Human pluripotent stem cell-derived hepatocytes with ... · extended culture time provide a robust...
Transcript of Human pluripotent stem cell-derived hepatocytes with ... · extended culture time provide a robust...
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Human pluripotent stem cell-derived hepatocytes with extended culture time provide a robust and efficient platform for long term toxicology studiesBarbara Küppers-Munther1, Annika Asplund1, Josefina Edsbagge1, Liz Quinn2, Catharina Ellerström1
1 Takara Bio Europe AB, Göteborg, Sweden2 Takara Bio USA, Inc., Mountain View, CA, USA; Corresponding author: [email protected]
Human pluripotent stem (hPS) cell-derived hepatocytes have the potential to serveas predictive human in vitro model systems for drug discovery, drug metabolismresearch, and hepatotoxicity studies, provided they possess relevant hepatocytefunctions. Importantly, some hepatocyte applications, like chronic toxicity testing,demand a 2-week usage window, an order of magnitude outside standardculturing practices.
Here, we show data for a newly developed maintenance medium allowingculturing of the hPS cell-derived functional hepatocytes for 14 days, and thusenables their use for new applications with longer culture times. We haveperformed multiple analyses, including RT-qPCR, immunostainings, and functionalassays, to investigate if our hepatocyte differentiation and maintenance systemwill 1) generate mature hepatocytes from multiple hPS cell lines, and then 2) tosupport their functionality during an extended culture time. Importantly, the hPSC-derived hepatocytes expressed important genes of the drug metabolizingmachinery, such as CYPs, phase II enzymes and transporters during the entireculture time. Interestingly, the hepatocytes generated from different hPS cell linesshow diverse CYP expression profiles, reflecting the inter-individual variationpresent in the human population.
Next, we exposed these novel hPS cell-derived hepatocytes to known hepatotoxinsfor up to 14 days and found they respond correctly to these toxic compounds withan increasing sensitivity upon longer exposure, demonstrating their utility forchronic toxicology studies. Taken together, our hepatocyte differentiation systemalong with the new maintenance medium can reliably generate and maintain hPScell-derived hepatocytes from different genetic backgrounds.
Since we observed that our new maintenance medium substantially extended thelife-span of hPS cell-derived hepatocytes, we tested if it also could extend the life-span of human primary hepatocytes. Interestingly, we found that cryopreservedhuman primary hepatocytes cultured in the new maintenance medium were viableand showed stable activities of several key CYP enzymes for several weeks inconventional 2D cultures, sharply contrasting existing hepatocyte maintenancemedias. Thus, it seems that our novel maintenance medium prevents thede-differentiation of primary hepatocytes that usually occurs as an adaptation to2D culture systems. The novel maintenance medium enables the use of humanprimary hepatocytes in conventional 2D cultures for applications requiring longerculture times without the need to culture in complicated and less user-friendly 3Dsystems.
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Conclusions
Abstract 2 Enhanced hiPS-HEP cells show functional characteristics of mature hepatocytes
4 Up to 20 days in culture, activity of key CYP450 enzymes in enhanced hiPS-HEP cells is stable
1 Enhanced hiPS-HEP cells display hepatic markers over an extended culture time
B
3 Up to 20 days in culture, expression of key CYP450 enzymes in enhanced hiPS-HEP cells is comparable to that of human primary hepatocytes
5 Enhanced hiPS-HEP cells show the same response as primary hepatocytes upon chronic toxicity exposure
B
Figure 1. Differentiation process and stainingpatterns of enhanced hiPS-HEP cells. Panel A.Enhanced hiPS-HEP cells were derived from the hiPScell lines ChiPSC12, ChiPSC18, and ChiPSC22(abbreviated as C12, C18, and C22) using adifferentiation process that mimics embryonicdevelopment, then cryopreserved. These cryopreservedcells, hereafter referred to as enhanced hiPS-HEP cells,were thawed, cultured in enhanced maintenancemedium, and assayed for hepatic markers. This is thesecond generation of this protocol. Panel B. On Day 12post-thawing, enhanced hiPS-HEP cells derived fromC18 were stained for markers of adult hepatocyte cellfate: hepatocyte nuclear factor 4α (HNF4α), atranscription factor that regulates hepatic genes, as wellas the hepatocyte-specific genes α1-antitrypsin (α1AT)and cytokeratin 18 (CK18). Enhanced hiPS-HEP cellsderived from the other lines (data not shown) displaysimilar morphological features and staining patterns.
Figure 2. Functional characteristics of enhanced hiPS-HEP cells cultured in enhanced maintenancemedium. The liver performs over 500 functions, many of which are not present in hepatic cell culture models.Here, we demonstrate that enhanced hiPS-HEP cells have several important functional characteristics of hepaticcells. Panel A. Representative images of enhanced hiPS-HEP cells from C18 12 days after thawing (right) andcryopreserved human primary hepatocytes (hphep) 24 hr after thawing (left). Cells were stained for albumin andDAPI. Panel B. Expression levels of albumin in enhanced hiPS-HEP cells derived from three different hiPSC lines,C12, C18, and C22, between Days 4 and 20 post-thawing. Data is presented as mean values ± SEM (n=2 differentbatches per hiPSC line). Expression levels were normalized to a calibrator and a reference gene. Panel C.Albumin secretion as measured by ELISA; n=2 for enhanced hiPS-HEP cells, with the exception of C18 at 20 d(n=1), and n=3 donors for hphep. Panel D. Urea secretion as measured by LC/MS; n=2 for enhanced hiPS-HEPcells and n=3 donors for hphep; error bars show SEM. Panel E. Representative images of enhanced hiPS-HEPcells 12 days after thawing and hphep cultured for 24 hr and stained with a periodic acid-Schiff (PAS) stain todetect glycogen. Panel F. mRNA expression of albumin (Alb) and gluconeogenesis genes phosphoenolpyruvatecarboxykinase 1 (PCK1) and glucose-6-phosphatase (G6P) in enhanced hiPS-HEP cells after 20 days in cultureas compared to hphep (dashed line) after 24 hr in culture.
6 Enhanced hiPS-HEP cells demonstrate effective activity and expression of mature drug-metabolizing machinery over an extended culture time
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CYP Drug Substrate Metabolite
CYP3A4/5 Midazolam α-OH-midazolam
CYP2D6 Bufuralol 1′-OH-bufuralol
CYP2B6 Bupropion (2S,3R)-OH bupropion
CYP2C9 Diclofenac 4′-OH-diclofenac
CYP1A Phenacetin Paracetamol
CYP2C19 Mephenytoin 4′-OH-mephenytoin
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7 Human primary hepatocytes maintained in enhanced medium retain CYP450 activity for 4 weeks in conventional 2D cultures
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Figure 4. CYP450 activity is stable in enhanced hiPS-HEP cells over a 21-day time window. LC/MS was used to analyze CYP450 activity in cultured enhanced hiPS-HEP cells previously derived from the hiPS cell lines ChiPSC12, ChiPSC18, and ChiPSC22 (abbreviated as C12, C18, and C22). CYP3A (Panel A), CYP2C9 (Panel B), CYP1A (Panel C), and CYP2C19 (Panel D) activities in enhanced hiPS-HEP cells are stable over an extended culture time. Cryopreserved human primary hepatocytes (hphep), which are functional in culture for a significantly shorter time than enhanced hiPS-HEP cells, were thawed and cultured for 20 hours, and data are shown as the black bar in each panel. CYP2D6 and CYP2B6 activity was also detected at low levels (data not shown).
Figure 6. Enhanced hiPS-HEP cells cultured in enhanced maintenance medium have functional drug-metabolizingmachinery. Phase II enzymes and transporters continue the drug-metabolizing process. The modifications made by phase IIenzymes like sulfotransferases (SULT) and uridine diphosphate glucuronosyltransferase (UGT) increase the solubility of mostcompounds, generally leading to their renal excretion. Panel A. mRNA expression of phase II enzymes after 20 days inculture, relative to hphep after 24 hr (dashed line). Panel B. Expression of uptake genes (NTCP) and efflux genes (BSEP,MRP2, and MDR1). Expression of these genes in C12, C18, and C22 was measured after 20 days in culture and comparedto hphep after 24 hr in culture (dashed line). Panel C. In sharp contrast to hphep, enhanced hiPS-HEP cells have high SULTactivity over time, as evidenced by the accumulation of the SULT metabolic product 7-OH-coumarin sulphate as well asincreased accumulation of the UGT metabolite 7-OH-coumarin glucuronide (Panel D). These samples both represent datapooled from two wells compared to hphep from n=3 donor lines, and levels were measured by LC/MS.
Figure 7. Use of new enhanced maintenance medium on hpheppreserves CYP450 activity. Panel A. Representative phase contrastimages showing morphology of human primary hepatocytes cultured for28 days post-thawing in the enhanced maintenance medium (n=2donors). Scale bar = 100 μm. Panel B. CYP1A, 3A, 2C9, 2B6, 2D6,and 2C19 activities in hphep cultured for 28 days post-thawing.Metabolites tested are the metabolites listed in Figure 3, Panel A andwere measured by LC/MS; n=2 donors, mean values ± SEM.
• Enhanced hiPS-HEP cells grown with modified enhanced medium:
o Contain many mature hepatic features, including expression of mature hepatic markers and gluconeogenesis genes. They contain functional features like albumin and urea secretion, and they retain these abilities over an extended culture period.
o Show expression and activity of CYP450 genes during an extended culture window
o Show expression and activity of additional drug-metabolizing enzymes during an extended culture window
• Our new enhanced medium can also maintain key CYP450 enzyme activities in cryopreserved human primary hepatocytes significantly longer than with conventional medium (28 days vs. 3 days).
Figure 3. Enhanced hiPS-HEP cells and human primary hepatocytes show similar CYP450 expression. Cytochrome P450 (CYP450) enzymes are the first step in drugmetabolism. CYP450 enzymes change compounds to an oxidized state. Later, other enzymes further metabolize the compounds. Taken together, the CYP450 genes representedhere can metabolize over 99% of existing drugs. Panel A. Drug substrate and oxidation products of the CYP450 genes, listed in order of the fraction of compounds metabolized byeach enzyme. Panel B. For all genes tested, the mRNA expression as quantified by qPCR is either stable or increasing over time. We show the expression levels of eight CYPenzymes in enhanced hiPS-HEP cells derived from three different hiPSC lines (C12, C18, and C22) between Days 4 and 20 post-thawing. Data is presented as mean values
± SEM (n=2 different batches per hiPSC line). Expression levels were normalized to a calibrator and a reference gene. Panel C. mRNA expression of the eight most commondrug-metabolizing CYP450 genes in enhanced hiPS-HEP cells after 20 days of culturing was compared to that of cryopreserved human primary hepatocytes cultured for 24 hr.Expression levels of CYP3A4, 3A5, 3A7, 1A2, and 2C19 are similar to that of primary hepatocytes. Expression of hphep is shown as a dashed line, and mRNA levels arepresented as values relative to hphep.
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Figure 5. Enhanced hiPS-HEP cells are a high-quality model system for chronictoxicity exposure. Panel A. EC50 (concentration with 50% loss of viability) of four differentcompounds metabolized by a variety of CYP enzymes. Similar to hphep, enhanced hiPS-HEP cells show increasing sensitivity to compounds after prolonged exposure. Panel B.Representative plots of the dose-response curves of enhanced hiPS-HEP cells. EnhancedhiPS-HEP cells (from C18 and C22) were dosed with four compounds between Days 4 and18 post-thawing (eight concentrations per compound) and cell viability was assessed after 2,7, and 14 days of compound exposure using a CellTiterGlo assay. Supplemental data isavailable upon request. The 3D spheroid hphep experiments were performed atAstraZeneca and Karolinska Institute (within the Scr & Tox project).
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