The present invention relates to a method of reprogramming a somatic cell and producing an induced pluripotent stem cell.
The present application is being filed along with a Sequence Listing in electronic format. The Sequence Listing is provided as a file entitled 57687858_1.XML, created and last modified on May 26, 2023, which is 78.1 Kb in size. The information in the electronic format of the Sequence Listing is incorporated herein by reference in its entirety.
Established from human or mouse early embryos, embryonic stem cells (ES cells) are capable of being cultured for a long time while maintaining their potential for differentiating into all types of cells found in a living organism. With this feature, human ES cells are expected to serve for cell transplantation therapies for many diseases, including Parkinson’s disease, juvenile diabetes, and leukemia. However, ES cell transplantation poses the problem of causing rejections as with organ transplantation. Additionally, not a few people oppose the use of ES cells established with the destruction of a human embryo, from an ethical viewpoint.
If the dedifferentiation of a patient’s somatic cells is induced to establish cells possessing pluripotency and proliferating capability similar to those of an ES cell (herein these cells are referred to as “induced pluripotent stem cells” (iPS cells), and sometimes referred to as “embryonic stem cell-like cells” or “ES-like cells”), the established cells will be useful as ideal pluripotent cells that do not pose the problems of rejections and ethical issues. In recent years, it has been reported that iPS cells can be produced from mouse and human differentiated cells, arousing great attention (International Patent Application Publication No. WO2007/69666; Cell, 126, pp. 663-676, 2006; Cell, 131, pp. 861-872, 2007; Science, 318, pp. 1917-1920, 2007; Nature, 451, pp. 141-146, 2008).
All these methods comprise the step of introducing a plurality of particular nuclear reprogramming factors (e.g., in Cell, 126, pp. 1-14, 2006, 4 factors are used: Oct¾, Sox2, Klf4, and c-Myc) into a somatic cell to achieve reprogramming, which step involves the use of a retrovirus or a lentivirus for the purpose of introducing the genes that encode the nuclear reprogramming factors into a somatic cell efficiently. However, since gene delivery using a viral vector involves safety issues, there is a demand for developing a method of producing iPS cells without using a viral vector.
It is an object of the present invention to provide a method of producing an iPS cell by reprogramming a somatic cell without using a viral vector such as a retrovirus.
The present inventors extensively investigated to solve the problems described above, and found that an iPS cell can be produced by introducing genes that encode reprogramming factors into a somatic cell by means of a non-viral expression vector such as a plasmid vector, and that a safe IFS cell can be obtained from a somatic cell by the method. The present invention has been developed on the basis of these findings.
Accordingly, the present invention provides a method of producing an induced pluripotent stem cell, comprising the step of introducing at least one kind of non-viral expression vector incorporating at least one gene that encodes a reprogramming factor into a somatic cell.
In a preferred embodiment, the present invention provides the above-described method wherein the vectors are non-viral expression vectors autonomously replicable outside a chromosome; and the above-described method wherein the vector a plasmid vector.
In another preferred embodiment, the present invention provides the above-described method wherein the gene that encodes a reprogramming factor is one of genes selected by a method of screening for nuclear reprogramming factors described in WO 2005/80598 or a combination of a plurality of such genes; and the above-described method wherein the gene that encodes a reprogramming factor is one or more kinds of genes selected from the group consisting of an Oct family gene, a KIf family gene, a Sox family gene, a Myc family gene, a Lin family gene, and the Nanog gene, preferably a combination of two kinds of genes, more preferably a combination of three kinds of genes, particularly preferably a combination of four or more kinds of genes.
More preferable combinations are (a) a combination of two kinds of genes consisting of an Oct family gene and a Sox family gene; (b) a combination of three kinds of genes consisting of an Oct family gene, a KIf family gene, and a Sox family gene; (c) a combination of four kinds of genes consisting of an Oct family gene, a Klf family gene, a Sox family gene, and a Myc family gene; (d) a combination of four kinds of genes consisting of an Oct family gene, a Sox family gene, a Lin family gene, and the Nanog gene (e) a combination of six kinds of genes consisting of an Oct family gene, a KIf family gene, a Sox family gene, a Myc family gene, a Lin family gene, and the Nanog gene; and the like. Furthermore, it is also preferable to include the TERT gene and/or the SV40 Large T antigen gene in the combination. As the case may be, it is preferable to exclude KIf family genes.
Particularly preferred combinations thereof are a combination of two kinds of genes consisting of Oct¾ and Sox2; a combination of three kinds of genes consisting of Oct¾, Klf4, and Sox2; a combination of four kinds of genes consisting of Oct¾ KIf 4, Sox2, and c-Myc; a combination of four kinds of genes consisting of Oct¾, Sox2, Lin28, and Nanog; and a combination of six kinds of genes consisting of Oct¾, Klf4, Sox2, c-Myc, Lin28, and Nanog. It is also preferable to include the TERT gene and/or the SV40 Large T antigen gene in these combinations. As the case may be, it is preferable to exclude Klf4.
In another preferred embodiment, the present invention provides the above-described method wherein the number of kinds of non-viral expression vectors introduced into a somatic cell is 1, 2, 3, or 4; the above-described method wherein the genes that encode reprogramming factors are a combination of three kinds of genes consisting of an Oct family gene, a KIf family gene, and a Sox family gene, and these genes are incorporated in one kind of non-viral expression vectors the above-described method wherein the genes that encode nuclear reprogramming factors are a combination of four kinds of genes consisting of an Oct family gene, a KIf family gene, a Sox family gene, and a Myc family gene, and the Oct family gene, the KIf family gene, and the Sox family gene are incorporated in one kind of non-viral expression vector; the above-described method wherein the Oct family gene, the Klf family gene, and the Sox family gene are incorporated in one kind of non-viral expression vector in this order in the orientation from the 5′ to 3′ end; and the above-described method wherein the Oct family gene, the KIt family gene, and the Sox family gene are incorporated in one kind of non-viral expression vector with an intervening sequence enabling polycistronic expression.
In another preferred embodiment, the present invention provides the above-described method wherein two or more kinds of the above-described non-viral expression vectors are concurrently introduced into a somatic cell; the above-described method wherein the genes that encode reprogramming factors are a combination of four kinds of genes consisting of an Oct family gene, a KIf family gene, a Sox family gene, and a Myc family gene, and a first non-viral expression vector incorporating three or less kinds of genes selected from among the four kinds of genes, and a second non-viral expression vector incorporating the remaining gene(s) out of the four kinds of genes are concurrently introduced into a somtic cells the above-described method wherein the three or less kinds of genes are an Oct family gene, a KIf family gene, and a Sox family gene, and the remaining gene is a Myc family gene; the above-described method wherein the three or less kinds of genes are Oct¾, Klf4, and Sox2, and the remaining gene is c-Myc; and the above-described method wherein introduction of the non-viral expression vector into a somatic cell is repeatedly performed twice or more.
In a particularly preferred embodiment, the present invention provides the above-described method wherein a first non-viral expression vector harboring Oct¾, Klf4, and Sox2, and a second non-viral expression vector harboring c-Myc are introduced into a somatic cell; the above-described method wherein a first non-viral expression vector harboring Oct¾, Klf4, and Sox2 in this order in the orientation from the 5′ to 3′ end, and a second non-viral expression vector harboring c-Myc are introduced into a somatic cell; the above-described method wherein Oct¾, Klf4, and Sox2 are ligated in this order in the orientation from the 5′ to 3′ end with an intervening sequence enabling polycistronic expression and inserted into the first non-viral expression vector; the above-described method wherein the first non-viral expression vector and the second non-viral expression vector are concurrently introduced into a somatic cells and the above-described method wherein the introduction is repeatedly performed twice or more. Also provided is the above-described method wherein whole or prat of the at least one non-viral expression vector introduced is substantially not integrated in the chromosome.
In another preferred embodiment, the present invention provides the above-described method wherein the somatic cell is a somatic cell of a mammal, including a human, preferably a human or mouse somatic cell, particularly preferably a human somatic cell; the above-described method wherein the somatic cell is a fetal human cell or a somatic cell derived from an adult human; and the above-described method wherein the somatic cell is a somatic cell collected from a patient.
In another aspect, the present invention provides an induced pluripotent stem cell that can be obtained by the above-described method. In a preferred embodiment, the present invention also provides an induced pluripotent stem cell wherein all or some of the at least one non-viral expression vector introduced is substantially not integrated in the chromosome.
Also provided are the above-described induced pluripotent stem cell wherein the somatic cell is a somatic cell of a mammal, including a human, preferably a human or mouse somatic cell, particularly preferably a human somatic cell; the above-described induced pluripotent stem cell wherein the somatic cell is a fetal human cell or a somatic cell derived from an adult human; and the above-described induced pluripotent stem cell wherein the somatic cell is a somatic cell collected from a patient.
A non-viral expression vector, preferably a plasmid vector, for use in the above-described method of producing an induced pluripotent stem cell, incorporating at least one gene that encodes a reprogramming factor, is also provided by the present invention.
A somatic cell induced and differentiated from the above-described induced pluripotent stem cell is also provided by the present invention.
The present invention also provides a stem cell therapy comprising the step of transplanting to a patient a somatic cell obtained by differentiation induction of an induced pluripotent stem cell obtained by the above-described method using a somatic cell separated from the patient.
The present invention further provides a method of evaluating the physiological activities and toxicities of compounds, drugs, poisonous substances and the like using various cells obtained by differentiation induction of an induced pluripotent stem cell obtained by the above-described method.
Produced without using a vector to be integrated into a chromosome, such as a retrovirus, the induced pluripotent stem cell provided by the present invention is advantageous in that tumorigenesis and other problems do not arise in the somatic cells and tissues obtained by differentiating the induced pluripotent stem cell. In a preferred embodiment of the present invention, in the induced pluripotent stem cell produced by the method of the present invention, all or some of the at least one non-viral expression vector introduced is episomally present, substantially not integrated in the chromosome. Therefore, the method of the present invention makes it possible to prepare a highly safe induced pluripotent stem cell from, for example, a patient’s somatic cell, and the cells obtained by differentiating this cell (e.g., myocardial cells, insulin-producing cells, or nerve cells and the like) can be safely used for stem cell transplantation therapies for a broad range of diseases, including heart failure, insulin-dependent diabetes, Parkinson’s disease and spinal injury.
The method of the present invention is intended to produce an induced pluripotent stem cell, comprising the step of introducing at least one kind of non-viral expression vector incorporating at least one gene that encodes a reprogramming factor into a somatic cell. The non-viral expression vector is preferably an expression vector autonomously replicable outside a chromosome, more preferably a plasmid expression vector.
As an example of a means for identifying a nuclear reprogramming factor, a nuclear reprogramming factor screening method described in WO 2005/80598 can be utilized. All disclosures therein are incorporated herein by reference. Those skilled in the art are able to screen for nuclear reprogramming factors, and to utilize them for the method of the present invention, by referring to the aforementioned publication. It is also possible to identify nuclear reprogramming factors using a method modified or altered from the above-described screening method.
Some examples of combinations of genes that encode reprogramming factors are disclosed in WO02007/69666. All disclosures therein are incorporated herein by reference. Those skilled in the art are able to choose genes that can suitably be used in the method of the present invention as appropriate by referring to the aforementioned publication. Other examples of combinations of genes that encode reprogramming factors are given in Science, 318, pp. 1917-1920, 2007, WO2008/118820 and the like. Therefore, those skilled in the art are able to understand the diversity of combinations of genes that encode nuclear reprogramming factors; by utilizing a nuclear reprogramming factor screening method described in WO 2005/80598, appropriate combinations of genes other than the combinations described in WO2007/69666 and Science, 2007 (supra) can be utilized in the method of the present invention.
Preferable genes that encode reprogramming factors include one or more kind of genes selected from the group consisting of an Oct family gene, a KIf family gene, a Sox family gene, a Myc family gene, a Lin family gene, and the Nanog gene, preferably a combination of two kinds of genes, more preferably of three kinds of genes, and particularly preferably of four kinds of genes.
Examples of Oct family genes, KIf family genes, Sox family genes, and Myc family genes are given in WO2007/69666. Likewise, for Lin family genes, those skilled in the art are likewise able to extract a family gene. For example, as examples of Lin family genes, Lin28 and Lin28B may be included.
More preferable combinations include, but are not limited to,
All these genes are present in common in mammals, including humans. Genes derived from optionally chosen mammals (e.g., humans, mice, rats, bovines, sheep, horses, monkeys) can be used in the present invention. In addition to wild-type gene, mutant genes whose translation products have several (e.g., 1 to 10, preferably 1 to 6, more preferably 1 to 4, more preferably 1 to 3, particularly preferably 1 or 2) amino acids substituted, inserted, and/or deleted, and possess a function similar to that of the wild type gene product, can also be utilized. For example, as c-Myc genes, the wild type, a gene encoding stable type mutant (T58A) and the like may be used. The same applies to other gene products.
In addition to the aforementioned genes, a gene that encodes a factor that induces cell immortalization may further be combined. As disclosed in WO2007/69666, for example, the TERT gene, and one or more kind of genes selected from the group consisting of the following genes: SV40 Large T antigen, HPV16 E6, HPV16 E7, and Bmil, can be used singly, or in combination as appropriate.
Examples of preferable combinations include:
As required, the KIf family gene may be excluded from the aforementioned combinations.
Furthermore, in addition to the aforementioned genes, one or more kind of genes selected from the group consisting of Fbx15, ERas, ECAT15-2, Tcll, and β-catenin may be combined, and/or one or more kind of genes selected from the group consisting of ECAT1, Esg1, Dnmt3L, ECAT8, Gdf3, Sox15, ECAT15-1, Fth117, Sa114, Rex1, UTF1, Stella, Stat3, and Grb2 may also be combined. These combinations are specifically described in WO2007/69666.
If one or more kind of these genes are already expressed in the somatic cell to be reprogrammed, the gene(s) can be excluded from the genes to be introduced. When one or more kind of these genes are introduced into a somatic cell to be reprogrammed using a vector to be integrated into a chromosome, such as a retrovirus, the remaining one or more genes can be introduced using a non-viral expression vector according to the method of the present invention. Alternatively, when one or more kind of the gene products of these genes are introduced into a nucleus by means of fused protein or nuclear microinjection, the remaining one or more genes can be introduced using a non-viral expression vector according to the method of the present invention.
Particularly preferable combinations of genes are,
In addition to the aforementioned genes, a gene that encodes a factor that induces cell immortalization may further be combined. As disclosed in WO2007/69666, for example, one kind or more of genes selected from the group consisting of the TERT gene, and the following genes: HPV16 E6, HPV16 E7, and Bmil, can be used singly, or in combination as appropriate.
When reprogramming is performed using nerve stem cells endogenously expressing Sox2 and c-Myc, or the like as a somatic cell source, a combination of two kinds of genes consisting of Oct¾ and Klf4, or a combination of two kinds of genes consisting of Oct¾ and c-Myc (see Nature, Published online, 29 Jun. 2008, p 1-5 (doi:10.1038/nature07061)) can also be mentioned.
In the combinations (3), (5), (6), and (7) above, L-Myc can be used in place of c-Myc.
It Should be noted that combinations of genes are not limited thereto. Additionally, the scope of the present invention includes a method wherein one or more genes selected from among the above-described genes are introduced into a somatic cell using a non-viral expression vector, and the remaining gene or gene product is introduced into the somatic cell by another means. For example, it is also possible to introduce one or more genes selected from among the above-described genes into a somatic cell using a non-viral expression vector, and to introduce the remaining gene into the somatic cell using a viral vector such as retroviral vector, lentiviral vector, adenoviral vector, adeno-associated viral vector, Sendai viral vector.
When two or more kinds of genes that encode reprogramming factors are introduced into a somatic cell using non-viral expression vectors, some of the two or more kinds of genes to be introduced can be introduced into a somatic cell at a time different from that for other genes, or all kinds of genes to be introduced can be concurrently introduced into a somatic cell; however, it is preferable that all genes to be introduced be concurrently introduced into a somatic cell. When two or more kinds of different non-viral expression vectors are used to introduce two or more kinds of genes, all kinds of non-viral expression vectors can be concurrently introduced into a somatic cell; this represents a preferred embodiment of the present invention.
In the method of the present invention, as genes that encode reprogramming factors, for example, a combination of four kinds of genes consisting of an Oct family gene, a KIf family gene, a sox family gene, and a Myc family gene can be used. A combination of three kinds of genes consisting of an Oct family gene, a KIf family gene, and a Sox family gene, or a combination of two kinds of genes selected from among the aforementioned three kinds of genes can also be used.
In the method of the present invention, it is preferable that the above-described four kinds, three kinds, or two kinds of genes be concurrently introduced into a somatic cell. To introduce the above-described four kinds, three kinds, or two kinds of genes, one kind of non-viral expression vector incorporating all these genes may be used. Alternatively, several kinds of non-viral expression vectors may be used in combination as appropriate, so as to cover all the combinations of these genes. When several kinds of non-viral expression vectors are used, it is preferable that preferably two or three kinds, more preferably two kinds of non-viral expression vectors be used. It is preferable that these non-viral expression vectors be concurrently introduced into a somatic cell.
If the number of genes introduced exceeds four kinds, several kinds of non-viral expression vectors may be combined as appropriate, so as to cover all the combinations of these genes. When several kinds of non-viral expression vectors are used, it is preferable that preferably two to five kinds, more preferably two to four kinds, more preferably three or four of non-viral expression vectors be used. These non-viral expression vectors are preferably concurrently introduced into a somatic cell.
An example of a preferable method is a method wherein one non-viral expression vector harboring an Oct family gene, a KIf family gene, and a Sox family gene, and one non-viral sa expression vector harboring a Myc family gene are introduced into a somatic cell concurrently or at different times; in this method, it is preferable that the two kinds of non-viral expression vectors be concurrently introduced into the somatic cell. In another preferred embodiment, it is also possible to use a method wherein one non-viral expression vector harboring an Oct family gone, a KIf family gene, a Sox family gene, and a Myc family gene is introduced into a somatic cell.
In a preferred embodiment of the present invention, in a combination of four kinds of genes consisting of an Oct¾, Klf4, Sox2, and c-Myc, or an optionally chosen combination of three kinds or two kinds selected from among these four kinds of genes, preferably the combination or three kinds or two kinds of genes, wherein said combination does not contain c-Myc, can be used. This preferred embodiment is hereinafter described specifically, to which the scope of the present invention is never limited.
The method of (f1) or (g1) can be preferably used when the somatic cell is derived from mouse.
In (b1) to (f2) above, for either one of the first non-viral expression vector and the second non-viral expression vector, a viral vector (e.g., retroviral vector, lentiviral vector, adenoviral vector, adeno-associated viral vector, Sendai viral vector or the like) can be used in place of the sa non-viral expression vector.
In another preferred embodiment of the present invention, in (a1) to (f2) above, L-Myc can be used in place of c-Myc.
In still another preferred embodiment, a combination of three kinds of genes consisting of Oct¾, Klf4 and Sox2 can be used. This preferred embodiment is hereinafter described specifically, to which the scope of the present invention is never limited.
The method of (b2) or (d2) can be preferably used when the somatic cell is derived from mouse.
In (c2) or (d2) above, for either one of the first non-viral expression vector and the second non-viral expression vector, a viral vector (e.g., retroviral vector, lentiviral vector, adenoviral vector, adeno-associated viral vector, Sendai viral vector or the like) can also be used in place of the non-viral vector.
In still another preferred embodiment of the present invention, a combination of two kinds of genes selected from among Oct¾, Klf4 and Sox2 can be used. This preferred embodiment is hereinafter described specifically, to which the scope of the present invention is never limited.
The method of (b3) can be preferably used when the somatic cell is derived from mouse.
In (c3) above, for either one of the first non-viral expression vector and the second non-viral expression vector, a viral vector (e.g., retroviral vector, lentiviral vector, adenoviral vector, adeno-associated viral vector, Sendai viral vector or the like) can be used in place of the non-viral vector.
In still another preferred embodiment of the present invention, a combination of six kinds of genes selected from among Oct¾, Klf4, Sox2, c-Myc, Lin28 and Nanog can be used. This preferred embodiment is hereinafter described specifically, to which the scope of the present invention is never limited. (a4) A method wherein a first non-viral expression vector, more preferably a plasmid vector, harboring two kinds of genes selected from among Oct¾, Klf4 and Sox2, a second non-viral expression vector, more preferably a plasmid vector, harboring the remaining one kind of gene selected from among Oct¾, Klf4 and Sox2, and a third non-viral expression vector, more preferably a plasmid vector, harboring c-Myc, Lin28 and Nanog genes are introduced into a somatic cell. Preferably, the first, second and third non-viral expression vectors can be concurrently introduced into a somatic cell.
(b4) A method wherein a first non-viral expression vector, more preferably a plasmid vector, harboring (i) Oct¾ and Klf4, (ii) Klf4 and Sox2, (iii) Oct¾ and Sox2 or (iv) Sox2 and Klf4 in this order in the orientation from the 5′ to 3′ end, a second non-viral expression vector, more preferably a plasmid vector, harboring the remaining one kind of gene selected from among Oct¾, Klf4 and Sox2, and a third non-viral expression vector, more preferably a plasmid vector, harboring c-Myc, Lin28 and Nanog genes in this order in the orientation from the 5′ to 3′ end are introduced into a somatic cell.
When a gene encoding a factor that induces cell immortalization, such as TERT, SV40 large T antigen, HPV16 E6, HPV16 E7 or Bmil, is further combined with the two, three, four or six genes mentioned above, it can be preferably incorporated into another non-viral expression vector.
In the context above, when a plurality of genes (e.g., Oct family gene, KIf family gene, and Sox family gene) are incorporated in one kind of non-viral expression vector, these genes can preferably be inserted into the non-viral expression vector with an intervening sequence enabling polycistronic expression. By using an intervening sequence enabling polycistronic expression, it is possible to more efficiently express a plurality of genes incorporated in one kind of non-viral expression vector. Useful sequences enabling polycistronic expression include, for example, the 2A sequence of foot-and-mouth disease virus (SEQ ID NO:61, sometimes referred to as FMDV 2A-self-processing sequence) (PLoS ONE 3, e2532, 2008; Stem Cells 25, 1707, 2007), IRES sequence and the like, preferably the 2A sequence. More specifically, when a non-viral expression vector harboring (i) Oct¾, Klf4 and Sox2, (ii) Oct¾ and Klf4, (iii) Klf4 and Sox2, (iv) Oct¾ and Sox2, (v) Sox2 and Klf4 or (vi) c-Myc, Lin28 and Nanog in this order in the orientation from the 5′ to 3′ end is constructed, it is preferable to insert the 2A sequence between these genes. Accordingly, the present invention also provides a use of the 2A sequence for preparing a non-viral expression vector for iPS cell induction, harboring two or more kinds of reprogramming factors.
The number of repeats of the manipulation to introduce a non-viral expression vector into a somatic cell is not particularly limited, as far as the effect of the present invention of reprogramming a somatic cell to produce an induced pluripotent stem cell can be accomplished, the transfection can be performed once or more optionally chosen times (e.g., once to 10 times, once to 5 times or the like). When two or more kinds of non-viral expression vectors are introduced into a somatic cell, it is preferable that these all kinds of non-viral expression vectors be concurrently introduced into a somatic cells however, even in this case, the transfection can be performed once or more optionally chosen times (e.g., once to 10 times, once to 5 times or the like), preferably the transfection can be repeatedly performed twice or more (e.g., 3 times or 4 times).
When the transfection is repeated twice or more, the time interval is exemplified by, but not limited to, 12 hours to 1 week, preferably 12 hours to 4 days, for example, 1 day to 3 days.
As used herein, the term “induced pluripotent stem cell (iPS cell)” refers to a cell possessing properties similar to that of ES cells, more specifically including undifferentiated cells reprogrammed from somatic cells possessing pluripotency and proliferating (self-renewal) capability. It should be noted, however, that this term must not be construed as limiting in any sense, and must be construed in the broadest sense. A method of preparing an induced pluripotent stem cell by means of hypothetical nuclear reprogramming factors is described in WO2005/80598 (in this publication, the term ES-like cell is used), and a method of isolating an induced pluripotent stem cell is also described specifically. WO2007/69666 discloses specific examples of reprogramming factors and methods of somatic cell reprogramming using the same. Therefore, it is desirable that in embodying the present invention, those skilled in the art refer to these publications.
In addition to the gene that encodes a reprogramming factor, a regulatory sequence required for transcription (e.g., promoter, enhancer, and/or terminator and the like) is preferably operably linked to the gene in the non-viral expression vector.
As the promoter, a DNA sequence exhibiting transcription activity in somatic cells can be used, and the promoter can be chosen as appropriate according to animal species and kind of somatic cell. Examples of useful promoters that can be expressed in mammalian cells include a promoter of the IE (immediate early) gene of cytomegalovirus (human CMV), initial promoter of SV40, promoter of retrovirus, metallothionein promoter, heat shock promoter, SRα promoter and the like. An enhancer of the IE gene of human CMV may be used along with a promoter. A useful promoter is the CAG promoter (comprising cytomegalovirus enhancer, chicken β-actin promoter and β-globin gene polyA signal site).
The non-viral expression vector may incorporate a DNA sequence that allows the autonomous replication of the expression vector in a mammalian somatic cell. An example of the DNA sequence is the SV40 replication origin.
The non-viral expression vector is preferably an expression vector autonomously replicable outside the chromosome, and the non-viral expression vector is preferably one that is not integrated in the chromosome. More preferable examples include plasmid vectors. Examples of the plasmid vector include, but are not limited to, Escherichia coli-derived plasmids (ColE-series plasmids such as pBR322, pUC18, pUC19, pUC118, pUC119, and pBluescript, and the like), Actinomyces-derived plasmids (pIJ486 and the like), Bacillus subtilis-derived plasmids (e.g., pUB110, pSH19 and others), yeast-derived plasmids (YEp13, YEp 24, Ycp50 and the like) and the like, as well as artificial plasmid vectors and the like.
Examples of easily available non-viral expression vectors include, but are not limited to, pCMV6-XL3 (OriGene Technologies Inc.), EGFP-C1 (Clontech), pGBT-9 (Clontech), pcDNAI (FUNAKOSHI), pcDM8 (FUNAKOSHI), pAGE107 (Cytotechnology, 3,133, 1990), pCDM8 (Nature, 329, 840, 1987), pcDNAI/AmP (Invitrogen), pREP4 (Invitrogen), pAGE103 (J. Blochem., 101, 1307, 1987), pAGE210 and the like.
The non-viral expression vector may incorporate a selectable marker as required. Examples of the selectable marker include genes that are deficient in the host cell, such as the dihydrofolate reductase (DHFR) gene or the Schizosaccaromyces pombe TPI gene, and genes for resistance to drugs such as ampicillin, kanamycin, tetracycline, chloramphenicol, neouycin, or hygromycin.
While a non-viral expression vector such as plasmid vector introduced into a somatic cell is typically not integrated into the genome of the cell, under selection pressure for iPS cell induction, increased integration efficiency of non-viral expression vector may be observed due to the necessity of stable expression of reprogramming factors. Accordingly, when the iPS cells of interest are intended to use for regenerative medicine and the like, the non-viral expression vector can preferably contain a sequence enabling the excision of transgenes, such as loxP sequence (Chang et al., STEM CELLS Published Online: 12 Feb. 2009 (doi: 10.1002/stem.39)), piggyback transposon (Kaji et al., Nature advance online publication 1 Mar. 2009 (doi:10.1038/nature07864); Woltjen et al., Nature advance online publication 1 Mar. 2009 (doi:10.1038/nature07863)) and tetracycline responsive element in promoter region (Tet-OnR & Tet-Off R Gene Expression Systems, Clontech).
A method of ligating a gene that encodes a reprogramming factor, a promoter, an enhancer, and/or a terminator and the like, used in the present invention, in an appropriate order to construct a non-viral expression vector capable of expressing the reprogramming factor in the somatic cell, is obvious to those skilled in the art.
When two or more kinds of genes that encode reprogramming factors are used, the genes may be incorporated in one non-viral expression vector. Alternatively, two or more kinds of non-viral expression vectors incorporating different genes may be used. In the latter case, one non-viral expression vector incorporating two or more kinds of genes and a non-viral expression vector incorporating one or more kind genes different therefrom can be combined as appropriate.
Any method of expression vector introduction into an animal cell available to those skilled in the art can be used to introduce a non-viral expression vector into a somatic cell. Examples of useful methods include the use of a transfection reagent such as the FuGENE 6 transfection reagent (Roche), the use of a microporator, the electroporation method, the calcium phosphate method, the lipofection method, the DEAE-dextran-mediated transfection method, the transfection method, the microinjection method, the cationic lipid-mediated transfection method, and the like. Nucleofection can also be used to introduce a gene. These methods may be used in combination.
In introducing a non-viral expression vector into a somatic cell, the expression vector may be introduced into the somatic cell being cultured on feeder cells, and may be introduced only into the somatic cell. To increase expression vector introduction efficiency, the latter method is sometimes suitable. The feeder cells used may be those for cultivation of embryonic stem cells; for example, primary culture fibroblasts from a 14- to 15-day mouse embryo, STO (fibroblast-derived cell line) and the like; treated with a chemical agent such as mitomycin C or exposed to radiation, and the like can be used.
By culturing a somatic cell incorporating a non-viral expression vector under appropriate conditions, it is possible to allow nuclear reprogramming to progress autonomically, and to produce an induced pluripotent stem cell from the somatic cell. The step of culturing a somatic cell incorporating a non-viral expression vector to obtain an induced pluripotent stem cell can be performed in the same manner as a conventional method using a retrovirus; for example, this can be achieved as described in publications such as Cell, 126, pp. 1-14, 2006; Cell, 131, pp. 1-12, 2007; and Science, 318, pp. 1917-1920, 2007. In producing a human induced pluripotent stem cell, it is sometimes desirable that the cell culture density after expression vector introduction be set at a level lower than that for ordinary animal cell culture. For example, it is preferable to continue the cultivation at a cell density of 10,000 to 100,000 cells, preferably about 50,000 cells per cell culture dish. Any medium can be used for the cultivation, chosen as appropriate by those skilled in the art; for example, in producing a human induced pluripotent stem cell, it is sometimes preferable to use a medium suitable of human ES cell culture. Regarding the choice of medium and culturing conditions, the aforementioned publications serve for references.
The resulting induced pluripotent stem cells can be identified using various markers characteristic of undifferentiated cells; means for this identification are also described in the aforementioned publications specifically and in detail. Various media allowing the maintenance of undifferentiated state and pluripotency of ES cells or media not allowing the maintenance of these properties are known in the art; by using appropriate media in combination, an induced pluripotent stem cell can be isolated efficiently. The differentiation potential and proliferation potential of the isolated induced pluripotent stem cells are easily confirmable for those skilled in the art by utilizing a method of identification in common use for ES cells. When the resulting induced pluripotent stem cell is proliferated under appropriate conditions, a colony of induced pluripotent stem cells is obtained; it is possible to identify the presence of an induced pluripotent stem cell on the basis of the shape of the colony. For example, it is known that mouse induced pluripotent stem cells form raised colonies, whereas human induced pluripotent stem cells form flat colonies, and the shapes of these colonies are extremely similar to those of mouse ES cell and human ES cell colonies, respectively; therefore, it is possible for those skilled in the art to identify the resulting induced pluripotent stem cell on the basis of the shape of the colony. When reprogramming is performed using a somatic cell having a gene incorporating a marker gene such as GFP downstream of a promoter of gene specifically expressing in ES cells, it is possible to identify an induced pluripotent stem cell if the cell becomes positive for the marker (GFP).
“Somatic cells” to be reprogrammed by the method of the present invention refers to any cells except totipotent and pluripotent cells such as early embryos and ES cells, and the choice thereof is not limited. For example, as well as somatic cells in the fetal stage, neonatal somatic cells and mature somatic cells may be used. Preferably, somatic cells derived from mammals, including humans, are used; more preferably human- or mouse-derived somatic cells are used. Specifically, (1) tissue stem cells (somatic stem cells) such as nerve stem cells, hematopoietic stem cells, mesenchymal stem cells, and dental pulp stem cells, (2) tissue progenitor cells, or (3) differentiated cells such as lymphocytes, epithelial cells, muscle cells, fibroblasts (dermal cells and the like), hair cells, liver cells, and gastromucosal cells can be mentioned. When an induced pluripotent stem cell is used to treat a disease, it is desirable to use somatic cells separated from a patient to be treated or from another person sharing the same type of HLA as that of the patient; for example, somatic cells involved in disease and somatic cells involved in disease treatment and the like can be used.
In the present invention, to increase the efficiency of induced pluripotent stem cell establishment, in addition to the introduction of a non-viral expression vector of the present invention, various establishment efficiency improvers may be introduced or added. Examples of iPS cell establishment efficiency improvers include, but are not limited to, histone deacetylase (HDAC) inhibitors [e.g., valproic acid (VPA) (Nat. Biotechnol., 26(7): 795-797 (2008)), low-molecular inhibitors such as trichostatin A, sodium butyrate, MC 1293, and M344, nucleic acid-based expression inhibitors such as siRNA and shRNA against HDAC (e.g., HDAC1 siRNA Smartpool® (Millipore), HuSH 29mer shRNA Constructs against HDAC1 (OriGene) and the like), and the like], G9a histone methyltransferase inhibitors (e.g., low-molecular inhibitors such as BIX-01294 (Cell Stem Cell, 2: 525-528 (2008)), nucleic acid-based expression inhibitors such as siRNA and shRNA against G9a (e.g., G9a siRNA (human) (Santa Cruz Biotechnology) and the like) and the like), L-channel calcium agonist (e.g., Bayk8644) (Cell Stem Cell, 3, 568-574 (2008)), UTF1 (Cell Stem Cell, 3, 475-479 (2008)), Wnt Signaling (e.g., soluble Wnt3a) (Cell Stem Cell, 3, 132-135 (2008)), 2i/LIF (2i is an inhibitor of mitogen-activated protein kinase signaling and glycogen synthase kinase-3; PloS Biology, 6(10), 2237-2247 (2008)), p53 inhibitors (e.g., siRNA and shRNA against p53 (Cell Stem Cell, 3, 475-479 (2008)) and the like. The nucleic acid-based expression inhibitors may be in the form of expression vectors harboring a DNA that encodes siRNA or shRNA. In this case, the DNA that encodes siRNA or shRNA may be inserted into a non-viral expression vector of the present invention, together with reprogramming factors.
The induced pluripotent stem cell produced by the method of the present invention is not subject to limitations concerning the use thereof, and can be used for all types of studies and investigations with the use of ES cells and for the treatment of diseases using ES cells, in place of ES cells. For example, by treating an induced pluripotent stem cell obtained from a somatic cell collected from a patient by the method of the present invention with retinoic acid, a growth factor such as EGF, or glucocorticoid and the like, desired differentiated cells (e.g., nerve cells, myocardial cells, blood cells and the like) can be induced to form an appropriate tissue. By returning the differentiated cell or tissue thus obtained to the patient, stem cell therapy by autologous cell transplantation can be accomplished. It should be noted that the use of an induced pluripotent stem cell of the present invention is not limited to the above-described particular embodiment.
The present invention also provides a non-viral expression vector for use in the above-described method of producing an induced pluripotent stem cell, i.e., a non-viral expression vector (preferably a plasmid vector) incorporating at least one gene that encodes a reprogramming factor. The structure of the vector is as described in detail in the section of a method of producing an induced pluripotent stem cell of the present invention.
An example is a non-viral expression vector incorporating an Oct family gene, a KIf family gene, and a Sox family gene, preferably incorporated in this order in the orientation from the 5′ to 3′ end. A more preferable example is a non-viral expression vector incorporating these genes with an intervening sequence enabling polycistronic expression, particularly preferably a non-viral expression vector wherein Oct¾, Klf4 and Sox 2 are incorporated with an intervening sequence enabling polycistronic expression, preferably FMDV 2A-self-processing sequence, in this order in the orientation from the 5′ to 3′ end.
Since a non-viral expression vector such as plasmid vector introduced into a somatic cell is typically not integrated into the genome of the cell, in a preferred embodiment, the present invention provides an induced pluripotent stem cell wherein transgenes are not integrated into the genome. Since such iPS cell reduces a risk causing tumorigenesis in tissues or organs differentiated therefrom and/or disturbance (e.g., disruption or activation) of an endogenous gene, it can preferably be used for regenerative medicine such as cell transplantation therapy.
However, under selection pressure for iPS cell induction, increased integration efficiency of non-viral expression vector can be observed due to the necessity of stable expression of reprogramming factors. Therefore, in another preferred embodiment, the present invention provides an induced pluripotent stem cell wherein transgenes are integrated into the genome in the form of plasmid. Such iPS cell can reduce a risk causing tumorigenesis in tissues or organs differentiated therefrom as compared to an iPS cell induced by retroviral infection. In addition, the transgenes can be excised from the genome as necessary using a Cre/loxP system (Chang et al., 2009 (supra)) or a piggyback transposon vector and piggyback transposon (Kaji et al., 2009 (supra); Woltjen et al., 2009 (supra)) or tetracycline dependent gene induction. A Cre recombinase or transposase for the excision can be introduced into and expressed in the iPS cell using a plasmid vector or adenoviral vector. In the case of using tetracycline dependent gene induction, Tet-repressor protein or mutated Tet-repressor protein is concomitantly expressed.
The present invention is hereinafter described in more detail by means of the following Examples, which, however, are not to be construed as limiting the scope of the invention.
Mice having a Nanog reporter were used as an experimental system (Okita at al. Nature, Vol. 448, pp. 313-317, 2007). These mice were prepared by incorporating EGFP and a puromycin resistance gene into the Nanog gene locus of a BAC (bacterial artificial chromosome) purchased from BACPAC Resources. The mouse Nanog gene is expressed specifically in pluripotent cells such as ES cells and early embryos. Mouse iPS cells positive for this reporter have been shown to possess a differentiation potential nearly equivalent to that of ES cells. These Nanog reporter mice were mated with Fbx15 reporter mice (Tokuzawa et al. Mol Cell Biol, Vol. 23, 2699-2708 (2003)), whereby mutant mice having both the Nanog reporter and the Fbx15 reporter were generated.
The plasmid used for reprogramming was prepared by treating pCX-EGFP (a plasmid supplied by Dr. Masaru Okabe at Osaka University: FBS Letters, 407, 313-319, 1997) with EcoRI, and inserting a construct wherein the coding regions of Oct¾, Sox2, and Klf4 (all mouse-derived genes) are ligated via the 2A sequence of foot-and-mouth disease virus in the order of Oct¾, Klf4, and Sox2, in place of EGFP (pCX-2A-mOKS;
In preparing the construct of the 2A sequence and Oct¾, Klf4, and Sox2 ligated together, first, sense and antisense oligonucleotides comprising the 2A sequence of foot-and-mouth disease virus (SEQ ID NO:61), upstream restriction endonuclease sites (XbaI and BglII), and downstream restriction endonuclease sites (BspHI, Mfel and PstI), were annealed and inserted into pBluescript II KS (-) vector digested with the XbaI and PstI (pBS-2A). Subsequently, a mouse cDNA that encodes Oct¾ or Klf4 was amplified by PCR, the translation termination codon was replaced with a BamHI site, and each cDNA was cloned into pCR2.1. Subsequently, the cDNAs of Oct¾ and Klf4 were ligated with pBS-2A using an appropriate restriction endonuclease to yield pBS-Oct¾-2A and pBS-Klf4-2A. Subsequently, Klf4-2A was inserted into pBS-Oct¾-2A in frame using an appropriate restriction endonuclease, whereby pBS-Oct¾-2A-Klf4-2A was produced. Subsequently, the resulting Oct¾-2A-Klf4-2A construct was ligated with a cDNA of Sox2 having a translation termination codon in frame, using an appropriate restriction endonuclease. Finally, the resulting Oct¾-2A-Klf4-2A-Sox2-STOP construct, wherein the 2A sequences and Oct¾, Klf4, and Sox2 were ligated together, was inserted into the EcoRI site of pCX-EGFP, whereby pCX-2A-mOKS was prepared.
Fibroblasts (MEF) were isolated from the aforementioned mutant mouse fetus (13.5 days after fertilization). Not s expressing the Nanog gene, MEF does not express EGFP producing green fluorescence. As such, the MEFs were sown to a 6-well culture plate (Falcon), previously coated with 0.1% gelatin (Sigma), at 1.3×105 cells per well. The culture medium used being DMEM/10% FCS (DMEM (Nacalai Tesque) supplemented with 10% fetal calf serum), the MEFs were cultured at 37° C., 5% CO2. The following day, 4.5 µL of the FuGene6 transfection reagent (Roche) was added in 100 µL of Opti-MEM I Reduced-Serum Medium (Invitrogen), and the medium was allowed to stand at room temperature for 5 minutes. Thereafter, 1.5 µg of an expression vector (pCX-2A-mOKS) was added, and the medium was allowed to stand at room temperature for 15 minutes, after which the medium was added to a MEF culture medium. The following day, the medium was removed, and 1.5 µg of another expression vector (pCX-c-Myc) was introduced with the FuGene6 transfection reagent as described above.
The following day, the culture medium was replaced with a fresh supply (DMEM/10% FCS) and an expression vector (pCX-2A-mOKS) was introduced as described above; the day after, the culture medium was replaced with an ES cell culture medium (DMEM (Nacalai Tesque) supplemented with 15% fetal calf serum, 2 mM L-glutamine (Invitrogen), 100 µM non-essential amino acids (Invitrogen), 100 µM 2-mercaptoethanol (Invitrogen), 50 U/mL penicillin (Invitrogen) and 50 mg/mL streptomycin (Invitrogen)), and an expression vector (pCX-c-Myc) was introduced using the FuGene6 transfection reagent as described above.
The following day, the medium was replaced with an ES cell culture medium. On day 9 after sowing, the MEF culture medium was removed, and the cells were washed by the addition of PBS 2 ml. After the PBS was removed, 0.25% Trypsin/1 mM EDTA (Invitrogen) was added, and the reaction was carried out at 37° C. for about 5 minutes. After cells rose, an ES cell culture medium was added, the cells were suspended, and 1×106 (Exp432A) or 2×105 (Exp4328) cells were sown onto a 100 mm dish with feeder cells sown thereto previously. The feeder cells used were SNL cells that had been treated with mitomycin C to terminate their cell division.
Subsequently, the ES cell culture medium was replaced with a fresh supply every two days until a visible colony emerged, colonization began around day 17, and complete colonization was observed around day 24 (
The cells obtained became GFP-positive gradually, exhibited a morphology indistinguishable from that of mouse ES cells (432A-1 in
To avoid the integration of pCX-2A-mOKS and pCX-c-Myc into the host genome, the transfection protocol was modified.
On days 1, 3, 5, and 7 after the start of the experiment, pCX-2A-mOKS and pCX-c-Myc were transfected together (Exp440 in
To rule out the possibility that the iPS cells without integration are derived from possibly contaminating Nanog-GFP ES cells, SSLP analysis was performed. In Exp440 in
To confirm the pluripotency of iPS cell, without integration, iPS cells obtained as described in Example 2 were subcutaneously transplanted to nude mice. All clones tested (440A-3, -4, -8 and -10) produced tumors, which included a broad range of cell types, including cells derived from all the three germ layers (
Long-term examination of 71 chimeric mice obtained and offspring thereof showed that in the chimeric mice derived from an iPS cell prepared by introducing 4 genes (Oct¾, Klf4, Sox2, c-Myc) using a retrovirus, and offspring thereof, compared with normal mice, the mortality rate began to rise earlier, whereas the chimeric mice derived from an iPS cell without integration of the 4 genes and offspring thereof exhibited a survival curve similar to that of normal mice.
When chimeric mice obtained and wild mice were mated, FI mice were obtained; therefore, it was confirmed that iPS cells without integration contributed to the germline (germline-transmission).
Human dental pulp stem cells (clone names DP31, PCT/JP2008/068320, J.Dent.Res., 87(7):676-681 (2008)) were used as an experimental system. The DP31 was allowed to express the mouse ecotropic virus receptor Slc7al gene using a lentivirus as described in Cell, 131, 861-872 (2007). These cells were cultured using the MSCGM bullet kit (Lonza).
The plasmids used for reprogramming were prepared from pCX-EGFP (supplied by Dr. Masaru Okabe at Osaka University, FEBS Letters, 407, 313-319, 1997) in the same manner as Example 1. Specifically, the pCX-EGFP was treated with EcoRI, and a construct with the coding regions of SOX2 and KLF4 ligated via the 2A sequence of foot-and-mouth disease virus therein was inserted in place of EGFP, whereby the plasmid pCX-hSK was prepared. Likewise, a plasmid with c-Myc, Lin28, and Nanog ligated via the 2A sequence (pCX-hMLN) therein, a plasmid with the OCT¾ coding region inserted therein (pCX-hOCT¾), and a plasmid with the SV40 Large T antigen inserted therein (pCX-SV40LT) were prepared.
The DP31 cultured in a 100 mm dish was washed with PBS, 0.25% Trypsin/1 mM EDTA (Invitrogen) was added, and the reaction was carried out at 37° C. for about 5 minutes. After cells rose, MSCGM was added, the cells were suspended, and 6×105 cells were recovered in a 15 mL tube. The cells were centrifuged at 800 rpm for 5 minutes; after the supernatant was removed, and the expression plasmids were introduced using the Human Dermal Fibroblast Nucleofector KIf (Amaxa). The amounts of plasmids used were 0.5 µg for pCX-hOCT¾, 1.0 µg for pCX-hSK, 1.5 µg for pCX-hMLN, and 0.5 µg for pCX-SV40LT. After the treatment, the cells were sown to a 6-well plate. After being cultured with MSCGM for 10 days, the cells were again washed with PBS, 0.25% Trypsin/1 mM EDTA (Invitrogen) was added, and the reaction was carried out at 37° C. for about 5 minutes. After cells rose, MSCGM was added, the cells were suspended, and 1×106 cells were sown onto a 100 m dish with feeder cells sown thereto previously. The feeder cells used were SNL cells that had been treated with mitomycin C to terminate their cell division. Thereafter, until a colony began to be observed, the medium was replaced with a fresh supply every two days. The medium used was prepared by mixing equal volumes of a primate ES cell culture medium (ReproCELL) supplemented with MSCGM and bFGF (4 ng/mL), respectively. Colonization began around day 19, confirming the establishment of human iPS cell (
Next, fetal human HDF (Cell applications, INC) was transfected with the same seven kinds of genes as described above. After the transfection, the cells were cultured using a primate ES cell culture medium (ReproCELL) supplemented with 4 ng/ml recombinant human bFGF (WAKO). MSTO cells served as feeder cells. Photographs of cells on day 31 after transfection (5 clones: 203A-1 to 203A-5, of which 203A-4 was picked up as a negative control) are shown in
These cells were subjected to genomic-PCR analysis, and examined for the integration of the transgenes into the genome. The results are shown in
Dental pulp stem cells DP31, used in Example 4, were transfected with six kinds of genes, excluding the 8V40 Large T antigen (pCX-hSK, pCX-hMLN, pCX-hOCT¾), in the same manner as Example 4. Photographs of cells on day 35 after the transfection (5 clones: 217A-1 to -4 and -6) are shown in
These human iPS cell clones established (217A-1 to 217A-4, 217A-6) were subjected to genomic-PCR analysis. The results are shown in
An HDF cell line derived from a 6-year-old Japanese female (HDF-120; JCRB) was allowed to express the Slc7al gene. The resulting cells (HDF-120-Slc) were transfected with the aforementioned six kinds of genes and an shRNA against p53 (shRNA2: SEQ ID NO:62) (vectors introduced: pCX-hOCT¾, pCX-hSK, pCX-hMLN-shp53).
Each of pCX-hOCT¾ (0.5 g), pCX-hSK (1.0 µg), and pCX-hMLN-shp53 (1.5 µg)was electrically introduced into 6.0×105 cells of HDF-120-Slc using Microporator (100 µL tip, 1600 V, 10 ms, 3 times). Ten days later, each vector was once again electrically introduced under the same conditions, and the cells were sown onto MSTO (100 mm dish). These cells were cultured using DMEM/10% FCS until day 10, thereafter using a primate ES cell culture medium (ReproCELL) supplemented with 4 ng/ml recombinant human bFGF (WAKO). Photographs of cells on day 35 after the first electroporation are shown in
Expression vectors separately incorporating the four kinds of genes Oct¾, 1f4, Sox2 and c-Myc (pCX-Oct4, pCX-Sox2, pCX-Klf4, pCX-c-Myc) were introduced into MEF cells derived from a Nanog reporter mouse (Okita et al. Nature, vol. 448, pp. 313-317, 2007) per the protocol in Example 2.
First, the Nanog reporter MEF cells were sown onto a gelatin-coated 6-well plate (1.3×105 cells/well), and transfected with each of pCX-Oct4 (0.37 µg), pCX-Sox2 (0.36 µg), pCX-Klf4 (0.39 µg), and pCX-c-Myc (0.38 µg)using FuGene6 on days 1, 3, 5, and 7. On day 9, 1×106 cells (1.0) or 0.2×106; cells (0.2) were sown onto MSTO-PH or gelatin (100-mm dish), and colonies were selected on day 25. Photographs of cells after the selection are shown in
According to the method of the present invention, it is possible to prepare a highly safe induced pluripotent stem cell from, for example, a patient’s somatic cell. The cells obtained by differentiating the induced pluripotent stem cell (e.g., myocardial cells, insulin-producing cells, nerve cells and the like) can be safely used for stem cell transplantation therapy for a broad range of diseases, including heart failure, insulin-dependent diabetes, Parkinson’s disease and spinal injury.
While the present invention has been described with emphasis on preferred embodiments, it is obvious to those skilled in the art that the preferred embodiments can be modified. The present invention intends that the present invention can be embodied by methods other than those described in detail in the present specification. Accordingly, the present invention encompasses all modifications encompassed in the gist and scope of the appended “Claims”.
The contents disclosed in any publication cited here, including patents and patent applications, are hereby incorporated in their entireties by reference, to the extent that they have been disclosed herein.
This application is based on U.S. Provisional Pat. Application Nos. 61/071,508, 61/136,246, 61/136,615 and 61/193,363, the contents of which are hereby incorporated by reference.
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61193363 | Nov 2008 | US | |
61136615 | Sep 2008 | US | |
61136246 | Aug 2008 | US | |
61071508 | May 2008 | US |
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Parent | 12733118 | May 2010 | US |
Child | 13572593 | US |
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Parent | 16702391 | Dec 2019 | US |
Child | 18146644 | US | |
Parent | 14502374 | Sep 2014 | US |
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Parent | 13572593 | Aug 2012 | US |
Child | 14502374 | US |