• Nem Talált Eredményt

Manifestation of Novel Social Challenges of the European Union in the Teaching Material of Medical Biotechnology Master’s Programmes at the University of Pécs and at the University of Debrecen

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(1)

at the University of Pécs and at the University of Debrecen

Identification number: TÁMOP-4.1.2-08/1/A-2009-0011

(2)

STEM CELLS (2)

Dr. Judit Pongrácz

Three dimensional tissue cultures and tissue engineering – Lecture 3

Medical Biotechnology Master’s Programmes

at the University of Pécs and at the University of Debrecen

Identification number: TÁMOP-4.1.2-08/1/A-2009-0011

(3)

Cord blood stem cells

• Approx. 130 million babies born yearly – the

umbilical cord blood is the largest potential source of stem cells for regenerative medicine

• In the past 36 yrs 10000 patients were treated for

over 80 different diseases

(4)

Cord blood stem cells and fetal stem cells

Cord blood collection from umbilical vein (after birth)

The cord blood cells are frozen in bag or cryovials

Liquid nitrogen storage tank (-150°)

Analysis of blood Cell separation

Mix and settle Concentrate cells Freeze cells

35 min 10 min

Express

Express Add cord

blood

1 2 3

(5)

Cryopreservation

• Cryopreservation of primary cells is possible for long term (so far 20 yrs).

• The low-temperature is maintained at -150-196 o C in

liquid nitrogen.

(6)

Cord blood processing

1. Red cell depletion (using Ficoll, Hetastarch, Lymphoprep, Prepacyte)

2. Depletion of plasma for smaller storage size 3. Testing of the final cell pool (infection, volume,

cellularity, stem cell content, CD34 + )

(7)

cryopreservation

• Cord blood is primarily useful in hematological disorders

• Cord blood is collected at birth

• Either processed or just simply frozen in DMSO

(8)

Cord blood banking

• Cord blood banks should be set up in every

metropolitan city with HLY specification and linked to an international computer network

• Keeping cord blood for a considerable length of

time is costly

(9)

Pluripotenciy of cord blood stem cells

Cord Blood

Stem cells

CBE MSC

Purification

Endodermal Mesodermal Ectodermal

Hepato-Biliary Blood Neural

(10)

Stem cell population in cord blood

Adherent Pre-MSC MSC

Non-adherent

CBE

Lin - CD133 + CD34 +

Cord Blood

Bone marrow

Peripheral Blood

(11)

Disorders treatable with cord blood I

Oncologic disorders

Acute lymphoblastic leukemia Acute myeloid leukemia

Autoimmune lymphoproliferative disorders Burkitt lymphoma

Chronic myeloid leukemia

Cytopenia related to monosomy Familial hystocytosis

Hodgkin’s disease

Juvenile myelomonocytic leukemia Langerhans cell hystocytosis

Myelodysplastic syndromes Non-Hodgkin’s lymphoma

Immune deficiencies

Ataxia telangiectasia Cartilage-hair hypoplasia

Chronic granulomatous disease DiGeorge syndrome

Hypogammaglobulinaemia IKK gamma deficiency

Immune dysregulation polyendocrinophaty Mucolipidosis type II

Myelokathesis

Severe combined immunodeficiency Wiscott-Aldrich syndrome

X-linked agammaglobulinaemia,

immunodeficiency, lymphoproliferative

syndrome

(12)

Disorders treatable with cord blood II

Hematological disorders

Autoimmune neutropenia Cyclic neutropenia

Diamond Blackfran anemia Evan’s syndrome

Red cell aplasia Refractory anemia Severe aplastic anemia Sickle cell disease Thalassaemia Fanconi’s anemia Galnzmann’s disease

Congenital sideroblastic anemia

Juvenile dermatomyositis and xanthogranulomas

Metabolic disorders

Adrenoleukodystrophy Alpha mannosidosis Type I diabetes Gaucher’s disease Gunther disease

Hermansky-Pudlak syndrome Hurler syndrome

Hurler-Scheie syndrome Krabbe’s disease

Maroteau-lamy syndrome Metachromatic leukodystrophy Mucolipidosis Types II, III

Neimann Pick syndrome, Types A and B Sandoff syndrome

Sanfilippo syndrome

Tay Sachs disease

(13)

Fat stem cells (ASC)

Fat or adipose tissue stem cells (ASC):

• Easily obtainable

• Consistent immunophenotype

• Similar to BMSC

• Multipotent

• Manipulation by genetic engineering

(14)

Types of adipose tissues

TYPE FUNCTION

1 Bone marrow Fills in space no longer used for hematopoiesis 2 Brown adipose tissue (BAT) Protects vital organs in the newborn

3 Ectopic adipose tissue Abnormal fat accumulation in the liver, skeletal or cardiac muscle (e.g. in metabolic syndrome)

4 Mammary adipose tissue Lactation – energy and nutrient source 5 Mechanical adipose tissue Protection from mechanical trauma

6 White adipose tissue (WAT) Insulation, energy storage, reservoir, endocrine

organ

(15)

Isolation procedures

Digestion with collagenase at 37 o C, 1hr

Stromal vascular fraction (SVF) Wash in PBS

Aspiration of lipocytes

300g, 5 min

(16)

Immunophenotype of ASCs Positive markers

Marker Name Marker Name

CD9 Tetraspan CD55 Decay accelerating factor

CD10 Common acute lymphocytic

leukemia antigen CD59 Protectin

CD13 Aminopeptidase CD71 Transferrin

CD29 b1-integrin CD73 5’-ectonucleotidase

CD34 Sialomucin CD90 Thy1

CD44 Hyaluronate receptor CD105 Endoglin

CD49d a4-integrin CD146 Muc-18

CD54 Intracellular adhesion

molecule CD166 Activated leukocyte cell

adhesion molecule HLA-ABC Histocompatibility locus

antigen-ABC a-SMA a-smooth muscle actin

(17)

Negative markers

Marker Name Marker Name

CD11b ab-integrin CD50 Intracellular adhesion

molecule-3

CD14 LPS receptor CD56 Neural cell adhesion molecule

CD16 Fc receptor CD62 E-selection

CD18 b2-integrin CD104 B4-integrin

CD45 Common leukocyte antigen HLA-DR Histocompatibility locus

antigen-DR

(18)

Cytokine profile of ASCs

CYOTOKINE FUNCTION GROUP

• Adiponectin

• Leptin

• Plasminogen activator inhibitor-1

Adipokines

• Hepatocyte growth factor

• Pigment epithelial derived factor

• Vascular endothelial growth factor

Angiogenic

• Flt-3 ligand

• GCSF

• Leukemia inhibitory factor

• IL-7

• MCSF

Hematopoietic

• IL-6, IL-8, IL-11

• Leukemia inhibitory factor

• TNFa Pro-inflammatory

(19)

Immunogenecity of ASCs

• Lack of immunogenicity is linked to the absence of the major histocompatibility class II antigens (HLA- DR) on their surface.

• Their immunosuppressive properties are linked to

prostaglandin E2 production.

(20)

Differentiation potential of ASCs

• Adipocyte

• Cardiac myocytes

• Chondrocyte

• Endodermal and ectodermal lineages

• Endothelial and smooth muscle cells

• Hematopoietic support

• Neuronal lineage

• Osteoblast

• Skeletal myocytes

(21)

Differentiation into adipocytes

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION WAT etc. Forskolin (AMP agonist) Neutral lipids Functional fat pads

Methylisobutylxanthine

(AMP agonist) Adiponectin Plastic surgery

Glucocorticoid receptor ligands (dexamethasone)

CAAT/enhancer binding protein-a fatty acid binding protein (aP2)

Cosmetic and

reconstructive surgery PPAR-g2 ligands

(thiazolidinediones) Leptin

Insulin Lipoprotein lipase

bFGF PPAR-g2

(22)

Differentiation into cardiac myocytes

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION

BAT 5-azacytadine Sarcomeric actinin Repair injured cardiac

tissue after ischemic injury

WAT Cardiomyocyte extract Connexin-43

Desmin

troponin-I

(23)

Differentiation into chondrocytes

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION Bone marrow adipose

tissue Ascorbate Aggrecan Knee, hip chondroid tissue

BAT Dexamethasone Chondroitin sulfate

WAT TGF-b Collagen type II

3D structure Collagen type IV

BMP-6 Chondrocyte specific

proteoglycans

FGF

(24)

Differentiation into osteocytes

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION

WAT Ascorbate Osteocalcin Bone implantation

Bone marrow adipose

tissue Dexamethasone DMP-1 Bone fracture repair

1,25-dihydroxy vitamin D3 Osteoadherin B-glycerophosphate

BMP-2

BMP-7

Runx2

(25)

Differentiation into skeletal myocytes

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION Low concentration FBS myoD

Horse serum myogenin

Myosin light chain kinase

(26)

Differentiation into neuronal cells

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION Indomethacin Glial fibrillary acidic

protein (GFAP) Central nervous system injury

Insulin Nestin

methylisobutylxanthine Intermediate filament Glutamate receptor subunits

S-100

B-III tubulin

(27)

ectodermal lineages

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION Bone marrow adipoid

tissue Hepatocyte growth factor Albumin Liver

Oncostatin M A-fetoprotein DMSO together with HGF,

bFGF, nicotinamide Urea

ATRA Cytokeratin-18 Epithelial tissue repair

(Crohn’s disease)

(28)

Differentiation into endothelial and smooth muscle cells

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION

WAT CD31 Vascular trauma

calponin Urogenital trauma

A-smooth muscle actin

(29)

Hematopoietic support

ORIGIN OF ACS INDUCING AGENT MARKERS INDUCED APPLICATION ASCs secrete:

IL6,IL7, IL8,IL11 SCF, TNFa, MCSF, GMCSF

CD34+ into T, NK, B markers

For patients requireng

hematopoietic stem cells

reconstruction following

high-dose chemotherapy

(30)

STEM CELLS (3)

Dr. Judit Pongrácz

Three dimensional tissue cultures and tissue engineering – Lecture 4

Medical Biotechnology Master’s Programmes

at the University of Pécs and at the University of Debrecen

Identification number: TÁMOP-4.1.2-08/1/A-2009-0011

(31)

Application of ESCs and ASCs

Vascular lumen

Vasculogenic zone Vascular disorders

Gene therapies

Genetically modified stem cell-based delivery Intravenous

injection

Mesoderm

Cardiac diseases CSCs

Atria niche Apex niche

HSC

EPC MSC

Osteoblasts Chondrocytes

Adipocytes Myoblasts Common lymphoid

precursor NK-cells T-lymphocytes Dendritic cells B-lymphocytes Common myeloid

precursor

Macrophages Platelets

Erythrocytes Monocytes Granulocytes HSCs

Endosteum surface niche Microvasculature niche

MSCs

Perivascular surface niche

Bone

Hemopoietic and Immune system disorders

Endoderm

BASCs

Bronchioalveolar duct junction niche Lung disorders

PSCs

Pancreatic duct putative niche

Pancreas

Insulin-secreting b-cells

Endocrine islets of Langerhans Exocrine

acini

Diabetes

Liver

Hepatocytes

HDCs Bile duct (canal of Hering) Hepatic disorders

Lung

Ectoderm

NSCs Subventricular zone niche Hippocampus niche (dentate gyrus region) Neuron Astrocyte Oligodendrocyte

Brain and spinal cord disorders

Eye disorders

RSCs

Ciliary epithelium niche

CESCs Limbus niche Retina

Cornea

KSCs

Basal layer niche bESCs

eNCSCs Bulge niche

SKPs Dermal papilla Skin disorders

Heart

Cardiomyocytes

Embryonic development

Inner cell mass ESCs Blastocyst

Pluripotent ESC

Mesodermal stem cell Endodermal

stem cell

Ectodermal stem cell Hemangioblast

HSC EPC

Vascular wall-resident stem cells EPCs and MSCs New endothelial cell

Bloodstream Macrophage

Platelets

Erythrocyte Monocyte

Eosinophil

NK-cell T-lymphocyte Dendritic cell B-lymphocyte Basophil

Neutrophil

Media

Brain

Eye

Skin

(32)

Genetic engineering and gene delivery using ASCs

• Lentiviral vectors can transduce ASCs

• Other recombinant viral vectors

• Nucleofection

(33)

stem cell growth and differentiation

Bioreactors come in many sizes and designs and include stirred, rotary and perfused systems. All serve to improve exchange efficiency of nutrients and waste products and delivery of growth factors to enable longer term culture, helping to scale-up cell numbers or to grow larger pieces of tissue.

Scaffold can provide physical (e.g.

surface roughness, porosity, etc.) and also biochemical (e.g. controlled release of doped growth factors) cues to promote attachment, recruitment, differentiation and delivery of cells.

Co-culture with the cells or tissues of interest (i.e. the target for tissue repair) can help to encourage differentiation.

This can include direct physical contact and/or indirect biochemical signaling Biochem factors added to culture medium (including serum) stimulate differentiation. Requires knowledge of factors likely to induce differentiation but is rarely, if ever, 100% effective.

Differential adhesion assays using specific ECM proteins or receptor ligands can help in encouraging selection of specific cell types based on affinity and kinetics of cell- substratum interactions. Related to this is the colony forming unit (CFU) assay.

Cell sorting techniques like MACS or FACS can positively select (or negatively deplete unwanted cell types) using cell surface antibodies or fluorescent transduced markers like GFP.

FACS MACS

Transduction with lineage specific genes can help to drive differentiation.

Reporter tags like GFP aid selection (i.e. FACS) and reveal when and where genes are activated

Gene

Reporter (e.g. GFP)

(34)

Reprogramming

Virus carries

reprogramming factors into somatic cell’s nucleus

Pluripotent iPSC line

Culture as per hESCs Somatic cell is

reprogrammed

(35)

Differentiation of Cells I

Precursor cell

Regulatory protein 2

Regulatory protein 3

Regulatory protein 1

Cell A Cell B Cell C Cell D Cell E Cell F Cell G Cell H

Regulatory protein 3

Regulatory protein 3 Regulatory

protein 3

Regulatory protein 2

Cell division

(36)

Differentiation of Cells II

Blastocyst Zygote

Gastrula

Germ cells

Sperm Egg

Mesoderm (Middle layer)

Smooth muscle Cardiac muscle Skeletal muscle

cells Red blood cells Tubule cell

of the kidney

Endoderm (Internal layer)

Lung cell

(Alveolar cell) Thyroid cell Pancreatic cell

Ectoderm (External layer)

Skin cells of

epidermis Neuron of brain Pigment cell

(37)

Mature, organ specific primary cells I

Biopsy Purification

Cell culture

Cells for

engineering

(38)

Mature, organ specific primary cells II

Biopsy

Purification

Cells for engineering

Differentiated tissue cells

Tissue specific resident

stem cell Cell cultures

(39)

Differentiation of epidermis

Filaggrin, loricin,

trichohyalin, involucrin, SPRRs, S100 proteins

Stratum corneum Granular layer

Basal layer Basal membrane

Keratin-2e

Keratin-1, -10

Keratin-5, -14

Epi dermal di fferentia ti on

Spinous layer

Lipid envelope Cornified envelope

Extrusion of lipids from lamellar granules

(40)

Mature tissue specific cells in tissue engineering

• Biopsy or resection

• Purification

• Regaining proliferation capacity in cell culture

• Re-differentiation

(41)

Cells

• GLP

• GMP

• Permit to work on ES

(42)

Regulatory issues II Animals

• Permission to work on animals

• UK: Home Office Licence 1986

• EC 1394/2007

(43)

Human Embryonic Stem Cells

Ethical issues of using human embryos as sources of

stem cells

(44)

Regenerative medicine

• Organ regeneration by inducing self-regenerative biochemical and cellular processes

• Organ regeneration by addition of in vitro generated

full organs or specific tissues of an organ

(45)

Organ failure

• Organ failure due to disease, accident or aging requires full organ replacement or regeneration

• Ideally, one’s own tissues (autologue) should

provide the necessary biomaterial for generation of

such organs

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