Name: purification and transplantation of myogenic progenitor cell derived exosomes to improve cardiac function in duchenne muscular dystrophic mice
Uploaded: 2019-04-10T14:00:00
Description: Watch this Scientific Journal Video about Purification and Transplantation of Myogenic Progenitor Cell Derived Exosomes to Improve Cardiac Function in Duchenne Muscular Dystrophic Mice at JoVE.com

Tang were partially supported by the American Heart Association: GRNT31430008, NIH-AR070029, NIH-HL086555, NIH-HL134354.

Animals were handled according to approved protocols and animal welfare regulations of the Institutional Animal Care and Use Committee of the Medical College of Georgia at Augusta University.
1. Isolation and Purification of MPC-derived Exosomes
<ol>
	<li>Seed 5 x 106 C2C12 cells in a 15 cm cell culture dish with 20 mL complete Dulbecco&#8217;s modified Eagle&#8217;s medium (DMEM) containing 10% fetal bovine serum (FBS), 100 U/mL penicillin G and 100 &#956;g/mL streptomycin. Incub...

<ol>
	<li>Yiu, E. M., Kornberg, A. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Duchenne+muscular+dystrophy.">Duchenne muscular dystrophy.</a> Journal of Paediatrics and Child Health. 51 (8), 759-764 (2015).</li><li>Nudel, U., 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=Duchenne+muscular+dystrophy+gene+product+is+not+identical+in+muscle+and+brain.">Duchenne muscular dystrophy gene product is not identical in muscle and brain.</a> Nature. 337 (6202), 76-78 (1989).</li><li>Rae, M. G., O'Malley, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cognitive+dysfunction+in+Duchenne+muscular+dystrophy:+a+possible+role+for+neuromodulatory+immune+molecules.">Cognitive dysfunction in Duchenne muscular dystrophy: a possible role for neuromodulatory immune molecules.</a> Journal of Neurophysiology. 116 (3), 1304-1315 (2016).</li><li>Mah, J. 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=A+systematic+review+and+meta-analysis+on+the+epidemiology+of+Duchenne+and+Becker+muscular+dystrophy.">A systematic review and meta-analysis on the epidemiology of Duchenne and Becker muscular dystrophy.</a> Neuromuscular Disorders. 24 (6), 482-491 (2014).</li><li>D'Amario, D., 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=A+current+approach+to+heart+failure+in+Duchenne+muscular+dystrophy.">A current approach to heart failure in Duchenne muscular dystrophy.</a> Heart. 103 (22), 1770-1779 (2017).</li><li>Koeks, Z., 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=Clinical+Outcomes+in+Duchenne+Muscular+Dystrophy:+A+Study+of+5345+Patients+from+the+TREAT-NMD+DMD+Global+Database.">Clinical Outcomes in Duchenne Muscular Dystrophy: A Study of 5345 Patients from the TREAT-NMD DMD Global Database.</a> Journal of Neuromuscular Diseases. 4 (4), 293-306 (2017).</li><li>Kamdar, F., Garry, D. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dystrophin-Deficient+Cardiomyopathy.">Dystrophin-Deficient Cardiomyopathy.</a> Journal of the American College of Cardiology. 67 (21), 2533-2546 (2016).</li><li>Wang, Z., 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=Regenerative+Therapy+for+Cardiomyopathies.">Regenerative Therapy for Cardiomyopathies.</a> Journal of Cardiovascular Translational Research. , (2018).</li><li>Fayssoil, A., Nardi, O., Orlikowski, D., Annane, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiomyopathy+in+Duchenne+muscular+dystrophy:+pathogenesis+and+therapeutics.">Cardiomyopathy in Duchenne muscular dystrophy: pathogenesis and therapeutics.</a> Heart Failure Reviews. 15 (1), 103-107 (2010).</li><li>Hagan, M., Ashraf, M., Kim, I. M., Weintraub, N. L., Tang, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effective+regeneration+of+dystrophic+muscle+using+autologous+iPSC-derived+progenitors+with+CRISPR-Cas9+mediated+precise+correction.">Effective regeneration of dystrophic muscle using autologous iPSC-derived progenitors with CRISPR-Cas9 mediated precise correction.</a> Medical Hypotheses. 110, 97-100 (2018).</li><li>Quinlan, J. G., 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=Evolution+of+the+mdx+mouse+cardiomyopathy:+physiological+and+morphological+findings.">Evolution of the mdx mouse cardiomyopathy: physiological and morphological findings.</a> Neuromuscular Disorders. 14 (8-9), 491-496 (2004).</li><li>Siemionow, 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=Creation+of+Dystrophin+Expressing+Chimeric+Cells+of+Myoblast+Origin+as+a+Novel+Stem+Cell+Based+Therapy+for+Duchenne+Muscular+Dystrophy.">Creation of Dystrophin Expressing Chimeric Cells of Myoblast Origin as a Novel Stem Cell Based Therapy for Duchenne Muscular Dystrophy.</a> Stem Cell Reviews and Reports. 14 (2), 189-199 (2018).</li><li>Sienkiewicz, D., Kulak, W., Okurowska-Zawada, B., Paszko-Patej, G., Kawnik, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Duchenne+muscular+dystrophy:+current+cell+therapies.">Duchenne muscular dystrophy: current cell therapies.</a> Therapeutic Advances in Neurological Disorders. 8 (4), 166-177 (2015).</li><li>Zhang, Y., 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=Long-term+engraftment+of+myogenic+progenitors+from+adipose-derived+stem+cells+and+muscle+regeneration+in+dystrophic+mice.">Long-term engraftment of myogenic progenitors from adipose-derived stem cells and muscle regeneration in dystrophic mice.</a> Human Molecular Genetics. 24 (21), 6029-6040 (2015).</li><li>Ju, C., 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=Transplantation+of+Cardiac+Mesenchymal+Stem+Cell-Derived+Exosomes+for+Angiogenesis.">Transplantation of Cardiac Mesenchymal Stem Cell-Derived Exosomes for Angiogenesis.</a> Journal of Cardiovascular Translational Research. 11 (5), 429-437 (2018).</li><li>Ju, C., 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=Transplantation+of+Cardiac+Mesenchymal+Stem+Cell-Derived+Exosomes+Promotes+Repair+in+Ischemic+Myocardium.">Transplantation of Cardiac Mesenchymal Stem Cell-Derived Exosomes Promotes Repair in Ischemic Myocardium.</a> Journal of Cardiovascular Translational Research. 11 (5), 420-428 (2018).</li><li>Ruan, X. F., 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=Suxiao+Jiuxin+pill+promotes+exosome+secretion+from+mouse+cardiac+mesenchymal+stem+cells+in+vitro.">Suxiao Jiuxin pill promotes exosome secretion from mouse cardiac mesenchymal stem cells in vitro.</a> Acta Pharmacologica Sinica. 39 (4), 569-578 (2018).</li><li>Ruan, X. F., 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=Exosomes+from+Suxiao+Jiuxin+pill-treated+cardiac+mesenchymal+stem+cells+decrease+H3K27+demethylase+UTX+expression+in+mouse+cardiomyocytes+in+vitro.">Exosomes from Suxiao Jiuxin pill-treated cardiac mesenchymal stem cells decrease H3K27 demethylase UTX expression in mouse cardiomyocytes in vitro.</a> Acta Pharmacologica Sinica. 39 (4), 579-586 (2018).</li><li>Chen, Y., Tang, Y., Fan, G. C., Duan, D. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Extracellular+vesicles+as+novel+biomarkers+and+pharmaceutic+targets+of+diseases.">Extracellular vesicles as novel biomarkers and pharmaceutic targets of diseases.</a> Acta Pharmacologica Sinica. 39 (4), 499-500 (2018).</li><li>Chen, Y., Tang, Y., Long, W., Zhang, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Stem+Cell-Released+Microvesicles+and+Exosomes+as+Novel+Biomarkers+and+Treatments+of+Diseases.">Stem Cell-Released Microvesicles and Exosomes as Novel Biomarkers and Treatments of Diseases.</a> Stem Cells International. 2016, 2417268 (2016).</li><li>Murphy, C., 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=Emerging+role+of+extracellular+vesicles+in+musculoskeletal+diseases.">Emerging role of extracellular vesicles in musculoskeletal diseases.</a> Molecular Aspects of Medicine. 60, 123-128 (2018).</li><li>Su, 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=Exosome-Derived+Dystrophin+from+Allograft+Myogenic+Progenitors+Improves+Cardiac+Function+in+Duchenne+Muscular+Dystrophic+Mice.">Exosome-Derived Dystrophin from Allograft Myogenic Progenitors Improves Cardiac Function in Duchenne Muscular Dystrophic Mice.</a> Journal of Cardiovascular Translational Research. , (2018).</li><li>Hu, G., 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=Exosome-mediated+shuttling+of+microRNA-29+regulates+HIV+Tat+and+morphine-mediated+neuronal+dysfunction.">Exosome-mediated shuttling of microRNA-29 regulates HIV Tat and morphine-mediated neuronal dysfunction.</a> Cell Death &amp; Disease. 3, 381 (2012).</li><li>Bayoumi, A. S., 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=A+carvedilol-responsive+microRNA,+miR-125b-5p+protects+the+heart+from+acute+myocardial+infarction+by+repressing+pro-apoptotic+bak1+and+klf13+in+cardiomyocytes.">A carvedilol-responsive microRNA, miR-125b-5p protects the heart from acute myocardial infarction by repressing pro-apoptotic bak1 and klf13 in cardiomyocytes.</a> Journal of Molecular and Cellular Cardiology. 114, 72-82 (2018).</li><li>Wang, Y., 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=Exosomes/microvesicles+from+induced+pluripotent+stem+cells+deliver+cardioprotective+miRNAs+and+prevent+cardiomyocyte+apoptosis+in+the+ischemic+myocardium.">Exosomes/microvesicles from induced pluripotent stem cells deliver cardioprotective miRNAs and prevent cardiomyocyte apoptosis in the ischemic myocardium.</a> International Journal of Cardiology. 192, 61-69 (2015).</li><li>Cheruvanky, 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=Rapid+isolation+of+urinary+exosomal+biomarkers+using+a+nanomembrane+ultrafiltration+concentrator.">Rapid isolation of urinary exosomal biomarkers using a nanomembrane ultrafiltration concentrator.</a> American Journal of Physiology-Renal Physiology. 292 (5), 1657-1661 (2007).</li><li>Oksvold, M. P., Neurauter, A., Pedersen, K. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Magnetic+bead-based+isolation+of+exosomes.">Magnetic bead-based isolation of exosomes.</a> Methods in Molecular Biology. 1218, 465-481 (2015).</li><li>Pedersen, K. W., Kierulf, B., Neurauter, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Specific+and+Generic+Isolation+of+Extracellular+Vesicles+with+Magnetic+Beads.">Specific and Generic Isolation of Extracellular Vesicles with Magnetic Beads.</a> Methods in Molecular Biology. 1660, 65-87 (2017).</li><li>Teng, 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=Mesenchymal+Stem+Cell-Derived+Exosomes+Improve+the+Microenvironment+of+Infarcted+Myocardium+Contributing+to+Angiogenesis+and+Anti-Inflammation.">Mesenchymal Stem Cell-Derived Exosomes Improve the Microenvironment of Infarcted Myocardium Contributing to Angiogenesis and Anti-Inflammation.</a> Cellular Physiology and Biochemistry. 37 (6), 2415-2424 (2015).</li><li>Aminzadeh, M. 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=Exosome-Mediated+Benefits+of+Cell+Therapy+in+Mouse+and+Human+Models+of+Duchenne+Muscular+Dystrophy.">Exosome-Mediated Benefits of Cell Therapy in Mouse and Human Models of Duchenne Muscular Dystrophy.</a> Stem Cell Reports. 10 (3), 942-955 (2018).</li></ol>

The method of isolating pure exosomes is essential for studying the function of exosomes. One of the common techniques for exosome isolation is polyethylene glycols (PEGs) mediated precipitation17,18,25. Exosomes can be precipitated in PEGs, and pelleted by low-speed centrifugation. PEG-mediated purification is very convenient, low-cost, it does not need any advanced equipment, but there is concern about the purity of exosomes s...

Duchenne muscular dystrophy (DMD) is an X-linked recessive, progressive neuromuscular disease caused by a mutation in DMD gene and the loss of functional dystrophin1. Dystrophin is expressed primarily in skeletal muscle and myocardium, and is less expressed in smooth muscle, endocrine glands and neurons2,3. DMD is the most common type of muscular dystrophy with an incidence of one per 3,500 to 5,000 newborn boys worldwide4,5. Individuals typically develop progressive muscle necrosis, loss of independent walking by early adolescence, and death in the second to third decades of their lives due to heart failure and respiratory failure6.
Dilated cardiomyopathy, arrhythmias and congestive heart failure are common cardiovascular manifestations of DMD7,8. The disease can&#8217;t be cured, supportive treatment may improve symptoms or delay the progression of heart failure, but it is very difficult to improve the heart function9,10.
Similar to DMD patients, X-linked muscular dystrophy (MDX) mice are deficient in dystrophin protein and present symptoms of cardiomyopathy11, and are therefore widely used in DMD associated cardiomyopathy research. In order to restore dystrophin in affected muscles, allogeneic stem cell therapy has proven to be an effective treatment for DMD12,13,14. Exosomes, 30-150 nm membrane vesicles secreted by various cell types, play a key role in cell-to-cell communication through genetic material transport, such as messenger RNA (mRNA) and non-coding RNAs15,16,17,18,19,20,21.
Our previous studies have shown that exosomes derived from myogenic progenitor cells (MPC), such as C2C12 cell line, can transfer dystrophin mRNA to host cardiomyocytes after direct cardiac injection22, indicating that allogeneic delivery of MPC-derived exosomes (MPC-Exo) can transiently restore DMD gene expression in MDX mice. This article focuses on MPC-Exo purification and transplantation techniques.

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	<tbody>
		<tr height="21">
			<td height="21" style="height:21px;width:424px;">0.22-&#956;m Filter</td>
			<td style="width:280px;">Fisherbrand</td>
			<td style="width:185px;">09-720-004</td>
			<td style="width:175px;"></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">15-cm Cell Culture Dish</td>
			<td>Thermo Fisher Scientific</td>
			<td>157150</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">24-gauge catheter</td>
			<td style="width:280px;">TERUMO</td>
			<td>SR-OX2419CA</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">31-gauge insulin needle</td>
			<td style="width:280px;">BD</td>
			<td>328291</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">4% paraformaldehyde&#160;</td>
			<td style="width:280px;">Affymetrix</td>
			<td>AAJ19943K2</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">50 mL Centrifuge Tubes</td>
			<td>Thermo Fisher Scientific</td>
			<td>339652</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">6-0 suture</td>
			<td style="width:280px;">Pro Advantage by NDC</td>
			<td>P420697</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Alexa Fluor 488 goat anti-rabbit IgG</td>
			<td style="width:280px;">Thermo Fisher Scientific</td>
			<td>A-11008</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Antibiotic Antimycotic Solution</td>
			<td>Corning&#160;</td>
			<td>30-004-CI</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Anti-Dystrophin antibody</td>
			<td style="width:280px;">Abcam</td>
			<td>ab15277</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Antigen retriever&#160;</td>
			<td style="width:280px;">Aptum Biologics</td>
			<td>R2100-US</td>
			<td>Antigen recovery</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Autofluorescence Quenching Kit&#160;</td>
			<td style="width:280px;">Vector Laboratories</td>
			<td>SP-8400</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">C2C12 cell line</td>
			<td>ATCC</td>
			<td>CRL-1772</td>
			<td></td>
		</tr>
		<tr height="25">
			<td height="25" style="height:25px;">Centrifuge</td>
			<td>Unico</td>
			<td>C8606</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Change-A-Tip High Temp Cauteries</td>
			<td>Bovie Medical Corporation</td>
			<td>HIT</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Confocal microscopy</td>
			<td style="width:280px;">Zeiss</td>
			<td>Zeiss 780 Upright Confocal</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">DBA/2J-mdx mice</td>
			<td>The Jackson Laboratory</td>
			<td>013141</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">DMEM</td>
			<td>Corning&#160;</td>
			<td>10-013-CM</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Fetal Bovine Serum (FBS)</td>
			<td>Corning&#160;</td>
			<td>35-011-CV</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Goat serum&#160;</td>
			<td style="width:280px;">MP Biomedicals, LLC</td>
			<td>191356</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Isoflurane</td>
			<td style="width:280px;">Patterson Veterinary</td>
			<td>07-893-1389</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Ketamine</td>
			<td style="width:280px;">Henry Schein</td>
			<td>056344</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Mounting Medium with DAPI&#160;</td>
			<td style="width:280px;">Vector Laboratories</td>
			<td>H-1500</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Mouse Retractor Set</td>
			<td>Kent Scientific</td>
			<td>SURGI-5001</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Polyethylene glycol tert-octylphenyl ether</td>
			<td style="width:280px;">Fisher Scientific</td>
			<td>BP151-100</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Rodent ventilator</td>
			<td style="width:280px;">Harvard Apparatus</td>
			<td>55-7066</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">SW-28 Ti rotor</td>
			<td>Beckman</td>
			<td>342207</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">The Vevo 2100 Imaging Platform</td>
			<td style="width:280px;">FUJIFILM VisualSonics</td>
			<td>Vevo 2100</td>
			<td>Ultrasound System&#160;</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Ultracentrifuge</td>
			<td>Beckman</td>
			<td>365672</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Ultra-Clear Tubes</td>
			<td>Beckman</td>
			<td>344058</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Xylazine (XylaMed)</td>
			<td style="width:280px;">Bimeda-MTC Animal Health Inc.</td>
			<td>1XYL003 8XYL006</td>
			<td></td>
		</tr>
	</tbody>
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purification and transplantation of myogenic progenitor cell derived exosomes to improve cardiac function in duchenne muscular dystrophic mice

Duchene Muscular Dystrophy (DMD) is an X-linked recessive genetic disease caused by a lack of functional dystrophin protein. The disease cannot be cured, and as the disease progresses, the patient develops symptoms of dilated cardiomyopathy, arrhythmia, and congestive heart failure. The DMDMDX mutant mice do not express dystrophin, and are commonly used as a mouse model of DMD. In our recent study, we observed that intramyocardial injection of wide type (WT)-myogenic progenitor cells-derived exosomes (MPC-Exo) transiently restored the expression of dystrophin in the myocardium of DMDMDX mutant mice, which was associated with a transient improvement in cardiac function suggesting that WT-MPC-Exo may provide an option to relieve the cardiac symptoms of DMD. This article describes the technique of MPC-Exo purification and transplantation into hearts of DMDMDX mutant mice.

A flow chart for isolating and purifying exosomes from C2C12 cells is shown in Figure 1A. To confirm the presence of exosomes, we performed transmission electron microscopy analysis. Transmission electron microscopy image (Figure 1B) shows the morphology of the bright and round shape vesicles of C2C12 derived exosomes. Western blot analysis confirmed the presence of exosome markers, including CD63 and TSG101 (<strong class="xfig...

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Purification and Transplantation of Myogenic Progenitor Cell Derived Exosomes to Improve Cardiac Function in Duchenne Muscular Dystrophic Mice

Here, we present a protocol to transiently improve cardiac function in Duchenne muscular dystrophy mice by transplanting exosomes derived from normal myogenic progenitor cells.

Duchene Muscular Dystrophy (DMD) is an X-linked recessive genetic disease caused by a lack of functional dystrophin protein. The disease cannot be cured, ...

This protocol present the method to transitionally improve cardiac function in Duchenne's muscular dystrophy mice by transplanting exon derived from normal myogenic progenitor cells. The exosomal transplantation can improve heart function in DMD mice in association with increased expression of dystrophy in recipient hearts. Appropriate method for exon isolation, purification, and intramyocardial transplantation contribute to the success of the exon transplantation to improve cardiac function for mice with Duchenne's muscular dystrophy.MPC-derived exosome therapy might improve skeletal muscle function by exosome-mediated normal dystrophin mRNA transfer. This video demonstrates the critical techniques for exosome purification, intramyocardial exosome delivery, and echocardiography post-transplantation. The demonstration of echocardiography will be done by Yan Shen, technician from our lab.To begin this procedure, seed five million C2C12 cells into a 15 centimeter culture dish with 20 milliliters of complete DMEM containing 10%FBS and antibiotics. Incubate at 37 degrees Celsius with 5%carbon dioxide. Next, use a swinging bucket rotor to ultracentrifuge FBS at 100, 000 times G and at four degrees Celsius for 18 hours to prepare exosome-depleted medium.Discard the pellet and collect the supernatant. When the monolayer cells reach 80%confluence in the culture dish, replace the complete DMEM with exosome-depleted medium. Use a transfer pipette to collect the supernatant from the cell culture dish every 48 hours.Centrifuge the tubes at 150 times G for ten minutes to remove the remaining cells. Filter the supernatant through a 0.22 micrometer filter to eliminate any cell debris and transfer the filtered medium to ultra-clear tubes. Next, use a swing bucket rotor to ultracentrifuge the tubes at 100, 00 times G and at 4 degree Celsius for 120 minutes to precipitate the exosomes.Resuspend the exosome-containing pellet in PBS and then fill the entire ultra-clear tube with PBS. Ultracentrifuge this suspension at 100, 00 times G and at 4 degrees Celsius for 120 minutes to eliminate contaminating proteins. Discard the supernatant and resuspend the exosome pellet in 100 microliters of PBS.Store at minus 80 degrees Celsius for future use. First, fix each anesthetized mouse in the supine position on a surgical platform by securing each limb with tape. Place a 3-0 suture horizontally below the upper teeth to hold the upper jaw in place.Next, apply depilatory cream to the left side of the mouse's chest to remove the fir from the skin. Using a 24 gauge catheter, perform endotracheal intubation via the oral cavity. And use a a rodent ventilator to ventilate the mouse with room air at a rate of 195 breaths per minute.Disinfect the skin with 70%alcohol and 10%povidone iodine. Then make a 10 to 15 millimeter oblique incision from the left sternal edge to the left armpit. Use scissors to cut the pectoralis major and pectoralis minor.And make a left thoracotamy through the fourth intercoastal space. Gently insert retractor bands to spread the thoracic cavity to a width of 10 millimeters taking care not to damage the left lung. After this, use two straight tweezers to remove the pericardium.Pull them apart and place them behind the retractor tips to expose the heart. Use a 31 gauge insulin needle to inject either MPC-Exo or PBS intramyocardially into the anterior wall of the left ventricle at one site. Then, use 6-0 nylon sutures to close the thoracic cavity, the pectoralis muscles, and the skin, in sequence.Two days after the PBS exosome transplantation, anesthetize the mice as outlined in the text protocol. Use tape to fix a mouse in the supine position and apply preheated acoustic gel on the left chest area. Next, use echocardiography to assess the left ventricular function.Obtain the parasternal long axis view of the left ventricle in two dimensions and then rotate the ultrasound probe 90 degrees to obtain a left ventricle short axis view at the papillary muscle level. After this, record M-mode echocardiographic images and measure the left ventricular end-diastolic diameter, the left ventricular end-systolic volume, the left ventricular end-diastolic volume, and the left ventricular end-systolic volume. The heart rate of the mice should be controlled at least 400 bpm for the cardiac measurement function.After exosomes are isolated and purified from C2C12 cells, their presence is confirmed using transmission electron microscopy analysis. The transmission electron microscopy image shows the morphology of the bright and round-shaped vesicles of C2C12-derived exosomes. Western blot analysis confirms the presence of exosome markers including CD63 and Tsg101.A translucent edema area is observed after the intramyocardial injection into the anterior wall of the left ventricle of mdx mice which indicates that the injection into the myocardium is successful. Immunofluorescent staining for dystrophin is then performed to determine whether cardiac MPC-Exo delivery restores dystrophin-protein expression in mdx hearts. Partial restoration of dystrophin expression is observed with membrane localization in some of cardiomyocytes.The cardiac function is measured by echocardiography two days after intramyocardial delivery to determine whether transplation of MPC-Exo improves the cardiac function in mdx mice. The MPC-Exo treatment is seen to improve interior wall movement compared with PBS, suggesting that MPC-Exo transplantation improved cardiac function in mdx mice. Using a 31 gauge insulin needle with the tip at about 20 degrees is critical for the success for delivery of most exosomes into the myocardium and maximizes exposure of injected exosomes to host cardiomyocytes.Following the procedure, dystrophin expression can be detected after MPC-derived exosome injection by immunofluorescent staining indicating that cardiac MPC-derived exosome delivery restores dystrophin-protein expression. This technique will pave the way for cardiomyopathy treatment with exosome-carrying therapeutic genetic materials including DNA, mRNA, lncRNA, or microRNAs.

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Genetics

Rearing and Double-stranded RNA-mediated Gene Knockdown in the Hide Beetle, Dermestes maculatus

Advances in genomics have raised the possibility of probing biodiversity at an unprecedented scale. However, sequence alone will not be informative without tools to study gene function. The development and sharing of detailed protocols for the establishment of new model systems in laboratories, and for tools to carry out functional studies, is thus crucial for leveraging the power of genomics. Coleoptera (beetles) are the largest clade of insects and occupy virtually all types of habitats on the planet. In addition to providing ideal models for fundamental research, studies of beetles can have impacts on pest control as they are often pests of households, agriculture, and food industries. Detailed protocols for rearing and maintenance of D. maculatus laboratory colonies and for carrying out dsRNA-mediated interference in D. maculatus are presented. Both embryonic and parental RNAi procedures-including apparatus set up, preparation, injection, and post-injection recovery-are described. Methods are also presented for analyzing embryonic phenotypes, including viability, patterning defects in hatched larvae, and cuticle preparations for unhatched larvae. These assays, together with in situ hybridization and immunostaining for molecular markers, make D. maculatus an accessible model system for basic and applied research. They further provide useful information for establishing procedures in other emerging insect model systems.

Rearing and Double-stranded RNA-mediated Gene Knockdown in the Hide Beetle, Dermestes maculatus

Here, we present protocols for rearing an intermediate-germ beetle, Dermestes maculatus (D. maculatus) in the lab. We also share protocols for embryonic and parental RNAi and methods for analyzing embryonic phenotypes to study gene function in this species.

Advances in genomics have raised the possibility of probing biodiversity at an unprecedented scale. However, sequence alone will not be informative ...

Single-cell Gene Expression Profiling Using FACS and qPCR with Internal Standards

Gene expression measurements from bulk populations of cells can obscure the considerable transcriptomic variation of individual cells within those populations. Single-cell gene expression measurements can help assess the role of noise in gene expression, identify correlations in the expression of pairs of genes, and reveal subpopulations of cells that respond differently to a stimulus. Here, we describe a procedure to measure the expression of up to 96 genes in single mammalian cells isolated from a population growing in tissue culture. Cells are sorted into lysis buffer by fluorescence-activated cell sorting (FACS), and the mRNA species of interest are reverse-transcribed and amplified. Gene expression is then measured using a microfluidic real-time PCR machine, which performs up to 96 qPCR assays on up to 96 samples at a time. We also describe the generation and use of PCR amplicon standards to enable the estimation of the absolute number of each transcript. Compared with other methods of measuring gene expression in single cells, this approach allows for the quantification of more distinct transcripts than RNA FISH at a lower cost than RNA-Seq.

We describe a method to sort single mammalian cells and to quantify the expression of up to 96 target genes of interest in each cell. This method includes the use of internal qPCR standards to enable the estimation of absolute transcript counts.

Gene expression measurements from bulk populations of cells can obscure the considerable transcriptomic variation of individual cells within those ...

Primordial Germ Cell Transplantation for CRISPR/Cas9-based Leapfrogging in Xenopus

The creation of mutant lines by genome editing is accelerating genetic analysis in many organisms. CRISPR/Cas9 methods have been adapted for use in the African clawed frog, Xenopus, a longstanding model organism for biomedical research. Traditional breeding schemes for creating homozygous mutant lines with CRISPR/Cas9-targeted mutagenesis have several time-consuming and laborious steps. To facilitate the creation of mutant embryos, particularly to overcome the obstacles associated with knocking out genes that are essential for embryogenesis, a new method called leapfrogging was developed. This technique leverages the robustness of Xenopus embryos to &#34;cut and paste&#34; embryological methods. Leapfrogging utilizes the transfer of primordial germ cells (PGCs) from efficiently-mutagenized donor embryos into PGC-ablated wildtype siblings. This method allows for the efficient mutation of essential genes by creating chimeric animals with wildtype somatic cells that carry a mutant germline. When two F0 animals carrying &#34;leapfrog transplants&#34; (i.e., mutant germ cells) are intercrossed, they produce homozygous, or compound heterozygous, null F1 embryos, thus saving a full generation time to obtain phenotypic data. Leapfrogging also provides a new approach for analyzing maternal effect genes, which are refractory to F0 phenotypic analysis following CRISPR/Cas9 mutagenesis. This manuscript details the method of leapfrogging, with special emphasis on how to successfully perform PGC transplantation.

Primordial Germ Cell Transplantation for CRISPR/Cas9-based Leapfrogging in Xenopus

Genes essential for survival pose technical hurdles for creating mutant lines. Leapfrogging circumvents lethality by combining genome editing with primordial germ cell transplantation to create wild-type animals carrying germline mutations. Leapfrogging also permits the efficient generation of homozygous null mutants in the F1 generation. Here, the transplantation step is demonstrated.

The creation of mutant lines by genome editing is accelerating genetic analysis in many organisms. CRISPR/Cas9 methods have been adapted for use in the ...

Embryo Microinjection and Transplantation Technique for Nasonia vitripennis Genome Manipulation

The jewel wasp Nasonia vitripennis has emerged as an effective model system for the study of processes including sex determination, haplo-diploid sex determination, venom synthesis, and host-symbiont interactions, among others. A major limitation of working with this organism is the lack of effective protocols to perform directed genome modifications. An important part of genome modification is delivery of editing reagents, including CRISPR/Cas9 molecules, into embryos through microinjection. While microinjection is well established in many model organisms, this technique is particularly challenging to perform in N. vitripennis primarily due to its small embryo size, and the fact that embryonic development occurs entirely within a parasitized blowfly pupa. The following procedure overcomes these significant challenges while demonstrating a streamlined, visual procedure for effectively removing wasp embryos from parasitized host pupae, microinjecting them, and carefully transplanting them back into the host for continuation and completion of development. This protocol will strongly enhance the capability of research groups to perform advanced genome modifications in this organism.

Embryo Microinjection and Transplantation Technique for Nasonia vitripennis Genome Manipulation

Microinjection of Nasonia vitripennis embryos is an essential method for generating heritable genome modifications. Described here is a detailed procedure for microinjection and transplantation of Nasonia vitripennis embryos, which will greatly facilitate future genome manipulation in this organism.

The jewel wasp Nasonia vitripennis has emerged as an effective model system for the study of processes including sex determination, haplo-diploid sex ...

Highly Efficient Gene Disruption of Murine and Human Hematopoietic Progenitor Cells by CRISPR/Cas9

Advances in the hematopoietic stem cell (HSCs) field have been aided by methods to genetically engineer primary progenitor cells as well as animal models. Complete gene ablation in HSCs required the generation of knockout mice from which HSCs could be isolated, and gene ablation in primary human HSCs was not possible. Viral transduction could be used for knock-down approaches, but these suffered from variable efficacy. In general, genetic manipulation of human and mouse hematopoietic cells was hampered by low efficiencies and extensive time and cost commitments. Recently, CRISPR/Cas9 has dramatically expanded the ability to engineer the DNA of mammalian cells. However, the application of CRISPR/Cas9 to hematopoietic cells has been challenging, mainly due to their low transfection efficiencies, the toxicity of plasmid-based approaches and the slow turnaround time of virus-based protocols.
A rapid method to perform CRISPR/Cas9-mediated gene editing in murine and human hematopoietic stem and progenitor cells with knockout efficiencies of up to 90% is provided in this article. This approach utilizes a ribonucleoprotein (RNP) delivery strategy with a streamlined three-day workflow. The use of Cas9-sgRNA RNP allows for a hit-and-run approach, introducing no exogenous DNA sequences in the genome of edited cells and reducing off-target effects. The RNP-based method is fast and straightforward: it does not require cloning of sgRNAs, virus preparation or specific sgRNA chemical modification. With this protocol, scientists should be able to successfully generate knockouts of a gene of interest in primary hematopoietic cells within a week, including downtimes for oligonucleotide synthesis. This approach will allow a much broader group of users to adapt this protocol for their needs.

A protocol for fast CRISPR/Cas9-mediated gene disruption in mouse and human primary hematopoietic cells is described in this article. Cas9-sgRNA ribonucleoproteins are introduced via electroporation with sgRNAs generated through in vitro transcription and commercial Cas9. High editing efficiencies are achieved with limited time and financial cost.

Advances in the hematopoietic stem cell (HSCs) field have been aided by methods to genetically engineer primary progenitor cells as well as animal models. ...

Bronchoalveolar Lavage Exosomes in Lipopolysaccharide-induced Septic Lung Injury

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) represent a heterogeneous group of lung diseases which continues to have a high morbidity and mortality. The molecular pathogenesis of ALI is being better defined; however, because of the complex nature of the disease molecular therapies have yet to be developed. Here we use a lipopolysaccharide (LPS) induced mouse model of acute septic lung injury to delineate the role of exosomes in the inflammatory response. Using this model, we were able to show that mice that are exposed to intraperitoneal LPS secrete exosomes in Broncho-alveolar lavage (BAL) fluid from the lungs that are packaged with miRNA and cytokines which regulate inflammatory response. Further using a co-culture model system, we show that exosomes released from macrophages disrupt expression of tight junction proteins in bronchial epithelial cells. These results suggest that 1) cross talk between innate immune and structural cells through the exosomal shuttling contribute to the inflammatory response and disruption of the structural barrier and 2) targeting these miRNAs may provide a novel platform to treat ALI and ARDS.

Mice exposed to intraperitoneal LPS secrete exosomes in Broncho-alveolar lavage (BAL) fluid that are packaged with miRNAs. Using a co-culture system, we show that exosomes released in the BAL fluid disrupt expression of tight junction proteins in bronchial epithelial cells and increase expression of pro-inflammatory cytokines that accentuate lung injury.

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) represent a heterogeneous group of lung diseases which continues to have a high ...

A Combinatorial Single-cell Approach to Characterize the Molecular and Immunophenotypic Heterogeneity of Human Stem and Progenitor Populations

Immunophenotypic characterization and molecular analysis have long been used to delineate heterogeneity and define distinct cell populations. FACS is inherently a single-cell assay, however prior to molecular analysis, the target cells are often prospectively isolated in bulk, thereby losing single-cell resolution. Single-cell gene expression analysis provides a means to understand molecular differences between individual cells in heterogeneous cell populations. In bulk cell analysis an overrepresentation of a distinct cell type results in biases and occlusions of signals from rare cells with biological importance. By utilizing FACS index sorting coupled to single-cell gene expression analysis, populations can be investigated without the loss of single-cell resolution while cells with intermediate cell surface marker expression are also captured, enabling evaluation of the relevance of continuous surface marker expression. Here, we describe an approach that combines single-cell reverse transcription quantitative PCR (RT-qPCR) and FACS index sorting to simultaneously characterize the molecular and immunophenotypic heterogeneity within cell populations.
In contrast to single-cell RNA sequencing methods, the use of qPCR with specific target amplification allows for robust measurements of low-abundance transcripts with fewer dropouts, while it is not confounded by issues related to cell-to-cell variations in read depth. Moreover, by directly index-sorting single-cells into lysis buffer this method, allows for cDNA synthesis and specific target pre-amplification to be performed in one step as well as for correlation of subsequently derived molecular signatures with cell surface marker expression. The described approach has been developed to investigate hematopoietic single-cells, but have also been used successfully on other cell types.
In conclusion, the approach described herein allows for sensitive measurement of mRNA expression for a panel of pre-selected genes with the possibility to develop protocols for subsequent prospective isolation of molecularly distinct subpopulations.

Bulk gene expression measurements cloud individual cell differences in heterogeneous cell populations. Here, we describe a protocol for how single-cell gene expression analysis and index sorting by Florescence Activated Cell Sorting (FACS) can be combined to delineate heterogeneity and immunophenotypically characterize molecularly distinct cell populations.

Immunophenotypic characterization and molecular analysis have long been used to delineate heterogeneity and define distinct cell populations. FACS is ...

Dissection of Enhancer Function Using Multiplex CRISPR-based Enhancer Interference in Cell Lines

Multiple enhancers often regulate a given gene, yet for most genes, it remains unclear which enhancers are necessary for gene expression, and how these enhancers combine to produce a transcriptional response. As millions of enhancers have been identified, high-throughput tools are needed to determine enhancer function on a genome-wide scale. Current methods for studying enhancer function include making genetic deletions using nuclease-proficient Cas9, but it is difficult to study the combinatorial effects of multiple enhancers using this technique, as multiple successive clonal cell lines must be generated. Here, we present Enhancer-i, a CRISPR interference-based method that allows for functional interrogation of multiple enhancers simultaneously at their endogenous loci. Enhancer-i makes use of two repressive domains fused to nuclease-deficient Cas9, SID and KRAB, to achieve enhancer deactivation via histone deacetylation at targeted loci. This protocol utilizes transient transfection of guide RNAs to enable transient inactivation of targeted regions and is particularly effective at blocking inducible transcriptional responses to stimuli in tissue culture settings. Enhancer-i is highly specific both in its genomic targeting and its effects on global gene expression. Results obtained from this protocol help to understand whether an enhancer is contributing to gene expression, the magnitude of the contribution, and how the contribution is affected by other nearby enhancers.

This protocol describes the steps needed to design and perform multiplexed targeting of enhancers with the deactivating fusion protein SID4X-dCas9-KRAB, also known as enhancer interference (Enhancer-i). This protocol enables the identification of enhancers that regulate gene expression and facilitates the dissection of relationships between enhancers regulating a common target gene.

Multiple enhancers often regulate a given gene, yet for most genes, it remains unclear which enhancers are necessary for gene expression, and how these ...

Isolation, Characterization and MicroRNA-based Genetic Modification of Human Dental Follicle Stem Cells

To date, several stem cell types at different developmental stages are in the focus for the treatment of degenerative diseases. Yet, certain aspects, such as initial massive cell death and low therapeutic effects, impaired their broad clinical translation. Genetic engineering of stem cells prior to transplantation emerged as a promising method to optimize therapeutic stem cell effects. However, safe and efficient gene delivery systems are still lacking. Therefore, the development of suitable methods may provide an approach to resolve current challenges in stem cell-based therapies.
The present protocol describes the extraction and characterization of human dental follicle stem cells (hDFSCs) as well as their non-viral genetic modification. The postnatal dental follicle unveiled as a promising and easily accessible source for harvesting adult multipotent stem cells possessing high proliferation potential. The described isolation procedure presents a simple and reliable method to harvest hDFSCs from impacted wisdom teeth. Also this protocol comprises methods to define stem cell characteristics of isolated cells. For genetic engineering of hDFSCs, an optimized cationic lipid-based transfection strategy is presented enabling highly efficient microRNA introduction without causing cytotoxic effects. MicroRNAs are suitable candidates for transient cell manipulation, as these small translational regulators control the fate and behavior of stem cells without the hazard of stable genome integration. Thus, this protocol represents a safe and efficient procedure for engineering of hDFSCs that may become important for optimizing their therapeutic efficacy.

This protocol describes the transient genetic engineering of dental stem cells extracted from the human dental follicle. The applied non-viral modification strategy may become a basis for the improvement of therapeutic stem cell products.

To date, several stem cell types at different developmental stages are in the focus for the treatment of degenerative diseases. Yet, certain aspects, such ...

Preparation and Gene Modification of Nonhuman Primate Hematopoietic Stem and Progenitor Cells

Hematopoietic stem and progenitor cell (HSPC) transplantation has been a cornerstone therapy for leukemia and other cancers for nearly half a century, underlies the only known cure of human immunodeficiency virus (HIV-1) infection, and shows immense promise in the treatment of genetic diseases such as beta thalassemia. Our group has developed a protocol to model HSPC gene therapy in nonhuman primates (NHPs), allowing scientists to optimize many of the same reagents and techniques that are applied in the clinic. Here, we describe methods for purifying CD34+ HSPCs and long-term persisting hematopoietic stem cell (HSC) subsets from primed bone marrow (BM). Identical techniques can be employed for the purification of other HSPC sources (e.g., mobilized peripheral blood stem cells [PBSCs]). Outlined is a 2 day protocol in which cells are purified, cultured, modified with lentivirus (LV), and prepared for infusion back into the autologous host. Key readouts of success include the purity of the CD34+ HSPC population, the ability of purified HSPCs to form morphologically distinct colonies in semisolid media, and, most importantly, gene modification efficiency. The key advantage to HSPC gene therapy is the ability to provide a source of long-lived cells that give rise to all hematopoietic cell types. As such, these methods have been used to model therapies for cancer, genetic diseases, and infectious diseases. In each case, therapeutic efficacy is established by enhancing the function of distinct HSPC progeny, including red blood cells, T cells, B cells, and/or myeloid subsets. The methods to isolate, modify, and prepare HSPC products are directly applicable and translatable to multiple diseases in human patients.

The goal of this protocol is to isolate nonhuman primate CD34+ cells from primed bone marrow, to gene-modify these cells with lentiviral vectors, and to prepare a product for infusion into the autologous host. The total protocol length is approximately 48 h.

Hematopoietic stem and progenitor cell (HSPC) transplantation has been a cornerstone therapy for leukemia and other cancers for nearly half a century, ...