The neural crest gives rise to progeny as diverse as peripheral neurons, myelinating cells, cranial muscle, bone and cartilage tissues, and melanocytes. Neural crest derivation encompasses complex morphological change, including epithelial-to-mesenchymal transition (EMT) and migration to the eventual target locations throughout the body. Neural crest cultures derived from stem cells provide an attractive source for developmental studies in human model systems, of immediate biomedical relevance for neurocristopathies, neural cancer biology and regenerative medicine, if only appropriate markers for lineage and cell type definition and quality control criteria were available. Implementing a defined, scalable protocol to generate neural crest cells from embryonic stem cells, we identify stage-defining cluster-of-differentiation (CD) surface markers during human neural crest development in vitro. Acquisition of increasingly mesenchymal phenotype was characterized by absence of neuroepithelial stemness markers (CD15, CD133, CD49f) and by decrease of CD57 and CD24. Increased per-cell-expression of CD29, CD44 and CD73 correlated with established EMT markers as determined by immunofluorescence and immunoblot analysis. The further development towards migratory neural crest was associated with decreased CD24, CD49f (ITGA6) and CD57 (HNK1) versus an enhanced CD49d (ITGA4), CD49e (ITGA5) and CD51/CD61 (ITGAV/ITGB3) expression. Notably, a shift from CD57 to CD51/CD61 was identified as a sensitive surrogate surface indicator of EMT in neural crest in vitro development. The reported changes in glycan epitope and integrin surface expression may prove useful for elucidating neural crest stemness, EMT progression and malignancies. Graphical Abstract

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The embryonic organizer is essential to determine one or more developmental polarities during chordate early development1,2. Functionally similar organizers also occur in more ancient animals3, and even in some protozoans such as Dictyostelium, in which the tip of the multicellular mound acts as an organizer4, establishing the main developmental axis, and regulating the size of the fruiting body5. However, our understanding of how the Dictyostelium organizer arises, and functions, is limited. Here we show that monoamine oxidase A (maoA), which degrades serotonin, confers the fate of an organizer to the Dictyostelium tip. Conversely, once a tip has formed, serotonin contributes to tip dominance. It inhibits further tip formation, and thus ensures the mound retains the size specified during an earlier developmental stage. Reducing the expression of maoA through RNA interference or by adding MAO specific inhibitors suppresses tip formation. Conversely, adding human MAOA enzyme, or an antagonist or antibodies against serotonin, restores tip formation in maoA knockdowns. Overexpression of maoA or adding a serotonin antagonist to the wildtype induces multiple tips from a single mound in a dose dependent manner. Using an array of genetic and molecular techniques, we show that serotonin’s inhibition of cAMP signalling and cell-cell adhesion is the basis of its regulation of tip formation. Our study demonstrates that serotonin, recently appreciated for its developmental roles in widespread phyla6, also has a novel and ancient role in the formation and function of an organizer.