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Differentiation of human induced pluripotent stem cells into dorsal and ventral spinal neural progenitor cells for application in spinal cord therapeutics Anne Huntemer-Silveira1, Dane Malone2, Patrick Walsh3, Anna Frie1, & Ann Parr2,3 1Department of Neuroscience, 2Department of Neurosurgery, 3Stem Cell Institute, University of Minnesota, MN USA BACKGROUND Regional Identity in the Spinal Cord RESULTS Protocol and all characterization has been replicated in 4 cell lines. RT-qPCR: Actin used as a reference gene. Analyzed with ddCT method. Significance evaluated one way ANOVA. Immunocytochemistry: Cells were formalin fixed and stained using established primary and secondary antibodies. Images acquired at 20X. Establishment of Spinal Neural Progenitor Cell (sNPC) Lines Figure 2. Directed differentiation of dorsal and ventral spinal neurons from a shared lineage2. Protocol and timeline for the differentiation of dorsal and ventral spinal neurons. Figure 1. Regional progenitor domains in the developing spinal cord (left) and the mature cell populations they give rise to (right). In SCI, damage to the dorsal cord (top/blue) is most often associated with sensory impairment, while damage to the ventral cord (bottom/orange) is associated with motor impairment. ➢ SCI is associated with profound sensory and motor deficits that arise due to damage in the dorsal and ventral spinal cord, respectively. Bench to Bedside to Bench: Improving Clinical Outcomes ➢ Cell replacement therapy (CRT) utilizes stem cell derived neural progenitor cells to restore lost connections and promote sensorimotor recovery following SCI, though clinical application has had mixed results. ➢ Evidence suggests that regional specification of transplants to recapitulate specific phenotypic regions may improve the integration of transplanted cells1. Project Overview We report here our work generating human induced pluripotent stem cell (hiPSC)-derived, region specific dorsal and ventral spinal neural progenitor cells from a shared lineage. Utilizing established markers to characterize spinal neuron development, we show that these populations are produced with high consistency and can be utilized in both in vitro and in vivo models of SCI. ➢ Dorsal horn sensory circuitry remains understudied despite the majority of SCI patients experiencing sensory dysfunction. METHODS FUTURE DIRECTIONS ➢ To enhance the translation of CRT from bench to bedside, we propose a combinatorial approach that employs regionally specified transplants paired with the use of 3D printed bio-scaffolds to improve cell integration. ➢ Thus far we successfully 3D-printed our ventral spinal NPCs onto a bioscaffold for implantation in both acute and chronic SCI rat models. ➢ Future research will also explore in vitro modeling of hiPSC-derived populations to study synaptic mechanisms of pain and injury. Figure 3. Development and functional characterization of regionally specific spinal cord bioscaffolds for use in SCI. Top: Dorsal and ventral spinal cord neural progenitor cells are generated from a shared lineage of induced pluripotent stem cells (iPSCs) and are optimized for 3D-printing into scaffolds. Bottom: Transplanted scaffold with bioprinted sNPCs twelve weeks post-transplantation. Transplanted human sNPCs (SC121) express NF200, a mature neuronal marker and integrate with host tissue along the edges of the scaffolds. References 1. Dell'Anno, M.T., et al. (2018). Human neuroepithelial stem cell regional specificity enables spinal cord repair through a relay circuit. 2. Walsh, P., et al. (2018). Defined Culture Conditions Accelerate Small-molecule-assisted Neural Induction for the Production of Neural Progenitors from Human-induced Pluripotent Stem Cells. 3. Gupta, S., Sivalingam, D., Hain, S., Makkar, C., Sosa, E., Clark, A., & Butler, S. J. (2018). Deriving Dorsal Spinal Sensory Interneurons from Human Pluripotent Stem Cells. DAPI PAX3 OLIG2 PAX6 DAPI NKX6.2 PAX7 MSX1 D O R SA L V EN TR A L Funding Dorsal-Ventral Specification: At day 6, cells exhibit gene expression consistent with their respective phenotypes. Dorsal sNPCs primarily express Pax3, Pax7, and MSX1. Ventral sNPCs primarily express NKX6.2 and Olig2. H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 200 400 600 dsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 20 40 60 dsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0.0 0.6 1.2 1.8 vsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n ndnd Day 0 Day 1 Day 2 0 600 1200 1800 BRACHYURY F o ld C h a n g e G e n e E x p re s s io n Cell Line 1 Cell Line 2 Cell Line 3 Cell Line 4 ✱ ✱ ✱ ✱ ns Day 0 Day 1 Day 2 0 600 1200 1800 BRACHYURY F o ld C h a n g e G e n e E x p re s s io n Cell Line 1 Cell Line 2 Cell Line 3 Cell Line 4 ✱ ✱ ✱ ✱ ns Day 0 Day 1 Day 2 0 600 1200 1800 BRACHYURY F o ld C h a n g e G e n e E x p re s s io n Cell Line 1 Cell Line 2 Cell Line 3 Cell Line 4 ✱ ✱ ✱ ✱ ns Day 0 Day 1 Day 2 0 600 1200 1800 BRACHYURY F o ld C h a n g e G e n e E x p re s s io n Cell Line 1 Cell Line 2 Cell Line 3 Cell Line 4 ✱ ✱ ✱ ✱ ns H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 9 18 27 36 vsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 10 20 90 180 dsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 12 24 440 480 dsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 15 30 300 600 vsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 2 4 6 vsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n nd nd H ox B 4 H ox A 5 H ox A 7 H ox C 8 H ox B 9 H ox D 12 0 200 400 600 dsNPC (Day 20) F o ld C h a n g e G e n e E x p re s s io n Rostral-Caudal Specification: At day 20, dorsal (top) and ventral (bottom) spinal neurons exhibit Hox gene expression consistent with a rostral spinal identity, spanning hindbrain, cervical, and thoracic levels. Mature Dorsal and Ventral Spinal Neurons Express Post- Mitotic Neural M rkers: Expression of neural markers NeuN (neurons), S100B (astrocytes), and PDGFRA (oligodendrocytes) in dorsal (bottom left) and ventral (bottom right) spinal neurons at Day 20. NeuN expressing dorsal and ventral spinal neurons co-express TUBB3. Application, Calcium Imaging in Co-Culture: Calcium imaging of co-cultures at one month containing hiPSC- derived nociceptors and RFP+ dorsal neurons (TUBA1B). Activation of nociceptors with capsaicin yields a fluorescent respond in dorsal neurons that do not otherwise respond to capsaicin, suggesting the formation of functional connections following 30 days in culture.