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Inhibition of pluripotent stem cell-derived teratoma formation by small molecules
Open accessAbstract
The future of safe cell-based therapy rests on overcoming teratoma/tumor formation, in particular when using human pluripotent stem cells (hPSCs), such as human embryonic stem cells (hESCs) and human induced pluripotent stem cells (hiPSCs). Because the presence of a few remaining undifferentiated hPSCs can cause undesirable teratomas after transplantation, complete removal of these cells with no/minimal damage to differentiated cells is a prerequisite for clinical application of hPSC-based therapy. Having identified a unique hESC signature of pro- and antiapoptotic gene expression profile, we hypothesized that targeting hPSC-specific antiapoptotic factor(s) (i.e., survivin or Bcl10) represents an efficient strategy to selectively eliminate pluripotent cells with teratoma potential. Here we report the successful identification of small molecules that can effectively inhibit these antiapoptotic factors, leading to selective and efficient removal of pluripotent stem cells through apoptotic cell death. In particular, a single treatment of hESC-derived mixed population with chemical inhibitors of survivin (e.g., quercetin or YM155) induced selective and complete cell death of undifferentiated hPSCs. In contrast, differentiated cell types (e.g., dopamine neurons and smooth-muscle cells) derived from hPSCs survived well and maintained their functionality. We found that quercetin-induced selective cell death is caused by mitochondrial accumulation of p53 and is sufficient to prevent…
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“Of greatest concern is the potential for highly proliferative uncommitted progenitors or residual hPSCs to be present in the final SC-islet product that have the potential to form tumors.158–160”
From Developments in stem cell-derived islet replacement therapy for treating type 1 diabetes (2023) · cites this paper as [160]
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Nagashima, T., Shimizu, K., Matsumoto, R., & Honda, H. (2018) · Scientific Reports · doi:10.1038/s41598-018-30936-2 · Cited by 34
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“compounds targeting antiapoptotic pathways in human iPSCs could efficiently inhibit tumor formation in vitro by selectively eliminating remaining undifferentiated cells [28].”
BackgroundEmbryonic Stem Cells Promoting Macrophage Survival and Function are Crucial for Teratoma Development
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Technical approaches to induce selective cell death of pluripotent stem cells
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“In line with this, SLC35F2 was previously shown to be a specific surface marker of hESCs [44], suggesting that the high sensitivity of hPSCs to YM155-dependent cell death [32] may result from the DNA damage-mediated mitochondrial priming occurring in hPSCs.”
BackgroundInfluentialSelf-citationPark, T.-Y., Jeon, J., Cha, Y., & Kim, K. (2024) · Cell Research · doi:10.1038/s41422-024-00971-y · Cited by 35
“For example, Lee et al. 64 discovered that undifferentiated hPSCs selectively express the anti-apoptotic gene BIRC5 (encoding Survivin), unlike their differentiated counterparts.”
BackgroundSelf-citationRole of CD133 in human embryonic stem cell proliferation and teratoma formation
Wang, H., Gong, P., Li, J., Fu, Y., Zhou, Z., & Liu, L. (2020) · Stem Cell Research & Therapy · doi:10.1186/s13287-020-01729-0 · Cited by 39
Clinical potential of human-induced pluripotent stem cells
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Quercetin induced ROS production triggers mitochondrial cell death of human embryonic stem cells
Kim, S.-Y., Jeong, H., Hong, S.-K., Lee, M., Cho, S.-J., & Cha, H. (2016) · Oncotarget · doi:10.18632/oncotarget.11070 · Cited by 33
“High expression of pro-apoptotic factors in the mitochondria [6], high levels of cytoplasmic p53 [20] and/or rapid mitochondrial translocation of active BAX [19] account for rapid mitochondria dependent cell death of ESCs upon DNA damage stimuli [21].”
BackgroundResultInfluentialSelf-citationMitochondria in human pluripotent stem cell apoptosis
TeSlaa, T. A., Setoguchi, K., & Teitell, M. A. (2016) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2016.01.027 · Cited by 25
Induced Pluripotent Stem (iPS) Cells in Dentistry: A Review
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Stem Cells: The Pursuit of Genomic Stability
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“selectively induced apoptotic cell death of undifferentiated stem cells [114].”
BackgroundBIRC5/Survivin Expression as a Non-Invasive Biomarker of Endometriosis
Filipchiuk, C., Laganà, A. S., Beteli, R., Ponce, T. G., Christofolini, D. M., Trevisan, C. M., Fonseca, F. L. A., Barbosa, C. P., & Bianco, B. A. V. (2020) · Diagnostics · doi:10.3390/diagnostics10080533 · Cited by 33
“The survival of undifferentiated pluripotent stem cells is highly dependent on anti-apoptotic factors, such as survivin [46,47], and overexpression of survivin in embryonic stem cells, pluripotent cells and somatic stem cells [48,49], as well as the correlation between higher BIRC5 expression and lower cell differenti…”
BackgroundCho, S.-J., Kim, S.-Y., Jeong, H.-C., Cheong, H., Kim, D., Park, S.-J., Choi, J.-J., Kim, H., Chung, H., Moon, S., et al. (2015) · Stem Cell Reports · doi:10.1016/j.stemcr.2015.10.004 · Cited by 29
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Induced Pluripotent Stem Cells for Ischemic Stroke Treatment
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‘Off-the-shelf’ immunotherapy with iPSC-derived rejuvenated cytotoxic T lymphocytes
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Plasma-activated medium selectively eliminates undifferentiated human induced pluripotent stem cells
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“Irradiation of osteogenically induced iPSCs prior to transplantation [54], introduction of a suicide gene into the pluripotency locus [55], or co-treatment with small molecules such as quercetin and YM155 [56] may be useful strategies to prevent tumorigenesis after implantation.”
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“It is important that cell viability and functionality were maintained even if cells that differentiated from hPSCs were treated with survivin inhibitors [54].”
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“The inhibitors did not seem to affect the survival and function of differentiated cell types, such as dopamine neurons and smooth muscle cells (73).”
Functional Cardiomyocytes Derived from Isl1 Cardiac Progenitors via Bmp4 Stimulation
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“or iPSCs in differentiated cultures [42, 43].”
Selective Elimination of Human Pluripotent Stem Cells by a Marine Natural Product Derivative
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Pluripotent Stem Cell-Based Approaches to Explore and Treat Optic Neuropathies
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BackgroundLiver organoids: Current advances and future applications for hepatology
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“used a similar strategy to identify the expression signatures of pro- and anti-apoptotic genes to reduce the tumor formation potential of hPSC-derived populations [32].”
BackgroundMethodFrom tissue engineering to engineering tissues: the role and application of in vitro models
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Self-citationUsing Gene Editing to Establish a Safeguard System for Pluripotent Stem-Cell-Based Therapies
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In situ label-free quantification of human pluripotent stem cells with electrochemical potential.
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“Recently, quercetin was reported to be used in the selective removal of undifferentiated human pluripotent stem cells after transplantation (41).”
Background
Metadata
- Authors
- Lee, M.-O., Moon, S. H., Jeong, H.-C., Yi, J.-Y., Lee, T.-H., Shim, S. H., Rhee, Y.-H., Lee, S.-H., Oh, S.-J., Lee, M.-Y., Han, M.-J., Cho, Y. S., Chung, H.-M., Kim, K.-S., & Cha, H.-J.
- Affiliations
- Sogang University (KR)
- CHA University (KR)
- Sejong University (KR)
- Hanyang University (KR)
- Dongguk University (KR)
- Harvard University (US)
- Korea Research Institute of Bioscience and Biotechnology (KR)
- Konkuk University (KR)
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2013-08-05
- Volume
- 110
- Issue
- 35
- Pages
- E3281-90
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC3761568
- OpenAlex
- W2065594892
- Cited by
- 246
- References
- 68
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 18 · 2023: 15 · 2022: 16 · 2021: 21 · 2020: 19 · 2019: 22 · 2018: 16 · 2017: 21 · 2016: 32 · 2015: 24 · 2014: 20 · 2013: 5
- FWCI
- 12.10
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- KRIBB Repository (submittedVersion)
- Seoul National University Open Repository (Seoul National University) (submittedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS070577, NS070577)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Keywords
- teratoma prevention, human pluripotent stem cells, human embryonic stem cells, human induced pluripotent stem cells, small molecule inhibitors, survivin, BCL10, quercetin, YM155, selective cell death, apoptosis, p53, dopaminergic neurons, smooth muscle cells
- MeSH terms
- B-Cell CLL-Lymphoma 10 Protein, Survivin, Cell Differentiation, Cells, Cultured, Humans, Imidazoles, Mitochondria, Naphthoquinones, Teratoma, Tumor Suppressor Protein p53, Apoptosis, Gene Expression Profiling, Stem Cell Transplantation, Pluripotent Stem Cells, Adaptor Proteins, Signal Transducing, Inhibitor of Apoptosis Proteins, Small Molecule Libraries
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