25, pyknotic cells are observed in mesen- chyme of the urorectal septum. At this point, epithelial cells starts to tions at E12.25, pyknotic cells in mesenchyme were situ- disintegrate. Scale bars ϭ 200 ␮m (A–D) and 50 ␮m (E). Cn, canal. ated in the urorectal septum mesenchyme ventral to the perineal cavity. From E12.5, the dorsalmost part of the cloacal mem- brane started to disintegrate under apoptosis (Fig. 4). E12.25, distribution in epithelial layers was similar to Apoptotic cells and/or bodies in the urorectal septum were that at E12.0. However, distribution in mesenchyme dif- located in a line, predominantly ventral to the peritoneal fered from those in embryos in earlier stages. In mesen- cavity. The extension of the line ran on the dorsalmost chyme of the ventral half of the urorectal septum, pyknotic part of the disintegrated cloacal membrane. In the epithe- cells displayed a linear distribution. Interestingly, py- lial layer of the hindgut, pyknotic cells were observed at knotic cells in the epithelial layer between the entrance of the midpoint between the tailgut entrance and cloacal the tailgut and the cloacal membrane and cells in the membrane at E12.0 and E12.25. During cloacal develop- dorsalmost part of the cloacal membrane were located ment, the distal end of the hindgut was continuously along a caudal extension of the line of pyknotic cells in the shifted ventrocaudally. By E12.5, the tailgut had disap- APOPTOSIS IN NORMAL MOUSE CLOACAL DEVELOPMENT 765 2000b, 2000c) mentioned that soon after fusion of the urorectal septum with the cloacal membrane, the urogen- ital and anal membranes begin to disintegrate. In con- trast, Politzer (1931) had already rejected the separation into anal and urogenital membranes. Many authors later reported that the urorectal septum does not actively de- scend in the direction of the cloacal membrane, and nei- ther fusion of this septum with the membrane nor fusion of two lateral ridges of the cloacal wall occur (Van der Putte and Neeteson, 1983; Van der Putte, 1986; Kluth et al., 1995; Nievelstein et al., 1998; Paidas et al., 1999). The present study undertook minute examination of the nature of cloacal development using serial sagittal sec- tions. Ventral and dorsal parts of the cloaca were divided by the superior urorectal septum. The superior urorectal septum and lateral ridges formed a canal at the border Fig. 6. Three-dimensional reconstruction of serial sagittal sections of between the ventral and dorsal parts. Interestingly, the cloacal region at E11.5 (A), E11.75 (B), and E12.25 (C). Blue lines indicate canal maintained a connection between the two parts un- lumen of the cloaca, urogenital sinus, hindgut, and tailgut. White lines til complete disappearance of the cloacal membrane at indicate outline of epithelial layers of the cloaca, urogenital sinus, hind- E13.5. During these processes, the cloacal membrane was gut, and tailgut. Red dots indicate apoptotic cells and/or bodies in not divided into urogenital and anal membranes, as Niev- mesenchymal regions. In addition, green dots indicate apoptotic cells elstein et al. (1998) reported. and/or bodies in epithelial layers. Many authors have mentioned that a shift of the dorsal cloaca or is necessary to establish the anorectal canal (Bill and Johnson, 1958; Gans and Friedman, 1961; Van der Putte and Neeteson, 1983; Van der Putte, 1986). peared. According to the positional relationships among In the present study, from E11.5 to E12.5, ventral shift of the dorsalmost region of the cloacal membrane, the tip of the dorsal cloaca was observed. During these stages, the the urorectal septum, and midpoint between the rudimen- hindgut and tailgut migrate ventrally, and the urorectal tary tailgut entrance and cloacal membrane, the midpoint septum expanded ventrocaudally. These shifting pro- migrated ventrally to fuse with the cloacal membrane. cesses are considered to accompany development and Therefore, between this point and the tip of the urorectal growth of the genital tubercle. In addition, these processes septum, the cloacal membrane started to undergo apopto- also affect positional relationships between the entrance tic disintegration. of the tailgut, dorsal end of the cloacal membrane, and the At E13.0, the cloacal membrane was disintegrated by tip of the urorectal septum. Failure of these processes apoptosis to form the urogenital sulcus and anorectal ca- might thus cause anorectal malformation. nal (Fig. 5). Apoptotic cells and/or bodies were observed in Kluth et al. (1995) and Kluth and Lambrecht (1997) the mesenchyme of the urorectal septum ventral to the mentioned that in normal development, the area of the peritoneal cavity. At E13.5, pyknotic cells were aligned future anal orifice could be identified soon after establish- caudal to the peritoneal cavity. The line of pyknotic cells ment of the cloacal membrane in the dorsalmost region of in mesenchyme of the urorectal septum in those stages the membrane. In addition, the dorsal end of the cloacal was thus seen to migrate ventrocaudally according to membrane and the dorsal cloaca always remain in close growth of the urorectal septum and ventral migration of contact with the tail region, and this region carrying the the urogenital sulcus. primordial anal orifice is the fixed point in cloacal devel- DISCUSSION opment. In the early stages, the dorsal end of the cloacal membrane exists at the junction between the perineal Observation of Normal Cloacal Development region and tail bud. However, in later stages, the dorsal Formation of the urorectal septum and fusion with the end of the cloacal membrane is shifted ventrally, possibly cloacal membrane have been long debated in cloacal de- according to the development and growth of the external velopment. In order to explain the process of normal clo- genitalia. The point of the anal orifice might thus be acal developmental, the concept of the descending supe- altered by growth of the external genitalia. rior septum, or Tourneux fold (Tourneux, 1888), and two Spatiotemporal Distribution of Apoptosis in lateral ridges, or Rathke plicae (Rathke, 1832; Rettere, 1890), fusing to partition the cloaca was proposed long Cloacal Development ago. Many authors have supported the concept that one or Apoptosis is commonly observed during embryogenesis, two of these processes take place during cloacal develop- metamorphosis, or normal cell turnover, and apoptosis is ment (Keibel, 1895; Pohlman, 1911; De Vries and Fried- complementary to cell proliferation and differentiation in land, 1974a, 1974b; Stephens and Smith, 1988; Miller and morphogenesis and in the regulation of cell populations in Briglin, 1996; Kromer, 1999; Qi et al., 2000a, 2000b, embryos. 2000c). This means that the superior urorectal septum Cell death in developing systems has been clarified as reaches the cloacal membrane and divides the cloaca, and not merely a degenerative process, but rather an active the two lateral folds unite with the superior fold to form a and controlled phenomenon. In addition, for the formation complete septum. In addition, the cloacal membrane was of various structures during morphogenesis, cell death divided into separate urogenital and anal membranes by occurs according to precise temporal sequences and spa- the septum. Miller and Briglin (1996) and Qi et al. (2000a, tial patterns and is considered to play a key role by elim- 766 SASAKI ET AL. inating unnecessary cells to achieve complex histogenesis 2001). Target deletion of Shh, Gli2, or Hoxa13/Hoxd13 and organogenesis. For example, cell death is involved in results in the absence of external genitalia (Warot et al., remodeling the embryonic tail bud in humans (Kunimoto, 1997; Haraguchi et al., 2001; Perriton et al., 2002). On the 1918; Wittman et al., 1972; Fallon and Simandl, 1978), other hand, Fgf10 knockout mice show the absence of a mice (Wittman et al., 1972; Schoenwolf, 1984; Tam, 1984), glans (Haraguchi et al., 2000), while p63 null mice show rats (Butcher, 1929; Gajovic´ et al., 1989, 1993; Qi et al., abnormalities in the male and female urogenital tract and 2000b), and chicks (Klika and Jelinik, 1969; Van Horn, external genitalia (Yamada et al., 2003). In addition, Kim- 1971; Schoenwolf, 1981; Sanders et al., 1986; Mills and mel et al. (2000) reported Gli3 Ϫ/Ϫ mutants displayed Bellairs, 1989; Miller and Briglin, 1996). Several investi- anal stenosis and ectopic , while Gli2 Ϫ/Ϫ mutants gators have indicated that cell death is involved in re- showed imperforations and rectourethral fistula. moval of the tailgut in chicks (Van Horn, 1971), rats Numerous reports have suggested that apoptosis is as- (Sˇ vajger et al., 1985), and humans (Fallon and Simandl, sociated with down- or upregulation of various develop- 1978). Qi et al. (2000b) described the spatiotemporal dis- mental regulatory genes (Wyllie, 1987; Buttyan et al., tribution of apoptosis in cloacal development and reported 1988; Collins et al., 1994; Maas and Bei, 1997; Kera¨nen et the roles of apoptosis in tailgut regression, urorectal sep- al., 1999). Some evidence even suggests that all cells un- aration, urethral opening, and rupture of the anal mem- dergo apoptosis by default unless they are rescued by brane. In the present study, apoptosis in the epithelial survival factors (Raff, 1992; Steller, 1995). The develop- layers of the dorsal region resembled the findings of Qi et mental processes of the external genitalia might therefore al. (2000b). However, we noticed distribution of apoptotic be closely related to anorectal development, and the mo- cells and/or bodies (pyknotic cells) in mesenchyme. Distri- lecular mechanisms for development of the external gen- bution of pyknotic cells was plotted, and computer-as- italia might also control ventral shifting of the dorsal sisted three-dimensional reconstructions were created at cloaca and apoptosis in the cloacal region. Further de- E11.5, E11.75, and E12.25. These images elucidated spa- tailed studies of relationships between control mecha- tial and temporal distributions of pyknotic cells in mesen- nisms for the external genitalia and patterns of apoptosis chyme, although understanding is very difficult to achieve in the cloacal region would be informative for anorectal using only these sections. At E11.5 and E11.75, cells are development. mainly distributed around the dorsal part of the cloaca. However, at E12.25, in the mesenchyme around the dorsal LITERATURE CITED cloaca, cells were observed less frequently and were pri- marily distributed in the urorectal septum just ventral to Bill AH, Johnson RJ. 1958. Failure of migration of the rectal opening the peritoneal cavity. Interestingly, cells were arranged in as the cause for most cases of imperforate anus. Surg Gynecol Obstet 106:643–651. almost linear fashion in sagittal sections. In addition, the Butcher EO. 1929. The development of the somites in the white rat extension of the line ran to the region at which cells in the (Mus norvegicus albinus) and the fate of the myotomes, neural tube, epithelial layer disintegrated to form the vestibule, a fu- and gut in the tail. Am J Anat 44:381–439. ture cloacal opening. Those arrangements of pyknotic cells Buttyan R, Zakeri Z, Lickshin R, Wolgemuth D. 1988. Cascade induc- were observed until E13.5. The stages of cloacal develop- tion of c-fos, c-myc, and heat shock 70 K transcripts during regres- ment might thus be classified into two phases according to sion of the rat ventral gland. Mol Endocrinol 2:650–657. the distribution of pyknotic cells in mesenchyme. The Collins MK, Perkins GR, Rodriguez-Tarduchy G, Nieto MA, Lo´pez- critical stage might be E12.0 (Fig. 3A), when cells were Rivas A. 1994. Growth factors as survival factors: regulation of barely observed in mesenchyme of the urorectal septum apoptosis. BioEssays 16:133–138. and the region around the dorsal cloaca. DeVries PA, Friedland GW. 1974a. The staged development of the anus and rectum in human embryos and fetuses. J Pediatr Surg During cloacal development, from E11.5 to E12.5, the 9:755–769. ventral shift of the hindgut is observed. The patterns of DeVries PA, Friedland GW. 1974b. Congenital “H-type” ano-urethral apoptosis in mesenchyme around the dorsal part of the fistula. Radiology 113:387–407. cloaca might occur ahead of the actual transformation in Fallon JF, Simandl BK. 1978. Evidence of a role for cell death in the this part. The abundant pyknotic cells might therefore be disappearance of the embryonic human tail. Am J Anat 152:111– associated with transformation of the dorsal cloaca. Con- 130. versely, the line of pyknotic cells from E12.25 might be Gajovic´ S, Kostovic´-Knezˇevic L, Sˇ vajger A. 1989. Origin of the noto- related to transformation of the urorectal septum and chord in the rat embryo tail. Anat Embryol 179:305–310. ˇ disintegration of the cloacal membrane. However, the rea- Gajovic´ S, Kostovic´-Knezˇevic L, Svajger A. 1993. Morphological evi- dence for secondary formation of the tail gut in the rat embryo. Anat son for apoptosis occurring only in the ventral part of the Embryol 187:291–297. septum is unknown. Future studies should examine rela- Gans SL, Friedman NB. 1961. Some new concepts in the , tionships between developmental control mechanisms of anatomy, physiology and surgical correction of imperforate anus. the urorectal septum and formation of the cloacal opening. West J Surg Obstet Gynecol 63:34–37. In addition, further studies will attempt to identify sig- Gavrieli Y, Sherman Y, Ben-Sasson SA. 1992. Identification of pro- naling molecules in this area to understand formation of grammed cell death in situ via specific labeling of nuclear DNA the anorectal canal. fragmentation. J Cell Biol 119:493–501. The molecular mechanisms behind development of the Haraguchi R, Suzuki K, Murakami R, Sakai M, Kamikawa M, Ken- mammalian external genitalia have recently been re- gaku M, Sekine K, Kawano H, Kato S, Ueno N, Yamada G. 2000. ported. During development of the genital tubercle, sur- Molecular analysis of external genitalia formation: the role of fibro- blast growth factor (Fgf) genes during genital tubercle formation. face cells expressing both Fgf8 and Shh regulate Development 127:2471–2479. the outgrowth. Fgf8 controls the expression of Fgf10, Haraguchi R, Mo R, Hui C, Motoyama J, Makino S, Shiroishi T, Hoxd13, Msx1, and Bmp4 in the underlying mesenchyme Gaffield W, Yamada G. 2001. Unique functions of Sonic hedgehog (Haraguchi et al., 2000). Conversely, Shh can regulate signaling during external genitalia development. Development 128: Ptch1, Bmp4, Hoxd13, Gli1, and Fgf10 (Haraguchi et al., 4241–4250. APOPTOSIS IN NORMAL MOUSE CLOACAL DEVELOPMENT 767

Keibel F. 1895. Ueber die Entwickelung von Harnblase, Harnro¨hre Rathke H. 1832. Abhandlungen zur Bildungs und Entwicklungsge- und Damm beim Menschen. Verh Anat Gesellsch. p 189–199. schichte der Tiere. Leipzig: F.C.W. Vogel. Kera¨nen SVE, Kettunen P, Åberg T, Thesleff I, Jernvall J. 1999. Gene Retterer E. 1890. Sur l’origine et l’e´volution de la re´gion ano-ge´nitale expression patterns associated with suppression of odontogenesis in des mammife`res. J Ana Physiol 26:126–216. mouse and vole diastema region. Dev Genes Evol 209:495–506. Sanders EJ, Khare MK, Ooi VC, Bellairs R. 1986. An experimental Kimmel SG, Mo R, Hui CC, Kim PC. 2000. New mouse models of and morphological analysis of the tail bud mesenchyme of the chick congenital anorectal malformations. J Pediatr Surg 35:227–230. embryo. Anat Embryol 174:179–185. Klika E, Jelinik R. 1969. The structure of the end and tail bud of the Sasaki C, Sato T, Kozawa Y. 2001. Apoptosis in regressive deciduous chick embryo. Folia Morphol 17:29–40. tooth germs of Suncus murinus evaluated by the TUNEL method Kluth D, Hillen M, Lambrecht W. 1995. The principle of normal and and electron microscopy. Arch Oral Biol 46:649–660. abnormal hindgut development. J Pediatr Surg 30:1143–1147. Saunders JW, Gasseling MT, Saunders LC. 1962. Cellular death in Kluth D, Lambrecht W. 1997. Current concepts in the embryology of morphogenesis of the avian wing. Dev Biol 5:147–178. anorectal malformations. Semin Pediatr Surg 6:180–186. Saunders JW, Fallon JF. 1967. Cell death in morphogenesis. In: Locke Kromer P. 1999. Further study of the urorectal septum in staged M, editor. Major problems in . New York: human embryos. Folia Morphol (Warsz) 58:53. Academic Press. p 289–314. Kunimoto K. 1918. The development and reduction of the tail and of Schoenwolf GC. 1981. Morphogenetic processes involved in the re- the caudal end of the spinal cord. Carnegie Contr Embryol 8:161– modeling of the tail region of the chick embryo. Anat Embryol 203. 162:183–197. Maas R, Bei M. 1997. The genetic control of early tooth development. Schoenwolf GC. 1984. Histological and ultrastructural studies of sec- Crit Rev Oral Biol Med 8:4–39. ondary neurulation in mouse embryos. Am J Anat 169:361–376. Miller SA, Briglin A. 1996. Apoptosis removes chick tail gut and Steller H. 1995. Mechanisms and genes of cellular suicide. Science remnant of the . Dev Dynamic 206:212–218. 267:1445–1449. Mills CL, Bellairs R. 1989. Mitosis and cell death in the tail of the Stephens FD, Smith ED. 1988. Anorectal malformations in children. chick embryo. Anat Embryol 180:301–308. Birth Defects Orig Artic Ser 24:177. Mori C, Nakamura N, Kimura S, Irie H, Takigawa T, Shiota K. 1995. Sˇ vajger A, Kostovic´-Knezˇevic L, Bradamante Z, Wrischer M. 1985. Programmed cell death in the interdigital tissue of the fetal mouse Tail gut formation in the rat embryo. Roux’s Arch Dev Biol 194: limb is apoptosis with DNA fragmentation. Anat Rec 242:103–110. 429–432. Nievelstein RAJ, van der Weref JFA, Verbeek FJ, Valk J, Vermeij- Tam PPL. 1984. The histogenetic capacity of tissues in the caudal end Keers C. 1998. Normal and abnormal of the of the embryonic axis of the mouse. J Embryol Exp Morphol 82:253– anorectum in human embryos. Teratology 57:70–78. Paidas CN, Morreale RF, Holoski KH, Lund RE, Hutchins GM. 1999. 266. Septation and differentiation of the embryonic human cloaca. J Pe- Tourneux F. 1888. Sur les premieres de´veloppements du cloaques du diatr Surg 34:877–884. tubercule ge´nital et de l’anus chez l’embyon de mouton. J Anat Perriton CL, Powles N, Chiang C, Maconochie MK, Cohn MJ. 2002. 24:503–517. Sonic hedgehog signaling from the urethral epithelium controls Van der Putte SC, Neeteson FA. 1983. The normal development of the external genital development. Development 247:26–46. anorectum in the pig. Acta Morphol Neerl Scand 21:107–132. Pexieder T. 1975. Cell death in the morphogenesis and teratogenesis Van der Putte SC. 1986. Normal and abnormal development of the of the heart. Adv Anat Embryol Cell Biol 51:7–99. anorectum. J Pediatr Surg 21:434–440. Pohlman AG. 1911. The development of the cloaca in human embryos. Van Horn JR. 1971. A study of the degeneration of the tailgut in the Am J Anat 12:1–26. chick embryo. Acta Morphol Neerl Scand 8:234–235. Politzer G. 1931. U¨ ber die Entwicklung des Dammes beim Menschen. Warot X, Fronmental-Ramain C, Fraulob V, Chambon P, Dolle P. Z Ges Anat I Abt 95:734–768. 1997. Gene dosage-dependent effects of the Hoxa-13 and Hoxd-13 Qi BQ, Beasley SW, Williams AK, Frizelle F. 2000a. Does the urorec- mutations on morphogenesis of the terminal parts of the digestive tal septum fuse with the cloacal membrane? J Urol 164:2070–2072. and urogenital tracts. Development 124:4781–4791. Qi BQ, Williams A, Beasley S, Frizelle F. 2000b. Clarification of the Wittman KS, Krupa PL, Pesetsky J, Hamburgh M. 1972. Electron process of separation of the cloaca into rectum and urogenital sinus microscopy and histochemistry of tail regression in the Brachyury in the rat embryo. J Pediatr Surg 35:1810–1816. mouse. Dev Biol 27:419–424. Qi BQ, Beasley SW, Williams AK, Fizelle F. 2000c. Apoptosis during Wyllie AH. 1987. Apoptosis: cell death in tissue regulation. J Pathol regression of the tailgut and septation of the cloaca. J Pediatric 153:313–316. Surg 35:1556–1561. Yamada G, Satoh Y, Baskin LS, Cunha GR. 2003. Cellular and mo- Raff MC. 1992. Social controls on cell survival and cell death. Nature lecular mechanisms of development of the external genitalia. Dif- 356:397–400. ferentiation 71:445–460.