Maxwell Kristina G, Augsornworawat Punn, Velazco-Cruz Leonardo, Kim Michelle H, Asada Rie, Hogrebe Nathaniel J, Morikawa Shuntaro, Urano Fumihiko, Millman Jeffrey R
Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, USA.
Department of Biomedical Engineering, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA.
Sci Transl Med. 2020 Apr 22;12(540). doi: 10.1126/scitranslmed.aax9106.
Differentiation of insulin-producing pancreatic β cells from induced pluripotent stem cells (iPSCs) derived from patients with diabetes promises to provide autologous cells for diabetes cell replacement therapy. However, current approaches produce patient iPSC-derived β (SC-β) cells with poor function in vitro and in vivo. Here, we used CRISPR-Cas9 to correct a diabetes-causing pathogenic variant in Wolfram syndrome 1 () in iPSCs derived from a patient with Wolfram syndrome (WS). After differentiation to β cells with our recent six-stage differentiation strategy, corrected WS SC-β cells performed robust dynamic insulin secretion in vitro in response to glucose and reversed preexisting streptozocin-induced diabetes after transplantation into mice. Single-cell transcriptomics showed that corrected SC-β cells displayed increased insulin and decreased expression of genes associated with endoplasmic reticulum stress. CRISPR-Cas9 correction of a diabetes-inducing gene variant thus allows for robust differentiation of autologous SC-β cells that can reverse severe diabetes in an animal model.
从糖尿病患者来源的诱导多能干细胞(iPSC)中分化出产生胰岛素的胰腺β细胞,有望为糖尿病细胞替代疗法提供自体细胞。然而,目前的方法所产生的患者iPSC来源的β(SC-β)细胞在体外和体内功能都很差。在此,我们使用CRISPR-Cas9校正了一名患有沃夫勒姆综合征(WS)患者来源的iPSC中导致沃夫勒姆综合征1()的糖尿病致病变异。在用我们最近的六阶段分化策略将其分化为β细胞后,校正后的WS SC-β细胞在体外对葡萄糖刺激表现出强劲的动态胰岛素分泌,并在移植到小鼠体内后逆转了先前存在的链脲佐菌素诱导的糖尿病。单细胞转录组学显示,校正后的SC-β细胞胰岛素表达增加,与内质网应激相关的基因表达降低。因此,对糖尿病诱导基因变异进行CRISPR-Cas9校正能够实现自体SC-β细胞的强劲分化,这些细胞能够在动物模型中逆转严重糖尿病。
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