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    CoelectroporationwithXenopuslaevisOocytesReprogramsNormalandCancerousHuman

    CellstoResembleReprogrammingNormalandCancerousHumanCellsto

    ResembleInducedHumanPluripotentStemCells

    SergeiPaylian*

    *Bioquark,Inc.,P.O.Box46686,Tampa,FL336466686,USA

    Correspondingauthor:SergeiPaylian;LaboratoryPhone/Fax:8138887307

    email:[email protected]

    Length

    Abstract: 173words(limitof175)

    Text:4079words

    References:45

    Tables:1

    Figures:9

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    ABSTRACT

    Objective:Toinvestigatereprogramminghumancellsintoinducedpluripotentstemcells(iPSc)

    usingcoelectroporationwithXenopuslaevisoocytes.

    Methods:Humanbonemarrowstromalcells(BMSC),BJcells,preadipocytes(HPA),CD4+T

    lymphocytes(CD4TLs),buccalmucosacells,andHeLaandMCF7 cellswerecoelectroporated

    withmatureXenopuslaevisoocytes,cultured,andassessedforpluripotencymarkerexpression

    usingfluorescentimmunohistochemistry.

    Results: Thecoelectroporatedhumancellsformedcoloniesonirradiatedmouseembryonic

    fibroblastcells(allstudycells)andStemAdhereTMsubstrate(assessedforcoelectroporated

    buccalmucosacells).CellsderivedfromBMSC,BJcells,HPA,CD4TLs,andbuccalmucosacells

    expressedOct3/4,Nanog,SOX2,Rex1,TRA160,andSSEA1.Cellsderivedfromco

    electroporatedHeLacellsexpressedOct3/4;cellsderivedfromcoelectroporatedMCF7cells

    expressedOct3/4andNanog.ReprogrammingefficacyforCD4TLswas23.43.5%.Co

    electroporatedHPAtransdifferentiatedintoneuralprogenitorcellsincultureconditionsthat

    fosterneuraldifferentiation.Controlexperimentssuggestedthattheelectroporateconveyeda

    reprogrammingfactor(s).

    Conclusions:HumancellscoelectroporatedwithXenopuslaevisoocytesresemblediPScin

    colonyformationandpluripotencyassociatedmarkerexpression.

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    INTRODUCTION

    Inducedpluripotentstemcells(iPSc)constituteapotentialsourceofcellsforstemcelltherapy

    thatavoidsthebioethicalconcernssurroundingtheuseofembryonicstemcells(ES).1 Recent

    advancesinnonviralreprogrammingmethodologyincludetheuseofrecombinantproteins,2

    DHPderivative(novelantioxidant)andlowoxygentensionconditions,3microRNAs,

    46,7,8zinc

    fingernucleases,9drugs,

    10,11,12 hypoxia,

    13silencingthep53pathway

    14andEScellderived

    proteinextracts.15

    Unfortunately,contemporarymethodsarehamperedbythelowefficacyof

    reprogramminghumansomaticcellsintoiPScandthenonautologousnatureofthefinal

    product.16

    17,18

    Manyspecieshaveevolvedmechanismsforcellularreprogramming;pathwaysforinducing

    cellulardedifferentiationandredifferentiationexistawidevarietyoforganismsincludingsome

    speciesofbacteria,19

    plants,20,21

    andloweranimals.22

    Thepoorefficacyofreprogramming

    achievedusingcurrentapproachesmaybeduetheuseofmethodsthatlackvital

    reprogrammingcomponentsnaturallypresentinsomelivingorganisms.

    Inthepresentstudy,Xenopuslaevisoocyteswerechosenasasourceofnaturalreprogramming

    factor(s)basedonthesuccessfulreprogrammingeventsreportedformammaliansomaticcells

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    associatedtranscriptionfactorsrecognizedas markersofpluripotency.Furthermore,thisco

    electroporationtechniqueachievedarelativelyhighlevelofreprogrammingefficiency.

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    MATERIALSANDMETHODS

    Thehumansubjectswhoprovidedbuccalmucosatissuesamples(usinganoninvasive

    technique)gavewritteninformedconsent.ProceduresinvolvingXenopuslaeviswere

    conductedinaccordancewithpublishedlaboratorystandards.24

    PreparationofXenopuslaevisOocytes

    Female,eggbearingXenopuslaevis(NASCO)wereatkeptat18Cusinga12/12hour

    light/darkcycleincarbonfilteredwatersupplementedwith13.3g/gallonNaCl,whichwas

    changeddaily.24

    Priortosurgicalremovalofoocytes,frogswereanesthetizedinaplasticbeakercontaining1L

    of0.2%tricanesolution(Sigma)forupto20minand,then,placedonadissectingpanfilled

    withice.Aftera0.5cmincisionthroughtheskinandmusclelayers,thebagsofovarieswere

    removedandplacedintooocytewashing(OW)solution(82.5mMNaCl,5.0mM2[4(2

    hydroxyethyl)piperazin1yl]ethanesulfonicacid[HEPES],2.5mMKCl,1mMMgCl2,1.0mM

    Na2HPO4,and0.5%penicillin/streptomycin[pen/strep]atpH7.4[penicillinandstreptomycin

    fromGibco;othersfromSigma]).Bagscontainingovarieswereopenedwithfineforceps,the

    ovarieswererinsedseveraltimesinOW,andtreatedwitha0.2%collagenasetypeIIsolution

    (WorthingtonBiochemicalCorporation)for 1houratroomtemperature.Thedefolliculated

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    serum(Sigma)titratedtopH7.4.Recoveredoocytesinthefinalstageofmaturitywere

    collectedinsterile6wellcellcultureclusters(Costar)prefilledwithanHBsolutionand

    incubatedat17Cfor24hoursbeforeelectroporationexperiments.

    CellLines

    HumanbonemarrowstromalCells(BMSCs)andstablytransfectedGFPexpressingBMSCs

    (BMSCGFP)wereprovidedbyTulaneUniversityCenterofGeneTherapy.Priortoreleasefrom

    thesource,twotrialsoffrozen,passage1cellswereanalyzedoverthreepassagesforcolony

    formingunits,cellgrowth,anddifferentiationintofat,bone,andchondrocytes.TheBMSCand

    BMSCGFPwereculturedinDulbeccosmodifiedEaglesMedium(DMEM;Sigma),supplemented

    with10%fetalbovineserum(FBS;Gibco)and1%streptomycin/penicillin(Gibco)andcultured

    in25cm2flasksat37Cwith5%CO2.Atday4,thecultureswerewashedwithphosphate

    bufferedsaline(PBS;Sigma)toremovethenonadherentcellsandfurtherexpandeduntil

    80%confluence,whentheywereharvestedandexpandedin75cm2flasks.

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    Humansubcutaneouspreadipocytes(HPA)fromScienCellResearchLaboratorieswerecultured

    at37Cand5%CO2inT25flaskscoatedwith0.01%polylysine(Sigma)andcontaining5mLof

    speciallyformulatedpreadipocytemedium(PAM;ScienCells);PAMwassupplementedwith5

    %FBS,1mMsodiumpyruvate,0.1mMNEAA,and1%pen/strep.

    HumanperipheralbloodCD4+Tlymphocytes(CD4TLs)fromLonzaGroup,Ltd.(pathogenfree

    poieticsCD4TLs)weremaintainedasacellsuspensioninT25cultureflasksat37Cand5%CO2

    in5mLoflymphocytegrowthmedium3(LGM3,LonzaGroupLtd.)supplementedwith

    10%FBS,1mMsodiumpyruvate,0.1mMnonessentialaminoacids,1%pen/strep,and50

    ng/mLrecombinanthumanInterleukin4(R&DSystems).

    Humanbuccalmucosacellswereobtainedfromhealthyhumansubjectsapproximately1hourbeforethecoelectroporationprocedure.Subjectsabstainedfromdrinkingcoffeefor1hour

    beforecollection.SubjectsmouthswererinsedtwicewithListerinefollowedbysterile

    distilledwaterbeforeswabbing.Cellswerecollectedbyswabbingfirmlyontheinsideofthe

    cheek20timesonbothsidesusingaMasterAmpBuccalSwabBrush(Epicentre

    Biotechnologies).Thebrushholdingcheekcellswasplacedintoa50mLcentrifugetubefilled

    with20mLofsterilefilteredPBS(Sigma)containing1%pen/strep.Thesamplewasvigorously

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    Humancervicalcarcinoma(HeLa)cells(routinelymaintainedattheBioquark,Inc.facility)were

    grownat37Cand5%CO2inT25flasksfilledwith5mLofEaglesessentialmedium(ATCC)

    supplementedwith10%FBS,1mMsodiumpyruvate,0.1mMNEAA,and1%pen/strep.

    Humanbreastadenocarcinoma(MCF7)cellsfromATCCweremaintainedinEaglesMinimum

    EssentialMediumsupplementedwith10%FBS,1mMsodiumpyruvate,0.1mMNEAA,1%

    pen/strep,and0.01mg/mLrecombinanthumaninsulin(EliLilly;agiftfromNorthSuburban

    Pharmacy,Skokie,IL)

    Irradiatedmouseembryonicfibroblasts(iMEF;AmericanR&DSystems)weregrownat37C

    and5%CO2innonpyrogenic,sterile25cm2,0.2mventilatedcellcultureflasks(T25;Corning)

    containing5mLofhighglucoseDMEM(Millipore)supplementedwith10%FBS,1mMsodium

    pyruvate,0.1mMNEAA,and1%pen/strep.

    CoelectroporationofXenopuslaevisOocyteswithHumanCells

    ElectroporationparametersforXenopusLaevisoocytesweredevelopedfromseveralpublished

    studiesofelectroporation.2527

    Fortytofiftyfreshoocytesfromsuspensionswith 90%viability

    (oocytesshowingabnormalpigmentdistributionorsignsofdamageofequatorialband,patchy

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    serumfreeDMEMandthenplacedintotheshockingchamber.Coelectroporationoffrog

    oocyteswiththesuspensionofhumancellswasconductedusingthefollowingparameters:

    150v/cm/25F/7pulses,withtimeconstantat0.5 0.7msec.Afterelectroporation,

    cuvettescontainingoocytesandthehumancellswereincubatedat17oCforthreehoursto

    recover.ThehumancellsweretransferredtoT25cultureflaskscontainingiMEFfeedercellsfor

    culturing.

    CulturingofHumanCellsFollowingCoelectroporation

    Thecoelectroporatedhumancellswereculturedat37oConiMEFfeedercellsin0.1%gelatin

    coated(gelatinfromSigma)T25cultureflaskscontaining5mLofspeciallyformulated

    EmbryomaxDMEMculturemedium(Millipore).Mediumwassupplementedwith15%FBS,1

    mMsodiumpyruvate,0.1mMNEAA,1%pen/strep,100 Mbetamercaptoethanol(Gibco),

    and1000U/mLESGRO(Millipore).Tomaintainthecellsinanembryonicstemcelllikestate,

    1000UESGROper1.0mLoftissueculturemediawasrequired.Afterformationofclusters,

    thehumancellswereseparatedfromthefeedercellsusingthedifferentialsedimentation

    techniquepreviouslydescribedbyDoetschman,28

    whichremoved>99%ofcontaminating

    feedercellsfromtheelectroporatedhumancellsuspension.Trypsinized(trypsinfromSigma)

    humancellculturescontainingiMEFswerecentrifugedat200g,resuspendedin10mLof

    completeESculturemedium,andtransferredtoanewT25cellcultureflaskfor30minutesat

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    andthecellswerecounted,centrifugedagainat200g,andresuspendedintheESculture

    medium.

    Subculturing

    Afterseparationfromthefeedercells,thehumancellswereplatedonT25cultureflaskscontaining

    eitheriMEFfeedercellsorfeederfreeStemAdherepluripotencysubstrate(Primorigen

    Biosciences).SubculturedhumancellsweregrowninNutriStem(StemGent).

    CalculationofReprogrammingEfficacy

    FluorescentimmunohistochemicallydetectableexpressionoftheNanoggenebycellsderived

    fromCD4TLsoccurredbetween12h24hfollowingcoelectroporationwithXenopuslaevis

    oocytes.ThisexpressionprecededtheformationoftightiPSclikeclusters,makingitpossibleto

    determinetheefficiencyofreprogrammingbycalculatingtheproportionofcellsexpressing

    Nanoggene.Themeanforthereprogrammingefficiencywascalculatedbycountingthetotal

    numberofNanogpositivecellsperspecimenineachT25flask(34times),subtractingthe

    numberofnonspecificbindingsitesinthecontrolflasks,dividingbytheoriginalnumberofcells

    havingundergonecoelectroporationandmultiplyingby100%.Thestandarddeviationofthe

    meanwasalsocalculated.

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    medium(60%FBS,20%hEScellculturemedium,and20%dimethylsulfoxide.Cryovialswere

    transferredto5100Cryo1CFreezingContainer(Nalgene),refrigeratedat 80Covernightand

    thenrapidlytransferredtoliquidnitrogenrefrigerationunits.

    TransdifferentiationintoNeuronalProgenitorCells

    Afterformationofclusters,reprogrammedcellsderivedfromHPAwereseparatedfromthe

    feederlayerusingtheDoetschmandifferentialsedimentationtechnique,28

    andwere

    dissociatedenzymaticallyusingcollagenaseIV(Sigma;200U/mL)for30minat37oCgenerating

    acellsuspensioncontainingsmallcellaggregatesandsinglecells. Cellcultureconditionsfor

    growingneuralprogenitorcells(NPs)fromembryonicstemcellswereemployed.30

    Thecells

    werewashedinwarmNeurobasalAmedium(GibcoBRL/Invitrogen),pelletedandresuspended

    inprewarmed(37C)standardhumanembryonicstemcellculturingmedium(hESC)

    supplementedwithfollowinggrowthfactorsandneuronalandothersupplements:fibroblast

    growthfactor2(10ng/mL),epidermalgrowthfactor(20ng/mL),1%B27,1%N2,1%pen/strep,

    1%lglutamine,1%nonessentialaminoacids(NEAA),0.2%betamercaptoethanol,and20%

    KnockoutSerumReplacement(allmediacomponentsfromGibco BRL/Invitrogen).TheHPA

    derivedcellsinsuspensionwerethenseededathighcelldensity(150200103cells/cm2)onto

    BDBioCoatandlaminincoated150mmpetridishes(BecksonDickenson),andthemedium

    wassupplementedwithhESCmediumand4ng/mLfibroblastgrowthfactor2.Proliferating

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    thesameconditions,thusgeneratingamonolayerpopulationofproliferatingneural

    progenitors.

    QualitativeAssessmentofColonyMorphology

    Assessmentofcolonymorphology(resemblancetoiPSccolonies)wasperformedbyDr.Nikolai

    Strelchenko,PhDofthehESCResearchLabatReproductiveGeneticsInstitute,Chicago,IL,USA

    andDr.ArshakAlexanian,VMD,PhD,oftheDepartmentofNeurosurgery,Neuroscience

    ResearchLaboratories,ZablockiVeteransAffairsMedicalCenterandofMedicalCollegeof

    Wisconsin,Milwaukee,WI,USA.

    AlkalinePhosphataseStainingandFluorescentImmunocytochemistry

    Histochemicalstainingforalkalinephosphatase(AP)wasconductedusingtheVectorBlue

    AlkalinePhosphataseSubstrateKitIII(VectorLaboratories,Inc.).Expressionofseveral

    pluripotencyfactorswasassayedusingfluorescentimmunohistochemistryconductedatroom

    temperature.Samplesfromall populationsofhumancellsinT25cultureflaskswentthrough

    thefollowingsteps:(a)thegrowthmediumwasremoved,(b)washedthreetimeswithPBS,c)

    fixedin 10 Cmethanol,c)washedthreetimeswithPBS,d)incubatedfor20minin10%

    normalserum,e)incubatedfor60min.inprimaryantibodydilutedin1.5%normalserum,f)

    washedthreetimeswithPBS,g)incubatedfor45min.inthedarkwithsecondaryantibody

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    reagent2%DABCO(Sigma),andk)processedT25flaskswithspecimensweresealedwith

    parafilm,wrappedinaluminumfoilandstoredat4 C.

    Theprimaryandsecondaryantibodiesandnormalsera(2.5g/mL)includedpolyclonalgoat

    antiOct3/4IgG,polyclonalgoatantiNanogIgG,polyclonalgoatantiSox2IgG,monoclonal

    mouseantiTRA160IgG,monoclonalmouseantiSSEA1IgM,polyclonalgoatantiRex1IgG,

    goatantimouselgMTR,donkeyantimouselgGFITC,donkeyantigoatIgGFITC,donkeyanti

    goatIgGTR,normaldonkeyserum,andnormalgoatserum(allfromSantaCruzBiotechnology,

    Inc).Antiseratothefollowingwereusedtoanalyzeformationofneuralprogenitorcells:nestin

    (1:500dilution,BDPharmingen),beta3tubulinmonoclonalantibody(B3T;10g/mL;Pierce

    antibodies),neuralcelladhesionmolecule(NCAM),1:500dilution(Abcam),glialfibrillaryacidic

    protein(GFAP,1:250dilution(Abcam).DNAstainingwasperformedusing4',6diamidino2

    phenylindole,4',6diamidinophenylindole(DAPI;SantaCruzBiotechnology,Inc.)

    ControlExperiments

    ThecontrolsdescribedinTable1wereusedtotestfortheeffectofthepresenceofhuman

    cells,oocytes,feedercells,coelectroporation,andtheelectroporateonreprogramming

    (expressionofNanog;detectedusingfluorescentimmunohistochemistry).

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    RESULTS

    Controls

    Table1listsfindingsfromthecontrolexperimentsconductedonallhumancelltypesusedin

    thisstudy.Nanogwasnotdetectedinhumancellsfromcontrolsa,b,c,andfAsmall

    numberofhumancellsfromcontrold,inwhichnonelectroporatedhuman cellswere

    exposedfor3hourstoelectroporate,expressedtheNanoggene(reprogrammingefficiencyof

    0.4%;calculatedonlyforCD4TLs). Asimilarlylownumberofhumancellsfromcontrole

    expressedtheNanoggene(0.9%efficiency,calculatedonlyforCD4TLs);inthiscontrol,human

    cellswereelectroporatedintheabsenceofoocytesandthenwereexposedtoelectroporate

    for3hours.

    BMSCandBMSCGFP

    WithinoneweekofcoelectroporationwithXenopuslaevisoocytes,cellsderivedfromhuman

    BMCSstronglycoculturedwithiMEFcellsexpressedthepluripotencyassociatedtranscription

    factorsOct3/4,SOX2,Nanog,Rex1,andSSEA1andformedcoloniesresemblingthoseknown

    toformbyiPScincultureinculture(Figure1).

    Inseparatestudies,BMSCGFPwerecoelectroporatedwithXenopusoocytesandgrownoniMEF

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    BJCells

    CoelectroporationinthepresenceofXenopusoocytes,followedbycocultureoniMEFfeeder

    cells,resultedinreprogrammingofBJcells,evidencedbyahighlevelofalkalinephosphatase

    activityandresemblancetoiPScincolonymorphologyandtheexpressionofOct3/4,Nanog,

    SOX2,TRA160,Rex1,andSSEA1(Figure2).

    HPACellsReprogramming,Cryopreservation,andTransdifferentiation

    AftercoelectroporationofHPAandcocultureonfeedercells,thehumancellsformedcolonies

    morphologicallysimilartothoseofiPSc(Figure3).ThereprogrammedHPAderivedcells

    displayedstrongalkalinephosphataseactivity(Figure3).Thecellsinthesecoloniesstrongly

    expressedOct3/4,Nanog,SOX2,TRA160,Rex1,andSSEA1(Figure3).

    OnemonthaftercryopreservationofthereprogrammedHPAderivedcells,thereprogrammed

    cellswerethawed,resultingin78%viability. Byday4aftersubculturingonfreshfeedercells

    thereprogrammedHPAderivedcellsformedsecondaryclustersresemblingthoseformedby

    iPSc(datanotshown).

    SubculturingcellsderivedfromHPAfollowingcoelectroporationinconditionsthatpromote

    the neural differentiation of embryonic stem cells resulted in formation of cells expressing

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    CD4TLsReprogrammingandEfficiency

    Within3to5daysaftertransfertofeedercelllayersfollowingcoelectroporationwithXenopus

    laevisoocytes,thehumanCD4TLsformedcoloniessimilartothoseformedbyiPSc.Cellsin

    thesecolonieshadhighlevelsofalkalinephosphataseactivity(Figure5)andstronglyexpressed

    Oct3/4,Nanog,SOX2,TRA160,Rex1,andSSEA(Figure6).

    Within12to24hoursaftercoelectroporationwithXenopuslaevisoocytes,thecellsderived

    fromhumanCD4TLscoculturedwithiMEFstartedtoexpresstheNanoggene.Duringthistime

    period,singlecellsandsmall iPSclikeclustersinwhichindividualcellscouldbecountedwere

    present(datanotshown).TheproportionofcellsexpressingNanogandthetotalnumberof

    cellswerecountedforcalculationofreprogrammingefficacy,whichwas23.43.5%.

    HumanBuccalMucosaCells

    Freshlyobtainedhumanbuccalmucosacells,coelectroporatedinthepresenceofXenopus

    oocytesandculturedoniMEFandonfeedercellfreeStemAdheresubstrate,gaverisetocells

    thatformedcoloniessimilartothoseofiPSc(Figure7).Cellsinthesecoloniesexpressed

    Oct3/4,Nanog,SOX2,TRA160,Rex1,andSSEA1(Figure8).

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    Twohumancancercelllines,HeLaandMCF7,weresubjectedtocoelectroporationwith

    Xenopuslaevis

    oocytesfollowedbycocultureoniMEF.Thecellsderivedfromco

    electroporationofthesetumorcellsshowedpartialdedifferentiation,withformationof

    clustersandexpressionofOct3/4(HeLaderivedcellsandMCF7derivedcells.Figure9)and

    Nanog(MCF7derivedcells;Figure9).Thecellclusterstendedtobesmallerthanthosederived

    fromcoelectroporationofnontumorcells(datanotshown).

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    DISCUSSION

    Thelimitedabilityofmanyhumantissuestoregeneratehasspurredinterestinmethodsto

    produceiPScfortherapeuticapplications.Weevaluatedanewmethodologyforthenonviral

    reprogrammingofcellsintoiPSc.UsingcoelectroporationoflivingXenopuslaevisoocyteswith

    varioushumannormalandcancercelllines,weobtainedcellsresemblingiPScasevidencedby

    colonymorphologyandexpressionofhumaniPScmarkers.

    HumanbonemarrowstromalcellsshowedsignsofreprogrammingintocellsresemblingiPSc,

    withcolonyformationandstrongexpressionthepluripotencyassociatedtranscriptionfactors

    Oct3/4,Nanog,SOX2,TRA160,Rex1,andSSEA1.TheisolationofhumanBMSCsrepresents

    aroutineprocedureatmanyhospitals,andthisnewmethodforthegenerationofhuman

    BMSCderivediPScmaypresentopportunitiesfortheirtherapeuticapplicationsinhumans.

    Becauseofthepioneeringstudiesonsuccessfulretroviralvectormediatedreprogrammingof

    fibroblastcelllines,31

    wetestedreprogrammingofBJcellsusingXenopuslaevisoocyteco

    electroporation. CulturedBJcellswerereprogrammedintocellsthatresemblediPSc.These

    cellsformedclusterswithhighAPactivityandstrongexpressionofmajorstemcellmarkers,

    namelyOct3/4,Nanog,SOX2,TRA160,Rex1,SSEA1.ThesuccessfulreprogrammingofBJ

    cellsprovidedfurtherevidenceoftheeffectivenessofthisreprogrammingmethod.

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    50gofhumanadiposetissueobtainedfromaclinicthatperformsliposuction.

    CoelectroporationwithXenopuslaevis

    oocytesresultedinreprogrammingtheHPAintocells

    resemblingiPSc.WealsoshowedthattheseHPAderiveddeprogrammedcellscouldbe

    cryopreserved,thawed,subcultured,andtransdifferentiatedintocellsexpressingneuraland

    neuralprogenitormarkers.Thesedatasuggestthatthisreprogrammingtechnologymayhave

    thepotentialforlargescaleproductionofinexpensivehumaniPScfromadiposetissue.

    ReprogrammingofTcellstoproducestemcellsforadoptivetransferconstitutesanimportant

    areaofinterestinimmunebasedoncologytherapy.32

    WhilehumanCD4TLcanbeeasily

    isolatedfromaslittleas5mLofperipheralblood,thisspecificcelltypehasnotbeenacommon

    researchtargetforproducingiPSc.33

    Wedemonstratedthatourprotocolreprogrammed

    CD4TLsintocellsresemblingiPScwithformationofclustersoniMEFfeedercells,highalkaline

    phosphataseactivity,andexpressionofpluripotencyassociatedtranscriptionfactors.

    Theoralmucosacontainscellsthatcanbeobtainedwithoutinvasivetechniques,butthe

    literatureonreprogrammingofthesecellsislimited.MiyoshietalreportedproductionofiPSc

    fromoralmucosacells(obtainedfromoralbiopsytissue)usingretroviraltransferofOct4,Sox

    2,cMyc,andKLF4.34

    UsingcoelectroporationwithXenopuslaevisoocytes,wewereableto

    reprogramcellsfromthebuccalmucosa(obtainednoninvasively)toresembleiPSc.

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    suggeststhepossibilityofgenerationoflargeamountsofhumanautologousstemcellsfrom

    thiseasilyobtainedtissue.

    Theprospectforconvertingcancercellsintonormalorbenignquiescentcellsusinga

    reprogrammingapproach,whichcanaltercellulartranscriptionprograms,iswidelydiscussedin

    thescientificliterature.Experimentalapproachesincludesrevertingadultneoplasms,35

    epigeneticreprogrammingofbreastcancercellsbyvalproicacid,36

    miRNAreprogrammingof

    humanskincancer,37

    reprogrammingofhumancancercellsinthemousemammarygland by

    exposuretomammaryepithelialcells,38

    andviralmediatedtransferofstemcelltranscription

    factorstoreprogramcolorectalcells.39

    UsingcoelectroporationwithXenopuslaevisoocytes,

    weobservedthatcellsfromthesehumancervicalcarcinomaandbreastadenocarcinomacell

    linespartiallydedifferentiated.ThecellsformediPSclikeclusters,withsomecellsexpressing

    Oct3/4.Thispartiallyreprogrammingmayprovideatransitionalpointforpotential

    redifferentiationintonormalizedcells.Partiallyreprogrammedcellsmayalsobeamenableto

    transdifferentiationalreprogramming.40

    Therelativelyhighrateofreprogrammingachievedusinghiscoelectroporationmethod,

    23.4%,isofnote. Theefficiencyofreprogrammingreportedintheliteratureincludes0.5%with

    standard,fourfactorretroviralmethodology,41,42

    0.98%2.34%whenaddingtwomore

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    welimitedtheevaluationofreprogrammingefficacytohumanCD4TLs,whichcouldbe

    evaluatedforNanogexpressionatearlystagesbeforeformationoftightlyclusteredcolonies.

    Modificationsofthemethodmayimprovethereprogrammingefficiency.Forexample,

    preliminarystudiessuggestthatthereprogrammingefficiencycanbemodulatedby

    fluctuationsinbarometricpressureandenvironmentaltemperature(BioquarkInc.,dataon

    file).

    Theabsenceofnaturalreprogrammingsignalsmayresultinfailureorinconsistencyofcellular

    reprogramming.Compromiseofsignalingfactorsmayoccurduringthepreparationofcrude

    extractsfromXenopuslaevisoocytes,inwhichpotentiallyvitalnuclearandcytoplasmic

    componentspresentinlivingeggscouldbedisrupted.Ganieretalobservedsimilarlylow

    efficacyofnucleartransferandreprogrammingofmouseembryonicfibroblastsusing

    pretreatmentwithXenopus

    laevis

    oocyteextractsandwithviralmediatedexpressionofOct4,

    Sox2,Klf4,andcMyc(OSKM).However,reprogrammingefficiencywasimproved

    approximately10foldwhenextractpretreatmentandviraltransferofthetranscriptionfactors

    werebothperformed.44 Usingaprocessthatpromotesthenaturalorderofreprogramming

    signalsalsoappearsimportant.Gradetalreportedthatreprogrammingthatdeviatesfrom

    whatisknownofthenormalsequenceofevents(inductionofNanogbeforeOSKM)produced

    abnormalcells.45

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    thehumancells.Thisinterpretationissupportedbylowbutdetectablelevelofreprogrammimg

    incontrolsdande,inwhichhumancellsthatwerenotcoelectroporatedwithXenopus

    laevisoocyteswereexposedtoelectroporatefromXenopuslaevisoocytes.Thepossibilityof

    multiplefactorsbeingnecessaryislogicalconsideringsuchabiologicallysignificantcellular

    eventasreprogrammingwouldberegulatedthroughmultiplefactorsandpathways.In

    addition,successfulretroviralandothermolecularreprogrammingtechniquesrequiretransfer

    ofmultipletranscriptionfactors.31

    Identification,purification,andamplificationofactive

    reprogrammingcomponentstransferredduringcoelectroporationmayprovideopportunities

    forinvestigationoftherapeuticpotential.

    Theresultspresentedaboveneedtobeconfirmedbyindependentstudies,andfurther

    researchisneededforfullproofofconceptofreprogrammingcellstopluripotency.Ongoing

    activitiesincludeassessmentofredifferentiationandtransdifferentiation,molecular

    karyotyping,DNAfingerprinting,andteratomaformation.Biochemicalandmolecularanalysis

    oftheintrinsicmolecularmechanismsunderlyingtheXenopusoocytemediatedreprogramming

    phenomenaareinprogress.

    CONCLUSION

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    types.Thesystemalsoprovidesforeasyseparationofreprogrammedcellsfromoocytesand

    subcultureofthesecellsintheabsenceoffeedercells.

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    ACKNOWLEDGMENTS

    WethankIraPastor,VPatPhytomedics,Inc.(Jamesburg,NJ)andCEOofBioquark,Inc.(Tampa,

    FL),forhisfundraisingeffortsandoutstandinghelpinallaspectsofthisproject.WethankDr.

    NikolaiStrelchenko,PhD,formerlyofthehESCResearchLabattheReproductiveGenetics

    Institute,Chicago,IL,andcurrentlyatNewYorkUniversityandDr.ArshakAlexanian,DMD,PhD

    attheZablockiVeteransAffairsMedicalCenterandattheMedicalCollegeofWisconsin,

    Milwaukee,WI,fortheirscientificadviceandprofessionalhelp. AnnetteF.Skorupa,PhDof

    EnlightenMed,LLCprovidedacriticalreadingofthemanuscriptandwritingassistance.

    DISCLOSUREOFPOTENTIALCONFLICTSOFINTEREST

    TheauthorisanemployeeofBioquarkInc.

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    TABLES

    Table1.ControlExperiments

    ElectroporationConditions PostElectroporationIncubation

    Conditions

    Control Human

    cells*

    Oocytes iMEF

    cells*

    Electroporation Human

    cells*

    Other Nanog

    Expression

    (a) Negative

    (b) Negative

    (c) Negative

    (d) Electroporatefrom

    oocytes

    0.4%

    (e) (humancells

    electroporated

    separately)

    Electroporatefrom

    oocytes

    0.9%

    (f) iMEFcells;

    completeES

    growthmedia

    Negative

    *Approximately105ofthefollowing:bonemarrowstromalcells,BJcells,humanpre

    adiposites,CD4TLs,humanbuccalmucosacells,HeLacells,MCF7cells(controlexperiments

    conductedseparatelywitheachhumancelltype);oocytesremovedfromtheelectroporate

    priortoincubation;calculatedusingCD4TLs.

    CD4TLs,humanCD4+Tlymphocytes;ES,embryoniccell;iMEF,irradiatedmouseembryonic

    fibroblasts.

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    FIGURES

    FigureTitles

    Figure1.Expressionofpluripotencymarkersbycellsderivedfromhumanbonemarrow

    stromalcellsond7followingcoelectroporationwithXenopuslaevis

    oocytes.

    Figure2. ExpressionofpluripotencymarkersbycellsderivedfromBJcellsfollowingco

    electroporationwithXenopuslaevisoocytes.

    Figure3.Expressionofpluripotencymarkersbycellsderivedfromhumanpreadipositecells

    followingcoelectroporationwithXenopusoocytes.

    Figure4.Expressionofneuralmarkersbycellsderivedfromhumanpreadipositesfollowing

    cultureunderconditionsthatpromoteneuralprogenitordifferentiationbyembryonicstem

    cells.

    Figure5.ReprogrammedCD4TLsexpressionofalkalinephosphatasefollowingco

    electroporationwithXenopuslaevisoocytesandcoculturewithfeedercells.

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    Figure6.ExpressionofpluripotencymarkersbycellsderivedfromhumanCD4+TLymphocytes

    followingcoelectroporationwithXenopuslaevisoocytes.

    Figure7.Coloniesofcellsderivedfromhumanbuccalmucosacellson6afterco

    electroporationwithXenopuslaevisoocytes.

    Figure8.Expressionofhumanpluripotencyassociatedfactorsbycellsderivedfromhuman

    buccalmucosacellsfollowingcoelectroporationwithXenopuslaevisoocytes.

    Figure9..PartialdedifferentiationofHeLaandMCF7cellsfollowingcoelectroporationwith

    Xenopuslaevisoocytes.

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    A B C D

    ______500 m

    E F G H

    ______500 m

    I J K L

    ______500 m

    Figure1.Expressionofpluripotencymarkersbycellsderivedfromhumanbonemarrow

    stromalcellsond7followingcoelectroporationwithXenopuslaevisoocytes.(A)(D)same

    field;(A)DAPI;(B)Oct3/4;(C),Sox2;(D),DAPI,Oct3/4,andSox2combined;(E)(H)same

    field;(E)DAPI;(F)Oct3/4; (G)Nanog;(H)DAPI,Oct3/4,andSox2combined;(I)(L),same

    field;(I),DAPI;(J)Rex1;(K)SSEA1;(L)DAPI,Rex1,andSSEA1combined.

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    A B C

    ______ ______ ______

    1000 m 500 m 500 m

    D E F G

    ______

    500 m

    H I J K Phase(Rex

    ______500 m ______1000 m

    L M

    ______500 m

    N O

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    Figure2.ExpressionofpluripotencymarkersbycellsderivedfromBJcellsfollowingco

    electroporationwithXenopuslaevisoocytes.(A)controlcells(nocoelectroporation);(B)(C)

    samefield,d5;(B)phasecontrast;(C)alkalinephosphatase; (D)(G)samefieldond5;(D)DAPI;

    (E)Oct3/4;(F)Nanog;(G)DAPI,Oct3/4,andNanog;(H)(I)samefield,d9;(H)phasecontrast,

    (I)TRA160; (J)(K)samefield,d9; (J)phasecontrast;(K)Rex1;(L)(M) same,field,d11;(L)

    phasecontrast;(M)SSEA1;(N)(O)samefield,d5;(M)phasecontrast;(N)Sox2.

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    Nocoelectroporation10x 6h 20x 18h 20x 24h 20x

    A ______250 m B ______500 m

    C D E F ______500 m

    G H ______500 m I J ______500 m

    K L ______250 m M N ______500 m

    (SSEA1) __x DAPI(SSEA4) __x SSEA4,d__ __x

    Figure3.Expressionofpluripotencymarkersbycellsderivedfromhumanpreadiposites(HPA)

    followingcoelectroporationwithXenopusoocytes.(A)clusterofcellsond5usingphase

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    phasecontrast,(L)Rex1;(M)(N)samefield,d10;(M)phasecontrast,(N)SSEA1.

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    Nestin B3T

    NCAM

    DAPISox-2

    DAPI

    ______500 m

    Figure4.Expressionofneuralmarkersbycellsderivedfromhumanpreadipositesfollowing

    culturefor8daysinconditionsthatpromoteneuralprogenitordifferentiationbyembryonic

    stemcells.

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    A B C ______1000 m D ______500 m

    ______500 m _ _____500 m

    E F G H

    ______500 m ______250 m ______500 m ______250 m

    Figure5. CellsderivedfromhumanCD4+Tlymphocytesfollowingcoelectroporationwith

    Xenopuslaevisoocytes.(A)control,nocoelectroporation;(B)nocoelectroporation,cultureon

    irradiatedmouseembryonicfibroblasts;(C)(D)cellcultureond5followingco

    electroporation;(E)(F) lowerpartofcluster in(D);(G)(H)alkalinephosphataseond9.

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    A B ______500 m C D ______1000 m

    E F G H ______500 m

    I

    J

    K

    L

    ______250 m ______500 m

    Figure6. ExpressionofpluripotencymarkersbycellsderivedfromhumanCD4+TLymphocytes

    followingcoelectroporationwithXenopuslaevisoocytes.(A)(B),samefield,d10;A,phase

    contrast;(B) Oct3/4;(C)(D)samefield,d10;(C)phasecontrast;(D)Nanog;(E)(H)same

    field,d5;(E)DAPI;(F)Rex1;(G)Sox2;(H)DAPI,Rex1,andSox2;(I) (J)samefield,d9;(I)

    phasecontrast;(J)TRA160;(K)(L),samefield,d10;(K)phasecontrast;(L)SSEA1.

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    6days ______500 m ______500 m

    A ______ B_

    Figure7.Coloniesofcellsderivedfromhumanbuccalmucosacellson6afterco

    electroporationwithXenopuslaevisoocytes.(A)grownonirradiatedmouseembryonic

    fibroblastsubstrate;(B)grownonStemAdheresubstrate.

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    E F G H

    Phase(SSEA4) 40x SSEA4,d11 40x

    _

    Figure8.Expressionofhumanpluripotencyassociatedfactorsbycellsderivedfromhuman

    buccalmucosacellsfollowingcoelectroporationwithXenopuslaevisoocytes.(A)(B)same

    field,96h; (A)phasecontrast;(B)Oct3/4;(C)(D)samefield,d10;(C)phasecontrast;(D)

    Nanog;(E)(F) samefield,d10;(E)phasecontrast;(F)Sox2;(G)(H)samefield,d9,(G)phase

    contrast;(H)TRA160;(I)(J),samefield,d11;(I)phasecontrast;(J)Rex1;(K)(L)samefield,

    ______250 m

    ______250 m ______250 m

    A B ______500 m C D ______500 m

    I J ______250 m K L

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    A B C C D

    ______500 m ______500 m ______1000 m ______250 m

    E F G H

    ______500 m ______500 m

    I J K L

    ______250 m ______250 m

    Nanog,d11 40x

    41

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    Figure9.PartialdedifferentiationofHeLaandMCF7cellsfollowingcoelectroporationwithXenopuslaevisoocytes.(A),HeLacells,

    nocoelectroporation;(B)HeLacellsgrownonirradiatedmouseembryonicfibroblastcells,nocoelectroporation;(C)MCF7cells,

    nocoelectroporation;(D)MCF7cellsgrownonirradiatedmouseembryonicfibroblastcells,nocoelectroporation;(E)(H)cells

    derivedfromHeLacellsfollowingcoelectroporationwithXenopuslaevisoocytes;(E)(F),samefield,d11;(E)phasecontrast;(F)

    Oct3/4;(G)phasecontrast;(H)Oct3/4;(I)(L)MCF7cellsfollowingcoelectroporationwithXenopuslaevisoocytes;(G) (H)

    samefield,d11;(G)phasecontrast;(H)Oct3/4;(I)(J)samefield,d11;(I)phasecontrast;(J)Nanog.

    42