March 8, 2023

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A safer method of generating pancreatic islet-like cells from human iPS cells

Generation of iPICs using a non-mutagenic ALK5 inhibitor and CDK8/19 inhibitor instead of mutagenic ALK5iII. a, b Blood glucose (a) and human C-peptide (b) levels after ALK5iII- and SB/Sen-cells (3 × 106 cells/mouse) implantation in diabetic NOD-scid mice. Data are shown as the mean ± SD (n = 4–5 for ALK5iII, n = 3–4 for SB/Sen, n = 1–5 for sham). Unexpected death occurred during the period due to both hyperglycemia and hypoglycemia. All sham mice died by 21 weeks after implantation. Black arrow indicates streptozotocin injection point. c Plasma glucose levels during an oral glucose tolerance test at 21 weeks after implantation. Data are shown as the mean ± SD (ALK5iII-cells; n = 4, SB/Sen-cells; n = 3). d Representative sectional images of grafts 6 months after implantation. Sections were stained with antibodies against insulin (INS), glucagon (GCG) (green/red), and Ki-67/HuN (green/red). Scale bars (white) indicate 0.5 mm. Credit: Stem Cell Research & Therapy (2023). DOI: 10.1186/s13287-022-03220-4
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Generation of iPICs using a non-mutagenic ALK5 inhibitor and CDK8/19 inhibitor instead of mutagenic ALK5iII. a, b Blood glucose (a) and human C-peptide (b) levels after ALK5iII- and SB/Sen-cells (3 × 106 cells/mouse) implantation in diabetic NOD-scid mice. Data are shown as the mean ± SD (n = 4–5 for ALK5iII, n = 3–4 for SB/Sen, n = 1–5 for sham). Unexpected death occurred during the period due to both hyperglycemia and hypoglycemia. All sham mice died by 21 weeks after implantation. Black arrow indicates streptozotocin injection point. c Plasma glucose levels during an oral glucose tolerance test at 21 weeks after implantation. Data are shown as the mean ± SD (ALK5iII-cells; n = 4, SB/Sen-cells; n = 3). d Representative sectional images of grafts 6 months after implantation. Sections were stained with antibodies against insulin (INS), glucagon (GCG) (green/red), and Ki-67/HuN (green/red). Scale bars (white) indicate 0.5 mm. Credit: Stem Cell Research & Therapy (2023). DOI: 10.1186/s13287-022-03220-4

Junior Associate Professor Taro Toyoda and his research group, in collaboration with industrial companies including Orizuru Therapeutics, Inc., conducted a safety assessment of the differentiation inducers used in the preparation of human iPSC-derived pancreatic islet cells (iPIC) from human iPS cells and developed a safer differentiation protocol for generating iPICs based on those new findings. The research results were published in Stem Cell Research & Therapy on January 5, 2023.

There are high expectations for the transplantation of pancreatic islet-like cells produced from human pluripotent stem cells like human iPS cells and ES cells, the goal of which is to revolutionize diabetes treatment. While it is possible to stringently evaluate and manage the risk posed by residual culture media components used during production by performing an impurity assessment on the final product, it is difficult to accurately assess the tumorigenic potential of the resulting islet-like cells in advance and conduct quality control.

In this study, the research group conducted a safety assessment of various differentiation inducers used to generate pancreatic islet-like cells from human iPS cells and found one reagent, ALK5 inhibitor II, to possess significant mutagenic potential.

During their attempts to replace the mutagenic ALK5 inhibitor II, they discovered that it has an on cyclin-dependent kinase CDK8/19. The group further found that this CDK8/19 inhibition plays a crucial role in the differentiation process, leading them to establish a safer induction method to produce iPICs by switching to a combination of non-mutagenic CDK8/19 and ALK5 inhibitors.

These findings illuminate the underlying mechanisms involved in differentiating into islet-like cells and serve as an example of risk minimization against potentially harmful raw materials used in preparing cell therapy products.

More information: Kensuke Sakuma et al, CDK8/19 inhibition plays an important role in pancreatic β-cell induction from human iPSCs, Stem Cell Research & Therapy (2023). DOI: 10.1186/s13287-022-03220-4

Provided by Kyoto University

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