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Methods | Advantages | Limitations |
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OP9/C3H10T1/2 feeder system [39] | The cornerstone of hPSC-MK generation | Low platelet production Long induction period Potential xenogenous contamination |
ES-sac system [35] | Identifies most effective cytokines during hPSC-MK generation The basis for efficient production of platelets | Long induction period Potential xenogenous contamination Low platelet production |
EB formation system [40, 66] | Improves the efficiency of MK generationbased on the ES-sac system Combined with defined serum- and animal feeder-free conditions Provides evidence for the functionality of iPlatelets in vivo | Limited efficiency in platelet production |
Feeder- or serum-free system [36] | Without pathogen contamination | Limited efficiency in platelet production |
HLA-universal iPlatelets [38, 50, 67] | Shortens platelet production time Increases MKP yield Reduces the immunoreactivity of iPlatelets | Inevitable off-target effects or genome toxicity effects Limited efficiency in platelet production |
imMKCLs [44, 49] | High stability and cryopreserved storage Widely used in future clinical applications Combined with a bioreactor system | High cost The potential risk of exogene integration |
Other genetic manipulation [43] | Feasibility in genetic manipulation Discovers new critical factors that determine the fate of iPlatelets | Inevitable off-target effects Exogene integration may have some specific safety concerns in clinical treatment Limited efficiency in platelet production |
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