Review Article

The Opportunities and Challenges regarding Induced Platelets from Human Pluripotent Stem Cells

Table 2

Advantages and limitations of current approaches for iPlatelet production.

MethodsAdvantagesLimitations

OP9/C3H10T1/2 feeder system [39]The cornerstone of hPSC-MK generationLow 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 contaminationLimited 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