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ABSTRACT Living organisms exhibit tremendous diversity, evident in the large repertoire of forms and considerable size range. Scientists have discovered that conserved mechanisms control the
development of all organisms. _Drosophila_ has proved to be a particularly powerful model system with which to identify the signalling pathways that organize tissue patterns. More recently,
much has been learned about the control of tissue growth, tissue shape and their coordination at the cellular and tissue levels. New models integrate how specific signals and mechanical
forces shape tissues and may also control their size. You have full access to this article via your institution. Download PDF SIMILAR CONTENT BEING VIEWED BY OTHERS GROWTH ANISOTROPY OF THE
EXTRACELLULAR MATRIX SHAPES A DEVELOPING ORGAN Article Open access 03 March 2023 THE SEX OF ORGAN GEOMETRY Article Open access 29 May 2024 MORPHOGEN GRADIENT SCALING BY RECYCLING OF
INTRACELLULAR DPP Article 22 December 2021 MAIN Questions such as how can groups of cells make up organized tissues, organs and bodies, how can development produce organisms with
reproducible morphological patterns, and what mechanisms underlie the diversity of organ size and shape (Fig. 1) have haunted scientists for over a century. From the early observations of
embryology to the quantitative models of systems biology, important discoveries marked the long history of morphogenesis. _Drosophila_ has proven to be a powerful system with which to
elucidate the molecular mechanisms of morphogenesis, identifying the signals that pattern the body plan and characterizing cell mechanics and dynamics underling tissue remodelling. A
principal challenge is to understand within a single mechanistic framework how these patterning signals and cellular responses—such as cell division and cell shape changes—are coordinated in
tissue growth and tissue remodelling. The size and shape of genetically marked clones of cells reflect in miniature the size and shape of the tissue they belong to. Cell division, cell
death, cell shape changes and cell rearrangements are the building blocks on which tissues are shaped and organs are made (Fig. 2). The orchestration of these elementary processes depends on
a constraining genetic programme operating on cell behaviour: for instance, a specific set of signalling molecules, growth factors, promote cell divisions and tissue size, whereas other
proteins control the orientation of cell divisions, oriented cell rearrangements and so on, and hence tissue shape. A surveillance mechanism orchestrates proper tissue size and shape and
involves reciprocal interactions between the cell and tissue scales. When a group of cells dies, compensatory mechanisms controlled at the tissue level ensure that the proper tissue size and
shape are not compromised. The aim of this review is to highlight recent important findings on the mechanisms of tissue growth and shape and to encapsulate them in a single framework of
morphogenesis. We first focus on how cell division and cell death control tissue growth. We then detail how the mechanics of cell shape and division underlie tissue shape. Finally, we
discuss how feedback mechanisms may orchestrate tissue size and shape. TISSUE GROWTH: TO DIE, TO SURVIVE, TO DIVIDE Tissue growth can be best studied in the _Drosophila_ developing adult
tissues called imaginal discs. Imaginal discs are epithelial layers growing from about 40 cells to 50,000 cells in 4 days of continued divisions. Although this massive increase in cell
number and tissue mass is under organismal control as far as the provision of the necessary energy input is concerned, the control of tissue size is intrinsic to the disc. Proper tissue size
is not reached by counting cells: changes in cell size often yield compensatory modifications in cell number, thereby maintaining tissue size1,2. This suggests that tissue dimensions (size
or mass) may be measured. CELL COMPETITION AND APOPTOSIS Tissue-level control of tissue size is manifest in the process of cell competition discovered 30 yr ago3,4, whereby faster growing
cells can out-compete slow-growing cells (Fig. 2c). For example, wild-type clones can take over entire compartments initially occupied by slow-growing cells heterozygous for the _Minute_
(_M_) mutations in genes encoding ribosomal proteins. Myc is another major regulator of cell competition, with as little as twofold changes in Myc expression being enough to trigger
overgrowth of cells and competition with surrounding wild-type cells5,6. The cellular mechanisms underlying competition are only starting to be unravelled. To some extent, fast cells may
compete with slow cells for limited amount of survival signals provided by the transforming growth factor (TGF)-β/BMP (bone morphogenetic protein) molecule Decapentaplegic (Dpp)7. There is
no consensus, however, on the exact importance of Dpp in the competition process5,6. Competition also involves apoptotic elimination of the slow cells and their engulfment by the
fast-growing cells8. The stress-response pathway mediated by Jun N-terminal kinase (JNK)7 and the pro-apoptotic genes _hid_ (also called _Wrinkled_) and _rpr_5,6 were shown to be involved in
the apoptosis of the out-competed cells. The link between cell competition and tissue size is manifest in the following set of experiments: uniform expression of _myc_, where no competition
occurs, causes tissue overgrowth, whereas mosaic expression of _myc_, which triggers competition, leaves size unchanged, indicating that the out-competed cells buffer the overgrowth of
_myc_-overexpressing cells. Consistent with this, mosaic expression of _myc_ results in tissue overgrowth when cell competition is reduced by blocking apoptosis. Another notable observation
indicates that cell competition in a wild-type tissue buffers variations in tissue size5. CONTROL OF CELL DIVISION Control of tissue size also involves a regulation of cell division. Two
remarkable properties of cell division in imaginal discs are that it is random but uniform across the discs and that it ceases uniformly when correct disc proportions are attained. Two
models have been proposed to explain scale invariance in growing tissues. One model emphasizes the role of local communications between cells with different positional values to drive
intercalary growth9. These communications could be mediated by the cell adhesion molecule Fat, an activator of the Hippo pathway that controls cell proliferation (reviewed in ref. 10).
Alternatively, long-range signalling by extracellular morphogens is viewed as the principal determinant of growth11. Morphogens are molecules that form gradients of concentration from a
source and activate different target genes at different concentration thresholds. The morphogen Dpp controls tissue pattern12,13 and tissue growth14,15. Day and Lawrence11 proposed that the
slope of the gradient promotes cell division above a certain threshold. Provided that the addition of new cells decreases the slope of the gradient, growth would arrest when the gradient
becomes too shallow (Fig. 2). Consistent with this, it was elegantly shown that cell division is transiently induced in regions where the slope of the Dpp gradient is experimentally
modified16. Several observations, however, contradict a simple formulation of this model: (1) uniform Dpp expression causes overgrowth; (2) the assumption that the Dpp ligand gradient scales
with the tissue is not experimentally supported17,18; (3) the model fails to account for uniform cell division in the tissue. Thus, additional mechanisms will be required to explain fully
the control of tissue size. As detailed below, the mechanical constraints imposed by tissue growth on local cell division can also be considered in parallel with signalling. Whereas an
increase in cell number drives tissue growth, tissue shape involves changes in cell positions controlled by cell rearrangements and the orientation of cell division. TISSUE SHAPE: ORIENTING
CELL DIVISION AND MOVEMENTS SPATIAL CONTROL OF CELL DIVISIONS A number of mechanisms have been proposed for tissue elongation. It was suggested a long time ago that polarized cell divisions
might be important for morphogenesis in _Drosophila_19 (Fig. 1a, b). However, the major role of polarized cell rearrangements during cell intercalation in vertebrates and invertebrates (see
below) overshadowed this mechanism. As a result, experimental evidence that polarized cell division also has an essential role in plant and animal morphogenesis only accumulated
recently20,21,22,23,24,25,26, with striking examples in _Antirrhinum_ petal morphogenesis21 and zebrafish neurulation24. In _Drosophila_ too, polarized cell divisions occur and participate
in tissue morphogenesis. A detailed analysis of _Drosophila_ imaginal discs showed, for example, that clones of cells grow anisotropically along the axis of tissue growth because cell
divisions are biased along the proximal/distal axis22. Elongation of _Drosophila_ embryonic epithelia is also controlled to some extent by oriented cell divisions26. What controls the
orientation of cell division? Several components of the planar cell polarity pathway (PCP)—that orient other processes such as hairs and cilia—have been implicated. For instance, the cell
adhesion molecules Dachsous and Fat, which orient PCP signalling, are required in the _Drosophila_ wing22. However, core components of PCP signalling (for example, Dishevelled, Frizzled)
have not been implicated in polarized cell division in the _Drosophila_ wing. Note, however, that Frizzled controls orientation of the mitotic spindle during division of the sensory organ
precursor in the _Drosophila_ notum27. Moreover, PCP signalling controls polarized cell divisions in vertebrates. The search for signals controlling oriented cell divisions is thus still
ongoing in _Drosophila_ and other organisms. CELL DIVISION AND CELL SHAPE Changes in cell shape have also been proposed to drive tissue extension. In an epithelial layer cells adopt
characteristic polygonal shapes dictated largely by the interplay between adhesion and cortical tension28. Cell adhesion mediated by cadherins tends to increase cell contacts whereas
cortical tension exerted by the actomyosin network reduces them. This is remarkably illustrated in post-mitotic tissues, such as the pupal _Drosophila_ retina, where differential adhesion
mediated by E- and N-cadherin controls the shape of cone cells29. In pupae, wing cells remodel their irregular contacts to produce a highly ordered hexagonal tiling by a mechanism
implicating E-cadherin trafficking and PCP signalling30. In remodelling epithelia, cells may change shape markedly. Epithelial cell elongation accompanies several tissue extension processes
such as _Drosophila_ dorsal closure31 and imaginal discs evagination32. The underlying mechanisms remain unclear. What is the effect of cell division on cell shape? During division
epithelial cells exhibit a rounder (less polygonal) morphology, but live imaging has shown that cell contacts are not remodelled and daughter cells remain in contact33. This explains the old
observation that clones remain compact in imaginal discs. Defects in the even distribution of E-cadherin after cell division lead to a disruption of cell contacts and to cell scattering34.
Remarkably few constraints on the process of cell division (such as the production of two new vertices at each round of mitosis) conspire to produce a single topological equilibrium with a
majority of hexagons33,35, without assumptions on the mechanics of cell shape28. Heterogeneities in the rate of cell division locally affect the distribution of cell shape. Thus, the shape
of cells in a growing tissue is influenced by cell surface mechanics and by local cell division rates. CELL REARRANGEMENTS AND INTERCALATION Another major mechanism driving tissue extension
is cell intercalation, whereby cells change position by remodelling their adhesive contacts. The evagination of pupal imaginal wing and leg discs, for instance, was proposed early on to stem
from changes in the organization of cell contacts32. Intercalation has been carefully studied during elongation of the embryo, called germband elongation36,37 (Fig. 2d). In this system,
contacts between antero-posterior neighbours shrink (Fig. 2d, red) and new contacts are formed at a perpendicular axis (Fig. 2d, blue). This process does not depend on external forces
exerted at tissue boundaries, but on the local increase in cortical tension imposed by the enrichment of Myosin-II at shrinking junctions36. Adhesion is also probably downregulated, as
Bazooka (also called Par-3)38—a determinant of E-cadherin stabilization39,40—and E-cadherin37 are downregulated in shrinking junctions. Planar junction remodelling and intercalation are
controlled by embryonic polarity36,38,41. Surprisingly, the non-canonical Wnt PCP pathway is not required for cell intercalation during germband extension. The signals orienting cell
rearrangements remain elusive. The proper shaping of a growing organ thus requires that, as new cells are formed, their relative positions be controlled. This is achieved by regulation of
the cell division orientation and of cell rearrangements. Cell division itself and cell mechanics thus underlie important aspects of tissue shaping. A complete understanding of the
coordination of tissue size and shape must integrate the regulation of tissue growth by signalling pathways with the mechanics and dynamics of morphogenesis at the cellular level. FEEDBACK
MECHANISMS COORDINATING SIZE AND SHAPE Cell division and cell growth drive tissue expansion. Yet, attaining the proper tissue size and shape does not simply rely on cell counting. Thus, a
tissue-intrinsic property informs, in return, dividing cells about their division rate, growth or eventual death. Such a feedback mechanism is required to understand growth arrest and tissue
shape. Stochastic fluctuations or persistent variations in growth rate could produce changes of an internal variable (for example, pressure or Dpp activity) that would, in return, affect
growth rate. An inhibitory negative feedback signal can have a stabilizing effect, smoothening fluctuations and providing the system with a dynamic control to ensure homogeneous growth. What
mechanisms could generate a feedback? Two plausible alternatives have been proposed. Local regulation of the morphogen-ligand or activity gradient might be a way. Regions of enhanced growth
could locally reduce the slope of the Dpp gradient, and hence feed back on growth (Fig. 3a). Quantitative analysis of the establishment of the Dpp ligand gradient18,42,43 showed that it
forms on short timescales (minutes) not commensurate with the long timescales (hours) of tissue growth, consistent with the fact that the ligand gradient does not scale with the tissue17.
However, the activity gradient (monitored by phosphorylated Mad or expression of target genes) is clearly influenced by the local tissue growth43. Further tests of this model will thus
require a better characterization of the temporal lag between ligand and activity gradients and of the effect of growth on the latter. The interplay between cell mechanics and the cell
cycle44,45 is another potential way to provide dynamic regulation of tissue growth, as recently suggested in the _Drosophila_ ovary46. Indeed, an inhibition of growth by mechanical
compression (and stimulation by stretch, Fig. 3c) would provide a negative feedback to reprehend heterogeneities of growth. Using quantitative modelling, Shraiman proposed that mechanical
feedback could account for the uniformity of cell division47. Moreover, combining mechanical feedback with the growth-promoting function of a non-scaling Dpp gradient predicts growth arrest
and scale invariance17,48 (Fig. 3d). This opens up new perspectives and prompts a better integration of the cellular and signalling aspects of morphogenesis in fly and other organisms. A
better understanding of the causal relationships between growth and activity gradient dynamics will be important to probe further how morphogens orchestrate size and shape. Whether
morphogens also control cell division orientation and cell rearrangements remains an open and major question to investigate. It will also be important to test the mechanical feedback model:
do stretch and compression influence cell division and survival? Do fields of forces constrain tissue growth in parallel with growth factors? This mechanical feedback could have other
implications on organ shape. It could orient cell division—as was suggested in plants49—or cell rearrangements. These important discoveries in _Drosophila_ should prompt further studies
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references ACKNOWLEDGEMENTS We thank Pierre Golstein and Steve Cohen for suggestions that improved the manuscript. The hecuit lab is supported by the CNRS, Agence Nationale de la Recherche
and Association pour la recherche contre le cancer. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Université de la Méditerranée, Institut de Biologie du Développement de Marseille Luminy
(IBDML),, Thomas Lecuit & Loïc Le Goff * CNRS, UMR6216, Campus de Luminy case 907, 13288 Marseille Cedex 09, France , Thomas Lecuit & Loïc Le Goff Authors * Thomas Lecuit View author
publications You can also search for this author inPubMed Google Scholar * Loïc Le Goff View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING
AUTHOR Correspondence to Thomas Lecuit. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing financial interests. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT
THIS ARTICLE CITE THIS ARTICLE Lecuit, T., Le Goff, L. Orchestrating size and shape during morphogenesis. _Nature_ 450, 189–192 (2007). https://doi.org/10.1038/nature06304 Download citation
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