Langdon Y , Tandon P , Paden E , Duddy J , Taylor JM , Conlon FL .

DE018825 NIDCR NIH HHS, HL075256-01S1 NHLBI NIH HHS , R01 HL089641 NHLBI NIH HHS , R01 HL075256 NHLBI NIH HHS , R01 DE018825 NIDCR NIH HHS

                Noonan syndrome with multiple lentigines
                Noonan syndrome
                acute lymphoblastic leukemia

           LYMPHOBLASTIC LEUKEMIA, ACUTE, WITH LYMPHOMATOUS FEATURES; LALL
           JUVENILE MYELOMONOCYTIC LEUKEMIA; JMML

Xla Wt + ptpn11{N308D,C459G} (Fig. 1 H)
Xla Wt + ptpn11{N308D} (Fig. 1 FG)
Xla Wt + ptpn11{N308D} (Fig. 2 DJ)
Xla Wt + ptpn11{N308D} (Fig. 2 FL)
Xla Wt + ptpn11{N308D} (Fig. 3 B E)
Xla Wt + ptpn11{N308D} (Fig. 3 D E)
Xla Wt + ptpn11{N308D} (Fig. 4 D)
Xla Wt + ptpn11{N308D} (Fig. 4. B)
Xla Wt + ptpn11{N308D} (Fig. 4. FHJ)
Xla Wt + ptpn11{N308D} (Fig. 5 CFI)
Xla Wt + ptpn11{N308D} (Fig. 5 KM)
Xla Wt + ptpn11{N308D} (Fig. 7 C)
Xla Wt + ptpn11{N308D} (Fig. 7 C)
Xla Wt + ptpn11{N308D} (Fig. 7 GI)
Xla Wt + ptpn11{N308D} (Fig. S1 B)
Xla Wt + ptpn11{Q79R} (Fig. S1 D)

	Fig. 1. Noonan-associated mutation of SHP-2 leads to heart defects in Xenopus. (A) Schematic of SHP-2 constructs. Note that constructs used in Xenopus in vivo experiments were not epitope tagged with HA. (B) Western blot analysis of embryo lysates from embryos injected with the respective HA epitope-tagged SHP-2 constructs at stages 10 (gastrula), 16 (early neurula) and 26 (late neurula) probed with an anti-HA antibody, an anti-SHP-2 antibody that recognizes both endogenous and introduced versions of SHP-2, and an anti-EF-2 antibody as a loading control. (C-H) Whole-mount antibody staining of cleared stage 36 embryos with anti-tropomyosin antibody (Tmy). Anterior is to the left, posterior to the right. Scale bar: 100 μm. (I-Q) Whole-mount in situ hybridization of cleared stage 33 from uninjected (I,L,O), SHP-2FL (2 ng; J,M,P) and SHP-2N308D (2 ng; K,N,Q) embryos probed for Nkx2.5 (I-K), Tbx5 (L-N) or Tbx20 (O-Q). Scale bar: 1 mm. a, atrium; oft, outflow tract; v, ventricle.
	Fig. 2. 3D modeling of uninjected and SHP-2N308D cardiac tissue. (A-L) 3D modeling of Tmy expression in stage 29 (A,B,G,H), stage 33 (C,D,I,J) and stage 37 (E,F,K,L) Xenopus embryos. In A-F, hearts are viewed from anterior to posterior and red denotes the most anterior section of the heart. In G-L, hearts are viewed from the dorsal side. Arrows in A-F denote ends of cardiac trough. Note that in C the trough has closed across the dorsal midline in uninjected control but remains open in SHP-2N308D heart (2 ng; D). Edges of the trough come together by stage 37 (F) in the SHP-2N308D heart but have not closed across the ventral midline (arrows). Also, at stage 33 (J), the SHP-2N308D heart is much wider in anterior portions but is much thinner in posterior portions (arrows) versus corresponding control (I). Note the relative orientation of the outflow tract (o) to the inflow tract (i) in I versus J, indicative of a delay in looping. a, anterior; d, dorsal; p, posterior; v, ventral. Scale bars: 50 μm.
	Fig. 3. SHP-2N308D leads to a delay of the cardiac cell cycle. (A-D) Transverse heart sections through stage 33 (A,B) and stage 37 (C,D) Xenopus embryos stained with Tmy (green) and anti-phospho histone H3 (red), from uninjected (A,C) and SHP-2N308D-derived (B,D) embryos (2 ng). Scale bar: 50 μm. (E,F) Graphs representing total number of Tmy-positive cells (E) and the mitotic index (F) in SHP-2FL- (blue bars) and SHP-2N308D- (red bars) derived embryos at stages 29, 33 and 37. Bars represent the average of at least three embryos. Error bars represent s.d. *P≤0.05 (comparison of SHP-2FL and SHP-2N308D embryos).
	Fig. 4. A subpopulation of cardiac cells does not differentiate or incorporate into hearts of SHP-2N308D Xenopus embryos. (A-D) Transverse Toluidine Blue-stained histological sections of cardiac regions from stage 33 (A,B) and stage 37 (C,D) SHP-2FL (A,C) and SHP-2N308D (B,D) embryos (2 ng). c, unincorporated cardiac cells; E, endocardium; M, myocardium. Scale bar: 50 μm. (E-J) Transverse sections through stage 37 hearts of SHP-2FL (E,G,I) and SHP-2N308D (F,H,J) embryos (2 ng) stained with anti-MHC (green), anti-TBX5 (red) and DAPI (blue). Arrows mark TBX5 positive cells that have not incorporated into the heart. Scale bar: 50 μm.
	Fig. 5. SHP-2N308D leads to alterations in cardiac myofibril formation. (A-I) Transverse sections of stage 37 hearts from uninjected (A,D,G), SHP-2FL (B,E,H) or SHP-2N308D (C,F,I) Xenopus embryos (2 ng) immunostained for fibrillin (orange) and Tmy (green) (A-C), cardiac actin as detected by conjugated phalloidin (green; D-F) and tropomyosin (red) and DAPI (blue) (G-I). Scale bar: 100 μm. (J-M) Representative transmission electron micrographs of transverse images from stage 33 (J,K) or stage 37 (L,M) heart tissue derived from uninjected (J,L) or SHP-2N308D (L,M) embryos. Cardiac muscle fibrils are highlighted. Scale bars: 1 μm.
	Fig. 6. SHP-2N308D regulates actin deposition. (A-I) Cells were transfected with HA-SHP-2FL (A-C), HA-SHP-2N308D (D-F) or HA-SHP-2N308D-PTP (G-I), plated on FN and stained for phalloidin (red) (A,D,G), pY31 paxillin (green) (B,E,H), and HA (blue) to identify transfected cells (C,F,I). Arrows denote lamellipodia and focal adhesion complexes. (J) 2D cell area as a measure of cell spreading was calculated from 150-200 cells transfected with the designated construct, using ImageJ software tools. Error bars represent s.e.m.*P≤0.05. (K-R) Inhibition of ROCK activity rescues SHP-2N308D cell rounding phenotype. SHP-2N308D-transfected cells (blue; L,N,P,R) treated with Y27632 (O-R) for either 40 (O,P) or180 (Q,R) minutes displayed reduced actin arc formation and re-established focal adhesion complexes (arrows) compared with vehicle-treated cells (K-N). Scale bars: 10 μm.
	Fig. 7. ROCK inhibition rescues the cardiac morphogenetic defects seen in SHP-2N308D embryos. (A-D) Brightfield images of stage 40 Xenopus embryos from appropriate conditions. Note that pericardial edema in SHP-2N308D embryo (3.6 ng; C) is absent in sibling incubated with Y27632 (D) and uninjected controls (A,B). Scale bar: 2 mm. (E-H) Immunofluorescent images of cleared hearts stained with anti-MHC, indicating the rescue of cardiac malformation and looping defects in SHP-2N308D embryo (G) compared with sibling incubated in Y27632 (H) and uninjected controls (E,F). Scale bar: 100 μm. (I) Graph of percentage of normal heart morphology at stage 40 in control and SHP-2N308D sibling embryos treated with 10 μM ROCK inhibitor Y27632. Statistical significance is denoted as *P≤0.0001, **P=0.0002, ***P=0.0001 using Fisher’s exact two-tailed test. Anterior is to the left, posterior to the right in all images. a, atrium; oft, outflow tract; v, ventricle.
	Fig. S1. Associated Noonan syndrome mutations in SHP-2 lead to heart defects. Fluorescent images of anti-MHC-stained hearts from cleared stage 36 Xenopus embryos injected with SHP-2N308D (B), SHP-2D61G (C) or SHP-2Q79R (D) (3 ng) compared with uninjected controls (A). Anterior is to the left, posterior to the right. a, atrium; oft, outflow tract; v, ventricle. Scale bar: 100 .

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