Prdm13 forms a feedback loop with Ptf1a and is required for glycinergic amacrine cell genesis in the Xenopus Retina

Background Amacrine interneurons that modulate synaptic plasticity between bipolar and ganglion cells constitute the most diverse cell type in the retina. Most are inhibitory neurons using either GABA or glycine as neurotransmitters. Although several transcription factors involved in amacrine cell fate determination have been identified, mechanisms underlying amacrine cell subtype specification remain to be further understood. The Prdm13 histone methyltransferase encoding gene is a target of the transcription factor Ptf1a, an essential regulator of inhibitory neuron cell fate in the retina. Here, we have deepened our knowledge on its interaction with Ptf1a and investigated its role in amacrine cell subtype determination in the developing Xenopus retina. Methods We performed prdm13 gain and loss of function in Xenopus and assessed the impact on retinal cell fate determination using RT-qPCR, in situ hybridization and immunohistochemistry. Results We found that prdm13 in the amphibian Xenopus is expressed in few retinal progenitors and in about 40% of mature amacrine cells, predominantly in glycinergic ones. Clonal analysis in the retina reveals that prdm13 overexpression favours amacrine cell fate determination, with a bias towards glycinergic cells. Conversely, knockdown of prdm13 specifically inhibits glycinergic amacrine cell genesis. We also showed that, as in the neural tube, prdm13 is subjected to a negative autoregulation in the retina. Our data suggest that this is likely due to its ability to repress the expression of its inducer, ptf1a. Conclusions Our results demonstrate that Prdm13, downstream of Ptf1a, acts as an important regulator of glycinergic amacrine subtype specification in the Xenopus retina. We also reveal that Prdm13 regulates ptf1a expression through a negative feedback loop.


Background
The vertebrate retina is a suitable model system for studying neurogenesis. It comprises six classes of retinal cells organized in three cellular layers: retinal ganglion cells and displaced amacrine cells in the ganglion cell layer (GCL); bipolar, amacrine and horizontal cells as well as Müller glia in the inner nuclear layer (INL); rod and cone photoreceptors in the outer nuclear layer (ONL). These cell classes can be further divided into over more than 60 different subtypes of neurons. Amacrine cells belong to the most diverse class, with about 30 morphologically distinct subtypes [1,2], and show a high molecular diversity [3]. Numerous cell fate determinants have been identified in the different classes of retinal cells [4][5][6][7]. Yet, the mechanisms by which retinal cell subtypes diversity is generated during development remain poorly understood.
Despite their broad morphological diversity, amacrine neurons are often divided in only two groups based on the expression of inhibitory glycine or γ-aminobutyric acid (GABA) neurotransmitters. These two subtypes have distinct birthdates, GABAergic amacrine cells being generated earlier than glycinergic ones [3,8]. This suggests that different genetic programs are used to determine these cellular subtype identities. It is thus important to examine cell-fate determination at the level of retinal cell subtypes. Some studies have addressed this issue and identified factors involved in amacrine subtype specification such as Neurod6, Bhlhb5 (Bhlhe22), Barhl2, Nr4a2, Islet-1 (Isl1), Ebf, [9][10][11][12][13][14][15][16]. We here focused our interest on the PRDM (PRDI-BF1 and RIZ homology domain) family of transcription factors. PRDM proteins are characterised by a variable number of zinc-finger domains and a PR (PRDI-BF1-RIZ1) domain related to the SET (Su(var)3-9, Enhancer-ofzeste and Trithorax) domain found in a large group of histone methyltransferases [17,18]. PRDM family members emerged as important regulators of neural development. In the retina, Prdm1 (Blimp1) was shown to specify photoreceptor over bipolar neuronal fate [19,20]. Similarly to Isl1 and Bhlhb5, Prdm8 is part of the regulatory network governing bipolar cell development and amacrine cell diversity [21]. Interestingly, mutations in prdm8 can cause human congenital stationary night blindness [21]. In the dorsal spinal cord, Prdm13 regulates neuronal diversity as a direct downstream target of Ptf1a (Pancreas Specific Transcription Factor, 1a) [22,23]. Ptf1a is a bHLH (basic helix loop helix) transcription factor that determines inhibitory over excitatory neuronal identity in the spinal cord [24,25], the cerebellum [26,27] and the retina [28][29][30][31][32][33]. In the mouse retina, Prdm13 regulates subtype specification of amacrine cells, preferentially promoting GABAergic and glycinergic identities [34]. Mutations in human prdm13 were recently found as causative of North Carolina macular dystrophy (NCMD) [35,36]. NCMD is an autosomal dominant disease characterized by central macular defects that are present at birth, which shares phenotypic similarity with age-related macular degeneration [37]. This disorder was initially described in a family in North Carolina, but affected individuals have also been identified in Europe, Asia and South America.
In order to gain more insights into the role of Prdm13 in amacrine cells, we investigated the impact of prdm13 gain and loss of function in the Xenopus retina. First, we found that prdm13 is expressed in a subset of retinal progenitors and remains expressed in about 40% of amacrine cells, of GABA and glycinergic identity. We found that prdm13 knockdown leads to a dramatic decrease in glycinergic amacrine cell genesis, while GABAergic cells remain largely unaffected. Prdm13 overexpression promotes all amacrine cells, with a bias towards a glycinergic phenotype. We also provided evidence that in the retina, Prdm13 also functions downstream of Ptf1a, and that it is subjected to negative autoregulation, likely due to its ability to repress Ptf1a expression. Together, this work highlights Prdm13 as a key determinant of glycinergic amacrine cell fate.

Xenopus laevis prdm13 expression construct
A Xenopus laevis cDNA clone containing the full prdm13 open reading was amplified by RT-PCR using total RNA isolated from stage 40 tadpole eyes, using the following primers: forward 5′-GGAATTCCATGCATT GCAACAGGGCTC-3′ and reverse 5′-CCGCTCGAGT TAGGGTTCCTTGCTGCTTCCAG-3′. This led to the amplification of two distinct sequences (prdm13-1 and prdm13-2 GenBank BankIt submission ID: KY555727 and KY555728, respectively). These sequences were cloned into the EcoRI and XhoI restriction sites of the pCS2-Flag vector. In the present study, we worked with pCS2-Flag-prdm13-2, thereafter named pCS2-prdm13, since it encodes a protein showing the highest identity to the Prdm13 sequences characterised in other vertebrates.

Embryo culture, micro-injections and animal cap assays
Xenopus laevis embryos were obtained from adult frogs by hormone induced egg-laying and in vitro fertilization using standard methods and staged according to Nieuwkoop and Faber (1967). Synthetic mRNAs were made using Sp6 mMESSAGE mMACHINE (Ambion) and injected in a volume of 5 nl at a concentration of 25-50 pg/nl. Templates include pCS2-prdm13 and previously described ones: pCS2-ptf1a-GR [38], pCS2-Flag-mprdm13 (mouse prdm13, [23]), pCS2-GFP and pCS2-lacZ [39]. Standard control-and antisensemorpholino oligonucleotides (MO) were obtained from Genetools. We used ptf1a, prdm13 and prdm13-5-mismatched (5 mm-MO) antisense morpholinos as previously described [23,38]. Of note, the specificity of both ptf1a and prdm13 MOs had already been demonstrated [23,38]. All MO were injected in a volume of 5 nl and at a concentration of 50-100 μM. Embryos were injected at the two-cell stage in both blastomeres and either fixed or frozen at −80°C at the indicated developmental stages. Embryos were co-injected with GFP mRNA as a tracer for the injection. Protein activity of Ptf1a-GR was induced by addition of 10 μM dexamethasone (Sigma) to the culture medium at the indicated stages.
For animal cap assays, 50-150 pg of in vitro synthesized mRNA (ptf1a-GR, lacZ or mprdm13) and 20 ng of MO (prdm13-MO, 5 mm-MO or control-MO) were microinjected into the animal region of each blastomere at the four-cell stage. Animal caps were dissected at the blastula stage (stage 9) and cultured in 1X Steinberg medium, 0.1% BSA until stage 26. Dexamethasone (10 μM) was added at stage 12 for Ptf1a-GR activation.

In vivo lipofection
pCS2-GFP and pCS2-prdm13 were mixed with DOTAP liposomal reaction (Roche) in a 1:3 ratio and injected at stage 18 into the presumptive region of the retina as previously described [40,41]. Embryos were fixed at stage 41 and cryostat sectioned (12 μm). GFP-positive cells were counted and cell types were identified based on their laminar position and morphology.

In situ hybridization and immunohistochemistry
Digoxigenin-labeled antisense RNA probes for gad1 (also called gad1.1, [42]), vglut1 (also called slc17a7, [43]), glyt1 (also called slc6a9, [44]) and prdm13 [23] were generated according to the manufacturer's instruction (Roche). Whole-mount in situ hybridization analysis of Xenopus embryos was performed as described [45]. For sections, embryos were agarose-embedded and vibratome-sectioned at 50 μm thickness. In situ hybridization at stage 42, double fluorescent in situ hybridizations or combination of in situ hybridization and immunofluorescent staining were performed on 12 μm cryostat sections following previously described procedures [46]. For EdU experiments, stage 28/30 or 42 tadpoles were incubated 3 h in a 1 mM EdU solution, then immediately fixed in 4% paraformaldehyde. In situ hybridization was first performed followed by Edu staining using the Click-iT EdU Alexa Fluor 488 Imaging Kit (Molecular Probes).

Results
Prdm13 is expressed in few progenitors and in a subset of amacrine cells during Xenopus retinogenesis The spatial and temporal distribution of prdm13 transcripts during Xenopus laevis retinogenesis was analysed by whole-mount in situ hybridization (Fig. 1a). Prdm13 expression is detected in the presumptive eye region from stage 28 onwards. We confirmed on transversal sections that it is not detected in the optic vesicle at stage 25. At stage 28, the optic vesicle contains both proliferative progenitor cells and early born post-mitotic precursors. In order to assess in which cell population prdm13 was expressed, we combined EdU labelling (to visualize cells in the S-phase of the cell cycle) with prdm13 in situ hybridization (Fig. 1b). prdm13 labelling was mainly detected in EdU-negative cells, suggesting that it is primarily expressed in post-mitotic retinal cells. Yet, we found 25.17% (±1.97, n = 10 sections, 305 cells) of double-labelled EdU/prdm13 cells among the prdm13 + cell population. From stage 33/34, prdm13 expression is restricted to the INL of the retina and to the ciliary marginal zone (CMZ), where continuous neurogenesis occurs [48]. Within the CMZ, cells are spatially ordered, so that retinal stem cells reside in the most peripheral region, proliferating progenitor more centrally and postmitotic precursors in the most central region [49] (Fig.  1c). prdm13 expression was not detected in the tip of the CMZ, suggesting that it is not expressed in retinal stem cells. In order to discriminate its expression in proliferative versus non-proliferative cells, we combined prdm13 in situ hybridization and EdU labelling. We found double-labelled cells in the central region of the CMZ suggesting that at least a subset of proliferative progenitors express prdm13 (Fig. 1d). At post-embryonic stage 42, in addition to this expression in the CMZ, the expression in the INL gets mostly restricted to the inner part of the layer. To further identify and quantify prdm13 cell populations, we performed fluorescent in situ hybridization on retinal sections that allows assessing transcripts expression at a cellular resolution (Fig.  1e). We first quantified the distribution of prdm13 + cells among the different layers of the retina (Fig. 1f ). Most of prdm13 + cells (87.8%) are localized in the inner part of the INL (two cell body rows), where most of the Finally, a small percentage (1.3%) are located in the GCL. We then quantified the number of prdm13 + cells among the amacrine cell population (Fig. 1g). We found that 38,3% of amacrine cells are prdm13 positive. Together, these data indicate that prdm13 is expressed both in a small subset of retinal progenitors (in the optic cup and in the CMZ) and in about a third of amacrine cells.
Prdm13 is expressed in glycinergic and GABAergic amacrine cells Amacrine cells are inhibitory neurons that mainly use GABA or glycine as neurotransmitters. To investigate in which amacrine cell subtypes prdm13 is expressed, we first performed double fluorescent in situ hybridizations with prdm13 and gad1 (glutamate decarboxylase 1) as a marker for GABAergic neurons [42]. We found that 38% of prdm13 cells within the INL were gad1 positive (Fig. 2a,c). Interestingly, we found that among the prdm13 expressing cells located in the GCL, 90% are gad1 + , strongly suggesting that these cells are displaced amacrine cells. However, although unlikely, we cannot completely rule out that these are GABAergic ganglion cells as expression of GABA in retinal ganglion cells has been observed in some species [50,51]. Besides, whether all displaced amacrine cells are GABAergic in Xenopus has not yet been determined. prdm13-positive cells that are localized in the GCL and are GABA-negative may thus be non-GABAergic displaced amacrine cells. We then combined prdm13 in situ hybridization with anti-glycine or anti-calretinin immunostaining ( Fig. 2b and data not shown). We found that 68% of prdm13 cells were glycine + while only 5% were calretinin + (Fig. 2c). Of note, it has been shown in Xenopus retina that 80-90% of calretinin positive amacrine cells are also GABAergic [52]. Together, these results show that prdm13 is primarily expressed in glycinergic and GABAergic subtypes of amacrine cells.
Prdm13 overexpression promotes amacrine cell fate with a bias towards a glycinergic phenotype To investigate the involvement of Prdm13 in neuronal specification within the retina, we first used a gain of function approach. As no cDNA containing the entire Xenopus laevis prdm13 open reading frame was available, we cloned the full-length prdm13 cDNA. We then overexpressed prdm13 in 2-cell stage embryos through mRNA injections. As previously described, when the mouse prdm13 mRNA was overexpressed in Xenopus embryos (mprdm13, [23]), we found that overexpressing Xenopus prdm13 mRNA leads to gastrulation defects preventing subsequent analysis of retinal development (data not shown). We thus decided to overexpress prdm13 only in a subset of retinal progenitors by in vivo lipofection in the eye field at stage 18. GFP expressing plasmid was co-transfected and used as a tracer to identify transfected cells at stage 41, when cells in the central retina are differentiated (Fig. 3a). Prdm13 clones exhibited an increased proportion of amacrine cells at the expense of bipolar and Müller cells, compared to control retina from embryos lipofected with GFP alone (Fig. 3b). To know whether a particular amacrine cell subtype was favoured, we combined in vivo lipofection with anti-GABA or anti-glycine immunostaining (Fig. 3c). We found that the proportion of both GABAergic and glycinergic amacrine cells among lipofected cells is increased (Fig. 3d). However, the proportion of GABAergic neurons among the transfected amacrine cell population is not significantly affected, while the proportion of glycinergic neurons is higher than in controls (Fig. 3e). Together, these data suggest that Prdm13 acts cell autonomously in retinal precursors to promote GABAergic and glycinergic amacrine cell genesis, with a bias towards a glycinergic phenotype.
Prdm13 loss of function leads to a decrease in glycinergic amacrine cell genesis To address the potential requirement of Prdm13 in amacrine cell genesis, we performed loss of function experiments using a previously designed prdm13 translation blocking morpholino antisense oligonucleotide (prdm13-MO, [23]) that targets both Xenopus laevis prdm13 alloalleles. Prdm13-MO or a control-MO were injected in two blastomeres at two-cell stage, and retinal phenotypes were analysed by whole mount in situ hybridization at stage 41. As the knockdown of prdm13 was previously shown to strongly upregulate prdm13 expression in the dorsal neural tube [23], we first tested the effect of the injection of prdm13-MO on the expression of prdm13 itself. We found that prdm13-MO injection leads to endogenous prdm13 mRNA upregulation (Fig. 4a), indicating that Prdm13 also negatively regulates its expression in a feedback loop in the retina. Probes for gad1, vglut1 (vesicular glutamate transporter 1, [42]), and glyt1 (glycine transporter 1, [44]) were next used as markers of GABAergic, glutamatergic and glycinergic neurons, respectively. Whereas vglut1 and gad1 stainings were not affected by prdm13-MO injection, glyt1 expression was dramatically reduced in the retina (Fig. 4a). This effect was quantified by immunostaining experiments using anti-glycine or anti-GABA antibodies (Fig.  4b-c). A significant decrease in the number of glycinergic cells following prdm13-MO injection was observed compared to control-MO injected embryos, while no effect was observed regarding GABAergic amacrine cell labelling. Together, these data reveal that prdm13 knock-down impacts glycinergic, but not GABAergic amacrine cell genesis.

Prdm13 is a Ptf1a target in Xenopus retinal progenitor cells
Prdm13 is a direct target of Ptf1a in the dorsal neural tube [22,23]. To determine the interaction between these two factors in the retina, we first investigated whether both genes are co-expressed in retinal cells, using double fluorescent in situ hybridizations (Fig. 5a). The percentage of double-labelled cells was then calculated at different stages of retinogenesis (Fig. 5b). At stage 33, about 50% of prdm13 + cells are ptf1a + , and vice versa. The percentage of prdm13 + cells among ptf1a + cell population remains stable over the entire retina between stage 33 and stage 40 (50-70%). However, the number of ptf1a + cells among prdm13 expressing cells progressively decreases from stage 33 to stage 40 as ptf1a expression gets restricted to the CMZ compartment. By stage 40 in the central retina, only 10% of prdm13 + cells are still ptf1a + . Thus, at all stages examined, some retinal cells express only prdm13, some only ptf1a, and some express both genes, consistent with a possible genetic interaction in these cells. Moreover, the number of co-labelled cells might be higher if the analysis had been done at the protein level since Ptf1a protein may be retained in the cells after its mRNA downregulation.
Could Prdm13 be a Ptf1a target in a subset of retinal cells? Prdm13 expression was shown to be lost in the mouse ptf1a −/− retina [34]. To further address this question in Xenopus, we performed ptf1a gain or loss of function experiments and analysed the impact on prdm13 retinal expression at stage 41 (Fig. 5c). We used previously described MO to generate ptf1a knock-down embryos [30]. Gad1 probe was used as a readout of ptf1a-MO activity, as gad1 expression was previously shown to be regulated by Ptf1a [30]. In ptf1a morphants, prdm13 expression was dramatically decreased in the retina. Of note, this was also the case for glyt1 expression.
To overexpress Ptf1a, we injected at the two-cell stage mRNAs encoding a glucocorticoid inducible form of Ptf1a (Ptf1a-GR) [30]. Dexamethasone (dex) was added to the embryo culture medium at stage 21/22 in order to activate Ptf1a-GR at an early stage of retinogenesis. We confirmed that under such conditions gad1 expression is strongly upregulated at stage 41, as expected from our previous work [30] (Fig. 5c). Surprisingly, prdm13 expression was at that stage clearly decreased compared to the controls. Since our above data suggest that Prdm13 is required for glycinergic neuron genesis, we also examined glyt1 expression and found that it is also reduced upon ptf1a overexpression.
Based on these unexpected observations, we further investigated the impact of ptf1a overexpression on prdm13 at different stages of development. We found robust ectopic prdm13 expression in the epidermis of embryos at stage 25 and stage 28 (Fig. 6a,b). Importantly, in transversal sections, a strong prdm13 upregulation was also seen at both stages in the optic vesicle and optic cup (data not shown and Fig. 6c). However, the opposite effect, i.e. decrease in prdm13 retinal expression, was obtained from stage 35 onwards (Fig. 6a-c). Since we saw above that Prdm13 negatively regulates its own expression, this data likely reveals a feedback control mechanisms. Together, our loss and gain of function  analysis suggest that prdm13 is a target of Ptf1a in Xenopus retinal progenitor cells.

Prdm13 negatively regulates Ptf1a in a feedback loop
The results above indicate that prdm13 in the retina is subjected to negative autoregulation (Fig. 4a). This regulation could be a direct autorepressive action of Prdm13 on its own promoter. Alternatively, it could be an indirect negative control of Prdm13 on the expression of its inducer, ptf1a. To test this hypothesis and given that Ptf1a induces its own expression [53], we examined the effect of Prdm13 gain and loss of function on ptf1a gene regulation in Ptf1a-GR overexpressing animal caps. Explants were treated with Dex at stage 10, cultured until stage 26 and analysed by RT-qPCR using 3'UTR ptf1a primers to specifically detect endogenous ptf1a mRNAs. As previously reported [53], we found that Ptf1a induces its own expression (Fig. 7a). Interestingly, this upregulation of Ptf1a expression was abolished following Prdm13 overexpression. Overexpression of lacZ, which serves as a control, had no effect on Ptf1a auto-activation. Conversely, as observed for prdm13 expression, a stronger upregulation of ptf1a was observed upon prdm13 inhibition. Such increase in the expression of ptf1a was not observed with a control-MO or 5 mm-MO. These results indicate that Prdm13 regulates Ptf1a in a negative feedback loop. To determine whether this mechanism also occurs during eye development, we analysed ptf1a expression at stages 39/40 by RT-qPCR in dissected eyes from prdm13-MO or control-MO injected embryos.
Both prdm13 and ptf1a were upregulated in the retina of prdm13-MO injected embryos compared to controls (Fig. 7b). No such upregulation was observed for another bHLH gene, neurog2, that is expressed in retinal progenitors [49,54]. Thus, Prdm13 appears to negatively retrocontrol ptf1a expression during retinogenesis.

Discussion
Amacrine cells are the most diverse class of neurons in the retina, with over 30 different subtypes. The genetic network governing the determination of these amacrine cell subtypes remains poorly known. In the current study, we found that the transcriptional regulator Prdm13 is expressed in subtypes of amacrine cells in the Xenopus retina, in both glycinergic and GABAergic ones. Our gain of function analysis indicates that Prdm13 is an inducer of amacrine cells, with a bias towards a glycinergic destiny. prdm13 knock-down prevents glycinergic cell genesis but does not significantly affect GABAergic amacrine cell specification. By combining studies in animal caps and in the retina, we also propose a regulatory feedback loop between Prdm13 and Ptf1a where the latter would promote the expression of Prdm13, which would then negatively retro-controls Ptf1a expression.
It was shown in the mice that the major population of Prdm13 + amacrine cells express calbindin and calretinin, two calcium-binding proteins [34]. In Xenopus however, calbindin is a specific marker of cone photoreceptor  (Mann-Whitney test). c Drawing illustrating the interactions between ptf1a and prdm13 suggested by our results. As in the neural tube [22], we found that Ptf1a positively regulates prdm13 expression. It has previously been shown that Ptf1a binds, along with an E protein and Rbpj (PTF1-J complex), to a conserved 2.3 kb sequence located 13.4 kb 5′ to the ptf1a coding region and regulates its own transcription [53]. We showed here that Prdm13 negatively regulates its own expression through a negative retro-control of ptf1a expression. The underlying mechanism remains to be investigated. Our results also do not exclude the possibility that Prdm13 could in addition directly repress its own expression cells, as it is in the human retina [55]. We therefore only tested co-expression between prdm13 and calretinin. In Xenopus, calretinin expression is found mainly in bipolar cells, ganglion cells and only in few amacrine cells [52], while it is found in amacrine and ganglion cells in the mouse [56]. Our data revealed only few (5%) calretinin + cells among prdm13 + population compared to 65% in the mouse [34]. Given that this calcium-binding protein labels different populations of retinal cells in different species, this apparent difference may not reveal significant difference regarding Prdm13 expression in amacrine cell subpopulations. More meaningfully, it was reported in the mouse retina that almost all of the Prdm13 amacrine cells are GABAergic (13.5%) or glycinergic (87.1%) [34]. We also found in the Xenopus retina that prdm13 cells are primarily GABAergic (38%) and glycinergic (68%). In the mouse retina, it was reported that only rare prdm13 + cells were proliferative cells, suggesting that prdm13 is primarily expressed in postmitotic cells [34]. We investigated this issue at the level of prdm13 mRNA. We also found that prdm13 is mainly expressed in postmitotic cells. Yet, some prdm13 + cells in the optic vesicle and in the CMZ were found to be EdU-positive, suggesting that a subset of retinal progenitors are expressing prdm13 mRNA while still proliferating. As a whole, prdm13 retinal expression in both species is similar.
GABAergic and glycinergic amacrine cells are reduced in prdm13 −/− mouse retinas [34]. Our data revealed that only glycinergic amacrine cells are affected upon prdm13 knockdown. This apparent discrepancy could highlight true differences between Prdm13 function in mouse and Xenopus. Alternatively, it could result from different experimental approaches since the prdm13 −/− mouse is a null and we used a knockdown approach. Glycinergic amacrine cells may also be more sensitive to a reduction in Prdm13 protein level than GABAergic one. A CRISPR/Cas9 approach to target prdm13 in Xenopus could contribute to address this hypothesis.
Our results indicate that Prdm13 negatively selfregulates its expression and that this may be due to a negative retro-control of Prdm13 on ptf1a expression. How Prdm13 negatively regulates ptf1a expression remains to be determined. Ptf1a levels have been shown to be regulated by autoregulation through the binding of Ptf1a, along with an E protein and Rbpj (the PTF1-J complex), to a conserved 2.3 kb sequence located 13.4 kb 5′ to the ptf1a coding region. This element has an enhancer activity in all ptf1a expression domains of the developing nervous system [53]. Therefore, one possibility is that Prdm13 negatively regulates ptf1a by blocking its autoregulation (Fig. 7c). This could be achieved through the enhancer element mentioned above for instance by preventing binding of the PTF1-J complex. Since Prdm13 has been shown to form complexes by protein-protein interactions with bHLH factors such as Ascl1 [22], an alternative model would be that Prdm13 binds to Ptf1a and converts the PTF1-J complex from an activator to a repressor. Further experiments are required to decipher Prdm13 mode of action in Ptf1a regulation. Other transcription factors, such as Satb2, Ebf3 and Neurod6, have been described as key regulators of amacrine subtype diversity [9]. The precise integration of Prdm13 function to this genetic network remains to be investigated.
Using whole-genome sequencing, it has recently been discovered that mutations in human PRDM13 gene are associated with NCMD, a Mendelian form of human macular disease [35]. NCMD was initially considered as a slowly progressive disease, with many phenotypic similarities to age-related macular degeneration, including an abnormal accumulation of drusen, atrophy of the retinal pigment epithelium and overlying photoreceptor cells, choroidal neovascularization and loss of central vision. However, 20 years later it was realized that it is actually a nonprogressive developmental disorder, with highly variable expressivity [57]. A complete duplication of the prdm13 gene was discovered in one family with NCMD. From gain of function analysis in the mouse [34] and our data in Xenopus, it is expected that increased level of Prdm13 in patients would likely lead to impaired amacrine cell fate specification. However, how this leads to macular degeneration remains unknown. A better knowledge of Prdm13 function in retinal development and maintenance should help unravelling the mechanisms by which prdm13 mutations cause macular dystrophies.

Conclusions
The present study confirms the important role of Prdm13 in amacrine cell subtype diversification downstream of Ptf1a. It also provides first evidence indicating that Prdm13 negatively regulates its expression, at least in part, by repressing Ptf1a in a feedback loop. Future studies, including the identification of its direct targets and partners, are required to determine how mechanistically Prdm13 control Ptf1a levels and promotes the generation of amacrine cell subtypes.