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Protein-based cellular alchemy for personalized medicine: A case for Parkinson’s disease Kwang-Soo Kim Affiliation: Molecular Neurobiology, McLean Hospital/Harvard Medical School Address: MRC216, 115 Mill Street, Belmont, MA 02478, USA ……………………………………………………………………………………………………… The induced pluripotent stem cell (iPSC) technology pioneered by Yamanaka and his colleagues in 2006 has ignited an explosion of scientific and public interest because these cells can potentially offer an ideal cell source by providing patient- and disease-specific cells to study and treat numerous human diseases. However, widely established methods to generate iPSCs require the use of viral and/or genetic materials that likely integrate into the chromosomal DNAs with unknown genetic changes. Indeed, recent evidence demonstrated that viral-based iPS cells compromise genomic integrity and exhibit abnormal phenotypes. Thus, to realize the therapeutic and biomedical potentials of iPSCs, it is critical to develop reprogramming methods that can avoid or minimize these potential abnormalities. As a potential approach, we attempted to generate iPSCs without the use of viruses or DNA transfection by directly delivering four reprogramming proteins (Oct4, Sox2, Klf4, and c-Myc) fused with a cell penetrating peptide. We also characterized these protein-based iPSCs along with virus-based iPSCs for their molecular and differentiation properties. This presentation will discuss current limitations as well as the potential of protein-based iPSC reprogramming with the long-term goal to use them for eventual personalized medicine, using the case of Parkinson’ disease as a model system. Recent relevant publications Kim, D., Kim, C.-H., Moon, J., Chung, Y.-G., Chang, M.-Y., Han, B.-S., Ko, S., Yang, E., Cha, K.Y., Lanza, R., Kim, K.S. (2009). Generation of Human Induced Pluripotent Stem Cells by Direct Delivery of Reprogramming Proteins. Cell Stem Cell 4(6):472-6. (selected as one of 2009 Research Highlights by Nature 2009, 462:960). Chung, S., Leung, A., Hong, S.H., Chang, M.Y., Pruszak, J., Han, B.-S., Isacson, O. and Kim, K.S. (2009) Wnt1 and Lmx1a form a novel autoregulatory loop and critically regulate midbrain dopaminergic development at multiple steps. Cell Stem Cell 5:646-58. Rhee, Y.-H., Ko, J.-Y., Chang, M.-Y., Yi, S.-H., Kim, D., Kim, C.-H., Shim, J.-W., Jo, A.-Y., Kim, B.-W., Lee, H., Lee, S.-H., Suh, W., Park, C.-H., Koh, H.-C., Lee, Lee, Y.-S., Lanza, R., Kim, K.S.* and Lee, S.-H.* (*co-corresponding authors) (2011) Protein-based human iPS cells efficiently generate functional dopamine neurons without abnormal phenotypes associated with genome integration. J. Clin. Invest. 121(6):2326-35. Epub 2011 May 16. (featured in Nature Review Neurology, 2011, 7:357). Chung, S., Moon, J.-I., Leung, A., Aldrich, D., Lukianov, S., Kitayama, Y., Park, S., Li, Y., Bolshakov, V.Y., Lamonerie, R., and Kim, K.S. (2011) ES cell-derived renewable and functional midbrain dopaminergic progenitors P.N.A.S. 108(23):9703-8. Epub 2011 May 23. Kim, K.S. (2011) Converting human skin cells to neurons: A new tool to study and treat brain disorders? Cell Stem Cell, 9:179-181. Vasudevan, A., Won, C., Li, S., Erdelyi, F., Szabo, G., and Kim, K.S. (2012). Dopaminergic Neurons Modulate GABA Neuron Migration in the Embryonic Midbrain. Development, 139: 3136-41. (PMC3413160)