lecture 17 Flashcards

What can we do with the stem cells in the nervous system?

1
Q

What are types of stem cells?

A
  • totipotent: fertilised egg
  • pluripotent: embryonic stem cells, iPScs
  • multipotent: fetal stem cells, adult stem cells, cord blood stem cells
  • unipotent: fetal stem cells, adult stem cells
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2
Q

What are induced pluripotent stem cells?

A
  • take adult cells and introduce four/five transcription factors that can induce pluripotency
  • initially used viral techniques now a lot of non-viral
  • once made into iPS you differentiate into the lineage of choice: this is a massive challenge in the field itself
  • at the moment, these differentiated cells are mostly used for in vitro screening of drug candidates on healthy and diseased cells
  • one day hopefully suitable for transplantation
  • if you isolate them from a cell with a particular genetic mutation you can change that –> add, change, delete genes etc
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3
Q

How have iPS cells been received and used by the scientific community?

A
  • excellent: now we have a new way to complement existing animal models with having human cells, especially diseased cells
  • didn’t care how they were going to analyse them, they just said let’s just make them and we will worry about that later
  • many groups working on neurodegenerative diseases, especially one’s that carry inherent mutations, ran off and made stem cells from them
  • many of these papers don’t show a particular phenotype of this disease
  • lots of reasons for this that demonstrate the challenges associated with stem cell research
  • some make them from highly complex diseases e.g. schizophrenia, spectrum disorder like autism in children
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4
Q

What is the process when using iPS/hES cells?

A
  • pluripotent stem cell: how do we make the differentiated cell, i.e. neuron, in the first place
  • neural differentiation system (used by most groups around the world)
  • you can break up any differentiation protocol into stages of development –> need to understand developmental process to get from stem cell to desired cell type
  • can divide into stages of neural induction
  • going from pluripotent into a neural epithelial cell type e.g. neural plate
  • takes about two weeks, different methods
  • once they become committed to the neural lineage we can isolate these cells (mechanically, under the microscope)
  • cultured in suspension, aggregate together and form neurosphere
  • neurosphere = aggregates of neural stem cells but within the sphere itself all cells like to differentiate - never completely homogenous: neural stem cells, neural progenitors, neurons, glials etc
  • can make neural spheres even from feotal neural stem cells
  • can keep them in culture for several weeks: can passage, expand
  • can plate them down onto different substrates to differentiate them into more mature cell types of specific lineages
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5
Q

What is dual SMAD inhibition?

A
  • directed induction of human pluripotent stem cells
  • noggin (inhibits BMP or SMAD1 signalling - trophectoderm)
  • SB431542 (inhibits Activin/Nodal or SMAD 2/3 - mesoendoderm)
  • usually one of the very first lineages that pluripotent stem cells want to differentiate into is endoderm: extraembryonic endoderm or difinitive endoderm, and in particular with extraembryonic endoderm there is a cell type called trophectoderm
  • these are the cell types that are involved in implantation into the uterus
  • so it makes sense that a pluripotent stem cell, like an embryo, initially wants to make cell types that support the growth of the embryo
  • also seen in a culture dish: the first lineage made is usually endoderm
  • we know that the proteins that drive this differentiation are usually BMPs and for mesoendoderm, Activin/Nodal pathway
  • downstream signalling pathway of BMP is SMAD1, and for Activin/Nodal pathway SMAD2/3
  • if we inhibit these pathways they default to the next differentiation pathway
  • next default pathway in early devolpment is neural ectoderm/ectoderm
  • block it by adding BMP inhibitor (noggin) or use small molecule compounds that mimic these inhibitors
  • add these inhibitors to a culture for two weeks –find that these pluripotent stem cells start expressing markers of early neural stem cells
  • earliest marker of neural stem cells is the transcription factor PAX6 (human) and SOX2
  • SOX2 also expressed in pluripotent stem cells but persists in early neural stem cells (switched off in other lineages)
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6
Q

What is the default of neural induction?

A
  • early most anterior forebrain regions
  • in development of the nervous system you have different sections of the brain and spinal cord: forebrain, midbrain, hind brain
  • forebrain gives rise to the cortex –> most anterior part that then forms a carpert of cells that covers the whole brain
  • this is the first lineage that develops from neural stem cells
  • interesting because this is the most highly evolved part of the brain (however takes longest to develop)
  • very large so development of sulci (more sulci = greater intelligence)
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7
Q

What are layers of cortical neurons?

A
  • if you take a column of cortical neurons you see there are layers and many cell types
  • at least 6 layers
  • what type of cortical neurons do you want?
  • have found that most of the neurons at the early stages are forming the deep layer cortical neurons (4,5)
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8
Q

What do we do when we create iPS cells from ASD (autistic) patients?

A
  • differentiate into neurons
  • develops into relevant cortical neurons
  • how do we model autism?
  • representative of newborn baby in someways - unmyenlinated, not connected to anything/the right cell type
  • want to test neuronal sub-populations, synaptogenesis connectivity, functionality
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9
Q

Why work with engineers? How do we use microelectrode arary technologies?

A
  • try to develop ways that we can culture neurons in a dish that model the way they work in a brain
  • microelectrode array technologies for measuring functional connectivity between cultured human stem cell-derived neurons
  • to show functionality in a neuron a lot of people use electrophysiology/patch clamping: individual neuron, go in with glass electrode and measure the electrical activity of individual neurons
  • add inhibitors etc and monitor impact on firing
  • 60 electrodes on array:
  • culture neurons
  • can measure simulatenously all the firing patterns
  • use it to teach neurons to start talking to each other
  • once they start talking to each other can measure it
  • this is only a 2D system
  • also work with engineers to create 3D matrices of neurons
  • a better model
  • silk fibroins
    • bioresorbable
    • optically transparent
    • mechanically robust
    • biologically and chemically functionalisable
    • non-immunogenic
    • integration with electronics
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10
Q

What are vertical nanowire electrode arrays?

A
  • targeted/localised delivery of different agents (plasmid DNA, proteins, peptides, and low molecular weight compounds)
  • ultra sensitive sensors for electrical, real time detection of chemical and biological species –> fast and accurate medical diagnosis analyser
  • poke into cell to measure surface electrical and intracellular chemicals
  • trying to make hollow so possible to inject things into cell
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11
Q

How do we derive other cell types from other lineages?

A
  • e.g. Freidreich Ataxia, Hirschsprung’s disease, hearing loss from neural crest/PNS neurons and glia
  • e.g. multiple sclerosis from neuroepithelial –> CNS neurons and glia
  • e.g. parkinson’s disease from floor plate –> mesencephalic dopamine neurons
  • have to mimic conditions seen in development - requires a very good understanding
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12
Q

What is Friedreich’s Ataxia?

A

neurodegeneration

  • loss of balance and coordination
  • muscle weakness
  • vision and hearing impairments

heart disorders

  • tachycardia
  • hypertrophic cardiomyopathy
  • atrial fibrillation
  • very rare: 1:30,000
  • most common out of inherited ataxias
  • symptoms start in childgood
  • ataxia = loss of balance
  • within a matter of years in a wheelchair
  • heart disorders tend to be lethal
  • not every neural cell type is affected:
    • cerebellar neurons
    • sensory neurons (pain, feeling, pressure)
    • pressure/feeling generally lost
    • imagine trying to walk etc without feeling the ground
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13
Q

What is the cause of Friedreich’s Ataxia?

A
  • inherited mutations in Frataxin gene resulting in the body producing insufficient levels of Frataxin protein
  • function in the mitochondria
  • maintenance of iron metabolism
  • iron build up in the mitochondria - neurotoxicity
  • even though frataxin is expressed in every cell in the body, for some reason neurons and cardiomyocytes are more sensitive to these mutations
  • mutations occur in the intron regions of the gene
  • between exon 1 and 2 –> GAA repeats (20 in normal state, 500+ in freidreich ataxia)
  • extra repeats causes chromatin modelling, refolding etc that affect transcription
  • hard for transcription to occur in this region because of extra expansion
  • 10% or less of frataxin protein
  • recessive –> need expansion on both alleles
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14
Q

Why is Friedreich’s Ataxia a ‘low hanging fruit’?

A
  • we know how to cure the disease: correct the mutations within the frataxin gene, increase Frataxin protein levels in the body
  • treatments: rescue and/or prevent further tissue degeneration, antioxidants
  • for this reason a lot of money has gone into, a lot of research, drugs etc, some decrease iron toxicity, increase transcription, frataxin-protein replacements
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15
Q

What has been slowing down the development of drugs to treat Friedreich’s ataxia?

A
  • human Friedreich ataxia cells are needed to develop treatments
  • to study degenerative mechanisms of having low Frataxin levels
  • human cellular models for drug screening
  • lymphoblast and fibroblast cell lines from patients are available, but not representative of all cell types affected
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16
Q

How did iPS cell lines contribute to research about Friedreich’s Ataxia?

A
  • got patient fibroblast samples
  • characterised them and made iPS cells
  • two cell lines: FA3 and FA4
  • low levels of frataxin transcription compared to controls
  • showed GAA repeat expansions
  • you do see some genetic mutation when turning a cell into a stem cell: especially in unstable sections of DNA e.g. these very large expansions, sometimes you see further expansion in the stem cell, sometimes you see shrinkage
  • however always in the pathological range (>50)
  • initially differentiated the cells into the neurons without worrying about the exact neuron type –> just make into cortical neurons –> neurons and glial cells
  • looked at the phenotype in these cells –> cell death over a long time not significantly different compared to control, looked at electrophysiology
  • importantly looked at mitochondrial activity, (lots of stuff) –> saw almost nothing
17
Q

Why might there be a lack of disease phenotype observed in Friedreich’s Ataxia iPS cells?

A
  • frataxin protein levels still too high ??
    • even though FA3 had 39% and FA4 had 28% perhaps this is not low enough
  • need to analyse specific neuronal cell type?
    • create the sensory neurons that are normally affected by the disease as opposed to studying the cortical neurons
  • need to analyse correct stage of maturation, at the functional stage?
  • cells need to be stressed?
  • microenvironment plays a role?

important to recognise that iPS cells are never 100% reflective of the original patient
transplanted into rat cerebellum - a lot differentiated into neurons and followed exogenous tracts (no extra cell death, unsurprising)

field moving rapidly

18
Q

Can iPS cells be used in therapies?

A

no, not yet
trying to find ways to make them more stable
iPS ≠ ES

19
Q

How have stem cells been used in therapies?

A
  • iPS cells currently still haven’t been used because too dangerous
  • human ES cells the safest - used in a privately funded clinical trial where they turned hES cells into oligodendrocytes and inserted them into patients with recent spinal injury –> prevented scar formation and allowed for the regrowth of axons (usually prevented by scar tissue)
  • unfortunately the cost of the trial far outweighed the number of people who benefitted so had to be stopped
  • now a clinical trial underway for using hES cells to treat Age-Related Macular Degeneration
  • often happens with the endothelial cells around the eye
  • cell type of the nervous system, but external, so doesn’t have to cross blood brain barrier
  • don’t have to worry about using immunosuppressants
  • fantastic results –> really good reversal

in the cardiomyocyte field:

  • really good success in differentiating hEScells into cardiomyocytes
  • shown proof of principle that if they inject these hESCs into animals that have had heart attacks they do see recovery and regeneration
  • just last year approved a clinical trial for using hESC derived cardiomyocytes in patients that have had very severe injuries (End Stage Heart Failure)
20
Q

What can we do with stem cells?

A

Do we actually need stem cells?

  • reprogramming and transdifferentiation
  • can we make anything from anything?
  • if you stimulate the right genes you can even bypass using stem cells
  • already shown that you can get dopaminergic neurons etc
21
Q

Why are hES stem cells important?

A
  • without them we never would have discovered how to make iPS cells
  • allow us to give back
  • help us understand a lot about reproductive biology