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Generation of insulin-secreting glucose-responsive -cells from human stem cells Adam Ross, Nan Sook Lee, Robert H. Chow METHODS ABOUT ME RESULTS Stem-cell-derived insulin-positive cells Five stages of differentiation My name is Adam Douglas Jackson Ross. I am originally from Pasadena, California, and currently attend the University of San Francisco where I am a rising junior. At the University of San Francisco, I am a Biology Major with a Chemistry and a Business Minor. A. Endpoint RT-PCR with MEF B. Immunocyto Staining (Cell Staining) Betacellulin+ Nicotinamide CONCLUSION ABSTRACT Human embryonic stem cells offer an unlimited but unrealized source of cells to treat Type 1 diabetes. Proper gene expression is critical for normal development of human embryonic stem cells. Protocols to direct differentiation of stem cells to express insulin (INS) already exist. However, the yield of INS positive cells is low, difficult to reproduce, and the cells do not secrete when stimulated by glucose. We have modified existing protocols to give more reliable production of differentiated stem cells expressing INS. The new five-stage protocol yields roughly 10% INS cells, which means any analysis of the whole population is confounded by the presence of the predominant non-INS cells. To identify and purify the INS-producing cells, Dr. Nan Sook Lee has created a reporter construct that encodes Green Fluorescent Protein (GFP) and Red Fluorescent Protein (mCherry). The construct is designed so that when introduced into human embryonic stem cells, they will shine green if the INS gene is present, or red if the INS gene is not present. The cells will be processed by a fluorescence-activated cell sorter (FACS). Unlike normal insulin-secreting beta cells, the differentiated stem cells containing the INS gene do not respond to glucose. To address this problem, we will compare the genetic information for these two cell types. We hypothesize that expression of the proteins that facilitate glucose responsiveness is regulated by micro RNAs (miRNAs) acting on messenger RNAs (mRNAs). Once we identify the relevant miRNAs, we will be able to turn on the glucose-response genes to produce fully glucose-responsive beta-like cells in vitro. • We have made a few major findings, thus far: 2 6 (Differentiation 18 days) H1 INS E Figure 3. A. Endpoint RT-PCR of insulin transcripts in stage-5 (ST5) cells using the modified protocol and mouse embryonic feeder cells (MEF) showing INS production in mRNA at stage-5. B. The fluorescent imaging distinguishes insulin (INS) and glucagon (GCG) immunofluorescence of stage-5 cells using antibodies to report the presence of the INS and GCG proteins. Endpoint RT-PCR with M-15 A novel fluorescent reporter that identifies insulin-producing single cells and also reports insulin secretion ST1 ST5 IS (Islet) INS-- Reporter: Dual-color design Green--insulin+ cells Red--non-insulin+ cell pCMV-L-mCherry-pA-L • In order to reliably distinguish the insulin-producing cells from those that are non-insulin-producing, we have constructed a fluorescent reporter system to facilitate in the sorting of the cells • The next steps will be: • Compare miRNAs and mRNAs of glucoseresponse genes for stage-5 stem-cell-derived cells (glucose nonresponsive) and normal human beta cells (glucose responsive) • Demonstrate that glucose response genes can be turned on by changing specific miRNA levels GAPDH-- pA-Cre-phINS • Differentiation of human embryonic stem cells to insulin-producing cells can be reliably induced using a protocol we have optimized by adding betacellulin and nicotinamide at stages 4 and 5 Program Benefits -GFP-pA Figure 4. This Gel Electrophoresis picture displays the results of an Endpoint PCR of insulin transcripts in stage-5 cells using the mouse mesoderm cell line (M-15). Compared are the amount of INS produced by the specified cell types, thus, if the gene is expressed, it will be shown on the gel. This program has provided me with a wealth of experiences that will help me reach my future goals. It has provided me with an understanding of how basic research is conducted. I now really appreciate how much hard work goes into making the scientific advances needed to create new medical treatments. The insights I have gained have inspired me to work harder and to consider research and medicine as future career goals. PILOT RESULTS HYPOTHESIS CLINICAL RELEVANCE We hypothesize that miRNAs are responsible for the turning on of glucose-response genes. Furthermore, we hypothesize that we can make fully glucose-responsive beta-like cells by intentionally controlling the levels of the critical miRNAs. Insulin Production Figure 1. Illustration showing how micro RNAs (miRNAs) act as molecular switches to turn-off gene expression. Figure 2. The diagram illustrates the expression of Green Florescent Protein (GFP) in hamster insulinoma cell line (HIT-T15) containing the gene segment CMV-LoxP-mCherry-LoxP-GFP-phIns-Cre-pA. The dual-color reporter enables researchers to reliably separate cells that are insulin-producing from cells that are not. Figure 5. Pilot results showing comparison of miRNA level in the heterogeneous populations of stage-5 H1 and NT2 cells versus human beta cells prior to creation of the reporter. Figure 6. This illustration displays the potential this process has for diabetes therapy in the future.