human-induced pluripotent stem cells

人诱导多能干细胞
  • 文章类型: Journal Article
    以前的研究表明,当细胞周期蛋白D2(CCND2),一种细胞周期调节蛋白,在人诱导的多能干细胞(hiPSCs)中过表达,从这些过表达CCND2的hiPSCs分化的心肌细胞(CMs)可以在移植到梗塞心脏后增殖,这显著提高了细胞心肌再生的效力。然而,持续的CM增殖可能导致肿瘤生长或致心律失常并发症的发展;因此,本研究的目的是产生一系列hiPSC,其中CCND2过表达可被严格控制.首先,我们用编码多西环素诱导的Tet-On反式激活因子和与VPR激活域融合的化脓性链球菌dCas9的载体转染hiPSCs;然后,将相同的hiPSC工程化以表达靶向CCND2启动子的指导RNA。因此,多西环素(dox)激活的dCas9-VPR表达治疗,和引导RNA将dCas9-VPR定向到CCND2启动子,激活CCND2表达。随后的实验证实,在这种新设计的hiPSCs(doxCCND2-hiPSCs)细胞系中,CCND2表达是dox依赖性的:用dox处理48小时后,CCND2蛋白大量表达,并在停止处理后〜96小时dox下降至接近基线水平。
    Previous studies have demonstrated that when the cyclin D2 (CCND2), a cell-cycle regulatory protein, is overexpressed in human-induced pluripotent stem cells (hiPSCs), cardiomyocytes (CMs) differentiated from these CCND2-overexpressing hiPSCs can proliferate after transplantation into infarcted hearts, which significantly improves the cells\' potency for myocardial regeneration. However, persistent CM proliferation could lead to tumor growth or the development of arrhythmogenic complications; thus, the goal of the current study was to generate a line of hiPSCs in which CCND2 overexpression could be tightly controlled. First, we transfected hiPSCs with vectors coding for a doxycycline-inducible Tet-On transactivator and S. pyogenes dCas9 fused to the VPR activation domain; then, the same hiPSCs were engineered to express guide RNAs targeting the CCND2 promotor. Thus, treatment with doxycycline (dox) activated dCas9-VPR expression, and the guide RNAs directed dCas9-VPR to the CCND2 promoter, which activated CCND2 expression. Subsequent experiments confirmed that CCND2 expression was dox-dependent in this newly engineered line of hiPSCs (doxCCND2-hiPSCs): CCND2 protein was abundantly expressed after 48 h of treatment with dox and declined to near baseline level ~96 h after dox treatment was discontinued.
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  • 文章类型: Journal Article
    高达46%的假定的自身免疫性边缘叶脑炎患者对所有目前已知的中枢神经系统(CNS)抗原是血清阴性的。我们开发了一种基于细胞的测定法(CBA),以使用源自人诱导的多能干细胞(hiPSCs)的神经元和星形胶质细胞筛选血清和脑脊液(CSF)中的新型神经抗体。
    将人iPSC衍生的星形胶质细胞或神经元与来自99名患者的血清/CSF一起孵育[42名患有炎性神经疾病(IND)和57名患有非IND(NIND)]。IND组包括11名先前已建立神经抗体的患者,6例血清阴性视神经脊髓炎谱系障碍(NMOSD),12例疑似自身免疫性脑炎/副肿瘤综合征(AIE/PNS),和13与其他IND(OIND)。使用荧光标记的抗体检测IgG与固定的CNS细胞的结合,并通过自动荧光测量进行分析。通过流式细胞术进一步分析IgG神经元/星形胶质细胞反应性。外周血单核细胞(PBMC)用作与CNS无关的对照靶细胞。使用稳健回归和异常值去除测试将反应性曲线定义为阳性,在每个单独的读出后具有10%的错误发现率。
    使用我们的CBA,我们在19/99例受试者中检测到识别hiPSC来源神经细胞的抗体.9例患者中特异性结合星形胶质细胞的抗体,八例中的神经元,在两种情况下,两种细胞类型,通过显微镜单细胞分析证实。强调了我们全面的96孔CBA测定的重要性,神经特异性抗体结合在IND(42个中的15个)中的频率高于NIND患者(57个中的4个)(Fisher精确检验,p=0.0005)。具有细胞内反应性抗体的四个AQP4NMO中的两个和七个确定的AIE/PNS中的四个[1GFAP星形细胞病,2胡+,1Ri+AIE/PNS)],如诊断实验室所确定,对我们的CBA也很积极。最有趣的是,我们在六个血清阴性NMOSD中的两个中显示了抗体反应性,12个可能的AIE/PNS中有6个,13个OIND之一。使用hiPSC衍生的CNS细胞或PBMC检测的抗体结合的13例患者与0例患者的流式细胞术,分别,建立检测到的抗体对神经组织的特异性。
    我们独特的基于hiPSC的CBA允许在疑似免疫介导的神经综合征患者中测试新型神经元/星形胶质细胞反应性抗体,在既定的常规实验室中进行阴性测试,为建立这种复杂疾病的诊断开辟了新的视角。
    UNASSIGNED: Up to 46% of patients with presumed autoimmune limbic encephalitis are seronegative for all currently known central nervous system (CNS) antigens. We developed a cell-based assay (CBA) to screen for novel neural antibodies in serum and cerebrospinal fluid (CSF) using neurons and astrocytes derived from human-induced pluripotent stem cells (hiPSCs).
    UNASSIGNED: Human iPSC-derived astrocytes or neurons were incubated with serum/CSF from 99 patients [42 with inflammatory neurological diseases (IND) and 57 with non-IND (NIND)]. The IND group included 11 patients with previously established neural antibodies, six with seronegative neuromyelitis optica spectrum disorder (NMOSD), 12 with suspected autoimmune encephalitis/paraneoplastic syndrome (AIE/PNS), and 13 with other IND (OIND). IgG binding to fixed CNS cells was detected using fluorescently-labeled antibodies and analyzed through automated fluorescence measures. IgG neuronal/astrocyte reactivity was further analyzed by flow cytometry. Peripheral blood mononuclear cells (PBMCs) were used as CNS-irrelevant control target cells. Reactivity profile was defined as positive using a Robust regression and Outlier removal test with a false discovery rate at 10% following each individual readout.
    UNASSIGNED: Using our CBA, we detected antibodies recognizing hiPSC-derived neural cells in 19/99 subjects. Antibodies bound specifically to astrocytes in nine cases, to neurons in eight cases, and to both cell types in two cases, as confirmed by microscopy single-cell analyses. Highlighting the significance of our comprehensive 96-well CBA assay, neural-specific antibody binding was more frequent in IND (15 of 42) than in NIND patients (4 of 57) (Fisher\'s exact test, p = 0.0005). Two of four AQP4+ NMO and four of seven definite AIE/PNS with intracellular-reactive antibodies [1 GFAP astrocytopathy, 2 Hu+, 1 Ri+ AIE/PNS)], as identified in diagnostic laboratories, were also positive with our CBA. Most interestingly, we showed antibody-reactivity in two of six seronegative NMOSD, six of 12 probable AIE/PNS, and one of 13 OIND. Flow cytometry using hiPSC-derived CNS cells or PBMC-detected antibody binding in 13 versus zero patients, respectively, establishing the specificity of the detected antibodies for neural tissue.
    UNASSIGNED: Our unique hiPSC-based CBA allows for the testing of novel neuron-/astrocyte-reactive antibodies in patients with suspected immune-mediated neurological syndromes, and negative testing in established routine laboratories, opening new perspectives in establishing a diagnosis of such complex diseases.
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  • 文章类型: Journal Article
    来自人诱导多能干细胞(hiPSCs)的心肌细胞(CM)被认为是多种应用的有希望的平台。包括疾病建模,再生医学,药物毒性的筛选和心肌形成的研究。尽管在使hiPSC分化为CM的方法学上有了显著的改进,应用的方案产生由CM以及分化的非心脏细胞类型和未分化的hiPSCs组成的异质细胞群。在这里,我们描述了在无菌培养条件下纯化hiPSCs衍生的CM的自动化磁激活细胞分选(autoMACS)程序。我们证明了这种方法导致了非心脏细胞的大量消耗和CM的富集,这一结果对于心脏分化效率差的hiPSC系尤其重要。
    Cardiomyocytes (CMs) derived from human-induced pluripotent stem cells (hiPSCs) are considered a promising platform for multiple applications, including disease modeling, regenerative medicine, screening of drug toxicity and investigation of cardiomyogenesis. Despite remarkable improvement in methodology enabling differentiation of hiPSCs into CMs, applied protocols generate heterogeneous cell populations composed of CMs along with differentiated non-cardiac cell-types and undifferentiated hiPSCs. Here we describea procedure of automated Magnetic-Activated Cell Sorting (autoMACS) for the purification of hiPSCs-derived CMs under sterile culture conditions. We illustrate that this approach led to a robust depletion of non-cardiac cells and enrichment of CMs, a result particularly crucial for hiPSC lines with poor cardiac differentiation efficiencies.
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  • 文章类型: Journal Article
    源自人类诱导的多能干细胞(hiPSC-CM)的心肌细胞提供了一个有吸引力的平台来评估心血管相关事件的机制以及开发和测试用于心脏病的新药。这项工作的重点是比较两种hiPSC-CM分化方案:基于Wnt/β-catenin途径的时间调制的GiWi方法和市售的PSC心肌细胞分化试剂盒。我们强调需要优化几个参数,如细胞密度或小分子浓度(CHIR-99021,IWR-1)以获得功能性hiPSC-CM。两种方案都产生相似的分化效率;因此,特定程序的选择可能取决于实验者的偏好。
    Cardiomyocytes derived from human-induced pluripotent stem cells (hiPSC-CMs) offer an attractive platform to evaluate the mechanisms of cardiovascular-related incidents and to develop and test new drugs for heart diseases. This work focuses on the comparison of two hiPSC-CM differentiation protocols: the GiWi method based on temporal modulation of the Wnt/β-catenin pathway and the commercially available PSC Cardiomyocyte Differentiation Kit. We underlined the need to optimize several parameters such as cell density or small molecule concentration (CHIR-99021, IWR-1) to obtain functional hiPSC-CMs. Both protocols yield a similar differentiation efficiency; therefore, the choice of a particular procedure may depend on the preferences of the experimenter.
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  • 文章类型: Journal Article
    多巴胺能神经元是影响帕金森病的主要脑细胞。由于活的人脑多巴胺能神经元对帕金森病病理机制的研究有限,多巴胺能神经元已经从人类皮肤细胞衍生的诱导多能干细胞产生。最初,诱导多能干细胞来源的多巴胺能神经元使用小分子产生。这些神经元需要两个多月才能成熟。然而,转录因子介导的诱导多能干细胞分化揭示了产生多巴胺能神经元的更快、更便宜的方法.在这项研究中,我们比较和对比了三种使用转录因子介导的定向分化产生诱导多能干细胞衍生多巴胺能神经元的方案.我们偏离了使用慢病毒转导将不同转录因子稳定整合到诱导多能干细胞的AAVS1安全港基因座中的既定方案。我们使用不同的培养基成分在培养物中产生90%以上的神经元,其中超过85%的神经元在三周内是多巴胺能神经元。因此,从我们的比较研究来看,我们发现,转录因子与小分子治疗的组合可能需要产生人类多巴胺能神经元的纯群体。
    Dopaminergic neurons are the predominant brain cells affected in Parkinson\'s disease. With the limited availability of live human brain dopaminergic neurons to study pathological mechanisms of Parkinson\'s disease, dopaminergic neurons have been generated from human-skin-cell-derived induced pluripotent stem cells. Originally, induced pluripotent stem-cell-derived dopaminergic neurons were generated using small molecules. These neurons took more than two months to mature. However, the transcription-factor-mediated differentiation of induced pluripotent stem cells has revealed quicker and cheaper methods to generate dopaminergic neurons. In this study, we compared and contrasted three protocols to generate induced pluripotent stem-cell-derived dopaminergic neurons using transcription-factor-mediated directed differentiation. We deviated from the established protocols using lentivirus transduction to stably integrate different transcription factors into the AAVS1 safe harbour locus of induced pluripotent stem cells. We used different media compositions to generate more than 90% of neurons in the culture, out of which more than 85% of the neurons were dopaminergic neurons within three weeks. Therefore, from our comparative study, we reveal that a combination of transcription factors along with small molecule treatment may be required to generate a pure population of human dopaminergic neurons.
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  • 文章类型: Journal Article
    涉及宇航员和动物模型的研究的最新发现表明,微重力会增加免疫细胞的活性,并可能改变中枢神经系统(CNS)的白质和灰质。为了进一步研究微重力对中枢神经系统细胞的影响,我们建立了含有等基因小胶质细胞的三维神经类器官的培养物,大脑的固有免疫细胞,把他们送上国际空间站.当使用来自受神经炎症和神经退行性疾病(如多发性硬化症(MS)和帕金森病(PD))影响的个体的诱导多能干细胞(iPSC)细胞系时,这些培养物可以提供对微重力可能加剧的致病途径的新见解。我们设计了一种冰冻培养策略,可以通过太空旅行和在国际空间站(ISS)上维持类器官,而无需进行培养基或二氧化碳交换。这里,我们提供了所涉及的所有步骤的全面描述:生成各种类型的神经类器官,建立长期文化,安排运送到肯尼迪航天中心(KSC)的计划,并最终准备类器官发射到低地球轨道(LEO)并返回地球进行飞行后分析。
    Recent findings from studies involving astronauts and animal models indicate that microgravity increases immune cell activity and potentially alters the white and gray matter of the central nervous system (CNS). To further investigate the impact of microgravity on CNS cells, we established cultures of three-dimensional neural organoids containing isogenic microglia, the brain\'s resident immune cells, and sent them onboard the International Space Station. When using induced pluripotent stem cell (iPSC) lines from individuals affected by neuroinflammatory and neurodegenerative diseases such as multiple sclerosis (MS) and Parkinson\'s disease (PD), these cultures can provide novel insights into pathogenic pathways that may be exacerbated by microgravity. We have devised a cryovial culture strategy that enables organoids to be maintained through space travel and onboard the International Space Station (ISS) without the need for medium or carbon dioxide exchange. Here, we provide a comprehensive description of all the steps involved: generating various types of neural organoids, establishing long-term cultures, arranging plans for shipment to the Kennedy Space Center (KSC), and ultimately preparing organoids for launch into low-Earth orbit (LEO) and return to Earth for post-flight analyses.
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  • 文章类型: Journal Article
    骨骼肌结缔组织(MCT)围绕肌纤维束提供结构支持,从腱产生力传导,并在肌肉再生过程中调节卫星细胞的分化。尚未开发由MCT内分层的肌纤维组成的工程化肌肉组织。在这里,介绍了一种通过开发干细胞命运控制生物材料来创建MCT分层肌纤维的生物工程策略,该生物材料以局部控制的方式在单个构建体处实现肌生成和成纤维细胞分化。转化生长因子-β1(TGF-β1)及其抑制剂以及3D基质刚度在实现MCT成纤维细胞和肌纤维从人类诱导的多能干细胞(hiPSC)衍生的近轴中胚层共分化中的相互作用研究。为了避免肌源性抑制,TGF-β1结合在基于明胶的水凝胶上,以局部控制成纤维细胞群;TGF-β1在2周后降解,导致MCT特异性细胞外基质(ECM)产生增加。通过使用光刻和同轴湿纺技术精确控制肌纤维和成纤维细胞的位置,这导致在3D构建体中形成MCT层的功能性肌纤维。这种先进的工程策略被设想为获得用于各种生物医学应用的仿生人类肌肉移植物的可能方法。
    Skeletal muscle connective tissue (MCT) surrounds myofiber bundles to provide structural support, produce force transduction from tendons, and regulate satellite cell differentiation during muscle regeneration. Engineered muscle tissue composed of myofibers layered within MCT has not yet been developed. Herein, a bioengineering strategy to create MCT-layered myofibers through the development of stem cell fate-controlling biomaterials that achieve both myogenesis and fibroblast differentiation in a locally controlled manner at the single construct is introduced. The reciprocal role of transforming growth factor-beta 1 (TGF-β1) and its inhibitor as well as 3D matrix stiffness to achieve co-differentiation of MCT fibroblasts and myofibers from a human-induced pluripotent stem cell (hiPSC)-derived paraxial mesoderm is studied. To avoid myogenic inhibition, TGF-β1 is conjugated on the gelatin-based hydrogel to control the fibroblasts\' populations locally; the TGF-β1 degrades after 2 weeks, resulting in increased MCT-specific extracellular matrix (ECM) production. The locations of myofibers and fibroblasts are precisely controlled by using photolithography and co-axial wet spinning techniques, which results in the formation of MCT-layered functional myofibers in 3D constructs. This advanced engineering strategy is envisioned as a possible method for obtaining biomimetic human muscle grafts for various biomedical applications.
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  • 文章类型: Journal Article
    人类诱导的多能干细胞(hiPSC)为产生牙齿上皮(DE)细胞提供了有希望的来源。现有的分化方案耗时且严重依赖生长因子,在这里,我们开发了一个三步方案,在8天内将hiPSC转化为DE细胞。在第一阶段,使用SU5402(FGF信号传导抑制剂)将hiPSC分化成非神经外胚层。第二阶段涉及使用LDN193189(BMP信号传导抑制剂)和purmorphamine(SHH信号传导激活剂)将非神经外胚层分化为泛胎盘外胚层,并同时诱导口腔外胚层(OE)的形成。在最后阶段,通过应用Purmorphamine将OE细胞分化为DE,XAV939(WNT信号抑制剂),BMP4进行qRT-PCR和免疫染色以检查谱系特异性标志物的表达。进行ARS染色以评估矿化结节的形成。PITX2、SP6和AMBN的表达,矿化结核的出现,球体培养中AMBN和AMELX的表达增强暗示了DE细胞的产生。这项研究描绘了发育信号传导途径,并使用小分子简化了hiPSC向DE细胞的诱导。我们的发现提供了一种简化和更快的方法来产生DE细胞,为牙齿再生和牙齿疾病研究提供有价值的见解。
    Human-induced pluripotent stem cells (hiPSCs) offer a promising source for generating dental epithelial (DE) cells. Whereas the existing differentiation protocols were time-consuming and relied heavily on growth factors, herein, we developed a three-step protocol to convert hiPSCs into DE cells in 8 days. In the first phase, hiPSCs were differentiated into non-neural ectoderm using SU5402 (an FGF signaling inhibitor). The second phase involved differentiating non-neural ectoderm into pan-placodal ectoderm and simultaneously inducing the formation of oral ectoderm (OE) using LDN193189 (a BMP signaling inhibitor) and purmorphamine (a SHH signaling activator). In the final phase, OE cells were differentiated into DE through the application of Purmorphamine, XAV939 (a WNT signaling inhibitor), and BMP4. qRT-PCR and immunostaining were performed to examine the expression of lineage-specific markers. ARS staining was performed to evaluate the formation of the mineralization nodule. The expression of PITX2, SP6, and AMBN, the emergence of mineralization nodules, and the enhanced expression of AMBN and AMELX in spheroid culture implied the generation of DE cells. This study delineates the developmental signaling pathways and uses small molecules to streamline the induction of hiPSCs into DE cells. Our findings present a simplified and quicker method for generating DE cells, contributing valuable insights for dental regeneration and dental disease research.
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  • 文章类型: Journal Article
    类器官已成为破解组织发育机制的强大工具。它们也是重要的体外系统,用于研究干细胞行为的基本原理和建立先进的疾病模型。在早期开发中,中枢神经系统形成的关键步骤是神经管背-腹轴(DV)的图案化。在这里,我们描述了一种简单而快速的培养方案,从单个人诱导的多能干细胞(hiPSCs)产生人神经上皮(NE)囊肿和DV图案化的类器官。而不是嵌入在矩阵中,hiPSC在含有可溶性细胞外基质的培养基中经历5天的分化过程,并且被允许自组织成具有表达早期神经上皮标志物的确定的中央管腔结构的3D囊肿。此外,在用声波刺猬蛋白和全反式维甲酸刺激时,NE囊肿进一步发展为具有DV模式的NE类器官。使用简单的培养条件快速生成图案化的NE类器官能够模拟,监测,和纵向操纵NE细胞行为。这种简单的培养系统使NE类器官成为研究神经干细胞自组织和早期神经管发育事件的易于处理的模型。
    Organoids have emerged as robust tools for unravelling the mechanisms that underly tissue development. They also serve as important in vitro systems for studying fundamentals of stem cell behavior and for building advanced disease models. During early development, a crucial step in the formation of the central nervous system is patterning of the neural tube dorsal-ventral (DV) axis. Here we describe a simple and rapid culture protocol to produce human neuroepithelial (NE) cysts and DV-patterned organoids from single human-induced pluripotent stem cells (hiPSCs). Rather than being embedded within a matrix, hiPSCs undergo a 5-day differentiation process in medium containing soluble extracellular matrix and are allowed to self-organize into 3D cysts with defined central lumen structures that express early neuroepithelial markers. Moreover, upon stimulation with sonic hedgehog proteins and all-trans retinoic acid, NE cysts further develop into NE organoids with DV patterning. This rapid generation of patterned NE organoids using simple culture conditions enables mimicking, monitoring, and longitudinal manipulation of NE cell behavior. This straightforward culture system makes NE organoids a tractable model for studying neural stem cell self-organization and early neural tube developmental events.
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  • 文章类型: Journal Article
    背景:尽管致癌RAS突变体被认为对血细胞具有诱变作用,目前尚不清楚单个致癌RAS如何影响非转化的多能造血干细胞或祖细胞(HPCs).这种潜在的恶性前状态可能是RAS相关的自身免疫性淋巴增生综合征样疾病(RALD)患者中HPCs的特征。这项研究旨在阐明携带单等位基因突变体KRAS(G13C)而没有其他癌基因突变的人类HPC的生物学和分子改变。
    方法:我们利用了来自两个无关RALD患者的诱导多能干细胞(iPSC)。分化后单独获得的携带野生型KRAS或单等位基因KRAS(G13C)的等基因HPC对能够进行可靠的比较分析。使用KRAS(G13C)iPSC和分化的HPC,用已建立的平台进行化合物筛选。
    结果:细胞培养试验显示单等位基因KRAS(G13C)影响iPSC衍生的HPCs的髓样分化和扩增特征。综合RNA测序分析描绘了等基因组内HPC样品的紧密聚类,保证比较研究应该在相同的遗传背景下进行。与没有刺激相比,iPSC衍生的KRAS(G13C)-HPC在转录组谱中显示出与野生型等基因对照的显著相似性。用细胞因子刺激后,然而,KRAS(G13C)-HPCs表现出明显的细胞周期异常和凋亡反应,与“扩张失调”兼容,“通过分子和生物学评估证明。在突变型HPC特有的其他分子变化中,鉴定了增加的BCL-xL表达。建立了用于治疗干预的筛选平台,我们在几种候选化合物中观察到对KRAS(G13C)-HPC扩增的选择性活性,最值得注意的是MEK-和BCL-2/BCL-xL-抑制剂。当组合时,这两种化合物表现出对KRAS(G13C)-HPCs的选择性抑制作用,甚至与主要患者样品一起。
    结论:我们的发现表明,单等位基因致癌KRAS可以赋予非转化HPCs失调的扩增特征,这可能构成RALD造血的病理状况。使用基于iPSC的筛选平台将导致发现能够选择性抑制RAS突变的HPC克隆的治疗。
    BACKGROUND: Although oncogenic RAS mutants are thought to exert mutagenic effects upon blood cells, it remains uncertain how a single oncogenic RAS impacts non-transformed multipotent hematopoietic stem or progenitor cells (HPCs). Such potential pre-malignant status may characterize HPCs in patients with RAS-associated autoimmune lymphoproliferative syndrome-like disease (RALD). This study sought to elucidate the biological and molecular alterations in human HPCs carrying monoallelic mutant KRAS (G13C) with no other oncogene mutations.
    METHODS: We utilized induced pluripotent stem cells (iPSCs) derived from two unrelated RALD patients. Isogenic HPC pairs harboring either wild-type KRAS or monoallelic KRAS (G13C) alone obtained following differentiation enabled reliable comparative analyses. The compound screening was conducted with an established platform using KRAS (G13C) iPSCs and differentiated HPCs.
    RESULTS: Cell culture assays revealed that monoallelic KRAS (G13C) impacted both myeloid differentiation and expansion characteristics of iPSC-derived HPCs. Comprehensive RNA-sequencing analysis depicted close clustering of HPC samples within the isogenic group, warranting that comparative studies should be performed within the same genetic background. When compared with no stimulation, iPSC-derived KRAS (G13C)-HPCs showed marked similarity with the wild-type isogenic control in transcriptomic profiles. After stimulation with cytokines, however, KRAS (G13C)-HPCs exhibited obvious aberrant cell-cycle and apoptosis responses, compatible with \"dysregulated expansion,\" demonstrated by molecular and biological assessment. Increased BCL-xL expression was identified amongst other molecular changes unique to mutant HPCs. With screening platforms established for therapeutic intervention, we observed selective activity against KRAS (G13C)-HPC expansion in several candidate compounds, most notably in a MEK- and a BCL-2/BCL-xL-inhibitor. These two compounds demonstrated selective inhibitory effects on KRAS (G13C)-HPCs even with primary patient samples when combined.
    CONCLUSIONS: Our findings indicate that a monoallelic oncogenic KRAS can confer dysregulated expansion characteristics to non-transformed HPCs, which may constitute a pathological condition in RALD hematopoiesis. The use of iPSC-based screening platforms will lead to discovering treatments that enable selective inhibition of RAS-mutated HPC clones.
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