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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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“The success rate of a teratoma xenograft study may also provide information regarding the health of the PSCs tested, protocol success and assay utility, as well as insights into the developmental potential of PSC lineages which have been genetically manipulated [ 22, 33, 92, 93 ]).”
The Role of Induced Pluripotent Stem Cells in the Treatment of Stroke
Darban, Y. M., Askari, H., Ghasemi‐Kasman, M., Yavarpour‐Bali, H., Dehpanah, A., Gholizade, P., & Nosratiyan, N. (2024) · Current Neuropharmacology · doi:10.2174/1570159x22666240603084558 · Cited by 9
“Needs more specific vehicles for transplantation, which is broadly researched [42, 99].”
Lee, E., Choi, H. K., Kwon, Y., & Lee, K. (2024) · Advanced Functional Materials · doi:10.1002/adfm.202400394 · Cited by 7
AT7867 promotes pancreatic progenitor differentiation of human iPSCs
Cuesta‐Gomez, N., Verhoeff, K. K., Dadheech, N., Pawlick, R. L., Marfil‐Garza, B. A., Razavy, H., & Shapiro, A. M. J. (2023) · Stem Cell Reports · doi:10.1016/j.stemcr.2023.10.005 · Cited by 9
Selective elimination of human pluripotent stem cells by Anti-Dsg2 antibody-doxorubicin conjugates
Park, J., Lee, N. G., Oh, M., Song, J., Kim, W., Kwon, M., Kim, S. G., Han, B., Bae, K., Lee, D. G., et al. (2020) · Biomaterials · doi:10.1016/j.biomaterials.2020.120265 · Cited by 13
Self-citationKim, A., Lee, S., Seo, C., & Chung, S. (2020) · Phytomedicine · doi:10.1016/j.phymed.2020.153198 · Cited by 10
Self-citationPreclinical evaluation of patient-derived cells shows promise for Parkinson’s disease
Takahashi, J. B. (2020) · Journal of Clinical Investigation · doi:10.1172/jci134031 · Cited by 13
Sato, M., Saitoh, I., Murakami, T., Kubota, N., Nakamura, S., Watanabe, S., & Inada, E. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18081678 · Cited by 8
Kramer, N., Rosner, M., Kovačic, B., & Hengstschläger, M. (2016) · Archives of Toxicology · doi:10.1007/s00204-016-1763-2 · Cited by 10
Hullegie-Peelen, D. M., Hoogduijn, M. J., Hesselink, D. A., & Baan, C. C. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.607953 · Cited by 8
“First, remaining undifferentiated hPSC within the organoids can transform into tumors/teratomas (167, 168).”
BackgroundCurrent State of Renal Regenerative Therapies
Shankar, A., Hoorn, E. J., Gribnau, J. H., Baan, C. C., & Hoogduijn, M. J. (2018) · Transplantation · doi:10.1097/tp.0000000000002547 · Cited by 8
“Currently, measures are being studied to improve genomic and epigenetic stability of PSCs, for example through the elimination of undifferentiated cells or the use of integration-free vectors.(98,107)”
BackgroundNewer Approaches to Identify Potential Untoward Effects in Functional Foods
Marone, P., Birkenbach, V. L., & Hayes, A. (2016) · International journal of toxicology · doi:10.1177/1091581815616781 · Cited by 7
“The most recent, exciting, and potentially controversial advances originate from various human stem cell lines including those induced from adult somatic stem cell lines cells through the introduction of specific transcription factors, and also from embryonic stem cells, to facilitate individual-based therapies.(125,1…”
BackgroundCai, B.-H., Lee, H.-Y., Chou, C., Wu, P.-H., Huang, H.-C., Chao, C.-C., Chung, H.-Y., & Kannagi, R. (2020) · Cells · doi:10.3390/cells9010177 · Cited by 6
“SSEA3 is a marker related to the depletion of non-reprogramming cells, which are derived from induced pluripotent stem cells [13], and SSEA3 and SSEA5 are also involved in the removal of undifferentiated or incompletely differentiated cells prior to transplantation to avoid teratoma formation [5,14].”
BackgroundSelf-citationChemical decontamination of iPS cell-derived neural cell mixtures
Mao, D., Chung, X. K. W., Andoh-Noda, T., Qin, Y., Sato, S., Takemoto, Y., Akamatsu, W., Okano, H., & Uesugi, M. (2018) · Chemical Communications · doi:10.1039/c7cc08686e · Cited by 7
Ho, S. S., Ali, A., Ng, Y.-C., Lam, K. K., Wang, S., Chan, W., Chin, T., & Go, M. (2016) · ChemMedChem · doi:10.1002/cmdc.201600262 · Cited by 6
Engineered Human Dental Pulp Stem Cells with Promising Potential for Regenerative Medicine
Inada, E., Saitoh, I., Terajima, M., Kiyokawa, Y., Kubota, N., Yamaza, H., Morohoshi, K., Nakamura, S., & Sato, M. (2025) · BioTech · doi:10.3390/biotech14040088 · Cited by 5
“…after differentiation induction using chemicals, i.e., N-oleoyl serinol (S18), a ceramide analog [194], quercetin and YM155, inhibitors of survival [195], antibodies, such as keratan sulfate glycan-recognizing antibody [196], or a thymidine kinase-based cell ablation system [197], before utilizing…”
Dadheech, N., Cuesta‐Gomez, N., Jasra, I. T., Verhoeff, K. K., Marfil‐Garza, B. A., Mouhammed, O., & Shapiro, A. M. J. (2022) · Journal of Immunology and Regenerative Medicine · doi:10.1016/j.regen.2022.100064 · Cited by 6
Burkert, K., Taheri, H., Hamad, S., Oliverio, M., Peinkofer, G., Kornfeld, J., Harnying, W., Pfannkuche, K., Hescheler, J., Berkessel, A., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-81351-z · Cited by 9
Choi, S. W., Shin, T., Uddin, M. H., Shin, J., Kang, T., Lee, B., Kim, H., Seo, Y., Shams, S., Jung, Y.-K., et al. (2015) · Oncotarget · doi:10.18632/oncotarget.6472 · Cited by 4
“Importantly, mitochondrial priming that exceeds the apoptotic threshold differs between PSCs and differentiated cells.”
BackgroundMethodInfluentialEngineered IRES-mediated promoter-free insulin-producing cells reverse hyperglycemia
Li, Y., Younis, D. A., He, C., Ni, C., Liu, R., Zhou, Y., Sun, Z., Lin, H., Xiao, Z., & Sun, B. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1439351 · Cited by 3
Kim, J., Kwon, E., Kim, Y.-J., Kim, D., Shin, Y.-Z., Gil, D., Kim, J., Shin, H. D., Kim, L. H., Lee, M., et al. (2024) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-023-05060-8 · Cited by 6
“In addition, when DNA damage occurs, cytoplasmic p53 stabilizes and moves into the mitochondria, increasing mitochondrial membrane permeability to induce swift apoptosis [7, 10].”
BackgroundMethodSelf-citationLuteolin Induces Selective Cell Death of Human Pluripotent Stem Cells
Go, Y.-H., Kim, J., Jeong, H., Kim, S.-M., Kim, Y.-J., Park, S., Moon, S.-H., & Cha, H. (2020) · Biomedicines · doi:10.3390/biomedicines8110453 · Cited by 6
“Although a variety of stemotoxic small molecules such as YM155, a potent stemotoxic compound[9], of which the high effectiveness of teratoma inhibition [40,41] are examined, it would be still important to search for new stemotoxic small molecules to ensure the efficacy (toward undifferentiated hESCs and safety (toward…”
BackgroundMethodResultInfluentialSelf-citationElectronic properties of a Weyl semimetal in crossed magnetic and electric fields
Алисултанов, З. З. (2017) · Journal of Experimental and Theoretical Physics · doi:10.1134/s1063776117110012 · Cited by 8
Nonclinical Studies for Cell-Based Medicines
Sharpe, M. E., Leoni, G., Barry, J., Schutte, R., & Mount, N. M. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-803115-5.00003-6 · Cited by 4
Keshet, G., Barbaric, I., & Benvenisty, N. (2025) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2025.115743 · Cited by 4
Krog, R. T., de Miranda, N. F. C. C., Vahrmeijer, A. L., & Kooreman, N. G. (2021) · Cancers · doi:10.3390/cancers13225789 · Cited by 3
Helping Induced hPSCs Clean Up Their Act.
Jeong, H.-C., & Cha, H.-J. (2017) · Cell Chemical Biology · doi:10.1016/j.chembiol.2017.06.001 · Cited by 3
Self-citationImproving the safety of iPSC-derived T cell therapy
Ando, M., Kinoshita, S., Furukawa, Y., Ando, J., Nakauchi, H., & Brenner, M. (2022) · Molecular Players in iPSC Technology · doi:10.1016/b978-0-323-90059-1.00010-5 · Cited by 3
Stem Cells to Inform the Neurobiology of Mental Illness
Johnstone, M., Hillary, R. F., & Clair, D. S. (2018) · Current topics in behavioral neurosciences · doi:10.1007/7854_2018_57 · Cited by 5
Recellularization of Kidney Scaffold With Stem Cells
Figliuzzi, M., Remuzzi, G., & Remuzzi, A. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801734-0.00063-1 · Cited by 6
Awad, K. R., Aguirre, J., Adegbite, M., Kumar, A. S., Yacoub, A. S., Xia, M., & Brotto, M. A. P. (2026) · Frontiers in Physiology · doi:10.3389/fphys.2026.1789642 · Cited by 3
“However, while enabling multilineage differentiation, any residual undifferentiated state of iPSCs poses a risk of teratoma (tumor) formation if transplanted in vivo ( Gutierrez-Aranda et al., 2010; Lee et al., 2013; Nelakanti et al., 2015).”
Kim, Y., Kim, S. M., Go, Y., Kim, H. S., Park, S., Kang, Y. P., & Cha, H.-J. (2024) · Biomaterials Research · doi:10.34133/bmr.0093 · Cited by 2
“Various strategies have been developed to prevent teratoma formation by residual undifferentiated hPSCs [ 2 , 3 ].”
Self-citationBugallo-Casal, A., Pérez‐Mato, M., & Campos, F. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822229-4.00014-0 · Cited by 3
Purification of Pluripotent Stem Cell-Derived Cardiomyocytes for Safe Cardiac Regeneration
Tohyama, S., & Fukuda, K. (2017) · Cardiac and vascular biology · doi:10.1007/978-3-319-56106-6_8 · Cited by 2
Cellular Engineering and Disease Modeling with Gene-Editing Nucleases
Osborn, M. J., & Tolar, J. (2016) · Advances in experimental medicine and biology · doi:10.1007/978-1-4939-3509-3_12 · Cited by 2
Han, J.-H., Lee, S.-Y., Jo, C.-H., Son, Y.-B., Lee, W.-J., Lee, H.-J., Hong, C.-Y., Park, S., Kang, S.-Y., Hwang, T.-S., et al. (2026) · Stem Cells and Development · doi:10.1177/15473287261452516 · Cited by 1
“8 Therefore, nontumorigenic and clinically compatible stem cell sources for HSC generation are needed.”
Self-citationCardiac regeneration: The present state and future direction of human pluripotent stem cell therapy
Umei, T. C., & Tohyama, S. (2026) · Journal of Cardiology · doi:10.1016/j.jjcc.2026.01.006 · Cited by 1
The cell replacement therapeutic potential of human pluripotent stem cells
Taei, A., Sajadi, F., Salahi, S., Enteshari, Z., Falah, N., Shiri, Z., Abasalizadeh, S., Hajizadeh‐Saffar, E., Hassani, S., & Baharvand, H. (2024) · Expert Opinion on Biological Therapy · doi:10.1080/14712598.2024.2443079 · Cited by 1
“Various studies have successfully eliminated hPSCs by inhibiting oleic acid synthesis, anti-apoptotic factors, and pore formation in the cell membrane [39,40].”
Generation of induced pluripotent stem cells from the Asian bats
Lee, Y., Koo, O., & Saadeldin, I. (2024) · International Journal of Veterinary Science and Medicine · doi:10.1080/23144599.2024.2384835 · Cited by 1
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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