L10: Stem Cell Technologies Flashcards

1
Q

How are hES cells useful in therapies?

A
  • Diabetes
  • Parkinson’s
  • Arthritis
  • Regenerative medicine
  • Toxicology
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2
Q

How are hES cells useful in regeneration?

A
  • Regenerative medicine
  • Replacing tissues/cell types e.g. beta cells in T1DM
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3
Q

What is the basic definition of a stem cell?

A
  • ‘Primitive’ cell that can self-renew, is potent (i.e. can make a range of cell types), and can differentiate
  • This allows the development of embryos and repair of tissues later in life
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4
Q

Types of pluripotent stem cells:

A
  • Blastocysts (mES, hESC, EpiSC, human naive etc) -> Pre-implantation
  • Epiblast (hESC, EpiSC) -> Post-implantation
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5
Q

Outline the stages in the use of human pluripotent SCs in medicine:

A
  • Originally derived from teratocarcinoma (EC)
  • Can also be derived from surplus IVF embryos and induced pluripotent stem cells
  • SCs are cultured in vitro
  • They are then differentiated for various functions
  • e.g. B cells for diabetes
  • e.g. Neurons for Parkinsons
  • e.g. Cartilage cells for arthritis
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6
Q

Procedure for obtaining Human ES cells:

A
  • Obtain SCs (usually spare embryo from IVF), culture in vitro
  • Remove trophectoderm from hatched blastocyst, typically by exposure to an anti-trophectoderm antibody followed by complement-mediated killing
  • ICM cellls re-plated into feeder cells (originally mouse fibroblasts)
  • Examples of medium used: Thomson, Reubinoff
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7
Q

How do we characterise human pluripotent stem cells?

A
  • Flow cytometry / in-situ staining
  • Genetic/epigenetic testing
  • Gene expression via microarrays/qPCR
  • Functional tests e.g. clonogenic assays (ability to form colonies) , teratoma test (can it differentiate into the 3 germ layers in this model?)
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8
Q

Key differences between human and mouse ESCs:

A
  • Phenotypic (i.e. density of colonies, cytosol density) -> although overall they are relatively similar
  • Signalling (e.g. SSEA1 + mice, - humans in early development, type of cell-surface marker)
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9
Q

What is the issue with long term culture of stem cells? (including example mutation)

A
  • Over time, liekly to acquire genetic abnormalities
  • Selective for colony survival and proliferation (e.g. Chr 12, 17 shown to have a high distribution of cytogenetic abnormalities in culture adapted hES cells)
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10
Q

What is the consequence of non-optimal conditions in SC culture:

A
  • Cells either self-renew, die or differentiate
  • If the conditions are too harsh, selection pressures occur for adaptation -> genetic abnormality
  • In extreme cases, human embryonal carcinoma can arise due to lack of differentiation
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11
Q

Why is epigenetic testing important in iPCs?

A
  • Induced pluripotent -> need to epigenetically reprogramme
  • Must display required methylation pattern for success
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12
Q

How can we test for pluripotency?

A
  • Embryoid body (allowing cells to coagulate into 3D structure, triggering differentiation) -> not very reproducible
  • Reproducibility can be improved by adding spin step
  • Can add GFs to this protocol for specific lineages
  • 2D Monolayer (most common): mimicking developmental biology by sequential application of GFs -> issue in lack of 3D structure
  • Teratoma -> adding to immunocompromised mice and testing ability to form different germ layers
  • Organoids (variation on embryoid body with polarisation step)
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13
Q

How are SCs maintained in a pluripotent state?

A
  • Suppress BMP signalling
  • Activate TGFB and MEK/ERK and PI3K
  • Net effect: Supress differentiation, promote self-renewal
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14
Q

How are iPS cells induced?

A
  • Differentiated somatic cells in culture
  • Switch off known markers for cell type to resume pluripotency
  • Originally doing using viral vectors, where mouse line used selection via drug morphology (very low efficiency)
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15
Q

Methods for non-integrating delivery of reprogramming factors:

A
  • Transient transfection using mRNA (‘Gold standard’)
  • TAT-fusion
  • Adenoviral vectors
  • Chemical based reprogramming
  • ‘Floxed’ vectors (Cre-Lox system which uses cre to remove DNA via loxp sites)
  • Using a transposon to integrate the DNA then remove it again
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16
Q

Protein expression markers for iPCs?

A
  • Alkaline phosphatase
  • Pluripotency factors e.g. Nanog, Oct4
  • Surface markers e.g. Tra1-81, SSEA3
17
Q

What can induced pluripotent SCs be used for?

A
  • They can ‘capture’ the genotype of a person or a population
  • Can then be used in drug discovery, comparing response of patients somatic cells to a normal individual
  • Drug screens for the desired effect and other potential side effects throughout the body (pharmacogenomics)
18
Q

What diseases have been modelled with iPSC methods?

A
  • Cardiac….
  • Long QT (KCNQ1 and 2)
  • Timothy syndrome
  • LEOPARD syndrome
  • Other…
  • Schizophrenia
  • Alzheimer’s
  • Retinitis pigmentosa
19
Q

How have iPSCs been useful in modelling Long QT type II?

A
  • Cardiomyocytes from LQT patients show action potential lengthening
  • It has been proposed that calcium-influx through L-type calcium channels contribute to action potential duration and ‘early after depolarisations’
  • Therefore, inhibition of this current may be anti-arrythmic
  • -> Calcium blocker nifedipine stops EADs
  • Potassium blocker pinacidil?
  • Can model whether arrhthymia is likely using ‘ECG’ of cardiomyocytes
20
Q

iPSC studies into Parkinson’s disease:

A
  • Alongside brain-wide changes like the presence of Lewey bodies, there is a lack of dopamine-secreting neurons in substantia nigra -> interference with control pathways -> difficulty initiating movement
  • Around 2% of the population over 70 display signs
  • Attempted to transplant foetal neural cells -> sometimes successful
  • As an alternative, they hoped to use iPSCs to differentiate dopamine-secreting neuron and transplant them back into the substantia nigra
21
Q

iPSCs in the study/treatment of DMI:

A
  • Gold standard: Edmonsen protocol using islet transplantation; limited by donor availability
  • Regenerative prospects: Triggering differentiation of beta cells through mimicking pancreatic environment in iPSCs (has successfully been developed in vitro; first transplants into patients in 2021 with improvement shown in islet cell function)
22
Q

iPSCs in the study/treatment of age-related macular degeneration:

A
  • Retinal pigment epithelium cells degenerate (responsible for phacoytosing debris from photoreceptors)
  • More common with age, in its 2 forms (wet and dry AMD)
  • Dry AMD is untreatable (majority) -> blindness
  • HESC-derived RPE cells have been obtained
23
Q

Give 3 tools for directing hPSC differentiation:

A
  • Small molecule and recombinant proteins -> inhibit or activate key signalling pathways like WNT, BMP to mimic developmental programmes
  • Matrices and self patterning (organoid/co-culture/hydrogel)
  • Transcriptional programming
24
Q

What are the principles behind differentiation approaches using hPSCs?

A
  • Directing lineages by mimicking temporal and spatial conditions that embryonic tissue would be exposed to during real organ development
  • Signalling information should first programme the correct germ layer, then encode A - P and D - V coordinates
  • This will result in terminal fate specification
25
Q

How are terminally differentiated cells isolated from hPSC population?

A
  • FACS
  • MACS
  • Functional assays
26
Q

3 methods for quality control of differentiated progeny:

A
  • Immunocytochemistry (i.e. cell fate markers) and electron microscopy (ultrastructure)
  • Genetic and epigenetic profiling (mRNA, protein, DNA, histone methylation can all be assayed in bulk populations as well as single cells)
  • Biochemical and physiological assays (calcium imaging, electrophysiology, hormone/NT release)
27
Q

Types of pluripotent SCs in mice vs human: (Include corresponding epiblast stage for each pluripotent stem cell type)

A
  • Naive PSCs: Undergo capacitation to formative state (and form trophectoderm in humans) -> Pre-implantation epiblast
  • Formative PSCs: Form PGCs and somatic tissue (as well as amnion in humans) -> early post-implantation
  • Primed PSCs: Form somatic tissue (both tissues) -> late post-implantation
28
Q

+ Advancement in protocol for differentiating mDA lineages (Parksinon’s)

A
  • Transitioning through ‘floor plate’ instead of epithelial cell fate -> this strategy resulted in more authentic dopamine neuronal population due to its closer resemblance to actual neuronal development
  • Canonical WNT signalling was particularly important in this approach (CHIR small molecule)
  • Successfully tested in various animal models for Parkinson’s disease