Expression of Endogenous Epitope-Tagged GPR4 in the Mouse Brain

GPR4 is a proton-sensing G-protein-coupled receptor implicated in many peripheral and central physiological processes. GPR4 expression has previously been assessed only via detection of the cognate transcript or indirectly, by use of fluorescent reporters. In this work, CRISPR/Cas9 knock-in technology was used to encode a hemagglutinin (HA) epitope tag within the endogenous locus of Gpr4 and visualize GPR4-HA in the mouse central nervous system using a specific, well-characterized HA antibody; GPR4 expression was further verified by complementary Gpr4 mRNA detection. HA immunoreactivity was found in a limited set of brain regions, including in the retrotrapezoid nucleus (RTN), serotonergic raphe nuclei, medial habenula, lateral septum, and several thalamic nuclei. GPR4 expression was not restricted to cells of a specific neurochemical identity as it was observed in excitatory, inhibitory, and aminergic neuronal cell groups. HA immunoreactivity was not detected in brain vascular endothelium, despite clear expression of Gpr4 mRNA in endothelial cells. In the RTN, GPR4 expression was detected at the soma and in proximal dendrites along blood vessels and the ventral surface of the brainstem; HA immunoreactivity was not detected in RTN projections to two known target regions. This localization of GPR4 protein in mouse brain neurons corroborates putative sites of expression where its function has been previously implicated (e.g., CO2-regulated breathing by RTN) and provides a guide for where GPR4 could contribute to other CO2/H+ modulated brain functions. Finally, GPR4-HA animals provide a useful reagent for further study of GPR4 in other physiological processes outside of the brain.

Detection of GPR4 within the mouse, including in the brain, has proven technically challenging due to a lack of specific antibodies.Previous experiments examining GPR4 localization in the mouse have indirectly inferred sites of expression using a GPR4 promotor-driven fluorescent marker (Sun et al., 2016;Sanderlin et al., 2017;Marie et al., 2023), Cre expression from the GPR4 locus to enable fluorescent marker lineage tracing (Hosford et al., 2018) or relied on RNA detection as a proxy for protein expression (An et al., 1995;Mahadevan et al., 1995;Wyder et al., 2011;Kumar et al., 2015;Shi et al., 2017;Hosford et al., 2018).These methods each have limitations: they either do not reflect GPR4 expression at the time of tissue harvest or do not inform subcellular localization of GPR4 itself.
To circumvent these technical limitations, we pursued an endogenous knock-in strategy to incorporate a small hemagglutinin (HA) tag into GPR4 using CRISPR/Cas9 genome editing.With this approach, we used well-characterized, highly specific, and easily accessible epitope antibodies to characterize GPR4 expression in the mouse brain.We compare protein and RNA distribution and provide new quasi-quantitative information on regional and subcellular localization of GPR4 protein in different cell populations.

Materials and Methods
Animal care.This study was completed in accordance with the requirements of the Institutional Animal Care and Use Committee at the University of Virginia and was completed in an AALAC-accredited animal care facility.All efforts were made to minimize the number of animals used in these studies.Tissue used in this study was obtained from 8 to 12-week-old C57/BL6 mice (for in situ studies, n = 3, 2 male, 1 female) or mixed B6SJL background animals (for immunohistochemical studies: n = 6, 3 male, 3 female).Animals were group housed (3-5 animals per cage) on cob bedding with ad libitum access to food, water, and enrichment items.Cage bedding, food, and water were changed weekly.The animal housing facility was maintained on a 12 h dark/light cycle at 22°C and humidity 50%.Animals were monitored daily by veterinary staff for distress or injury.
Generation of Gpr4 HA knock-in mouse model.CRISPR-assisted genome editing technology was used by the Genetically Engineered Murine Model (GEMM) Core at the University of Virginia to generate the Gpr4 HA knock-in mouse.In short, an sgRNA (CATGGGGCTCACTGTGCCGGGGG) was selected based on a search through the coding region of the C terminus of Gpr4 using the CRISPR guide design algorithm CRISPOR (http://crispor.tefor.net/).The HA tag (YPYDVPDYA-STOP, TATCCATACGACGTTCCAGATTACGCTTAG) preceded by a Gly-Ser-Ser-Gly (GGATCCTCA GGT) linker was introduced onto the C-terminal sequence of the wild-type (WT) Gpr4 gene to generate the Gpr4-HA donor (199mer ssODN, sequence below).The sgRNA, Cas9, and ssODN were purchased from Integrated DNA Technologies.The sgRNA was diluted to 200 μM in RNase-free microinjection buffer (10 mM of Tris-HCl, pH 7.4, 0.25 mM of EDTA).Ribonucleic protein (RNP) complex was formed by mixing and incubating Cas9 at 0.2 ug/µl with sgRNA at 3 μM in RNase-free microinjection buffer at 37°C for 10 min.The ssODN incorporating the epitope tag was added at a concentration of 0.3 ug/µl.Fertilized eggs were collected from B6SJLF1 females mated with males of the same line (The Jackson Laboratory).The RNP/ssODN were codelivered by electroporation with a NEPA21 super electroporator (Nepa Gene) into the fertilized eggs, which were cultured overnight in KSOM medium (EMD Millipore) at 37°C in 5% CO 2 .The next morning, zygotes that had reached the two-cell stage were implanted into the oviducts of pseudopregnant foster mothers of the ICR strain (Envigo).Pups born to foster mothers were screened using tail snip DNA for PCR genotyping followed by Sanger sequencing, with analysis of the knock-in performed using the Synthego Inference of CRISPR Edits (ICE) Analysis tool (https://ice.synthego.com).Germline transmission of the desired allele was confirmed by breeding the founders with wildtype C57BL/6J mice (The Jackson Laboratory) and sequencing the pup DNA, as described above.Homozygous Gpr4 HA /HA and littermate Gpr4 +/+ controls were used for plethysmography and immunohistochemistry experiments; although immunostaining was observed with Gpr4 HA/+ heterozygotes in regions of high expression (e.g., RTN), the labeling was less intense in neuronal somata and more difficult to discern in neuronal processes.
Whole body plethysmography.Ventilatory responses were measured in conscious mice by whole body plethysmography in chambers manufactured by Data Sciences International (601-1540-001) and recorded with IOX software (EMKA Technologies).A mass flow regulator provided quiet, constant and smooth flow through the animal chamber (0.5 L/min).Mice were familiarized with the plethysmography chamber the day prior to testing (3-4 h acclimation period) and again immediately before the testing protocol (for at least 2 h).The typical protocol entailed three sequential incrementing CO 2 challenges (7 min exposures to 4%, 6%, 8% CO 2 , balance O 2 ; each separated by 5 min of 100% O 2 ).Hypercapnic exposure was performed in hyperoxia to minimize contributions of peripheral chemoreceptors to the hypercapnic ventilatory reflex and attribute ventilatory effects to central chemoreception.CO 2 tension in the chambers was verified with a capnograph.After data collection, Poincare analysis of the breathing frequency over the final 3 min of each challenge period for CO 2 was performed to select periods of regular, calm breathing for analysis of frequency, tidal volume, and minute ventilation.
RNAscope in situ hybridization.Fresh fixed tissue sections brainstem/midbrain (30 µm) or forebrain (40 µm) were mounted on Superfrost Plus charged glass slides (Fisher Scientific 12-550-15) and allowed to dry overnight at room temperature.A hydrophobic barrier was drawn around the sections using an ImmEdge Pen (Vector Laboratories H-4000).Sections were prepared for hybridization by incubation in Protease IV (ACDBio 322336) for 30 min at 40°C.Sections were labeled with probes listed in Table 2 according to manufacturer's instructions for the RNAscope Fluorescent Multiplex Reagent Kit v1 (ACDBio 320850).After hybridization and labeling, sections were allowed to dry before sealing with ProLong Gold antifade reagent with DAPI (Invitrogen P36935).Images of RNAscope labeled sections were collected on a Zeiss AxioImager Z1 widefield epifluorescence microscope.
Image analysis.For both widefield and confocal images, Z-stacks were collected through the thickness of the tissue and collapsed into maximum intensity projections for image processing.Background was corrected using the MOSAIC Suite background correction tool in Fiji.Brightness and contrast were adjusted using Fiji in order to maximize signal and minimize background.Images from sections from the same brain region were adjusted by an equal amount.For certain images, adjacent frames were stitched together using the built-in stitching tool in Fiji to generate larger composites for figures.
Cell counts and analysis.Serial sections (1:3 series) through the rostrocaudal extent of the RTN and caudal raphe were analyzed during all IHC experiments.At least three representative sections from each animal were taken for the thalamus, lateral septum, and dorsal raphe.Images were acquired using an epifluorescence microscope (Zeiss AxioImager Z1) equipped with Neurolucida software.Labeled cells were counted and aligned for averaging according to defined anatomical landmarks (Paxinos and Franklin, 2001).Tracings were exported to NeuroExplorer software (MBF Bioscience) for analysis of cell numbers within the ventral brainstem and 2D plots of marker locations on section traces.
Stereotaxic injection of adeno-associated virus (AAV) into the RTN.Nmb Cre/+ mice contain an IRES-Cre knock-in to the endogenous Nmb locus so that Cre expression mirrors NMB expression in the RTN.Details on generation and characterization of this line can be found in Souza et al. (2023).Adult Nmb Cre/+ ;Gpr4 HA/HA mice (8-12 weeks old) were anesthetized with ketamine/dexmedetomidine HCl (100 mg kg −1 and 0.2 mg kg −1 , i.p.), mounted in a stereotaxic apparatus and maintained at 37°C with a servo-controlled heating pad.After craniotomy, a pipette filled with AAV2-DIO-mCherry under the control of the human synapsin promoter (VectorBuilder, diluted to ∼2 × 10 9 transducing units per ml) was inserted at coordinates ∼1.4 mm lateral to midline, 1.4 mm caudal to lambda, and 5.0-5.4mm ventral to the pial surface of the cerebellum.In addition to stereotaxic coordinates, we recorded antidromic field potentials elicited by stimulating the mandibular branch of the facial nerve to locate the position of the facial motor nucleus more precisely.For unilateral injections in the RTN, the tip of the injection pipette was positioned 100 μm below the facial motor nucleus, and at five rostrocaudally aligned sites along the facial motor nucleus, separated by 200 μm.The glass injection pipette was connected to an electronically controlled pressure valve (Picospritzer II) and brief pressure pulses (3-6 ms) were used to inject 100-150 nl of virus at each site.After surgery, mice were treated with ketoprofen (4 mg/kg, subcutaneously) and allowed to recover on a heated pad.At least 4 weeks elapsed after virus injection before mice were killed and tissue was collected for subsequent analysis.

Results
A CRISPR/Cas9 knock-in strategy was used to incorporate an HA tag sequence to the 3 ′ end of the Gpr4 coding region at the endogenous locus in the mouse genome (Fig. 1A).The addition of this nonapeptide epitope tag (YPYDVPDYA-STOP, preceded by a four-residue GSSG linker) to the extreme C terminus of GPR4 has no effect on pH-dependent cAMP production by GPR4 receptors transiently transfected in HEK293T cells (Fig. 1B).In addition, by whole animal plethysmography, GPR4 HA/HA knock-in animals demonstrate a normal hypercapnic ventilatory response (HCVR), in comparison with their wild-type GPR4 +/+ littermates (Fig. 1C).Thus, HA-tagged GPR4 retains normal function in these two established assays, in vitro and in vivo.
Target brain regions chosen for assessing GPR4 protein expression using the HA knock-in tag were determined based on previous studies examining Gpr4 mRNA expression (Magdaleno et al., 2006;Lein et al., 2007;Wyder et al., 2011;Kumar et al., 2015;Shi et al., 2017;Hosford et al., 2018) as well as on our own Gpr4 mRNA expression screen throughout the brain.For each region described below, we present expression of both GPR4 mRNA and protein.Retrotrapezoid nucleus (RTN) RTN neurons are required for CO 2 /H + -evoked respiratory chemoreflexes (Guyenet et al., 2019;Gonye and Bayliss, 2023;Souza et al., 2023), and they can be identified within the parafacial region of the mouse rostral ventrolateral medulla by their expression of PHOX2B, and more specifically by expression of Neuromedin B (Nmb; Shi et al., 2017).Nmb-expressing RTN neurons express high levels of Gpr4 transcript (Kumar et al., 2015;Shi et al., 2017;Hosford et al., 2018).Indeed, in wild-type C57BL6/J mice (Fig. 2A), Gpr4 expression can be clearly localized to Nmb + (RTN) neurons in the parafacial region of the medulla (arrowheads); as described earlier (Shi et al., 2017), some dorsally located neurons with especially high levels of Nmb do not express Gpr4 (arrows).In this region, specific HA staining is observed in the cell bodies of PHOX2B + neurons and in their processes along the ventral surface of the medulla (Fig. 2B).HA-positive signal is only evident in GPR4 HA/HA animals, not their GPR4 +/+ littermates (Fig. 2B,C).The rostrocaudal distribution of HA + cells in this region closely mirrors that of RTN neurons (Fig. 2D; Lazarenko et al., 2010;Kumar et al., 2015;Shi et al., 2017), and the percentage of PHOX2B + cells that are immunoreactive for HA (74.6 ± 6.4, n = 4 animals) is comparable to that previously reported for the percentage of PHOX2B-expressing neurons that contain GPR4 transcripts (∼70%; Kumar et al., 2015).

Caudal raphe nuclei
The caudal raphe nuclei (Fig. 3A) have been proposed as an important cell group contributing to central respiratory chemoreception (Hodges andRicherson, 2008, 2010;Corcoran et al., 2009), and previous work has localized Gpr4 transcripts to serotonergic raphe neurons (Kumar et al., 2015;Hosford et al., 2018).Likewise, we find that Gpr4 mRNA expression can Figure 1.Incorporating an HA epitope tag into GPR4 does not alter receptor function in vitro or the hypercapnic ventilatory reflex in vivo.A, Illustration of the CRISPR/Cas9 knock-in strategy, generated in BioRender, and a representative agarose gel of the diagnostic PCR used to detect the HA tag at the C-terminal end of GPR4.B, Activation by acidification of wild-type and HA-tagged GPR4 in HEK293T cells detected using the luminescent GloSensor assay for cAMP production (normalized to pH-independent, forskolin-activated cAMP production).Note that acidification does not increase cAMP in cells expressing a nonsignaling GPR4(R117A).C, Minute ventilation of Gpr4 HA/HA and wild-type Gpr4 +/+ mice assessed by whole body plethysmography.be observed in serotonergic Tph2 + cells throughout the raphe magnus (RMg), raphe pallidus (RPa), raphe obscurus (ROb), as well as the parapyramidal (PPy) raphe (Fig. 3B).Using these mRNA expression results as a guide, we assessed HA staining patterns in the same raphe nuclei.Indeed, HA immunoreactivity is detected in all subdivisions of the serotonergic raphe that display Gpr4 transcript (Fig. 3C-E).Within the cell, HA staining labels the soma and large proximal neurites.The spatial distribution of HA + /TPH + neurons throughout the range of the caudal raphe nuclei (Fig. 4A) mirrors transcript localization.Overall, HA staining is detected in ∼90% of serotonergic (TPH + ) neurons throughout these subdivisions of the caudal raphe (Fig. 4B).

Median and dorsal raphe
Previous lineage tracing of GPR4 expression using a Cre/fluorescent reporter system described reporter expression in both the median and dorsal raphe (Hosford et al., 2018).The same work also reported Gpr4 transcript expression in the dorsal raphe region (Fig. 5A).We also observed Gpr4 expression in Tph2 + cells of both the median and dorsal raphe (Fig. 5B).HA staining in the serotonergic subset of dorsal and median raphe neurons directly corresponds to the expression pattern of Gpr4 transcript and is only observed in HA knock-in mice (Fig. 5C,D).HA staining is observed mainly in the soma and large neurites.

Thalamus
Gpr4 transcript can be observed in multiple glutamatergic thalamic nuclei (Fig. 6), in which neurons express the vesicular glutamate transporter 2 (VGlut2, encoded by Slc17a6).Similarly, GPR4-HA staining can be noted in the same locations as Gpr4 transcript throughout the thalamus (Fig. 7A-E).In addition, Gpr4 transcripts are evident in the medial habenula (Fig. 6E); in the habenula, HA staining labels the cell bodies of the cholinergic neurons (choline acetyltransferase, ChAT + ) cells in the ventrolateral division of the nucleus (Fig. 7E).The intensity of HA staining varies between individual cells within the habenula, but ChAT − /HA + cells were not observed in the sections examined for these studies.A small population of ChAT + /HA − cells are also present.In addition to thalamic cell groups described in Figures 6 and 7, high levels of Gpr4 transcript are observed in the glutamatergic (Slc17a6 + ) cells of the dorsal aspect of the medial geniculate nucleus    (Fig. 8A,B).Strong GPR4-HA staining can be also observed in calbindin-expressing cells at the same anatomical location, corresponding to the excitatory neurons identified by Gpr4 transcript expression and corresponding to cluster of neurons previously identified in the geniculate via single nucleus RNA sequencing (Bakken et al., 2021; Fig. 8C,D).

Lateral septum
As previously reported (Hosford et al., 2018), Gpr4 expression can be observed in the GABAergic cells of the lateral septum (marked by expression of the GABA vesicular transporter, Vgat1; Slc32a1).Increasing levels of Gpr4 expression are apparent moving medially from the lateral ventricle toward the intermediate portion of the lateral septum and the medial septum (Fig. 9A,  B).HA staining in GPR4 HA/HA mice exhibits the same spatial pattern as observed for transcript expression and is not observed in wild-type controls (Fig. 9C,D).These protein expression results also match previous lineage tracing results (Hosford et al., 2018).In the lateral septum, HA staining is mainly observed in the cell bodies and large proximal neurites.

Vascular endothelium
Gpr4 transcript can be detected in brain vascular endothelium, where non-neuronal Gpr4 labeling in the brainstem overlays strikingly with labeling for the endothelial marker, Pecam1 (Fig. 10A).However, HA labeling is undetectable in PECAM + vascular endothelial cells in sections from GPR4 HA/HA mice (Fig. 10B,D).

RTN: processes, projections, and terminal fields
We further examined the subcellular organization of HA labeling in the RTN.We leveraged the cell-specific expression of neuromedin B by RTN neurons in the parafacial region of the mouse brainstem (Shi et al., 2017) to specifically label those neurons by injecting an mCherry-expressing, Cre-dependent AAV into that region of Gpr4 HA/HA animals crossed with an Nmb-Cre mouse (Souza et al., 2023).We then examined HA expression in the mCherry + (i.e., Nmb-expressing) neuronal somata and processes in the RTN itself, as well as in RTN-derived fibers at two previously described RTN projection targets, the preBötzinger complex (preBötC) and the lateral parabrachial nucleus (lPBN; Fig. 11A).At the RTN level, HA staining can be observed in mCherry-expressing cell bodies and neuronal processes within the nucleus, as well as in their projections along the ventral medullary surface (Fig. 11B).In both the preBötC and lPBN regions, however, we were unable to detect HA staining in mCherry + projections from the RTN (Fig. 11C,D).

Discussion
In this study, we leveraged CRISPR/Cas9 genome editing to introduce a small epitope tag sequence into the genomic locus of Gpr4 to enable detection of GPR4 protein expressed endogenously in the brain.Introduction of the small (13 aa) linker-HA cassette onto the C terminus of GPR4 had no apparent effect on GPR4-mediated signaling in vitro or on CO 2 -stimulated breathing in vivo, two functions for which GPR4 expression is necessary.Examination of HA staining in the brain regions shown to express Gpr4 transcript reveals detectable GPR4 protein expression in neurons from all loci displaying transcript expression.Thus, these data yield an independent validation of GPR4 protein expression in the mouse brain, confirming a relatively restricted expression of this pH-sensitive GPCR to several neuronal nuclei and providing a new resource to examine GPR4 expression in other tissues where its function has been implicated.GPR4 expression is not limited to only glutamatergic or GABAergic neuronal populations.GPR4 transcript and protein are present in the GABAergic (Slc32a1 + ) neurons of the lateral septum, the glutamatergic (Slc17a6 + ) neurons of the thalamus and RTN, and also the cholinergic (ChAT + ) neurons of the habenula and the serotonergic (TPH + ) neurons of multiple raphe nuclei.The presence of GPR4 in cells representing a wide variety of molecular signatures indicates a possible role of the receptor in multiple contexts, respiratory or otherwise.In the RTN specifically, GPR4 expression is known to be necessary for a normal HCVR; a blunted HCVR is observed in GPR4 global knock-out mice, and selective reintroduction of GPR4 protein expression into RTN neurons of GPR4 knock-out mice is sufficient to restore the HCVR to the wild-type level (Kumar et al., 2015).Although GPR4 is also expressed in the caudal raphe nuclei, its presence is not required for the activation of serotonergic neurons by CO 2 (as assessed by Fos expression after an acute CO 2 challenge) so it may not play a role in manifesting their CO 2 sensitivity, at least under the conditions tested (Kumar et al., 2015;Hosford et al., 2018).The dorsal and median raphe are critical for CO 2 -induced arousal from sleep (Buchanan and Richerson, 2010;Smith et al., 2018).It is possible that GPR4 expression by these neurons may mediate, at least in part, the direct sensation of CO 2 by the DR/MR to promote arousal.
Many of the nuclei shown to express GPR4 in this study have been implicated in the manifestation and control of anxiety.CO 2 is a powerful anxiogenic stimulus in rodents and humans that causes rapid and pronounced autonomic arousal and emotional distress (Bailey et al., 2005(Bailey et al., , 2011;;Poma et al., 2005;Ziemann et al., 2009;Vickers et al., 2012).Chemo-and optogenetic activation of the GABAergic neurons in the lateral septum, in the same area as the cells found to express    GPR4 in this study, induces anxiety behaviors in mice (Anthony et al., 2014;Rizzi-Wise and Wang, 2021;Wang et al., 2023).It is possible that the expression of GPR4 by these anxiety-initiating neurons in the lateral septum may mediate some of the anxiogenic effects of CO 2 .The potential role of GPR4 in the medial habenula is more ambiguous.The MHb has been shown to be crucial for anxiety and fear responses, but the specific pathways mediating its role in mood regulation are uncharacterized (Lee et al., 2019;Roy and Parhar, 2022).Gross ablation of the MHb, electrolysis of MHb efferents, or inhibition of MHb neuron firing leads to increased anxiety behaviors and increased circulating corticosterone (Murphy et al., 1996;Kobayashi et al., 2013;Mathuru and Jesuthasan, 2013;Jacinto et al., 2017;Cho et al., 2020).Ablation of the cholinergic neurons of the ventral portion of the MHb, which are the cells shown to express GPR4, leads to increased fear behavior and higher baseline anxiety (Zhang et al., 2016;Lee et al., 2019).It is unclear how activation of the MHb by GPR4 during hypercapnia would lead to the increased anxiety and freezing behavior observed, given the seemingly contradictory observations noted in ablation studies; perhaps GPR4 signaling inhibits the activity of cholinergic MHb neurons.Additionally, there is significant crossover between efferents and afferents of the GPR4-expressing forebrain nuclei; for example, both the lateral septum and medial habenula project to the dopaminergic neurons of the ventral tegmental area (VTA), whose activation induces anxiety behaviors (Herkenham and Nauta, 1977;Qin and Luo, 2009;Yamaguchi et al., 2013;Anthony et al., 2014;Namboodiri et al., 2016;McLaughlin et al., 2017;Rizzi-Wise and Wang, 2021;Besnard and Leroy, 2022;Gouveia and Ibrahim, 2022;Qi et al., 2022;Wang et al., 2023).It is possible that GPR4 acts more broadly to tune the overall anxiety system during hypercapnia and not in activating distinct nuclei.Anxiety phenotypes have not yet been reported in GPR4 knock-out mice.

Limitations and caveats
We identified HA immunoreactivity in all neuronal populations where Gpr4 mRNA was found, a correspondence suggesting faithful protein translation of the transcript and detection of the incorporated epitope tag.However, HA staining was not detected in endothelial cells of blood vessels, despite the clear presence of transcript in those same endothelial cells.From these results, it is not possible to rule out GPR4 expression in vascular endothelial cells; it is conceivable that the knock-in of a single HA tag does not provide enough sensitivity to detect GPR4 at the relatively low levels of transcript present in blood vessels.While GPR4 protein can be abundantly detected via HA labeling at the cell body and in long ventral surface dendrites of RTN neurons, it was not visible in terminals at two RTN targets.Again, this observation could be due to endogenous protein expression being too low to detect without further amplification of immunostaining signal or incorporation of multiple HA epitopes in sequence (e.g., 3xHA).Thus, these data do not unambiguously indicate that GPR4 protein is absent from vessels, terminals, or more long-distance projections.
Together, this work reveals a relatively restricted expression pattern of neuronal GPR4 expression in mouse brain that is nevertheless associated with a variety of cell types (i.e., glutamatergic, GABAergic, serotonergic, cholinergic).Aside from its demonstrated contribution to respiratory chemosensitivity via RTN neurons (Kumar et al., 2015;Hosford et al., 2018), the role of GPR4 in additional CO 2 /H + -sensitive processes (e.g., arousal, anxiety) mediated by other GPR4-expressing neurons remains to be determined.Finally, the availability of this mouse line will allow detection of GPR4 expression in other peripheral tissues where its role in (patho)physiological processes has been suggested.

Figure 2 .
Figure 2. GPR4 transcript and protein expression in the retrotrapezoid nucleus (RTN).A, RNAscope multiplex in situ hybridization (ISH) labeling for Gpr4 and the RTN marker Nmb at bregma level −6.48 mm.Arrowheads indicate RTN neurons that coexpress Nmb and Gpr4; arrows indicate more dorsally located neurons with high levels of Nmb that do not express Gpr4 (Shi et al., 2017).B, C, HA immunostaining in the RTN of Gpr4 HA/HA (B) and wild-type Gpr4 +/+ (C) mice; RTN neurons are identified by expression of PHOX2B.D, Representative maps of PHOX2B+/HA+ cells and PHOX2B-only cells through the rostrocaudal extent of the RTN (top, bregma −5.8 to −7.08), and average distribution of HA+ cells through the RTN (bottom).Data were averaged (±SEM) from four mice; scale bar, 50 µm.

Figure 8 .
Figure8.GPR4 transcript and protein expression in the geniculate nucleus.A, Representative diagram of key landmarks around the medial geniculate nucleus at bregma level −3.28 mm.MGD, medial geniculate nucleus, dorsal part; MGV, medial geniculate nucleus, ventral part; MGM, medial geniculate nucleus, medial part; SG, suprageniculate nucleus; PIL, posterior intralaminar thalamic nucleus.B, RNAscope ISH labeling of Gpr4 expression in the geniculate nucleus, together with markers for glutamatergic (Slc17a6) and GABAergic neurons (Slc32a1).C, HA staining in the Calbindin B (CALB) expressing cells of the dorsal aspect of the geniculate nucleus of Gpr4 HA/HA mice; dotted line designates region viewed at higher power in (Ci).D, Lack of HA staining in a wild-type mouse at the region analogous to that displayed in (Ci).

Figure 9 .
Figure 9. GPR4 transcript and protein expression in the lateral septum.A, Representative diagram of key landmarks around the lateral septum at bregma level 0.38 mm.LV, lateral ventricle; cc, corpus callosum; LSD, dorsal lateral septal nucleus; LSI, intermediate lateral septal nucleus; LSV, ventral septal nucleus; MS, medial septal nucleus; BST, bed nucleus of the stria terminalis; aca, anterior commissure anterior part.B, RNAscope ISH labeling of Gpr4 expression in GABAergic (Slc32a1) neurons of the lateral septum.C, HA staining throughout the lateral septum of a Gpr4 HA/HA mouse; the indicated region is displayed at higher magnification in (Ci).D, Lack of HA staining in a wild-type mouse at a region analogous to that displayed in (Ci).Scale bar, 50 µm.

Figure 10 .
Figure 10.GPR4 transcript, but not protein, is detectable in brain endothelial cells.A, RNAscope in situ labeling of Gpr4 expression in endothelial (Pecam1 + ) cells in the wild-type mouse brainstem.B, C, HA staining in RTN neurons from a Gpr4 HA/HA mouse, with adjacent small vessels labeled by PECAM expression; vessel cross sections (walls and lumen) are delineated by dashed lines.C, PECAM staining within vessel boundaries.D, HA staining located outside of PECAM + vessels.Scale bar, 25 µm.

Figure 11 .
Figure11.GPR4 is evident in the processes of Nmb-expressing RTN neurons but undetectable at terminals in the preBötC or lPBN.A, Illustration of the viral expression and immunostaining strategy for assessing GPR4 protein expression in processes and terminals of NMB neurons in the RTN area, lPBN, or PreBötC, generated in BioRender.B, HA staining in mCherry labeled neurons in the RTN area of an Nmb Cre/+ ; Gpr4 HA/HA mouse injected with AAV-DIO-mCherry with high power images of areas bounded by dotted lines (i,ii); arrows denote staining in RTN cell bodies, arrowheads denote staining in RTN processes.C, mCherry labeled terminals in the preBötC area (bregma −7.48 mm).D, mCherry labeled terminals in the lPBN (denoted by CGRP staining).Scale bar, 25 µm.