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Stem Cell Rev and Rep DOI 10.1007/s12015-014-9541-0 Motor Neuron Differentiation from Pluripotent Stem Cells and Other Intermediate Proliferative Precursors that can be Discriminated by Lineage Specific Reporters Balendu Shekhar Jha & Mahendra Rao & Nasir Malik # Springer Science+Business Media New York (outside the USA) 2014 Abstract We have used a four stage protocol to generate spinal motor neurons (MNs) from human embryonic stem cells (ESCs) and human induced pluripotent stem cells (iPSCs). These stages include the pluripotent stem cell (PSC) stage, neural stem cell (NSC) stage, OLIG2 expressing motor neuron precursor (MNP) stage, and HB9 expressing mature-MN stage. To optimize the differentiation protocol reporter lines marking the NSC and MNP stages were used. The NSC stage is a pro-proliferative precursor stage at which cells can be directed to differentiate to other neural types like cortical neurons also, in addition to MNs; thus, NSCs can be expanded and stored for future differentiation to different neural types thereby, shortening the differentiation interval as compared to the complete process of differentiation from ESCs or iPSCs. Additionally, we find that OLIG2 positive cells at the MNP stage can be cryopreserved and then recovered to continue the process of MN differentiation, thereby providing a highly stable and reproducible technique for bulk differentiation. MNPs were differentiated to MNs expressing the marker HB9 demonstrating that mature-MNs can be generated with this protocol. Keywords Motor neuron . Motoneuron . Neural Stem Cell . Motor neuron progenitor . Stem cell differentiation . Neural differentiation . Neural induction . Motor neuron differentiation Abbreviations PSC Pluripotent stem cell iPSC Induced pluripotent stem cell hESC Human embryonic stem cell B. S. Jha : M. Rao : N. Malik (*) Laboratory of Stem Cell Biology, National Institutes of Health (NIH), Bethesda, MD, USA e-mail: [email protected] NSC MNP MN CNS O-L plate bFGF BMP RA SHH BDNF GDNF HD Neural stem cell Motor neuron precursor Motor neuron Central nervous system Ornithine-laminin coated plate Basic fibroblast growth factor Bone morphogenetic protein Retinoic acid Sonic hedgehog Brain derived neurotrophic factor Glial cell line derived neurotrophic factor Homeodomain Introduction Pluripotent stem cells (PSCs), which include human embryonic stem cells (hESCs) and human induced pluripotent stem cells (iPSCs) are being increasingly utilized in regenerative medicine and the biomedical industry. PSC use in applications like disease modeling, drug screening, and cellular replacement therapies, often requires that the pluripotent stem cells (PSCs) be differentiated to the cell type of interest. A variety of protocols are being developed and optimized to differentiate PSCs to enriched populations of differentiated functional cells including neural cells (1–5), cardiac cells (6), skeletal muscle cells (7), osteoblasts (8), and hematopoietic cells (9). This paper describes a highly optimized four stage protocol for spinal motor neuron (MN) differentiation from the PSCs. The protocol is based on the well-established factors that regulate the native pathways critical for the development of motor neurons from the notochord (10, 11). The spinal motor neurons occupy a well-defined region in the neuroanatomy of the central nervous system (CNS). They form a part of the hindbrain and are located caudal to the rest Stem Cell Rev and Rep of the CNS. In the spinal cord, the motor neurons are concentrated in the ventral region. This precise level of regionalization of the motor neurons is achieved by the signaling pathways of several defined morphogens (11, 12). Initially, the ectodermal germline cells attain a rostral character forming neuroectoderm under the effect of FGF, BMP, Wnt and Activin/Nodal signaling pathways (13–16). The caudal spinal positional identity is primarily regulated by retinoic acid (RA) provided by the paraxial mesoderm in the native environment (17–19). After regionalizing caudally, the differentiating precursor cells acquire the motor neuron precursor (MNP) identity under the ventralizing influence of the Sonic hedgehog (SHH) released in a concentration gradient initially by the the notochord and later by floor plate cells (10, 12). This gradient effect of SHH is triggered by the patterned expression of PAX6 and NKX6.1 homeodomain (HD) and OLIG2 basic helix-loop-helix (bHLH) transcription factors (12, 18). Continued action of these factors drive the MNPs out of their cell cycle resulting in the expression of downstream HD protein MNX2, also known as HB9, which is expressed during the final division cycle of the MNPs and acts as a dedicated determinant of MN identity (10, 18, 20). Differentiated mature and functional MNs present great opportunities to study MN diseases like spinal muscular atrophy (21) and amyotrophic lateral sclerosis (22), to perform drug screenings and for cell therapeutics. Many protocols have been developed to differentiate MNs from PSCs from both healthy and diseased cell populations. These include cocultures with MS5 stromal feeders supplemented with Noggin to inhibit BMP pathway (23), or developing embryoid bodies in suspension (24, 25) for neural induction, followed by patterning of the cells using RA and SHH to MNs. Differentiation of PSCs to MNs by early exposure to RA to caudalize them has been shown to yield a higher efficiency of differentiated MNs (26, 27). Furthermore, virus mediated gene delivery systems with MN inducing transcription factors have been developed that allows the differentiation process to be completed in relatively shorter duration (28, 29). While all these MN differentiation protocols are promising, each has its limitations. Drawbacks include the amount of time required for differentiation, need for animal feeder cells or repeated viral infections and genetic manipulations that limit their use to non-clinical applications. Additionally all published MN differentiation protocols go directly from a PSC to a terminally differentiated MN with no intermediate NSC stage. We have developed a four-stage MN differentiation strategy that overcomes some of the difficulties associated with other protocols (Fig. 1). By utilizing iPSC reporter lines that express the neuronal stem cell marker NESTIN and the MNP marker OLIG2, we have been able to optimize the protocol and track neural stem cell (NSC) generation and subsequent differentiation of these NSCs to MNPs. At the first two stages, the PSC stage and the NSC stage, the cells are very stable and can be indefinitely expanded, propagated and cryopreserved (30, 31). The third stage is the MNP stage where cells are marked by OLIG2 expression. Although the cells cannot be expanded at this stage as they are exiting the cell cycle, they can be cryopreserved and Fig. 1 Motor neuron differentiation schematic. Passage the PSCs cultured in E8 medium to Geltrex coated plates and then culture in NIM for 12 days. When cells differentiate and become Nestin positive, change the medium to StemPro hESC SFM supplemented with RA, SHH, bFGF and Activin. After 2 days, passage these cells on ornithine-laminin coated plates in StemPro hESC SFM supplemented with RA, SHH and bFGF. After approximately 16 days, majority of cells should be OLIG2 positive and become MNPs. Change the medium to StemPro hESC SFM supplemented with BDNF and GDNF, and continue the culture for additional 20–25 days. Majority of cells should differentiate to become mature-MNs marked by positive HB9 expression Stem Cell Rev and Rep Culture and Maintenance of PSCs recovered for further differentiation to the mature MN stage. This allows culturing cells in bulk until they are in the MNP stage, and then cryopreserving them in large batches for decreased variability and high reproducibility, making it possible for the large scale MN production required for clinical applications. Additionally the availability of an expandable and cryopreservable NSC state allows for the generation of many different central nervous system cell types. The NSCs we have derived are positionally unspecified and can be differentiated to the mature neural cell types like forebrain neuron, midbrain neurons, spinal neurons and to glial cells like astrocytes and oligodendrocytes (4, 31). It is also possible to differentiate OLIG2 positive neural progenitors to oligodendrocytes instead of mature-MNs (32). The four staged protocol we describe is highly optimized and the time points for each stage were confirmed with the help of the reporter lines used in this protocol. A NESTINGFP reporter line was generated to determine the exact time point when the PSCs were maximally differentiated to NSCs. This allowed us to switch the neuroinduction medium to MN differentiation medium at its optimal time. The use of OLIG2 reporter cell line(33) allowed us to identify the time-point when NSCs differentiated to MNP cells. Identifying this time-point is critical in MN differentiation protocol as SHH needs to be withdrawn at the specific interval when the cells start expressing OLIG2; early withdrawal can direct the progenitors to differentiate to interneurons (34), and continued exposure to SHH can direct them to differentiate to oligodendrocytes (32). We believe that this differentiation protocol will provide a highly effective means of generating motor neurons that can be used for disease modeling and that the protocol is easily modifiable for the production of cells that can be used for cellular replacement therapies. 1. 2. 3. 4. 5. 6. 7. 8. 9. Materials Maturation of Motor Neuron Progenitors General Supplies 1. StemPro hESC SFM (Life Technologies, A1000701) 2. Brain derived neurotrophic factor (BDNF) (R&D Systems, # 248-BD) 3. Glial cell derived neurotrophic factor (GDNF) (R&D Systems, # 212-GD) 1. 2. 3. 4. 5. 6. 6-well cell culture plates (Corning Costar, # 3506) 15 ml conical tubes (Fisher Scientific, # 14-959-49D) T-75 flasks (BD Biosciences, # 13-680-65) Cryotube vials (Thermo Scientific, # 375418) Coverslips for cell culture (NeuVitro, # GG-25-1.5-pre) Permanox Lab-Tek™ Chamber Slides™ (Fisher, # 12565-21) Cell Lines Used 1. CY2-NESTIN-Puro cell line 2. R-OLIG2 reporter cell line (33) 3. H9 cell line 1. 2. 3. 4. 5. 6. 7. Matrigel (BD, # 354230) Essential 8 medium (Life technologies, # A1517001) EDTA, 0.5 M (Cellgro, # 46-034-CI) Sodium Chloride (J.T. Baker, # 3624–01) DPBS (Life Technologies, # 14190) Y-27632 dihydrochloride (Tocris, # 1254) Dimethyl sulphoxide (DMSO) (Sigma, # D2650) Differentiation of iPSCs/ESCs to NSCs 1. Geltrex (Life Technologies, # A1413202) 2. PSC Neural Induction Medium (Life Technologies, # A1647801) 3. StemPro Accutase (Life Technologies, # A11105-01) 4. Y-27632 dihydrochloride (Tocris, # 1254) 5. Dimethyl sulphoxide (DMSO) (Sigma, # D2650) Caudalization and Ventralization of NSCs to Motor Neuron Progenitors Poly-ornithine (Sigma, # P4957) Laminin (Life Technologies, # 23017015) StemPro hESC SFM (Life Technologies, A1000701) Retinoic Acid (Sigma, # R2625) Sonic Hedgehog (R&D Systems, # 1845-SH-100) bFGF (Peprotech, # 100-18B) Activin A (Peprotech, # 120-14E) StemPro Accutase (Life Technologies, # A11105-01) Dimethyl sulphoxide (DMSO) (Sigma, # D2650) Immunostaining 1. Phosphate buffered saline (PBS) (Life Technologies, # 70011–044) 2. Paraformaldehyde (Electron Microscopy Sciences, # 15710) 3. Triton X-100 (American Analytical, # AB02025-00100) 4. Tween 20 (Affymetrix, T1003) 5. BSA (Life Technologies, # A10008-01) Stem Cell Rev and Rep 6. Hoechst 33342 (Life Technologies, # H3570) 7. Primary and secondary antibodies: Primary Antibody Nanog Tra-1-60 Nestin Host Rabbit Mouse Mouse Dilution 1:1000 1:500 1:250 Sox1 Goat 1:100 Tuj1 Olig2 HB9 MAP2 GFAP Mouse Rabbit Mouse Rabbit Rabbit 1:250 1:200 1:100 1:500 1:1000 Secondary Antibody Alexa-Fluor 488 Alexa-Fluor 594 Alexa-Fluor 488 Alexa-Fluor 594 Alexa-Fluor 594 Host α Reactivity Dilution Company, Cat. No. Goat α Mouse Goat α Mouse Goat α Rabbit Goat α Rabbit Donkey α Goat 1:500 1:500 1:500 1:500 1:500 Company, Cat. No. Peprotech, # 500-P236 Millipore, # MAB4360 BD Biosciences, # 611658 R&D Systems, # AF3369 Millipore, # MAB1637 IBL America, # 18953 DSHB, # 81.5C10 Millipore, # AB5622 Dako, # Z0334 Invitrogen, # A11001 Invitrogen, # A11005 Invitrogen, # A11034 Invitrogen, # A11012 Invitrogen, # A11058 3. Fast SYBR Green Master Mix (Applied Biosystems, # 4385612) 4. Primers: Gene Forward primer OLIG2 5′-CCTGAGGCTTTT CGGAGC-3′ HB9 5′- CTTTTTGCTGCG TTTCCATT-3′ ISL1 5′- CATGCTTTGTTA GGGATGGG-3′ PERIPHERIN 5′- AGACCATTGAGA CCCGGAAT-3′ CHAT 5′- AACGAGGACG AGCGTTTG-3′ NKX6.1 5′- ATTCGTTGGGGA TGACAGAG-3′ SCL18A3 5′- GATAAGTACCCG GAGGAGCC-3′ HOXB4 5′- GTCGTCTACCCC TGGATGC-3′ Reverse primer bp 5′-CTGGCGTCCGAG TCCAT-3′ 5′- GCACCAGTTCAA GCTCAACA-3′ 5′- ACGCATCACGAA GTCGTTC-3′ 5′- GGCCTAGGGCAG AGTCAAG-3′ 5′- TCAATCATGTCC AGCGAGTC-3′ 5′- CCGAGTCCTGCT TCTTCTTG-3′ 5′- GCGAACTCATAG AGGATGCC-3′ 5′- TTCCTTCTCCAG CTCCAAGA-3′ 120 133 113 128 122 114 113 123 Methods Reagent Setup Timing (Fig. 1) 1. EDTA: Add 500 μL of 0.5 M EDTA and 0.9 g Sodium Chloride to 500 mL DPBS (Calcium/Magnesium free). Filter the final solution. 2. Y-27632: Dissolve 10 mg of Y27632 in 3.12 mL DMSO to give 10 mM stock solution. Working concentration: 10 μM. 3. Retinoic Acid (RA): Dissolve 50 mg RA in 1.65 mL DMSO to give 100 mM stock solution. Working concentration: 50 μM. 4. Sonic Hedgehog (SHH): Dissolve 100 μg of SHH in 1 mL of 0.1 % BSA in PBS to give 100 μg/mL stock concentration. Working concentration: 200 ng/mL. 5. bFGF: Dissolve 100 μg of bFGF in 1 mL of 0.1 % BSA in PBS to give 100 μg/mL stock concentration. Working concentration: 8 ng/mL. 6. Activin: Dissolve 50 μg of Activin in 1 mL of 0.1 % BSA in PBS to give 50 μg/mL stock concentration. Working concentration: 10 ng/mL. 7. BDNF and GDNF: Dissolve 100 μg of each growth factor in 1 mL of 0.1 % BSA in PBS to give 100 μg/mL stock concentration. Working concentration: 10 ng/mL. i. Step 1, Confluent PSCs: 2–3 days ii. Steps 2–8, Generation of NSCs: 12 days iii. Steps 9–12, Generation of motor neuron progenitors: 15– 17 days iv. Steps, 13–15, Maturation of progenitors: 22–25 days qPCR 1. RNeasy Mini Kit (Qiagen, # 74104) 2. SuperScript III First-Strand Synthesis SuperMix (Life Technologies, # 18080–400) Culture and Maintenance of PSCs i. Culture PSCs (iPSCs/ESCs) in monolayer on Matrigel coated plates in Essential 8 (E8) medium (Life Technologies). The medium needs to be changed every day. On confluency, the cells can be passaged at a ratio of 1:6 using sterilized 0.5 mM EDTA as the cell detaching agent. Passaged cells should be seeded in the E8 medium supplemented with 10 μM Rock inhibitor – Y27632 (Tocris). Matrigel coating: Thaw Matrigel at 4 °C. Dilute Matrigel 1:60 in the DMEM medium. Coat each well of 6-well plate with 1.5 mL of Matrigel solution. Incubate for 1 h at 37 °C or overnight at 4 °C. Warm the plates from 4 °C for 20–30 min at 37 °C before using them. Aspirate Matrigel immediately before seeding the cells; no washing is required. Plates incubated overnight at 4 °C can be store for 2 weeks at 4 °C. CRITICAL: Matrigel forms gel at room Stem Cell Rev and Rep temperature. Do not let it to come to room temperature before coating the plates. Passaging cells: Aspirate the E8 medium and wash twice in DPBS (Gibco). Add 1 mL/well of 6-well plate 0.5 mM EDTA and incubate at 37ºC for approximately 5–8 min. During the wait time, prepare 15 mL centrifuge tubes with 5 mL of fresh E8 medium. When the cells start rounding up, aspirate the EDTA and detach the cells from the plates using DPBS and 5 mL pipette. Transfer the cells suspension in DPBS to the 15 mL centrifuge tube with E8 medium. Centrifuge the tubes at x300g for 5 min. After confirming the pellet formation, aspirate the suspension. Re-suspend the pellet in fresh E8 medium and seed onto the prepared plate. Differentiation of iPSCs/ESCs to NSCs ii. Day −1: Passage 1 well of 6-well plate of confluent PSC culture to 3 wells of Geltrex coated 6-well plate in the ratio of 1:2, 1:3, and 1:6 respectively. Use E8 medium supplemented with 10 μM Y27632 to seed the cells on Geltrex. Follow the passaging protocol of PSCs. Geltrex coating: Thaw Geltrex at 4 °C. Dilute Geltrex 1:200 in the DMEM medium. Coat each well of 6-well plate with 1.5 mL of Geltrex solution. Incubate for 1 h at 37 °C or overnight at 4 °C. Warm the plates from 4 °C for 20–30 min at 37 °C before using them. Aspirate Geltrex immediately before seeding the cells; no washing is required. Plates incubated overnight at 4 °C can be store for 2 weeks at 4 °C. CRITICAL: Geltrex forms gel at room temperature. Don’t let it to come to room temperature before coating the plates. iii. Day 0: Aspirate E8+Y27632 medium from all the 3 wells and wash the wells once with PSC Neural Induction Medium (NIM) (Life Technologies) to get rid of Y27632 completely. Add 2 mL of NIM/well of 6-well plate. iv. Day 1–6: Change the medium with fresh NIM as required. By day 4, 4 mL of NIM per well may be required for high cell count. Observe the cells daily, and continue with the well with optimal cell density (4). Wells with very high or very low cell count on day 3 can be discarded. v. Day 7: Passage the well 1:2 to 2 wells of Geltrex coated 6well plate using Accutase (Life Technologies) as the dissociation agent. Seed the cells in NIM supplemented with Y27632 in 1 well; 1 well in NIM without Y27632. Passaging cells:Aspirate the NIM from the culture wells. Add 1 mL of Accutase per well of the 6-well plate. Incubate at 37ºC for 5 min. When the cells appear to detach from the plate, add 1 mL of NIM per well of the plate and pipette up and down 2–3 times to get the cells in suspension. Transfer the cell suspension to 15 mL centrifuge tubes and centrifuge them at x300g for 5 min. . After confirming the pellet formation, aspirate the suspension. Re-suspend the pellet in fresh NIM medium and seed the cells on the fresh prepared plate. vi. Day 8: If good cell survival is seen in the well without Y27632, then discard the other well. Otherwise retain the well in which NIM was supplemented with Y27632. Aspirate the medium and add 2 mL of fresh NIM per well of 6-well plate (no Y27632). vii. Day 8–14: Continue culture by passaging the cells 1:2 when they reach maximal confluence (usually by day 3 after 1:2 passaging). In each passage of the well where Y27632 was used in its previous passage, in its next passage withdraw Y27632 in one of the seeded wells and continue culturing this well if good cell survival is seen. Once cell survival after passaging without Y27632 is established, discontinue use of this Rock inhibitor in future passages. If NESTIN reporter line is used, GFP expression will mark the differentiation of PSCs to NSCs. For nonreporter cell lines, at each passage, seed some cells on glass slides and stain for NESTIN expression using the anti-Nestin antibody (1:250: BD, # 611658). viii. When >90 % cells are NESTIN positive, they can be expanded in the ratio of 1:4 and stored using 10 % DMSO in NIM for cryopreservation in liquid Nitrogen. They can also be differentiated to distinct regionalized neural subtypes like cortical neurons, midbrain neurons, MNs, astrocytes and oligodendrocytes. Caudalization and Ventralization of NSCs to Motor Neuron Progenitors ix. Day 12: When cells are NESTIN positive in NIM, at 80 % confluency the medium is changed to StemPro hESC SFM supplemented with SHH (200 ng/mL), RA (50 μM), bFGF (8 ng/mL) and Activin (10 ng/mL). x. Day 14: At 100 % confluency, passage cells to ornithinelaminin (O-L) coated plates using Accutase with StemPro hESC SFM using the protocol for passaging mentioned in Step 5. Seed cells at a density of 100,000 cells per cm2 of the O-L coated plates. For immunostaining, passage and culture cells on O-L coated Permanox Lab-Tek™ Chamber Slides™ and/or on O-L coated culture grade coverslips Stem Cell Rev and Rep inside culture plates. Medium should be supplemented with SHH (200 ng/mL) and bFGF (8 ng/mL). This medium needs to be changed every alternate day. 50 μM RA (1 μL of 100 mM to 2 mL medium) needs to be added to 2 mL of StemPro hESC SFM+SHH medium every day. CRITICAL: As RA is very unstable it is important to add it to the medium every day. Ornithine-laminin coating: Dilute poly-ornithine 1:5 in sterile water. Thaw laminin overnight at 4 °C. Coat each well of 6-well plate with 1.5 mL of poly-ornithine solution. Incubate the plates for 2 h at 37 °C or overnight at 4 °C. Rinse the plates 2x with sterile water. Coat the plates with 20 μg/mL laminin solution in sterile water. Incubate the plates for 2 h at 37 °C or overnight at 4 °C. Rinse the plate 1x with DPBS before use. CRITICAL: Laminin absorbs plastic and forms aggregates at room temperature. Avoid storing laminin in plastic vials and always thaw it at 4 °C. xi. Day 24: By this time, the regionalization phase for most of the cells should be midway and some cells start expressing OLIG2. If the OLIG2 reporter cell line is used, this would be marked by GFP expression in some cells. Between day 24-day 27, the cells can be dissociated using Accutase for cryopreservation in the culture medium+10 % DMSO. However, this interval varies with different cell lines; cells cryopreserved at an earlier time point show better recovery. xii. Day 28–30: The regionalization phase should last till day 30. During this time (day 12 – day 30) it might be necessary to passage cells once around day 24. By day 30, differentiating OLIG2 reporter cells should express GFP. For other cell lines, they should be analyzed for the expression of the OLIG2 marker using anti-Olig2 antibody (1:200, IBL, # 18953) to confirm differentiation of NSCs to MNPs. Maturation of Motor Neuron Progenitors xiii. Day 30: Prepare fresh StemPro hESC SFM medium without SHH. Supplement the medium with 10 ng/mL of BDNF and GDNF. Aspirate old medium from MNPs cell- or OLIG2 expressing cell- cultures and feed the cultures with fresh medium containing BDNF and GDNF. RA is also withdrawn from the culture medium. xiv. Day 31–52: The maturation phase takes ~3 weeks and during this time the medium should be changed every 2–3 days. xv. After maturing for 3–4 weeks, analyze the differentiated cells for the expression of mature motor neuron marker - HB9 by immunostaining using anti-HB9 antibody (1:100, DSHB, # 81.5C10). Immunostaining i. Prepare the blocking buffer (BB) comprising of 1 % BSA in PBS plus 0.1 % Tween 20. ii. Fix the cells in ice cold 4 % paraformaldehyde in PBS pH 7.4 for 20 min at room temperature. CRITICAL: Paraformaldehyde is toxic and should be used in a fume hood. iii. Wash the samples three times with ice cold PBS (5 min each wash). iv. Incubate the samples with 0.25 % Triton X-100 in BB for 15 min. v. Wash samples once with BB. vi. Incubate the samples in BB for 1 h at room temperature or overnight at 4 °C. vii. Aspirate the BB and wash once with fresh BB. viii. Add primary antibodies with appropriate dilutions in fresh BB. Incubate samples for 1 h at room temperature or overnight at 4 °C. ix. Wash the samples three times with BB (5 min each wash). x. Incubate samples with secondary antibodies with appropriate dilutions in fresh BB for 1 h at room temperature in dark. xi. Aspirate the secondary antibody solution and add 0.5 μg/ mL of Hoechst stain in BB. Incubate for 5–10 min are room temperature in dark. xii. Wash the samples three times with BB (5 min each wash). qPCR Assay i. Extract RNA from the cell pellets following the manufacturer’s protocol for RNeasy Mini Kit (Qiagen, #74104) ii. Obtain cDNA from the extracted RNA following the manufacturer’s protocol for SuperScript III First-Strand Synthesis SuperMix (Life Technologies, # 18080–400). iii. Run the qPCR assay following the manufacturer’s protocol for Fast SYBR Green Master Mix (Applied Biosystems, # 4385612) using appropriate primers. Cell Identification The cells at different stages have distinct cellular and/or cellular aggregate morphology and gene expression which can Stem Cell Rev and Rep A B Phase Phase C Phase I D E H Nanog Tra-1-60 Hoechst / GFP Hoechst / Nestin F G J K Hoechst / Sox1 Hoechst / GFP Hoechst / Sox1 Hoechst / Nanog / Tra-1-60 Fig. 2 iPSC to NSC differentiation. a–c Phase image of non-confluent iPSCs (a), confluent iPSCs when they are ready to be passaged for NSC differentiation protocol (b), rosettes visible (red circles) when iPSCs differentiate to NSCs. d–g Immunostained CY2-Nestin-Puro reporter cell line at iPSC stage positive for Nanog (green) (d) and Tra-1-60 (red) (e) and negative for NSC marker – Sox1 (red) (f) and the GFP expression (g). h–k Immunostained CY2-NESTIN-Puro reporter cell line at NSC stage positive for GFP expression (h), Nestin (green) (i) and Sox1 (red) (j) and negative for iPSC pluripotency markers – Nanog (green) and Tra-1-60 (red) (k). Scale bar in (a) for (a–c)=400 μm, in (d) for (d–h, j–k)=25 μm, and in (i)=50 μm used to determine when the culture is ready to proceed ahead to the next stage. 4.1 Seeded PSCs appear a bit round in morphology with prominent euchromatin. The cells tend to double in Fig. 3 NSC to mature-MN differentiation. a–d CY2-NestinPuro reporter cell line at NSC stage in phase (a) is positive for GFP (b), Sox1 (red) (c), and negative for Olig2 (green) and TuJ1 (red) (d). e–h Differentiated OLIG2 reporter cell line at MNP stage show neurite processes in phase (e), are positive for Olig2 (red) and GFP (green) (f). g, h Differentiated H9 cell line at the MNP stage are also positive for Olig2 (green) and TuJ1 (red). i–l Differentiated H9 cells at matureMN stage appear arranged in clusters interconnected with long processes in phase (g), are positive for HB9 (red) (j–l) and MAP2 (green) (k and l). Cells still in MNP stage are positive for Olig2 (green) (j). Scale bar in (a) for (a, e–f, i–j)=400 μm, in (b, c, g, and k)=25 μm, in (d) for (d, h, and l)=50 μm A E I Phase Phase Phase B F J Hoechst / Nestin_GFP Hoechst / Olig2_GFP/ Olig2 Hoechst / Olig2/ HB9 C G K Hoechst / Sox1 Hoechst / Olig2 / TuJ1 Hoechst / HB9 / MAP2 D H L Hoechst / Olig2 / TuJ1 Hoechst / Olig2 / TuJ1 Hoechst / HB9 / MAP2 NSCs MNPs Mature MNs Stem Cell Rev and Rep Fig. 4 qPCR results showing relative expression of specific markers at NSC, MNP and mature-MN stages of motor neuron differentiation protocol number in approximately every 16 h. They tend to grow in high densities in colonies with clearly defined edges (Fig. 2a). The PSCs should be positive for the nuclear marker Nanog and the Tra-1-60 cell surface marker (Fig. 2d–g). 4.2 The PSCs are ready to passage when the culture is confluent as determined by the very high density of cells which are packed together to form sheet-like structures (Fig. 2b). 4.3 When the PSCs are successfully differentiated to NSCs, the cells cluster themselves together forming rosettes (Fig. 2c). There is no expression of PSCs markers, instead NSCs markers are expressed. In this study, the NSC markers used were NESTIN and SOX1 (Fig. 2h–k, Fig. 3a–e). 4.4 The differentiation of NSCs to MNPs is marked by the exit of the cells from their cell cycle. The cells start to aggregate in clusters and they also start sending out processes form connections with other cells. There is expression of MNP marker- OLIG2 in this study (Fig. 3e–h). Table 1 Additional markers at different stages of iPSC to MN differentiation protocol 4.5 When MNPs mature to MNs, they have completely exited the cell cycle and are in post-mitotic stage. They aggregate themselves into clusters with established connections between the different cell clusters from by the cell processes. Mature MN markers are expressed at this stage- HB9 expression was tested in this study (Fig. 3i–l). 4.6 In this study, the cells pellets were collected at each stage of differentiation from 1 well of a 6well plate. RNA was extracted from these pellets and qPCR was run using SYBR Green PCR Master Mix using SYBR Green-Based Gene Expression Analysis protocol by Applied Biosystems by Life Technologies. The results of the qPCR analysis confirm the expression of distinct markers at the different stages of the MN. With the expression of established mature-MN markers in its final stage, this analysis also confirms that this protocol can be used to differentiate mature and functional MNs (Fig. 4). PSC stage markers NSC stage markers MNP stage markers Mature MN markers • NANOG • NESTIN • OLIG2 • HB9 • TRA-1-60 • SOX 1/2 • ISLET 1/2 • OCT4 • PAX6 • HOXB4 • ZFP42 • ZBTB16 • CHAT • MSXI1 • TAU (axonal) • SSCA 1/4 • MAP2 (dendritic) • E-CADHERIN • SYNAPTOPHYSIN (synaptic) Stem Cell Rev and Rep TuJ1 / GFAP Fig. 5 Co-culture of differentiating MNs with fetal astrocytes. Immunostained image at day 40 of iPSC to MN differentiation using the same medium in MN differentiation protocol showing highly stable co-culture model with neurons expressing TuJ1 (red) and astrocytes expressing GFAP (green). Scale bar=50 μm Notes 5.1 Troubleshooting: i. Step 7: Problem – Non-neural, non-rosette forming cells in the cultures. Potential cause – Cell-line specific incomplete differentiation. Solution – Identify and manually scrape the nonneural cells. ii. Step 11: Problem - Poor recovery or survival of MNPs after seeding/passaging. Potential cause – Cell damage during enzymatic dissociation Solution – Plate cells at a higher density. iii. Step 12: Problem – Only few or no OLIG2 positive cells. Potential Cause – Bad stock of retinoic acid. Solution – Ensure proper handling of retinoic acid in dark conditions. iv. Step 15: Problem – Only few or no HB9 positive cells. Potential Cause – NSCs not caudalized or additional culture time required by the specific cell line. Solution – If cells were not caudalized (checked by OLIG2) expression by day 30, refer to retinoic acid troubleshooting. Alternatively culture for additional 5–6 days and then stain for HB9 expression. v. Contamination – Due to the long duration of this protocol, negligence of sterile techniques can result in contaminated cultures. Sometimes repeated washing with Hank’s Balanced Salt Solution (HBSS) followed by addition of antibiotic for 1 week can restore the culture. However, if the contamination persists, the cultures must be destroyed using Sodium Hydroxide or discarded completely if possible, and the incubator should be decontaminated. 5.2 Retinoic acid is a highly unstable compound. Its stock should be replaced every 3 months for optimal effects and it should be always protected from light. 5.3 There are many other distinct markers for the stages of MN differentiation as listed in Table 1. For more elaborate study, testing a couple of additional markers for each stage is recommended. 5.4 A variation of the protocol to differentiate PSCs to NSCs by Sterneckert et al. has been tested in our laboratory to be highly efficient in yielding pure populations of NSCs (35). However, it is more labor intensive protocol, and the efficiency can be variable as it requires embryoid body formation and rosette selection. 5.5 Puromorphamine, a SHH agonist, can replace the SHH in this protocol as a more economical alternative. However it is important to note that because of its direct downstream effects its dose window is very narrow and OLIG2 expressing MNPs appear sooner (32). 5.6 Our laboratory also tested that astrocytes and differentiating MN can be co-cultured in the same MN media (Fig. 5). It has already been established that the coculture setup provides a more native environment to the differentiating MNs and the survival rate of the differentiating cells is much higher because of the molecules secreted from the astrocytes (36). Furthermore, the problem of the detachment of MN processes during the process of their differentiation is highly minimized when they are co-cultured with astrocytes. 5.7 In conjunction with the growth factors and morphogens, the extracellular matrix environment has been shown to play an important role in the patterning of PSCs and in inducing MN fate (37). Three-dimensional tissue engineered scaffolds have been utilized in cell cultures and their effects of the characteristics and architecture of the scaffolds on cell proliferation, migration, their phenotype, and protein expressions has been confirmed (38, 39). In a recent study, it was demonstrated that the mechanical properties of the extracellular matrix complements the effect of the morphogens in differentiating and regionalizing the pluripotent stem cells, and that softer substrates improve the purity and yield of functional MNs differentiated from PSCs (40). 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