These studies were funded in part by NIH UO1HL107443-01 Award to GJM and GM.

1. Isolation and Expansion of Peripheral Blood Mononuclear Cells (PBMCs)
DAY 0
<ol>
 <li>Draw 4 ml of peripheral blood into a BD Vacutainer CPT Cell Preparation Tube with sodium citrate. Invert the tube 8 to 10 times and centrifuge at 1,800 x g for 30 min at room temperature. Ideally, this step should be done within 2 hr of collection.</li>
 <li>Collect the mononuclear cells (MCs) by pipetting the buffy coat (cell layer between gel barrier and plasma) into a sterile 15 ml conical centrifuge tube. Bring total volume to 10 ml with sterile phosphate-buffered saline (PBS), invert several times and centrifuge at 300 x g for 15 min.</li>
 <li>Resuspend the cells in 10 ml of sterile PBS and perform cell count. Transfer 1 to 2x106 cells into a sterile 15 ml conical centrifuge tube and centrifuge at 300 x g for 10 min.</li>
 <li>Resuspend the cells in 2 ml of expansion medium (EM) (QBSF-60 Stem Cell Medium containing 50 &mu;g/ml Ascorbic Acid, 50 ng/ml SCF, 10 ng/ml IL-3, 2 U/ml EPO, 40 ng/ml IGF-1, 1 &mu;M Dexamethasone and 100 &mu;g/ml primocin or 1% Pen/Strep) and transfer to one well of a 12-well plate. Incubate the cells in a 37 &deg;C, 5% CO2 incubator.</li>
 <li>Centrifuge remaining cells at 300 x g for 10 min and freeze ~2x106 cells/vial in FBS containing 10% DMSO.</li>
 <li>To start the protocol using frozen PBMCs, thaw 1 vial of cells into 10 ml of QBSF medium and centrifuge at 300 x g for 10 min. Resuspend the cells in 2 ml of EM and transfer to one well of a 12-well plate. Incubate the cells in a 37 &deg;C, 5% CO2 incubator.</li>
</ol>
DAY 3 and DAY 6
<ol start="17">
 <li>Transfer the cells to a sterile 15 ml conical tube and wash the well once with 1 ml of QBSF-60 Stem Cell Medium to collect adherent cells.</li>
 <li>Centrifuge the cells at 300 x g for 10 min.</li>
 <li>Resuspend the cells in 2 ml of EM and transfer to one well of a 12-well plate. Incubate the cells in a 37 &deg;C, 5% CO2 incubator.</li>
</ol>
2. Transduction of PBMCs with STEMCCA Lentivirus
DAY 9
<ol>
 <li>Transfer the cells to a sterile 15 ml conical tube and wash the well once with 1 ml of QBSF-60 Stem Cell Medium to collect adherent cells.</li>
 <li>Centrifuge the cells at 300 x g for 10 min.</li>
 <li>Resuspend the cells in 1 ml of fresh EM containing 5 &mu;g/ml of polybrene and STEMCCA lentivirus (MOI=1 to 10) and transfer to one well of a 12-well plate. (The protocol describing production of lentiviral particles can be found at <a href="http://www.bumc.bu.edu/stemcells/protocols/" target="_blank">http://www.bumc.bu.edu/stemcells/protocols/</a>)</li>
 <li>Spin the plate at 2,250 rpm at 25 &deg;C for 90 min.</li>
 <li>After spin, add an additional 1 ml of fresh EM containing 5 &mu;g/ml of polybrene for a total of 2 ml of medium and incubate the plate in a 37 &deg;C, 5% CO2 incubator.</li>
</ol>
DAY 10
<ol start="16">
 <li>Transfer the cells to a sterile 15 ml conical tube and wash the well once with 1 ml of QBSF-60 Stem Cell Medium to collect adherent cells.</li>
 <li>Centrifuge the cells at 300 x g for 10 min.</li>
 <li>Resuspend the cells in 2 ml of EM and transfer to 1 well of a 12-well plate. Incubate the cells in a 37 &deg;C, 5% CO2 incubator.</li>
</ol>
3. Plating Transduced Cells onto MEFs
DAY 11
<ol>
 <li>Coat the wells of a 6-well plate with 0.1% gelatin and plate inactivated mouse embryonic fibroblasts (MEFs) at 2x105 cells/well in MEF medium (IMDM containing 10% FBS, 1% Non-Essential Amino Acids, 100 &mu;M &beta;-mercaptoethanol, 2 mM L-Glutamine, 100 &mu;g/ml primocin or 1% Pen/Strep). Prepare 3 wells per infection.</li>
</ol>
DAY 12
<ol start="2">
 <li>Transfer the cells to a sterile 15 ml conical tube and wash the well once with 1 ml of QBSF-60 Stem Cell Medium to collect adherent cells.</li>
 <li>Resuspend the cells in 3 ml of MEF medium containing 10 ng/ml bFGF, and Ascorbic Acid and growth factors at the same concentrations as used in EM medium (50 &mu;g/ml Ascorbic Acid, 50 ng/ml SCF, 10 ng/ml IL-3, 2 U/ml EPO, 40 ng/ml IGF-1, 1 &mu;M Dexamethasone).</li>
 <li>Plate 1 ml of cells per well of a 6-well plate containing MEFs. Add 1.5 ml of MEF media with bFGF, Ascorbic Acid, and growth factors for a total of 2.5 ml of media/well.</li>
 <li>Spin the plate at 500 rpm at 25 &deg;C for 30 min. Incubate the plate in a 37 &deg;C, 5% CO2 incubator.</li>
</ol>
DAY 14
<ol start="6">
 <li>Feed cells every other day with 2.5 ml of MEF media containing 10 ng/ml bFGF and 50 &mu;g/ml Ascorbic Acid (no growth factors). Aspirate and discard floating cells with each feed.</li>
 <li>Add additional MEFs as needed (usually once a week).</li>
</ol>
~ DAY 20
<ol start="8">
 <li>Once small colonies appear, feed cells daily with 2 ml of human embryonic stem cell (hESC) medium (DMEM/F12 containing 20% Knockout Serum Replacement, 1% Non-Essential Amino Acids, 100 &mu;M &beta;-mercaptoethanol, 2 mM L-Glutamine, 100 &mu;g/ml primocin or 1% Pen/Strep and 10 ng/ml bFGF).</li>
</ol>
4. Picking and Expansion of iPSC Clones
~ DAY 30 - 40
<ol>
 <li>Pick each colony in individual wells of a 12-well plate pre-seeded with inactivated MEFs containing 1 ml/well of hESC medium plus 10 &mu;M of Stemolecule Y27632 (ROCK inhibitor).</li>
 <li>Feed cells daily thereafter with 1 ml of hESC medium only (no ROCK inhibitor).</li>
</ol>
5. Immunofluorescence Staining for Pluripotency Markers
<ol>
 <li>Staining was performed using the kit "ES Cell Marker Sample Kit" from Millipore and following the manufacturer's protocol.</li>
</ol>
6. Excision of Integrated STEMCCA Vector
<ol>
 <li>Excision of reprogramming cassette is achieved utilizing a Cre-IRES-Puro expressing vector following transfection and brief Puromycin selection as described6.</li>
</ol>

<ol>
	<li>Lowry, W. E., Richter, L., Yachechko, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Generation+of+human+induced+pluripotent+stem+cells+from+dermal+fibroblasts.">Generation of human induced pluripotent stem cells from dermal fibroblasts.</a> Proc. Natl. Acad. Sci. U.S.A. 105, 2883-2888 (2008).</li><li>Park, I. H., Zhao, R., West, J. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Reprogramming+of+human+somatic+cells+to+pluripotency+with+defined+factors.">Reprogramming of human somatic cells to pluripotency with defined factors.</a> Nature. 451, 141-146 (2008).</li><li>Takahashi, K., Tanabe, K., Ohnuki, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Induction+of+pluripotent+stem+cells+from+adult+human+fibroblasts+by+defined+factors.">Induction of pluripotent stem cells from adult human fibroblasts by defined factors.</a> Cell. 131, 861-872 (2007).</li><li>Yu, J., Vodyanik, M. A., Smuga-Otto, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Induced+pluripotent+stem+cell+lines+derived+from+human+somatic+cells.">Induced pluripotent stem cell lines derived from human somatic cells.</a> Science. 318, 1917-1920 (2007).</li><li>Stadtfeld, M., Hochedlinger, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Induced+pluripotency:+history,+mechanisms,+and+applications.">Induced pluripotency: history, mechanisms, and applications.</a> Genes Dev. 24, 2239-2263 (2010).</li><li>Somers, A., Jean, J. C., Sommer, C. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Generation+of+transgene-free+lung+disease-specific+human+induced+pluripotent+stem+cells+using+a+single+excisable+lentiviral+stem+cell+cassette.">Generation of transgene-free lung disease-specific human induced pluripotent stem cells using a single excisable lentiviral stem cell cassette.</a> Stem Cells. 28, 1728-1740 (2010).</li><li>Loh, Y. H., Hartung, O., Li, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Reprogramming+of+T+cells+from+human+peripheral+blood.">Reprogramming of T cells from human peripheral blood.</a> Cell Stem Cell. 7, 15-19 (2010).</li><li>Seki, T., Yuasa, S., Oda, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Generation+of+induced+pluripotent+stem+cells+from+human+terminally+differentiated+circulating+T+cells.">Generation of induced pluripotent stem cells from human terminally differentiated circulating T cells.</a> Cell Stem Cell. 7, 11-14 (2010).</li><li>Staerk, J., Dawlaty, M. M., Gao, Q., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Reprogramming+of+human+peripheral+blood+cells+to+induced+pluripotent+stem+cells.">Reprogramming of human peripheral blood cells to induced pluripotent stem cells.</a> Cell Stem Cell. 7, 20-24 (2010).</li><li>Chou, B. K., Mali, P., Huang, X., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Efficient+human+iPS+cell+derivation+by+a+non-integrating+plasmid+from+blood+cells+with+unique+epigenetic+and+gene+expression+signatures.">Efficient human iPS cell derivation by a non-integrating plasmid from blood cells with unique epigenetic and gene expression signatures.</a> Cell Res. 21, 518-529 (2011).</li><li>vanden Akker, E., Satchwell, T. J., Pellegrin, S., Daniels, G., Toye, A. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+majority+of+the+in+vitro+erythroid+expansion+potential+resides+in+CD34(-)+cells,+outweighing+the+contribution+of+CD34(+)+cells+and+significantly+increasing+the+erythroblast+yield+from+peripheral+blood+samples.">The majority of the in vitro erythroid expansion potential resides in CD34(-) cells, outweighing the contribution of CD34(+) cells and significantly increasing the erythroblast yield from peripheral blood samples.</a> Haematologica. 95, 1594-1598 (2010).</li></ol>

No conflicts of interest declared.

We herein describe the use of the STEMCCA lentiviral vector to generate human iPSCs from mononuclear cells isolated from a few milliliters of freshly collected peripheral blood. The protocol can also be used to reprogram frozen PBMCs (obtained directly from the buffy coat), a detail of significant practical implications when utilizing donor cells acquired from a distant location. Before the induction of reprogramming, isolated PBMCs must undergo a critical expansion step that renders a healthy proliferating population of...

<table border="1">
 <tbody>
 <tr>
 <td>Name of the reagent</td>
 <td>Company</td>
 <td>Catalogue number</td>
 <td>Comments (optional)</td>
 </tr>
 <tr>
 <td>BD Vacutainer CPT Cell Preparation Tube with sodium citrate</td>
 <td>BD Biosciences</td>
 <td>362760</td>
 <td></td>
 </tr>
 <tr>
 <td>QBSF-60 Stem Cell Medium </td>
 <td>Quality Biological</td>
 <td>160-204-101</td>
 <td></td>
 </tr>
 <tr>
 <td>IMDM</td>
 <td>Invitrogen</td>
 <td>12440</td>
 <td></td>
 </tr>
 <tr>
 <td>DMEM/F12</td>
 <td>Invitrogen</td>
 <td>11330</td>
 <td></td>
 </tr>
 <tr>
 <td>FBS</td>
 <td>Atlanta Biologicals</td>
 <td>S10250</td>
 <td></td>
 </tr>
 <tr>
 <td>Knockout Serum Replacement</td>
 <td>Invitrogen</td>
 <td>10828</td>
 <td></td>
 </tr>
 <tr>
 <td>Primocin</td>
 <td>Invivogen</td>
 <td>ant-pm-2</td>
 <td></td>
 </tr>
 <tr>
 <td>Pen/Strep</td>
 <td>Invitrogen</td>
 <td>15140</td>
 <td></td>
 </tr>
 <tr>
 <td>L-Glutamine</td>
 <td>Invitrogen</td>
 <td>25030</td>
 <td></td>
 </tr>
 <tr>
 <td>Non-Essential Amino Acids</td>
 <td>Invitrogen</td>
 <td>11140</td>
 <td></td>
 </tr>
 <tr>
 <td>&beta;-mercaptoethanol</td>
 <td>MP Biomedicals</td>
 <td>190242</td>
 <td></td>
 </tr>
 <tr>
 <td>Ascorbic Acid</td>
 <td>Sigma</td>
 <td>A4544</td>
 <td></td>
 </tr>
 <tr>
 <td>IGF-1</td>
 <td>R&amp;D Systems</td>
 <td>291-G1</td>
 <td></td>
 </tr>
 <tr>
 <td>IL-3</td>
 <td>R&amp;D Systems</td>
 <td>203-IL</td>
 <td></td>
 </tr>
 <tr>
 <td>SCF</td>
 <td>R&amp;D Systems</td>
 <td>255-SC</td>
 <td></td>
 </tr>
 <tr>
 <td>EPO</td>
 <td>R&amp;D Systems</td>
 <td>286-EP</td>
 <td></td>
 </tr>
 <tr>
 <td>Dexamethasone</td>
 <td>Sigma</td>
 <td>D4902</td>
 <td></td>
 </tr>
 <tr>
 <td>Polybrene</td>
 <td>Sigma</td>
 <td>H-9268</td>
 <td></td>
 </tr>
 <tr>
 <td>bFGF</td>
 <td>R&amp;D Systems</td>
 <td>233-FB</td>
 <td></td>
 </tr>
 <tr>
 <td>Stemolecule Y27632</td>
 <td>Stemgent</td>
 <td>04-0012</td>
 <td></td>
 </tr>
 <tr>
 <td>ES Cell Marker Sample Kit</td>
 <td>Millipore</td>
 <td>SCR002</td>
 <td></td>
 </tr>
 </tbody>
</table>

generation of human induced pluripotent stem cells from peripheral blood using the stemcca lentiviral vector

Through the ectopic expression of four transcription factors, Oct4, Klf4, Sox2 and cMyc, human somatic cells can be converted to a pluripotent state, generating so-called induced pluripotent stem cells (iPSCs)1-4. Patient-specific iPSCs lack the ethical concerns that surround embryonic stem cells (ESCs) and would bypass possible immune rejection. Thus, iPSCs have attracted considerable attention for disease modeling studies, the screening of pharmacological compounds, and regenerative therapies5.
We have shown the generation of transgene-free human iPSCs from patients with different lung diseases using a single excisable polycistronic lentiviral Stem Cell Cassette (STEMCCA) encoding the Yamanaka factors6. These iPSC lines were generated from skin fibroblasts, the most common cell type used for reprogramming. Normally, obtaining fibroblasts requires a skin punch biopsy followed by expansion of the cells in culture for a few passages. Importantly, a number of groups have reported the reprogramming of human peripheral blood cells into iPSCs7-9. In one study, a Tet inducible version of the STEMCCA vector was employed9, which required the blood cells to be simultaneously infected with a constitutively active lentivirus encoding the reverse tetracycline transactivator. In contrast to fibroblasts, peripheral blood cells can be collected via minimally invasive procedures, greatly reducing the discomfort and distress of the patient. A simple and effective protocol for reprogramming blood cells using a constitutive single excisable vector may accelerate the application of iPSC technology by making it accessible to a broader research community. Furthermore, reprogramming of peripheral blood cells allows for the generation of iPSCs from individuals in which skin biopsies should be avoided (i.e. aberrant scarring) or due to pre-existing disease conditions preventing access to punch biopsies.
Here we demonstrate a protocol for the generation of human iPSCs from peripheral blood mononuclear cells (PBMCs) using a single floxed-excisable lentiviral vector constitutively expressing the 4 factors. Freshly collected or thawed PBMCs are expanded for 9 days as described10,11 in medium containing ascorbic acid, SCF, IGF-1, IL-3 and EPO before being transduced with the STEMCCA lentivirus. Cells are then plated onto MEFs and ESC-like colonies can be visualized two weeks after infection. Finally, selected clones are expanded and tested for the expression of the pluripotency markers SSEA-4, Tra-1-60 and Tra-1-81. This protocol is simple, robust and highly consistent, providing a reliable methodology for the generation of human iPSCs from readily accessible 4 ml of blood.

We demonstrate a simple and effective protocol for the generation of human iPSCs from PBMCs using a single lentiviral vector. Figure 1A shows a schematic representation of the protocol. The blood is collected into a BD Vacutainer CPT Cell Preparation Tube with sodium citrate, and after centrifugation, mononuclear cells can be collected from the interface between the polyester gel and the plasma (buffy coat) (Figure 1B). The isolated PBMCs are then expanded in culture for 9 days. ...

Watch this Scientific Journal Video about Generation of Human Induced Pluripotent Stem Cells from Peripheral Blood Using the STEMCCA Lentiviral Vector at JoVE.com

Generation of Human Induced Pluripotent Stem Cells from Peripheral Blood Using the STEMCCA Lentiviral Vector

Here we show a simple and effective protocol for the generation of human iPSCs from 3-4 ml of peripheral blood using a single lentiviral reprogramming vector. Reprogramming of readily available blood cells promises to accelerate the utilization of iPSC technology by making it accessible to a broader research community.

Through the ectopic expression of four transcription factors, Oct4, Klf4, Sox2 and cMyc, human somatic cells can be converted to a pluripotent state, ...

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26.4K Views.  Boston University School of Medicine. Here we show a simple and effective protocol for the generation of human iPSCs from 3-4 ml of peripheral blood using a single lentiviral reprogramming vector. Reprogramming of readily available blood cells promises to accelerate the utilization of iPSC technology by making it accessible to a broader research community.