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Thomson et al (1998) firstly established a human embryonic stem (hES) cell line, which have the potential to form virtually any cell type in the body

and can be propagated in vitro indefinitely in an undifferentiated state.

1

Several studies were reported that establishment of hES cell lines and it could be

大 韓 不 妊 學 會 誌 : 第 30 卷 第 4 2003

Kor. J. Fertil. Steril., Vol. 30, No. 4, 2003, 12

비정상 포배기 배아에서 인간 배아줄기 유사 세포의 분리 및 배양에 관한 연구

성균관 의과대학 삼성제일병원 생식생물학 및 불임연구실

1

, 미즈메디병원 의과학연구소

2

임천규1 성지혜1 박종혁2․ 김선종2 윤현수2 궁미경1 전진현1

Isolation and Culture of Human Embryonic Stem-like Cells from Abnormal Blastocysts Chun Kyu Lim

1

, Ji Hye Sung

1

, Jong Hyuk Park

2

, Sun Jong Kim

2

,

Hyun Soo Yoon

2

, Mi Kyoung Koong

1

, Jin Hyun Jun

1

1

Laboratory of Reproductive Biology & Infertility, Samsung Cheil Hospital & Women’s Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea

2

Division of Stem Cell Biology, Medical Research Center, MizMedi Hospital, Seoul, Korea

목 적: 인간의 배아줄기세포는 전분화능과 영속성을 가지고 있어 발생 및 분화에 관련된 기초 연구

뿐만 아니라 재생의학 약물검색 등에서도 매우 유용한 재료로 이용될 수 있다 본 연구에서는 유전체의 , .

변형이 배아줄기세포주의 확립 효율에 미치는 영향을 살펴보고자 비정상적인 포배기 배아에서 내세포괴를 분리하여 배양하였다.

연구 방법: 인간의 체외수정 및 배아이식술에서 공여 받은 개 또는 개의 전핵이 관찰되는 비정상 1 3

수정란 (n=20) 과 착상전 유전진단에서 이수성이 확인된 배아 (n=27) 를 대상으로 하였다 일반적인 .

방법으로 영양배엽세포들을 제거하고 내세포괴를 분리한 후 혹은 세포

immunosurgery PMEF STO feeder

위에서 배양하였다 배아줄기세포의 배양시스템을 검증하기 위해서 이미 확립된 . Miz-hES1 cell line 을 동시 에 같은 조건 하에서 계대배양하였다.

결 과: 비정상 수정란에서 발생된 포배기 배아에서 분리한 개의 내세포괴가 배아줄기세포와 유사한 1

를 형성하였으나 계대배양에는 실패하였다 이수성 배아에서 발생된 포배기 배아의 내세포괴 배양

colony , .

에서는 두개의 colony 가 계대배양 중에 영양배엽세포의 형태로 분화되어 미분화 상태를 유지하지 못하였다 .

동일한 시기와 조건 하에서 계대배양된 Miz-hES1 cell line 이 미분화상태로 유지됨을 karyotyping (46, XY) 과 으로 확인하였다

immunophenotyping (positive in SSEA-3 and -4) .

결 론: 본 연구의 결과에서 비정상 수정란과 이수성 배아에서 발생된 포배기 배아에서 유래한 내세포

괴는 배아줄기세포주 확립 및 미분화 상태 유지 능력이 매우 저조한 것으로 여겨진다 따라서 인간의 . ,

배아줄기세포주를 확립하는데 있어 배아의 정상여부가 중요한 요소로 작용할 것으로 생각된다.

Key Words: Human ES cells, Abnormal blastocyst, Undifferentiated hES cell, Normalcy of blastocyst

주관책임자 전진현 우: , )100-380 서울특별시 중구 묵정동1-19,삼성제일병원 생식생물학 및 불임연구실 Tel: (02) 2000-7590, Fax: (02) 2265-5621, e-mail: junjh55@hanmail.net

본 연구는 과학기술부 세포응용연구사업단 연구비(M102KL010001-03K1201-00620) 지원으로 진행되었음.

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differentiated into various cell types, such as pan- creatic cells, neural cells, endothelial cells and cardi- omyocytes by various conditions of in vitro culture.

2-7

These characteristics of hES cells indicate that they are valuable and useful for regenerative medicine, pharmacokinetic screening, functional genomics and also researches on the development and differentiation mechanisms of specific organs and tissues.

For the functional analysis of specific genes in vivo, knock-out mouse models have been produced by screening and cloning of knock-out ES cells.

8,9

However, the functional analyses of human genes are limited by the species difference between mouse and human. We speculate that in vitro differentiation of knock-out human ES cells may provide the advanced knowledge of functional genomics in human system.

In human IVF-ET program, normal zygotes present two pronuclei (2-PN) after in vitro fertilization, how- ever, a few zygotes show one (1-PN) or more than three pronuclei (3-PN) as abnormal fertilization. Pre- implantation genetic diagnosis (PGD) has been widely applied for couples with high risk of offsprings with chromosomal aberrations or genetic defects.

10,11

After PGD, normal embryos are transferred to the mother’s uterus, and abnormal embryos are further cultured or analyzed. These abnormally fertilized and aneuploid embryos may develop to the blastocyst stage and the abnormal conceptus.

This study was performed to evaluate the effect of chromosomal abnormality on the establishing efficacy of hES cell line from abnormal blastocysts, and to derive the defective hES cell line as a pilot model of knock-out human ES cell line.

MATERIALS AND METHODS

1. Collection of human blastocysts Human zygotes and pre-implantation embryos were donated for use in this study following informed consent by couples undergoing IVF-ET program.

After in vitro fertilization, the PN status of zygote

observed with an inverted microscope and classified 2-PN as normal and 1-PN or 3-PN as abnormal fertilization. The abnormally fertilized zygotes were cultured to blastocysts with the sequential media, G1.2 and G2.2 medium (Vitrolife Inc, Sweden). In the PGD using fluorescent in situ hybridization (FISH), the blastomere biopsy and diagnosis of biopsied nucleus were undergone by previously described methods.

10,11

The embryos with normal or balanced FISH signals were transferred to the mother’s uterus and abnormal embryos were cultured to the blastocyst with the sequential media.

2. Isolation and culture of inner cell mass The inner cell mass (ICM) of blastocyst was isolated by immunosurgery as previously described.

12,13

Briefly, blastocysts were treated with anti-human whole serum (Sigma, USA) for 10 15 minutes, followed by 5 10 – – minutes exposure to guinea pig complement (Life tech- nologies, Germany) in 20 ㎕ droplets at 37 °C in 5%

CO2. Isolated ICMs were cultured with Dulbecco’s modified Eagle medium (DMEM) high glucose conta- ining 20% fetal bovine serum or serum replacement, 1 mM glutamine, 0.1 mM -mercaptoethanol, 1% non- essential amino acids, 4 ng/ml human basic fibroblast growth factor, 100 U/ml penicillin G and 100 μg/ml ste- rptomycin on the feeder cells. Primary mouse embryonic fibroblast (PMEF) or STO feeder layer which was treated 10 ug/ml mitomycin C for mitotic inactivation, were used as feeder cells. The mitomycin C- treated PMEF or STO cells were extensively washed with PBS and replated at 75,000 cells/cm

2

on gelatin- coated tissue culture dishes.

To prove our facility of hES cell culture system, already established Miz-hES1 cell line was cultured on the same condition for fresh isolated ICMs, simultaneously. We subcultured the hES cell colonies by mechanical dissociation using a micropipette every 7 days.

3. Characterization of undifferentiated hES cells

Alkaline phosphatase (APase) activity is one of the

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features of undifferentiated cells. For APase locali- zation and immunocytochemistry, cultured hES cells were washed with Ca

2+

/Mg

2+

-PBS and then fixed with 4% paraformaldehyde at 4 ℃ for 30 minutes. APase staining was performed using a kit containing NBT/

BCIP as the substrate (Roche, Germany). The dark blue staining was visualized by light microscopy and it was considered positive. Cell surface monoclonal antibodies, SSEA-1, SSEA-3 and SSEA-4, were purchased from the Developmental Studies Hybri-

doma Bank (University of Iowa, USA). The antibodies were diluted with Ca

2+

/Mg

2+

-PBS containing 1% BSA to block non-specific binding. Primary antibodies were localized using biotinylated secondary antibody, followed by a complex of avidin and horseradish peroxidase and a Vector NovaRED or DAB substrate kit (Vector laboratory, USA). The red staining was considered positive under a light microscope (Nikon, Japan).

a b

c d

a b

c d

Figure 1. The oocyte-cumulus complex of a mature oocyte (metaphse-II), 1-pronucleus (1-PN), 2-pronu- cleus (2-PN) and 3-pronucleus (3-PN) zygote in human IVF-ET program.

Figure 3. Isolation and culture of ICMs and the Miz-hES1 cell line. (a) Isolated ICMs by immu- nosurgery, (b) cultured an ICM after 2 days, (c) a hES cell-like colony from a blastocyst of abnormal zygote after 6 days of culture, (d) morphology of undifferentiated Miz-hES1 cell line during subculture.

a b

a b

c d

Figure 2. Blastomere biopsy procedure of PGD and FISH signals. (a) A normal nucleus with two green (TelVision 5p) and two orange (TelVision 5q) signals, and (b) an abnormal nucleus with three green and three orange signals in a chromosomal translocation case.

Figure 4. Characteristics of undifferentiated Miz-

hES1 cell line after subculture. (a) Localization of

alkaline phophatase and immunohistochemistry of

(b) SSEA-1, (c) SSEA-3 and (d) SSEA-4.

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RESULTS

In human IVF-ET program, oocyte-cumulus com- plexes (OCCs) are aspirated from ovarian follicles, and then they are fertilized by conventional insemina- tion or intracytoplasmic sperm injection. Observation of pronucleus status is essential step for selection of normal zygotes with two pronuclei (2-PN) from both parents. We selected 1-PN and 3-PN zygotes, and they were cultured blastocysts. The OCC, 2-PN, 1-PN and 3-PN zygote are illustrated in Figure 1. A total of 20 blastocysts from abnormal zygotes were obtained and used for this study. After immunosurgery, we could not find any ICMs in some blastocysts (n=7) from abnormal zygotes, although the morphology of blastocysts was fair. Isolated ICMs were cultured on the mitotically inactivated PMEF or STO cells.

Only one hES cell-like colony was formed from an abnormal zygote, and the colony was dissociated and mechanically disaggregated using a micropipette after 6 days of culture. The colony was not maintained further culture, and we failed to establish the hES cell line from abnormally fertilized blastocysts.

Blastomere biopsy procedure of PGD and FISH signals of blastomeres’ nuclei are shown in Figure 2.

After FISH, the aneuploid embryos were cultured to blastocysts. A total of 27 blastocysts from aneploidy embryos were prepared for isolation of ICMs. The isolated ICMs from aneuploid blastocysts were quietly small and poor. Two cell colonies of isolated ICMs were subcultured three times, repectively, but they did not show any morphological characteristics undifferen- tiated hES cells, such as Miz-hES1 cell line. The colony was transformed trophoblast-like cells after passage number three, and we could not establish the hES cell line from aneuploid blastocysts.

Established Miz-hES1 cell line (passage number 45) was provided from MizMedi Hospital, Seoul.

Miz-hES1 cell line was maintained its characteristics of undifferentiated hES cells after more than 30 passages of subculture in our facility. They showed

normal karyotypes (46, XY) and positive APase activity. In the immunophenotyping of the subcultured hES cells, SSEA-3 and SSEA-4 were stained red, while SSEA-1 was not detected (Figure 4).

DISCUSSION

The knock-out or aneuploid hES cell line may provide the advanced knowledge of development and differentiation of specific tissues and organs in human system. Blastocysts from abnormal zygotes and aneu- ploid embryos are occasionally observed in human IVF-ET program.

14,15

In this study we want to establish the hES cell line from abnormally fertilized and aneuploid blastocysts as a pilot trial for the establi- shment of knock-out human ES cell line. However, the ICMs from abnormal blastocysts showed very low potency of establishing hES cell line.

Blastocysts from abnormal fertilized zygotes had well differentiated trophoblasts and expanded bla- stocoels, but its ICMs were poor. After immuno- surgery, we could not find any specific cell clusters as ICMs, it might be related to the normal trophoblast development and differentiation of tetraploidy embryos in mouse and rat.

16,17

In human, anembryonic pre- gnancy, only trophoblasts, was clinically occurred and reported.

18,19

One ES cell-like colony was formed from isolated ICM but it was not maintained undi- fferentiation status after subculture. Generally, haploid or polyploid embryos cannot survive to offsprings in human because they have many defects in tissues and organs. Thus hES cell lines with haploidy or poly- ploidy might be useful for the human developmental biology.

The detection of chromosomal abnormalities in

human preimplantation embryos and PGD using FISH

has been successfully applied for couples who are at

high risk of transmitting chromosomal abnormalities

to their offsprings.

8,9

We have reported the successful

outcomes and more than 90% reliability of diagnosis

by PGD-FISH.

20,21

Two ICMs among 27 aneuploid

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blastocysts were subcultured, however, they were differentiated to the trophoblast-like cells. At the same time and condition, we subcultured Miz-hES1 cell line without spontaneous differentiation. The diffe- rentiation of ICMs from aneuploid blastocysts was caused by nature of the ICMs rather than culture condition.

Recently, our colleagues reported that three hES cell lines could be established from 30 blastocysts.

3

The success rate is 10% using tentatively normal blastocysts. We allocated 47 abnormal blastocysts for establishing the hES cell line, but did not succeed to establish the defective hES cell line. Our results suggested that the ICMs from abnormal blastocysts have very low potency as undifferentiated hES cells, and normalcy of blastocyts is an important factor for establishment and maintenance of undifferentiated hES cell line.

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7. Xu C, Police S, Rao N, Carpenter M. Characteri- zation and enrichment of cardiomyocytes derived from human embryonic stem cells. Cir Res 2002;

91: 501-508.

8. Evans MJ, Kaufman M. Establishment in culture of pluripotential stem cells from mouse embryos.

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9. Mitchell K, Pinson K, Kelly O, Brennan J, Zupi- cichi J, Scherz P, et al. Functional analysis of secreted and transmembrane proteins critical to mouse development. Nat Genetics 2001; 28: 241- 249.

10. Handyside A, Kontogianni E, Hardy K, Winston R.

Pregnancies from biopsied human preimplantation embryos sexed by Y-specific DNA amplification.

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11. Munne S, Sandalinas M, Escudero T, Fung J, Gianaroli L, Cohen J. Outcome of preimplantation genetic diagnosis of translocations. Fertil Steril 2000; 73: 1209-1218.

12. 임천규 한미현 전진현 송견지 김정욱 박소 , , , , , 연 등 균형 전좌 또는 , . Robertsonian 전좌 보인 자의 체외수정 및 베아이식술에서 형광직접보 합법을 이용한 착상전 유전진단의 임상적 적 용 대한산부회지 . 2000; 43: 1147-1153.

13. Solter D, Knowles BB. Immunosurgery of mouse blastocyst. Proc Natl Acad Sci U S A 1975; 72:

5099-5102.

14. Munne S, Alikani M, Tomkin G, Grifo J, Cohen J. Embryo morphology, developmental rates and maternal age are correlated with chromosome abnormalities. Fertil Steril 1995; 64: 382-391 15. Evsikov S, Cieslak J, Verlinsky Y. Effect of

chromosomal translocations on the development

of preimplantation human embryos in vitro. Fertil

Steril 2000; 74: 672-677.

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16. Kaufman M, Webb S. Postimplantation develop- ment of tetraploid mouse embryos produced by electrofusion. Development 1990; 110: 1121-1132.

17. Krivokharchenko A, Galat V, Ganten D, Bader M. In vitro formation of tetraploid rat blastocysts after fusion of two-cell embryos. Mol Reprod Devel 2002; 61: 460-465.

18. Petrovic O, Gudelj L, Rubesa G, Haller H, Beer AE, Rukavina D. Decidual-trophoblast interaction:

decidual lymphoid cell function in normal, anembryonic, missed abortion and ectopic human

pregnancy. J Reprod Immunol 1994; 26: 217-231.

19. Ozeren M, Aydemir V, Tekelioglu Y, Topcuoglu K, Bozkaya H. Ploidy analysis and S-pahse fraction determination by flow cytometry in anembryonic pregnancy and spontaneous abortions. Gynecol Obstet Invest 1999; 48: 104-107.

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수치

Figure 1. The oocyte-cumulus complex of a mature oocyte (metaphse-II), 1-pronucleus (1-PN),  2-pronu-cleus (2-PN) and 3-pronu2-pronu-cleus (3-PN) zygote in human IVF-ET program.

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