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Method Article
Here we describe a protocol for generating human induced pluripotent stem cells from peripheral blood using an episome based reprogramming strategy and histone deacetylase inhibitors.
This manuscript illustrates a protocol for efficiently creating integration-free human induced pluripotent stem cells (iPSCs) from peripheral blood using episomal plasmids and histone deacetylase (HDAC) inhibitors. The advantages of this approach include: (1) the use of a minimal amount of peripheral blood as a source material; (2) nonintegrating reprogramming vectors; (3) a cost effective method for generating vector free iPSCs; (4) a single transfection; and (5) the use of small molecules to facilitate epigenetic reprogramming. Briefly, peripheral blood mononuclear cells (PBMCs) are isolated from routine phlebotomy samples and then cultured in defined growth factors to yield a highly proliferative erythrocyte progenitor cell population that is remarkably amenable to reprogramming. Nonintegrating, nontransmissible episomal plasmids expressing OCT4, SOX2, KLF4, MYCL, LIN28A, and a p53 short hairpin (sh)RNA are introduced into the derived erythroblasts via a single nucleofection. Cotransfection of an episome that expresses enhanced green fluorescent protein (eGFP) allows for easy identification of transfected cells. A separate replication-deficient plasmid expressing Epstein-Barr nuclear antigen 1 (EBNA1) is also added to the reaction mixture for increased expression of episomal proteins. Transfected cells are then plated onto a layer of irradiated mouse embryonic fibroblasts (iMEFs) for continued reprogramming. As soon as iPSC-like colonies appear at about twelve days after nucleofection, HDAC inhibitors are added to the medium to facilitate epigenetic remodeling. We have found that the inclusion of HDAC inhibitors routinely increases the generation of fully reprogrammed iPSC colonies by 2 fold. Once iPSC colonies exhibit typical human embryonic stem cell (hESC) morphology, they are gently transferred to individual iMEF-coated tissue culture plates for continued growth and expansion.
iPSCs are derived from somatic tissues via ectopic expression of a minimal set of pluripotency genes. This technique was initially demonstrated by retroviral transduction of human fibroblasts with OCT4, SOX2, KLF4, and cMYC, which are highly expressed in the pluripotent state1. These transiently expressed “reprogramming factors” alter the target cell’s epigenetic landscape and gene expression profile analogous to human embryonic stem cells2. Once created, iPSCs can potentially be differentiated into any tissue type for further investigation. Thus, they hold promise for use in regenerative medicine, disease modeling, and gene therapy applications. However, disrupting the genome with integrating viruses has the potential to alter endogenous gene expression, influence cellular phenotype, and ultimately bias scientific results. Furthermore, random viral integrations can lead to deleterious cellular effects, including the possibility of malignant transformation3 or re-expression of the oncogenic transgenes4. Future clinical applications will require non-integrating iPSC generation.
Episomes, which are extra chromosomal circular DNA molecules, offer a strategy to generate cost effective, integration-free iPSCs5. The combination of episomal vectors shown in Table 1 express the reprogramming factors OCT4, SOX2, KLF4, MYCL, and LIN28A. The pCXLE_hOCT3/4-shp53-F plasmid also contains a p53 shRNA for temporary suppression of TP53 to enhance cellular reprogramming6. The replication deficient pCXWB-EBNA1 vector promotes amplification of reprogramming factors and increased reprogramming efficiency by providing a transient increase in EBNA1 expression7. The pCXLE_EGFP plasmid can be added to the nucleofection mixture for the purpose of determining the transfection efficiency or for cell sorting applications. With the exception of pCXWB-EBNA1, the episomal plasmids used in this protocol contain the Epstein-Barr virus origin of viral replication and EBNA1 gene, which mediate replication and partition of the episome during division of the host cell8. The episomes are spontaneously lost with successive iPSC expansion7. Subcloning and characterization of iPSCs with episomal vector loss, which can be inferred from loss of eGFP expression, can lead to completely integration free iPSCs for future clinical applications.
Inherent to the process of iPSC generation is suppression of lineage specific genes and reactivation of pluripotency-associated genes. Regulation of gene expression occurs at multiple levels within the nucleus, including modifications to DNA and chromatin to allow transcription factors, regulatory DNA elements, and RNA polymerase access to target genes. Remodeling of the epigenetic landscape via global chromatin modifications is a key component to re-expression of the pluripotency genetic program. A specific chromatin modification that is important in regulation of gene expression is acetylation of histones at particular lysine residues, which allows access to target genes through decreased tension of the histone-DNA coil. HDAC inhibitors are small molecules that have been shown to enhance iPSC reprogramming and hESC self-renewal9,10, likely due to supporting the acetylated state11. The protocol described below, adapted from a prior publication using integrating lentiviruses12, provides a step-by-step method for optimized iPSC generation from peripheral blood using episomes and HDAC inhibitors. The HDAC inhibitor concentrations used here are half of those described by Ware, et al.9, and have routinely led to a 2 fold increase in fully reprogrammed iPSC colonies over standard episomal reprogramming protocols without HDAC inhibitors. This level of reprogramming is on par with the efficiency we observe with lentiviral methods. Using this protocol, we have efficiently generated iPSC from individuals as old as 87 years of age.
Written informed consent, as approved by the Institutional Review Boards of the Fred Hutchinson Cancer Research Center and the Children"s Hospital of Philadelphia, was obtained from patients before collecting peripheral blood samples. All institutional guidelines were observed. All animal experiments including MEF generation and teratoma formation were approved by the Institutional Animal Care and Use Committee.
1. Ficoll Separation of PBMCS and Expansion of Erythroblasts – Day 0
2. Reprogramming Cells by Nucleofection – Day 9
3. Plating Feeder Cells – Day 10 or 11
4. Plating Cells on Feeder Cells and Changing Medium – Day 12
5. Isolating iPSC Clones
Three days after nucleofection and before plating the nucleofected cells onto iMEFs, the efficiency of successful nucleofection should be estimated by fluorescence microscopy for eGFP. Figure 1 shows a typical nucleofection experiment with approximately 5-10% of the total cell population expressing eGFP.
Reprogrammed iPSC colonies will begin to appear approximately two weeks after nucleofection. The colonies are generally circular with well-defined borders and may be identifie...
For successful iPSC generation when using this protocol, there are several important caveats that should be considered. During the erythroblast expansion stage, the media change schedule should be strictly followed, as deviations may lead to inefficient stimulation of the target progenitor cell population and a lower efficiency of iPSC generation. It is important to make new expansion medium with fresh dexamethasone with each media change; and the QBSF-60 base medium and dexamethasone should be protected from light durin...
The authors declare that they have no competing financial interests.
The authors wish to acknowledge the following grants from the NIH for supporting this research: K08DK082783 (AR), P30DK56465 (BTS), U01HL099993 (BTS), T32HL00715036 (SKS), and K12HL0806406 (SKS); and the JP McCarthy Foundation (AR).
Name | Company | Catalog Number | Comments |
Ficoll-Paque PLUS | Fisher Scientific | 45-001-750 | Store at 4 °C. Warm to room temperature before use. |
DPBS | Life Technologies | 14190-250 | Store at 4 °C. |
RPMI 1640 | Life Technologies | 11875-093 | Store at 4 °C. |
fetal bovine serum (FBS) | Life Technologies | 10437028 | Store at -20 °C until needed. Thaw, aliquot, store at 4 °C. |
dimethyl sulfoxide (DMSO) | Sigma-Aldrich | 154938 | Store at room temperature. |
QBSF-60 serum-free medium | Fisher Scientific | 50-983-234 | Store at 4 °C. |
penicillin/streptomycin | Life Technologies | 15140122 | Store at 4 °C. |
Cell Line Nucleofector Kit V | Lonza | VCA-1003 | Store at 4 °C. |
2% gelatin solution | Sigma-Aldrich | G1393 | Store at 4 °C, liquify in 37 °C water bath before use. |
Hank's Balanced Saline Solution (HBSS) | Life Technologies | 14175-103 | Store at 4 °C. |
Dulbecco's Modified Eagle Medium (DMEM) | Life Technologies | 11965-092 | Store at 4 °C. |
Iscove's Modified Dulbecco's Medium (IMDM) | Life Technologies | 12440-061 | Store at 4 °C. |
L-glutamine, 200 mM | Life Technologies | 25030-081 | Aliquot, freeze at -20 °C. |
non-essential amino acids (NEAA), 100X | Life Technologies | 11140-050 | Store at 4 °C, away from light. |
DMEM/Ham's F12, 1:1 | Fisher Scientific | SH30023.02 | Store at 4 °C. |
KnockOut Serum Replacement | Life Technologies | 10828-028 | Aliquot, freeze at -20 °C. |
sodium pyruvate, 100 mM | Life Technologies | 11360-070 | Store at 4 °C. |
sodium bicarbonate, 7.5% | Life Technologies | 25080094 | Store at 4 °C. |
basic fibroblast growth factor (bFGF) | Life Technologies | PHG0263 | Make 10 mg/ml stock in DPBS, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
sodium butyrate | Sigma-Aldrich | B5887-1G | Make 2000x stock (400 mM) in DPBS, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
hES Cell Cloning & Recovery Supplement | Stemgent | 01-0014-500 | Store at -20 °C until needed. Once thawed, store at 4 °C. |
ESC-qualified BD matrigel | BD Biosciences | 35-4277 | Thaw overnight on ice at 4 °C, aliquot into pre-chilled tubes using pre-chilled pipette tips. Store at -20 °C until needed. Thaw at 4 °C, use immediately. |
StemSpan SFEM | STEMCELL Technologies | 9650 | Aliquot, freeze at -20 °C. |
ascorbic acid, powdered | Sigma-Aldrich | A4403-100MG | Make 5 mg/ml stock in DPBS, sterile filter, store at 4 °C. |
recombinant human stem cell factor (SCF) | R & D Systems | 255-SC-010 | Make 100 μg/m stock in SFEM, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
recombinant human interleukin 3 (IL-3) | R & D Systems | 203-IL-010 | Make 100 μg/ml stock in SFEM, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
erythropoietin (EPO) | R & D Systems | 287-TC-500 | Make 1000 U/ml stock in SFEM, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
recombinant human insulin-like growth factor 1 (IGF-1) | R & D Systems | 291-G1-200 | Make 100 μg/ml stock in SFEM, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
β-mercaptoethanol | Sigma-Aldrich | M7522 | Make 1000x stock (100 mM) in DPBS. |
dexamethasone | Sigma-Aldrich | D4902-25MG | Make 50x stock (50 μM) in DPBS, sterile filter, store at 4 °C. |
SAHA (vorinostat) | Cayman Chemical | 149647-78-9 | Make 2,000x stock (400 mM) in DPBS, aliquot, freeze at -20 °C. Once thawed, store at 4 °C. |
12 well tissue culture plate | Fisher Scientific | 08-772-29 | |
15 ml conical tube | Sarstedt | 62553002 | |
1.5 ml Eppendorf tube | Fisher Scientific | 05-408-129 | |
6 well tissue culture plate | Fisher Scientific | 08-772-1B | |
35 mm tisue culture plates | BD Biosciences | 353001 | |
10 ml disposable serological pipettes | Fisher Scientific | 13-675-20 | |
5 ml disposable serological pipettes | Fisher Scientific | 13-675-22 | |
2 ml disposable serological pipettes | Fisher Scientific | 13-675-17 | |
20 μl pipette tips, barrier tips | Genessee | 24-404 | |
glass Pasteur pipettes | Fisher Scientific | 13-678-20D | |
pipette aid | Fisher Scientific | 13-681-15 | |
pCXLE-hOCT3/4-shp53-F | Addgene | 27077 | |
pCXLE-hSK | Addgene | 27078 | |
pCXLE-hUL | Addgene | 27080 | |
pCXLE-EGFP | Addgene | 27082 | |
pCXWB-EBNA1 | Addgene | 37624 |
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