Hu Liang, Du Lili, Zhao Yan, Li Wen, Ouyang Qi, Zhou Di, Lu Guangxiu, Lin Ge
Institute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha 410078, China; National Engineering and Research Center of Human Stem Cells, Changsha 410013, China; Key Laboratory of Stem Cell and Reproductive Engineering, Ministry of Health, Changsha 410078, China.
Department of Obstetrics and Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China; Key Laboratory for Major Obstetric Diseases of Guangdong Province, Guangzhou 510150, China.
Stem Cell Res. 2017 Apr;20:14-20. doi: 10.1016/j.scr.2017.02.003. Epub 2017 Feb 11.
Glanzmann thrombasthenia (GT) is a rare monogenic hemorrhagic disorder involving aggregation defect of non-nuclear platelets. In this study we generated induced pluripotent stem cells (iPSCs) from skin fibroblasts of a GT patient with complex heterogeneous mutations of ITGA2B gene. GT-iPSCs could be successfully differentiated into platelets (GT-iPS-platelets). GT-iPS-platelets were CD41-/CD42b+/CD61- and were platelet activation marker (PAC-1) negative after adenosine diphosphate (ADP) activation. Furthermore, GT-iPS-platelets were defective in platelet aggregation tests in vitro. Moreover, exogenous expression of the wild-type ITGA2B gene in GT-iPS platelets restored CD41 expression and normal platelet aggregation. Our study suggested that patient-specific iPSCs could be a potential target of stem cell based gene therapy for platelet diseases.
Glanzmann血小板无力症(GT)是一种罕见的单基因出血性疾病,涉及无核血小板的聚集缺陷。在本研究中,我们从一名患有ITGA2B基因复杂异质突变的GT患者的皮肤成纤维细胞中生成了诱导多能干细胞(iPSC)。GT-iPSC可以成功分化为血小板(GT-iPS-血小板)。GT-iPS-血小板为CD41-/CD42b+/CD61-,在二磷酸腺苷(ADP)激活后血小板活化标志物(PAC-1)呈阴性。此外,GT-iPS-血小板在体外血小板聚集试验中存在缺陷。此外,野生型ITGA2B基因在GT-iPS血小板中的外源表达恢复了CD41表达和正常血小板聚集。我们的研究表明,患者特异性iPSC可能是基于干细胞的血小板疾病基因治疗的潜在靶点。