Human stem cell transplantation represents a promising
therapeutic approach closest to provide a cure to
restore the lost nerve tissue and function for a wide range of devastating and untreatable neurological disorders. However, to date, lack of a
clinically-suitable source of engraftable human stem/progenitor cells with
adequate neurogenic potential has been the major setback in developing
effective cell-based therapy as a treatment option for restoring the damaged or
lost central nervous system (CNS) structure and circuitry. The traditional sources of
engraftable human stem cells with neural potential for transplantation
therapies have been multipotent human neural stem cells (hNSCs) isolated directly from the human fetal CNS. However,
cell therapy based on CNS tissue-derived hNSCs has encountered supply
restriction and difficulty to use in the clinical setting due to their limited
expansion ability and declining plasticity with aging, potentially restricting
the tissue-derived hNSC as an adequate source for graft material.
Alternatively, the pluripotent human
embryonic stem cells (hESCs) proffer cures for a wide range of neurological
disorders by supplying the diversity of human neuronal cell types in the
developing CNS for regeneration and repair. We must bear in mind that the
pluripotent hESC itself cannot be used for therapeutic applications. It has been recognized that pluripotent hESCs must
be transformed into fate-restricted derivatives before use for cell therapy. However, realizing the therapeutic potential of hESC
derivatives has been hindered by the
current state of the art for generating functional cells through multi-lineage differentiation of pluripotent cells, which is uncontrollable, inefficient, instable,
highly variable, difficult to reproduce and scale-up, and often
causes phenotypic heterogeneity and instability, hence, a high risk of tumorigenicity
following transplantation. Under protocols presently employed in the field, the prototypical neuroepithelial-like
nestin-positive hNSCs, either isolated from CNS in
vivo or derived from pluripotent cells in vitro via conventional multi-lineage
differentiation, appear to exert their therapeutic effects primarily by their
non-neuronal progenies through producing trophic and/or neuroprotective
molecules to rescue endogenous dying host neurons, but not related to
regeneration from the graft or host remyelination.
We recently reported that pluripotent
hESCs maintained under a defined platform can be uniformly converted into a cardiac
or neural lineage by small molecule induction. This technology
breakthrough enables well-controlled generation
of a large supply of neuronal lineage-specific
derivatives across the spectrum of developmental stages direct from the
pluripotent state of hESCs with small molecule induction. Having achieved uniformly conversion of pluripotent hESCs to a
neuronal lineage, in this study, the expression and intracellular distribution
patterns of a set of chromatin modifiers in the hESC neuronal lineage-specific
derivative hESC-I hNuPs were examined and compared to the two
prototypical neuroepithelial-like hNSCs either
derived from hESCs in vitro or
isolated directly from the human fetal CNS in
vivo. These hESC-I hNuPs expressed high levels of
active chromatin modifiers, including acetylated histone H3 and H4, HDAC1,
Brg-1, and hSNF2H, retaining an embryonic acetylated globally active chromatin
state. Consistent with this observation, several repressive chromatin
remodeling factors regulating histone H3K9 methylation, including SIRT1,
SUV39H1, and Brm, were inactive in hESC-I hNuPs. These Nurr1-positive hESC-I
hNuPs, which did not express the canonical hNSC markers, yielded neurons
efficiently (> 90%) and exclusively, as they did not differentiate into
glial cells, such as astrocytes, and oligodendrocytes. Following engraftment in the brain, hESC-I hNuPs yielded
well-dispersed and well-integrated human neurons at a high prevalence. No
graft overgrowth, formation of teratomas or neoplasms, or appearance of
non-neuronal cell types was observed following
engraftment. Transplanted wild type mice developed hyper-active
behavior, such as fast movement and fast spin, which also suggested
that transplanted human neuronal cells had survived and integrated into the
mouse brain to function and control mouse behavior. By contrast, the
prototypical neuroepithelial-like nestin-positive hNSCs derived either from
hESCs or CNS can spontaneously differentiate into a
mixed population of cells containing undifferentiated hNSCs, neurons (10-30%),
astrocytes, and oligodendrocytes in vitro and in vivo. These
observations suggest that, unlike the prototypical neuroepithelial-like
nestin-positive hNSCs, these in vitro neuroectoderm-derived Nurr1-positive hESC-I
hNuPs are a more neuronal lineage-specific and plastic human stem cell
derivative, providing an engraftable human embryonic neuronal progenitor in
high purity and large supply with adequate neurogenic
potential for scale-up CNS regeneration as stem cell therapy to be
translated to patients in clinical trials.