Stem cells are ideal and promising sources not only for studying cellular and developmental processes but also for developing regenerative therapeutics. However, many problems remain before these cells can serve as a practical source for clinical applications. The challenges include availability, efficiency, safety and ethical issues. Stem cells present in the human body are usually very limited in number and protocols to fully optimize efficiency of purification and use are still under development. These include development of particular cell lines capable of differentiating into clinically suitable cell types
1, transplantation methods to deliver the cells effectively into desired locations, and introduction of personalized traits tailored for individual needs
2. Safety is another concern because typical cell culture methods make use of animal sourced products such as serum and mouse feeder cell layers
3. In addition, cells to be transplanted typically originate from heterologous sources, increasing the risk of immune rejection
4. For example, commonly used human embryonic stem (ES) cells express an immunogenic non-human cell surface modification (sialic acid Neu5Gc), presumably due to the use of animal-derived products in the culture media
5. Furthermore, ethical issues continue to be a matter of debate, especially for the use of human ES cells
6. Many of these problems, we believe, can potentially be solved by using human adipose-derived stem (ADS; also known as processed lipo-aspirate, adipose stromal, or adipose tissue-derived mesenchymal stem) cells
7.
In addition to mature adipocytes, adipose tissue contains relatively abundant progenitor and mesenchymal stem cell (MSC) populations in the stromal vascular fraction (SVF). It is estimated that as many as 1% of SVF cells are MSCs. In contrast, only 0.001 – 0.002% of cells in the bone marrow, which is considered a standard hub of adult stem cells, represent MSCs
8. ADS and bone marrow-derived MSC cells are proliferative and ‘multipotent,’ having the capacity to differentiate into limited cell types such as adipocytes, osteocytes, chondrocytes, and myocytes
9,10. MSCs from adipose and bone marrow possess many common cell surface markers though a precise definition of ADS cell markers is not well established
11,12. It is advantageous to use fat tissue as a potential source for regenerative medicine because the tissue is abundant in this present era of global-wide obesity and relatively easy to obtain. Liposuction, a procedure to remove excess fat tissue, is among the most common plastic surgeries operated in the United States. Additionally, in contrast to bone marrow-derived MSCs that require initial plating with high density (>50,000 cells/cm
2), ADS cells can be seeded and maintained as low as 3,000 cells/cm
2.
The discovery of the ability to create ES cell-like, induced pluripotent stem (iPS) cells by transducing four transcription factors into somatic cells has revolutionized the stem cell field
13–16. This technology enables not only the study of cell dedifferentiation and differentiation but also development of patient-specific cells for disease models and regenerative therapies. Unlike ES cells, which are isolated from the blastocysts of an embryo, iPS cells can be derived from adult somatic cells and thus avoid many ethical concerns. We recently investigated if the ‘multipotency’ of ADS cells can be upgraded to ‘pluripotency,’ by introducing the four standard reprogramming factors, Oct4, Sox2, Klf4 and c-Myc
7. The resultant adipose-derived iPS cells exhibit all the characteristics and morphologies of ES cells from the corresponding species. Mouse and human adipose-derived iPS cells are over 5-fold and 100-fold more efficient in reprogramming than mouse and human fibroblasts, respectively, which are the most commonly used cell lines for iPS generation. Importantly, both mouse and human adipose cells are capable of giving rise to iPS cells without the need for feeder cells. This is due at least in part by the intrinsically high expression of self-renewal supporting factors such as basic FGF, vitronectin, fibronectin and LIF in ADS cells
7. We found that ADS cells also have the ability to serve as feeders for other pluripotent stem cell lines. This is a key step toward establishing safe, clinical-grade human iPS cell lines because culture of iPS cells typically requires feeder layers of mouse embryonic fibroblasts (MEF) and use of media containing animal components such as serum and bovine serum albumin (BSA)
3. We believe that generation of human adipose-derived iPS cells in xenobiotic-free conditions will obviate the development of non-human immunogenic surface markers described above. In addition, use of chemically defined media will ensure quality control, mitigate sources of biological variability and reduced the risk of animal-derived pathogen contamination.
Here we describe detailed protocols of ADS cell isolation and subsequent iPS cell line derivation. Use of ADS cells for supporting heterologous pluripotent stem cells as feeders is also described. In addition to retrovirus production of reprogramming factors, derivation of mouse ADS-derived iPS cells in feeder-free conditions is described, which produces about a 0.25% reprogramming efficiency. We also compare derivation of human ADS-derived iPS cells in feeder-dependent, feeder-free or xeno-free conditions. The reprogramming efficiencies are approximately 1.0% with feeder cells and ~0.008% without feeders or xenobiotics. The relative abundance and ease of isolation and derivation of ADS cells offers an ideal system for the study of the molecular mechanisms of cellular reprogramming and translation of stem cells into cell-based therapies.