Abstract
Accurate specification of female and male germ cells during embryonic development is critical for sexual reproduction. Primordial germ cells (PGCs) are the bipotential precursors of mature gametes that commit to an oogenic or spermatogenic fate in response to sex-determining cues from the fetal gonad. The critical processes required for PGCs to integrate and respond to signals from the somatic environment in gonads are not understood. In this study, we developed the first single-nucleus multiomics map of chromatin accessibility and gene expression during murine PGC development in both XX and XY embryos. Profiling of cell-type specific transcriptomes and regions of open chromatin from the same cell captured the molecular signatures and gene networks underlying PGC sex determination. Joint RNA and ATAC data for single PGCs resolved previously unreported PGC subpopulations and cataloged a multimodal reference atlas of differentiating PGC clusters. We discovered that regulatory element accessibility precedes gene expression during PGC development, suggesting that changes in chromatin accessibility may prime PGC lineage commitment prior to differentiation. Similarly, we found that sexual dimorphism in chromatin accessibility and gene expression increased temporally in PGCs. Combining single-nucleus sequencing data, we computationally mapped the cohort of transcription factors that regulate the expression of sexually dimorphic genes in PGCs. For example, the gene regulatory networks of XX PGCs are enriched for the transcription factors, TFAP2c, TCFL5, GATA2, MGA, NR6A1, TBX4, and ZFX. Sex-specific enrichment of the forkhead-box and POU6 families of transcription factors was also observed in XY PGCs. Finally, we determined the temporal expression patterns of WNT, BMP, and RA signaling during PGC sex determination, and our discovery analyses identified potentially new cell communication pathways between supporting cells and PGCs. Our results illustrate the diversity of factors involved in programming PGCs towards a sex-specific fate.
Introduction
Proper formation of germ cells during embryonic development is crucial for ensuring the production of functional gametes1. The embryonic precursors to mature gametes, primordial germ cells (PGCs), are the bipotential stem cells of the germline that give rise to eggs and sperm1,2. During embryonic development in mice, PGCs commit to the oogenic or spermatogenic lineage in response to sex-determining cues from the gonadal environment in a process termed PGC sex determination3. During sex determination, XX PGCs in the fetal ovary commit to oogenesis by entering meiosis immediately after pre-granulosa cell specification4. By contrast, XY PGCs in the fetal testis initiate the spermatogenic program and arrest mitotically in response to signals from Sertoli cells3,5. Defects in germ cell differentiation, particularly during fetal life, often lead to reproductive diseases, such as infertility6 and the formation of germ cell tumors7. Thus, it is necessary to enhance our understanding of germ cell development so we can better identify the etiologies of reproductive dysfunction in humans.
PGC sex determination is induced by the sex-specific activation of transcription factors (TFs) and downstream gene networks8. In XX PGCs, the retinoic acid (RA)-responsive TFs STRA8 and MEIOSIN and the bone morphogenetic protein (BMP)-responsive TF ZGLP1 are required for entry into meiosis and oogenesis8–10. These TFs also initiate the expression of genes related to meiotic processes, including Rec8 and Sycp1-38. In contrast, XY PGCs require the expression of cell cycle inhibitors, such as Bnc2 and Cdkn2b, and the male-specific genes, Nanos2 and Dnd1, to enter mitotic arrest11–14. During the transition from PGC to oogonium or gonocyte, both XX and XY PGCs must also lose their bipotential state by downregulating the pluripotency-related genes, Pou5f1, Nanog, and Sox28. Consequently, there are multiple layers of gene regulation required for sex determination of PGCs.
Beyond the patterns of gene expression in PGCs, relatively little is known about how signals from the gonadal environment activate the expression of sexually dimorphic TFs and genes in PGCs. First, the gene regulatory networks, i.e. TFs and their predicted target genes, specific to XX and XY PGCs are not well defined. Second, it remains unclear how the chromatin environment is temporally regulated during PGC sex determination. Finally, additional data are needed on the patterns of ligand-receptor expression in gonadal supporting cells and PGCs. Previous reports have used bulk gene regulation and expression genomics assays to investigate the transcriptional programs underlying PGC development15–18. However, these assays may not have the resolution or sensitivity required to detect the transient changes in gene regulation among PGC subpopulations that are essential to sex determination.
In the present study, we employed the integrative genomics method, combined single-nucleus transcriptome and chromatin accessibility sequencing, to decipher various layers of gene regulation during PGC sex determination in mice. We comprehensively profiled 3,054 XX and XY PGCs at embryonic days (E) E11.5, E12.5, and E13.5, which covers the developmental time frame from bipotential to sexually differentiated PGCs. Single-nucleus sequencing enabled the detection of sex-enriched regulatory loci, TFs, and gonadal cues that may be responsible for initiating gene expression in individual PGCs. We first systematically examined the molecular signatures of PGC subpopulations to identify the genes and accessible chromatin regions underpinning the sex-specific fates of PGCs. By combining our epigenomic and transcriptomic data, we predicted cis-regulatory elements and sex-enriched TFs to construct the gene regulatory networks unique to XX and XY PGCs. Lastly, we probed the cell-cell communication pathways between supporting cells and PGCs to nominate potentially new ligand-receptor pairs involved in PGC development. Our results provide insights into the cell fate decisions underlying gametogenesis and sex determination of PGCs.
Materials and Methods
Animals
The experiments described herein used homozygous Rosa-tdTomato9 females (JAX 007909) (B6.Cg-Gt(ROSA)26Sor<tm9(CAG-tdTomato)Hze>/J) crossed to homozygous Nr5a1-cre mice (B6D2-Tg(Nr5a1-cre)2Klp), provided by the late Dr. Keith Parker19. Female mice were timed-mated and the day of detection of vaginal plug was considered embryonic day (E) E0.5. Mice were housed on a 12 h light:dark cycle, temperature range 70–74 °F and relative humidity range from 40 to 50%. All animal studies were conducted in accordance with the NIH Guide for the Care and Use of Laboratory Animals and approved by the National Institute of Environmental Health Sciences (NIEHS) Animal Care and Use Committee.
Single-nucleus RNA-sequencing and ATAC-sequencing
Whole ovaries and testes were collected at E11.5, E12.5, and E13.5. The sexes of the embryos were determined using amnion staining, as previously published20, to identify the presence (XX) or absence (XY) of the Barr body and confirmed with PCR using primers that recognize the Y chromosome. Tomato fluorescence was used to facilitate the dissection of the gonad away from the mesonephros, which was done using needles. Isolated fetal mouse gonads were isolated in PBS, and pairs of gonads or groups pooled between fetuses of the same sex and age were immediately frozen in liquid nitrogen for storage. Nuclei isolation was performed using the 10X Genomics Chromium Nuclei Isolation Kit (catalog #1000494) following the manufacturer’s protocol. The total numbers of gonads used per sex and age are listed in Supplementary Table 1. The 10X Genomics Chromium Next GEM Single Cell Multiome ATAC + Gene Expression Library Preparation Kit (catalog #1000284) was used to generate a 10X barcoded library of mRNA and transposed DNA from individual nuclei. The 10X barcoded single-nuclei RNA and ATAC-seq libraries were obtained from 8,687 average (1,555-20,000) nuclei per sample and sequenced with Illumina NOVAseq to a minimum sequencing depth of 129,120,442 raw reads and 22,406 read pairs/nucleus (Supplementary Table 1). Two independent technical replicates of multiome sequencing were performed for each sex by embryonic stage combination.
Data preprocessing for single-nucleus RNA-seq and ATAC-seq libraries
CellRanger21,22 (v3.0) was used for count, alignment, filtering, and cell barcode and UMI counting (Supplementary Table 1). Barcode swapping correction was performed for all libraries23. FASTQ files of the corrected cell count matrices were generated and the data were analyzed using Seurat24 (v. 4.3.0) and Signac25 (v. 1.6.0) on R (v. 4.1.0).
snRNA-seq data preprocessing
Doublets within each dataset were removed with the scDblFinder26 (v. 1.8.0) package using default methods. Ambient RNA was removed using the celda/decontX27 (v. 1.12.0) package, with the maximum iterations of the EM algorithm set at 100. Datasets of gonadal cell populations from each embryonic stage and sex were combined into one Seurat object using the “merge” function. As batch effect was not observed in our dataset, we did not perform further integration or batch correction. Cells with nCount_RNA > 1000 & nCount_RNA < 25,000& percent.mt <25 were retained for downstream analyses (Supplementary Figure 1a). The data was normalized using the “SCTransform” function in Seurat.
snATAC-seq data preprocessing
snATAC-seq peak calls from CellRanger were used to generate one combined peak set and cells with peak size > 20 bp & peak size < 10,000 bp were retained for downstream analyses. Fragment objects were created for each library, combined with the respective Seurat object, and analyzed using the Signac package. A subset of the snATAC-seq data was generated using the following cutoffs: nCount_ATAC < 100,000 & nCount_ATAC > 1000 & nucleosome_signal < 2 & TSS.enrichment > 1 (Supplementary Figure 1b-d). Analysis of the snATAC-seq peak feature distribution demonstrated that most peaks occurred in distal intergenic or promoter regions of the genome (Supplementary Figure 1e).
Sex filtering
To ensure that the correct sex was analyzed in all downstream analyses, we applied computational filters to confirm the sex of the cells in each dataset. Cells were filtered based on Y-linked gene expression and fragments mapped to the Y chromosome (chrY). The UCell package28 (v. 2.0.1) was used to create a module score of the Y-linked genes Kdm5d, Eif2s3y, Uty, and Ddx3y. Module scores of E11.5 and E12.5 cells above one standard deviation of the mean module score of all XY E13.5 cells were determined to be chromosomally male. Module scores of E11.5 and E12.5 cells below one standard deviation of the mean module score of all XX E13.5 cells were determined to be chromosomally female. Next, we examined the peaks called on chrY outside of the pseudoautosomal region. In total, 21 peaks were identified between chrY 1-90,000,000 bp. Cells with 0 fragment counts within our defined chrY peak region and chrY gene expression module score < 1 standard deviation were removed from the male datasets. Cells with > 1 fragment counts within our defined chrY peak region and chrY gene expression module score > 1 standard deviation were removed from the female datasets.
Cell type identification
To identify the cellular origin of the snRNA-seq clusters, principal component analysis (PCA) was run on the scaled data and visualization was performed using UMAP with dims = 18 and resolution = 0.3. Primordial germ cell (PGC) cluster identification was performed using the established germ cell markers Ddx4 and Pou5f129. To remove potential PGC and gonadal somatic cell doublets, only cells with RNA count < 1 for the following genes were retained as PGCs: the granulosa cell marker genes Foxl2 and Runx130; Sertoli cell marker Sox930; Leydig cell marker Insl330; stromal cell marker Wt131; endothelial cell marker Plvap32; immune-related cell marker Mafb33; interstitial cell markers Pdgfra and Nr2f230; supporting cell marker Tspan834; and epithelial cell marker Krt1935. Somatic supporting cell cluster identification was performed using the established female and male support cell markers Runx1 and Sox9, respectively. To remove potential gonadal supporting cell doublets formed with germ cells or interstitial cells, only cells with RNA count > 1 for Wt1 and RNA count < 1 for the following genes were retained as support cells: the germ cell marker genes Ddx4 and Pou5f1; endothelial cell markers Plvap and Pecam136; and interstitial cell markers Pdgfra and Nr2f2.
Clustering and pseudotime trajectory of primordial germ cells
snRNA-seq reclustering of PGCs was done with PCA on scaled PGC RNA data and visualization was performed using UMAP with dimensions (dims) = 18 and resolution = 0.3. snATAC-seq clustering of PGCs was done first by calling peaks using MACS237 (v. 2.2.7.1). Peaks on nonstandard chromosomes were removed using the “keepStandardChromosomes” function in Signac with the option ‘pruning.mode = “coarse”’ and peaks in mm10 genomic blacklist regions were removed. Counts in each peak were determined using Signac functionalities. The data was normalized by latent semantic indexing (LSI) using the “RunTFIDF”, “FindTopFeatures”, and “RunSVD” functions in Signac. Visualization was performed using UMAP with dims = 2:30, reduction = ‘lsi’, and algorithm = 3. The joint neighbor graph or joint UMAP was generated using the “FindMultiModalNeighbors” function in Signac and reduction.name = “wnn.umap”. A Seurat object from the clustered PGCs was used as input for pseudotime analysis with Monocle3 to determine the differentiation trajectory of PGCs using both female and male E11.5 PGCs as time ‘0’ in pseudotime.
Identification of differentially expressed genes and differentially accessible peaks
Differentially expressed genes (DEGs) in each cluster were determined using the “FindAllMarkers” function in Seurat based on the Wilcoxon Rank Sum Test. DEGs between female and male PGCs at each embryonic stage were identified with the “FindMarkers” function in Seurat with min.pct = 0.25 and logfc.threshold = 0.25. Differentially accessible peaks (DAPs) between female and male PGCs were identified with the “FindMarkers” function in Signac with min.pct = 0.001 and logfc.threshold = 0.1.
Correlation of peak accessibility with gene expression
snATAC-seq peaks were linked to gene expression, as imputed from the snRNA-seq data, using the “LinkPeaks” function in Signac. Peaks linked to DE genes for each sex and embryonic stage were then subsetted out for further downstream analyses. Plots showing peak-to-gene linkages were generated using the “CoveragePlot” function in Signac.
Motif enrichment analysis of transcription factor binding sites
DNA sequence motif analysis of peaks linked to DE genes was performed using the “FindMotifs” function in Signac. Background peaks were selected to match the GC content in the peak set by using the “AccessiblePeaks,” “GetAssayData”, and “MatchRegionStats” functions in Signac. MotifScan38 (v. 1.3.0) was used to determine the genomic position of linked peaks to DE genes to identify predicted target genes of transcription factors. Per-cell motif activity was computed using the “RunChromVAR” function in Signac.
Module score calculation for gene expression
Module scores of gene expression were calculated using the “AddModuleScore” function in Seurat. Module scores were plotted on UMAPs using the “FeaturePlot” function in Seurat.
Peak feature distribution
Pie charts of peak feature distribution were generated with the R package ChIPseeker39,40 (v. 1.38.0). Peaks were annotated with the “annotatePeak” function with options ‘tssRegion= c(-3000,3000)’, ‘TxDb=TxDb.Mmusculus.UCSC.mm10.knownGene’, and ‘annoDb=“org.Mm.eg.db”. Pie charts were plotted with the function “plotAnnoPie”.
GO annotation and enrichment
The GO enrichment analyses were carried out using the R package clusterProfiler41 (v. 4.0.5) with the “enrichGO” function. The Benjamini-Hochberg method (a = 0.05) was used to control for False Discovery Rate. GO annotation enrichment for biological processes were plotted using the “dotplot” or “cnetplot” function of the Enrichplot42 (v1.12.2) R package.
CistromeDB regulatory potential score
The CistromeDB Regulatory Potential Score43,44 was used to identify potential regulators of Bnc2 and Stra8. The toolkit (http://dbtoolkit.cistrome.org) was used for these analyses by selecting Mouse mm10 as ‘Species’, transcription factor/chromatin regulator as ‘Data Type in Cistrome’, and 10 kb as ‘The half-decay distance to transcription start site.’
Enrichment of signaling pathways between gonadal support cells and primordial germ cells
CellphoneDB45 (v. 5.0.0) was used to predict paired ligand-receptor pairs for cell-cell communication between gonadal supporting cells and PGCs. Normalized snRNA-seq counts were used as input data. Significant ligand-receptor pairs were determined independently between gonadal supporting cells and PGCs for each embryonic stage and sex. The statistical analysis (method 2) of CellphoneDB and the ‘statistical_analysis_method’ function in CellphoneDB were used to identify significantly enriched signaling pathways.
Immunofluorescence
Gonads were collected from E13.5 XX and XY embryos and fixed in 4% PFA for 1h at room temperature. Gonads were then washed in PBS and stored at 4 °C until embedding in paraffin and sectioned at 5 µm thickness. Following deparaffinization, sections were rehydrated in decreasing alcohol concentration gradients. Antigen retrieval was performed with 0.1 mM citric acid (Vector Labs) for 20 min in the microwave at 10% power and then cooled to room temperature. Samples were blocked in PBS-TRITON X-100, 0.1% solution with 5% normal donkey serum for 1h. Samples were incubated with primary antibodies diluted in blocking buffer (PBS-TRITON X-100, 0.1% solution with 5% normal donkey serum) at 4 °C overnight. Samples were then washed with PBS-TRITON X-100, 0.1% solution and incubated with secondary antibodies diluted in blocking buffer at room temperature for 1h. The slides were washed with PBS-TRITON X-100, 0.1% solution 3x and incubated with the Vector TrueView Autofluorescence Quenching Kit (cat. # SP-8400) for 2 min. Following incubation with the quenching kit, the slides were washed with PBS-TRITON X-100, 0.1% solution 2x, PBS 1x, and incubated with DAPI (Invitrogen cat. # D1306). The slides were then mounted with slide mounting media (Vectashield Vibrance Antifade Mounting Medium TrueView Kit SP-8400). Primary antibodies used included: Anti-TRA98 (1:500; rat, BioAcademia cat. # 73-003), Anti-NR2F2 (1:300, mouse, R&D Systems cat. # PP-H7147-00), Anti-PORCN (1:200, rabbit, ThermoFisher cat. # PA5-43423), and Anti-AP-2γ (TFAP2c) (1:200, mouse, Santa Cruz cat. # sc-12762). Secondary antibodies were used at 1:200 dilution (Invitrogen/Life Technology): Donkey anti-rat Alexa 568 (A78946), Donkey anti-mouse Alexa 647 (A31571), and Donkey anti-rabbit Alexa 488 (A21206). Imaging for sections was performed on a Zeiss LSM 900 confocal microscope using Zen software. Brightness and contrast of images were adjusted using ImageJ (National Institutes of Health, USA).
Statistical analyses
Libraries were prepared from 3-19 pairs of gonads and two technical replicates per embryonic stage and sex (Supplementary Table 1). Statistical analyses were considered significant if p < 0.05.
Results
Combined multiome analysis of single-nucleus gene expression and chromatin accessibility of mouse PGCs
To understand how intrinsic transcription networks inside PGCs and external cues from the gonadal environment control PGC sex determination, we performed combined snRNA-seq and snATAC-seq (10x Genomics Multiome) for all cell populations in mouse fetal gonads. This approach allowed us to obtain paired gene expression and chromatin status from the same cell for all cell populations from female (XX) and male (XY) gonads. Whole gonads from Nr5a1-cre x Rosa-tdTomato9 embryos were collected at embryonic days (E) E11.5, E12.5, and E13.5, which encompass the developmental time frame of sex determination-initiated (E11.5), sexually differentiating (E12.5), and morphologically dimorphic (E13.5) gonads. Sequencing libraries of gonads for each sex and embryonic day were generated from two independent technical replicates for an average 8,687 nuclei/sample with a sequencing depth of ∼75,544 reads/nucleus and ∼5,755 UMIs/nucleus. Based on the well-established germ cell markers Ddx429 and Pou5f129, we identified 3,054 germ cells. Somatic supporting cell populations were identified using Runx1 expression as a marker of pregranulosa cells in our female datasets and Sox9 expression as a marker of Sertoli cells in our male datasets30. A combined 22,382 XX and XY supporting cells were identified. Together, these data allowed us to determine the clustering patterns of differentiating PGCs, identify regulatory loci and transcription factors (TFs) enriched in PGCs, and find previously unreported interactions between PGCs and gonadal supporting cells (Fig. 1a).
We first asked whether single-nucleus gene expression and chromatin accessibility information can quantify the similarity or differences within PGC populations. We clustered single PGC nuclei in low-dimensional space based on their snRNA-seq (Fig. 1b-d) or snATAC-seq (Fig. 1e-g) data using Uniform Manifold Approximation and Projection (UMAP) for dimensional reduction. This graph-based clustering algorithm unbiasedly separated and clustered individual cells with similar transcriptomic profiles46. Such analyses revealed that the transcriptomes of E11.5 XX and XY PGCs overlap extensively, whereas E12.5 and E13.5 PGCs principally separated according to their sex (Fig. 1b). In addition, we uncovered eight broader clusters of PGCs at a resolution that captured PGC subpopulations (Fig. 1c). We determined the cell type composition of the snRNA-seq transcriptome-based clusters by plotting the percentage of PGCs at each embryonic stage and sex (x-axis) in each of the 8 transcriptome-based clusters (y-axis) (Fig. 1d). First, E11.5 and E12.5 XX PGCs primarily consisted of clusters 0, 1, and 4 (Fig. 1c-d). At E13.5, XX PGCs separated into three main clusters, 4, 5, and 6, and had significantly higher expression of the synaptonemal complex component and meiotic marker Sycp147 and the chromatin modifier Hdac948 (Fig. 1c-d; Supplementary Figure 2). In XY gonads, PGCs at E11.5 grouped together into three clusters, 0, 1, and 7 (Fig. 1d). At E12.5-E13.5, XY PGCs converged onto a single distinct population (cluster 7), indicating less transcriptional diversity among E12.5-E13.5 XY PGCs when compared to E12.5-E13.5 XX PGCs (Fig. 1d). Furthermore, we found that E12.5-E13.5 XY PGCs clustered separately from other PGC populations due to elevated expression of Bnc2, which is required for mitotic arrest in PGCs11, and the forkhead-box TF Foxp149 (Supplementary Figure 2). Finally, a small proportion of all PGC populations (E11.5-E13.5 XX and XY PGCs) were detected in clusters 2 and 3, and displayed enriched expression of ribosome biogenesis genes, the mitochondrial leucyl-tRNA synthetase Lars250, and the DNA repair protein Mgmt51 (Fig. 1d; Supplementary Figure 2). Together, these data indicate that the transcriptomic profiles of PGCs are largely homogenous within each sex at E11.5. Subsequently, XX PGCs maintain their transcriptional heterogeneity at E12.5-E13.5, whereas XY PGCs transcriptionally converge on a single identity beginning at E12.5.
The snRNA-seq clustering revealed transcriptomic characteristics of PGCs. Next, we performed unbiased clustering of PGCs according to their aggregate profiles of snATAC-seq peaks (210,666 total peaks) to detect the patterns of chromatin accessibility associated with PGC development (Fig. 1e and 1f). The snATAC-seq-based clustering of PGCs showed that the chromatin status of E11.5 XX and XY PGCs was highly similar (Fig. 1e). By contrast, E12.5-E13.5 XX and XY PGCs formed distinct groupings at opposite poles of the UMAP (Fig. 1e). Unbiased graph-based clustering of PGCs uncovered 9 clusters of PGCs with unique stage- and sex-specific snATAC-seq peak profiles (Fig. 1f). First, E11.5-E12.5 XX and XY PGCs together predominantly consisted of accessibility-based clusters 0, 1, and 2, indicating that these germ cells share a highly similar chromatin profile prior to differentiation (Fig. 1f and g). Second, E13.5 XX PGCs were separated into clusters 3, 4, and 5 (Fig. 1f and g), which may be due to differences in meiotic entry or progression within these populations of germ cells. Third, E12.5-E13.5 XY PGCs comprised snATAC-seq clusters 6 and 7, suggesting that XY PGCs may adopt a sex-specific chromatin status beginning at E12.5 (Fig. 1f and g). Finally, cluster 8, which contained PGCs from both sexes at each stage, was separate from all other accessibility-based clusters (Fig. 1f and g). Taken together, our findings indicate that the chromatin accessibility profiles of E11.5 PGCs and several E12.5 PGC subpopulations do not show a sex bias, whereas E13.5 XX and XY PGCs clustered by sex.
The multiome datasets provided us the opportunity to define PGC identities based on a more biologically relevant status at the combined transcriptomic and chromatin accessibility levels. Specifically, we integrated gene expression and chromatin accessibility data within a single PGC to obtain a joint, or multi-modal, definition of PGC identity (Fig. 1h and i). Computational integration methods allowed us to co-visualize the variation in both the snRNA-seq and snATAC-seq profiles of PGCs on a single UMAP52. Simultaneously profiling cell-type specific transcriptomes and regions of open chromatin for single PGCs resolved the sex-specific trajectories of PGCs with much greater resolution (Fig. 1h and i). In fact, we observed a strong demarcation between XX and XY PGCs beginning at E12.5 with very little to no overlap between XX and XY PGCs at E12.5-E13.5 (Fig. 1h-j). Given that we detected the clearest separation of PGCs when clustering with multi-modal data, we analyzed the trajectory of transcriptomic changes (also known as pseudotime analysis in Monocle53) among PGCs overlaid on the joint UMAP (Fig. 1h). With E11.5 XX and XY PGCs chosen as the starting point (0) of the trajectory analysis, we observed a distinct branching or ‘decision’ point (1) between XX and XY PGCs at E12.5 (Fig. 1h). Additionally, our unbiased analysis identified two terminal states (2) of PGCs at the E13.5 XX PGC cluster and E13.5 XY PGC cluster, providing additional confirmation that our data accurately reflect the status of PGC sex determination (Fig. 1h). We also observed a closed, or circular, branch of the trajectory path among E12.5 XX PGCs (Fig. 1h), which may arise from the heterogeneous transcriptomes of female PGCs entering meiosis in an asynchronous manner54. These data demonstrate that our approaches enable us to not only visualize the developmental trajectories of PGCs that are clustered with multi-modal data, but also empirically trace their sex-specific fates based on changes in gene regulation.
Clustering of PGCs using combined snRNA- and snATAC-seq data identified eleven distinct groups of PGCs and yielded enhanced cluster resolution of PGC subpopulations (Fig. 1i). This analysis resulted in clusters of PGCs that were predominantly sex-specific and enabled the detection of subpopulations of each PGC type (Fig. 1i). To better understand the population structure of individual clusters, we plotted the percentage of each PGC type (x-axis) for each cluster identified in Fig. 1i (y-axis) (Fig. 1j). First, E11.5 XX PGCs clustered into one main population, cluster 1, and later diverged into six subpopulations, clusters 0 through 5 at E12.5 (Fig. 1i-j). Clusters 0 - 2 were more similar to E11.5 PGCs, whereas clusters 3 – 5 were composed of E12.5 XX PGCs that were developmentally closer to E13.5 XX PGCs (Fig. 1i-j). Finally, we found that E13.5 XX PGCs converged onto either one of two developmental fates in clusters 6 and 7, with cluster 7 exhibiting a large spread along the UMAP2 axis (Fig. 1i-j). These findings indicate that E12.5-E13.5 XX PGCs may require extensive chromatin remodeling and transcriptional reprogramming to adopt the oogenic fate. By comparison, XY PGCs grouped into clusters 0 and 1 at E11.5 and appeared to converge on a single developmental fate at later stages, with E12.5 XY PGCs comprising clusters 8 and 9 and E13.5 XY PGCs belonging to cluster 10 (Fig. 1i-j). Given that neither expression- nor accessibility-based clustering alone resolved the granularity of PGC populations to the level described here, these data underscore the empirical power of simultaneously measuring multiple modalities from the same cell to define the developmental fate of PGCs.
Molecular characterization of genes known for their roles in XY PGC differentiation
We next asked whether our multiomics approaches could gain insight into the regulatory status of genes that are known to be essential for PGC sex determination. We first investigated the patterns of gene expression and chromatin accessibility of male functional genes, i.e. those that have been shown to be functionally important for XY PGC development (Fig. 2). We found that genes involved in XY PGC development (i.e., Rb1, Rbl2, Cdkn1b, Cdkn2b, Bnc2, Cnot1, Dnd1, and Nanos2)11–14,55 showed increasing levels of expression in XY PGCs from E11.5 to E13.5, whereas the expression levels of Cnot1 and Nanos3 peaked at E12.5 and E11.5, respectively (Fig. 2a). Notable XY-enrichment of Bnc2 expression and moderately elevated expression of Rb1, Rbl1, Cdkn1b, Cdkn2b, Nanos2, and Nanos3 were observed in XY PGCs compared to XX PGCs (Fig. 2a). However, expression of Cnot1 and Dnd1 showed an XX biased expression pattern (Fig. 2a). Overall, these data indicate that the majority of male functional genes show a modest increase in expression levels in XY PGCs over XX PGCs. Among these genes, Bnc2 expression may serve as a definitive marker of XY PGCs at E13.5.
To identify potential mechanisms regulating the expression of XY PGC functional genes, we searched for candidate transcription factors (TFs) with XY-enriched gene expression. We first linked snATAC-seq peaks to XY PGC functional genes (listed previously), hereafter termed peak-to-gene linkages, in XY PGCs. Next, we performed a TF motif enrichment analysis on significant peak-to-gene linkages to identify potential TFs. Finally, we compared the expression levels of potential TFs between XX and XY PGCs to identify TFs with XY-enriched gene expression. This strategy uncovered the Krüppel-like zinc finger family member ZKSCAN5 (Zinc finger with KRAB and SCAN domains 5) as a potential regulator of XY PGC functional genes (Fig. 2a). Zkscan5 showed XY biased expression and the level of Zkscan5 expression increased from E11.5 to E13.5 in XY PGCs (Fig. 2a). In addition, the ZKSCAN5 motif was not enriched in XX PGCs. ZKSCAN5 is not only highly expressed in the adult testis56 but is also proposed to regulate cellular proliferation and growth57. Thus, although little is known about the function of ZKSCAN5, we hypothesize ZKSCAN5 may possess a regulatory role during male germ cell development. These data highlight the strength of single-nucleus multiomics in discovering candidate factors that may regulate the expression of a cohort of developmental genes and, consequently, direct cell fate decisions.
Among the functionally important PGC genes, Bnc2 expression was most strongly enriched in XY PGCs. We therefore investigated the regulation of Bnc2 at the chromatin level as an example to demonstrate the utility of combined multiome datasets. The chromatin accessibility of the Bnc2 promoter was highest in XY PGCs and increased temporally from E11.5 to E13.5 (Fig. 2b). Furthermore, the level of chromatin accessibility at the Bnc2 locus was positively correlated with Bnc2 expression in XY PGCs (Fig. 2b-c). We then applied the Cistrome Data Browser (Cistrome DB)44 to identify putative regulators of Bnc2 expression based on transcription factor binding motifs detected within 10 kb of the Bnc2 promoter (Fig. 2d). The top candidate regulators of the Bnc2 locus were determined according to a regulatory potential score derived from a combination of TF binding motif information and previously published genomics data (i.e. ChIP-seq, DNase-seq, and ATAC-seq) (Fig. 2d). Of the top candidate regulators from the Cistrome DB analysis, expression of Ctcf, Nrf1, Polr2a, and Brd4 was enriched in XY PGCs at E13.5 (Fig. 2e). In particular, BRD4 is known to activate transcription elongation by recruiting kinases to the largest RNA polymerase II (Pol II) subunit, POLR2A, thereby releasing Pol II from its promoter-proximal bound state58. Taken together, these findings provide insight into potential XY-specific regulatory mechanisms at the Bnc2 locus in PGCs.
Characterization of genes known for their roles in XX PGC development
We next performed the same analyses of XX PGC functional genes, i.e. those that have been shown to be functionally important for XX PGC development (Fig. 3a). Overall, as expected, we found that E13.5 XX PGCs expressed genes involved in XX germ cell development (i.e., Rec8, Sycp2, Sycp3, Ctnnb1, Meioc, Rnf2, Stra8, Ythdc2, and Zglp1)8 substantially higher than E13.5 XY PGCs (Fig. 3a). Moreover, Rnf2 and Zglp1 were strongly expressed at E12.5 in XX PGCs, and their expression occurred immediately prior to the activation of all other genes in the female cohort (Fig. 3a). Although Zglp1 was expressed in fewer XX PGCs than Rnf2, Zglp1 expression increased from E12.5 to E13.5 whereas Rnf2 expression decreases (Fig. 3a). These data support previous studies that Rnf2 and Zglp1 control the timing of sexual differentiation of XX PGCs10,59. By comparison, the expression of Ctnnb1 diminished in both XX and XY PGCs at E12.5, as expected given that negative regulation of WNT/β-catenin is required for XX PGCs to enter meiosis60 (Fig. 3a). In sum, these results provide insight into the timing, expression levels, and pervasiveness of female gene activation in XX PGC populations.
We next identified potential regulators of XX PGC functional genes using the same approach for XY PGCs (Fig. 2). Our analysis identified significant enrichment of the binding motif for DMRT1 in the regulatory elements linked to XX PGC functional genes (Fig. 3a). DMRT1 has been shown to control Stra8 expression in a sex-specific manner, such that Stra8 is activated in the fetal ovary and repressed in the fetal testis61. Our snRNA-seq data also demonstrated Dmrt1 expression in both XX and XY PGCs (Fig. 3a), which is consistent with previous findings61.
Since Stra8 plays an essential role in controlling meiotic entry8, we next sought to further understand the gene regulatory mechanisms underlying Stra8 activation. First, we not only found that accessibility of the Stra8 promoter was highest in XX PGCs, but also that Stra8 chromatin accessibility was positively correlated with Stra8 gene expression (Fig. 3b-c). Second, the population of E13.5 XX PGCs displaying the strongest Stra8 expression levels corresponded to the same population of XX PGCs with the highest module score of early meiotic prophase I genes (Fig. 3c; Supplementary Fig. 3a-b). Next, to determine putative regulators of Stra8 expression, we identified enriched TF binding motifs within 10 kb of the Stra8 promoter using Cistrome DB44 (Fig. 3d). Of the factors with the highest Cistrome DB Regulatory Potential Score, we observed XX-enriched expression of Rxra, H2afy, Tcf12, Rad21, Smc3, and Smad3 (Fig. 3e). Several of these factors, such as RAD21 and SMC3, are members of the cohesin complex, which serves both a structural and gene regulatory role during meiotic prophase I62,63. Moreover, RXRA has been shown to positively influence Stra8 expression levels during oocyte development in the mouse64. Taken together, these data provide a proof-of-principle example for the application of single-nucleus multiomics in identifying putative regulators of germ cell fate.
Expression and in silico chromatin binding of retinoic acid receptors in PGCs
Since recent reports have demonstrated that meiosis occurs normally in the fetal ovary of mice lacking key members of the retinoic acid (RA) signaling pathway65, we next asked whether we could detect any evidence for gene regulation by RA receptors in PGCs. Previous studies have demonstrated that RA from the mesonephros induces meiosis in the fetal ovary whereas in the fetal testis, RA is degraded by the enzyme CYP26B1, therefore preventing PGC entry into meiosis66,67. However, this model was challenged by the findings that meiosis, and consequently oogenesis, still occurs in XX gonads of mice lacking the RA-synthesizing enzyme, ALDH1, or all RA receptors65,68. Nevertheless, Stra8 expression was significantly reduced in E13.5 fetal ovaries without Aldh1a1-3 or all RA receptors65,68, thus indicating that Stra8 expression is likely controlled by the RA signaling pathway, in addition to others. We therefore investigated the expression and in silico chromatin binding patterns of members of the RA signaling pathway (i.e. Rara, Rarb, Rarg, Rxra, Rxrb, Rxrg, Crabp1, and Crabp2)69 (Supplementary Figure 4a-b). We found that expression of the retinoic acid receptor beta, Rarb, and cellular retinoic acid binding protein 1, Crabp1, were enriched in XX PGCs beginning at E12.5 and continuing to E13.5 (Supplementary Figure 4a-b). Similarly, E13.5 XX PGCs showed enriched expression of the retinoid X receptor alpha, Rxra, and cellular retinoic acid binding protein 2, Crabp2 (Supplementary Figure 4a-b). By contrast, the expression of Rara, Rarg, and Rxrb was enriched in XY PGCs, and Rxrg was lowly expressed in both XX and XY PGCs (Supplementary Figure 4a-b). We also observed significant enrichment of the ‘motif activity score’, an in silico measurement of the contribution of a specific motif to gene regulation70, of all RA receptors in E13.5 XX PGCs (Supplementary Figure 4c-d). These data indicate that the RA receptors display strong evidence of in silico chromatin binding in E13.5 XX PGCs but not E13.5 XY PGCs. Furthermore, the binding motifs for the RA receptors were predominantly located in E13.5 XX PGC chromatin peaks that were distal intergenic, intronic, or within promoters (Supplementary Figure 4e; motifs for RARB and RXRA provided as examples). These data indicate that the binding motifs for the RA receptors are predominantly enriched in both distal and proximal regulatory elements in E13.5 XX PGCs. The RA receptor motifs were also statistically linked to genes involved in ‘response to retinoic acid’, ‘negative regulation of cell cycle’, and ‘meiotic cell cycle’ (Supplementary Figure 4f; motifs for RARB and RXRA provided as examples). Finally, when we searched for the presence of RA receptor motifs in peaks linked to genes related to meiosis and female sex determination, we found that Stra8, Rec8, Rnf2, Sycp1, Sycp2, Ccnb3, and Zglp1 contain the RA receptor motifs in their regulatory sequences (Supplementary Figure 4g). Together, these in silico experiments indicate that the RA signaling pathway directly regulates the expression of several meiosis-related genes.
Discovery of differentially expressed genes and differentially accessible regulatory loci underlying sex determination of PGCs
We further investigated our multiome dataset to discover genes and cis-regulatory elements enriched in PGCs in a sex-specific manner. First, we analyzed which annotated protein-coding genes showed transcriptional changes between XX and XY PGCs at each embryonic stage. Differential expression analysis (log2fold-change > 0.25) of snRNA-seq data identified 87, 301, and 585 XX PGC-enriched genes and 75, 344, and 544 XY PGC enriched genes at E11.5, E12.5, and E13.5, respectively (False Discovery Rate-adjusted p-value < 0.05; Fig. 4a). The number of differentially expressed genes (DEGs) increased by ∼3.5-fold during the transition from E11.5 to E12.5 PGCs and by 1.75-fold during the transition from E12.5 to E13.5 PGCs (Fig. 4a). These findings demonstrate that the number of DEGs steadily increased over developmental time in both XX and XY PGCs.
An in-depth analysis of the DEGs between XX and XY germ cells identified sex-enriched genes for PGCs at each embryonic stage (Supplementary Figure 5a). For example, we found elevated expression of the WNT protein regulator Porcn71, the beta-catenin binding protein Grip172, and the growth regulator Phlda273 in XX PGCs (Supplementary Figure 5a). These observations are consistent with the fact that WNT/β-catenin signaling is involved in specifying the female fate of PGCs8. We also identified XY enriched DEGs, which included the histone demethylase Kdm5d74, the regulator of pluripotency Dppa575, and the forkhead transcription factor Foxp176 (Supplementary Figure 5a). Gene ontology (GO) analyses of DEGs revealed several biological processes that show sex-enriched expression patterns (Supplementary Figure 5b). For example, the DEGs identified in XX PGCs were assigned to the ‘meiotic chromosome organization’, ‘sister chromatid cohesion’, and ‘WNT signaling pathway’ gene ontologies (Supplementary Figure 5b). The DEGs identified in XY PGCs were related to ‘mitotic cell cycle’, ‘TGFβ signaling pathway’, and ‘regulation of translation’ gene ontologies (Supplementary Figure 5b). In sum, the DEGs between XX and XY PGCs were characterized by their sex-specific roles in meiotic/mitotic cell cycle regulation, post-transcriptional processing of mRNA, and cell-cell signaling properties (Supplementary Figure 5a-b). These analyses provide a clear description of the transcriptional differences between XX and XY PGCs underlying the transition from bipotential germ cells to sex-specific oogonium or gonocytes.
To quantitatively assess chromatin dynamics during PGC sex determination, we next evaluated the number of differentially accessible chromatin peaks (DAPs) between XX and XY germ cells (Fig. 4b). The DAP analyses ((log2fold-change > 0.25) revealed 1,720, 2,311, and 5,626 XX enriched DAPs and 3,341, 3,117, and 15,546 XY enriched DAPs at E11.5, E12.5, and E13.5, respectively (Fig. 4b). The largest increase in the number of DA peaks was found between XY PGCs (15,546) and XX PGCs (5,626) at E13.5. The DAPs for XX and XY PGCs at E11.5-E13.5 were predominantly located in promoter, distal intergenic, or intronic regions, indicating that these DAPs likely correspond to gene regulatory sites (Supplementary Figure 5c). Together, these data suggest that the chromatin architecture of PGCs, and especially the chromatin of XY PGCs, undergoes significant remodeling during sex determination.
We next sought to associate sex-specific changes in chromatin accessibility with changes in gene expression for PGCs. To determine peak-gene associations, we correlated snATAC-seq peak accessibility with the expression of nearby genes, with the goal to identify sex- and stage-specific chromatin peaks positively correlated with mRNA expression (p-value < 0.05; z-score > 0). This analysis detected putative gene regulatory interactions based on correlations between chromatin peak accessibility and gene expression levels for all peaks and genes within 500 kb of each other77. Given the notable increase in DA peaks between XX and XY PGCs at E13.5 (Fig. 4b), we first identified the predicted target genes of all sex-specific DA peaks at this stage (Supplementary Figure 6a-b). For E13.5 XX PGCs, we observed positive DA peak-gene correlations for genes enriched for biological functions such as ‘WNT signaling pathway’, ‘chromosome segregation’, ‘chromatin organization’, ‘meiotic cell cycle’, and ‘RNA stabilization’ (Supplementary Figure 6a). A similar analysis of E13.5 XY PGCs revealed positive DA peak-gene correlations for genes involved in ‘ncRNA metabolic process’, ‘mitotic cell cycle’, ‘DNA repair’, ‘regulation of translation’, and ‘RNA localization’ (Supplementary Figure 6b). These findings demonstrate that we can use chromatin accessibility information to identify the regulatory elements linked to sex-specific genes in PGCs.
We next investigated the associations of differentially accessible (DA) chromatin peaks with differentially expressed (DE) gene expression for each PGC type. At E11.5, we found that DA peak-to-gene linkages were associated with ∼20% of DE genes in XX PGCs and ∼1% of DE genes in XY PGCs (Supplementary Figure 6c). The overlap of DA peak-to-gene linkages with DE genes increased steadily at E12.5 and E13.5, with ∼35% and ∼60% of DA peaks in E13.5 XX and XY PGCs, respectively, positively correlated with DE gene expression (Supplementary Figure 6c). For example, at E13.5, we identified the DA peaks positively correlated with the DE genes Porcn (involved in the processing of WNT proteins)71 and Rec8 (involved in meiotic recombination)8 in XX PGCs and Rimbp1 (regulates cytosolic calcium ion concentration)78 in XY PGCs (Fig. 4c-d; Supplementary Figure 6d). Immunofluorescence staining also confirmed the expression of Porcn in E13.5 fetal XX germ cells (Supplementary Figure 7a), demonstrating that single-nucleus multiomics can identify DE genes and the DA chromatin peaks that are associated with their expression.
A computational approach to identify candidate TFs regulating XX PGC gene expression
To better utilize the multiomics data, we developed an analytical flow to identify potential TFs that are involved in regulating the expression of DEGs in PGCs. First, we classified peak status by identifying peaks that are differentially accessible between XX and XY PGCs following the analytical framework in Fig. 5a. Second, we linked peaks to genes to identify positive correlations between DA chromatin peaks and the expression of DEGs at each embryonic stage (p-value < 0.05; z-score > 0; Fig. 5a). Third, we identified all enriched TF binding motifs located within DA chromatin peaks and found unique motifs with a significant FDR threshold (p-value < 0.05; Fig. 5a). We investigated only the TFs that were differentially expressed between sexes and that showed germline enrichment. Finally, we predicted the target genes of candidate TFs by determining the genomic position of their enriched motifs and the genes linked to their resident peaks (Fig. 5a). This analytical flow allowed us to rank enriched TF binding motifs based on variation in chromatin accessibility, and unbiasedly infer TFs involved in PGC sex determination with greater confidence.
In XX PGCs, we uncovered several candidate TF regulators of E11.5-E13.5 XX-enriched DEGs (Supplementary Figure 8a-c). We plotted the mRNA expression levels of TFs and the in silico chromatin binding score, termed ‘motif activity’, of all significantly enriched binding motifs (Supplementary Figure 8a-c). For example, in E11.5 XX PGCs, RREB1 is a differentially expressed TF showing high gene expression, but negative levels of in silico chromatin binding (Supplementary Figure 8a). This finding indicates that although RREB1 is a highly expressed TF in E11.5 XX PGCs, RREB1 does not likely promote increased chromatin accessibility either because it does not bind to chromatin or a critical co-factor is unavailable (Supplementary Figure 8a). Following this analytical framework, we focused our analysis on TFs that showed high levels of gene expression, were differentially expressed in XX PGCs, and displayed a positive in silico chromatin binding score (Supplementary Figure 8a-c). The TFs meeting these criteria were KLF12, NR6A1, and ZFX in E11.5 XX PGCs; TFAP2c in E12.5 XX PGCs; and BACH2, CREM, GATA2, GLI3, MGA, NFKB1, PLAGL1, TBX4, TCFL5, TFAP2c, ZBTB7c, and ZFX in E13.5 XX PGCs (Supplementary Figure 8a-c). Of these sixteen TF candidates with PGC-enriched transcript expression, only seven (Gata2, Mga, Nr6a1, Tbx4, Tcfl5, Tfap2c, and Zfx) showed enriched expression in germ cells when compared to the somatic compartment of the gonad, and thus met our requirements for further in silico investigation (Supplementary Figure 9a). These candidate TFs have reported roles in cell fate determination, growth and fertility regulation, and meiotic progression79,80, all of which are in line with the cellular events that occur as PGCs commit to the female pathway. Nonetheless, the chromatin binding and gene expression of GATA2, MGA, TBX4, TCFL5, and TFAP2c showed the clearest patterns of sexual dimorphism in E13.5 PGCs and represented the most compelling TF candidates (Fig. 5b-c; Supplementary Figure 9b-f).
The binding motif for TFAP2c (also known as AP2γ) showed prominent TF-associated accessibility, especially when compared to all other significantly enriched TF binding motifs (Supplementary Figure 8b-c). Immunofluorescence staining of TFAP2c also showed enrichment of TFAP2c in E13.5 XX PGCs when compared to the somatic compartment Supplementary Figure 9g). Compared to XY PGCs, XX PGCs had enriched Tfap2c expression (p-value < 0.05; log2FC > 0.25) and enriched accessibility of the TFAP2c motif at E12.5-E13.5 (Fig. 5b). The TFAP2c motif was close to genes related to glycogen metabolism, carbohydrate metabolism, and chromatin modification (Fig. 5d). The predicted target genes of TFAP2c accounted for 75% (372/494) of all DEGs with peak-to-gene linkages in XX PGCs (Fig. 5e), suggesting that TFAP2c is likely a high-level regulator of female PGC sex determination.
In addition to TFAP2c, we also investigated the regulatory potential of TCFL5 (Transcription Factor Like 5) in greater detail. TCFL5 was the most differentially expressed in E13.5 XX PGCs (p-value < 0.05; log2FC > 0.25) (Fig. 5c). Accessibility of the TCFL5 motif was also enriched in E13.5 XX PGCs, indicating that chromatin binding of TCFL5 is likely strongest at this stage (Fig. 5c). The predicted target genes of TCFL5 totaled 74% (367/494) of all DEGs with peak-to-gene linkages in XX PGCs (Fig. 5e). The TCFL5-associated genes were related to chromosome segregation, meiotic cell cycle, sister chromatid cohesion, histone modification, regulation of TF activity, and cell-cell signaling by WNT. Our findings are supported by a recent report on the role of TCFL5 in XX PGCs, which demonstrated the requirement of TCFL5 in meiotic progression and female fertility81.
Given that the motifs for TFAP2c and TCFL5 were not detected at every XX-enriched DEG, we hypothesize that a network of TFs, such as those identified in Supplementary Figure 9a, could work in cooperativity to regulate XX PGC gene expression. For example, we found that the predicted target genes of ZFX, MGA, NR6A1, TBX4, and GATA2 accounted for 73% (359/454), 31% (152/494), 20% (100/494), and 6% (32/494), respectively, of all DEGs with peak-to-gene linkage in XX PGCs (Fig. 5e). We also found that TFAP2c, TCFL5, ZFX, MGA, and NR6A1 may regulate the expression of each other (Fig. 5f). For instance, the motif for ZFX was located in the enhancers or promoters for TFAP2c, TCFL5, MGA, and NR6A1 (Fig. 5f). Likewise, NR6A1 is predicted to control the expression of TFAP2C, TCFL5, and TBX4 (Fig. 5f). Furthermore, the motifs for the candidate TFs were statistically linked to genes involved in ‘meiotic cell cycle’ and the ‘WNT signaling pathway’ (Fig. 5g-h). Meiosis related genes such as Tex15, Sycp1, Dmc1, and Hormad1 contained the motifs for at least three of the predicted TFs in their regulatory sequences (Fig. 5g). A similar pattern was also found for genes related to WNT signaling, e.g. Pkd1, Notum, Porcn, Fzd3, and Eda were predicted to be regulated by the binding of at least two of the putative TFs in XX PGCs (Fig. 5h). These data indicate that there may be unknown and undefined TF regulatory networks underlying XX PGC identity and function.
Identification of candidate TF regulators of XY PGC differentiation
To identify candidate TF regulators involved in XY PGC sex determination, we performed the same analysis as described for XX PGCs (Fig. 5a). Our analysis focused strictly on differentially expressed TFs that show evidence of chromatin binding based on the empirical in silico chromatin binding score (Supplementary Fig. 10a-c). In contrast to XX PGCs (Supplementary Fig. 8), we did not identify any significantly enriched TF binding motifs (p-value > 0.05) meeting our criteria in E11.5 XY PGCs (Supplementary Fig. 10a). Only three XY-enriched TFs, FOXP1, POU6F2, and TCF4, were differentially expressed between XY and XX PGCs at E12.5 (Supplementary Fig. 10b), and only TCF4 showed a positive in silico chromatin binding score in E12.5 XY PGCs (Supplementary Fig. 10b). For E13.5 XY PGCs, we detected five significantly enriched motifs that bound differentially expressed TFs (p-value < 0.05): FOXK2, FOXO1, FOXP1, POU6F1, and TCF4 (Supplementary Fig. 9c). Of these six XY-enriched TF candidates from E11.5 to E13.5, FOXO1, FOXK2, and POU6F1/2 emerged as the top candidates based on germline enriched expression when compared to somatic cells, differential expression in XY PGCs, and positive in silico chromatin binding scores (Supplementary Fig. 11a-b; Fig. 5i-j). Together, these data indicate that XY PGCs rely less on differentially expressed TF-mediated gene regulation when compared to XX PGCs.
At E13.5, when the most TFs and their motifs were found in XY PGCs, we observed significant enrichment of the FOX (forkhead-box) protein family of TFs (Supplementary Fig. 10c). FOX proteins contain pioneering transcription properties that allow for binding to condensed chromatin and enabling competency of gene activity through histone remodeling82. Given their role in opening condensed chromatin, FOX TFs play important roles in regulating the expression of genes involved in cellular differentiation, proliferation, plasticity, and growth49. In particular, we found that the expression of Foxo1 and Foxk2 were specific to XY PGCs when compared to XX germ cells and the XY somatic compartment (Supplementary Fig. 10c; Supplementary Fig. 11a; Fig. 5i). From our dataset, we found the FOXK2 motif positively associated with genes related to cellular proliferation, cell cycle arrest, mitosis, and DNA damage checkpoint (Fig. 5k). In addition, the predicted target genes of FOXK2 totaled 26% (54/208) of all DEGs with peak-to-gene linkages in XY PGCs (Fig. 5l). This finding was consistent with the number of predicted target genes of FOXO1, which included 28% (58/208) of all DEGs with peak-to-gene linkages in XY PGCs and may be the result of motif redundancy among FOX proteins. Given the substantial increase in the number of DA peaks in E13.5 XY PGCs (Fig. 4b), we hypothesize that the pioneering properties of the FOX family promotes chromatin remodeling as XY PGCs transition to gonocytes.
We also detected significant enrichment of the POU domain, class 6 (POU6) TF family in XY PGCs (Supplementary Fig. 10b-c; Supplementary Fig. 11a & c; Fig. 5j). The POU family plays important roles in regulating cellular differentiation and the timing of cellular events83. We found XY-enriched expression of POU6F1 and POU6F2 in PGCs, however, only POU6F2 displayed germline enrichment when compared to the somatic cell populations of the gonad (Supplementary Fig. 11a & c; Fig. 5j). Furthermore, we observed the strongest POU6F1 and POU6F2 in silico chromatin binding scores in XY PGCs at E13.5 (Supplementary Fig. 11c; Fig. 5j). The POU6F1/2 motif was associated with 19% (40/208) of all DEGs with peak-to-gene linkages in XY PGCs (Fig. 5l). POU6F1/2-associated genes were related to voltage-gated chloride channel activity (Ano6)84, regulation of cell proliferation (Appl1)85, regulation of actin filaments (Fmnl2)86, Notch signaling (Maml3)87, lipid metabolism (Osbpl9)88, and ubiquitin ligase activity (Usp7)89 (Fig. 5m). Thus, the POU6 TF family is a top candidate to coordinate gene expression activity in XY PGCs.
We next compared the number and identity of FOXO1-, FOXK2-, and POU6F1/2-associated genes in XY PGCs. First, we did not detect the FOXO1, FOXK2, or POU6F1/2 motifs in the promoters/enhancers for each of these TFs. These findings indicate that these TFs do not regulate the expression of each other, and other mechanisms or regulatory pathways are required to activate the expression of candidate TFs in XY PGCs. Furthermore, the predicted target genes of the FOX and POU6 TF families shared little overlap with each other (11/87) (Fig. 5m). The genes that were shared between FOXO1, FOXK2, and POU6F1/2 had reported functions in maintaining survival after DNA damage (Alkbh8)90, TGFβ signaling (Bmp7)91, and initiation of mitosis (Nek7)92 (Fig. 5m). By comparison, the predicted target genes of FOXO1 and FOXK2 showed considerable overlap (42/47) and included genes related to RNA splicing (Aqr)93, cell cycle progression (Cdk6)94, cellular metabolism (Eno1 and Odc1)95,96, cell death (Pml)97, and negative regulation of the IGF1 signaling pathway (Socs2)98 (Fig. 5m). The motifs for FOXO1, FOXK2, and POU6F1/2 were statistically associated with genes involved in ‘mitotic cell cycle’ and ‘signal transduction’ (Fig. 5n-o). Mitosis-related genes such as Cradd, Cdk6, Exoc6b, and Pml were potentially regulated by FOXO1 and FOXK2 (Fig. 5n). In addition, we noted that the POU6F1/2 motif was associated with Cradd and Psmg2 (Fig. 5n). We observed a similar pattern for genes related to signal transduction (Fig. 5o). For example, Bmp7, Map3k5, Akt3, and Sulf1 were associated with FOXO1 and FOXK2, whereas Bmp7, Map3k5, and Sfprp1 were associated with POU6F1/2 motif activity (Fig. 5o). Taken together, these data suggest that in XY PGCs, although FOXO1, FOXK2, and POU6F1/2 regulate genes with similar properties, the FOX and POU6 TF families are unlikely to collaboratively regulate gene expression.
Sex-specific enrichment of ligand-receptor signals between gonadal support cells and PGCs
Sexual dimorphism of germ cell differentiation is thought to be controlled by a meiosis-inducing substance produced by the somatic cells of the fetal ovary and/or by a meiosis-preventing substance produced by the fetal testis99. In experimentally generated XX/XY chimeras, both XX and XY PGCs can initiate meiosis when residing in the fetal ovary or enter mitotic arrest when colonizing the fetal testis100. In the fetal ovary, PGC meiosis is induced by retinoic acid (RA) produced by ovarian and mesonephric somatic cells8. Consistent with this model, RA signaling induces expression of Stra8 and Meiosin, both of which are critical for promoting entry into meiosis8. Signaling by WNT and BMP also influences the timing of meiotic onset in XX PGCs8, and inhibin/activin signaling regulates XX germ cell growth and proliferation101. In the fetal testis, RA degradation by CYP26B1 and FGF9 signaling from XY supporting cells result in reduced Stra8 expression, consequently blocking meiotic entry in XY PGCs8. Thus, PGC sex determination is dependent on external signals from the gonadal environment rather than chromosomal sex.
To uncover potential instructive signals from the supporting somatic cells (Sertoli cells in the fetal testis or granulosa cells in the fetal ovary) to PGCs, we searched for supporting cell-derived ligands and the corresponding receptors in PGCs (Fig. 6a), using CellphoneDBv5.0 for cell communication analysis45. We first identified the supporting cell clusters from the snRNA-seq dataset of whole fetal gonads using the established female and male supporting cell markers Runx1 and Sox9, respectively30,102. We next quantified the number of significant interactions between supporting cells and PGCs at each embryonic stage (p-value < 0.05; Fig. 6b). Such analyses revealed that the number of interactions gradually increased from E11.5 to E13.5 for both XX and XY gonads (Fig. 6b). We also observed that the number of ligand-receptor pairs was 15-38% higher in XX gonads, compared to XY gonads at the same embryonic stage (Fig. 6b). To validate our computational approach, we next searched for known pathways associated with PGC differentiation, such as signaling by WNT, inhibin/activin, and BMP (Fig. 6c). The number of significant interactions per pathway increased in both XX and XY gonads from E11.5 to E13.5 (Fig. 6c; Supplementary Fig. 12a-b). We also observed a moderate increase in the number of interactions for the inhibin/activin and BMP pathways in XX gonads when compared to XY gonads at the same embryonic stage (Fig. 6c). Finally, we found that the number of interactions related to WNT signaling were nearly 2-3 times greater in XX than XY gonads (Fig. 6c; Supplementary Fig. 11a-b). Together, these data demonstrate that sexually dimorphic patterns of cell signaling events were present between supporting cells and PGCs.
We next searched for new sex-specific enrichment of ligand-receptor pairs between supporting cells and PGCs (Fig. 6d-i). For each embryonic stage, we first identified which signaling pathways were detected in XX alone, XY alone, or both XX and XY gonads that met our statistical threshold (p-value < 0.05; Fig. 6d, f, & h). At E11.5, XX and XY gonads shared the greatest overlap of supporting cell-derived ligands and PGC-expressing receptors (Fig. 6d). The shared pathways between XX and XY gonads were largely related to adhesion by collagen/integrin, fibronectin, and cadherin. E11.5 XX gonads had enrichment of 19 ligand-receptor pairs related to, for example, BMP, ephrin, integrin, FGF, and WNT signaling (Fig. 6d). By contrast, E11.5 XY gonads had significant enrichment of 10 ligand-receptor pairs predominantly related to cell adhesion pathways like ephrin, nectin, and integrin (Fig. 6d). To highlight the general trends of expression between sexes, we compared the mean expression of all representative ligand-receptor pairs from each group in Fig. 6d, f, & h (Fig. 6e, g, & i). In E11.5 gonads, we observed dimorphic expression of XX-enriched interactors, such as BMP2/BMR1A/AVR2B and WNT4/FZD10/LRP5, but not the XY-enriched interactors CADM1/NECTIN3 and EFNB1/EPHB3 (Fig. 6e). Furthermore, we did not observe a sex bias for the mean expression of interacting pairs for the shared pathway DLK1:NOTCH3 between E11.5 XX and XY gonads (Fig. 6e). These data indicate that at E11.5, sexual dimorphism of signaling pathways, in terms of number and mean expression, is most prominent between XX supporting cells and XX PGCs.
In E12.5 and E13.5 gonads, we observed a stronger XX bias in ligand-receptor interactions between supporting cells and PGCs (Fig. 6f-i). At E12.5, we observed 49 and 24 significant interactions in XX and XY gonads, respectively (Fig. 6f). In E12.5 XX gonads, BMP, Insulin-like growth factor (IGF), R-spondin, and WNT signaling were the most frequently observed pathways and displayed strong XX-enriched mean expression (Fig. 6f-g). In XY gonads, detection of new signaling pathways emerged from E11.5 to E12.5, including signaling by BMP6, chemokines, Matrix metalloproteinases (MMP), and Neuregulin (Fig. 6f). Compared to E12.5, E13.5 XX gonads continued to have enrichment for the BMP, IGF, and WNT signaling pathways with additional pathways related to midkine (MDK), Calsyntenin (Clstn), and SLIT and NTRK-like protein signaling detected (Fig. 6f and h). The BMP5:BMR1A:AVR2B and MDK:PTPRZ1 ligand-receptor interactors also showed XX-biased mean expression (Fig. 6i). Similarly in E12.5 and E13.5 XY gonads, we observed maintenance of the ligand-receptor pairs, BMP6:ACVR:1A2B and BMP6:BMR1A:AVR2B (Fig. 6f and h; Supplemental Data 1). However, enrichment of signaling by Desert hedgehog, Notch, and WNT inhibition became significant in E13.5 XY gonads but not E12.5 (Fig. 6f and h). High mean expression of DHH:PTCH:GAS1 and DLK1:NOTCH3 interactors was detected in E13.5 XY gonads but became indetectable in E13.5 XX gonads (Fig. 6i). Taken together, these data suggest that sex-specific enrichment of ligand-receptor interactions become gradually more apparent from E11.5 to E13.5.
Discussion
Male and female germ cells carry the hereditary information required for the generation of a new individual and the perpetuation of sexually reproducing species. Errors in germ cell development and differentiation can result in a variety of reproductive diseases, such as infertility6. Disruption of gametogenesis during early embryonic development can even lead to the onset of disease later in life, a concept which is supported by the Developmental Origins of Health and Disease (DOHaD) theory103. Thus, it is of critical importance to understand the molecular and epigenetic signatures of developing germ cells, and particularly PGCs. Nonetheless, the heterogeneous nature and low cell numbers of PGC populations often hinders the identification of novel factors that influence PGC fate. To overcome this limitation, we generated the first single-nucleus atlas of gene expression and chromatin accessibility for murine PGCs during sex determination. We demonstrate that single-nucleus multiomics successfully captures PGC sex determination at high resolution, identifies putative TFs involved in PGC sex determination, and provides insight into the cellular communication pathways between PGCs and the supporting cells of the gonads.
Integrated RNA and ATAC data for individual PGCs identified significant heterogeneity in XX PGC populations compared to XY PGCs
We first identified the sub-groupings of E11.5-E13.5 XX and XY PGCs and resolved the patterns of gene expression and chromatin accessibility underlying each PGC population. We observed that the combined analysis of integrated snRNA- and snATAC-seq data produced better clustering and separation of PGCs than either assay alone. For example, we found that at E11.5, XX and XY PGCs share highly similar transcriptomic and open chromatin profiles, indicating that PGCs at this stage are bipotential at the level of gene regulation and chromatin accessibility. This observation agrees with the study that showed the global overlap of transcriptomes between E11.5 PGCs from both sexes, in which they detected only 101 DEGs between XX and XY PGCs with functional annotations related to chaperonin complexes and proteasome formation104. At E12.5, subpopulations of PGCs clustered separately within each sex, supporting the model that PGCs do not commit to a sex-specific fate in a synchronous manner54. At E13.5, two sub-clusters of XX PGCs appear, consistent with the asynchronous entry of XX PGCs into meiosis54. Others also reported substantial heterogeneity of human and mouse PGC populations, often arising from intrinsic variation in the epigenetic reprogramming required for sex differentiation105,106. These data underscore the discovery potential of simultaneously measuring multiple layers of gene regulation to define the developmental fate of PGCs.
Molecular signatures of differentiating PGCs revealed disease-related genes associated with PGC clusters
When examining genes that could be responsible for the expression-based clustering of PGCs, we found TFs, cell cycle regulators, chromatin modifiers, and ribosome biogenesis genes underlying the diverse transcriptional profiles of differentiating PGCs. Several of the expressed genes enriched in individual PGC clusters were involved in infertility or disease processes when nonfunctional. For example, mutations in Lars2, the mitochondrial leucyl-tRNA synthetase, is associated with premature ovarian failure in women50 and aberrant methylation at the promoter of Mgmt, a gene that is required for DNA repair and linked to the formation of testicular germ cell tumors in humans51. The dynamic and varied regulatory profiles of PGCs that we observed highlight the necessity of pairing chromatin accessibility information with gene expression data for elucidating the mechanisms underlying PGC sex determination.
Sexual dimorphism in chromatin accessibility increases temporally during PGC development
The chromatin landscape of PGCs is the most sexually dimorphic at E13.5 when compared to E11.5 and E12.5. The substantial increase in DAPs at E13.5 leads to several hypotheses that could account for the changes to PGC chromatin architecture during sex determination. First, it is possible that the chromatin of bipotential E11.5 PGCs is primed for activating either sex-specific differentiation pathway. Chromatin priming occurs when chromatin is maintained in an accessible state prior to gene expression, and is evidenced in a number of developmental contexts, such as during specification of hematopoietic cells and lineage commitment of embryonic stem cells107,108. During development, chromatin priming fine-tunes gene activation by enabling a rapid response to external cues that induce cell differentiation107. Second, we posit that E11.5 PGCs have fewer DA peaks because they are actively dividing. Mitotic chromosome condensation is known to induce a state of heterochromatin and the eviction of TFs from chromatin in actively dividing cells109. Third, the increased number of DA peaks at E13.5 may be the result of changes to chromatin structure as XX PGCs enter meiotic prophase I, an event that requires dramatic changes to meiotic chromosomes as they undergo DNA double-strand breaks, synapsis, and crossing over47. Indeed, increased chromatin accessibility was found in mouse spermatocytes during prophase I of meiosis110. Finally, the upregulated expression of forkhead TFs in male PGCs at E12.5 and E13.5 may induce the de novo establishment of DA peaks through their pioneering activity. Nonetheless, our results are consistent with previous reports that demonstrate the global decrease in DNA methylation levels, or increased chromatin accessibility, in mouse PGCs beginning at E9.5 and continuing through E13.5111.
Single-nucleus multiomics identifies evidence for chromatin priming during PGC lineage commitment
Moreover, not all sex- and stage-specific DA chromatin peaks account for changes in differential gene expression for PGCs. Chromatin accessibility and gene expression are often asynchronously correlated during cellular differentiation, such as during chromatin priming77. For example, accessibility of regulatory loci involved in cell-fate decisions may precede gene expression to prime cells towards one developmental lineage versus another77. In the context of germ cell differentiation, PGCs must also undergo extensive chromatin remodeling events, including genome-wide DNA demethylation and a reduction in both repressive and activating histone modifications, prior to sex determination112. Indeed, chromatin priming has been observed in PGCs from other species, such as macaques, pigs, and goats105. Thus, it is likely that the DA chromatin peaks observed for E11.5 and E12.5 PGCs in mice may either reflect global chromatin remodeling events associated with sex determination or foreshadow future cell fate decisions by remaining poised for TF binding. Nevertheless, a comprehensive profile of 3D chromatin structure and enhancer-promoter contacts in differentiating PGCs is needed to fully understand how changes to chromatin facilitate PGC sex determination.
The gene regulatory networks of XX PGCs are enriched for the transcription factors, TFAP2c, TCFL5, GATA2, MGA, NR6A1, TBX4, and ZFX
Our multiomics approach uncovered compelling TF candidates that may be involved in PGC development and differentiation. In XX PGCs, seven TF prospects were identified: GATA2, MGA, NR6A1, TBX4, ZFX, TCFL5, and TFAP2c. Of these TFs, TCFL5 and TFAP2C showed the strongest enriched expression in XX PGCs. TCFL5 binds to the promoters of meiotic genes such as Sycp1 (synapsis) and Stag3 (cohesion) during spermatogenesis in the mouse79. Tcfl5 is indispensable for the completion of meiosis and spermatid maturation79, and meiosis of female germ cells81. Our multiomics data also demonstrate strong Tfap2c expression and motif enrichment in XX PGCs beginning at E12.5 and continuing through E13.5. These findings are corroborated by other single-cell RNA-seq analyses that showed Tfap2c expression in human and mouse PGCs and gonocytes80,113–116. Additionally, TFAP2c has several reported roles in cell-type specification in both mouse and human, including germline specification and maintenance of germ cell identity80, remodeling of naïve enhancers117, and hormone responsiveness118. Loss of TFAP2c in mice also leads to a reduction in germ cell number by either PGC apoptosis or PGC differentiation into somatic cells119. Considering that changes in gene regulation leading to the female and male pathways begin as early as E12.53, understanding how TCFL5 and TFAP2c activity is induced and investigating the role of TFAP2c in PGC sex determination are important future directions.
XY PGCs showed sex-specific enrichment of transcription factors associated with reproductive dysfunction
In XY PGCs, we detected significant enrichment of the forkhead box and POU6 families of TFs. In particular, FOXO1, FOXK2, and POU6F1/2 exhibited XY biased expression and in silico chromatin binding. Although the function of Foxo1 has been studied in gonocytes120, little is known about the roles of Foxk2 and Pou6f1/2 in PGCs. Loss of Foxo1 in embryonic gonocytes leads to defective spermatogenesis in adulthood120, and inactivation of Foxo1 in spermatogonia results in germ cell loss and male infertility121. FOXO1 activity is also widely involved in regulating metabolic homeostasis, redox balance, cell death, and DNA damage repair122. Likewise, FOXK2 functions in similar roles as FOXO1, such as in cellular metabolism, cell survival, and apoptosis123. Furthermore, the POU6 family consists of POU6F1 and POU6F2, which share highly conserved DNA motif recognition sequences and function in similar cellular pathways124. Both POU6F1 and POU6F2 have been reported to suppress tumor proliferation125, and POU6F2 mutations have been implicated in the progression of Wilms Tumor, hypogonadism, and pubertal failure in human patients126. Investigating the cooperativity of these TFs will greatly improve our understanding of how mitotic arrest and the commitment to spermatogenesis are regulated during germ cell development.
Single-nucleus RNA-seq maps the temporal expression patterns of WNT, BMP, and RA signaling during PGC sex determination
During sex determination, PGCs respond to signals from the supporting cells of the gonads to determine their sex-specific fate. In the fetal ovary, Runx1+ supporting cells produce WNT4 to maintain germ cell pluripotency and prevent precocious meiotic entry8,60. We observed signaling by WNT4, WNT5A/B, and WNT6 in both XX and XY gonads as early as E11.5. The number of interactions related to WNT signaling also increased from E11.5 to E13.5 in both XX and XY gonads even though diminished WNT signaling is required for meiotic entry60. However, XY PGCs showed enrichment of the WNT agonist SFRP2127 at E13.5, indicating that WNT signaling may be inhibited in XY PGCs earlier than XX PGCs. BMP secretion by ovarian supporting cells also plays a critical role in regulating meiotic entry8. Even though BMP6 signaling was observed in XY PGCs, BMP2 and BMP5 signaling were specific to XX PGCs beginning at E11.5. Our findings are consistent with functional studies showing that BMP2 signaling induces Zglp1 expression and promotes the oogenic fate10. Additionally, RA produced by both ovarian and mesonephric somatic cells is required to initiate expression of Stra8 and Meiosin, two TFs that are essential for completion of meiosis8,9. Significant enrichment of the RA signaling pathway was not detected between supporting cells and PGCs in XX or XY gonads at any embryonic stage with CellphoneDB. Given that RA is primarily produced by the mesonephros66, detection of RA signaling between gonadal supporting cells and PGCs is unlikely. However, in silico chromatin binding of RA receptors was enriched in XX PGCs and the RA receptor motifs were found in the regulatory loci for Rec8, Stra8, Sycp2, Sycp3, and Zglp1, which is consistent with previous studies128. Taken together, our findings provide insight into the temporal patterns of WNT, BMP, and RA signaling during PGC differentiation.
Discovery analysis identifies potentially new signaling pathways between gonadal supporting cells and PGCs
In addition to these pathways known for their roles in PGC sex determination, we identified several uncharacterized ligand-receptor pairs with sex-specific enrichment. For example, midkine (MDK) signaling was enriched in E13.5 XX gonads. Although the role of MDK signaling in PGCs is not understood, MDK is known to be important for maintaining cell survival and growth and promoting cell migration129. MDK is a heparin-binding cytokine and, together with pleiotrophin, regulates female reproductive activities such as oocyte maturation and the estrous cycle130. Furthermore, in E13.5 XY gonads, we found enrichment of the Desert Hedgehog (DHH) signaling pathway between Sox9+ cells and XY PGCs. In addition to regulating fetal Leydig cell differentiation131, DHH signaling has also been shown to regulate germ cell maturation and spermatogenesis132. Ablation of Dhh in adult XY mice causes infertility due to a loss of mature sperm132, however, whether Dhh regulates germ cell development in fetal XY mice remains to be determined. Overall, we posit that these and other signaling pathways are important for promoting PGC survival and differentiation.
Our study demonstrated the benefit of using multiomics approaches to probe the cellular and developmental pathways involved in cell fate decisions, gametogenesis, and PGC differentiation. Unlike traditional assays, joint RNA and ATAC analyses from individual PGCs enabled the detection of paired chromatin accessibility and gene expression information from the same cell to discover new gene regulatory interactions. We show that our multiomics data accurately identified enrichment of known pathways involved in PGC sex determination, suggesting that our computational approaches are valid and capable of discovering potentially new regulators of PGC fate. Indeed, our findings revealed the diversity of factors required for PGC programming. For example, we cataloged the heterogeneity of PGC populations based on chromatin status and transcription, identified chromatin priming as a major regulatory mechanism in PGC lineage commitment, and revealed a core set of TFs and ligand-receptor pairs unique to XX and XY PGCs. Taken together, our data demonstrate the power of explorative single-nucleus ATAC-seq and RNA-seq to understand the mechanisms inherent to germline differentiation.
Acknowledgements
We thank the late Dr. Keith Parker (UT Southwestern Medical Center, USA) for the Nr5a1-cre mice. Valuable discussions with F. DeMayo, C. Williams, M. Morgan, C. Guardia, and all members of the Yao lab during the course of this project contributed greatly to our manuscript. We are especially grateful for B. Nicol and P. Brown for their advice and assistance with experiments and editorial comments in the writing process. We are grateful to the NIEHS Comparative Medicine Branch for mouse colony maintenance and to the Epigenomics and DNA Sequencing Core and the Integrative Bioinformatics Support Group for their assistance with sequencing and data analysis. This work was supported by the Intramural Research Program (ES102965 to H.H.-C.Y.) of the NIH, National Institute of Environmental Health Sciences and the Postdoctoral Research Associate Training (PRAT) Program (Fi2) Fellowship of the NIH, National Institute of General Medical Sciences awarded to A.K.A.
Conflict of interest Statement
The authors declare no competing financial or non-financial interests.
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