The T-box family
© BioMed Central Ltd 2002
Published: 31 May 2002
Transcription factors of the T-box family are required both for early cell-fate decisions, such as those necessary for formation of the basic vertebrate body plan, and for differentiation and organogenesis. When mutated, T-box genes give dramatic phenotypes in mouse and zebrafish, and they have been implicated both in fundamentals of limb patterning and in a number of human congenital malformations such as Holt-Oram, ulnar-mammary and DiGeorge syndromes, as well as being amplified in a subset of cancers. Genes encoding members of the T-box family have recently been shown to comprise approximately 0.1% of genomes as diverse as those of nematodes and humans and have been identified in a wide variety of animals from ctenophores (comb jellies) to mammals; they are, however, completely absent from genomes from other organisms (such as the model plant Arabidopsis thaliana).
Gene organization and evolutionary history
Positional cloning and sequencing of the genes defective in the mouse gastrulation mutant Brachyury, also known as T, and of the Drosophila behavior mutant optomotor-blind (omb), show extensive sequence similarity between the amino-terminal regions of the two proteins [1,2]; the region of similarity contains a unique sequence-specific DNA-binding domain. Since these initial observations, over 50 proteins have been identified with sequence similarity to the DNA-binding domain of Brachyury and Omb. This domain is now referred to as the T-box and the genes are collectively referred to as the T-box gene family. Members of this family are expressed in, and are required for, the development of multiple cell types in diverse organisms, as demonstrated by genetic studies in flies, worms, fish, mice, dogs, and humans [3,4,5,6,7]. For many of these genes, such as Brachyury, there are clear orthologs (direct homologs), with a high degree of sequence similarity, expression pattern, and function between a variety of vertebrates, including fish, frogs, dogs, and mice [1,2,3,4,5,6,7]. Other T-box genes appear to be unique to a particular species; for instance, VegT, a T-box gene thought to be required for endoderm formation in Xenopus, has no apparent ortholog in mice or humans. The family has 18 members in mammals; representatives have been identified from a wide range of animals, including various chordates, Drosophila melanogaster (11 members), Caenorhabditis elegans (14 members), annelids, and cnidarians.
Mouse and human T-box-containing genes
Heterozygous phenotype in human (null phenotype of mouse homolog)
Reference (mutations only)
Primitive streak, tail bud, and notochord
Spinal cord defects (anteroposterior axis defects)
Trophoblast, early primitive streak, and cerebral cortex
(Early postimplantation failure)
Th1 lineage, lung, and spleen (adult)
Heart and pharyngeal arges
Craniofacial region and limbs
Heart, somites, and limbs
Heart, eye, ventral neural tube, and limb
Limbs and heart
X-linked cleft palate
TBX3 (including an alternative splice form)
Limbs and heart
TBX5 (including an alternative splice form)
Holt-Oram syndrome (failure of heart development)
Primitive streak and tail bud
(Respecification of posterior paraxial mesoderm as neurectoderm)
T-box genes contain multiple exons, and the T-box is generally encoded by at least five exons dispersed over a relatively large distance. For example, the human Tbx5 gene contains eight exons distributed over 53 kilobases (kb) of chromosome 12 . As has been found for other gene families, the intron-exon boundaries of T-box homologs are conserved throughout evolution, but the lengths of the introns vary between species [10,12]. Most T-box family members encode a single transcript and there are few direct demonstrations of alternative exon splicing. One exception is Xenopus VegT/Antipodean protein, which is found in two different isoforms resulting from alternative splicing of the 3' end of the VegT gene. Interestingly, the isoforms appear to be tissue-specific: one is present maternally in the endodermal layer of the embryo and the other is expressed zygotically in the mesodermal layer .
Characteristic structural features
The T-box is defined as the minimal region within the T-box protein that is both necessary and sufficient for sequence-specific DNA binding [3,4,5,14,17]. Despite the sequence variations within the T-box between family members, examination of downstream targets and binding-site selection experiments for a number of T-box proteins show that all members of the family so far examined bind to the DNA consensus sequence TCACACCT. In several binding-site selection studies, members of the T-box family preferentially bound sequences that contain two or more core motifs arranged in various orientations. The ability to bind the sequence is protein-specific; for example, Xbra can bind to two core motifs arranged head-to-head, whereas VegT cannot; conversely, VegT can bind to two core motifs arranged tail-to-tail whereas Xbra cannot. The biological relevance of these findings remains unknown, as no downstream target of any T-box gene has been found to contain a double site .
Transcriptional regulatory domains
T-box proteins have been demonstrated to function both as transcriptional activators and as repressors. In all cases studied, the transcriptional regulation activity has been shown to require sequences located in the carboxy-terminal portion of the protein. Only in the case of Brachyury and its frog and zebrafish orthologs, however, has the region both necessary and sufficient for transcriptional regulation been accurately mapped [16,22]. Interestingly, there are only a few small blocks of conservation between the Brachyury orthologs in this region, and the overall level of similarity is low.
Localization and function
The T-box genes share two characteristics of interest to researchers studying cell specification and differentiation: they tend to be expressed in specific organs or cell types, especially during development, and they are generally required for the development of those tissues (Table 1). In the few cases for which intracellular localization has been analyzed, T-box proteins have shown to be localized exclusively in the nucleus. These considerations, together with their DNA-binding and transcriptional activation/repression capacity, mean that T-box proteins are well placed to fulfill a wide array of important regulatory roles in development. This is supported by the observation that mutant alleles commonly give a phenotype even in heterozygotes (that is, they show haploinsufficiency), indicating that the level of a T-box protein is important for determining its function. In addition, mutational studies have demonstrated that T-box genes are required cell-autonomously (active in the cell in which they are expressed). For example, Brachyury is expressed in posterior mesoderm and in the developing notochord, and it is required for the formation of these cells in mice [1,23,24,25,26,27,28].
T-box genes are also required in specific tissue types at later stages of development: for example, Tbx2, Tbx3, Tbx4 and Tbx5 in the developing limb (reviewed in ). Tbx2 and Tbx3 are expressed in the anterior and posterior margins of both forelimb and hindlimb buds . The posterior expression of Tbx3 is crucial for the development of the more distal limb elements, as shown in human patients lacking TBX3, who have ulnar-mammary syndrome and lack the ulna (a forearm bone) and digits [31,32].
In contrast to the overlap in expression of Tbx2 and Tbx3, their close homologs, Tbx4 and Tbx5, are expressed exclusively in the hindlimb bud and the forelimb bud, respectively . Although the signals that direct expression of these genes to the forelimb or hindlimb are unknown, it is likely that at least part of this involves an interpretation of the 'Hox code', the set of Hox genes expressed in the mesoderm that eventually produces the mesenchyme cells that migrate into the limb buds [33,34]. The expression of Tbx4 lies downstream of Ptx1, a homeobox-containing gene expressed in posterior lateral plate mesoderm. Expression is, however, independent of the signals that direct limb-bud outgrowth. Significantly, these genes not only delineate forelimb and hindlimb territories but also specify forelimb or hindlimb type [33,34]. Retroviral overexpression of Tbx4 inappropriately in forelimb mesenchyme of chick embryos, or of Tbx5 in the hindlimb, can transform the tissue into hindlimb or forelimb type, respectively . The transformation includes both the mesodermally derived skeletal elements and the overlying ectoderm, which develops feathers or scales depending on which gene is expressed . Tbx4 and Tbx5 are thus thought to act as 'selector' genes for the limb bud, defining what type of limb develops; this is corroborated by the correlation of Tbx4 or Tbx5 expression with hindlimb or forelimb identity in the limb buds induced by ectopic expression of fibroblast growth factors in the flank . Finally, mutations in human TBX5 affect forelimb growth and heart development [35,36]. Interestingly, missense mutations within the T-box of human TBX5 that contact the minor groove of DNA (such as Arg237Gln) result primarily in limb abnormalities, whereas the other aspect of Holt-Oram syndrome, aberrant heart development, is predominantly seen as a result of a missense mutation that alters a residue that contacts the major groove (Gly80Arg) . This suggests that tissue-specific target genes are affected by mutations in different residues within the T-box of TBX5.
Mutations in T-box proteins have also been implicated in DiGeorge syndrome, a complex disease that includes abnormalities of the heart's outflow tract [38,39,40], and Tbx2 is amplified in some types of breast cancer .
Despite the essential role for individual members of the T-box gene family in a wide variety of developmental processes, relatively little is known about the genetic and biochemical pathways in which T-box genes act [42,43]. Thus, one of the critical areas for future research is to identify the factors that act directly upstream and downstream of individual T-box genes.
At the cellular level, genetic mutations have provided clues about the requirement for T-box genes in a variety of developmental processes, but the exact function of T-box genes, including questions of genetic redundancy, still needs to be established. For example, in ulnar-mammary syndrome patients it is not clear why there is no corresponding defect in the legs, a region that normally expresses Tbx3 [30,31]. This may perhaps be due to a redundant function with other T-box genes expressed in the hindlimb, such as Tbx2 or Tbx4.
In order to dissect the function of individual T-box genes, it will also be necessary to generate allelic series (as has been useful for the study of Holt-Oram syndrome) and conditional mutations. A case for the latter has already been demonstrated for Eomesodermin, a gene expressed in all vertebrates just prior to gastrulation in the prospective mesoderm and, in the mouse, in the trophectoderm, an extraembryonic tissue that is required for placenta formation and is thus unique to mammals . Mice lacking Eomesodermin fail at, or shortly after, implantation, because of a defect in the trophectoderm. This phenotype can be rescued by wild-type trophectoderm, even if the embryo itself is mutant, but when embryonic tissues lack Eomesodermin, mesoderm differentiation and migration fails completely .
Finally, relatively little is known about post-translational processing, protein turnover, or protein stability for any T-box protein. In addition, only in the case of Tbx5 [46,47], Tbr1 , and Mga  has a protein-protein interaction domain been reported and, with the exception of Mga, the biological significance of these interactions has not yet been determined.
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