Clinical Anatomy, 3rd edn. By Ernest W. April. (Pp. xv+372; illustrated; £16.95 paperback; ISBN 0...

2
J. Anat. (1997) 190, pp. 631–632. Printed in Great Britain 631 Book Reviews Extracellular Regulators of Differentiation and De- velopment. Biochemical Society Symposium, no. 62. Edited by K. C, S. P. J, D. G. W and G. G. L. Pp. xiii176 ; illus- trated ; £65 hardback ; ISBN 1 85578 070 4.) London : Portland Press. 1996. Generation of form and pattern in the developing embryo involves the integrated control of cell proliferation, differen- tiation and morphogenesis. Research into the nature of these processes was, during the late 1980s and early 1990s, dominated by the discovery of new genes whose patterns of expression suggested that their protein products are involved in developmental mechanisms. This descriptive phase has provided a sound basis for investigations of how these gene products themselves induce changes in gene expression and hence further differentiation and morphogenesis. Many of these events involve interactions between ligands and receptors. The two major extracellular signalling systems involve either ligands which are synthesised in cells close to those of their receptor, or circulating hormones, including hormone-like molecules derived from maternal dietary precursors (vitamins A and D). The receptors are either transmembrane proteins whose activation sets off a chain of cytoplasmic events leading to the nucleus, or nuclear receptors that are directly involved in the transcriptional process. Progress in this field was recently celebrated by a Biochemical Society Symposium, the proceedings of which are now published under the title Extracellular Regulators of Differentiation and Development. This is a timely book, and although there have inevitably been some significant new discoveries since the symposium, it is and will remain for some time a good source of information. It is also a well organised book, taking us from peptide growth factors in relatively simple developmental systems, to retinoids and their receptors in the context of mammalian cardiovascular morphogenesis. The variety of systems covered is refreshing : in addition to embryonic development, there are two articles on metamorphosis and one on regeneration. Both of these processes depend on nuclear receptors and their ligands. It was fun to discover that current understanding of the role of the steroid hormone ecdysone in Drosophila development has followed progress in steroid hormone research in mammals ; in discoveries of evolutionary conservation in the molecular control of development, Drosophila tends to lead rather than follow. Most of the articles in this book are written in a style that is accessible to the nonspecialist, including the non- biochemist. An aspect that I particularly liked is that in attempting to present their work to a general readership, many of the authors have considered the general principles that are illustrated by the system they are investigating. In general, the level of success in these important aspects of written communication is inversely proportional to the number of authors. Early in development, maternal factors play important roles. Slack and colleagues describe the experimental evidence for their conclusion that fibroblast growth factors (FGFs) of maternal origin are involved in mesoderm induction through their upregulation of vg1, an activin-like member of the TGFβ family, which is the primary inducer. Many developmental mechanisms discovered in one system are found to have equivalents in quite different contexts, and I was particularly interested to read that it is FGF’s low ‘ tonic ’ stimulus of the signal transduction pathway that makes the animal hemisphere of the embryo competent to respond to activin-like factors, whereas later events in- volving FGFs require higher levels of ligand. The effects of activin are similarly concentration-dependent, and similarly varied, to those of FGFs : Zimmerman & Mathews show that in addition to their involvement in early embryogenesis, activins are involved in the regulation of hormone pro- duction, promotion of erythrogenesis, regulation of cell cycle events, modulation of neuronal differentiation and bone growth. It is precisely these pleiotrophic aspects of signalling molecules that makes it essential for anyone interested in this field to take a broad approach. Vertebrate limb development is a favourite system for developmental biologists ; it is represented in this book by approaches through three different signalling systems, and one account of studies on regeneration. Abud and colleagues summarise recent work that has given spectacular ex- perimental support for the hypothesis that FGFs play fundamental roles in the induction of limb buds from the embryonic flank. The observation that mouse embryos chimaeric for constitutive FGF-4 expression form fin-fold- like structures between the fore and hindlimb buds is particularly intriguing. It is disappointing that the chimaera approach did not result in sustainable limb development (the buds lacked an apical ectodermal ridge), in contrast to the FGF-soaked bead approach used in the chick. Recent advances in understanding the role of Sonic hedgehog (Shh) in patterning the anteroposterior (craniocaudal) axis of the limb is summarised in the article by Marigo and colleagues, including experimental evidence for its induction of the 5« HoxD genes and Bmp-2. These Shh-dependent events also require Fgf-4, which is synthesised in the apical ectodermal ridge. Details of the Shh receptor have been published since this review was written, but their absence does not detract from the usefulness of this account. Thirdly, Sucov and colleagues describe the interesting observation that the well known effects of retinoic acid (RA) excess in inducing limb defects in the mouse are transduced by the nuclear receptor RXRα. Questions concerning the roles of RA in development and regeneration have for many years been dominated by an experimental approach using exogenous RA, often at unphysiologically high levels. The field has now progressed to investigation of the physiological roles of RA ; the major methods are molecular manipulation of the receptors, as exemplified by Sucov and colleagues, and the induction of vitamin A deficiency (not included in this volume). Jeremy Brockes has taken a different approach in his studies on the regenerating amphibian limb, in which exogenous RA is able to alter the axial level of the regenerating structures. He has injected reporter cells into the blastema of the amputated stump, and shown that the injected cells become incor- porated into the blastemal mesenchyme, where they participate in all the normal proliferation and differentiation events of regeneration. This approach has shown that intrinsic RA activity is increased in the blastema during regeneration, that the source of RA is the wound epidermis, and that the strength of RA activity is directly related to the axial level at which the blastema forms. The use of chimaeric

Transcript of Clinical Anatomy, 3rd edn. By Ernest W. April. (Pp. xv+372; illustrated; £16.95 paperback; ISBN 0...

Page 1: Clinical Anatomy, 3rd edn. By Ernest W. April. (Pp. xv+372; illustrated; £16.95 paperback; ISBN 0 683 06199 2.) London and Baltimore: Williams and Wilkins. 1997.

J. Anat. (1997) 190, pp. 631–632. Printed in Great Britain 631

Book Reviews

Extracellular Regulators of Differentiation and De-

velopment. Biochemical Society Symposium, no.

62. Edited by K. C, S. P. J, D. G.

W and G. G. L. Pp. xiii­176; illus-

trated; £65 hardback; ISBN 1 85578 070 4.)

London: Portland Press. 1996.

Generation of form and pattern in the developing embryoinvolves the integrated control of cell proliferation, differen-tiation and morphogenesis. Research into the nature ofthese processes was, during the late 1980s and early 1990s,dominated by the discovery of new genes whose patterns ofexpression suggested that their protein products are involvedin developmental mechanisms. This descriptive phase hasprovided a sound basis for investigations of how these geneproducts themselves induce changes in gene expression andhence further differentiation and morphogenesis. Many ofthese events involve interactions between ligands andreceptors. The two major extracellular signalling systemsinvolve either ligands which are synthesised in cells close tothose of their receptor, or circulating hormones, includinghormone-like molecules derived from maternal dietaryprecursors (vitamins A and D). The receptors are eithertransmembrane proteins whose activation sets off a chain ofcytoplasmic events leading to the nucleus, or nuclearreceptors that are directly involved in the transcriptionalprocess.

Progress in this field was recently celebrated by aBiochemical Society Symposium, the proceedings of whichare now published under the title Extracellular Regulators ofDifferentiation and Development. This is a timely book, andalthough there have inevitably been some significant newdiscoveries since the symposium, it is and will remain forsome time a good source of information. It is also a wellorganised book, taking us from peptide growth factors inrelatively simple developmental systems, to retinoids andtheir receptors in the context of mammalian cardiovascularmorphogenesis. The variety of systems covered is refreshing:in addition to embryonic development, there are two articleson metamorphosis and one on regeneration. Both of theseprocesses depend on nuclear receptors and their ligands. Itwas fun to discover that current understanding of the role ofthe steroid hormone ecdysone in Drosophila developmenthas followed progress in steroid hormone research inmammals ; in discoveries of evolutionary conservation in themolecular control of development, Drosophila tends to leadrather than follow.

Most of the articles in this book are written in a style thatis accessible to the nonspecialist, including the non-biochemist. An aspect that I particularly liked is that inattempting to present their work to a general readership,many of the authors have considered the general principlesthat are illustrated by the system they are investigating. Ingeneral, the level of success in these important aspects ofwritten communication is inversely proportional to thenumber of authors.

Early in development, maternal factors play importantroles. Slack and colleagues describe the experimentalevidence for their conclusion that fibroblast growth factors(FGFs) of maternal origin are involved in mesoderminduction through their upregulation of vg1, an activin-likemember of the TGFβ family, which is the primary inducer.

Many developmental mechanisms discovered in one systemare found to have equivalents in quite different contexts,and I was particularly interested to read that it is FGF’s low‘tonic ’ stimulus of the signal transduction pathway thatmakes the animal hemisphere of the embryo competent torespond to activin-like factors, whereas later events in-volving FGFs require higher levels of ligand. The effects ofactivin are similarly concentration-dependent, and similarlyvaried, to those of FGFs: Zimmerman & Mathews showthat in addition to their involvement in early embryogenesis,activins are involved in the regulation of hormone pro-duction, promotion of erythrogenesis, regulation of cellcycle events, modulation of neuronal differentiation andbone growth. It is precisely these pleiotrophic aspects ofsignalling molecules that makes it essential for anyoneinterested in this field to take a broad approach.

Vertebrate limb development is a favourite system fordevelopmental biologists ; it is represented in this book byapproaches through three different signalling systems, andone account of studies on regeneration. Abud and colleaguessummarise recent work that has given spectacular ex-perimental support for the hypothesis that FGFs playfundamental roles in the induction of limb buds from theembryonic flank. The observation that mouse embryoschimaeric for constitutive FGF-4 expression form fin-fold-like structures between the fore and hindlimb buds isparticularly intriguing. It is disappointing that the chimaeraapproach did not result in sustainable limb development(the buds lacked an apical ectodermal ridge), in contrast tothe FGF-soaked bead approach used in the chick. Recentadvances in understanding the role of Sonic hedgehog (Shh)in patterning the anteroposterior (craniocaudal) axis of thelimb is summarised in the article by Marigo and colleagues,including experimental evidence for its induction of the 5«HoxD genes and Bmp-2. These Shh-dependent events alsorequire Fgf-4, which is synthesised in the apical ectodermalridge. Details of the Shh receptor have been published sincethis review was written, but their absence does not detractfrom the usefulness of this account. Thirdly, Sucov andcolleagues describe the interesting observation that the wellknown effects of retinoic acid (RA) excess in inducing limbdefects in the mouse are transduced by the nuclear receptorRXRα.

Questions concerning the roles of RA in development andregeneration have for many years been dominated by anexperimental approach using exogenous RA, often atunphysiologically high levels. The field has now progressedto investigation of the physiological roles of RA; the majormethods are molecular manipulation of the receptors, asexemplified by Sucov and colleagues, and the induction ofvitamin A deficiency (not included in this volume). JeremyBrockes has taken a different approach in his studies on theregenerating amphibian limb, in which exogenous RA isable to alter the axial level of the regenerating structures. Hehas injected reporter cells into the blastema of the amputatedstump, and shown that the injected cells become incor-porated into the blastemal mesenchyme, where theyparticipate in all the normal proliferation and differentiationevents of regeneration. This approach has shown thatintrinsic RA activity is increased in the blastema duringregeneration, that the source of RA is the wound epidermis,and that the strength of RA activity is directly related to theaxial level at which the blastema forms. The use of chimaeric

Page 2: Clinical Anatomy, 3rd edn. By Ernest W. April. (Pp. xv+372; illustrated; £16.95 paperback; ISBN 0 683 06199 2.) London and Baltimore: Williams and Wilkins. 1997.

632 Book Review

receptors has further indicated that the effect of retinoic acidis direct, using a specific receptor. The question now beingpursued is how this signalling process is translated intopositional information. The level of understanding of thepatterning role of RA already achieved here is greatly inadvance of that for any other morphogenetic system; thiswork is a model for the fruitful integration of molecular andsurgical approaches to fundamental developmental prob-lems.

It is not possible to do justice to all the articles in thisexcellent volume. The book ends with a brief reference tooverlap between the FGF and RA signalling systems, in thereport by Old and colleagues that RA induces a novelmitogen-activated protein kinase phosphatase (a moleculethat can modulate signal transduction from cell surfacereceptors that act via the MAP kinase pathway). But it isJamshed Tata, in his article on metamorphosis, who bestsummarises the integrative nature of all the signallingmechanisms addressed in this book: ‘As cross-talk systemsbecome better defined at the molecular level, it will becomeincreasingly clear that complex intracellular networks ofhormonal and non-hormonal signals facilitate a well-co-ordinated and homoeostatically controlled regulation ofgrowth and development’. To work on extracellular factorsand receptors in the context of signalling systems inembryonic development, one must keep an eye on the wholefield; this book provides an excellent perspective.

-

Clinical Anatomy, 3rd edn. By E W. A. (Pp.

xv­372; illustrated; £16.95 paperback;

ISBN 0 683 06199 2.) London and Baltimore:

Williams and Wilkins. 1997.

There are, of course, vast numbers of textbooks of anatomyfor medical students, let alone those designed for dentists,nurses, and other specialist groups. This particular one, nowappearing in its 3rd edition, forms part of a large groupentitled ‘National Medical Series for Independent Studies ’which covers basic sciences and clinical subjects for medicalstudents. The publisher states that the first objective of thisbook is to facilitate the study and review of human anatomyand is aimed at the United States Medical LicenceExamination Step I. Its author, a professor of anatomy andcell biology at the College of Physicians and Surgeons ofColumbia University, New York, has produced an intensivetext : a mass of information in small type and in note fromwith numerous line diagrams and supplemented by manyand extensive tables. The whole field of macroscopicanatomy is covered and each section ends with a largenumber of questions, mostly based on clinical problems,with ‘yes or no’ answers provided and the correct answersthen discussed.

This book has obviously been a proven success in theUnited States. Its very condensed format is unlikely toappeal to medical students in the United Kingdom, althoughthey could find its highly concentrated note format useful forrapid reference.