Reprogramming of Human Huntington Fibroblasts Using mRNA
The derivation of induced pluripotent stem cells (iPS) from human cell sources using transduction based on viral vectors has been reported by several laboratories. Viral vector-induced integration is a potential cause of genetic modification. We have derived iPS cells from human foreskin, adult Huntington fibroblasts, and adult skin fibroblasts of healthy donors using a nonviral and nonintegrating procedure based on mRNA transfer. In vitro transcribed mRNA for 5 factors, oct-4, nanog, klf-4, c-myc, sox-2 as well as for one new factor, hTERT, was used to induce pluripotency. Reprogramming was analyzed by qPCR analysis of pluripotency gene expression, differentiation, gene expression array, and teratoma assays. iPS cells were shown to express pluripotency markers and were able to differentiate towards ecto-, endo-, and mesodermal lineages. This method may represent a safer technology for reprogramming and derivation of iPS cells. Cells produced by this method can more easily be transferred into the clinical setting.
The feasibility of reprogramming somatic cells to induced pluripotent stem cells (iPS) [1–4] has led to the possibility of developing disease-specific iPS cells for improved disease modeling in vitro [5–7] and potential use in clinical applications [8, 9]. Since the initial generation of iPS cells from mouse embryonic fibroblast (MEF) cells , there have been numerous refinements of the method. The potential therapeutic application of initial iPS cell lines was hampered by the fact that applied methods of iPS cell derivation modified the host genome through the integration of DNA sequences [3, 10–15]. Kim and colleagues  showed that it is possible to reprogram human foreskin fibroblasts through exposure to membrane-permeable recombinant proteins of the pluripotency factors Oct-4, Sox-2, Klf-4, and c-Myc. The factors were fused to a 9-arginine sequence to establish the ability of cell penetration. HEK 293 cells were transfected with plasmids for producing the described proteins. The whole HEK 293 cell extract was used for reprogramming. The method was refined by Zhou et al.  for MEF cells using recombinant cell-penetrating proteins. It has been shown that the modified mRNA-mediated delivery of reprogramming factors based on nucleofection is an efficient and nontoxic alternative approach to cell modification  which has recently facilitated the derivation of iPS cell lines [19–21]. Here, we investigate in vitro transcribed mRNA transfection as a method for producing iPS cells that does not bear any risk with respect to genetic modification. In addition, we show the reprogramming of fibroblasts from Huntington disease donors, the use of alternative reprogramming cocktails, alternative factor combinations, and the application of different mRNA-transfection techniques.
2. Materials and Methods
2.1. Ethics Statement
The study was approved by the Institutional Review Board of the Universities of Leipzig and Freiburg, Germany. All patients provided written informed consent for the collection of samples and subsequent analysis.
Unless indicated otherwise, all chemicals were purchased from Sigma-Aldrich, Germany.
Normal human adult dermal fibroblasts (21 years, female) were obtained from provitro GmbH, Germany. Dermal fibroblasts from Huntington patients (56 years, male and 41 years, female) were kindly donated by the Albert Ludwig University of Freiburg. Foreskin fibroblasts (11 and 4 years, male) were provided by the University of Leipzig. Lysates of human embryonic stem cells (hESCs = Wisconsin H1 and H9 ) were provided by Lyle Armstrong from the University of Newcastle UK (NB: no living hESCs were imported into Germany). H9 cell extracts were sent in two shipments. PhoenixGP cells were provided by the Stanford University (http://www.stanford.edu/group/nolan/).
2.4. Cell Culture
All cell cultures were grown in DMEM high-glucose medium (Invitrogen), supplemented with 10% FBS (Hyclone) and 100 IU/mL penicillin/100 μg/mL streptomycin. All plates and dishes for iPS cell cultures were coated with 0.1% gelatin (gelatin from porcine skin, type A). mRNA-iPS cells were cultured with an additional 8 ng/mL bFGF (Invitrogen), 1% nonessential amino acids (Invitrogen), and 0.1 mM 2-mercaptoethanol were passaged mechanically. We used human adult and foreskin fibroblasts from the same donor as mitomycin-C-(10 μg/mL) inactivated feeder cells. MEFs as feeder cells were established from dissociated C57BL/6 mouse embryos (13.5–14 d gestation) and inactivated by mitomycin C (10 μg/mL). All non-mRNA iPS cells were cultured under normoxia (21% O2), and mRNA-iPS cells were cultured under hypoxic conditions (5% O2).
2.5. Plasmid Construction
The plasmids pMXs-hNanog (plasmid 18115), pMXs-hSox2 (plasmid 17965), pMXs-hOct4 (plasmid 17964), pMXs-hKlf4 (plasmid 17219), pBabe-hygro-hTERT (plasmid 1773), and pBabe-c-myc-zeo (plasmid 17758) were purchased from Addgene.org, a US nonprofit organization. pTagRFP-C was bought from Evrogen, Russia. For creating new restriction sites, cloning primers were designed. The sequences are listed in Supplementary Table 1B (See Supplementary Material available online at doi: 10.5402/2012/124878). New plasmids were constructed by direct cloning of the insert into pcDNA3 (Invitrogen). The ligation was performed with T4-DNA ligase, according to the manufacturer’s guidelines (Fermentas, Germany).
2.6. In Vitro mRNA Production
The parts of the plasmids containing reprogramming factor or fluorescence sequences (pcDNA3-hNanog, pcDNA3-hOct4, pcDNA3-hSox2, pcDNA3-hKlf4, pcDNA3-hc-Myc, pcDNA3-hTERT, and pcDNA3-RFP-C) were amplified by PCR with SP6 and T7 primers (see Supplementary Figure S1C). The PCR products for hNanog, hOct4, hSox2, hKlf4, hc-Myc, hTERT, and RFP were purified using the PCR purification kit NucleoSpin Extract II Kit (Macherey-Nagel). The purified PCR product was employed for an in vitro transcription reaction using the “T7 mScript Standard mRNA Production System” (Epicentre Biotechnologies). The mRNA concentration was measured using a “NanoDrop” photometer (Peqlab) and the quality of mRNA was measured with an “Agilent 2100 Bioanalyzer” (Agilent Technology).
The human fibroblasts were transfected with 3 μg of mRNA by nucleofection (NHDF-VPD-1001, Lonza). Four hours after transfection, the normal fibroblast medium was changed to mRNA-iPS medium as described above. At 72 h, 144 h, and 216 h after initial nucleofection, the adherent cells were transfected with “FuGENE HD” (Roche) according to the manufacturer’s instructions and replaced with culture medium at 4 h after each transfection. The ratio of “FuGENE HD” reagent and mRNA was 8 μL per 3 μg of mRNA. Transfection efficiency was controlled using RFP-mRNA. Cells derived from these transfections were cultured in the same way as iPS cells obtained by other methods described elsewhere.
Cells were fixed with 4% paraformaldehyde, washed and permeabilized with 0.5% Triton X-100 in 1x PBS. Nuclei were stained with 4′,6-diamidino-2-phenylindole dilactate. Cells were blocked with 10% donkey serum and incubated for 1 h at 37°C with primary antibodies in 1x PBS with 1% donkey serum. After washing 3 times, cells were incubated with fluorescence-labeled secondary antibodies (Cy2 and Cy3 1 : 750; Jackson ImmunoResearch Laboratory) at 37°C for 1 h. Staining analysis was performed with a fluorescence microscope (Axio Observer, Zeiss). The following antibodies were used: Tra-1-60 (1 : 50; R&D), SSEA3 (1 : 100; R&D), SSEA4 (1 : 150; R&D), Nanog (1 : 1000; Abcam), Oct4 (1 : 250; Abcam), Sox2 (1 : 50; Santa Cruz), AFP (1 : 75; R&D), aggrecan (1 : 50; Acris), collagenII (1 : 20; Serotec), cytokeratin 18 (1 : 100; Abcam), cytokeratin 14 (1 : 150; Epitomics), ß1-Integrin (1 : 50; Pierce Endogen), GFAP (1 : 350, Chemicon), and tubulin ßIII-FITC (1 : 30; Serotec).
2.9. Staining for Alkaline Phosphatase, Collagen, and Adipogenesis
Detached iPS cell colonies were washed in 1x PBS and fixed in 70% ethanol, followed by incubation for 30 min in alkaline phosphatase buffer (0.2 M Tris, pH 8.5, dimethylformamide, naphthol phosphate, ASBI 50 μg/mL, 1 mg/mL Fast Red), washing in 1x PBS and photographing.
iPS-derived and control cells were incubated in differentiation medium, fixed with 70% ethanol, washed with water and stained with Alizarin Red for 30 min at room temperature (RT) to detect collagen, washed and photographed.
Cells differentiated in adipocyte lineage were fixed with 4% paraformaldehyde for 40 min at RT, washed and stained with Oil Red O solution for 50 min at RT, washed and photographed.
2.10. RNA Extraction and PCR
Total RNA was extracted using Trifast reagent according to the manufacturer’s instructions (Peqlab). One μg of total RNA was treated with DNaseI (Invitrogen) to eliminate possible genomic DNA (gDNA) contamination. This procedure was followed by cDNA synthesis using a reverse transcriptase “SuperscriptIII” (Invitrogen) and Oligo(dT)18-Primers (Fermentas). cDNA was diluted 1 : 10 and 2 μL were added to “Express SYBR GreenER qPCR Supermix Universal” (Invitrogen) for qPCR (performed on a LightCycler 480, Roche). Primer sequences are indicated in supplementary Table 1A. Relative quantification was calculated with and normalized to hGAPDH. Data were presented as levels related to the expression level in the hESCs (H9), with the hES cell expression profiles set as a value of 1.
2.11. Bisulfite Genomic Sequencing
gDNA was isolated using Trifast reagent (Peglab). 500 ng of gDNA were used for the “MethylCode Bisulfite Conversation Assay” (Invitrogen). The promoter regions of Oct4 and Nanog were amplified by PCR using primer sets previously described . The PCR products were cloned into pCRII-TOPO-TA plasmid and sequenced (IZKF, University of Leipzig).
2.12. In Vitro Differentiation of mRNA-iPS Cells
mRNA-iPS medium was replaced with the following differentiation media: chondrocyte medium: DMEM low glucose, 100 IU/mL penicillin/100 μg/mL streptomycin, 1% insulin-transferrin-selenium supplement, M dexamethasone, 150 μM ascorbic-2-phosphate, 20 μM linolic acid, 0.1 ng/mL TGF-β (Oncogene Sciences); hepatic medium I: DMEM low glucose, 10% FBS, 100 IU/mL penicillin/100 μg/mL streptomycin, 20 ng/mL EGF, 10 ng/mL HGF, 8 ng/mL bFGF, and 0.61 g/L nicotinamide. After 7 days, hepatic medium I was replaced with hepatic medium II: DMEM low glucose, 10% FBS, 100 IU/mL penicillin/100 μg/mL streptomycin, 10 ng/mL oncostatin M, M dexamethasone, 1% insulin-transferrin-selenium supplement; adipocyte medium: DMEM low glucose, 10% FBS, 100 IU/mL penicillin/100 μg/mL streptomycin, 1% insulin-transferrin-selenium supplement, M dexamethasone, 0.5 mM isobutylmethylxanthine, 100 μM indomethacin; neural differentiation medium: DMEM/HAM’s F-12, 10% FBS, 100 IU/mL penicillin/100 μg/mL streptomycin, 1% insulin-transferrin-selenium supplement, M retinoic acid, 8 ng/mL bFGF; keratinocyte medium: DMEM/HAM’s F-12, 10% FBS, 100 IU/mL penicillin/100 μg/mL streptomycin, 1% insulin-transferrin-selenium supplement, M adenine, 0.5 μg/mL hydrocortisone, M cholera toxin, 10 ng/mL EGF. Differentiation media were changed every 3 days for 14 days.
2.13. Embryoid Bodies
mRNA-iPS colonies were dissociated into clusters by 0.05% Trypsin-EDTA and cultured in ultra-low attachment dishes to allow the formation of embryoid bodies (EBs). The medium was changed every 3 days. After 9 days, the EBs were harvested and fixed for immunocytochemistry analysis.
2.14. Karyotyping (GTG Banding and Spectral Karyotyping SKY)
Cells were incubated for 2 h at 37°C with Colcemid (0.14 μg/mL KaryoMAX, Invitrogen) and then in a hypotonic solution (0.56% KCl), fixed in methanol/acetic acid (3 : 1) and spread onto glass slides for analysis. Metaphases were G-banded and karyotyped using the software Ikaros (MetaSystems).
For viral vector-directed iPS derivation, cells were seeded 24 h prior to transfection at a density of 1.5 × 104 cells per cm2. Cotransfection was performed with 0.75 μL “Lipofectamine 2000” (Invitrogen) per 0.5 μg plasmid DNA and 1 cm2 growth area. Retroviral particles were pseudotyped using pHIT-G , which expresses the vesicular stomatitis virus G (VSV-G) envelope protein, to attain a broad cell tropism . For the production of retroviral particles, the packaging cell line PhoenixGP was used, either with the MLV-based shuttle vector pRVH1-eGFP  as GFP control or with shuttle vectors containing iPS cell-inducing factors (pMXs shuttle vectors with nanog, oct4, klf4 and sox2 human , pBabe-hygro-hTERT , and pBabe-c-myc-zeo  vector). The medium was replaced 6 h after transfection. The supernatant containing the retroviral particles was collected 48 h after transfection and filtered through a 0.45 μm cellulose acetate filter before it was added to the fibroblasts.
2.16. Gene Expression Profiling
Microarray measurements were conducted at the microarray core facility of the Interdisciplinary Centre for Clinical Research (IZKF) Leipzig (University of Leipzig). One μg of total RNA was depleted of ribosomal RNA using the “RiboMinus Kit” (Invitrogen, USA). The cDNA for array hybridization was prepared from depleted RNA using the “WT cDNA Synthesis and Amplification Kit” according to the manufacturer’s instructions (Affymetrix, USA). After fragmentation, cDNA was labeled with the “WT Terminal Labeling Kit” (Affymetrix). Aliquots were hybridized to Human Genome 1.0 ST Arrays. Washing and staining steps were performed with an Affymetrix Fluidics Station FS400. All arrays were scanned with a third-generation Affymetrix “GeneChipScanner 3000” equipped with the “7 G” upgrade.
2.17. Microarray Analysis
Raw intensity data of the GeneChip arrays studied were calibrated and transformed into logged expression values (basis 10) using the hook method  and subsequently quantile-normalized . For differential expression (DE) analysis, we applied the weighted average difference method (WAD) , a fold-change-(FC-) based algorithm for ranking DE genes, in combination with local-pooled error estimates for evaluating the significance of each gene’s DE, which has been shown to effectively identify significant DE patterns with a small number of replicated arrays . Lists of DE genes were determined with a false discovery rate of FDR ≤ 0.25 using the subset-approach for null sampling . In addition to determining DE genes in two-class comparisons (A-versus-B; e.g., fibroblasts-versus-iPS), we performed conditional three-class comparisons (A-versus-B-versus-C; e.g., fibroblasts-versus-iPS-versus-ESC) to select genes that are differentially expressed between A and B but similarly expressed in B and C and vice versa, by appropriately combining the respective two-class WAD scores. Independent component analysis (ICA) and hierarchical clustering were performed with different groups of genes to explore similarity relations between the samples. The results are represented as two-component ICA plots and heat maps, respectively. Gene set enrichment analysis was conducted using the gene set averaging approach to judge the relevance of groups of genes belonging to a certain biological context . This method estimates the probability that the genes in a pre-defined gene set show the same pattern of association with a phenotype as compared to the rest of the considered genes. Functional gene sets were taken from the GSEA website (http://www.broadinstitute.org/gsea/).
2.18. Teratoma Formation
NOD/LtSz-SCID/SCID mice were maintained under pathogen-free conditions in the animal facility of the University Leipzig. iPS cells were intramuscularly injected together with Matrigel (BD Biosciences). After 8 weeks, mice were euthanized and the appropriate regions were dissected, fixed in 4% paraformaldehyde and embedded in paraffin, sliced into 14 μm sections and stained with hematoxylin/eosin.
Human dermal Huntington fibroblasts were transfected with different factor combinations including oct4 + sox2 + klf4 (OSK), oct4 + nanog + sox2 (ONS), and oct4 + nanog + hTERT (ONT), oct4 + nanog + c-myc (ONM), oct4 + nanog + klf4 (ONK), oct4 + nanog + sox2 + hTERT + klf4 + c-myc (ONSTKM). All factors in different combinations were transfected in a ratio of 1 : 1. The foreskin fibroblasts were transfected with OSK exclusively. Transfection efficiency control was performed using the mRNA-RFP (Figure 1(a)). Cells derived from these transfections were cultured in the same way as iPS cells, but no iPS colonies were found in these dishes. For reprogramming using mRNA, the number of transfections is the key issue. We experimented with different approaches: the optimal protocol included an initial electroporation step, followed by 3 lipofections every 72 hours (optimization data not shown). mRNA transfection by electroporation shows the highest transfection efficiency, but results in a high cell toxicity with a lot of cells dying after the treatment. We transfected 0.4 × 106 fibroblasts via electroporation, plated them in a 6-well plate, and changed medium after 4–6 h to iPS medium without 2-mercaptoethanol. After 72 h, the cells were 70–80% confluent and had the optimal cell number for the following lipofection procedures. The process took approximately 3 weeks until colony formations could be observed (Figure 1(a)). After passaging, the cells were grown in clusters and after an additional week the clusters were mechanically isolated and again plated onto dishes coated with donor-derived feeder layers (Figure 1 and Figure S1A). The mRNA-iPS colonies grown on donor-derived feeder cells showed less spontaneous differentiation as compared to the mRNA-iPS colonies grown on MEF feeder layers (data not shown). MEF feeder layers were, therefore, no longer used. The resulting cells exhibited colony appearance as well as a high nuclear to cytoplasm ratio with prominent nucleoli and were found to be positive for alkaline phosphatase (Figure 2(a) and Figure S1A), which is typical for pluripotent cells.
(a) Schematic representation of transfection and cultivation procedure
(b) mRNA after in vitro transcription
(a) Morphology—adult mRNA-iPS
(b) Colony efficiency—Huntington mRNA-iPS
(c) Adult mRNA-iPS cells—Pluripotency
iPS colonies derived from foreskin, adult and Huntington disease dermal cells as well as the virus-derived iPS cells were stained for pluripotency proteins (Figure 2(c) and Figures S1B and S3A) and were found to be positive for Oct4, Nanog, Sox2, TRA-1-60, SSEA3, and SSEA4, as reported for iPS cells derived by other groups. The original untreated cell populations were negative for these factors (Figure S3B).
The factor combinations of OSK and ONT mRNA seemed to produce the highest colony frequency of all tested factor combinations (about 0.0005% of input cells). The efficiency of colony formation also seemed to be dependent on the source of the donor fibroblasts (Figure 2(b)). No differences were observed between reprogramming under normoxic (21%) or hypoxic (5%) conditions (data not shown). mRNA-iPS colonies could be expanded over 5 passages at 5% oxygen and are still growing. mRNA-iPS cells growing at 21% oxygen showed a higher rate of spontaneous differentiation, and this protocol was, therefore, abandoned (data not shown).
3.2. qPCR Analysis for Pluripotency
To quantify the expression of pluripotency genes in the mRNA-iPS cells, comparative real-time PCR was conducted with the resulting mRNA-iPS cells, hESCs (H9), and the donor fibroblasts. Data are expressed in relation to hESCs (H9). Oct4: mRNA-iPS showed lower expression levels of Oct4 compared to hESCs, but had higher expression levels compared to the adult donor fibroblasts. The highest Oct4 expression levels in iPS cells could be detected in colonies derived with ONS-mRNA transfection (Figure 3). iPS cells reprogrammed by viral vectors had Oct4 expression levels equal to those found in hESCs (Figure 3).
Remarkably, the virally reprogrammed iPS cells expressed 10-fold more Nanog as compared to fibroblasts (Figure 3). c-Myc expression levels in mRNA-iPS cells were mostly higher than in donor fibroblasts and comparable to those in hESCs. However, the foreskin iPS cells and OSK-iPS cells did not reach the donor fibroblast levels. Sox2 expression could only be detected in mRNA-iPS cells derived with factor combinations containing Sox2 (ONS and ONSTKM) and was higher than in hESCs. Klf4 was upregulated in all iPS cells as compared to fibroblasts. Only OSK-iPS cells and the foreskin iPS cells did not exhibit any up-regulation. Interestingly, the hESCs had equal or lower levels of Klf4 than donor fibroblasts (Figure 3).
One characteristic of pluripotent stem cells is their capacity to differentiate into all cell types of the body. Spontaneous and directed differentiation assays are well established for the examination of pluripotency. Our adult (Figure 4(a)), Huntington (data not shown), as well as foreskin-derived (Figure S2A) mRNA-iPS cells formed typical embryoid bodies (EBs) in suspension cultures. At day 9, the EBs were stained positive for differentiation markers including aggrecan, collagen II, GFAP, tubulin III, cytokeratin 18, and AFP in mRNA-iPS derived from foreskin (Figure S2B), adult (Figure 4(a)), and Huntington adult fibroblasts (data not shown) as well as in “traditional” viral iPS cells (Figure S3B).
(a) Adult mRNA-iPS cells: Spontaneous differentiation
(b) Directed differentiation
Directed differentiation was performed with undissociated mRNA-iPS colonies derived from foreskin fibroblasts (data not shown) and with monolayers from healthy adult, foreskin, and viral iPS cells (Figure 4(b) and Figures S2A and S3B). Analytic staining was positive for ectodermal (neuronal, keratinocytic), mesodermal (chondrogenic, osteoblastic, adipocytic), and endodermal (hepatogenic) lineage markers in mRNA-iPS cells as well as in viral iPS controls.
3.4. Gene Expression
Gene expression analysis was performed using Affymetrix whole genome expression arrays to characterize the transcriptional activity of the iPS cells. We compared foreskin and foreskin-derived mRNA-iPS (factors: OSK) cells, adult fibroblasts and their derived mRNA-iPS (factors: ONSKMT), and viral iPS (factors: ONSKMT) cells and two biological replicates of H9 as reference hESCs (Figures 6 and 7).
We performed pair comparisons of fibroblasts-versus-mRNA-iPS cells and hESCs-versus-mRNA-iPS cells. The differential expression of mRNA-iPS cells with respect to the reference hESCs (H9) is more pronounced than with respect to the donor fibroblasts. Hierarchical clustering and ICA (Independent Component Analysis) of the expression of 2,665 selected genes revealed a predominant similarity among the hESC samples on the one hand and among the fibroblasts and mRNA-iPS cells on the other hand (Figure 6).
In the next step, we searched for “stemness” genes similarly expressed in hESCs and mRNA-iPS cells and differentially expressed between donor fibroblasts and their derived mRNA-iPS cells. A three-class differential analysis provides a set of 530 genes for the adult cells and 250 genes for the foreskin cells, with a perfect overlap of the latter list (Figure 7(a)). The hierarchical clustering heat map and the ICA plot of these genes illustrate their mutual relation in the samples studied (Figures 7(c) and 7(d)). A three-class comparison of genes, differentially expressed between hESCs and iPS cells and similarly expressed in fibroblasts and mRNA-iPS cells provides a group of 380 genes for the adult cells and of 75 genes for the foreskin cells, with a considerable overlap (Figure 6(b)). A gene set analysis of genes up-regulated in undifferentiated hESCs taken from Bhattacharya and colleagues  was performed using the max-mean statistics . It is designed to detect unusually large expression changes in either or both directions. The studied set is strongly up-regulated in mRNA-iPS cells as compared to their donor fibroblasts (). This result is confirmed by the fact that key pluripotency marker genes studied are strongly increased upon reprogramming, as evidenced both by microarray analysis and qPCR (Figure S5A). The differential expression of these pluripotency markers shows the same trend as reported in the study of Warren et al. , however to a weaker degree.
3.5. Promoter Methylation Analysis
During reprogramming, DNA is gradually demethylated in critical pluripotency genes (e.g., nanog, oct4) and methylated in genes that are specifically expressed in differentiated cells. As hallmarks of these events, the promoter regions of established pluripotency genes were analyzed. Using bisulfite genomic sequencing, we have shown certain shifts in methylation patterns of Oct4, Nanog and Rex-1 in some genes. While methylation patterns changed, no complete demethylation in these regions after reprogramming was observed (Figure S5B; totally methylated regions: Nanog: 17 versus 19; Oct4: 52 versus 51; Rex1 81 versus 47).
The injection of hESCs into immunocompromised mice (NOD/LtSz-SCID/SCID) is a standard assay for pluripotency. After injecting 1 × 106 foreskin (factors: OSK), adult fibroblasts (factors: OSTKNM) or Huntington adult fibroblast-(factors: ONSTKM, Figure 5) derived mRNA-iPS cells into NOD/LtSz-SCID/SCID mice, the recipient mice showed teratoma formation after 2 months. NOD/SCID mice were also injected with mRNA-transfected cells without visible colonies (Figure 5) and virus-derived iPS colonies. Differentiation into all 3 germ layers could be observed.
(a) Expression analysis: hierarchical clustering
(b) ICA analysis
(a) Genes similar in hESC and adult Huntington mRNA-iPS
(b) Genes different in hESC and adult Huntington mRNA-iPS
(c) Heatmap of set (a)
(d) ICA—plot of set (a)
3.7. Karyotype Analysis
Extensive manipulation of cells can cause karyotypic changes. To determine possible chromosomal aberrations, we performed chromosome banding analysis. Cytogenetic analysis of all donor fibroblasts and iPS cells showed normal karyotypes (Figure S1C). The viral iPS cells also showed normal karyotypes (Figure S3C).
In most instances, mRNA supplementation only transiently modifies cell behavior. The mRNA provided is transcribed and degraded. The highest expression in GFP-transfected cells was described for 48 hours after transfection and did not persist in the cells for more than 6 days . In the current setup, this prompts the need for repetitive transfections with mRNA over 2 weeks until a threshold is reached where endogenous pluripotency genes are activated.
After transcription of endogenous pluripotency genes (i.e., oct4, sox2, nanog), the autologous regulatory pathways of these transcription factors are activated and mRNA transfection is no longer necessary after 2 weeks. Our results show that interferon-directed blocking is not necessary to generate iPS colonies using mRNA transfection. As compared to data reported by Warren et al. , less iPS colonies were generated in our experiments, however. Colony efficiency was around 0.0005% with the factor combinations OSK and ONT, while Warren et al.  showed 1.4% efficiency with the OSKN factor combination. We think that a combination of transfections using both electroporation and lipofection is helpful during reprogramming. Furthermore, the optimization of the resting periods between the repeated transfection rounds could support the establishment of iPS colonies without interferon blocking.
All mRNA-iPS cells showed hESC-typical pluripotency markers, morphology, and differentiation into all three germ layers.
mRNA-iPS cells largely lost their fibroblast-characteristic gene expression and acquired mainly hESC characteristics, including the up-regulation of the common pluripotency genes Oct4, Sox2, Klf4, c-Myc, and Nanog. The fact that we found a very similar set of genes that is differentially expressed in mRNA-iPS cells derived from either foreskin or adult fibroblast suggests a stable reprogramming process using mRNA.
However, when large gene lists are taken into account, similarities between mRNA-iPS cells and hESCs begin to dilute. This is illustrated in the ICA analysis (Figures 5(b) and 5(d)). These analyses reveal potential dissimilarities between different hESC lines and even within two samples from the same line. This great heterogeneity of hESC profiles is well known (Stem Cells Initiative; ) and seems to be mirrored in iPS cells . This presents a theoretical problem in delineating the borders of acceptable similarity between ESCs and iPS cells under more in-depth analysis.
To compare the mRNA method with the conventional viral approach for producing iPS cell lines, we produced iPS cells through viral transduction according to the Yamanaka protocol  with the addition of hTERT, as suggested by Mali et al. , and Nanog, as described by Yu et al. . These retroviral vector-derived iPS cells show similar characteristics, morphology, and differentiation capacity as mRNA-iPS cells, but again, the gene array revealed some differences between viral iPS and the mRNA-iPS cells. Teratomas contain derivatives of all three embryonic germ layers as a proof of the in vivo pluripotency of cells. Teratoma formations could be observed using mRNA-iPS and viral iPS cells, showing that these cells might be pluripotent in vivo. It is worthwhile to mention that not all cells with pluripotency markers created according to the Yamanaka virus protocol form teratomas .
With about 30 days from the first transfection until colony formations, reprogramming using mRNA requires slightly more time than the 25 days described for virus-mediated reprogramming  but works faster than the 56 days reported for the protein transfection method . However, we found a relatively low colony frequency of about 0.0005% of input cells compared to 0.001% for protein-derived iPS cells  and 0.01% for retrovirus-derived iPS cells .
Substantial differences in reprogramming efficiency were neither observed between foreskin fibroblasts and adult skin fibroblasts, nor between healthy and Huntington donors, nor between different factor combinations. The only minor difference was revealed with respect to the number of initial colonies.
It is known that the stoichiometry of reprogramming factor expression is a critical contributing factor to successful iPS cell generation . We believe that the technique presented here can be used to vary the timing and dosing of reprogramming impulses.
Hypoxia seemed to have no effect on the efficiency of reprogramming, but promotes the stability of pluripotency in mRNA-iPS cells. It is known that low-oxygen culturing (5%) upregulates hypoxia-inducing factors (HIF) in hESCs. HIF in turn upregulates transcription factors including Sox2, Oct4, and Nanog .
One of the most important aspects of the technology for reprogramming somatic cells to a pluripotent state is the ability to generate disease-specific iPS cell lines. Disease-specific iPS cells could serve as a new material for pathophysiology, disease modeling, and toxicology studies since established animal models cannot mimic all complex aspects and symptoms of human disease (e.g., neurodegenerative disease [43–45]). Here, we present the generation of Huntington-specific iPS cell lines through a nonintegrating reprogramming method. Huntington disease causes progressive degeneration of neurons in cerebral cortex and striatum. The reasons for this degeneration are yet unknown. The differentiation of Huntington mRNA-iPS cells into functional neurons and the study of their behavior and survival conditions may lead to a better understanding of the disease mechanisms and hopefully to the discovery of potential pharmaceutical treatments. In summary, we present an alternative method for mRNA-induced reprogramming of adult human fibroblasts to an induced pluripotent state. Further studies are required to compare in greater detail mRNA-iPS cells to cells created with viral and protein transfection methods and to improve the efficiency of the method.
Thanks are due to Dr. S. Sethe for assistance with data interpretation and manuscript preparation. Special thanks are also due to Dr. T. Piroth for providing the Huntington fibroblasts. The authors thank the IZKF of the University of Leipzig for performing gene array measurements and virology, especially Professor Liebert and Dr. Brinkmann for providing help with viral iPS derivation. Dr. Federova and Dr. Holland helped with the karyotype analysis. Dr. Jeremy Brown helped with the methylation analysis. Henry Wirth was kindly supported by the Helmholtz Impulse and Networking Fund through the Helmholtz Interdisciplinary Graduate School for Environmental Research (HIGRADE). The project was supported by the Fraunhofer Foundation project “Tissue engineering on demand”. Guido Nikkhah was kindly supported by the German Parkinson Foundation.
Supplemental Figure 1: mRNA-iPS cells from foreskin fibroblasts (A) Morphology of mRNA-iPS cells with surrounding donor cells (passage 0) and on donor feeder cells (passages 1, 2, 3 and 5). About 80% of the colonies were ALP-positive at passages 1 and 2. (B) Immunofluorescence staining in mRNA-iPS (foreskin, 11 years, factors: OSK) for Oct4, Sox2, Nanog, SSEA-3, SSEA4 and Tra-1-60. All cells were also stained with DAPI and images were merged with lineage markers. (C) Karyotyping of fibroblasts and fibroblast-derived mRNA-iPS cells (foreskin, 11 years, factors: OSK).
Supplemental Figure 2: In vitro differentiation of mRNA-iPS cells derived from foreskin fibroblasts (A) mRNA-iPS cells (factors: OSK) derived from fibroblasts (foreskin, 11 years). Spontaneous differentiation into embryoid bodies (EBs) was followed for some days and EBs stained positive for various differentiation markers. (B) mRNA-iPS cells (factors: OSK) derived from fibroblasts (foreskin, 11 years) were differentiated in monolayers toward neuronal (GFAP and tubulin III), chondrocyte (collagen II and aggrecan), hepatocyte (AFP and cytokeratin 18), keratinocyte (ß-integrin and cytokeratin 14) lineages. All cells were also stained with DAPI and images were merged with lineage markers. Immunofluorescence staining was performed after two weeks in differentiation medium (see Experimental Procedures). In addition, the cells were differentiated towards osteoblasts (Alizarin Red-positive) and adipocytes (Oil Red O-positive).
Supplemental Figure 3: Analysis of viPS colonies derived from adult fibroblasts Virus-derived iPS cells (factors: ONSTKM, donor 56 years, Huntington patient). (A) Virus-derived iPS colonies stained for pluripotency markers (Oct4, Sox2, Tra1-60, Nanog, SSEA3 and SSEA4) and DNA. (B) As negative controls, human adult Huntington disease fibroblasts were stained with all pluripotency markers used (Oct4, Sox2, Tra1-60, Nanog, SSEA3 and SSEA4) and DNA.
Supplemental Figure 4: In vitro differentiation of viral iPS cells derived from Huntington fibroblasts (A) Viral iPS cells differentiated in monolayers toward neuronal (GFAP and tubulin III), chondrocyte (collagen II and aggrecan), hepatocyte (AFP and cytokeratin 18), keratinocyte (ß-integrin and cytokeratin 14) lineages. All cells were also stained with DAPI and images were merged with lineage markers. Immunofluorescence staining after two weeks in differentiation medium (see Experimental Procedures). (B) Karyotyping of donor fibroblasts and virus-derived iPS cells.
Supplemental Figure 5: Characterization of iPS cells (A) Up-regulation in expression of key pluripotency genes in mRNA-iPS cells vs. donor fibroblasts (adult male, 56, Huntington patient). The table shows the list of genes obtained in three-class comparisons that are similarly expressed in the iPS cells and hESCs but differentially expressed between iPS cells and their donors. The given fold changes (FC) refer to differential expression with respect to iPS cells. (B) The promoter regions of Nanog, Oct4 and Rex1 were analyzed for the methylation state in human (foreskin, 11 years) mRNA-iPS cells (factors: OSK).
Supplemental Table 1: Primer sequences
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