Author contributions: Z.G.: conception and design, financial support, collection and assembly of data, data analysis and interpretation, manuscript writing, final approval of manuscript; S.G.K.: conception and design, collection and assembly of data, data analysis and interpretation; A.S., G.B., and A.K.: collection and assembly of data; M.D.M.: provision of study material; A.B.: collection and assembly of data, data analysis and interpretation; O.Y.: financial support, data analysis and interpretation; J.A.Z.: financial support, data analysis and interpretation, manuscript writing, final approval of manuscript.
Disclosure of potential conflicts of interest is found at the end of this article.
First published online in STEM CELLSExpress October 30, 2008.
Human embryonic stem cells (hESC) have the potential to revolutionize certain medical treatments, including T-cell-based therapies. However, optimal approaches to develop T cells from hESC are lacking. In this report, we show that T-cell progenitors can be derived from hESC cultured as embryoid bodies (EBs). These EB-derived T-cell progenitors give rise to phenotypically and functionally normal cells of the T lineage when transferred into human thymic tissue implanted in immunocompromised mice, suggesting that introduction of these progenitors into patients may also yield functional T cells. Moreover, hematopoietic progenitors demonstrating T-cell potential appeared to be CD45+/CD34+, resembling those found in normal bone marrow. In contrast to T cells developed from hESC cocultured on murine stromal cells, the EB-derived T cells also expressed normal levels of CD45. Importantly, the EB system eliminates the previous need for murine cocultures, a key impediment to developing a protocol for T-cell progenitor derivation suitable for clinical use. Furthermore, following lentiviral-mediated introduction of a vector expressing enhanced green fluorescent protein into hESC, stable transgene expression was maintained throughout differentiation, suggesting a potential for gene therapy approaches aimed at the augmentation of T-cell function or treatment of T-cell disorders. STEM CELLS2009;27:100–107
In recent years, a number of protocols have been successfully developed to coerce human embryonic stem cells (hESC) to differentiate into cells of different lineages , including those of the hematopoietic system [2–8]. Previously, we demonstrated that hESC-derived T-cell progenitors could be generated by coculture with the murine bone marrow stromal cell line OP9 . However, the resulting thymocytes expressed only very low levels of CD45, bringing into question their functional capacity. Furthermore, the presence of murine cells made this system incompatible with clinical applications. We therefore investigated alternative methods of T-cell differentiation from hESC. The embryoid body system has been used to differentiate hESC into a variety of different cell types . In this method intact hESC colonies are detached from the culture plates by enzymatic treatment and transferred to low-attachment, feeder-free plates, where they form EBs. At a low rate, EBs spontaneously differentiate into cells of all three germline layers; however, differentiation toward the desired lineage can be potentiated by addition of the appropriate cytokines . hESC-derived EB cultures have been used previously to derive hematopoietic progenitors and cells of myeloid and erythroid lineages in the absence of mouse stromal cells [3, 5–7]. However, this system has never been tested for its potential to generate T-cell progenitors. In this report, we demonstrate that an EB culture system can generate hematopoietic progenitors capable of developing into cells of the T lineage, which express normal levels of CD45 and other T-cell markers and respond to TCR ligation.
MATERIALS AND METHODS
hESC line H1 was cultured on irradiated CF-1 mouse embryonic fibroblast feeders in Dulbecco's modified Eagle's medium (DMEM)/Ham's F-12 medium (F12) containing 20% Serum Replacer (Invitrogen, Carlsbad, CA, http://www.invitrogen.com), 2 mM L-glutamine, 100 μM nonessential amino acids, 0.1 mM β2-mercaptoethanol, and 10 ng/ml basic fibroblast growth factor (Invitrogen). The cells were passaged on a weekly basis using collagenase IV (Invitrogen). All work with hESC was approved by the UCLA Embryonic Stem Cell Research Oversight committee.
To generate enhanced green fluorescent protein (EGFP)-expressing hESC we used lentiviral vectors pSIN18.cPPT.hEF1α-EGFP.WPRE  and pFG12-green fluorescent protein (GFP)-IRES-NEO. The FG12-GFP-IRES-NEO lentiviral vector was constructed by first polymerase chain reaction (PCR) amplifying the IRES-NEO cassette from pTOPO-IRES-NEO using the sense primer CGAGCTGTACAAGTAAACGCCCTTTACCTGCAGGCGACGAC and the antisense primer TCTGTACATAGCTAGCCCTTTAGTCGACGCTCAGAAGAAC (BsrGI restriction sites are indicated). The BsrGI-digested PCR fragment was then inserted into the unique BsrGI site present at the end of the EGFP coding sequence in lentiviral vector FG12  (kind gift from Dr. David Baltimore). The sequence of the final clone is available upon request. The protocol for transduction of H1 cells with pSIN18.cPPT.hEF1α-EGFP.WPRE, and the selection of the transduced cells was described previously . H1 cells transduced with pFG12-GFP-IRES-NEO were grown for 4 weeks on irradiated DR4 mouse embryonic fibroblast feeders under selection of 200 μg/ml G418. These cells were used in the experiments presented in Figures 5 and 6.
Formation and Differentiation of EBs
Two days before regular passage (day 5), undifferentiated hESC at confluence in six-well plates were treated with 0.5 mg/ml Dispase (Invitrogen) in DMEM/F12 for 20 minutes at 37°C. The hESC colonies were detached by gentle pipetting, washed twice, and transferred to six-well low-attachment plates (Corning Enterprises, Corning, NY, http://www.corning.com) to allow for EB formation by overnight incubation in differentiation medium. The differentiation medium consisted of Iscove's modified Dulbecco's medium supplemented with 15% non-heat-inactivated defined fetal bovine serum (HyClone, Logan, UT, http://www.hyclone.com), 1% nonessential amino acids, 1 mM L-glutamine, 0.1 mM β2-mercaptoethanol, 100 units/ml penicillin, and 100 μg/ml streptomycin. The medium was exchanged every 2 days, and starting at day 4 the EB cultures were supplemented with 10 ng/ml bone morphogenetic protein-4 (BMP-4) (R&D Systems Inc., Minneapolis, http://www.rndsystems.com), 300 ng/ml stem cell factor (Amgen, Thousand Oaks, CA, http://www.amgen.com), and 20 ng/ml Flt-3 ligand (Invitrogen). BMP-4 was removed from the differentiation medium on day 12. To obtain a single-cell suspension, the EB cultures were harvested at different time points, washed twice in 1× phosphate-buffered saline, and treated with trypsin-EDTA (0.25%) supplemented with 2% chick serum (Sigma-Aldrich, St. Louis, http://www.sigmaaldrich.com) for 30 minutes at 37°C with periodic gentle agitation. The resulting suspension was washed twice, filtered through a 40-μm mesh to remove cell debris, and subsequently used for phenotypic analysis, methylcellulose assays, and the T-cell reconstitution experiments in SCID-hu mice.
To evaluate their hematopoietic potential, 5 × 104 of the total EB-derived cells were plated per plate in MethoCult GF+ H4435 (StemCell Technologies, Vancouver, BC, Canada, http://www.stemcell.com) methylcellulose-based medium and incubated in a humidified atmosphere at 37°C and 5% CO2 for 2 weeks, at which point the colonies were enumerated on the basis of their morphological characteristics. Cells were plated in quadruplicates.
In Vivo T-Cell Development
SCID-hu mice were generated as previously described . Briefly, small pieces of human fetal liver and thymus were inserted under the renal capsule of severe combined immunodeficient (SCID) mice and allowed to develop into a thymus-like organoid called a Thy/Liv implant. SCID-hu mice were irradiated at 300 RADs and injected with either 7.5 × 105 or 1.7 × 106 purified CD34+ cells directly into Thy/Liv implants. For the fractionation experiment, implants of SCID-hu mice were injected with either 5 × 104 (three or four mice) or 2.5 × 105 (three or four mice) cells for each of the four purified subsets of cells (CD34+/CD45+, CD34+/CD45−, CD34−/CD133+, and CD34−/CD133−). The Thy/Liv implant biopsies were performed at various time points as specified in the text. Single cell suspensions were obtained, and the cells were analyzed for the expression of EGFP and T-cell developmental markers. All immunodeficient mouse work was approved by the UCLA Animal Research Committee, and the use of human fetal tissues was approved by the UCLA Institutional Review Board.
Cell Sorting and Flow Cytometry
H1-GFP EB-derived progenitors were sorted by magnetic-activated cell sorting as previously described . For multiple subset cell sorting, cells were first labeled with anti-CD34 multisort microbeads (Miltenyi Biotec, Bergisch Gladbach, Germany, http://www.miltenyibiotec.com), and the positive and negative fractions were collected following two-column sorting (POSSEL_d2 program) on an AutoMACS cell sorter (Miltenyi Biotec). The magnetic beads were then cleaved off of the positive fraction, according to manufacturer's instructions, and cells were then labeled with anti-CD45 magnetic beads. The CD34-negative fraction was labeled with anti-CD133 microbeads (Miltenyi Biotec), and subsequent positive and negative fractions were collected following another AutoMACS sort (POSSEL_d2 program). As determined by postsort flow cytometry analysis there was typically a greater than 90% enrichment for the respective sorted populations. H1-GFP hESC cultured in vitro and cells derived from Thy/Liv implants were stained with monoclonal antibodies to CD3, CD4, CD5, CD7, CD8, CD10, CD11c, CD19, CD31, CD34, CD43, CD45, CD56, CD127 (Beckman Coulter, Fullerton, CA, http://www.beckmancoulter.com), CD117, CXCR4 (eBioscience), HLA-A2 (Serotec Ltd., Oxford, U.K., http://www.serotec.com), TCR, CD235 (BD Pharmingen, San Diego, http://www.bdbiosciences.com/index_us.shtml), and CD133 (Miltenyi Biotec) conjugated to either phycoerythrin, ECD, allophycocyanin (APC), PC5, PC7, Pacific Blue, or APC-Alexa750. Cells were analyzed by flow cytometry using a Coulter FC500 flow cytometer or a Becton Dickinson FACSAria (Becton, Dickinson and Company, Franklin Lakes, NJ, http://www.bd.com), and the phenotype was determined using FlowJo software (Tree Star, Ashland, OR, http://www.treestar.com).
T-Cell Receptor Vβ-Complementarity-Determining Region 3 Distribution Analysis
hESC-derived thymocytes were sorted on a FACSAria sorter (Becton Dickinson) on the basis of EGFP expression; EGFP+ cell purity was greater than 99% (data not shown). Total RNA was isolated from 3.5 × 105 sorted thymocytes by Trizol reagent (Invitrogen), and then 20 μl of total RNA was reverse-transcribed with random primers in a 40-μl reaction using high-capacity cDNA reverse transcription kit (Applied Biosystems, Foster City, CA, http://www.appliedbiosystems.com). To determine the diversity of complementarity-determining region 3 (CDR3) repertoire, TCR-Vβ-specific PCRs were performed for 24 Vβ families as described earlier . In short, each reaction has one Vβ-specific forward primer, as reported previously , along with a fluorescent-labeled (either 6-FAM, VIC, or NED) TCRβ constant region (Cβ-R: 5′-CTTCTGATGGCTCAAACAC-3′) reverse primer to amplify the CDR3 region. These amplified fragments with the fluorescent label on each amplicon were run through the capillary-electrophoresis system on an ABI-3130 genetic analyzer, and the TCRVβ-CDR3 length distribution was analyzed by calculating the fluorescent intensity and the length of nucleotide fragment using Genemapper software (Applied Biosystems).
Thymocytes from Thy/Liv implants injected with EB-derived EGFP+ cells and thymocytes from control animals were harvested 4 weeks postinjection and cultured in RPMI 1640 medium containing 10% humanAB serum (Gemini Bio-Products, West Sacramento, CA, http://www.gembio.com), 100 units/ml penicillin, and 100 μg/ml streptomycin (Sigma-Aldrich). A fraction of the cells from each biopsy was costimulated with anti-CD3 (1 μg/ml) (Ortho Biotech, Bridgewater, NJ, http://www.orthobiotech.com) and cross-linked to the plate with goat anti-mouse IgG and soluble anti-CD28 (100 ng/ml) (Beckman Coulter). After 3 days of costimulation the cells were assessed for CD25 expression by flow cytometry.
To asses the T-cell potential of EB-derived cells we used the H1 hESC line transduced with a EGFP-expressing lentiviral vector . H1 cells were differentiated in EBs according to the protocol of Chadwick et al. , with the exception of an altered cytokine differentiation cocktail composed of BMP-4, stem cell factor (SCF), and Flt-3L (Fig. 1). The EBs generated in this way exhibited a typical appearance and maintained the expression of EGFP throughout the culture period (Fig. 2A). Importantly, this protocol resulted in the development of CD34+ cells, most of which also expressed markers associated with early hematopoietic progenitors, such as CD45, CD43, and CD133 (Fig. 2B). CD38, a marker of differentiating hematopoietic progenitors, was also coexpressed on a subset of CD34+ cells. Some of the CD34+ cells also expressed CD184 (CXCR4), a known chemokine receptor critical for progenitor cell migration during thymopoiesis  (Fig. 2B). To better define the potential of the EB system to support hematopoietic differentiation, we performed kinetic studies of hematopoietic marker expression and hematopoietic progenitor formation (Fig. 2C, 2D). The expression of CD34 was detectable by flow cytometry at the earliest time point tested (day 8). However, expression of CD45 lagged and was not observed until day 15 (Fig. 2C), indicating that the hematopoietic activity detected in EB cultures at earlier times (described below) precedes CD45 expression. We then assayed the hematopoietic potential of cells cultured as EBs for up to 39 days in a standard methylcellulose-based colony-forming assay. As shown in Figure 2D, the first hematopoietic activity was associated with day 10 of culture. Hematopoietic activity continued to increase until two and half weeks of EB culture, although some myeloid progenitors persisted up to day 39. At earlier time points erythroid colony-forming potential of EB-derived cells was observed, but this diminished over time and was completely lost by day 20. These data suggest that the cytokine combination used in our system supports development of multilineage hematopoietic progenitors.
To assess the T lymphoid potential of the EB-derived hematopoietic progenitors we used the SCID-hu mouse. In this animal model small pieces of human fetal liver and thymus are implanted under the renal capsule of SCID mice, where they develop into a thymus-like organ, the Thy/Liv implant [13, 17, 18]. This conjoint organ provides a microenvironment for long-term T-lineage differentiation. Importantly, we and others have previously shown that direct injection of exogenous CD34+ human hematopoietic progenitor cells into Thy/Liv implants in sublethally irradiated SCID-hu mice results in engraftment and T-lymphoid differentiation of the exogenous cells [9, 19–21].
In two independent experiments, we purified CD34+ cells from 8-, 10-, and 12-day EB cultures (experiment 1) or from 12-, 15-, 18-, and 21-day EB cultures (experiment 2) and injected these into Thy/Liv implants of irradiated SCID-hu mice. The implants were biopsied at different time points, starting at 3 weeks postinjection, and analyzed for the presence of EGFP+ thymocytes that would be derived from hESC (Table 1; supporting information Table 1). Engraftment of the hESC-derived EGFP+ cells was seen in 17 of 38 injected animals and ranged from 0.015% to 23.9% of human cells (supporting information Table 1). Given the inherent variation in implant sizes, it is misleading to use the percentages of EGFP+ cells following progenitor cell transfer as an absolute measure of the reconstitution efficiency in the transferred population. Therefore, we used the frequency of engraftment as a means of assessing T progenitor potential. Our data indicate that the T-cell reconstitution potential increased with the duration of the EB culture up to day 15, at which point we observed a maximum engraftment frequency of 66%. Interestingly, the T-cell potential seemed to be completely lost by day 21 of EB culture, indicating the transient nature of T-cell progenitor development in this system. However, the presence of EGFP+ thymocytes clearly demonstrates the ability of the EB culture system to generate T lymphoid progenitors.
Table 1. Kinetic and phenotypic assessment of T cell progenitor development in EB cultures using the SCID-hu system
The implants receiving EB-derived progenitors, analyzed 4 weeks postinjection, displayed a distinct population of CD45+ EGFP+ cells, which was not detected in the control animals (Fig. 3). Most of these cells exhibited a CD4/CD8 double-positive phenotype, indicating an early T-cell developmental stage. This population of cells also expressed T-cell markers CD3, CD5, CD7, and TCRαβ at levels comparable to those found on control thymocytes (Fig. 4). CD45+ EGFP+ cells were still present in the same implants 8–9 weeks postinjection (Fig. 3, right panels). However, at this time their CD4/CD8 profile changed dramatically and consisted mainly of more mature single-positive CD4 or CD8 cells. This marked decrease in the percentage of CD4/CD8 double-positive cells as a function of time suggests limited self-renewal of T-cell progenitors in this system. These data either imply that the T-cell reconstitution by EB-derived progenitors is transient due to a limited self-renewal capacity of the cells or reflect the limited ability of the SCID-hu system to provide access to an environment needed to support continued stem cell renewal and differentiation. However, as later time points were not assessed, it also remains possible that additional waves of thymopoiesis may occur. It would be of considerable interest to directly compare, in future parallel studies, the longevity of T-lymphoid reconstitution between hESC-derived hematopoietic progenitors and those isolated from fetal liver, cord blood, or mobilized peripheral blood to determine whether any qualitative or quantitative differences between these progenitors exist.
Our previous studies using OP9 coculture of hESC could not distinguish the phenotype of the T progenitor cells . This was largely due to low levels of CD34+ and CD45+ cells in these cocultures. Therefore, to further characterize the phenotype of the EB-derived T-cell progenitors, we purified cells from day 17 EB cultures on the basis of their expression of the hematopoietic differentiation markers CD34, CD45, and CD133. Four purified subsets of cells (CD34+/CD45+, CD34+/CD45−, CD34−/CD133+, and CD34−/CD133−) were assayed for their T-lymphoid potential. Either 5 × 104 or 2.5 × 105 cells of each subset were introduced into Thy/Liv implants of SCID-hu mice. As shown in Table 1, our data clearly indicate that the T-cell potential of the cells derived from the EBs cultured for 17 days resides exclusively within the CD34+/CD45+ subset of cells. Implants of seven of eight mice injected with this population of cells contained EGFP+ cells, and these cells also exhibited normal thymocyte profiles of CD4 and CD8 expression. In contrast to this, only 1 (injected with 2.5 × 105 purified CD34+/CD45− cells) of the other 14 animals was positive for hESC-derived thymocytes (Table 1). These results also demonstrate the dose-dependent nature of the reconstitution assay. In humans, bone marrow-derived T-cell progenitors have been shown to express both CD34 and CD45 (reviewed in ). It appears that the hESC-derived hematopoietic progenitor cells generated in this culture system are more similar to bone marrow-derived progenitors than are those derived from hESC cocultured on OP9 . We conclude that the EB culture system supplemented with BMP-4, SCF, and Flt-3L promotes development of T-cell progenitors from hESC and that by day 17 these progenitors exclusively reside within the CD34+CD45+ population of cells.
To assess whether normal T-cell receptor rearrangement takes place in hESC-derived cells, we examined the frequency of usage of different Vβ gene fragments during the process of V(D)J recombination, as another measure of normal thymocyte development. hESC-derived thymocytes from several Thy/Liv implants were sorted on the basis of EGFP expression, pooled together, and subjected to spectratyping as previously described . Our data clearly establish that all 24 Vβ families tested have been used for generation of TCRs within the population of hESC-derived EGFP+ thymocytes (Fig. 5). Furthermore, TCR β-chain CDR3 length distribution in each Vβ family showed normal gaussian-like distribution, suggesting that the expected deletions and additions of nucleotides at the recombination junctions also take place during the process of V(D)J recombination in these cells. These data establish that hESC-derived thymocytes undergo a normal process of random V(D)J recombination in the thymic implants during T-cell development. This situation was comparable to that observed in the EGFP-control thymocytes (data not shown) and was similar to that reported in peripheral lymphocytes of healthy individuals .
Finally, to test the ability of EB-derived thymocytes to respond to TCR-mediated signals, we stimulated these cells with antibodies against CD3 and CD28 in vitro. We have shown previously that these costimulating conditions induce the expression of the high-affinity interleukin-2 receptor (CD25) on thymocytes derived from both normal human thymus and from thymocytes obtained from progenitors following OP9 stromal cells cocultures and injections into Thy/Liv implants [9, 24]. The EB-derived EGFP+ cells from five of five Thy/Liv implants tested responded to the costimulation by expressing CD25 on their surface (Fig. 6), suggesting that the hESC-derived cells were functional and able to respond to TCR-mediated signals.
Previously, our group demonstrated that hESC can differentiate through the T-lymphoid lineage by sequential in vitro coculture on the murine bone marrow stromal cell line OP9 and subsequent engraftment into human Thy/Liv implants in SCID-hu mice . However, the hESC-derived hematopoietic progenitors and the resulting thymocytes expressed unusually low levels of the hematopoietic marker CD45, a molecule known to be involved in normal T-cell signaling. Although those hESC-derived thymocytes responded to antibody-mediated costimulation in vitro, we could not exclude the possibility that the low levels of CD45 might affect their function in vivo. Here we show that the EB-derived T-cell progenitors give rise to T lineage cells with normal expression of CD45, indicating that the EB system is superior to murine stromal cell coculture for generating T progenitor cells. Interestingly, we found that the CD34+ cells purified from EBs cultured for shorter periods of time have low to undetectable (by flow cytometry) surface expression of CD45, similar to what was observed in the OP9 cocultures. Nevertheless, the resulting thymocytes expressed levels of CD45 comparable to those seen on endogenous thymocytes from the Thy/Liv implants (not shown). These data suggest that the EB and thymic microenvironments are capable of providing necessary signals for the controlled expression of CD45 and highlight another difference between OP9-derived progenitors and those derived from EB cultures. Clearly, different systems for hESC differentiation predispose the resulting hematopoietic progenitors to respond to the same signals from the thymic microenvironment in different ways. These data also suggest that the low level of CD45 expression seen in OP9 coculture experiments is not an intrinsic property of hESC-derived hematopoietic progenitors and T cells but rather an effect of the OP9 coculture system. It is possible that, depending on the culture conditions, the CD45 locus may attain different epigenetic footprints regulating expression, and in the case of hESC/OP9-derived progenitors this level of control cannot be fully overridden by intrathymic signals.
Interestingly, in our previous studies using OP9 cocultures , we did not observe a high frequency of CD34+/CD45+ cells, suggesting that the hematopoietic developmental process was not yet completed. We subsequently noted T-cell progenitor activity in two subsets, CD34+ and CD34−/CD133+ cell populations, at relatively early time points of coculture, suggesting that cells in both subsets had the capacity to respond to thymic signals. We did not explore later time points in that study. In our current studies using EB cultures, by day 17 we observed a relatively robust generation of CD34+/CD45+ cells. This subset contained all of the T progenitor activity, whereas CD34−CD133+ cells did not exhibit any T lymphoid potential, suggesting that we had fully differentiated all immature progenitor subsets. However, at earlier time points in the current study, CD34+/CD45-negative cells appeared capable of T-cell progenitor activity, perhaps reflecting a more immature progenitor phenotype. Since CD133 is a marker found on very immature progenitor cells of several lineages, it would be of interest to determine whether CD34−CD133+ cells would give rise to T lineage cells if taken from EB cultures at a time point earlier than day 17.
It would also be interesting to directly compare the T lymphoid potential of EB- and OP9-derived progenitor cells. This could theoretically be done using the SCID-hu model; however, this model is cumbersome, and the expense and labor associated with generating these mice make this system less attractive for performing detailed quantitative studies. Consequently, a functional in vitro system for T-cell development from hESC would be desirable. However, at the time of this writing a system of this type has not been reported. A recent study by Martin et al. suggests that it may not be possible to differentiate hESC cultured on mouse bone marrow stromal cells into T lineage cells using the standard in vitro models of T-cell development, such as coculture with OP9 expressing the Notch ligand Delta-like 1 or fetal thymic organ culture . It remains to be established whether hESC-derived hematopoietic progenitors generated via EBs would behave the same way.
Our studies also show that T cells developed following EB culture retain expression of a transgene introduced into the original hESC, as the expression of EGFP was maintained throughout the differentiation process. The ability to genetically manipulate T cells or their progenitors could allow for correction of congenital defects affecting T-cell development and function , generation of T cells with enhanced roles in immune responses to tumors and pathogens , or generation of cells resistant to certain infectious microorganisms, such as HIV [28, 29]. The relevance of these approaches is highlighted by the fact that several clinical trials are currently being conducted using genetically modified T cells or hematopoietic progenitors [28–31] (reviewed in ). However, the scope and analysis of such genetic manipulations and the ability to generate large numbers of modified cells are severely limited by the inability to maintain and expand primary T cells and hematopoietic progenitors ex vivo without losing their functional properties. A vast improvement in this regard may be achieved by using hESC. These cells are routinely cultured for long periods of time , and they can be genetically manipulated [34–38], expanded to numbers needed for clinical applications, and cryopreserved for future use. Moreover, a detailed genomic analysis of modified hESC can be conducted, possibly avoiding cases of vector insertion-induced oncogenesis . However, to be used in clinical applications, hESC derivatives will have to be developed in systems free of animal products. In this report we demonstrate that the EB culture system can generate hematopoietic progenitors capable of developing into phenotypically normal T lineage cells. This system of differentiation is devoid of animal cells and, with small improvements, could be completely animal product-free, as major advances have recently been made in optimization of xeno-free conditions for hESC derivation and culturing . Furthermore, this technology could be scaled up in an industrial setting to provide sufficient quantities of EB-derived hematopoietic progenitors for downstream applications [41, 42]. In terms of generating T cells, our results suggest that hESC need only be differentiated as far as hematopoietic progenitor cells in vitro and that the thymus of the treated patient would then complete the differentiation program to CD4+ and CD8+ T cells in vivo. It remains to be determined whether the recently described human induced pluripotent stem (iPS) cells [43–46] have hematopoietic potential similar to that of hESC. However, in theory they can be similarly manipulated. With the aforementioned concepts in mind, one can envision that genetically manipulated hESC or iPS cells with well-characterized vector integration sites could be expanded to large numbers under xeno-free conditions and used in the near future for cell-based therapies for treatment of certain hematopoietic disorders or for manipulating T-cell immune responses.
Human embryonic stem cells hold much promise for transplant medicine, including reconstitution of the immune system. Herein we describe a feeder-free procedure to obtain hESC-derived hematopoietic progenitor cells capable of forming T-lineage progeny. These cells express both CD45 and CD34 and are capable of undergoing robust T-cell receptor rearrangement following introduction into human thymic tissues. Our studies suggest that hESC may have the potential to reconstitute the T-cell arm of the immune system or as a vehicle for gene therapeutic approaches to augment T-cell immunity.
We thank Ken Dorshkind and Helen Brown for critically reviewing the manuscript. We also thank Hongying Chen and Jessica Potts for technical assistance. This work was supported by California Institutes for Regenerative Medicine (CIRM) Grants RS1-00203-1 (to Z.G.) and RC1-00149-1 (to J.A.Z.), NIH Grants AI036554, P01-GM081621 (to J.A.Z.), and AI043203 (to O.Y.) and the UCLA Center for AIDS Research. A.S. is supported by a UCLA-CIRM training grant.
DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST
The authors indicate no potential conflicts of interest.