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Module 1: Murine ES cell derivation and testing pluripotency Hubert Schorle, Department of Developmental Pathology The module will focus on early murine development and cell culture and surgical techniques used at this stage. Further, the methodology of testing pluripotency of ES cells and iPS cells by in vitro and in vivo techniques will be shown. During the module you will isolate preimplantation embryos in order to collect blastocysts for ES-cell injection and for derivation of novel ES-lines. Superovulation of female mice, choice of mousestrain and general handling techniques will be shown and discussed. The handling of ES (freezing-thawing and splitting) cells will be taught. Techniques for mitotic inactivation of primary feeder- (fibroblast) cells will be discussed. Requirements for cell culture media and sera (ES-grade) will be outlined. You will learn how to inject ES/iPS cells in blastocyst cavity followed by in utero transplantation. In parallel, you will learn how to setup an embryoid body differentiation system using microdrops in order to test the in vitro differentiation capabilities of ES and iPS cells. Demonstrations will include the system of trophectoderm stem cells (TSC) and we will discuss the factors governing inner cell mass and trophectoderm specification and maintenance. Module 2: Generation and characterization of human iPS cells Simone Haupts, Oliver Brüstle, Institute of Rekonstruktive Neurobiologie, Life & Brain Center Reprogramming of adult human fibroblasts using defined factors – OCT4, SOX2, KLF4, and MYC – to an induced pluripotent state has become a widely used technique. The so-called induced pluripotent stem cells (iPSCs) resemble human embryonic stem cells (hESCs) with respect to morphology, gene expression and functionality. IPS cells can differentiate into cell types of all three germ layers in vitro and form teratomas in vivo, demonstrating multilineage differentiation potential. IPS cells from patients carrying an inherited disease offer the opportunity to generate disease-affected cell types of otherwise inaccessible tissues such as the central nervous system. To establish suitable cell culture models individual primary hiPSC colonies must be initially harvested and further characterized by a rigorous validation process to select for optimal hiPSC clones. In this module we will demonstrate and discuss critical steps for the generation and validation of proper hiPSC clones. The module includes practical trainings on the identification, initiation of in vitro differentiation and cryopreservation of hiPSCs. Additionally, we will demonstrate the use of a new enabling technology (CellCelectorTM) for the automated isolation of pluripotent hiPSC colonies in a highly selective manner at the phase contrast, bright field or immunofluorescence level. Module 3: Generation and validation of human pluripotent stem cell-derived neural stem cells Jerome Mertens, Philipp Koch, Barbara Steinfarz, Anke Leinhaas, Oliver Brüstle, Institute of Reconstructive Neurobiology, Life & Brain Center Human pluripotent stem cells (hPSC) are expected to have far reaching applications for regenerative medicine and cell culture-based disease modeling. A key prerequisite for the use of patient-specific somatic cells in the study of neurological disorders is the generation of homogeneous and mature neuronal cultures, their phenotypic characterization and functional validation. This module will cover methods for in vitro differentiation and validation of human pluripotent stem cell-derived neural precursors, neurons and glia. Topics will include cell culture techniques for efficient neural conversion of hPSCs, key steps relating to patterning of neural precursors into region-specific neuronal subtypes as well as in vitro and in vivo models for validating differentiation, survival and network integration of hPSC-derived neurons in CNS tissue. In this context the attendants will be introduced to the establishment and maintenance of rodent hippocampal slice cultures and their use as ‘in vitro transplantation’ system. The module also covers fundamental training in stereotactic transplantation of neural precursors into the rodent brain. Module 4: Transgene removal from hiPS cells by DNA recombinase transduction Frank Edenhofer, Stem Cell Engineering Group, Institute of Reconstructive Neurobiology Embryonic stem (ES) cells being able to proliferate indefinitely and to differentiate into any cell type of the body are highly attractive for biomedical applications. Recent studies demonstrated that somatic cells like fibroblasts can be dedifferentiated to ES-like cells by retroviral transduction of the four factors Oct4, Sox2, c-Myc, and Klf4. Such artificially induced pluripotent cells (‘iPS’) would represent an appealing option for the derivation of human pluripotent, patient-specific cells, as no embryos or oocytes are required for their generation. However, various obstacles have to be overcome in order to adapt this procedure for clinical use in humans. Some genes required for reprogramming (Oct4, c-Myc and Klf4) play a role in tumor formation. Moreover the retroviral transduction method as such harbors the risk of random insertional mutagenesis. Several strategies have been used to derive factor-free iPS cells, including the application of non-integrating viruses, small molecules and cell-permeant proteins. However, these methods are thus far extremely inefficient and thus not useful for routine derivation of iPS cells. The delivery of reprogramming transgenes and subsequent removal by site-specific recombinases represent an attractive alternative. The application of cell-permeant versions of recombinases such as Cre (Nolden et al., Nat. Methods. 2006) or FLP (Patsch et al., Stem Cells 2010) allows highly efficient transgene deletion without plasmid transfection. This module aims at providing hand-on practice to use cell-permeant recombinases for deleting reprogramming transgenes from human iPS cells. The module will include preparation and application of cellpermeant recombinases, cultivation of hiPS cells and confirmation of transgene removal by PCR. The overall aim is to deliver factor-free iPS cells. Module 5: Engineering recombinant cell-permeant transcription factors for cell (re)programming Frank Edenhofer, Stem Cell Engineering Group, Institute of Reconstructive Neurobiology Induced pluripotent cells (‘iPS’) would represent an appealing option for the derivation of human pluripotent, patient-specific cells for disease modeling and regenerative medicine. However, in order for iPS technology to become clinically relevant, various issues have to be addressed. Methods need to be developed that improve the safety profile while increasing the overall efficiency of the production of the cells. We reported the generation of recombinant cell-permeant variants of Oct4 and Sox2 employing protein transduction technology. For this, proteins are fused to cell penetrating peptides enabling the direct delivery into cells. Cellpermeant Oct4 and Sox2 proteins are biologically active as confirmed by DNA binding analysis and by an RNAi-based rescue scenario. This module will provide hand-on practice for the engineering and purification of cell-permeant transcription factors. Recombinant proteins will be expressed in E. coli and purified using Ni-affinity chromatography. SDSPAGE and Western blot analysis will be used to analyze the protein fractions. Purified protein will be directly delivered into cultured cells. This module provides a basis for the application of protein transduction to non-genetically manipulate mammalian cells. Module 6: Identification and therapy of cardiac diseases with functional characterization and transplantation of iPS and ES cells P. Sasse, M. Hesse, Institute for Physiology I, W. Röll, Clinic for Cardiac Surgery The participant of this module will gain insights in the current state of the art methods for functional characterization, application and analysis of proliferation of ES and iPS cell derived cardiomyocytes. In detail the module will cover the following topics: Application of iPS cells for the analysis and therapy of cardiac diseases: - Generation and application of cardiac disease-specific iPS cells for modelling the long QT syndrome. - Electrophysiological investigation of disease-specific and healthy cardiomyocytes by patch-clamp and multi-electrode array analysis. - Strategies for purification of cardiomyocytes from various iPS and ES cell lines for safe transplantation. Clinical application of stem cells in a murine infarction model and in vivo postoperative functional diagnosis: - Demonstration of murine cardiac anatomy and myocardial lesion models (cryolesion, coronary artery occlusion) and transplantation of purified ES-cell derived cardiomyocytes. - Introduction into basic principles of cardiac hemodynamics. Live demonstration of left ventricular catheterization and analysis of pressure-volume-loops. - Introduction into basic principles of the murine ECG recording and electrophysiological investigation of arrhythmogeneis. Live demonstration of ECG monitoring via peripheral leads as well as intracardial ECG monitoring via right heart catheterization. Analysis of the proliferation potential of cardiomyocytes derived from ES cells and in vivo: - Introduction to the eGFPanillin system for visualization of proliferating cells - Identification of proliferating cardiomyocytes in-vitro by analysis of a double transgenic ES cell line (αMHC-RFP; CAG-eGFPanillin) - Identification of proliferating cardiomyocytes in-vivo by analysis of a double transgenic mouse line (αMHC-mCherry; CAG-eGFPanillin) Module 7: Mesodermal differentiation of embryonic and adult stem cells D. Wenzel, C.Geisen, M. Breitbach, Institute for Physiology I The participant of this module will gain insights into the differentiation and purification of mesodermal tissues like endothelial cells and cardiomyocytes from murine embryonic stem cells. Moreover, this module deals with the preparation of murine mesenchymal stem cells from adult bone marrow and their differentiation into bone, cartilage and fat. In detail the module will cover the following topics: Generation of mesodermal tissues (endothelial cells, cardiomyocytes) from murine embryonic stem cells: - Conditions and cultivation protocols for mesodermal differentiation (embryoid body system, hanging drops, mass culture) - Genetic approaches for the visualization of differentiating endothelial cells and cardiomyocytes - Methods for purification of endothelial and cardiac tissues from embryoid bodies - Monitoring of mesodermal differentiation by histological stainings and fluorescence microscopy Preparation, characterization and differentiation of mesenchymal stem cells from murine bone marrow: - Isolation of bone marrow cells and cultivation protocols for mesenchymal stem cell enrichment - Surface antigen profiling by flow cytometry - Differentiation of mesenchymal stem cells into typical derivatives and verification by histological stainings Module 8: Heterogeneity of cancer (stem) cells Björn Scheffler, MD; Roman Reinartz, PhD stud; Martin Glas, MD; Stem Cell Pathologies, Institute of Reconstructive Neurobiology, University of Bonn Heterogeneity is a quintessential feature of glioblastoma (GBM) - the deadliest brain tumor of adulthood. There are, eminently, several aspects of heterogeneity known to this disease. First, on genetic grounds, there is a notable inter-individual diversity: Even though specific genetic aberrations are known to occur within the tumor cells (1), GBM signatures are generally patient-specific. Second, cellular characteristics and functions can vary significantly within the same patient’s tumor tissue (2). Intriguingly, while heterogeneity of tumor cells is a generally accepted phenomenon, very little information is available on the extent, the specifics, and the consequences of this diversity. This module will thus focus on experimental strategies, tools, and techniques that might be useful to elucidate the basis of cellular and molecular diversity in human cancer. We will, among others, demonstrate evidence for cellular heterogeneity based on singlenucleotide polymorphism (SNP)- and fluorescence in situ hybridization (FISH)- analysis of GBM cell and tissue samples, we will study the functional consequences of this diversity, and we will put the findings in the context of the “cancer stem cell”- versus the “clonal evolution”-hypothesis of tumorigenesis. Module 9: Prospective isolation of hematopoietic stem cells Viktor Janzen, University Hospital of Bonn, [email protected] Hematopoietic stem cells (HSC) are the best characterized adult stem cells in the mammalian system and have been used in clinical settings for many decades already. However, the molecular mechanisms that regulate the unique ability of stem cells to self-renew and to differentiate into different cell lineages are still poorly understood. Since stem cells are defined by their function many attempts have been undertaken to identify the stem cells prospectively to be able to study their regulation at the molecular level. The participants of the current module will learn to understand the basics of hematopoietic stem cells characteristics, different strategies of stem cell enrichment as well as the methods to isolate the most pure stem cells population known so far by FACS soring them based on 6 colours surface staining and sorting by fasc-sort. Subsequently the isolated stem and progenitor-populations will be transplanted into lethaly irradiated mice in a competitive transplantation setting using congenic mice strain. Also, the participants will undergo practical training in the analysis of HSC and progenitor cells, including clonogenic assays in semisolid medium as well as long term culture on feeder layer. This module will take place in the laboratories of the Department of Medicine (Hematology/Oncology) in the BMZ-building of the University of Bonn. Module 10: Genetic inducible fate mapping: linking neuronal identity with genetically defined progenitor populations Sandra Blaess, Neurodevelopmental Genetics, Institute of Reconstructive Neurobiology The coordinated generation of a vast number of diverse neuronal cell types and their subsequent organization into neuronal networks during development is critical for the proper functioning of the adult brain. To understand the underlying complex mechanism of these developmental processes, it is important to gain insight into how the genetic identity of progenitor cells is established and how their genetic identity relates to the final location and function of the mature neurons derived from these progenitors. Over recent years, the development of sophisticated transgenic and gene targeting techniques, combined with the use of site-specific recombinases, has opened many new opportunities for fate mapping studies in the mouse. Genetic fate mapping marks progenitor cells based on their gene expression pattern and allows to determine the relationship between embryonic gene expression and cell fate (genetic lineage) and the link between gene expression domains and anatomy (genetic anatomy) (Joyner and Zervas, 2006). In this module we will focus on genetic inducible fate mapping. This system allows for temporally and spatially controlled fate mapping by utilizing an inducible form of Cre recombinase expressed under control of gene-specific promoters and a ubiquitously expressed reporter allele (Feil et al., 1996; Soriano, 1999). Upon induction of Cre, Cre-mediated recombination of the reporter allele results in expression of the reporter gene (e.g. lacZ, GFP) and the permanent marking of the recombined progenitors and their descendants. The aim of this module is to give insight into applications and potential caveats of the genetic inducible fate mapping system within the context of the developing nervous system. We will provide hands-on training on administration of Cre inducing agents and on tissue dissection and processing. We will analyze and compare fate maps from different Cre lines and different reporter alleles in embryos and adult brains and discuss advantages and disadvantages of the distinct experimental set-ups. Module 11: Module: High-Resolution Genome Analysis Thomas W. Mühleisen, Michael Alexander, Institute of Human Genetics, Department of Genomics, Life & Brain Center University of Bonn The Department of Genomics at the Life & Brain Center of the University of Bonn is a leading laboratory in the field of genome research. In the last few years, technological advances and the successive deciphering of the human genome‘s sequence and structure have enabled the identification of genes which contribute to common, genetically complex diseases. In this context, high-throughput microarray assays and novel statistical methods play an important role. In this module, we will give an overview of such high-resolution genome analyses. The topics will cover genome-wide and sub-genome-wide genotyping, copy-number variant detection, and global gene expression. The participants will be introduced to concepts and workflows of these analyses using both the BeadArray technology platforms by Illumina (San Diego, USA) and the MALDI-TOF mass spectrometry platform by Sequenom (San Diego, USA). For instance, we will demonstrate genome-wide genotyping using Illumina‘s HumanOmni1Quad array. Using genetic variation data from the International HapMap Consortium (http://hapmap.ncbi.nlm.nih.gov/) and the 1000 Genome Project (http://www.1000genomes.org/page.php), the >1 Mio. Omni1 probes were designed to analyze common single-nucleotide polymorphisms (SNPs) with minor allele frequencies of >5% for genome-wide association studies (GWAS). The principle of GWAS has recently been reviewed by McCarthy et al. (2008). Omni1 arrays also offer analysis of common and rare structural variation, including copy number variants (CNVs) and copy neutral variants like inversions and translocations (for review see Stankiewicz and Lupski, 2010). To obtain insights into whole genome expression analyses and interpretation of signalling cascades and their alterations in cells, tissue and specific organs, gene expression analyses via microarrays will be a second topic in this module. By the use of gene expression analyses it is possible to investigate the global RNA expression of cells simultaneously on one chip (for review see Cookson et al., 2009). Thus one can identify potential RNA expression fingerprint profiles of e.g. different stem cells which are at different time points of developmental stages. As one example of the broad portfolio (human gene expression arrays, mouse gene expression arrays, etc.) we will present the technology, the platform and the workflow for processing Illumina BeadChips for gene expression analyses. Module 12: Analysis of mitochondrial DNA: Determination of mitochondrial genotypes Wolfram S. Kunz, Abt. Neurochemistry, Clinic for Epileptology and Life&Brain Center Due to its highly variable nature, its high abundance and uniparental inheritance, mitochondrial DNA is a frequently used tool to investigate the identity and maternal relation of individuals, or the origin of cell lines. Mitochondrial DNA accumulates somatic mutations at a high rate, which has been identified as one important genetic factor of ageing. The abundance of somatic mitochondrial DNA mutations is therefore one factor which can limit the proliferative potential of stem cells. Mitochondrial genotyping has therefore important implications for nuclear transfer, since donor mitochondria might also be transferred along with the nucleus. And finally, mitochondrial genotyping can be used in distinguishing feeder cells from the cells of interest. Many of the highly variable mitochondrial DNA nucleotide positions are located within the 1 kilobase long D-loop region (the only larger non-coding region of the mitochondrial genome), which makes mitochondrial genotyping relatively uncomplicated. In the module we will identify mitochondrial DNA mutations by using RFLP and D-loop sequencing of the mitochondrial genome. We will use allele-specific PCR and single-molecule PCR to identify and to quantify somatic mitochondrial DNA mutations as rare mitochondrial genotypes in the presence of another prevalent genotype. Additionally, bioinformatics tools to evaluate mitochondrial genotyping results will be introduced. Module 13: Modern aspects of flow cytometry in stem cell research Dr. Elmar Endl, Unit: Institute of Molecular Medicine, Flow Cytometry Core Facility The training course will provide the opportunity to gain hands-on experience of modern flow cytometric techniques. In addition to the hands-on component, the course will include tutorials and lectures on the theory and practice of relevant topics in the field of stem cell biology. Flow cytometry itself is a versatile tool to analyse the biology of cells on a single cell level. It can unravel the position of cells on their way to differentiation, their proliferative capabilities, physiological state, and expression of membrane- and intracellular antigens of a cell within cohorts of cells and cell communities. Furthermore flow cytometry enables the physical separation of cells by cell sorting followed by further functional and genomic analysis on purified cell populations. Knowledge about the current protocols and methods in flow cytometry is therefore advantageous for having the most modern toolbox to address specific scientific questions in the area of stem cell research. An essential feature of the module will be the combination of practical, laboratory-based work with the corresponding theory taught in classroom sessions. The Flow Cytometry Core Facility is well equipped for modern flow cytometry, including three analysers, with 3 lasers (405, 488 and 635nm) and up to 10 colour detectors. Participants will also have the opportunity to get in touch with instruments, reagents, assays and software packages, which represent the current state of the art. Topics will focus on the characterisation of cells according to the expression of their surface antigens in a multicolour setup. Strategies for the fixation and permeabilisation of cells for staining of intracellular antigens and current protocols for the quantification and reporting of cell growth and apoptosis. Moreover, strategies for the interpretation and presentation of data will be demonstrated. The module is aimed at enabling the participants to genereate, trouble shoot and interpret flow cytometry data, and perform flow cytometry on complex samples using multiple fluorochromes. While topics can be focused on the interests of the participants, the trainees are expected to learn the following: History and Basics of flow cytometry Theory of experimental design, chromophore selection and multicolour compensation Hands-on set up of multilaser flow cytometers, instrument quality control and compensation of complex samples Multicolour analysis of the expression of cell surface molecules Cell proliferation and apoptosis Demonstration of cell sorting including discussions on the use of Fluorescent Proteins Analysis of complex data sets Special applications in Stem Cell Biology By the end of this workshop, participants should be able to explain the fundamental aspects of flow cytometry results, and should be confident in knowing what their data mean. The module is also intended to train the attendees on how to work around difficulties that may arise using flow cytometry by providing them with examples they are most likely to be faced with in real life. It is also intended to help navigating the roadmap of flow cytometric methods and incorporate them into the future directions of the individual research projects. Module 14: In vivo experiments: useful surgical techniques in small animal models J. Kalff, Sven Wehner, Clinic for Surgery Commonly, small animal models are the only way to investigate complex scientific questions. Participants of this module will learn the handling, anesthesia and surgical techniques for fluid administration, blood/lymph sampling and in vivo modulation of nerval functions in rats. After a training period all techniques are easily transferable into a mouse model. All participants will be introduced into the animal anatomy, the use of the different surgical instruments, needle types, sutures and catheter materials. In the first part, we will prepare the external jugular vein and insert a permanent flexible catheter for continuous application of fluids or repetitive blood sampling. Furthermore, we will implant an osmotic pump for continuous intravenous injection. We also will prepare and electrically stimulate the cervical part of the vagus nerve. In the second part, we will perform a laparotomy with subsequent subdiaphragmal preparation of the anterior and posterior branches of the vagus nerve, followed by a bilateral vagotomy. Next, an intraduodenal catheter will be placed for continuous enteral nutrition. Additionally, collection of visceral lymph from the thoracic duct/cysterna chyli will be demonstrated. Participants will also learn the preparation, application of fluids or blood sampling via the portal vein, mesenteric artery and the vena cava. The third part focuses on organ harvesting. Herein, we will perform a transcardial whole body perfusion and a selective intestinal perfusion via the mesenteric artery. Subsequently, we will harvest mesenteric lymph nodes, the visceral organs, lung and brain and separate intestinal tissues (tunica muscularis, tunica mucosa, payer patches) under microscopical observation. Module 15: Regulatory Framework for Stem Cell Research and Translation Tade Matthias Spranger, Institute for Science and Ethics (IWE) The course aims at giving an in-depth overview on the relevant national, supranational and international regulation with regard to stem cells and derived technologies. Notwithstanding its legal focus, the course should also foster the interdisciplinary discussion on crucial facets of stem cell research. In particular, the following topics will be addressed: - The German Stem Cell Act and the Ordinance on Stem Cells - German Court Decisions on Stem Cell Technologies - Patentability of Stem Cells according to national, European and international law - Stem Cells in European politics and law - In particular: The ethical assessment of FP7 applications - Stem Cell Regulations as barriers to trade? The EU and the WTO perspective - Normative perspectives