lecture 5: modelling of human disease with pluripotent cells Flashcards

1
Q

What are properties of pluripotent stem cells?

A
  • grow indefinitely in vitro
  • maintain normal genetic makeup
  • cloned lines capable of differentiation into a wide range of somatic and extraembryonic tissues in vivo and in vitro-at high frequency and under a range of conditions
  • capable of colonising all tissues including germ line after blastocyst injection to give chimeric offspring
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2
Q

What are the two types of human pluripotent stem cells?

A
  • embryonic stem cells
    • derived around 1998
    • directly from pluripotent cells from the embryo
  • induced pluripotent stem cells
    • taking an epithelial cell
    • adding yamanaka factors in vitro
    • reprogramme back to an state resembling an ES cell
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3
Q

What is a newly developed route for deriving pluripotent SCs?

A
  • nuclear transfer/transplantation
  • employs cloning technology to make a cloned embryo from an existing individual
  • process is interrupted and stem cells derived
  • many species of mammal have now been cloned
  • a cloned kitten costs $50K US
  • Human SCNT: multiple refinements to the procedure enabled ES generation from a small number of oocutes
  • cloning: a powerful tool to study cellular reprogramming and the gold standard
  • remains pretty inefficient but is very powerful
  • some evidence that these were closer to ES cells than iPS cells
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4
Q

What are embryonic stem cells?

A
  • derived from spare embryos before specialised tissue of the body begin to form
  • can multiply indefinitely in laboratory cultures
  • retain the ability of embryonic cells to turn into any type of tissue
  • nov 98: human embryonic stem cells discovered
  • 2012 - first human trials of human embryonic stem cell therapeutics
  • em
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5
Q

How are stem cells used as laboratory tools?

A
  • designer mice for research
  • nobel prize in medicine 2007
  • gene knockout technology has enabled a revolution in mammalian genetics, development, physiology and the study of disease
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6
Q

What is another experimental species from which stem cells are derived and why was this important?

A
  • embryonic stem cells from rat
    • chimeric rat pups made from embryonic stem cells
    • germline competent embryonic stem cells derived from rat blastocysts
  • workers have tried for 20 years to make rat embryonic stem cells
  • rats are widely used in physiology and pharmacology and drug discovery
  • until now there have been no tools to make specific modifications n the rat genome to create disease models, like we can in mouse (nobel prize 2007)
  • new discoveries about embryonic stem cell growth regulation (ES cell self renewal as a default pathway) to make rat ES cells for the first time
  • an important new tool for basic research and drug discovery
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7
Q

What is the importance of iPS cells?

A
  • induced pluripotent stem cells provide a new approach to tissue matching for transplantation and powerful research tools
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8
Q

What is somatic cell nuclear transfer and patient specific therapy?

A
  • cloning is a very inefficient process so took quite a while to develop this for stem cell development
  • obtaining oocytes is an invasive procedure
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9
Q

What was the approach of Takahashi and Yamanaka to stem cells?

A
  • reductionist
  • reprogramming to pluripotency
  • induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors
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10
Q

What are induced pluripotent stem cells?

A
  • iPSC
  • somatic cells “reprogrammed” by viral transfection
  • ES-specific transgenes inroduced into host cells Oct-4, Sox2, Klf-4, c-Myc
  • subset of cells: ES-like colonies = iPS
  • avoids use of embryos
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11
Q

What are the applications of iPSC?

A
  • research: disease modelling
  • therapy: tissue matching
  • pluripotent stem cells have important applications in biomedical research
  • basic studies of early human development and its disorders-birth defects, childhood cancers
  • functional genomics in human cells
  • discovery of novel factors controlling tissue regeneration and repair
  • in vitro models for drug discovery and toxicology
  • e.g. modelling the Q-T syndrome with human iPSC
    • congenital type 2 LQTS: model for LQT caused by heart failure, cardiac hypertrophy or drugs
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12
Q

How can stem cells be used to model non-cell autonomous disorders?

A
  • efforts beginning
  • amyelotrophic lateral sclerosis
  • interaction between astrocytes and motorneurons
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13
Q

What are the implications of iPSC for functional genomics?

A
  • allows us to take infromation from monogetic, complex or GWA study traits and actually test this in cells
  • better understand role of genes in disease
  • maybe just need to look at biomarkers
  • there are differences between mice and humans
  • we can make targeted genetic modifications in human ES cells to create disease models
  • we can study the effects of the mutations on development and physiology of specific cell types
  • we can use the differentiated cells to develop and screen new medicines
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14
Q

Why is it important that stem cells can be used to study CNS development?

A
  • cortical structures in vitro from human ES cells, Eiraku et al. Cell stem cell 3: 519,2008
  • human cerebral cortex in a dish
  • human cortical development differs significantly from other mammals
  • ES and iPS cells can be used to model human cortical development
  • Schizophrenia, autism and epilepsy are disorders of brain development
  • iPSC from patients with these diseases can be used to recapitulate key events in pathogenesis
  • schizophrenia susceptibility genes expressed in network in foetal cortex
  • integration of neural progenitors from human ES cells into mouse cerebral cortex: implications for brain repair in childhood
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15
Q

What are the advantages of iPSC?

A
  • no ethical issues around provenance (other ethical issues)
  • facile access to starting material
  • technology for reprogramming widely accessible
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16
Q

How can iPSC be used genetic research tools?

A
  • enable in vitro modelling of complex multigenic diseases
  • enable examination of effects of single gene mutation on different genetic backgrounds and examination of the effect of modifier genes unlike ESC
  • enable examination of individual variations in tissue regeneration and repair pathways and development of biomarkers for clinical outcomes in regenerative medicine
17
Q

How are iPSC made?

A
  • Yamanaka first used retroviral vectors that delivered them into the genome
  • all sorts of problems associated with it
  • big stumbling block for gene therapy
  • whole range of different ways around this
  • most prominent perhaps episomal vectors that don’t integrate but float around in the cytoplasm and express the reprogramming factors but ultimately disappear
  • problems now mostly about efficiency
  • need to make sure we don’t damage the genome
18
Q

What is the challenge of ‘Making the Right Stuff’?

A
  • variations in differentiation capacity of Both ES and iPS cells in culture
19
Q

What is a comparison of differentiation potential in pluripotent cells?

A
  • ES/iPS cells
  • non-directed EB differentiation (16 days, 2-5 replicates) - basically a way of making the cells spontaneously go down a whole lot of differentiation pathways at once
  • expression profiling for 500 lineage marker genes
  • quantification of expression differences versus reference
  • gene set enrichment analysis for lineage marker genes
  • lineage scorecard estimate of differentiation propensities
  • kind of all over the shop
  • hard if you have a patient whose cells are not good at making a particular cell type because will make it hard to do systematic studies
    *
20
Q

What is the issue of variability in differentiation potential of cell lines?

A
  • variation in differentiation potential may require isolation and testing of multiple clones
  • variation probably relates not to gene expression in pluripotnet state but rather to its stability - what is important is how cells exist in pluripotent state
  • can look at differences in DNA methylation, transcriptional variation, ability to differentiate into particular cell lines, level of variabilty/noise
21
Q

How can we get and why do we need purification of end cells for analysis?

A
  • when we look at differentiation from a bunch of cell lines we want to be comparing apples to apples - not to oranges
  • although we describe this differentiation process as though it is really well controlled, in fact most of the differntiation protocols give you a mix of different stuff at the end
  • you don’t want that mix to be varying from patient to patient and confusing your readout
  • flow cytometry is one way of purifying the cells for analysis
  • reporter cell lines:
    • a reporter gene e.g. a fluorescent protein has been targeted to a locus of a specific gene that is switched on at a very specific stage of development
    • e.g. a neuron specific gene
    • powerful way of making a homogenous culture of cells at a particular stage in development
22
Q

How can we get around individual variation?

A
  • targeted genetic manipulation to yield isogenic cell lines with wild type or mutant genotype provides powerful controls for analysis of disease phenotype
  • homologous recombination
  • now much faster
  • take a patient with a disease, correct a gene in one cell line and compare that to the original cell line
  • much tighter readout of phenotype in theory
23
Q

What is TALE?

A
  • new technology
  • transcription factor activation like effector
  • TALE endonucleases enable facile genetic manipulation of human pluripotent stem cells
24
Q

What is CRISPRS?

A
  • Clustered, regularly interspaced, short palindromic repeat
  • simpler to make than TALENS and provide high efficiency gene targeting
  • off target effects are still a consideration
25
Q

What are examples of recent disease modelling studies?

A
  • rapidly growing field
  • alzheimer’s
  • huntington’s
  • rett syndrome
  • lesch-nyhan syndrome
  • parkinson’s
  • spinal muscular dystrophy
26
Q

What are issues with iPSC epigenetics?

A
  • erasure of epigenome during reprogramming may erase important features of disease susceptibility
  • memory of somatic tissue of origin due to imperfect reprogramming - may be erased after long term cultivation
    • e.g. taking a blood cell, still having blood cell markers
27
Q

What are genetic lesions in iPSC?

A
  • lesions that are introduced adventitiously
  • function significance of mutations not always clear
  • chromosomal rearrangements in later stages similar in ES and iPSC
  • there are aberrations of somatic origin, those introduced during reprogramming, and those acquired in culture
  • changes that we observe are consistently very similar to changes seen in cancer
  • therefore need to keep in mind that there is some degree of loss of integrity of stem cell genome and epigenome in vitro and this may influence the phenotype/behaviour of cells
28
Q

Are ES cell lines stable?

A
  • most ES cell lines are remarkably stable
  • ~75% will have no changes even after hundreds of generations in culture
  • bad news is we have no clue why the other 25% go off the rails
29
Q

What is the gold standard of stem cells?

A
  • ES cell
  • however ES and iPSC have:
    • similar patterns of gene expression in the pluripotent state
    • similar patterns of DNA methylation and histone modification
    • similar susceptibility to genetic change during long term culture
    • variation in capacity for differentiation into specific lineages
  • As we better understand iPSC it is likely that they will produce a viable alternative to ES cells
30
Q

What are some further challenges in disease modelling and some possible answers to these challenges?

A
  • non cell autonomous disorders: organ in a dish
  • production of fully mature functional cells: better cell culture technoogy to mimic in vivo environment
  • long time span to development of pathology, disorders of ageing: artificial acceleration of the ageing process
31
Q

What are some future applications of pluripotent stem cells?

A
  • making germ cells: offspring from oocytes derived from in vitro primordial germ cell-like cells in mice
  • differentiation of human iPS cells into gametes
    • new possibilities for research on human germ line-infertility, early development
    • but significant ethical questions over fertilisation and embryo production using IPS-cell derived gametes
    • with IPS cells gametes could be created from individuals of any age, living or dead
    • we could potentially make germline modifications in human
  • monsters
    • chimera: an organism comprised of cells of two or more unique genetic background
    • contribution of human embryonic stem cells to mouse blastocysts
  • formation of chimera via inoculation of ES cells into preimplantation animal embryo
    • object to assess development capacity or response to embryonic environment or create organs for transplantation
    • outcome is an animal or embryo or foetus with substantial human cell contribution to many tissues
    • unlikely to work where host species differs signficantly in developmental terms for humans; minor degree of chimerism is not very informative
    • high levels of chimerism controversial from an ethical point of view e.g. human cell into monkey blastocyst
    • but there are some important uses for this technology
    • e.g. humanised blood an immune system in mice
    • production of organs from iPSC in vio via interspecies chimera
    • rat pancrease in mouse chimera formed blastocyst injection of rat iPSC into Pdx-/- mouse
    • human glial mouse chimeric brain
      • human glial progenitors show very substatial functional engraftment
      • mice show improved learning ability
      • mouse grafts had no such effect
32
Q

Summary of induced pluripotent stem cells

A
  • powerful tools for research in genomics, disease modelling and drug discovery
  • banks of iPSC made from cord blood or other tissue will provide a resource for transplantation in the future
  • many obstacles must still be overcome