Reliable, scalable and time-efficient culture methods are required to fully realize the clinical and industrial applications of human pluripotent stem (hPS) cells. Here we present a completely defined, xeno-free medium that supports long-term propagation of hPS cells on uncoated tissue culture plastic. The medium consists of the Essential 8 (E8) formulation supplemented with inter-α-inhibitor (IαI), a human serum-derived protein, recently demonstrated to activate key pluripotency pathways in mouse PS cells. IαI efficiently induces attachment and long-term growth of both embryonic and induced hPS cell lines when added as a soluble protein to the medium at seeding. IαI supplementation efficiently supports adaptation of feeder-dependent hPS cells to xeno-free conditions, clonal growth as well as single-cell survival in the absence of Rho-associated kinase inhibitor (ROCKi). This time-efficient and simplified culture method paves the way for large-scale, high-throughput hPS cell culture, and will be valuable for both basic research and commercial applications.
Human pluripotent stem (hPS) cells, including human embryonic stem cells (hES cells) and induced pluripotent stem cells (hiPS cells), can self-renew indefinitely while retaining the capacity to differentiate into any somatic cell type. They therefore have great potential in various applications including basic developmental research, drug/toxicity screening and cell-based therapeutics1. The complex matrix requirements of hPS cells, which make up the hPS cell ‘niche’, are well documented and traditionally hPS cell expansion has necessitated culture on feeder cells and serum-containing media2. However, incompatibility of these complex, ill-defined conditions with pharmacological and medical applications has driven the development of alternative strategies combining defined media with improved surfaces. Solutions typically include surface immobilization of cell-binding motifs, such as integrin-binding proteins3,4, short peptides derived from vitronectin (VN), laminin (LN)5,6, glycosaminoglycan (GAG)-binding peptides6,7 and synthetic polymers8,9. Current novel approaches use high-throughput combinatorial arrays to discover fully synthetic alternatives10. However, to date, these methods have not been widely implemented, being either too expensive or lacking the required reproducibility, leaving feeder cells or Matrigel11 in widespread use. Moreover, many hPS cell lines have also proven resistant to successful adaptation to feeder-free conditions. There are many hPS cell-specific issues that need to be addressed for optimal culture. Routine culture usually involves passage in small aggregates or clumps to avoid a loss of viability associated with dissociation (anoikis). The addition of ROCKi (Y-27632) to the hPS cell medium increases survival after single-cell passaging, but it is costly, particularly at scale12. Recent years have seen considerable efforts made to simplify and refine medium formulations, and the fully defined E8 medium is an important step forward in this regard5. Containing only eight components, all of them produced recombinantly, E8 is typically used together with a recombinant VN peptide which is pre-applied to the tissue culture (TC) plastic as a coating for optimal cell attachment and survival (the one used in this study is Vitronectin-XF (VN-XF), distributed by Primorigen and StemCell Technologies). The combination of E8 and VN-XF has the benefits of being xeno-free and defined. However, as shown in the present study, this method does not robustly support cloning and single-cell passaging unless cells are pre-treated for several hours with ROCKi. Large-scale and automated systems of the future will require affordable reagents available in large quantities, and simplified methodologies that can support efficient and reliable single-cell passaging.
The IαI protein family members are present at high concentrations (0.6–1.2 mg ml−1) in human serum13. Inter-α-inhibitor (IαI), which is the most common family member, consists of two heavy chains (HC1 and HC2) and a bikunin (Bk) domain linked together by chondroitin sulphate13,14. The IαI complex has been associated to inflammation processes, hepatitis, cancer and even kidney diseases15,16,17,18,19. Traditionally, IαI has been described as an extracellular matrix (ECM) component. The HCs are the only proteins known to covalently bind the ECM GAG hyaluronan (HA), while Bk when released from the HCs acts as a serine protease inhibitor14,20,21. However, recent reports demonstrate that the HC domains can additionally induce cell signalling20,22,23,24. Indeed, we recently showed that IαI (specifically its HC2 domain) activates the Yes/Yes-associated protein (YAP)/TEAD transcription factor pathway and induces expression of Oct4 and Nanog in mouse ES (mES) cells24.
In the present study we demonstrate, for the first time, that IαI and its HC2 domain promote attachment and survival of hPS cells. Moreover, we describe a new, simplified and time-efficient cell culture method based on the E8 medium supplemented with soluble IαI (herein called E8:IαI). This method requires no surface coating and supports long-term propagation of hPS cells, clonal expansion and single-cell passaging even in the absence of ROCKi.
IαI and its HC2 domain induce hPS cell attachment
To study whether IαI could support stem cell attachment, K2C hiPS cells were seeded onto standard TC-treated plastic in E8 medium supplemented with 50 μg ml−1 IαI. The purity of the isolated IαI protein solution was thoroughly validated through silver staining and mass spectrometry analysis (Supplementary Fig. 1). Cell attachment was assessed 4 h after seeding using crystal violet staining, and VN-XF coated plates (E8:VN) were used as positive control. Figure 1a shows how IαI supplementation induces similar cell attachment levels as VN-XF coating. The separate Bk and HC1 IαI domains were unable to support attachment when added in solution to the medium (Supplementary Fig. 2; Fig. 1a). However, when HC2 (but not HC1) was pre-coated onto standard TC-treated plastic, similar attachment levels, as with IαI supplementation, were achieved 4 h after seeding (Fig. 1a). Cells seeded in IαI or on HC2-coated plates exhibited similar colony morphology and cell–cell contacts (defined by E-cadherin arrangement) as cells seeded on VN-XF (Fig. 1b; Supplementary Fig. 3). To further investigate the role of the different IαI domains in the hPS cell attachment we added antibodies against each of the three IαI domains at the seeding step. Even though the use of the separate IαI domains showed HC2 to be responsible for the hPS cell attachment, all three antibodies inhibited IαI-induced attachment regardless of which domain was being targeted, suggesting that antibody binding hinders IαI-mediated attachment when used in solution (Fig. 1c).
Serum albumin inhibits IαI-mediated attachment
When an alternative stem cell culture medium, mTeSR1 (which contains a high concentration of bovine serum albumin (BSA, 1% w/w) and β-Mercaptoethanol, was used as basal medium for IαI, significantly lower cell attachment was achieved as compared with using E8 medium (determined by paired t-test). We therefore hypothesized that BSA may bind and sequester IαI, reducing its effective concentration in the medium. To test this, IαI-mediated attachment of the hES cell line HUES1 and the hiPS cell line K2C was measured in E8 medium, E8 medium supplemented with 5% w/v BSA or mTeSR1 medium. Addition of BSA to the E8 medium significantly reduced IαI-mediated attachment (determined by paired t-test) to similar levels as those observed when using mTeSR1 (Fig. 1d). Albumin is commonly used to block non-specific binding to plastic or other surfaces because of its rapid and wide-ranging binding capacity. To confirm that the inhibition of IαI-mediated attachment observed in the presence of albumin was not due to a competition for surface coating, we pre-coated the surface with 50 μg ml−1 IαI for 1 h at room temperature (RT) before seeding hPS cells in either E8 medium or mTeSR1 medium. Again, the attachment was lower in mTeSR1 as compared with the E8 medium, further confirming that albumin can indeed reduce the ability of IαI to promote cell attachment, possibly by binding to it directly and thereby blocking its effect (Supplementary Fig. 2).
Integrins are involved in IαI-mediated attachment
The HCs contain a von Willebrand type A (vWA) domain, which has been reported to bind proteins such as VN via RGD (arginine-glycine-aspartate) motifs25. To assess if the observed effect of IαI supplementation was mediated by integrin engagement of RGD-motifs, a panel of RGD-blocking peptides were tested for their ability to inhibit IαI-mediated attachment (Fig. 1e). The linear RGD peptide H1830 did not have an effect, but the cyclic RGD-based, αvβ3- and αvβ5-blocking peptides (c(RGDfV), H-2574 (ref. 26)) and (c(RGDfC), H-7226 (ref. 27)) significantly reduced attachment as compared with their controls c(RADfV) and c(RADfC) (H-4088 and H-7232, respectively) (determined by paired t-test). These peptides block attachment to VN and LN, which have been shown to support hPS cell attachment and survival4,5,7. The GRGDsP (H-3164)-blocking peptide, which reduces attachment to fibronectin but does not interfere with VN-mediated binding, did not reduce IαI-induced attachment (all peptides were from Bachem and are described in Supplementary Table 1).
To confirm the results obtained with the RGD-blocking peptides, we used blocking antibodies against VN and LN-binding integrins together with the E8:IαI method. The antibodies were added at the seeding step and cell survival and growth was assessed after 4 days. Blocking the αv and β1 integrin domains and the αvβ5 integrin drastically affected attachment, while the αvβ3-blocking antibody reduced the attachment to a lesser extent (Fig. 1c). The β1 integrin domain has been shown to be the main integrin domain responsible for hPS cell binding to LN3,4, while αv has been described as VN binding in hPS cells when present in αvβ1, αvβ3 and αvβ5 complexes28. Together, these results point towards the involvement of multiple integrin subunits in IαI-mediated attachment, in contrast to the limited number of subunits involved in binding to simple ECM-derived fragment coatings3.
HA is involved in IαI-mediated attachment
HA is a non-sulphated GAG found in many matrices throughout the body where it affects multiple functions including cell migration and proliferation. HA hydrogels have also proven useful for hPS cell culture and delivery29. The HCs of IαI are the only proteins yet described to bind covalently to HA, and we therefore investigated if HA was involved in the IαI-mediated attachment of hPS cells. CD44 is a common HA-receptor and has been linked to cancer cell attachment and transformation following HA binding. However, we observed no inhibition of IαI-induced attachment in the presence of a CD44-blocking antibody (Fig. 1c). The involvement of GAGs in IαI-mediated attachment was further studied using a chemical inhibitor of GAG synthesis, 4-methylumbelliferone (4-MU)30,31. The hES cell line HUES1 was treated with 0.6 mM of 4-MU for 24 h before passaging and seeded onto VN-coated plates or E8:IαI, with 0.6 mM 4-MU supplementation. As shown in Supplementary Fig. 4, 4-MU treatment significantly reduced IαI-mediated attachment to ∼75% of the control samples, and this reduction was not observed for VN-mediated attachment (determined by one-way ANOVA analysis and Dunnett’s post-test against negative control E8:VN). Whilst it is noted that a reduction in GAG synthesis may impact multiple aspects of cell behaviour, attachment of 4-MU-treated cells could be fully recovered by adding exogenous high molecular weight HA (HMW-HA, 2,000–2,400 KDa) therefore suggesting that HA may be involved in E8:IαI-mediated attachment, however via a non-CD44-related mechanism (determined by one-way ANOVA analysis and Dunnett’s post-test against negative control E8:VN, and paired t-test against 4-MU-treated E8:IαI sample).
Live monitoring of the hES cell line HUES1 shows how IαI induces cell attachment and spreading over a similar timeframe and in a similar manner as the VN-XF coating (Supplementary Movie 1). Thus, IαI appears to exert a direct effect on cell attachment, similar to VN-XF coating, with attachment and spreading as concurrent events. The above data therefore point towards a complex attachment process, likely to involve several membrane receptors and extracellular ligands.
IαI efficiently supports single-cell passaging of hPS cells
To further evaluate IαI-induced hPS cell attachment and growth; HUES1 and K2C hPS cells were dissociated into small aggregates using a gentle enzyme-free reagent (Gentle Cell Dissociation Reagent (GCDR, Stem Cell Technologies)), or into single cells using TrypLE (a recombinant cell-dissociation enzyme, ThermoFisher) with ROCKi supplementation. The cells were then seeded using E8:VN or E8 with different IαI concentrations ranging from 0 to 500 μg ml−1. On day 4, cell density was assessed using crystal violet staining. As shown in Fig. 2 and Supplementary Fig. 5, 40–100 μg ml−1 of IαI was able to support attachment, characteristic colony morphology and positive alkaline phosphatase staining; 50 μg ml−1 IαI was therefore selected for all subsequent experiments (and is denoted as E8:IαI). It was also confirmed that IαI addition is only required during seeding and the initial attachment process, and is not required in subsequent medium exchanges.
When sub-culturing in small aggregates, 50 μg ml−1 of IαI supplementation at the seeding step supported similar viability as VN-XF coating. However, when performing single-cell splitting, almost no cells had survived after 4 days on VN-XF coating even with the addition of 10 μM ROCKi to the culture during the first 24 h after seeding. In contrast, under these conditions, IαI supplementation supported very high cell survival, with cells reaching a monolayer after 4 days. Further analysis showed that IαI was also able to support survival and colony formation of dissociated single cells in the absence of ROCKi, although the survival rate was lower than with ROCKi (Fig. 3a,b). Live monitoring of hES cells (HUES1) cultured in the absence of ROCKi showed that although the cells initially attach and spread as single cells on VN-XF coating, they eventually lift off the plate and die, while HUES1 cells seeded in the presence of IαI exhibit decreased motility after seeding but stronger cell-to-cell contact formation, and grow as adherent colonies until they are ready to be passaged (Supplementary Movie 2).
As presented above, in the absence of ROCKi pre-treatment, no hPS cell survival was observed on VN-XF coating. A 1-h pre-treatment with ROCKi is usually recommended for single-cell splitting of hPS cells to increase cell survival12. However, in our hands, 1-h pre-treatment resulted in inconclusive results when using the E8:VN method, even at high seeding densities. To prevent this, the ROCKi pre-treatment step was increased to 5 h. This longer pre-treatment improved the survival in E8:VN, but not to the level seen with E8:IαI. Thus, as shown in Supplementary Fig. 6a, there was a consistent higher cell density after 4 days in E8:IαI cultures when compared with VN-XF coating, from very low cell-seeding densities (25 cells per cm2) up to typical seeding densities (103 cells per cm2).
IαI protects from residual protease remaining after passage
IαI has been reported to act as protease inhibitor through its bikunin domain32. E8 is a low-protein medium and therefore, small traces of protease remaining in the culture medium after splitting could result in cell damage and subsequent death due to the lack of protease inhibitors. TrypLE is a recombinant protease that has been reported to be more gentle on the cell surface, and is therefore recommended for stem cell culture33. To investigate if the reduced cell survival observed using VN coating together with single-cell splitting is caused by remaining traces of TrypLE in the medium, we used a 5-h ROCKi pre-treatment followed by TrypLE passaging with a dilution and centrifugation step to remove all TrypLE remains. The cells were then seeded with and without the addition of 1% (V/V) of TrypLE. Supplementary Fig. 6b shows that while E8:IαI could support ∼100% survival of hES cell line HUES1 in 1% TrypLE, VN coating was unable to support cell survival in 1% TrypLE. These data suggest that IαI is able to partially protect against residual TrypLE in the medium after passaging.
VN in solution does not support single-cell seeding
According to the manufacturer’s recommendations, the VN peptide should be used as a coating agent in combination with E8 medium. To determine whether VN could be added in solution, similar to IαI, cells were pre-treated with ROCKi for 5 h and single cells were then seeded on either VN-coated plates or on uncoated plates in E8 medium supplemented with 10 μg ml−1 VN or 50 μg ml−1 IαI. As shown in Supplementary Fig. 6c, VN added in solution could not support attachment and survival to the same extent as IαI added in solution or coated VN, demonstrating that IαI-induced cell attachment is not only a result of rapid coating of the tissue culture plastic and that VN is only able to support attachment when used as a coating agent (Supplementary Fig. 6c).
IαI increases clonal survival of hPS cells
Live imaging of NCL1 hES cells seeded in E8:IαI with ROCKi after single-cell splitting revealed a colony forming from one single cell, suggesting that IαI can support clonal growth (Supplementary Movie 3). We therefore assessed the cloning success rate for six different hPS cell lines (K2C, HUES1, H207, H181, NCL1 and K8F) cultured in E8:IαI or E8:VN. High cloning rates of up to 18% were achieved with E8:IαI, and the cloning efficiency was consistently higher using the E8:IαI protocol as compared with E8:VN protocol in all five hPS cell lines tested, despite using a 5 h pre-treatment with ROCKi (Table 1).
Easy adaptation of hPS cell lines to E8:IαI
To ensure that the E8:IαI protocol can support robust propagation and pluripotency of different hPS cells, six hES cell lines (HUES1, H181, H207, OXF2, NCL1, huES3-Hb9::GFP) and two hiPS cell lines (K2C and K8F), originally derived in four different laboratories, were adapted to E8:IαI. All hPS cell lines exhibited normal morphology in E8:IαI medium (Supplementary Fig. 3a). The E8:IαI protocol showed better adaptation efficiency of the hES cell line OXF2 from feeder-cell culture as compared with E8:VN. Through a simple step-wise adaptation protocol, combining E8:IαI and single-cell passaging using TrypLE dissociation and ROCKi (Fig. 4a), we achieved 100% adaptation efficiency of five different feeder-dependent hPS cell lines (OXF2, NCL1, huES3::Hb9rGFP, K2C and K8F), with approximately four-fold better yield as compared with the E8:VN protocol for OXF2 hES cells (Fig. 4b). Healthy colony formation was achieved at passage 1 and negligible differentiation was observed from passage 2 (Fig. 4c). Successful adaptation of NCL1 was particularly noteworthy since this line had, in our hands, proved incompatible with feeder-free culture. These data suggest enhanced adaptation efficiency of feeder-dependent hPS cell lines to E8:IαI. Assessment after 5–10 passages proved expected stem cell marker expression (Fig. 4c).
IαI supports long-term propagation of hPS cells
Three hES cell lines (HUES1, H207 and H181) and one hiPS cell line (K2C) were then cultured for 15 or more passages in E8:IαI. The E8:VN protocol was used as positive control and, for adequate comparison, cells were split in small clumps for both protocols. All cell lines grew as tight colonies with negligible signs of differentiation regardless of culture condition. E8:IαI also supported freeze-thaw cycles with survival rates after recovery similar to E8:VN. Proliferation rate was assessed for up to 40 days (10 passages) and showed similar growth rates independent of culture protocol and cell line (Fig. 5a). Immunofluorescence staining highlighted strong and specific expression of stem cell markers in all cell lines after 15 or more passages in both protocols (Fig. 6a; Supplementary Fig. 7).
The Human Stem Cell Pluripotency TaqMan array (ThermoFisher) was performed to characterize expression profiles of the four hPS cell lines after long-term propagation focusing on marker genes for pluripotency, stemness and differentiation34. No significant differences in transcription profiles were found between culture conditions (as determined by multiple comparisons using two-way ANOVA and Sidak’s Multiple test), indicating that IαI does not induce differentiation or reduce expression of stem cell related markers (Fig. 5b,c; Supplementary Fig. 8; Supplementary Data 1). In fact, when relative expression values for stem cell markers were assessed closely, it was found that hPS cells grown in E8:IαI showed a more compact expression profile than hPS cells grown in E8:VN (Fig. 5b,c; Supplementary Fig. 8). The cells were then subjected to spontaneous differentiation by embryoid body formation and subsequent plating onto Matrigel with serum-containing medium. After 4 weeks, all hPS cell lines, independent of previous culture condition, showed successful differentiation into the three germ layers as assessed by immunofluorescence staining for specific markers (Fig. 6a; Supplementary Fig. 9a,b). TaqMan array was then performed on the differentiated hPS cell samples and again, no differences in transcriptional profiles were found between the two culture methods (Fig. 5b; Supplementary Data 1). Moreover, as shown in Supplementary Movie 4, K2C hiPS cells successfully produced beating cardiomyocytes after 40 passages in E8:IαI.
IαI supports directed endoderm differentiation
Endoderm has been the most difficult germ layer to generate in vitro35. To investigate if IαI could also support directed differentiation protocols for hPS cells, we combined the STEMDiff Definitive Endoderm Kit (TeSR-E8 optimized, StemCell Technologies) with IαI. Briefly, four hPS cell lines grown in E8:IαI for 10 or more passages were pre-conditioned to endoderm before being split as single cells and seeded using IαI. All four hPS cell lines attached normally and survived throughout the five-day differentiation protocol. The results showed that cells cultured in E8:IαI can be readily induced to differentiate into endoderm, generating a monolayer of endoderm precursor cells, positive for the key early endoderm markers Sox7, Sox17 and HNF3β (ref. 36; Fig. 6b; Supplementary Fig. 10).
IαI does not increase genetic abnormalities
To ensure that IαI does not increase the level of mutations or chromosomal abnormalities after long-term culture when compared with current methods, all hPS cell lines were subjected to G-banding and the Human OmniExpressExome array (Illumina, SNP&SEQ Technology Platform, Uppsala University). Single-nucleotide polymorphism (SNP) array data were analysed both by total number of copy-number (CN) calls, and number of shared CN calls between early and later passage (Supplementary Tables 3 and 4; Supplementary Fig. 11). G-banding analysis showed few but equal amounts of abnormalities in both culture methods (Supplementary Table 2; Supplementary Fig. 12). Further analysis done by using SNP-array data indicates that the CN profiles changed during culturing regardless of protocol used and cell line examined and that the two examined protocols perform equally well in retaining genetic profiles (Supplementary Table 3). A stricter CN analysis was also performed by comparing the number of shared CN calls between early and late passages in each of the four cell lines under the two protocols and for all 123 CN calls (Supplementary Table 4). Overall, we found no difference in the number of genetic alterations detected (Wilcoxon rank-sum-test; W=10.5, P=0.8082). No increase in genetic abnormalities was observed in E8:IαI as compared with E8:VN and the starting passages, suggesting that IαI does not increase the risk of genetic aberrations or selection for advantageous mutations in long-term culture. Even though the presence of abnormalities in all conditions may seem alarming, the hPS cell lines used in this study were obtained at high passages, and it has been reported that hPS cell lines can develop abnormalities after long-term culture in vitro37. Indeed, a previous large-scale analysis of 125 independent hPS cell lines from 38 different laboratories reported that small variations similar to the ones present in this study could be found in all samples, and documented that these are consistent with previous structural variants studies made on human populations, therefore dependent on their source genome and not from their in vitro culture38.
The last few years have seen a marked refinement of hPS cell culture methods, enabling the use of better defined culture conditions as well as simplified handling protocols, essential for the widespread use of hPS cells. The potential of hPS cells as renewable cell sources for drug toxicity screening, human cell therapy and regenerative medicine has rendered traditional cell culture methods, based on ill-defined components, unsuitable39. For this purpose, several defined surfaces have been developed to improve hPS cell derivation and expansion40,41. However, none of the currently available methods fulfil all requirements for simple, robust, cost-efficient and safe production of hPS cells. The combination of E8 medium with VN-XF5 coating is both defined and animal-component free, and has been proven to successfully support long-term culture of hPS cells when passaged as small clumps. However, this method requires a surface pre-coating step and, as shown in the present work, is inefficient when hPS cells are passaged as single cells.
In this paper we present IαI as a protein able to induce attachment of hPS cells onto plastic without the need for a pre-coating step. This is the first time that IαI has been reported to induce attachment in in vitro culture, particularly remarkable considering the extensive and numerous efforts to identify substrates for hPS cell culture. During this study we discovered that high concentrations of albumin in culture medium reduce IαI-induced attachment to ∼50%. These results suggest that albumin binds IαI and reduces its ability to induce cell attachment, both when present as a soluble factor and a pre-coated agent. This is possibly the reason why this is the first study linking IαI to cell attachment, as the majority of traditional cell culture media contain high concentrations of albumin.
IαI is a relatively large protein that consists of three distinct globular domains: Bk, HC1 and HC2. We found that antibodies targeted against any of the IαI domains could block IαI-induced attachment of hPS cells when IαI was used in solution. However, the only domain that could support hPS cell growth on its own was HC2, and only when HC2 was used as a coating agent. These results concur with our previous report showing that the HC2 domain of IαI, but not the HC1 domain, can activate pluripotency-related transcription in mES cells24. It has also been reported that transfer of the HC domains to HA requires the HC2 domain to be present, as part of the IαI molecule or as a separate domain (for example, HC2-Bk)20,23, confirming the distinct biological activity of the HCs. While HC1 and HC2 share functional domains (a vault protein inter-α-trypsin (VIT) domain and a vWA domain), outside of these regions there is considerable heterogeneity, and overall, human HC1 and HC2 only share 39% amino acid identity.
While little is known about the function of the VIT domain, the vWA domain has been reported to bind many proteins via RGD domains, including VN25. Thus, to assess if the IαI-induced attachment was integrin mediated, we used RGD-blocking peptides as well as integrin-blocking antibodies and found that multiple integrin subunits were likely to be involved in the process, pointing to a more complex interaction than the traditional integrin-binding protein attachment of VN- and LN-based coatings. Since the HCs of IαI are the only proteins reported to bind covalently to HA, we also investigated the potential role for HA in IαI-mediated attachment. Blocking the HA receptor CD44 did not have any effect on IαI-induced attachment. However, reducing GAG synthesis using an inhibitor decreased IαI-mediated attachment, indicating that HA may play a role IαI-mediated attachment. Overall, our results point to IαI-induced attachment being the result of a synergistic combination of several extracellular molecules and surface receptors. Indeed, IαI has been reported to interact with several extracellular molecules, including HA20, integrin-binding proteins such as VN25, and the complement system42. In vivo, many different processes have been linked to IαI, including the cumulus formation of the oocyte43, fibrosis and angiogenesis22, tissue repair25, amniotic membrane formation44,45, arthritis46 and others. IαI is proving to be a very versatile protein with a wide variety of functions, which most likely depend on the different partners it can interact with in each situation. Clearly, further study will be needed to completely unravel the mechanism underpinning IαI-mediated attachment.
In this study we present the first hPS cell culture protocol that overcomes the need for specialized surface coating or functionalization, while still being defined and animal-component free. This method is highly time efficient, as coating is a time-consuming step in hPS cell culture methods. We demonstrate that E8:IαI improves single-cell passaging and cloning efficiency, without the need for a lengthy ROCKi pre-treatment, and can protect from residual protease, thus making automated handling simpler and enabling cell-number control and high-throughput experimental design. Long-term propagation and characterization of four different hPS cell lines and successful adaptation of a total of eight different hPS cells lines prove that this culture method is reliable and robust. Moreover, we have shown that IαI can support a directed differentiation protocol. E8:IαI can also support freeze-thaw cycles in the same manner as commercially available methods. The IαI used in this study was derived from a side fraction of human plasma used for commercial factor IX production, with purity above 95%, as described previously14,21,24. IαI has a long shelf-life and can potentially be purified and prepared in large quantities from human plasma at GMP grade and at a reasonable cost. Future development will also investigate on the possibility of using recombinant IαI, or parts thereof. In conclusion, this simple method offers a reliable and cost-efficient solution to the current need for defined hPS cell culture conditions and has great potential to transform research, pharmacological and clinical application of hPS cells and their derivatives.
Materials and cell lines
Cells: hES cell lines H181, H207 (kindly provided by Dr Hovatta from Karolinska Institutet, Stockhom), HUES1 and HUES3-Hb9::GFP (kindly provided Dr Melton and Dr, Eggan from Harvard Stem Cell Institute and Dr. Koslova from Uppsala University), OXF2 and NCL1 (UK Stem Cell Bank), and hiPS cell lines K2C and K8F (generated by Dr Schuster, Uppsala University). Primary antibodies: mouse anti-Oct4 (POUF5F1) cl. 7F9.2 (Millipore), rabbit anti-Nanog (ab109250, Abcam), mouse anti-Sox2 (ab171380, Abcam), mouse anti-SSEA-4 (MAB4304, Millipore), mouse anti-Tra-1-81 (MAB4381, Millipore), mouse anti-Tra-1-60 (MAB4360, Millipore), mouse anti-α-Fetoprotein (AFP) receptor (MAB4086, Millipore), rabbit anti-PDGFβ receptor (sc-432, Santa Cruz Biotechnology), mouse anti-Neuron specific β-III-tubulin (MAB1195, R&D), rabbit anti-E-cadherin (#3195, Cell Signaling Technology), mouse anti-α-Smooth Muscle Actin (αSMA) (CBL171, Millipore), rabbit anti-nestin (ab105389, Abcam), mouse anti-HNF3β (sc-101060, Santa Cruz Biotechnology), mouse anti-Sox17 (SAB3300046, Sigma), rabbit anti-Sox7 (HPA009065, Sigma). Blocking antibodies used were: mAB13 (ref. 47) anti-β1 (kindly provided by Dr. Kenneth Yamada, NIDCR, USA), anti-αv L230 (ab94704, Abcam), anti-αvβ3 (MAB1976, Millipore), anti-αvβ5 (ab24694, Abcam), anti-ITIH1 K-16 (sc-33944, Santa Cruz Biotechnology), anti-ITIH2 N-17 (sc-21974, Santa Cruz Biotechnology), anti-Bk P-20 (sc-21597, Santa Cruz Biotechnology), rat anti-CD44 KM114 (kindly provided by Dr. Paraskevi Heldin, Uppsala University). Secondary antibodies: Alexa Fluor 488 goat anti-mouse (ThermoFisher), Alexa Fluor 555 goat anti-rabbit (ThermoFisher). Other reagents: Hoechst 33342 (ThermoFisher), Matrigel™ Matrix hES-qualified (Corning), RGD-based blocking peptides (all from Bachem, described in Supplementary Table 1), Y-27632 (ROCK inhibitor, ROCKi, StemCell Technologies), 25% hES-qualified BSA (Invitrogen), high molecular weight HA 2,000–2,400 kDa (HMW-HA, Cat No. 73641, Sigma-Aldrich), and 4-Methylumbelliferone (4-MU, M1381, Sigma).
The hPS cell starting cultures were on Matrigel coating (Corning) in mTeSR1 medium (StemCell Technologies)11 or on feeder cells (gamma-irradiated MEFs or CRL-2429 HFFs) in 20% KOSR and 8 ng ml−1 bFGF supplemented KO-DMEM48. Continuous culture on VN-XF and E8 medium was performed following manufacturer’s instructions. Briefly, vitronectin coating was performed by diluting VN-XF (StemCell Technologies #07180) in Dilution Buffer (StemCell Technologies #07183) to a final concentration of 10 μg ml−1, then immediately using the solution to coat non-tissue culture-treated cultureware, gently mixing the solution by rocking. The solution was allowed to coat for at least 1 h at RT or overnight (ON) at 4 °C. The coated well was washed once with the dilution buffer before use. The hPS cells were harversted using the Gentle Cell Dissociation Reagent (GCDR, StemCell Technologies #07174), the E8 medium was removed and the appropriate volume of GCDR was added and incubated for 5–8 min at RT. Then the solution was removed and the appropriate volume of E8 medium added, the colonies were scrapped using a cell lifter (Corning, CLS3008) and broken down by pipetting up and down 4-5 times. After that the cells were seeded using a dilution according to the initial density, typically ranging from 1:4 to 1:10.
Culture of hPS cells in E8:IαI
For the continuous culture of hPS cells in E8:IαI the cells were grown until appropriate size before splitting using GCDR (StemCell Technologies #07174). Briefly, the medium was removed; the appropriate volume of GCDR was added to the wells and incubated at RT for 5–8 min. The GCDR solution was removed and the appropriate volume of E8 medium was added, the colonies were then harvested using a cell lifter (Corning, 900020) and broken down by pipetting up and down 4–5 times. The wells were split 1:4 to 1:10 (depending on starting cell density), fresh E8 medium together with the hPS cells was added into a new, uncoated, tissue culture-treated plastic (Corning). Finally, 50 μg ml−1 IαI was added into the well and mixed by gentle rocking. The culture medium was changed daily using standard E8 medium. IαI supplementation was not necessary after the initial seeding step.
Adaptation of feeder-dependent PS cells to E8:IαI
The hPS cells cultured on feeder cells were adapted to E8 medium using a 4-day step-wise adaptation from the original medium to the E8 medium. On day 4, the cells were harvested using TrypLE and then seeded in E8 medium supplemented with 10 μM Y-27632 onto tissue culture-treated plastic with 50 μg ml−1 IαI supplementation or onto VN-XF coated surfaces, cell density used was approximately 5 × 103 cell per cm2. The medium was then changed daily until day 4, when cells were passaged or assessed for total cell number. After the first passage, continuous culture passaging was done using GCDR.
The hPS cell lines were split for routine culture using a GCDR and collected using a cell lifter. For the growth-rate assessment, duplicates were kept for every condition. One well was passaged with GCDR for continued culture, while the other was passaged with TrypLE for cell-number measurement with a TCP counter (Bio-Rad).
Cryopreservation of hPS cells
The cells were harvested using GCDR and a cell lifter. The freezing medium used was mFreezer or FreSR-S (StemCell Technologies) and the final cell concentration ranged from 4-10 × 106 cells per ml. Cell solution (1 ml) was used per cryovial, the cells were then transferred to a −80 °C freezer for a slow-cooling using an isopropanol freezing container. After 24 h, the cryovials were transferred to permanent storage in vapour phase liquid nitrogen.
Embryoid body (EB) formation was performed using the aggrewell system (StemCell Technologies), harvesting the cells using TrypLE with 1-h ROCKi pre-treatment and seeding an average of 2,000 cells per EB and with ROCKi addition. The EBs were then kept in GMEM 20% FBS and suspension for 2 weeks and then plated onto Matrigel (Corning) or Synthemax (vitronectin, Corning) for 2 more weeks. Beating cardiomyocytes areas were filmed after 3–4 weeks of growth using a light-phase microscope coupled to a NikonE990 camera.
Purification of human IαI
A side fraction from the commercial manufacturing of factor IX (Pharmacia-Upjohn, Stockholm, Sweden) was fractionated using gel filtration chromatography on a HiPrep 26/60 Sephacryl S-400 HR column using the ÄKTA automated chromatography system (both from GE Healthcare). This process generates more than 95% pure IαI. For the release of the heavy chains, a solution of 1 mg ml−1 IαI in PBS was subjected to 0.05 M NaOH treatment for 15 min at RT and then dialyzed against 20 mM sodium phosphate pH 7.6 and subsequently applied to an anion-exchange chromatography for separation using the ÄKTA system (MonoQ 5/50 GL; GE Healthcare)49. Fractions were analysed in 8% acrylamide SDS–PAGE gels and Coomassie Brilliant Blue staining. Unless specified otherwise, protein concentrations were determined by UV measurements and using the absorbance coefficients for the protein moieties of IαI, HC1 and HC2 obtained from Bloom et al.14 The protein solutions were concentrated and stored at −20 °C.
Crystal violet attachment assay
The hPS cells were collected with either with GCDR or TrypLE. Approximately 5 × 103 cell per cm2 were seeded, unless specified otherwise. For single-cell splitting, 4–5 h of 10 μM ROCKi pre-treatment was used (unless stated otherwise) and the dissociation reagent was TrypLE (ThermoFisher). For single-cell splitting 10μM ROCKi was also added for the first 24 h after seeding, unless specified otherwise12. After the specified time for attachment and/or growth, total cell number was assessed50. Briefly, the plates were washed twice with PBS to remove non-attached cells and fixed using ice-cold methanol for 10 min, and subsequently stained with 0.4% w/v crystal violet in methanol for 5 min. The crystal violet was then thoroughly washed away using distilled water, and the plates were dried before adding 175μl of 0.1% SDS solution per 24-well plate well. After 1–2 h on a tilting table at RT, quantification was performed measuring optical density at 570 nm with Multiscan PLUS (Labsystems). All cell-number quantification experiments were performed in triplicates, with three separate independent experiments performed, unless specified otherwise. The samples were also periodically randomized so as to ensure no position-related variations.
The hPS cells were harvested as small clumps using GCDR and seeded at 5 × 103 cells per cm2 in E8 supplemented with 50 μg ml−1 IαI (E8:IαI) with the addition of each antibody at 5 μg ml−1 for the integrin-blocking antibodies, and 20 μg ml−1 for the IαI-binding antibodies for the first 24 h. The RGD-blocking peptides were also added at the seeding step at a concentration of 25 μM (9–15 μg ml−1). The cells were cultured for 4 days before cell survival and growth was assessed using crystal violet staining.
GAG synthesis inhibition
The inhibitor 4-Methylumbelliferone (4-MU) was used to inhibit GAG synthesis in the hPS cells to assess its effect of on the IαI-mediated attachment. Briefly, hPS cells were treated for 24 h in E8 medium supplemented with 0.6 mM 4-MU or with 6μl MeOH as a negative control. This concentration has been reported to decrease HA synthesis without inducing apoptosis in cancer cell lines31. After treatment the cells were harvested as small clumps using GCDR and seeded onto VN coating or with IαI, with the addition of MeOH or 4-MU for the first 24 h after seeding. Moreover, in the 4-MU-treated samples 100 μg ml−1 HMW-HA was also added to assess the effect of exogenous HA.
Directed endoderm differentiation
Directed endoderm differentiation was performed using the STEMDiff Definitive Endoderm Kit (TeSR-E8 optimized, StemCell Technologies), according to the manufacturer’s instructions. Four hPS cell lines cultured on E8:IαI conditions were grown for 4 days. At day four, the medium was changed to Pre-differentiated supplemented E8 medium and used for daily exchanges for 48 h. The cells were then washed with PBS and split using GCDR and thorough pipetting to achieve a single-cell suspension. The single suspension was centrifuged and resuspended in E8 medium supplemented with IαI and pre-differentiation reagent, and seeded at 2 × 105 cells per cm2. After 24 h, the medium was changed to StemDiff Definitive Endoderm Basal medium supplemented with reagents A and B. On day 2, the medium was changed into StemDiff Definitive Endoderm Basal medium supplemented with reagent B, and this medium was used to exchange daily until day 5. The cells were then fixed and used for immunocytochemistry analysis.
Cells were fixed with cold 4% paraformaldehyde (Sigma) for 15 min and then blocked with 0.5% BSA and 0.3% Triton X-100 in PBS (all from Sigma). The primary antibodies anti-Oct4 (1:300), anti-Nanog (1:100), anti-Sox2 (1:100), anti-SSEA-4 (1:200), anti-Tra-1-60 (1:100) and anti-Tra-1-81 (1:100), anti-βIII-Tubulin (1:100), anti-Nestin (1:200), anti-αSMA (1:200), anti-AFP (1:50), anti-PDGFβ receptor (1:50), anti-E-cadherin (1:100), anti-Sox7 (1:50), anti-Sox17 (1:50), anti-HNF3β (1:100), were added to the cells and incubated in a humid chamber at 4 °C overnight, rinsed with PBS, and subsequently incubated with Alexa Fluor 555 anti-rabbit (1:500) and/or Alexa Fluor 488 anti-mouse (1:500) for 60 min at room temperature. After rinsing with PBS and co-staining with Hoechst 33342, coverslips were mounted using fluoromount (Sigma), and analysed with inverted confocal fluorescent microscopy (LSM700, Zeiss). All images were uniformly processed using Adobe Photoshop CS6 (Version 13.0.6 x64).
Human stem cell pluripotency taqman array
Total RNA was extracted using an RNeasy Mini kit (Qiagen) following manufacturer’s instructions. An RNA nano6000 chip and a Bioanalyser2100 (Agilent) were used to assay RNA quality, and only samples with an RNA integrity number (RIN) ≥8 were selected for the array. cDNA was prepared from 1 μg of total RNA using iScript (Bio-Rad) according to manufacturer’s instructions, and then mixed with TaqMan Gene Expression Master Mix and loaded onto a TaqMan Human Stem Cell Pluripotency Low Density Array (TLDA, ThermoFisher). The arrays were run on a 7900HT Real-Time PCR System (Applied Biosystems). The data were processed with RQ Manager 1.2.1 software and relative expression (dC(t)) was calculated using GAPDH as a control and used to compare across all cell lines using the statistical programme GraphPad Prism 6. The hierarchical cluster analysis was performed by Genesis51. All arrays were run at the SciLifeLab Genome facility (Uppsala, Sweden).
Cultures of up to 70–80% confluency were treated with 100 ng ml−1 colcemide (KaryoMax colcemide Solution (10 μg ml−1), Gibco) overnight, and harvested using TrypLE (ThermoFisher). The cells were subsequently treated with freshly prepared hypotonic solution (75 mM KCl, Sigma) for 30 min at 37 °C followed by a triple fixator treatment (3:1 Methanol:Acetic acid, both by Sigma) for 20 min each. The dropping of fixed cell suspension on cold wet microscope slides was used to achieve metaphases, which were subsequently processed using Trypsin (Sigma) and stained with Giemsa staining solution (Sigma) for G-banding analysis52. For each sample, twenty metaphases were analysed with IKAROS-software (MetaSystems). Description and specification of chromosomal aberrations was performed following guidelines from ISCN 2013.
SNP array and genotyping
SNP genotyping with Illumina HumanOmniExpressExome-array version 8v1-2_A, encompassing >964.000 single-nucleotide polymorphism (SNP)-markers, was performed by the SNP&SEQ technology Platform in Uppsala (www.genotyping.se), according to the manufacturer’s instructions. Each of the four hPS cell lines (that is, H181, H207, HUES1 and K2C) were analysed in three separate SNP-array experiments. Total DNA was extracted from cell culture growth at 60-70% confluence using the DNeasy Blood & Tissue Kit (Cat. No. 69504, Qiagen). DNA concentration and purity was determined by ultraviolet measurement. A first analysis was performed after 2–5 passages of growth for initial reference, and subsequently, two analyses were performed per cell line after 16–21 passages in E8:VN or E8:IαI culture. The CN calls of the autosomal chromosomes were illustrated using the Nexus software.
Illumina output files were analysed using Nexus-Copy-Number version 7.5 (BioDiscovery, CA, USA). Linear systematic correction and the ‘SNP-FASST2 segmentation’ algorithm for CN-calling with default calling parameters was applied. A first CN analysis was performed on the autosomal chromosomes for each cell line after 2–5 passages. Strict CN-calling criteria (100% overlap of CN calls and P<0.05 in Nexus software) were applied. After this, each of the four cell lines was grown to 16–21 passages, applying either the E8:IαI or the E8:VN protocol. Subsequently, new CN-analyses using the same settings in Nexus software was performed and the results were compared to the CN calls from earlier. The number of shared CN calls between the early and later passages in each of the four cell lines was used to quantify changes introduced during culturing within each cell line under the E8:IαI and E8:VN protocols, respectively. We used Wilcoxon rank-sum-test in the statistical software R v3 to test for differences in the observed number of shared CN calls from the E8:IαI and E8:VN protocols.
Clonal assay and MTT Tetrazolium assessment
The starting hPS cells were pre-treated for 4–5 h with 10 μM Y-27632 before harvesting them using TrypLE (ThermoFisher). Briefly, 1 ml TrypLE was added to a pre-treated 6-well plate well of hPS cells ready to passage. The cells were incubated with TrypLE for 8 min before removal and addition of 1 ml E8 medium with 10 μM ROCKi, the cells were harvested with a cell lifter. Cell clumps were broken down by pipetting and the solution was passed through a 40 μm pore cell strainer to ensure single-cell suspension (StemCell Technologies). The cells were then counted using the TCP counter (Bio-Rad). After that the cells were diluted down to 100 cells in 10 ml of E8 medium with 10μM ROCKi, mixed and seeded on VN coating or with IαI supplementation in 100 μl per each of 100 wells (50 wells per 96-well plate) so as to achieve approximately one cell per well. After two weeks the survival and formation of colonies was assayed visually and through MTT assay. Briefly, MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) tetrazolium was dissolved in E8 medium at a final concentration of 0.5 mg ml−1, the solution was filtered and added to the wells from the clonal assay and incubated at 37 °C and 5% CO2 for 3 h. After confirming the staining of the existing colonies, the MTT solution was removed and 20% SDS was added. The plates were incubated O/N and the absorbance was read at 570 and 630 nm. This is a measure for viable cells. Wells with more than one colony were removed from the final result summary.
Mass spectrometry analysis
Two samples of IαI working solution (purified separately) were mixed with β-mercaptoethanol and run through a 12% acrylamide SDS–PAGE denaturating gel. Band development was done through silver staining as described previously53. The samples were in-gel digested with trypsin according to a standard protocol and analysed by Liquid Chromatography Mass Spectrometry (LC-Orbitrap MS/MS) at the MS Facility, SciLifeLab, Uppsala University. The proteins were reduced, alkylated and in-gel digested by trypsin according to a standard operating procedure. Thereafter the samples were dried and resolved in 15 μl 0.1% FA (formic acid). The peptides were separated in reversed-phase on a C18-column and electrosprayed on-line to an LTQ Velos Orbitrap mass spectrometer (Thermo Finnigan). Tandem mass spectrometry was performed applying CID. The database searches were performed using the Sequest algorithm, embedded in Proteome Discoverer 2.1 (ThermoFisher), against human proteins in the Swissprot database (2015). The search criteria for protein identification were set to at least two matching peptides of 95% confidence level per protein.
Live imaging of hPS cell growth
Human PS cell lines were seeded onto 6-well plates either as small clumps with GCDR or as single cells with TrypLE and 10 μM Y-27632 (no pre-treatment). The imaging was performed with the oCelloscope 04C5 (Unisensor), placed inside a standard normoxic incubator. Pictures were taken from the seeding point and then every 15 min for up to 4 or 5 days (specified for each video file). The imaging was performed using the Uniexplorer 220.127.116.1121 CRL3 software (Unisensor). The exported avi files were further edited using the VideoPad Video Editor (Freeware).
Experiments were performed in at least three independent experiments and in triplicate for each experiment. The data is presented as mean±s.e.m. For the crystal violet cell analysis data multiple statistical analysis was done using one-way ANOVA with Dunnett's post-test, when applicable and stated in the figure legends. Paired t-test was used to compare two specific samples within groups, and the result is shown over a line connecting the two samples within the graph. The Human Stem Cell Pluripotency Taqman Array data was analysed using Two-way ANOVA and Sidak’s Multiple comparison’s test. All these statistical analyses were done using GraphPad Prism version 5.00d for Mac (GraphPad Software), and the data presented shows *P<0.05, **P<0.001 and ***P<0.001 unless otherwise specified. For the copy-number analysis a Wilcoxon rank-sum-test in the statistical software R v3 was used.
Data supporting the findings of this study are available within the article and its Supplementary Information files and from the corresponding author upon reasonable request. The SNP-array genotyping data have been deposited in the NCBI-based Gene Expression Omnibus (GEO) database (http://www.ncbi.nlm.nih.gov/geo/) under the accession code GSE82103.
How to cite this article: Pijuan-Galitó, S. et al. Human serum-derived protein removes the need for coating in defined human pluripotent stem cell culture. Nat. Commun. 7:12170 doi: 10.1038/ncomms12170 (2016).
The following individuals and institutions provided reagents and cell lines: Dr E. Fries from Uppsala University (Purified human IαI, HCs and fraction of human serum), I.M. Lööf from Pharmacia-Upjohn (side fraction from the commercial production of factor IX), Dr E. Kopper from the University of Manchester and Dr K. Yamada from the National Institute of Health (L230 and MAb13 antibodies), Dr O. Houvatta from Karolinska Institutet (H181 and H207), Dr D. Melton and Dr K. Eggan from Harvard Stem Cell Institute and Dr E. Kozlova from Uppsala University (HUES1, Hb9::GFP), and the UK Stem Cell Bank (OXF2, NCL1). This work was supported by the Swedish Research Council, Jaenssons’ Foundations and Faculty of Medicine of Uppsala University and an International Research Fellowship from the Leverhulme Trust. This work was supported by the Science for Life Laboratory Mass Spectrometry Based Proteomics Facility in Uppsala. Genotyping was performed by the SNP&SEQ technology Platform in Uppsala (www.genotyping.se). The facility is part of the National Genomics Infrastructure supported by the Swedish Research Council for Infrastructures and Science for Life Laboratory, Sweden. The SNP&SEQ Technology Platform is also supported by the Knut and Alice Wallenberg Foundation.
Human PS cells growth on E8:VN and E8:IαI, small clumps. HUES1 split as small clumps using GCDR and seeded onto Corning 6 well plates on VN-FX coating (E8:VN) and E8:IαI. Cells were imaged from the seeding point and up to 96 hours, with pictures taken every 15 minutes. Medium was changed approximately every 24 hours.
Human PS cells growth on E8:VN and E8:IαI, single-cells. HUES1 split as single cells using TrypLE were supplemented with 10 μM ROCKi and seeded onto a Corning 6 well plate, either coated with VN-FX or with the addition of IαI at the seeding step. The cells were imaged from the seeding point and up to 96 hours, images were taken every 15 minutes. Medium was changed approximately every 24 hours.
NCL1 forms a colony from one single cell in E8:IαI:ROCKi. NCL1 human ESCs were split as single cells using TrypLE and treated with 10 μM ROCKi. They were seeded onto untreated Corning 6 well plate well with IαI supplementation. The cells were imaged from the seeding point and up to 120 hours, images were taken every 15 minutes. Medium was changed approximately every 24 hours.
K2C generates beating cardiomyocytes after E8:IαI culture. K2C human iPSCs were grown for 40 passages in E8:IαI before induced to differentiate through embryoid body formation with 2 weeks of floating culture in 20% FBS medium and subsequent plating for 2 more weeks. Video shows live-time recording of the beating cardiomyocytes using Nikon E990 camera coupled to a bright-field microscope.