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Direct conversion of human umbilical wire mesenchymal stem cells into retinal pigment epithelial cells for remedy of retinal degeneration


Animal mannequin

Six-week-old feminine SD rats (Laboratory Animal Heart of Tongji College) have been used on this examine. All animal procedures have been carried out in response to the institutional tips and the Information for the Care and Use of Laboratory Animals issued by the NIH and the rules of the animal experimentation ethics committee of Tongji College (Accepted NO. TJAA09620210), and in accordance with the Affiliation for Analysis in Imaginative and prescient and Ophthalmology Assertion for using Animals in Ophthalmic and Imaginative and prescient Analysis. Rats have been randomly allotted to experimental teams and no blinding technique was used for cell transplantation. There was no animal exclusion criterion. Rats have been sacrificed at week 4 or 6 post-transplantation.

Cell cultures

hUCMSC tradition

The hUCMSCs have been obtained from the Jap Union Stem Cell and Gene Engineering Co., Ltd. (China). Knowledgeable consent was obtained by Jap Union Stem Cell and Gene Engineering Co., Ltd. Cells have been cultured in DMEM/F12 (Gibco, California, USA) containing 10% FBS (Utilized StemCell, California, USA) at 37 °C, 5% CO2.

Induction of adipogenesis, osteogenesis, and chondrogenesis

hUCMSCs have been induced to distinguish into adipocytes, osteoblasts and chondrocytes. For adipogenesis, the cells have been cultured in adipogenic induction medium (DMEM supplemented with 10% FBS, 10−7 M dexamethasone (Sigma, St. Louis, MO), 100 μΜ indomethacin (Sigma), 100 μM 3-isobutyl-1-methyl-xanthine (Sigma) and 10 mg/L insulin (Invitrogen)), and the medium was refreshed each 2 days. Two weeks later, the cells have been mounted with 4% paraformaldehyde (PFA) and stained with Oil-Purple O (Sigma). For osteogenesis, the cells have been maintained in osteogenic induction medium (DMEM supplemented with 10% FBS, 10 mM β-glycerol phosphate (Sigma), 50 μM L-ascorbate-2-phosphate (Sigma) and 5 ng/mL recombinant human bone morphogenic protein-2 (HumanZyme, Chicago, IL)) and the medium was modified with recent one each 2 days. One week later, the cells have been examined for alkaline phosphatase (AKP) exercise by vector blue alkaline phosphatase substrate package III (Vector, Burlingame, CA). For chondrogenesis, the cells have been cultured in chondrogenic induction medium consists of DMEM supplemented with 10% FBS, 10 ng/mL TGF-β1 (PeproTech, Cranbury, NJ, USA), 0.1 mol/L dexamethasone (Invitrogen), 50 mg/L L-ascorbate-2-phosphate (Sigma) and 50 g/L ITS (Invitrogen). The cells have been cultured for 2 weeks and stuck in 4% PFA, and stained with toluidine blue sodium borate (Sigma).

Era of human iPSCs

Human iPSCs have been generated in response to a broadcast report [26] with some modifications. Briefly, 5 × 105 hUCMSCs have been electroporated with 3 μg of every episomal plasmid, together with pCXLE-hSK, pCXLE-hUL, and pCXLE-hOCT3/4-shp53-F (expressing SOX2, KLF4, L-MYC, LIN28, OCT3/4 and p53-targeting shRNA, Addgene, Cambridge, MA, USA) utilizing the next situations: 900 μV, 500 ms and 1 pulse. After electroporation, cells have been reseeded on a Matrigel (BD Bioscience, San Jose, USA) -coated cell tradition dish and cultured in DMEM/F12 containing 10% FBS. Two days later, medium was become mTeSRTM1 medium (STEMCELL Applied sciences Inc., Vancouver, Canada,) containing 0.25 mM Sodium butyrate (Sigma, St. Louis, MO, USA). The iPSC colonies have been picked out by cloning ring and subcultured in mTeSRTM1 medium.

Differentiation of iPSCs into RPE cells

Differentiation was performed in response to the earlier report with modification. Briefly, as soon as rising to confluency, iPSCs have been cultured in differentiation medium containing DMEM/F12, 15% knockout serum alternative, 1% nonessential amino acids, 2 mM glutamine, 50 U/ml penicillin, 50 mg/ml streptomycin (all from Invitrogen, Carlsbad, CA, USA), and 10 mM nicotinamide (Sigma) in 6-well tradition dishes (Costar, Corning Inc., Corning, NY) pretreated with Poly (2-hydroxyethyl methacrylate) (Sigma). 20 ng/ml Activin A (PeproTech Inc, Rocky Hill, NJ) was supplemented throughout the third and fourth weeks. After 8 weeks in suspension, pigmented areas have been remoted by a surgical blade no. 15 and 30–50 clusters have been cultured in dishes precoated with Matrigel and cultured 6 weeks in differentiation medium. For subculture, iPSC-RPE cells have been dissociated with 0.25% trypsin/0.53 mM EDTA, and cultured in differentiation medium in dishes precoated with Matrigel.

ARPE19 cells and HELA cells

ARPE19 cells (ATCC, Analysis Triangle Park, NC, USA) have been cultured in DMEM/F12 containing 10% FBS, and HELA cells (ATCC) have been cultured in RPMI-1640 (Invitrogen) plus 10% FBS.

Viral an infection

For producing retroviruses, human cDNAs of six6, nr2e1, lhx2, crx, and mitf-a have been obtained by PCR amplification from iPSCs differentiated cultures-derived mRNA templates (obtained from iPSCs differentiating into RPE cultures from second to fourth weeks) and cloned into pMXs vectors (Addgene). pMXs-sox2, pMXs-c-myc, pMXs-klf4, and pMXs-gfp have been purchased from Addgene. The packaging plasmids are pCMV-VSVG and gag/pol (Addgene). HEK293FT cells have been seeded at a density between 5.0–7.0 × 104 cells/cm2 and transfected by Lipofectamine 2000 (Invitrogen) with every transcription-factor retrovirus. 8 h later, media have been refreshed. Particular person supernatants containing virus have been harvested at 48 and 72 h post-transfection and filtered with 0.45 μm PVDF membrane (Millipore, Boston, USA). hUCMSCs have been plated in 10 cm tradition dishes at 100,000 cells per properly. The subsequent day, cells have been contaminated with an equal ratio of a mixture of retroviruses. After transfection for 7 days, clones constituted by cells with polygonal morphology have been noticed within the cultures. Clones have been picked out by cloning ring (Sigma) and subcultured with DMEM/F12 supplemented with 10% FBS. The transdifferentiation effectivity was evaluated by variety of clones per 100,000 cells after giemsa staining (Sigma). For syntenin1-Flag-iRPE cells preparation, flag was cloned into corresponding vectors to provide pMXs-syntenin1-flag virus and used to transfect iRPE cells.

Quantitative real-time polymerase chain response (qRT-PCR)

Whole RNA was extracted and reverse transcription was carried out utilizing Primescript™ RT Grasp Combine package (Takara, Shiga, Japan). qRT-PCR was carried out in a Chromo4 instrument cycler (Bio-Rad, Hercules, USA) utilizing Superreal Premix plus package (Tiangen Biotech, Beijing, China). PCR amplification was carried out with the next biking parameters: denaturation at 95 °C for five min, adopted by 40 cycles of 95 °C for 30 s, 60 °C for 30 s. Primer sequences (Synthesized by Sangon Biotech Co., Ltd., Shanghai, China) have been listed in Tables S1, 2.

Immunostaining

For immunofluorescence evaluation, mounted cells, cryosections from eyes and matrigel containing transplanted cells in nude mice, have been permeabilized with 0.1% Triton X-100 (Sigma) for two min, washed with PBS, after which blocked with 2% bovine serum albumin (BSA, Sigma) in PBS. The sections have been incubated with the first antibodies (1:200) towards ZO-1, FN1, CRALBP, and BEST1 (Proteintech, Rosemont, IL, USA); towards TYRP1, α-SMA, pSMAD2, pSMAD3, Rhodopsin, PEDF, and Ki67 (Abcam, Cambridge, UK); towards pp38 (CST, Danvers, MA, USA) in a single day at 4 °C. They have been then washed thrice with PBS, adopted by incubation with the fluorescent secondary antibodies (1:1000, Invitrogen) in a single day. 4,6 diamidino-2-phenylindole dihydrochloride (DAPI, Sigma) was used to point the nucleus. The samples have been then examined by fluorescence microscope (Olympus IX73, Tokyo, Japan). Antibodies have been listed in Desk S3.

Western blotting

The cells have been lysed by RIPA buffer containing protease and phosphatase inhibitor (Sigma). The protein extracts (10 μg per pattern) have been separated by 10% SDS-PAGE gels, and transferred onto polyvinylidene difluoride membranes (Millipore, Bedford, MA). After blocked with 3% BSA in PBS for 1 h, membranes have been incubated with major antibodies towards RPE65 (1:1000, Novus Biologicals, Centennial, CO, USA); towards TYRP1 (1:1000), MERTK (1:1000), FN1 (1:1000), α-SMA (1:2000), pSMAD2 (1:500), SMAD2 (1:1000), pSMAD3 (1:1000), SMAD3 (1:1000) TGF-β receptor1 (TGF-βR1) (1:1000), Abcam; towards pERK1/2 (1:1000), ERK1/2 (1:1000), CST; towards Claudin19 (1:1000, Invitrogen); towards Flag (1:2000, MBL Worldwide, Woburn, MD, USA); towards CRALBP (1:1000), syntenin1 (1:1000), DUSP4 (1:1000), DUSP10 (1:1000), PHLPP1 (1:1000), PPM1L (1:1000), PPP1CC (1:1000), PPP2R5A (1:1000), PTPN13 (1:1000), TGF-βR2 (1:1000), and β-Actin (1:5000), Proteintech; for 12 h at 4 °C, adopted by incubation with corresponding secondary antibodies for 1 h at room temperature. The blots have been visualized with a chemiluminescence imaging system (Tanon 5200, Shanghai, China) and quantified with ImageJ software program (Model 1.48 v). Antibodies have been listed in Desk S3.

Transmission electron microscopy (TEM)

Cells have been seeded into the higher chamber of a 24-transwell plate (0.4 μm pore, BD Biosciences, San Diego, CA, USA). Three weeks later, cells have been mounted in 2.5% glutaraldehyde-buffered answer at room temperature for two h and rinsed with PBS. Cells have been then handled with 1% ice-cold osmium tetroxide for 1 h. After osmication, tissues have been rinsed in PBS and processed by means of a battery of ethanol dehydration steps (50, 70, 85, and 100% ethanol) for plastic embedding. The micrographs have been obtained by a transmission electron microscopy (Hitachi, HT7800, Japan).

Photoreceptor outer phase (POS) phagocytosis assay

Porcine eyes have been obtained from abattoir and POSs have been remoted and purified from porcine retinas as described beforehand [27]. Purified POSs have been labeled with NHS-LC-Biotin (Thermo Fisher Scientific, Carlsbad, CA, USA) and resuspended in tradition medium at a focus of 5 × 107 POSs/mL. Cells have been incubated with POSs at 37 °C, 5% CO2 in a humidified incubator for 4 h. Non-phagocyted or unbound POSs have been eliminated by washing thrice with PBS. Cells have been mounted by 4% paraformaldehyde (PFA, Sigma) in PBS and incubated with cy3-labeled avidin (Invitrogen) for 10 min. ZO-1 immunostaining was used to point out the boundary of cells. DAPI was used to label nuclei. The samples have been then examined by fluorescence microscope (Olympus IX73). Z-stack photographs have been obtained utilizing a Nikon confocal microscope (Nikon A1R, Nikon Devices Inc., Tokyo, Japan).

Transepithelial electrical resistance (TER) evaluation

3 × 104 cells have been seeded into the higher chamber of a 24-transwell plate (0.4 μm). After 21 days, TER was analyzed. Briefly, the 24-transwell plate was faraway from the incubator and positioned at room temperature for 30 min. TER values have been measured by volt-ohm meter utilizing an electrode (EVOM2; World precision Devices, Sarasota, FL, USA).

Permeability evaluation

When the cells grew for 21 days within the higher chamber of a 24-transwell plate (0.4μm), 200 μL tradition medium containing 10 μg/mL horseradish peroxidase (HRP, Sigma) was added into the higher chamber. 30 min later, 20 μL medium was taken from the decrease chamber, combined with 150 μL TMB chromogenic response answer (Sigma). The absorbance worth (OD worth) on the 450 nm wavelength was measured.

β- Galactosidase (Gal) staining

iPSC-RPE cells (passage 12), iRPE cells (passage 35) and ARPE19 (passage 35) have been cultured in 12-well plates. Cells have been washed as soon as with PBS and stuck in fixative answer for 15 min at room temperature. Cells have been then washed thrice with PBS and incubated with 1 mL X-gal containing answer (C0602, Beyotime, Shanghai, China) in a single day at 37 °C. The plate was sealed with Parafilm to stop evaporation of the staining medium. After incubation, cells have been washed with PBS and noticed underneath microscope. DAPI staining was used to calculate the variety of cells.

RNA-seq evaluation

RNA library swimming pools of the cells have been established following the protocols of the Illumina mRNA-seq with 50 ng of RNA from hUCMSCs, iPSC-RPE cells, iRPE cells, and ARPE19 cells, and experiments have been carried out within the MAJORBIO firm (Shanghai, China). Filtering and high quality management checks of the uncooked reads from RNA-seq had been accomplished by FastQC. The clear reads have been mapped to reference sequences utilizing SOAP2 aligner. The gene expression ranges have been calculated utilizing TPM technique. Log2 fold change (FC) of TPM (iRPE cells)/TPM (hUCMSCs) was used to establish differentially expressed genes (DEGs) between iRPE cells and hUCMSCs. Solely these genes indicating |log2FC| > 2 and adjusted p < 0.05 have been thought to be DEGs.

Enzyme-linked immunosorbent assay (ELISA)

Quiescent hUCMSCs, iPSC-RPE cells, iRPE cells, and ARPE19 cells have been cultured in 24-well tradition plate or 24-transwell plate for 21 days. The supernatants from 24-well tradition plate or from higher and decrease chambers of 24-transwell plate have been collected. PEDF and VEGF have been quantified by PEDF ELISA package (Elabscience, Wuhan, China) and VEGF ELISA package (Proteintech).

Era of lentiviruses to knockdown goal genes

Lentiviral pLVX-shRNA2-ZsGreen1 (Takara) vector have been used to organize lentiviruses. The packaging plasmids are psPAX2 and pMD2.G. The focusing on sequences of the 2 shRNA for every phosphatases and syntenin1 have been included in Desk S4. HEK293FT cells have been transfected with vectors. Particular person supernatants containing virus have been harvested at 48 h and used to contaminate iRPE cells and shPtpn13-iRPE cells. The positively transfected cells have been sorted by FACS primarily based on ZsGreen expression. The diminished expression of goal genes at transcript degree was decided by qRT-PCR. We selected probably the most environment friendly shRNA out of the 2 to do subsequent experiments.

Circulate cytometry

iRPE cells transfected with shRNA or GFP have been indifferent and dissociated into single cells with 0.25% trypsin/0.53 mM EDTA buffer, then resuspended in PBS containing 1% BSA. ZsGreen1+ or GFP+ cells have been sorted and picked up on a FACS Aria II instrument utilizing Cellquest software program (BD Bioscience). For TGF-β receptor (TGF-βR) detection, cells have been incubated in PBS containing major antibody towards TGF-βR1 or TGF-βR2, after which with PE-labeled secondary antibody; For hUCMSC identification, cells have been incubated with PBS containing antibodies towards CD105, CD90, CD73, CD44, CD29, CD34, CD45, and MHCII.

TGF-β stimulation

Cells (5 × 104/cm2) have been seeded in tradition plate handled with 10 ng/mL TGF-β1 or 10 ng/mL TGF-β2 (PeproTech). Cells have been cultured for 8 days and stuck with 4% PFA and the corresponding RPE markers and EMT markers have been analyzed by immunostaining and Western blotting. For phosphorylation evaluation, cells (5 × 104/cm2) have been seeded in 24 or 6-well tradition plate and cultured for 1 day. Cells have been stimulated with 10 ng/mL TGF-β1 or 10 ng/mL TGF-β2 and stuck in 24-well tradition plate for immunostaining after 1 h remedy, or lysed in 6-well tradition plate for Western blotting after 1, 2, 4, or 8 h remedy.

Co-immunoprecipitation (Co-IP)

Protein A + G magnetic beads (20 μL) have been incubated with 5 μg antibodies (towards PTPN13, FLAG, or Phospho-Tyrosine) or regular 5 μg IgG for 1 h. 5 × 106 cells have been lysed by 200 μL IP lysis buffer (Beyotime) and incubated with ready conjugated Protein A + G magnetic beads at 4 °C in a single day. The beads have been washed with TBS for thrice and the binding proteins have been eluted with protein loading buffer at 95 °C for five min. After centrifugation, the samples have been collected and used for Western blotting.

Mass spectrometry evaluation

Co-IP samples have been digested by trypsin and condensed, then dissolved in Nano-HPLC Buffer, protein elements have been separated by Nano-HPLC (UltiMate 3000 RSLCnano, ThermoFisher Scientific). Co-IP proteins have been recognized by Mass spectrometer (Q Exactive plus, ThermoFisher Scientific). The mass vary for MS scans was 350–2000 m/z. The mass spectrometer was performed in customary MS/MS data-dependent acquisition mode. The MS/MS uncooked information have been searched in human protein RefSeq database (uniprot-Human) with software program ProteomeDiscover 2.1 (ThermoFisher Scientific).

Cell transplantation

The six-week-old SD rats have been intravenously injected with sodium iodate (SI, 50 mg/kg, Sigma) to induce AMD mannequin, 6 h later, rats have been obtained hUCMSCs, iRPE cells, or iPSC-RPE cell transplantation as beforehand reported with modifications [13]. SI was metabolized inside dozens of minutes in vivo [28, 29], thus the transplanted cells is not going to be broken by SI at the moment level. Briefly, rats have been anesthetized by 2% sodium pentobarbital. A channel was created by inserting a 30-gauge needle, behind the limbus, into vitreous chamber. A 33-gauge needle was inserted into the subretinal area of the central retina and three microliters of the cell suspensions (1 × 105 cells/μL) have been injected. The eyes obtained a sham subretinal injection of PBS have been used as management. All of the rats obtained cyclosporin A for immunosuppression (210 mg/L in consuming water, Xinfu Pharmaceutical Co., Ltd., Jiangsu, China) two days earlier than the transplantation till the tip of the experiment.

Electroretinogram (ERG) examination

Following cell transplantation, ERG examination was carried out at weeks 1, 2, 4, and 6 after cell transplantation with AVES-2000 electrophysiological equipment (Kanghuaruiming S&T, Chongqing, China) as described beforehand [13]. An depth of 6.325e-2cd•s/m enabled the recording of photoreceptor response.

Retina construction evaluation

Rats have been sacrificed with an overdose of sodium pentobarbital at post-transplantation 4 and 6 weeks. The eyeballs have been eliminated instantly and stuck in 4% PFA. The embedded tissues have been sectioned (10μm thickness) alongside the vertical meridian of the attention. The samples collected at week 4 post-transplantation have been used to research the EMT of iRPE cells, and the samples collected at week 6 post-transplantation have been used to evaluate the retinal degeneration. Nuclei within the sectioned tissue have been counterstained with DAPI. The diploma of retinal degeneration was assessed by the thicknesses (μm) of retinal outer nuclear layer (ONL) which have been measured at 10 completely different factors inside each the nasal and temporal hemispheres.

Terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick and labeling (TUNEL) assay

Eye samples have been collected at week 4 post-transplantation. TUNEL assay was performed with In Situ Cell Loss of life Detection Equipment (Roche, Diagnostics, Switzerland), in response to the producer’s directions. Nuclei have been counterstained with DAPI. The apoptosis of ONL was assessed primarily based on the counts of TUNEL+ cells per area.

Tumorigenesis

3 × 106 cells have been embedded in 50 μL of Matrigel and subcutaneously injected into again of 6-week-old feminine nude mice utilizing a 1 mL syringe with a 28G needle. Animals have been monitored for two weeks (HELA cell group) and 4 months (iPRE cell group and hUCMSC group). On the finish of the experiments, mice have been sacrificed and cell lots have been picked out and stuck with 4% PFA for cryosection preparation. HELA cells have been used as constructive management.

Statistical evaluation

All information have been expressed as means ± customary deviation (SD). Variations between two teams have been assessed with the two-tailed Scholar’s unpaired t take a look at. The one-way ANOVA and publish hoc Bonferroni’s take a look at was used to evaluate variations between greater than two teams. No statistical strategies have been used to predetermine the pattern measurement. Mice have been randomly allotted to experimental teams. No blinding technique was used for assessing end result. There was no animal exclusion criterion. The variance was comparable between the teams that have been being statistically in contrast. All experiments have been repeated twice. Knowledge have been analyzed utilizing GraphPad Prism 9 software program (GraphPad Software program, San Diego, CA, USA). Statistical significance was set at P < 0.05.

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