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Method Article
The present protocol describes an enhanced method to increase the co-expression of PDX1 and NKX6.1 transcription factors in pancreatic progenitors derived from human pluripotent stem cells (hPSCs) in planar monolayers. This is achieved by replenishing the fresh matrix, manipulating cell density, and dissociating the endodermal cells.
Human pluripotent stem cells (hPSCs) are an excellent tool for studying early pancreatic development and investigating the genetic contributors to diabetes. hPSC-derived insulin-secreting cells can be generated for cell therapy and disease modeling, however, with limited efficiency and functional properties. hPSC-derived pancreatic progenitors that are precursors to beta cells and other endocrine cells, when co-express the two transcription factors PDX1 and NKX6.1, specify the progenitors to functional, insulin-secreting beta cells both in vitro and in vivo. hPSC-derived pancreatic progenitors are currently used for cell therapy in type 1 diabetes patients as part of clinical trials. However, current procedures do not generate a high proportion of NKX6.1 and pancreatic progenitors, leading to co-generation of non-functional endocrine cells and few glucose-responsive, insulin-secreting cells. This work thus developed an enhanced protocol for generating hPSC-derived pancreatic progenitors that maximize the co-expression of PDX1 and NKX6.1 in a 2D monolayer. The factors such as cell density, availability of fresh matrix, and dissociation of hPSC-derived endodermal cells are modulated that augmented PDX1 and NKX6.1 levels in the generated pancreatic progenitors and minimized commitment to alternate hepatic lineage. The study highlights that manipulating the cell's physical environment during in vitro differentiation can impact lineage specification and gene expression. Therefore, the current optimized protocol facilitates the scalable generation of PDX1 and NKX6.1 co-expressing progenitors for cell therapy and disease modeling.
Diabetes is a complex metabolic disorder affecting millions of people globally. Supplementation of insulin is considered the only treatment option for diabetes. More advanced cases are treated with beta cell replacement therapy, achieved through transplantation of either whole cadaveric pancreas or islets1,2. Several issues surround transplantation therapy, such as limitation with the availability and quality of the tissue, invasiveness of transplantation procedures in addition to the continuous need for immunosuppressants. This necessitates the need for discovering novel and alternative options for beta cell replacement therapy2,3. Human pluripotent stem cells (hPSCs) have recently emerged as a promising tool for understanding human pancreas biology and as a non-exhaustive and potentially a more personalized source for transplantation therapy4,5,6,7. hPSCs, including human embryonic stem cells (hESCs) and human-induced pluripotent stem cells (hiPSCs), have a high self-renewal capacity and give rise to any tissue type of the human body. hESCs are derived from the embryo's inner cell mass, and hiPSCs are reprogrammed from any somatic cell4,8.
Directed differentiation protocols are optimized to generate pancreatic beta cells from hPSCs that sequentially direct hPSCs through pancreatic developmental stages invitro. These protocols generate hPSC-derived islet organoids. While they have greatly improved at increasing the proportion of pancreatic beta cells therein, the efficiency of protocols is highly variable. It does not increase to more than ~40% of NKX6.1+/INSULIN+ or C-PEPTIDE + cells5,9,10,11,12,13. However, the generated beta cells are not entirely identical to the adult human beta cells in terms of their transcriptional and metabolic profiles and their response to glucose4,5,14. The hPSC-derived beta cells lack gene expression of key beta cell markers such as PCSK2, PAX6, UCN3, MAFA, G6PC2, and KCNK3 compared to adult humans islets5. Additionally, the hPSC-derived beta cells have diminished calcium signaling in response to glucose. They are contaminated with the co-generated polyhormonal cells that do not secrete appropriate amounts of insulin in response to increasing glucose levels5. On the other hand, hPSC-derived pancreatic progenitors, which are islet precursors, could be generated more efficiently in vitro compared to beta cells and, when transplanted in vivo, could mature into functional, insulin-secreting beta cells15,16. Clinical trials are currently focused on demonstrating their safety and efficacy upon transplantation in T1D subjects.
Notably, expression of the transcription factors PDX1 (Pancreatic and Duodenal Homeobox 1) and NKX6.1 (NKX6 Homeobox 1) within the same pancreatic progenitor cell is crucial for commitment towards a beta cell lineage5. Pancreatic progenitors that fail to express NKX6.1 give rise to polyhormonal endocrine cells or non-functional beta cells17,18. Therefore, a high co-expression of PDX1 and NKX6.1 in the pancreatic progenitor stage is essential for ultimately generating a large number of functional beta cells. Studies have demonstrated that an embryoid body or 3D culture enhances PDX1 and NKX6.1 in pancreatic progenitors where the differentiating cells are aggregated, varying between 40%-80% of the PDX1+/NKX6.1+ population12,19. However, compared to suspension cultures, 2D differentiation cultures are more cost-effective, feasible, and convenient for application on multiple cell lines5. We recently showed that monolayer differentiation cultures yield more than up to 90% of PDX1+/NKX6.1+ co-expressing hPSC-derived pancreatic progenitors20,21,22. The reported method conferred a high replicating capacity to the generated pancreatic progenitors and prevented alternate fate specifications such as hepatic lineage21. Therefore, herein, this protocol demonstrates a highly efficient method for the differentiation of hPSCs to pancreatic beta-cell precursors co-expressing PDX1 and NKX6.1. This method utilizes the technique of dissociating hPSC-derived endoderm and manipulating the cell density, followed by an extended FGF and Retinoid signaling as well as Hedgehog inhibition to promote PDX1 and NKX6.1 co-expression (Figure 1). This method can facilitate a scalable generation of hPSC-derived pancreatic beta-cell precursors for transplantation therapy and disease modeling.
The study has been approved by the appropriate institutional research ethics committee and performed following the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The protocol was approved by the Institutional Review Board (IRB) of HMC (no. 16260/16) and Qatar Biomedical Research Institute (QBRI) (no. 2016-003). This work is optimized for hESCs such as H1, H9, and HUES8. Blood samples were obtained from healthy individuals from Hamad Medical Corporation (HMC) hospital with full informed consent. The iPSCs are generated from peripheral blood mononuclear cells (PBMCs) of control, healthy individual23.
1. Preparation of the culture media
2. Preparation of basement membrane matrix coated dishes
3. Culture of undifferentiated hPSCs
4. Induction of Definitive Endoderm (DE) differentiation in hPSCs (Stage 1)
5. Immunofluorescence analysis of hPSC-derived DE (Stage 1)
6. Generation of the primitive gut tube (PGT) from hPSCs (Stage 2)
NOTE: If the immunofluorescence analysis in step 5.13 is determined to be a SOX17-FOXA2 co-expression of 80% and above, the experiment proceeds to Stage 2. If the efficiency is <80%, extend the duration of Stage 1 to 4 days.
7. Generation of posterior foregut from hPSCs (Stage 3)
8. Generation of Pancreatic Progenitors from hPSCs (Stage 4)
9. Assessment of differentiation efficiency of generating pancreatic progenitors from hPSCs
The results show that optimized protocol P2-D (Figures 1A) enhanced pancreatic progenitor differentiation efficiency by upregulating PDX1 and NKX6.1 co-expression (Figure 2A,B, and Figure 3A). In particular, the results showed that dissociation of endodermal cells and their replating on fresh membrane matrix along with a longer duration of Stage 3 enhanced NKX6.1 expression in hPSC-derived pancreatic progenitors (op...
This work describes an enhanced protocol for generating pancreatic progenitors from hPSCs with a high co-expression of PDX1 and NKX6.1. Dissociation and replating of the hPSC-derived endoderm at half density on fresh matrix resulted in higher PDX1 and NKX6.1 in hPSC-derived pancreatic progenitors.
Although the growth factor cocktail for each stage is highly similar to P1-ND27, it has been shown that a more extended Stage 3 treatment including FGF and retinoid signaling ...
The authors have nothing to disclose.
This work was funded by a grant from Qatar National Research Fund (QNRF) (Grant No. NPRP10-1221-160041).
Name | Company | Catalog Number | Comments |
15 mL, conical, centrifuge tubes | Thermo Scientific | 339651 | |
20X TBS Tween 20 | Thermo Scientific | 28360 | |
24-well culture plates, flat bottom with lid | Costar | 3524 | |
50 mL, conical, centrifuge tubes | Thermo Scientific | 339652 | |
6- well culture plates, multidish | Thermo Scientific | 140685 | |
Accutase | Stem Cell Technologies | 0-7920 | |
Activin A | R&D | 338-AC | Reconstituted in 4 mM HCl |
Anti NKX6.1 antibody, mouse monoclonal | DSHB | F55A12-C | Diluted to 1:100 for flow-cytometry and 1:2000 for immunostaining |
Anti-PDX1 antibody, guinea pig polyclonal | Abcam | ab47308 | Diluted to 1:100 for flow-cytometry and 1:1000 for immunostaining |
B27 minus Vit A | ThermoFisher | 12587010 | |
Bovine serum albumin, heat shock fraction, fatty acid free | Sigma | A7030 | |
CHIR 99021 | Tocris | 4423 | Reconstituted in DMSO |
DMEM, high glucose | ThermoFisher | 41965047 | |
Donkey anti-Mouse IgG (H + L) Highly Cross-Adsorbed Secondary Antibody, Alexa Fluor 568 | Invitrogen | A10037 | |
Donkey anti-Rabbit IgG (H + L) Highly Cross-Adsorbed Secondary Antibody, Alexa Fluor 488 | A-21206 | ||
DPBS 1X | ThermoFisher | 14190144 | |
EGF | ThermoFisher | PHG0313 | Reconstituted in 0.1% BSA in PBS |
FGF10 | R&D | 345-FG | Reconstituted in PBS |
Glucose | Sigma Aldrich | G8644 | |
Hoechst 33258 | Sigma | 23491-45-4 | |
Inverted microscope | Olympus | IX73 | |
KnockOut DMEM/F-12 (1X) | Gibco | 12660-012 | |
KnockOut SR serum replacement | Gibco | 10828-028 | |
L-Ascorbic acid (vitamin C) | Sigma | A92902 | Reconstituted in distilled water |
Matrigel Growth Factor Reduced (GFR) Basement Membrane Matrix | Corning | 354230 | Aliquot the thawed stock and freeze at -20C. |
MCDB131 | ThermoFisher | 10372019 | |
Mouse anti-SOX17 | ORIGENE | CF500096 | Diluted to 1:100 for flow-cytometry and 1:2000 for immunostaining |
mTeSR Plus | Stem Cell Technologies | 85850 | Mix the basal media with supplement. Aliquot and store at -20 °C for longer time or at 4 °C for instant use |
Nalgene filter units, 0.2 µm PES | ThermoFisher | 566-0020 | |
Nicotinamide | Sigma | 72340 | Reconstituted in distilled water |
NOGGIN | R&D | 6057-NG | Reconstituted in 0.1% BSA in PBS |
Paraformaldehyde solution 4% in PBS | ChemCruz | sc-281692 | |
Penicillin-Streptomycin (10,000 U/mL) | ThermoFisher | 15140122 | |
Portable vacuum aspirator | |||
Rabbit anti-FOXA2 | Cell signaling technology | 3143 | Diluted to 1:100 for flow-cytometry and 1:500 for immunostaining |
Retinoic Acid | Sigma Aldrich | R2625 | Reconstituted in DMSO |
Rock inhibitor (Y-27632) | ReproCell | 04-0012-02 | Reconstituted in DMSO |
Round Bottom Polystyrene FACS Tubes with Caps, STERILE | Stellar Scientific | FSC-9010 | |
SANT-1 | Sigma Aldrich | S4572 | Reconstituted in DMSO |
Sodium bicarbonate | Sigma | S5761-500G | |
StemFlex | ThermoFisher | A3349401 | Mix the basal media with supplement. Aliquot and store at -20 °C for longer time or at 4 °C for instant use |
TALI Cellular Analysis Slide | Invitrogen | T10794 | |
Tali image-based cytometer automated cell counter | Invitrogen | T10796 | |
Triton X-100 | Sigma | 9002-93-1 | |
TrypLE 100 mL | ThermoFisher | 12563011 | |
Tween 20 | Sigma | P2287 | |
UltraPure 0.5 M EDTA, pH 8.0 | Invitrogen | 15575-038 |
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