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The introduction of four transcription factors Oct4, Klf4, Sox2 and c-Myc by viral transduction can induce reprogramming of somatic cells into induced pluripotent stem cells (iPSCs), but the use of iPSCs is hindered by the use of viral delivery systems. Chemical-induced reprogramming offers a novel approach to generating iPSCs without any viral vector-based genetic modification. Previous reports showed that several small molecules could replace some of the reprogramming factors although at least two transcription factors, Oct4 and Klf4, are still required to generate iPSCs from mouse embryonic fibroblasts. Here, we identify a specific chemical combination, which is sufficient to permit reprogramming from mouse embryonic and adult fibroblasts in the presence of a single transcription factor, Oct4, within 20 days, replacing Sox2, Klf4 and c-Myc. The iPSCs generated using this treatment resembled mouse embryonic stem cells in terms of global gene expression profile, epigenetic status and pluripotency both in vitro and in vivo. We also found that 8 days of Oct4 induction was sufficient to enable Oct4-induced reprogramming in the presence of the small molecules, which suggests that reprogramming was initiated within the first 8 days and was independent of continuous exogenous Oct4 expression. These discoveries will aid in the future generation of iPSCs without genetic modification, as well as elucidating the molecular mechanisms that underlie the reprogramming process.
The introduction of four transcription factors, Oct4, Klf4, Sox2 and c-Myc, by viral transduction can induce the reprogramming of somatic cells into induced pluripotent stem cells (iPSCs), which resemble embryonic stem cells (ESCs) 1, 2, 3, 4. The iPS technique represents a breakthrough in the stem cell field and provides a promising cell resource for customized patient-specific cell therapies. However, the clinical applications of iPSCs are hindered by the potential risks of genetic mutation caused by the integration of exogenous genetic material into chromosomes. Although several nonintegrative methods have been developed to generate iPSCs, induction efficiency is still quite low 5, 6, 7, 8.
However, recent reports indicate that the reprogramming efficiency can be enhanced by the presence of small molecules, such as valproic acid (VPA, an HDAC inhibitor), AZA (a DNMT inhibitor), butyrate (an HDAC inhibitor) and vitamin C 9, 10, 11, 12. In addition, two small molecule inhibitors, CHIR99021 (a GSK3-β inhibitor) and PD0325901 (a MEK/ERK inhibitor), were found to enhance the completion and efficiency of reprogramming process 13.
Importantly, some small molecules have also been reported to be able to replace some transcription factors in iPSC generation. For example, a G9a inhibitor, BIX01294, was reported to induce iPSCs from neural stem cells, in place of Oct4 14. Kenpaullone could substitute for Klf4, although the underlying mechanism is still unclear 15. In addition, a transforming growth factor (TGF)-β inhibitor (named 616452) could replace Sox2 during iPSC generation 16, 17, 18. So far, at least two transcription factors, Oct4 and Klf4, are still required to generate iPSCs from fibroblasts in the presence of a TGF-β receptor inhibitor 16, 17. Thus, it became of intense interest to investigate whether the requirement of exogenous transcription factors could be further eliminated to achieve complete chemical reprogramming by novel small molecules or novel combinations of small molecules that facilitate reprogramming.
In this work, we found that a specific small molecule combination alleviated the requirement for Sox2, Klf4 and c-Myc and induced mouse fibroblasts into iPSCs in the presence of a single transcription factor, Oct4. Our finding takes one step closer to the generation of iPSCs by small molecules without any genetic modification, and provides a unique platform for future screening to identify small molecules that could further replace the requirement for exogenous expression of Oct4.
In our initial experiments, we isolated OG-MEFs (E13.5 mouse embryonic fibroblasts (MEFs) from OG transgenic mice, which contain an Oct4-GFP reporter system to indicate the pluripotent status). OG-MEFs were transduced with lentiviral vectors expressing Oct4/Sox2/Klf4 and cultured in the presence of several selected small molecules reported to facilitate reprogramming. We found that small molecules VPA and CHIR99021 greatly improved the efficiency of GFP+/iPS-like colony generation (approximately 30-fold) so that approximately 30 iPS colonies were generated from 1 × 104 MEFs within 15 days after infection. Experiments were repeated three times and representative data are shown in Figure 1A.
Next, we used a TGF-β inhibitor, 616452, which reportedly can replace Sox2 during iPSC generation 16, 17. We first found that iPSCs were efficiently generated using only two transcription factors Oct4 and Klf4, in combination with VPA, CHIR99021 and 616452 (this small molecule combination was termed VC6); 5-20 GFP+/iPS-like colonies were generated from 5 × 104 MEFs within 15 days after infection. Experiments were repeated three times and representative data are shown in Figure 1B. We further discovered that GFP+/iPS-like colonies were generated using only Oct4 and VC6 treatment when MEFs and adult fibroblasts (isolated from the lips of a 4-week-old mouse) were cultured for 30 days, though the efficiency was quite low, only 1 in 2 × 105 cells (in five experiments, two could not obtain GFP+/iPS-like colonies) (Figure 1D). To confirm the necessity of the small molecules, these small molecules were each removed in turn, from the Oct4-induced reprogramming protocol. iPSCs could not be obtained in the absence of VPA, CHIR 99021 or 616452.
To improve reprogramming efficiency, small molecule libraries (Tocris Total; Sigma LOPAC and Prestwick Chemical Libraries) were screened in combination with exogenous Oct4/Sox2/Klf4 in MEFs to identify the compound candidates that facilitate reprogramming. We found that an H3K4 demethylation inhibitor, tranylcypromine, significantly promoted iPSC generation (by approximately 20-fold) induced by Oct4/Sox2/Klf4 with a level of efficiency similar to that with the use of VPA. When VPA and tranylcypromine were added together, iPSC generation efficiency increased further. Representative data from three experiments are shown in Figure 1C. Next, we found that when tranylcypromine was added to the VC6 chemical combination (termed VC6T), approximately 1-15 GFP+/iPS-like colonies (in 10 independent experiments) were generated from 5 × 104 OG-MEFs on day 18 following transduction of Oct4 alone (Figure 1E and and1F).1F). The reprogramming efficiency is much improved compared to the MEFs transduced with Oct4 and treated with VC6. In contrast, no colonies appeared in control OG-MEFs without small molecule treatment or without Oct4 introduction. GFP+ colonies were picked and passaged, and PCR analysis confirmed the presence of only exogenous Oct4 DNA in the genome, without any exogenous Klf4, Sox2 and c-Myc (Figure 1G). Similar results were obtained with three batches of OG-MEFs and from MEFs of different mouse strains, ICR×OG, 129×OG and C57×OG (data now shown). In addition, we tested different concentrations of small molecules in VC6T, and suggest the optimal concentrations in Supplementary information, Figure S1.
GFP+/iPS-like colonies generated from OG-MEFs were selected, replated onto MEF feeder cells and expanded under mouse embryonic stem cell (mESC) growth conditions without additional small molecule treatment. These GFP+/iPS-like cells (referred to as Oct4-iPSCs) had normal karyotypes and maintained GFP+/iPS-like morphology and alkaline phosphatase (AP) activity for more than 20 passages (Figure 2A). The pluripotent characteristics of the Oct4-iPSCs were further examined by immunostaining and reverse-transcription (RT)-PCR. Specifically, Oct4-iPSCs were positively stained for pluripotency-specific mESC markers, including Oct4, Sox2, Nanog, Utf1, Rex1 and SSEA1 (Figure 2A). RT-PCR showed that the iPSCs also expressed pluripotency marker genes, such as Nanog, Utf1, Rex1, Fbx15, Dax1, e-Ras and Cripto (Figure 2B). DNA methylation analysis of the Nanog and Oct4 promoters showed that demethylation levels in Oct4-iPSCs were similar to those of mESCs. In contrast, the Nanog and Oct4 promoters of normal OG-MEFs were hypermethylated (Figure 2C). Microarray analyses showed similar global gene expression profiles among Oct4-iPSCs, 4F-iPSCs (iPSCs induced by Oct4, Sox2, Klf4 and c-Myc) and mESCs, which were very different from that of OG-MEFs (Figure 2D). These results indicate that Oct4-iPSCs share characteristics with 4F-iPSCs and mESCs.
To analyze the differentiation potential of the Oct4-iPSC lines, we tested their capacity to differentiate into cell types of the three germ layers. All three Oct4-iPSC lines chosen for teratoma testing formed teratomas in vivo 4-6 weeks after injection, and tissues of all three germ layers were detected (Figure 3A). In addition, these Oct4-iPSCs were efficiently incorporated into the inner cell masses of mouse blastocysts after aggregation with eight-cell embryos. When the aggregated embryos were transplanted into mice, GFP+ cells were detected in the gonadal tissues at 17 days post coitum (dpc), suggesting that Oct4-iPSCs contribute to the germ line (Figure 3B). Chimeric embryos further developed into adult mice with a high degree of chimerism (Figure 3C and and3D).3D). These results indicate that the Oct4-iPSC lines can develop and differentiate in vivo to generate chimeric mice with germ-line contribution. Thus, Oct4-iPSCs have similar differentiation potential to primary mouse ESC.
We further tested whether the VC6T small molecule combination could enable Oct4-induced reprogramming in adult mouse fibroblasts. Dermal fibroblasts were isolated from the lip and back of 8-week-old mice. We found that Oct4 in combination with VC6T treatment indeed induced reprogramming of adult mouse fibroblasts, although the induction time was longer than that of MEFs (more than 25 days after transduction) (Supplementary information, Figure S2A). The resulting adult iPSCs expressed the pluripotency markers Oct4, Nanog, Utf1, Rex1 and SSEA1, as detected by immunofluorescence (Supplementary information, Figure S2B). Oct4-iPSCs generated from adult fibroblasts were able to produce adult chimaeras, after blastocyst transplantation (Figure 3C). We also confirmed by genome PCR that iPSCs derived from adult mouse fibroblasts had only one introduced reprogramming gene, Oct4 (Supplementary information, Figure S2C).
To better understand the mechanism of the reprogramming process in Oct4-induced iPSC generation, we established a tet-on system to drive Oct4 expression in MEFs (TET-O MEFs). MEFs were treated with VC6T throughout the reprogramming process, and doxycycline (dox) was added at different time points over the course of the experiment. We found that 8 days of dox-induced Oct4 expression was sufficient for iPSC generation observed at day 24 after transduction (Figure 4A). Efficiency increased when Oct4 expression was induced for 12 days (Figure 4A), which is in consistent with previous reports that a greater number of iPSCs are generated when exogenous reprogramming factors were expressed for longer period of time 19, 20. However, iPSC colony numbers decreased when Oct4 was induced for more than 12 days, and most of the iPSC colonies emerged 4-8 days after dox withdrawal (Figure 4A). These data suggest that expression of exogenous Oct4 must be silenced to facilitate the activation of endogenous pluripotency transcriptional circuitry, which is consistent with previous reports that reprogramming efficiency may be impaired with the prolonged expression of exogenous genes 19. The results suggest that Oct4, together with VC6T treatment, initiates the reprogramming process early within the first 8 days. After that, Oct4 is not essential to the reprogramming process, but it may enhance the efficiency of iPSC generation from days 8 to 12, whereas exogenous Oct4 may impair iPSC generation after day 12.
We next induced Oct4 expression throughout the reprogramming process, and added VC6T at different time points. VC6T treatment in the first 10 days was sufficient to enable Oct4-induced iPSC generation (Figure 4B). These results are consistent with our findings that endogenous Sox2 and Nanog were expressed and that Klf4 expression was elevated at days 10-15 after transduction, before the emergence of iPSCs (Supplementary information, Figure S3). Endogenous expression of Oct4 was not detectable before the generation of iPSCs, however. It is possible that endogenous expression of Sox2, Klf4 and Nanog triggered by the small molecules help drive the reprogramming process in Oct4-induced iPSCs.
In this study, we found that the combination of four small molecules, VPA, tranylcypromine, CHIR99021 and 616452 (VC6T), was sufficient to induce reprogramming in combination with a single transcription factor, Oct4, thus replacing Sox2, Klf4 and c-Myc. Furthermore, the resulting Oct4-iPSCs exhibited differentiation potential into cell types of all three germ layers and germ-line transmission in chimeric mice.
Oct4 is the master regulatory gene in cell pluripotency and may serve as a pluripotency determinant in reprogramming 21, 22. On the bases of the data shown here, we propose that the small molecule combination VC6T may facilitate iPSC generation by lowering several major barriers to the reprogramming process. VPA (an HDAC inhibitor) and tranylcypromine (an H3K4 demethylation inhibitor) are epigenetic modulators that have been reported to facilitate iPSC generation 9, 23, 24. VPA was previously found to cause upregulation of the expression of ESC-specific genes in MEFs 9. Tranylcypromine was also reported to activate endogenous Oct4 expression in EC cells 25. The effects of these two small molecules suggest that H3K4 demethylation and histone deacetylation could be two critical epigenetic barriers to reprogramming that may repress the establishment of a pluripotency transcriptional network. In addition, it has been reported that either GSK3-β inhibition by CHIR99021 or TGF-β signaling inhibition by 616452 could efficiently replace Sox2 for reprogramming 16, 17, 24. Inhibition of GSK3-β by Wnt signaling has been reported to enhance mESC self-renewal and cell reprogramming, possibly by regulating the stability of c-Myc protein 26, 27. In addition, TGF-β inhibition was reported to promote mesenchymal-to-epithelial transition 28, 29, 30 and facilitate Nanog gene expression during the reprogramming process 17. Taken together with our findings, GSK3-β and TGF-β signaling may be two major barriers that normally repress the reprogramming process. In our study, lowering these four major reprogramming barriers (two epigenetic barriers and two signaling barriers) was sufficient to allow reprogramming by Oct4 induction alone.
Consistent with this model, we found that VC6T treatment facilitated Sox2, Klf4 and Nanog (SKN) expression in Oct4-induced reprogramming. However, it is possible that the elevated expression of SKN represents only tangential markers of an Oct4-induced reprogramming process, because Oct4 was not strictly required 8 days after infection. Alternatively, SKN expression may have been activated earlier in a very small proportion of MEF cells, which could account for the Oct4-induced reprogramming but may not be detectable by RT-PCR. Therefore, it is still unclear whether elevated expression of SKN accounts for the mechanism of VC6T-facilitated reprogramming. More experiments are required to elucidate the mechanism of the iPSC induction process.
One small molecule, Kenpaullone, has been recently reported to be able to replace the reprogramming factor Klf4 in the generation of iPSCs from MEFs 15. However, the other three factors, Oct4, Sox2 and c-Myc, were still required. In this study, we replaced Klf4 with small molecules and enabled MEF reprogramming with only one single factor, Oct4. Neural stem cells have been reported to be reprogrammed into pluripotency by Oct4 transduction alone, although these cells endogenously express Sox2 and share a similar expression pattern of several pluripotency markers, including SSEA-1 and ALP, with ESCs 31. The MEFs used in our study did not endogenously express Sox2, and their gene expression profile differs extensively from that of ESCs. Moreover, the MEFs could not be reprogrammed with Oct4 in the absence of additional small molecule treatment.
The generation of Oct4-iPSCs from MEFs reported here represents an important step toward identifying a chemical combination that can entirely replace exogenous reprogramming factors, as we have identified a combination of four small molecules that allows reprogramming in the presence of a single exogenous transcription factor. Based on these findings, a screen assay could be designed to identify other small molecules that could replace Oct4, in combination with the small molecules identified here. These advances will be beneficial for elucidating the underlying molecular mechanisms of reprogramming and for generating iPSCs without genetic modifications that may hamper their clinical applications.
The transgenic mouse strain TgN(GOFGFP)11Imeg (OG) were bought from RIKEN BioResource Center. Other mouse strains included ICR, 129S2/SvPasCrlVr (129) and C57BL/6NCrlVr (C57), which were all bought from Beijing Vital River Laboratory Animal Inc. Animal experiments were performed according to the Animal Protection Guidelines of Peking University, China.
Primary MEFs were derived from transgenic mice including ICR×OG, 129×OG and C57×OG. Adult skin fibroblasts were isolated from the lips and backs of 7-week-old transgenic mice including ICR×OG, 129×OG and C57×OG. Fibroblasts and 293T cells were cultured in Dulbecco's modified Eagle's medium (DMEM; Hyclone) containing 10% fetal bovine serum (Invitrogen). mESC line R1 and iPS cells were maintained on Mitomycin C-treated MEFs in mESC culture medium consisting of 80% DMEM/F12 (Invitrogen), 10% knockout serum replacement (Invitrogen), 10% fetal bovine serum, 1 mM -glutamine, 1% nonessential amino acids, 0.1 mM β-mercaptoethanol (all from Invitrogen) and 1 000 U/ml Lif (Millipore). iPS cells and mESCs were passaged by trypsin (Invitrogen). The medium was changed every day.
Lentiviral vectors containing the four reprogramming factors (OCT4, SOX2, KLF4 and c-MYC) were described in the previous reports 32. Lentivirus production, collection and infection were also the same as described 32. For tet-on Oct4 systems, Fu-tet- hOct4 and FUdeltaGW-rtTA 19 were co-transfected into fibroblasts. Dox were added by 1 μg/ml. The culture medium of the infected cells was changed into mESC culture medium 48 h after infection. Although ascorbic acid (vitamin C) is contained in knockout serum replacement, additional 10 ng/ml stabilized form of ascorbic acid (Sigma) was added into mESC culture medium for iPSC generation 11. To promote fibroblasts proliferation, 10 ng/ml basic fibroblast growth factor (P&A Biotech) was added during the first 8 days after infection. The medium with small molecules VPA (0.5mM; Sigma), CHIR99021 (3 μM; Stemgent), 616452 (1 μM; Calbiochem) and tranylcypromine (5 μM; Tocris) was changed every 4 days. The GFP+/iPS-like colonies were picked at around day 20 to day 30 after viral transduction and maintained in the culture condition for mESCs.
To detect AP activity, we washed the cells with phosphate-buffered saline three times and stained with BCIP/NBT (Promega) for 15 min. For immunofluorescence, the primary antibodies included SSEA-1 (1:200; Millipore), Oct4 (1:200; Abcam), Sox2 (1:200; Santa Cruz), Rex1 (1:200; Santa Cruz), Nanog (1:40; R&D), Utf1 (1:200; Abcam), MAP2 (1:100; Millipore), α-SMA (1:200; Santa Cruz) and ALB (1:100; Dako). Secondary antibodies were rhodamine-labeled donkey anti-mouse IgG, rhodamine-labeled donkey anti-rabbit IgG, rhodamine-labeled donkey anti-goat IgG, rhodamine-labeled donkey anti-goat IgM and rhodamine-labeled goat anti-mouse IgG3 (all from Santa Cruz, 1:100 dilution). 4′6-Diamidino-2-phenyl indole was used for nuclear staining.
Genomic DNA sodium bisulfite conversion was performed using EZ-96 DNA Methylation kit (Zymo Research, Orange County, CA, USA). Sequenom's MassARRAY platform was used to perform quantitative methylation analysis, as described 31. PCR primers were designed using EpiDESIGNER (http://www.epidesigner.com).
Total RNA was isolated from cells using TRIzol (Invitrogen) and reverse transcribed using EasyScript Reverse Transcriptase (TransGen Biotech) according to the manufacturer's protocol. PCR amplification of different genes was performed using 2× EasyTaq SuperMix (TransGen Biotech). The primers used are given in Supplementary information, Table S1.
For embryoid body formation, we cultured iPS cells in an uncoated cell culture suspension dish (Corning) in the presence of DMEM supplemented with 15% fetal bovine serum, 1 mM -glutamine, 1% nonessential amino acids and 0.1 mM β-mercaptoethanol (all from Invitrogen). Embryoid bodies cultured in suspension for 7 days were transferred to plates coated with 0.1% geltin (Sigma). Attached cells were cultured for 6-9 days, and then used for further analysis. For neural cell differentiation, the 4-day embryoid bodies were plated in chemical-defined medium (DMEM/F12 with N2B27 supplement; Invitrogen) on Matrigel-coated plates. The medium was changed every day. For teratoma formation in vivo, per 105 iPS cells were injected into the kidney capsule of one severe combined immunodeficient beige mouse (n = 5). Teratomas were recovered 4 weeks after grafting. Control mice were injected with 1 million MEFs and failed to form teratoma (n = 3). Then they were embedded in paraffin and processed with hematoxylin and eosin staining.
Total mRNA from MEF, iPSCs and mESCs (R1) were labeled with Cy5, hybridized to a mouse Oligo Microarray (Phalanx Mouse Whole Genome OneArray; Phalanx Biotech) according to the manufacturer's protocol. Three technical repetitions were performed. The median of each sample was used for hierarchical clustering. Complete-linkage hierarchical clustering was performed using cluster 3.0 (written by Michael Eisen, Stanford University) with Spearman's rank correlation coefficient as gene distances measurement and Pearson's correlation coefficient as sample distances measurement.
In brief, 8-10 iPS cells were microinjected into the eight-cell embryos using piezo-actuated microinjection pipette. After culturing for 1 day, the embryos were transferred into the uterine horns of a 2.5 dpc ICR pseudopregnant recipient for the development of chimera mice. To test the tissue contribution of the iPS cells into the chimerical mice, we performed genome PCR for pOct4-GFP allele, followed the protocols provide by RIKEN BRC. Primers used were OCGOFU35, CTAGGTGAGCCGTCTTTCCA; and EGFPUS23, TTCAGGGTCAGCTTGCCGTA.
We thank JY Guan, JQ Ye, X Li, GF Meng, T Zhao, TT Xiang, JC Wang, HS Liu, X Zhang and X Sui (Peking University) for technical assistance and Dr Hochedlinger (Harvard University) for providing the doxycycline (Dox)-inducible lentiviral vectors. This research was supported by a Ministry of Science and Technology grant (2006AA02A113), Beijing Nature Science Foundation Grant (5100002), Science and Technology Plan of Beijing Municipal Government (D07050701350705), National Basic Research Program for China (973 Program 2009CB941101, 2010CB945204), National Natural Science Foundation of China (90919031 and 30421004), the Chinese Science and Technology Key Project (2009zx10004-403), a Bill and Melinda Gates Foundation Grant (37871) and a 111 Project to HD.
(Supplementary information is linked to the online version of the paper on the Cell Research website.)
Small molecules used at different concentrations in Oct4-induced reprogramming.
iPSCs induced from adult mouse fibroblasts by Oct4 and small molecules.
Endogenous expression of reprogramming factors in oct4-induced reprogramming.
Primers for RT-PCR and genome PCR test.