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National Academy of Sciences Workshop “Stem Cell Models for Environmental Health” Washington, DC, June 3-4, 2010 Toxicology: A Springboard for Stem Cell Scientists? Roger A. Pedersen Professor of Regenerative Medicine Laboratory for Regenerative Medicine University of Cambridge 1 How can stem cells be used for treatment of diseases? Transplantation Stem cells Differentiation Tissue engineering The major expected clinical use of stem cells is tissue repair and replacement, i.e., regenerative medicine. Jim Shapiro developed islet transplantation Chris & Dana Reeve envisioned stem cell treatments for spinal cord injury Achieving their vision will require fundamental knowledge about how stem cells can be induced to specialise into therapeutic tissues, and whether they are safe for transplantation. • • • Derivation and scaleup of GMP-quality cells Immune mis-match between donor and recipient Epigenetic alterations may undermine stability Other stem cell translational targets can be more accessible than transplantation • • • • Disease modelling using pluripotent stem cellderived cells and tissues Drug discovery using stem cell-derived cells Use patient-specific cells (towards personalized medicine) Toxicity screening using stem cell-derived cellular systems Approaches to toxicology testing using stem cell-derived cellular systems • • • Modelling penetration of xenobiotics through barrier cell populations (e.g., skin, blood vessels) Activation/detoxication of xenobiotics by primary metabolic cell types (e.g., liver, intestine) Assessment of target cell damage and response to xenobiotic/metabolite exposure FP7 HEALTH.2010.4.2-9: Towards the replacement of repeated dose systemic toxicity testing in human safety assessment. (Funding: European Commission, 25M Euro + COLIPA, 25M Euro, participant selection late 2010) 1: Optimisation of current methodologies and development of novel methods to achieve functional differentiation of humanbased target cells in vitro. a) Optimisation of stem cell technology as a source for humanbased target cells for toxicological purposes b) Refinement of cell culture systems for long-term toxicity testing c) Exploitation of emerging mechanistically-driven methods controlling cellular differentiation FP7 HEALTH.2010.4.2-9: Towards the replacement of repeated dose systemic toxicity testing in human safety assessment. 2: Exploitation of organ-simulating cellular devices as alternatives for long-term toxicity testing a)Integration of target and metabolising cells to simulate multi-organrelated toxicity in vitro b) Utilisation of scaffolds and microstructures to optimise the cellular microenvironment c) Development of novel cellular barrier models relevant to systemic exposure d) Optimisation of microsensors to monitor tissue responses in organsimulating devices FP7 HEALTH.2010.4.2-9: Towards the replacement of repeated dose systemic toxicity testing in human safety assessment. 3: Establishment of endpoints and intermediate markers in human-based target cells with relevance for repeated dose systemic toxicity testing. a) Functional parameters as predictive signals of human long-term toxicity b) Establishment of “-omics”-based markers as predictive signals of human longterm toxicity c) Integration of markers for enhancement of human long-term predictive capacity 4: Computational modelling and estimation techniques. 5: Systems biology for the development of predictive causal computer models. 6: Integrated data analysis and servicing. d) Setting up a cell and tissue bank for in vitro toxicity testing 7: Coordination action. How can stem cells be used to generate mechanismbased toxicology reporter systems? • • • • Induction of xenobiotic metabolizing networks Cellular response to oxidative/nitrosative stress Induction of apoptosis Proliferation disturbances (cell cycle arrest or promotion) Strategies for reporter gene use in toxicology • Constitutive expression (housekeeping gene tagged) • Direct activation (responsive gene tagged) • Indirect activation (target of responsive gene tagged) • Conditional activation of tagged gene (e.g., by Cre or Tamoxifen) • Permanently switch on or off (conditionally target a constitutive gene locus) Constitutive expression of GFP reporter gene targeted to the human AAVS1 locus Smith et al., Development 2008 Hockemeyer et al., Nature Biotech 2009 Constitutive expression of RFP reporter gene targeted to the human ROSA26 locus Irion et al., 2009 Generic Targeting Strategy B1 FRT en2SA T2A H2B_Venus pA FRT loxP PGKp neoR pA loxP B2 ATG exon AUG mRNAs proteins T2A H2B_Venus pA neoR pA H2B_Venus neoR or RFP neoR H2B_Venus will be expressed as a non‐fusion protein because of the T2A ribosome skip site (self‐cleaving peptide) Targeting the human Brachyury gene Targeting the human Brachyury gene Targeting the human Brachyury gene Potential targets for toxicology reporter genes Oxidative/Nitrosative Stress • • • • Induction of xenobiotic networks: CYP3A4 HMOX 1 (HO) 1 Response to Oxidative stress: NRF2 target(s) Induction of apoptosis: Caspases Proliferation disturbances: Cell cycle genes Hemeoxygenase-1 Conclusions • Pluripotent stem cells can be induced to differentiate into either xenobiotic metabolizer or target cells • Pluripotent stem cells can be genetically modified to express reporter genes • Reporter genes used can be assessed by fluorescence, luminescence or combined modalities • Differentiated cells with reporter genes can be interfaced with devices for high content/high throughput screening Acknowledgements Gabrielle Brons Zhenzhi Chng Daniel Ortmann Sasha Mendjan Bowen Sun Maria Ortiz Andreia Bernardo Lily Cho Kate Quinlan Tiago Faial Thomas Moreau Yifan Ng Kathy Niakan Smruthi Jayasundar Cambridge Stem Cell Initiative www.stemcells.cam.ac.uk The Wellcome British Heart Foundation Trust NIHR