Patent Application
20130078721
The present invention relates to a cell culture medium for the growth and/or differentiation of cells of the hematopoietic lineage.
There is a continuing high demand of labile blood products, in particular for transfusion purpose, which is not satisfactorily fulfilled by the current supplies in natural human blood. As a consequence, numerous substitutes to natural blood have been explored.
However, stabilized or recombinant hemoglobins have shown disappointing performances, the indications of artificial oxygen transporters are limited and the development of “universal” red blood cells made compatible with the ABO system and/or the RhD antigen by enzymatic treatment or antigenic masking is slow. There is thus a need for alternatives to these methods.
In this regard, attempts to generate erythroid cells, such as red blood cells, from stem cells in vitro, is particularly favored.
However, it is a considerable challenge to reproduce in vitro what it takes nature several months to construct in vivo. In fact, in the course of its development in humans, erythropoiesis evolves from the mesoderm in two waves. Primitive erythropoiesis starts as early as the third week of gestation in the vitelline sac (extra-embryonic tissue) and gives rise to primitive nucleated erythrocytes, megaloblastic, which synthesize embryonic hemoglobin of the type Gower I (ζ2ε2) and Gower II (α2ε2). Definitive erythropoiesis starts during the fifth week of gestation in the aorta-gonad-mesonephros (AGM) region, before migrating to the fetal liver and then to the bone marrow. The erythroid cells produced mature little by little, leading to the production of enucleated red blood cells (RBC), normocytic and containing fetal (α2γ2) and then adult (α2β2) hemoglobin.
To date, several attempts at producing red blood cells from human embryonic stem cells have been reported, such as described by Ma et al. (2008) Proc. Natl. Acad. Sci. USA 105:13087-13092. However, these experiments generally rely on a coculture step in the presence of stromal cells, which renders scaling-up of the process difficult.
The present invention arises from the unexpected finding, by the inventors, that a cell culture medium comprising insulin, transferrin and plasma or serum, was useful for the massive production of red blood cells or reticulocytes from human embryonic stem cells, human induced-Pluripotent Stem (iPS) cells, or human hematopoietic stem cells, without the requirement of a coculture on a cellular stroma.
Thus, the present invention relates to a cell culture medium for the growth and/or differentiation of cells of the hematopoietic lineage, comprising:
insulin at a concentration of from 1 to 50 μg/ml;
transferrin at a concentration of from 100 μg/ml to 2000 μg/ml; and
plasma or serum at a concentration of from 1% to 30%.
The present invention also relates to the use of a cell culture medium as defined above, for the growth and/or differentiation of cells of the hematopoietic lineage.
The present invention further relates to a method for growing and/or differentiating cells of the hematopoietic lineage comprising at least one step of culturing cells with a cell culture medium as defined above.
As intended herein the expression “cells of the hematopoietic lineage” relates to cells to be found in the blood of mammals, in particular of humans, and to cells liable to yield such blood cells upon differentiation. More particularly, the expression “cells of the hematopoietic lineage” according to the invention relates to cells of the erythrocytic lineage, that is red blood cells (also called erythrocytes) and cells which are liable to yield red blood cells upon differentiation, either directly, i.e. in one step, or indirectly, i.e. in several steps. As is well-known to one of skill in the art, cells of the erythrocytic lineage notably comprise, classified by increasing degree of differentiation, embryonic stem cells, hematopoietic stem cells (HSCs), pro-erythroblasts, erythroblasts, reticulocytes, enucleated cells, in particular enucleated reticulocytes, and red blood cells. Cells of the hematopoietic lineage according to the invention thus notably encompass stem cells, in particular embryonic stem cells (ESC), adult stem cells, such as hematopoietic stem cells (HSCs), induced-pluripotent stem (iPS) cells, as well as embryoid bodies, but also pro-erythroblasts, erythroblasts, reticulocytes, and enucleated cells, in particular enucleated reticulocytes. Preferably, the cells of the hematopoietic lineage of the invention are human cells.
iPS cells are well-known to one of skill in the art. They can be obtained by numerous methods and from numerous cell types. By way of example, iPS cells can be obtained following the teachings of Takahashi & Yamanaka (2006) Cell 126:663-676 and Yamanaka et al. (2007) Nature 448:313-317
As intended herein, the term “growth” relates to the multiplication of cultured cells. As intended herein, the term “differentiation” relates to the acquisition by cells cultured in a culture medium of cellular characteristics which are not present in the cells initially used for seeding the cell culture medium. As intended herein “differentiation” notably denotes the acquisition of characteristics further committing the cells in the pathway towards differentiation into red blood cells. Thus, the cell culture medium of the invention is particularly useful for growing undifferentiated cells, such as embryonic stem cells, adult stem cells, such as hematopoietic stem cells, induced-pluripotent stem cells (iPS), or embryoid bodies, and differentiating them into reticulocytes, enucleated cells or red blood cells.
As intended herein the expression “cell culture medium” relates to any medium, in particular any liquid medium, liable to sustain the growth of eukaryotic cells, in particular mammalian cells, more particularly human cells.
Preferably, the cell culture medium of the invention is composed of a base culture medium to which is added:
insulin at a concentration of from 1 to 50 μg/ml;
transferrin at a concentration of from 100 μg/ml to 2000 μg/ml; and
plasma or serum at a concentration of from 1% to 30%.
Preferably, the base culture medium is liable by itself to generally sustain the growth of eukaryotic cells, in particular of mammalian cells, more particularly of human cells. Such base culture media are well known to one of skill in the art. By way of example, one may cite Iscove's Modified Dulbecco's Medium (IMDM) optionally complemented with glutamine or a glutamine-containing peptide. Thus, the cell culture medium according to the invention preferably further comprises Iscove's Modified Dulbecco's Medium (IMDM) optionally complemented with glutamine or a glutamine-containing peptide.
Preferably, insulin according to the invention is human recombinant insulin. Preferably also, insulin is at a concentration of from 5 μg/ml to 20 μg/ml, more preferably at a concentration of from 8 μg/ml to 12 μg/ml, and most preferably at a concentration of about 10 μg/ml.
Preferably, transferrin is human transferrin. Preferably, transferrin is iron-saturated. Preferably, also transferrin is at a concentration of from 200 μg/ml to 1000 μg/ml, more preferably at a concentration of from 300 μg/ml to 500 μg/ml, and most preferably at a concentration of about 330 μg/ml or 450 μg/ml. The transferrin may be recombinant.
Preferably plasma or serum is human plasma or serum. Preferably also, plasma or serum is at a concentration of from 1% to 20%, more preferably at a concentration of from 4% to 12%, even more preferably at a concentration of from 5% to 10%, and most preferably at a concentration of about 5% or 10%.
In an embodiment, the cell culture medium of the invention further comprises heparin, in particular at a concentration 0.5 Ul/ml to 5 Ul/ml, more particularly at a concentration of from 1.5 to 3.5 Ul/ml, and most preferably at a concentration of about 2 Ul/ml. Preferably, the cell culture medium of the invention comprises heparin when serum is also comprised in the cell culture medium.
In another embodiment, the cell culture medium of the invention further comprises erythropoietin (Epo), in particular human recombinant erythropoietin, preferably at a concentration of from 0.5 Ul/ml to 20 Ul/ml, more preferably at a concentration of from 2.5 Ul/ml to 3.5 Ul/ml, and most preferably at a concentration of about 3 Ul/ml.
In another embodiment, the cell culture medium of the invention further comprises stem cell factor (SCF), in particular human recombinant stem cell factor, preferably at a concentration of from 50 ng/ml to 200 ng/ml, more preferably at a concentration of from 80 ng/ml to 120 ng/ml, and most preferably at a concentration of about 100 ng/ml.
In another embodiment, the cell culture medium of the invention further comprises interleukin-3 (IL-3), in particular human recombinant interleukin-3, preferably at a concentration of from 1 ng/ml to 30 ng/ml, more preferably at a concentration of from 4 ng/ml to 6 ng/ml, and most preferably at a concentration of about 5 ng/ml.
In a further embodiment, the cell culture medium according to the invention, further comprises hydrocortisone, preferably at a concentration of from 5.10−7 to 5.10−6 M, more preferably at a concentration of about 10−6 M.
In yet another embodiment, the cell culture medium according to invention further comprises at least one compound selected from:
Preferably, the cell culture medium of the invention is used for growing hematopoietic stem cells (HSCs) and differentiating the HSCs into reticulocytes, enucleated cells, and/or red blood cells. Preferably also, the cell culture medium of the invention is used for growing embryoid bodies (EBs), in particular obtained from embryonic stem cells, and differentiating the EBs into reticulocytes, enucleated cells, and/or red blood cells. As will be clear to one of skill in the art, reticulocytes, enucleated cells, and/or red blood cells can either be obtained as substantially pure cell populations or as mixtures of reticulocytes, of enucleated cells, and/or of red blood cells.
Preferably, the method of the invention is for differentiating HSCs into reticulocytes, enucleated cells, red blood, or a mixture thereof, and comprises:
in a first step, culturing HSCs for 5 to 9, days, in particular for 7 days, in a cell culture medium comprising:
in a second step, culturing the cells obtained in the first step for 2 to 5 days, in particular for 3 to 4 days, in a cell culture medium comprising:
in a third step, culturing the cells obtained in the second step for 6 to 10 days, in particular until day 18 to 21 from the start of the first step, in a cell culture medium comprising:
thereby obtaining reticulocytes, enucleated cells, red blood cells, or a mixture thereof.
Preferably also, the method of the invention is for differentiating EBs into red blood cells, reticulocytes, enucleated cells, or a mixture thereof and comprises:
in a first step, culturing EBs for 15 to 25 days, in particular for 20 days, in a cell culture medium comprising:
in a second step, dissociating the cells obtained in the first step and culturing the dissociated cells for 6 to 10 days, in particular for 8 days, in a cell culture medium comprising:
in a third step, culturing the cells obtained in the second step for 2 to 4 days, in particular for 3 days, in a cell culture medium comprising:
in a fourth step, culturing the cells obtained in the third step for 2 to 4 days, in particular for 3 days, in a cell culture medium comprising:
in a fifth step, culturing the cells obtained in the third step for 8 to 12 days, in particular for 10 days, (i) in a cell culture medium comprising:
Normal peripheral blood mobilized with G-CSF [leukapheresis (LK) cells] was obtained from healthy donors with informed consent. CD34+ cells were isolated by supermagnetic microbead selection using Mini-MACS columns (Miltenyi Biotech, Bergisch Glodbach, Germany) (purity>94±3%).
Cells were cultured in IMDM (Iscove modified Dulbecco's medium, Biochrom, Germany) supplemented with 2 mM L-glutamine (Invitrogen, Cergy-Pontoise, France), 330 μg/ml iron-saturated human transferrin, 10 μg/ml insulin (Sigma, Saint-Quentin Fallavier, France), 2 IU/ml heparin Choay (Sanofi, France) and 5% solvent/detergent virus inactivated (S/D) plasma. The expansion procedure comprised three steps. In the first step (days 0-7), 104/ml CD34+ cells were cultured in the presence of 10−6 M hydrocortisone (HC) (Sigma), 100 ng/ml SCF (kindly provided by Amgen, Thousand Oaks, Calif.), 5 ng/ml IL-3 (R&D Systems, Abingdon, UK.) and 3 IU/ml Epo (Eprex, kindly provided by Janssen-Cilag, Issy-les-Moulineaux, France). On day 4, one volume of cell culture was diluted in four volumes of fresh medium containing HC, SCF, IL-3 and Epo. In the second step (3-4 days), the cells were resuspended at 105/ml in fresh medium supplemented with SCF and Epo. In the third step (up to day 18-21), the cells were cultured in fresh medium in the presence of Epo alone. Cell counts were adjusted to 5×105 and 1.5×106 cells/ml on days 11 and 14, respectively. The cultures were maintained at 37° C. in 5% CO2 in air and results are presented in terms of the actual rate of expansion after plating.
Cells were stained with May-Grünwald-Giemsa and new methylene blue reagents (Sigma), for morphological analyses, while enucleated cells were monitored for standard hematological parameters including the MCV (fL), MCHC (%) and MCH (pg/cell) using an XE2100 automat (Sysmex, Roche Diagnostics, Basel, Switzerland).
Cells were labeled with unconjugated or fluorescein isothiocyanate (FITC)— or phycoerythrin (PE)-conjugated antibodies. Antibodies to CD71-FITC and CD36-FITC (Becton Dickinson, San Jose, Calif.), glycophorin A-PE, CD45-FITC and CD34-PE (Beckman Coulter, Marseille, France) were used for phenotyping. A primary human anti-RhD antibody and a secondary goat PE-conjugated anti-human antibody (Beckman Coulter) were employed for RhD determination. Analyses were performed on a FACSCalibur flow cytometer (Becton Dickinson) using Cell Quest software.
The reticulocytes obtained on day 18 of culture were separated from nucleated cells by passage through a deleukocyting filter (Leucolab LCG2, Macopharma, Tourcoing, France) and the enucleated cells were examined by ektacytometry, a laser diffraction method. In the ektacytometer (Technicon, Bayer Corp., Diagnostics Division, Tarrytown, N.Y.), cells were suspended in 4% polyvinylpyrrolidone solution and exposed to an increasing osmotic gradient (60 to 450 mOsm/Kg). The change in the laser diffraction pattern of the cells was recorded. This photometric measurement produces a signal called the deformability index (DI). Analysis of the DI curve provides a measure of the dynamic deformability of the cell membrane as a function of the osmolality at a constant applied shear stress of 170 dynes/cm2. DImax, expressed in arbitrary units and defined as the maximum value of the DI, is normally related to the mean surface area of red cells. Omin defines the osmolality at which a minimum value of the DI is obtained under hypotonic conditions and depends on the initial surface/volume ratio. Ohyper is the osmolality at which the DI decreases to half the value of DImax in the hypertonic region of the curve and is inversely related to the MCHC.
Digitonin (0.2%) was added to erythrocytes obtained after leukocyte depletion and Hb was quantified by spectrophotometry using Drabkin's reagent. Glucose-6-phosphate dehydrogenase and pyruvate kinase activities were determined by measurement of the rate of increase in NADPH absorbance at 340 nm, using a Synchron CX4 Beckman spectrophotometer and reagents from Randox Laboratories (Crumlin, UK) and Roche Diagnostics, respectively. Results were expressed in units per gram of Hb.
Hb fractions were separated and quantified by ion exchange high performance liquid chromatography. Analyses were performed on washed cell pellets using the Bio-Rad Variant II dual program (Bio-Rad Laboratories, Hercules, Calif.) according to the manufacturer's instructions.
Oxygen binding curves were determined by tonometry in a 70 ml tonometer with an attached 1 cm path length cuvette. Spectral measurements were performed with a Cary 50 spectrophotometer and the temperature was controlled with a Peltier module. Analyses were carried out at 37° C. in 50 mM bis-Tris (pH 7.2) containing 140 mM NaCl and 2 mM glucose. After thorough deoxygenation under nitrogen, the red cell suspensions were equilibrated at different partial pressures of oxygen by injection of known volumes of pure oxygen into the tonometer through a rubber cap using a Hamilton syringe. The fractional saturation was estimated by simulation of the absorption spectra in the visible and Soret regions as a linear combination of the fully deoxygenated and oxygenated spectra of an RBC suspension, using a least-squares fitting routine of the software Scientist (Micromath Scientific Software, Salt Lake City, Utah).
1.1. Differentiation of Hematopoietic Stem Cells into Reticulocytes
Starting from CD34+ HSC derived from the peripheral blood of healthy donors after mobilization with G-CSF (LK cells), a three-step protocol in the presence of 5% solvent/detergent virus inactivated plasma (S/D plasma) was designed. Firstly, cell proliferation and erythroid commitment were induced with SCF, IL-3 and Epo for 7 days. Secondly, the erythroid proliferation was amplified with SCF and Epo for 3-4 days. In the third step, the cells were maintained until terminal maturation in the presence of Epo alone up to day 18-21. By day 18, obtained a plateau with a mean amplification of CD34+ cells of 66,200±24,000 fold (
1.2. Functional Analysis of the Reticulocytes Generated from Hematopoietic Stem Cells
In order to perform a precise functional analysis, the reticulocytes obtained on day 18 of culture were separated from nucleated cells by passage through a deleukocyting filter (Leucolab LCG, Macopharma). These reticulocytes had a glucose-6-phosphate dehydrogenase (G6PD) content of 65±3 units and a pyruvate kinase (PK) level of 94±7 units per gram of hemoglobin (Hb), in keeping with the nature of a young homogenous red cell population (Jansen et al. Am J Hematol 1985; 20, 203-215). This indicates that they were capable of reducing glutathione and maintaining ATP levels, thus ensuring normal levels of 2, 3-diphosphoglycerate (2, 3-DPG).
The reticulocyte membrane deformability was analyzed by osmotic scan ektacytometry which measures erythrocyte elongation. This produces a signal called the deformability index (DI) and the maximum elongation (DImax) is related to the mean surface area of the cells (Clark et al. Blood 1983; 61, 899-910 et Mohandas et al. J Clin Invest 1980; 66, 563-573). The DImax (0.63) of the reticulocytes, which had a greater mean volume, corresponded to expected levels and confirmed the normal deformability of these cells (
The reticulocytes generated in vitro contained adult hemoglobin A (HbA) (96±0.1%), indicating a normal process of Hb synthesis under these conditions (
Tonometric oxygen equilibrium measurements showed that a suspension of reticulocytes bound and released oxygen in the same manner as a suspension of native RBC. The oxygen affinity (P50) was 28 mm Hg for the reticulocytes as compared to 26±1 mm Hg for native RBC (Kister et al. J Biol Chem 1987; 262, 12085-12091 et Girard et al. Respir Physiol 1987; 68, 227-238), while the Hill coefficients (n50) were equal to 2.4±0.1 for both samples.
Undifferentiated hESC Cultures
The hES cell line H1 (National Institute of Health [NIH] code WA01, passages 23-45) was maintained in an undifferentiated state by weekly mechanical passage on primary mouse embryonic fibroblast (MEF) feeder cells treated with mitomycin (20 μg/mL; Sigma, Saint-Quentin Fallavier, France) in knockout Dulbecco's modified Eagle's medium (DMEM, Invitrogen, Cergy Pontoise, France) supplemented with 20% knockout serum replacer (Invitrogen) and recombinant human (rhu)FGF2 (10 ng/mL; Peprotech, Neuilly-sur-Seine, France).
On the first day, undifferentiated hESC were treated with collagenase IV (1 mg/mL; Invitrogen) and transferred to low attachment plates (Nunc, Dutscher, Brumath, France) to allow embryoid body (EB) formation during overnight incubation in differentiation medium (knockout DMEM supplemented with 20% non-heat inactivated fetal bovine serum, 1% nonessential amino acids, 1 mM L-glutamine, and 0.1 mM β-mercaptoethanol, Invitrogen). The next day, EB were suspended in liquid culture medium (LCM) (IMDM-glutamax, Biochrom, Berlin, Germany) containing 450 μg/mL iron-saturated human transferrin (Sigma), 10 μg/mL insulin (Sigma), 5% human plasma and 2 U/mL heparin, in the presence of SCF, TPO, FLT3 ligand (100 ng/mL), rhu bone morphogenetic protein 4 (BMP4; 10 ng/mL), rhu VEGF-A165, IL-3, IL-6 (5 ng/mL) (Peprotech) and Epo (3 U/mL) (Eprex, kindly provided by Janssen-Cilag, France) (subsequently referred to as EB medium). EB were cultured for 20 days at 37° C. in a humidified 5% CO2 atmosphere, with changes of medium and cytokines every 2 or 3 days. The cells were dissociated into a single-cell suspension by incubation with collagenase B (0.4 U/mL; Roche Diagnostics, Laval, QC, Canada) for 30 min at 37° C. and then cell dissociation buffer (Invitrogen) for 10 min in a 37° C. water bath, followed by gentle pipetting and passage through a 70 μm mesh.
Generation of cRBC
Day 0 to day 8: Dissociated EB were counted and plated at a density of 1×106 cells/mL in LCM containing 10% human plasma and 3 U/mL heparin, in the presence of SCF (100 ng/mL), IL-3 (5 ng/mL) and Epo (3 U/mL). On day 1, non adherent (NA) cells (4×105/mL) and adherent (AD) cells (106/mL) were seeded separately in the same medium and cytokines and cultured for 8 days. On day 4, one volume of cell culture was diluted in four volumes of fresh medium containing SCF, IL-3 and Epo. Day 8 to day 11: The cells were suspended at a density of 3×105 (NA) or 105 (AD) cells/mL and cultured in fresh medium supplemented with SCF and Epo. Day 11 to day 15: The cells were suspended at 106/mL (NA and AD cells) and cultured in fresh medium supplemented with Epo. Day 15 to day 25: NA and AD cells were suspended at 2×106 cells/mL in LCM containing 10% human plasma and Epo, or cocultured on an adherent stromal layer. The cultures were maintained at 37° C. in 5% CO2 in air.
Three sources of adherent cell layers were evaluated: (i) the MS-5 stromal cell line, (ii) mesenchymal stromal cells (MSC) (Prockop Science 1997; 276, 71-74) established from whole normal adult bone marrow in alpha MEM (Invitrogen) supplemented with 10% fetal calf serum (FCS) (adherent MSC were expanded and purified through at least two successive passages) and (iii) stromal cells from macrophages established from CD34+ bone marrow cells in IMDM-glutamax containing 20% FCS, in the presence of SCF (50 ng/mL), FLT3-ligand (30 ng/mL) and TPO (15 ng/mL) for 10 days and of SCF (30 ng/mL), IL-3 (30 ng/mL) and M-CSF (30 ng/mL) for one week. FACS staining of the adherent cells was used to confirm CD14 and HLA-DR expression.
BFU-E, CFU-E and CFU-GM progenitors were assayed in methylcellulose cultures. The concentration of dissociated EB was 1×105 cells/mL and colonies were scored on days 7 and 14 of culture.
Flow Cytometric Analysis of Undifferentiated hESC, EB and Differentiated Cells
Cells were prepared in PBS containing 0.1% BSA and labeled with a cocktail of monoclonal antibodies (mAbs). Samples were analyzed using a FACSCalibur flow cytometer with CellQuest acquisition software (Becton Dickinson, San José, Calif., USA). The following antibodies were used for flow cytometric analysis of undifferentiated hESC, harvested disaggregated day 2 to day 20 EB and erythroid cells during differentiation: SSEA4-PE (phycoerythrin) and SSEA1-PE (Clinisciences, Montrouge, France); TRA-1-60, TRA-1-81, goat anti-mouse IgM-PE and goat anti-mouse IgG-PE (Chemicon, Saint-Quentin en Yvelines, France); CD34-PE, CD45-PE, CD45-PC7, CD117-PE, CD71-FITC, CD36-FITC and CD235a-PE (glycophorin A) (Beckman Coulter—Immunotech, Marseille, France); CD133-PE (Miltenyi Biotech, Glodbach, Germany). Viable cells were gated for analysis and staining with appropriate isotype-matched control mAbs was used to establish thresholds for positive staining and background.
Hemoglobin Composition of cRBC by Chromatography and Mass Spectrometry
The percentage of the various hemoglobin fractions was measured by CE-HPLC using a Bio-Rad Variant II Hb analyzer (Bio-Rad Laboratories, Hercules, Calif., USA). The separation of the different globin chains fractions contained in cRBC obtained from hES cells at D15 and D25 of culture was done by reversed phase liquid chromatography (RP-LC) and spectral analysis. RP-LC analyses were performed on a C4 Uptisphere (silica beads 5 μm; average pore size 300 Å) (Interchim, Montluçon, France) (4.6×250 mm). Elution was obtained by a two-solvent system (A: 10% CH3CN (acetonitrile) in 0.3% TFA (trifluoroacetic acid), and B: 70% CH3CN in 0.3% TFA). The integration of the different RP-LC peaks allowed determining the area percentages of each isolated globin-chain fraction. Their identification and characterization were performed by electrospray ionizationmass spectrometry (ESI-MS) after separation and collection of globin chains. Results were compared to data obtained with cRBC generated from human CD34+ cord blood cells.
Functionality of Hemoglobin of cRBC
The binding of hemoglobin (Hb) with carbon monoxide was studied by flash photolysis using a 4×10 mm optical cuvette (4 mm for the transmitted light and 10 mm for the laser beam). Briefly, the kinetics of CO rebinding to Hb tetramers were analyzed at 436 nm after photodissociation of the ligand with a 10-ns pulse at 532 nm (Marden et al. Biochemistry 1988; 27, 1659-1664). RBC were lysed in a hypotonic buffer solution on ice for 30 min. After centrifugation at 15,000 g, the supernatant containing the Hb was removed from the membranes and cell debris and IHP (inositol hexa-phosphate 1 mM) was added to the Hb samples. Data simulations were carried out using the non linear least-squares program of Scientist (Micromath).
2.1. Differentiation of hESC into hEB Conditioned for Erythroid Commitment Establishment of the Culture Medium for EB
The erythropoietic pathway was induced and stimulated very early. Whereas addition of BMP4 would appear to be indispensable (Chadwick et al. Blood 2003; 102, 906-915) and likewise of VEGF-A165 (Cerdan et al. Blood 2004; 103, 2504-2512), eight different experiments were performed to test the essential role of two other parameters, cytokines and the type of serum. After carrying out these experiments, a culture medium for EB was defined (referred to as EB medium) conditioning erythroid commitment. It contains 5% pooled human plasma, a high concentration of transferrin (450 μg/mL) and a cocktail of 8 cytokines: SCF, TPO, FLT3 ligand (100 ng/mL), rhu BMP4 (10 ng/mL), rhu VEGF-A165, IL-3, IL-6 (5 ng/mL) and Epo (3 U/mL). As described in the following sections, these culture conditions allowed to obtain at the end of culture a maximum number of mature enucleated RBC.
First, the stage or stages of differentiation of hEB having the best erythroid potential were identified. The kinetics of differentiation of hEB between days 2 and 20 of culture following (1) the expression of specific markers of hematopoiesis and erythropoiesis by flow cytometry and (2) the formation of erythroid progenitors were analyzed. Prior to differentiation, hESC expressed high levels of markers specific for undifferentiated cells and no or low levels of hematopoietic markers. The expression of these markers of undifferentiated cells declined progressively until day 13 to remain weakly positive until day 20. CD34 was expressed from day 2 to day 20 with a peak between days 9 and 13 and CD45 from day 6 to day 20 with a peak on day 13 (
2.3. Differentiation/Maturation of hEB into cRBC—Protocol for the Generation of cRBC
The inventors developed simple and optimal culture conditions consisting of culture in a liquid medium in the presence of 10% human plasma and an evolving cocktail of cytokines based on SCF, IL-3 and Epo (
2.4. Generation of Mature Enucleated cRBC Starting from Day 15 or Day 20 hEB
The erythroid commitment of day 15 or day 20 hEB was complete after 4 days of liquid culture with production of more than 95% erythroblasts. Terminal differentiation/maturation was achieved progressively with the appearance of 3±2% enucleated cells by day 11, 17±4% by day 15, 31±8% by day 18 and 48±9% by day 21. At the end of culture on day 25, the population contained 58±2% perfectly enucleated RBC (
2.5. Analysis of the cRBC Generated from EWC—Membrane Markers of Mature cRBC
Flow cytometric analysis of the membrane antigens of the cRBC produced attested to their degree of maturity. At the end of culture, all the cRBC generated strongly expressed CD235a and CD71. The expression of CD36 decreased with increasing cell maturity (5%±1 on day 11 vs 7±3% on day 25), while an elevated expression of RhD antigen in more than 80% of the cells confirmed the high level of membrane maturation of the cRBC (
2.6. Size of the cRBC
At the end of liquid culture on day 25, the size of the cRBC was measured by microscopy and compared it to that of control adult RBC from peripheral blood. In the absence of stroma or after coculture on MS5 cells, MSC or macrophages, the size of the cRBC was comparable, with a mean diameter of 10 μm (
2.7. Analysis of the Hemoglobin of the cRBC
To analyze the type of hemoglobin synthesized by the cRBC, a study of the globin chains by reverse phase HPLC and mass spectrometry was combined with the identification of tetrameric hemoglobin by HPLC.
Identification and Quantification of the Globin Chains in cRBC by RP-LC and Mass Spectrometry
Separation of the globin chains by RP-LC permitted quantification of the hemoglobin production of the cRBC: 1 to 5% beta, 19 to 29% gamma-G, 36 to 43% alpha and 11 to 21% gamma-A chains. Two additional peaks of variable intensity in different experiments, ranging from absent to less than 15%, were also observed and corresponded to the embryonic chains epsilon and zeta. Thus, there was a largely predominant synthesis of fetal chains (35 to 50%), a weak production of adult chains (2%) and a variable synthesis of embryonic chains (<10%), with about 40% alpha chains. These results were confirmed by mass spectrometric identification of the fractions eluted by RP-LC and were identical to those obtained for cRBC derived from CD34+ HSC from cord blood (
An analysis of tetrameric Hb by CE-HPLC showed the synthesis of 2.5% HbA and 74 to 80% HbF and the profiles were superimposable on those obtained for cRBC derived from CD34+ HSC from cord blood (
2.8. Functionality of the cRBC Haemoglobin
The functionality of the cRBC hemoglobin was assessed by ligand binding kinetics after flash photolysis (
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP2011/052511 | 2/21/2011 | WO | 00 | 12/13/2012 |
| Number | Date | Country | |
|---|---|---|---|
| 61306682 | Feb 2010 | US |
