First published online August 9, 2007
Stem Cells
Vol. 25 No.
11
November 2007, pp.
2720
-2729
doi:10.1634/stemcells.2007-0321; www.StemCells.com
© 2007 AlphaMed Press
Genetically Manipulated Human Embryonic Stem Cell-Derived Dendritic Cells with Immune Regulatory Function
Satoru Senjua,
Hirofumi Suemorib,
Hitoshi Zembutsuc,
Yasushi Uemuraa,
Shinya Hirataa,
Daiki Fukumaa,
Hidetake Matsuyoshia,
Manami Shimomuraa,
Miwa Harutaa,
Satoshi Fukushimaa,
Yusuke Matsunagaa,
Toyomasa Katagiric,
Yusuke Nakamurac,
Masataka Furuyab,
Norio Nakatsujid,
Yasuharu Nishimuraa
aDepartment of Immunogenetics, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan;
bLaboratory of Embryonic Stem Cell Research, Stem Cell Research Center, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan;
cLaboratory of Molecular Medicine, Human Genome Center, Institute of Medical Science, University of Tokyo, Tokyo, Japan;
dDepartment of Development and Differentiation, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan
Key Words. Dendritic cells • Embryonic stem cells • Cell differentiation • Cell therapy
Correspondence: Satoru Senju, M.D., Ph.D., Department of Immunogenetics, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan. Telephone: 81-96-373-5313; Fax: 81-96-373-5314; e-mail: senjusat{at}gpo.kumamoto-u.ac.jp
Received on April 30, 2007;
accepted for publication on July 27, 2007.
First published online in STEM CELLS EXPRESS August 9, 2007.
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ABSTRACT
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Genetically manipulated dendritic cells (DC) are considered to be a promising means for antigen-specific immune therapy. This study reports the generation, characterization, and genetic modification of DC derived from human embryonic stem (ES) cells. The human ES cell-derived DC (ES-DC) expressed surface molecules typically expressed by DC and had the capacities to stimulate allogeneic T lymphocytes and to process and present protein antigen in the context of histocompatibility leukocyte antigen (HLA) class II molecule. Genetic modification of human ES-DC can be accomplished without the use of viral vectors, by the introduction of expression vector plasmids into undifferentiated ES cells by electroporation and subsequent induction of differentiation of the transfectant ES cell clones to ES-DC. ES-DC introduced with invariant chain-based antigen-presenting vectors by this procedure stimulated HLA-DR-restricted antigen-specific T cells in the absence of exogenous antigen. Forced expression of programmed death-1-ligand-1 in ES-DC resulted in the reduction of the proliferative response of allogeneic T cells cocultured with the ES-DC. Generation and genetic modification of ES-DC from nonhuman primate (cynomolgus monkey) ES cells was also achieved by the currently established method. ES-DC technology is therefore considered to be a novel means for immune therapy.
Disclosure of potential conflicts of interest is found at the end of this article.
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INTRODUCTION
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Embryonic stem (ES) cells are characterized by pluripotency and infinite propagation capacity, and the methods for genetic modification of ES cells, including targeted gene modification, have been well-established. This laboratory and others have devised methods to generate dendritic cells (DC) in vitro from mouse ES cells [1, 2]. The functions of mouse ES cell-derived DC (ES-DC), including stimulation of allogeneic T cells, processing and presentation of antigenic proteins, and migration upon in vivo transfer, are comparable to those of DC generated in vitro from bone marrow cells [3]. This laboratory has also established a strategy for the genetic modification of mouse ES-DC [1]. Expression vectors were introduced into ES cells by electroporation, and subsequently the transfectant ES cell clones were induced to differentiate to ES-DC. Studies using mice have demonstrated that in vivo transfer of genetically engineered mouse ES-DC is very useful for modulating immune responses both positively and negatively. It is possible to induce anticancer immunity [3–6] and prevent autoimmune disease [7, 8] in mouse models with genetically engineered ES-DC.
In the present study, looking toward future clinical application of ES-DC technology, a method was developed to generate ES-DC from human ES cells. The morphology and the results of functional and flow cytometric analyses indicate that human ES-DC possess the characteristic features of DC. cDNA microarray analysis revealed that the change of gene expression profile during generation and maturation of human ES-DC partially mimics that of monocyte-derived DC (Mo-DC). The currently established method was also applicable to cynomolgus monkey (Macaca fascicularis) ES cells.
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MATERIALS AND METHODS
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Cell Lines, Cytokines, and Reagents
The use of human ES cells was done in accordance with the Guidelines for Derivation and Utilization of Human Embryonic Stem Cells (2001) of the Ministry of Education, Culture, Sports, Science and Technology (MEXT), Japan, after approval by the Institutional Review Board. The human ES cell lines KhES-1 and KhES-3 have recently been established and maintained on mouse primary embryonic fibroblast (PEF) feeder layers as previously described [9, 10]. Mouse-derived hematopoietic stromal cell line OP9 was treated with mitomycin C (10 µg/ml) for 1 hour before plating onto gelatin-coated tissue culture dishes to make feeder cell layers. The establishment and maintenance of cynomolgus monkey ES cell line CMK6 was also reported [11, 12]. Recombinant human granulocyte macrophage colony-stimulating factor (GM-CSF), macrophage colony-stimulating factor (M-CSF), interleukin-4 (IL-4), tumor necrosis factor
(TNF-
), and soluble CD40-ligand were purchased from Peprotech (London, http://www.peprotech.com). Lipopolysaccharide (LPS) from Escherichia coli and OK-432 were purchased from Sigma-Aldrich (St. Louis, http://www.sigmaaldrich.com) and Chugai Pharmaceutical (Tokyo, http://www.chugai-pharm.co.jp/hc/chugai_top_en.jsp), respectively.
Induction of Differentiation of ES Cells into ES-DC
The procedure for differentiation culture was composed of three steps (Fig. 1 A). Step 1 was as follows: undifferentiated ES cells maintained on PEF were rinsed with phosphate-buffered saline (PBS) and treated with dissociation solution containing 1 mg/ml collagenase, 0.25% trypsin, and 20% knockout serum replacement (Invitrogen, Carlsbad, CA, http://www.invitrogen.com) in PBS [10] and cultured on OP9 feeder cell layers in minimum essential medium-
supplemented with 20% fetal calf serum (FCS) and 2-mercaptoethanol (50 µM). Culture of cells was continued for 14–18 days with human ES cells and for 11–13 days with cynomolgus monkey ES cells, and the medium was changed once every 3 days. At the end of this step, the cells were rinsed with PBS, treated with trypsin-EDTA (PBS containing 0.25% trypsin and 1 mM EDTA) for 30–40 minutes, and recovered. After resuspension in culture medium, the cells were plated onto culture dishes and incubated for 2–4 hours. Thereafter, floating or weakly adherent cells were recovered by pipetting, and any firmly adherent cells were discarded. Step 2 was as follows: after being passaged through nylon mesh (Cell Strainer 100 µm; BD Biosciences, Bedford, MA, http://www.bdbiosciences.com), cells recovered from one 90-mm dish were plated in two dishes with freshly prepared OP9 feeder layers. On the following day, the culture medium was exchanged with a medium containing GM-CSF (100 ng/ml) and M-CSF (50 ng/ml). The culture was continued for 7–10 days, depending on the propagation of floating cells on the feeder layers. Step 3 was as follows: ES cell-derived floating cells were recovered by pipetting; resuspended in RPMI 1640 medium containing 10% FCS, GM-CSF (100 ng/ml), and IL-4 (10 ng/ml); and cultured in Petri dishes (3–5 x 105 cells per dish) without a feeder layer (Locus, Tokyo). To induce maturation, IL-4 (10 ng/ml), TNF-
(10 ng/ml), LPS (3 µg/ml), and, in some experiments, soluble CD40-ligand (20 ng/ml) or OK-432 (10 µg/ml) were simultaneously added on day 3 or 5 of this step, and the culture was continued for an additional 2–3 days. Differentiating cells were microscopically analyzed on an inverted microscope (IX70; Olympus, Tokyo, http://www.olympus-global.com).

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Figure 1. Culture protocol and morphological changes of human embryonic stem (ES) cell-derived cells during differentiation culture. (A): The schedule for the culture to induce differentiation of human ES cells into ES-DC is schematically depicted. (B): Undifferentiated human ES cells on primary embryonic fibroblast feeder layer. (C–E): ES cell-derived cells on day 3 (C), day 11 (D), and day 15 (E) in the first step. (F): Cells on day 6 in the second step. (G–J): Cells on day 1 (G), day 3 (H), and day 6 (I, J) in the third step. Cells shown in (I, J) had been stimulated with TNF- plus LPS for 2 days. Abbreviations: ES-DC, embryonic stem cell-derived dendritic cells; GM-CSF, granulocyte macrophage colony-stimulating factor; IL, interleukin; imES-DC, immature embryonic stem cell-derived dendritic cells; LPS, lipopolysaccharide; M-CSF, macrophage colony-stimulating factor; mES-DC, mature embryonic stem cell-derived dendritic cells; TNF- , tumor necrosis factor .
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Flow Cytometric Analysis
The following monoclonal antibodies (Ab) conjugated with fluorescein isothiocyanate or phycoerythrin were purchased from BD Pharmingen (San Diego, http://www.bdbiosciences.com/index_us.shtml) or eBioscience Inc. (San Diego, http://www.ebioscience.com): anti-human histocompatibility leukocyte antigen (HLA)-DR (clone L243, mouse IgG2a); anti-HLA-A, B, and C (clone G46–2.6, mouse IgG1); anti-human CD80 (clone L307.4, mouse IgG1); anti-human CD83 (clone HB15e, mouse IgG1); anti-human CD86 (clone FUN-1, mouse IgG1); anti-human CD40 (clone 5C3, mouse IgG1); anti-human B7-H1/programmed death-1-ligand-1 (PD-L1) (clone MIH1, mouse IgG1); and anti-human CD74 (clone M-B741, mouse IgG2a). As isotype-matched controls, mouse IgG2a (clone G155–178) and mouse IgG1 (clone MOPC-21) were used. The cell samples were treated with FcR-blocking reagent (Miltenyi Biotec, Bergisch Gladbach, Germany, http://www.miltenyibiotec.com) for 10 minutes, stained with the fluorochrome-conjugated Ab for 30 minutes, and washed three times with PBS/2% FCS. Intracellular staining with anti-CD74 monoclonal Ab was done by using IntraPrep (Beckman Coulter, Marseille, France, http://www.beckmancoulter.com). Stained cell samples were analyzed on a FACScan flow cytometer, and, in some experiments, the DC fraction was gated by forward and side scatters.
Enzyme-Linked Immunosorbent Assay to Detect Cytokine Production by ES-DC
Cells were cultured in 96-well flat-bottomed culture plates (1.2 x 105 cells in 150 µl of medium per well) in the presence or absence of soluble CD40-ligand, LPS, or OK432. After 60 hours of culture, supernatant was collected, and the concentration of TNF-
and IL-12 p70 was measured by using enzyme-linked immunosorbent assay (ELISA) kits (Pierce, Rockford, IL, http://www.piercenet.com).
Allogeneic T-Cell-Stimulation Assay
Mononuclear cells were isolated from heparinized peripheral blood of a human or a cynomolgus monkey housed in the Chemo-Sero-Therapeutic Research Institute (Kumamoto, Japan), using Ficoll-Paque PLUS (Amersham Biosciences, Uppsala, Sweden, http://www.amersham.com). T cells were purified using the Pan T cell isolation kit for humans or the kit for nonhuman primates (Miltenyi Biotec). The T cells (4 x 104/well) were cocultured with graded numbers of x-ray-irradiated (40 Gy) stimulator cells in RPMI 1640 medium supplemented with 10% human plasma in 96-well round-bottomed culture plates for 5 days. [3H]-Methyl-thymidine (247.9 GBq/mmol) was added to the culture (0.037 MBq/well) for the last 16 hours. At the end this time, the cells were harvested onto glass fiber filters (PerkinElmer Life and Analytical Sciences, Boston, http://www.perkinelmer.com), and the incorporation of [3H]-thymidine was measured by scintillation counting. In the experiment using PD-L1-transfectant ES-DC, anti-PD-L1 blocking Ab (clone MIH1; eBioscience) or control mouse IgG1 Ab (eBioscience) was added to the culture (10 µg/ml).
Recombinant Antigenic Protein
A DNA fragment encoding human glutamic acid decarboxylase (GAD65) p96–174 protein fragment was cloned into the prokaryotic expression vector pGEX-4T-3 (Amersham Biosciences), to generate a vector for glutathione S-transferase-fused GAD65 protein fragment (GST-GAD). The induction of the production of recombinant protein in E. coli (DH5
) and the extraction of the recombinant protein from bacterial inclusion bodies was done according to Frangioni and Neel [13]. The purification of the recombinant protein with glutathione-agarose (Sigma-Aldrich) was done as described in our previous report [14, 15]. The purity and integrity of the recombinant protein was confirmed by SDS-polyacrylamide gel electrophoresis. The protein was concentrated and separated from small peptide fragments, if any, with Centricon-10 (Millipore, Bedford, MA, http://www.millipore.com), and the solvent was changed from the elution buffer to the culture medium by dialysis.
Antigen Presentation Assay
A human CD4+ T-cell clone, SA32.5, recognizing GAD65p111–131 in the context of HLA-DR53 molecule (DRA*0101+DRB4*0103) was established and maintained as previously described [16]. In the assay with the synthetic peptide, ES-DC stimulated with TNF-
(10 ng/ml) plus LPS (3 µg/ml) were harvested, incubated in the presence of peptide (6 µM) for 3 hours, washed four times with culture medium, and x-ray-irradiated (35 Gy). A T-cell proliferation assay was set up in a 96-well flat-bottomed culture plate with SA32.5 T cells (3 x 104 cells per well) and graded numbers of the peptide-loaded ES-DC in RPMI 1640 medium supplemented with 10% human plasma. In the assay with recombinant protein, the indicated amount of GST or GST-GAD protein was added to the coculture of SA32.5 T cells (3 x 104 cells per well) and irradiated ES-DC (1 x 104 cells per well). After 48 hours of culture, [3H]-thymidine was added, and then after an additional 16 hours of culture, the cells were harvested and the incorporated radioactivity was counted.
Plasmid Construction
cDNA for human PD-L1 was isolated by polymerase chain reaction (PCR) with Pyrobest DNA polymerase (Takara, Osaka, Japan, http://www.takara.co.jp) using cDNA clone CS0DI011, purchased from Invitrogen (Carlsbad, CA, http://www.invitrogen.com), as a template. Double-stranded oligo DNA (5'-atgaacattttacttcagtatgtggtgaaaagtttcgat-3') coding for GAD65p115–127 (the core epitope for SA32.5 T-cell clone) was ligated to human invariant chain (Ii)-based epitope presentation vector pCI [17] to generate GAD65-epitope-fused Ii. A cDNA fragment for HLA-DRB4*0103 was generated by reverse transcriptase (RT)-PCR from RNA isolated from peripheral blood mononuclear cells positive for HLA-DRB4*0103. The coding DNA fragments were cloned into a mammalian expression vector, pCAG-IRES-Neo, which is driven by the CAG promoter and includes an internal ribosomal entry site (IRES)-neomycin-resistance gene cassette [3].
Transfection of ES Cells
Human ES cells were harvested using CTK solution, dissociated into clusters of 50–100 cells by pipetting, and washed twice with Dulbecco's modified Eagle's medium (DMEM). The cells harvested from two 90-mm culture dishes with subconfluently growing ES cells were suspended in 0.1 ml of DMEM and mixed with 50 µg of linearized plasmid DNA dissolved in 0.1 ml of PBS in a 4-mm-gap cuvette. The electroporation of human ES cells was performed at 150 V and 200 µF on a Gene Pulser (Bio-Rad, Hercules, CA, http://www.bio-rad.com). The transfection of cynomolgus monkey ES cells was done as previously described [18], with some modifications. Cynomolgus monkey ES cells were harvested after treatment with trypsin-EDTA. ES cells (1–1.5 x 107) suspended in 0.7 ml of DMEM were mixed with 50 µg of plasmid DNA in 0.1 ml of PBS in a 4-mm-gap cuvette. Electroporation was done at 250 V and 500 µF. After electroporation, the ES cells were cultured on G418-resistant PEF feeder layers in 90-mm culture dishes or six-well plates. Selection with G418 (150 µg/ml) was done from 2 to 4 days after the transfection, and G418-resistant ES cell colonies were picked up using a micropipette under microscopic observation on days 15–18 for human ES cells and on day 11 for monkey ES cells. The transfectant clones were transferred to 24-well culture plates with PEF and expanded in the presence of G418. ES cell transfectant clones with relatively high levels of expression of the transgene were selected on the basis of the resistance to a high dose (1–3 mg/ml) of G418 and the results of the RT-PCR analysis. Thereafter, the clones were subjected to the differentiation procedures. At the proper stages of differentiation, the cells were screened to select ES cell clones that highly expressed the transgene after differentiation, based on a flow cytometric analysis for PD-L1 and Ii transfectant human ES cells and on the antigen-presenting capacity for HLA-DRB4 transfectant cynomolgus monkey ES cells.
RT-PCR for Detection of the Transgene-Derived Transcripts
cDNA was synthesized from total cellular RNA with random hexamer primers and SuperScript II reverse transcriptase (Invitrogen). The following PCR primer sets were used: 5'-gctggattacatcaaagcactgaa-3' and 5'-caacaaagtctggcttatatccaa-3' for hypoxanthine-guanine phosphoribosyl transferase and 5'-ctgactgaccgcgttactcccaca-3' and 5'-ttggttatagatgtatctgatcaggt-3' for transgene-derived DRB4 transcript.
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RESULTS
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Differentiation of Human ES Cells to ES-DC
Based on previous experience in the generation of dendritic cells from mouse ES cells [1] and also based on the findings in a preliminary study using cynomolgus monkey ES cells, the feeder cell-coculture method was adopted for the generation of dendritic cells from human ES cells, instead of the embryoid body (EB)-based method. The human ES cell line selected was KhES-1; this line exhibited the highest growth rate among the three lines of human ES cell lines established in a recent study [9, 19]. For feeder cells, three lines of mouse stromal cell lines (ST2, OP9, and PA6) were evaluated for their capacity to induce hematopoietic differentiation of KhES-1 ES cells, and OP9 had the best yield among them (data not shown).
The protocol for the differentiation culture to generate ES-DC from human ES cells developed in the current study is composed of three steps, as shown in Figure 1A. At the beginning of the differentiation culture, undifferentiated ES cells maintained on mouse PEF feeders (Fig. 1B) were harvested using dissociation solution CTK [9] and plated on OP9 feeder cell layers (step 1). Next, the ES cells grew and formed clusters composed mostly of epithelial cell-like large flat cells (Fig. 1C, 1D). Clusters of round, cobblestone-like cells also appeared at approximately day 8, and those resembled the mesodermally differentiated cell clusters observed in hematopoietic differentiation culture of mouse ES cells [1, 20]. The size and number of round cell clusters gradually increased, and by around day 15, they covered 20%–30% of the surface area (Fig. 1E).
On days 15–18 of the first step, cells were recovered from the dishes using trypsin/EDTA and isolated nonadherent cells, and then they were seeded onto freshly prepared OP9 cell layers, to begin the second step. On the next day, the culture medium was exchanged for medium containing GM-CSF and M-CSF. Thereafter, small round cells, floating or loosely adhering to the feeder layer, appeared and gradually increased in number (Fig. 1F). The growth of the round cells depended primarily upon GM-CSF, thus suggesting that they grew in response to that factor. The cells were recovered and analyzed for their expression of hematopoietic cell lineage markers by flow cytometry (Fig. 2A). The cells expressed CD34 and CD45, thus indicating that they followed a hematopoietic cell lineage. They also expressed CD31, CD43, and CD11b, thus collectively indicating a commitment to a myeloid cell lineage. The double peaks seen in the histograms in Figure 2 reflect the heterogeneity of the analyzed cells in size and intensity of autofluorescence.

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Figure 2. Cell surface phenotypes of human ES-DC. (A): ES cell-derived floating cells harvested on day 6 in the second step were analyzed for the cell surface expression of CD34, CD45, CD31, CD43, CD11b, and CD14. (B): ES cell-derived cells harvested on day 8 in the second step (pre-ES-DC) and from the third step before (imES-DC) and after (mES-DC) addition of maturation stimuli were analyzed for the cell surface expression of CD80, CD83, CD86, CD40, HLA-DR, and HLA class I. Staining profiles with specific antibody (Ab) (thick lines) and isotype-matched control Ab (thin, broken lines) are shown. Abbreviations: ES-DC, embryonic stem cell-derived dendritic cells; HLA, histocompatibility leukocyte antigen; imES-DC, immature embryonic stem cell-derived dendritic cells; mES-DC, mature embryonic stem cell-derived dendritic cells.
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On days 7–10 of the second step, the floating or loosely adherent cells were harvested by pipetting and transferred to Petri dishes without feeder cells. We then cultured the cells in the presence of GM-CSF and IL-4 to start the third step. Following this passage, the cells changed their morphology from round to irregular shapes, and some had protrusions (Fig. 1G). Cells with protrusions gradually increased, and more than 50% of the cells exhibited DC-like irregular shapes after 2–3 days (Fig. 1H). The floating cells expressed CD86 and CD40 but scarcely expressed CD80 or CD83 (Fig. 2B). Expression of HLA-DR at this stage differed between experiments.
Figure 1I and 1J shows the cells after the simultaneous addition of TNF-
, LPS, soluble CD40-ligand, and IL-4. Generally, they exhibited longer protrusions than before the stimulation, and some of the protrusions were veil-like. Many of the cells formed aggregates. Flow cytometric analysis showed the increased expression of CD86 and the expression of CD80, CD83, and HLA-DR (Fig. 2B). Collectively, the cells exhibited the characteristics of DC in their morphology and expression of surface molecules, and thus they were designated human ES-DC.
Production of IL-12 and TNF-
by ES-DC was measured by ELISA (Fig. 3). Production of TNF-
was profoundly induced by either LPS or OK432. OK432, but not LPS, induced the production of IL-12, consistent with the reports that OK432 is an efficient inducer of IL-12 [21, 22]. Addition of CD40-ligand showed little effect on the production of these cytokines by human ES-DC.
ES cell-derived floating cells first appeared during the second step of the culture for differentiation (pre-ES-DC) and could readily be isolated by the pipetting procedure. Their morphology, pattern of expression of surface molecules, and T-cell-stimulation capacity (described below) continuously changed until the final maturation. To determine the change in gene expression associated with such changes in the phenotypes, the gene expression profiles of pre-ES-DC, immature ES-DC, and mature ES-DC were analyzed using cDNA microarrays. For reference purposes, human peripheral blood monocytes and immature and mature Mo-DC were also analyzed. The data for genes with relevance to immune functions were selected from the total microarray data and are shown in supplemental online Table 1. Consistent with the results of flow cytometric analysis (Fig. 2B), upregulation of the expression of genes encoding cell surface molecules such as HLA class I, HLA class II, CD86, and CD40, along with differentiation of ES-DC, was observed. In addition, expression of the genes related to DC function, including CD74/invariant chain, CCR7, and CCL17/TARC, was increased during the differentiation. Clustering analysis indicates similarity between change of the gene expression pattern from monocytes to immature Mo-DC and that from pre-ES-DC to immature ES-DC, as well as that from immature Mo-DC to mature Mo-DC and that from immature ES-DC to mature ES-DC (supplemental online Fig. 1).
The protocol of differentiation culture described thus far was originally developed using the KhES-1 line of human ES cells. This differentiation procedure was also applied to KhES-3, another human ES cell line. KhES-3 differentiation was similar to KhES-1 except that KhES-3 differentiated slightly more quickly than KhES-1, and a first-step culture of 14–15 days was sufficient for the differentiation of KhES-3.
Function of Human ES-DC
The capacity of the human ES-DC to stimulate T cells was examined based on the proliferative response of allogeneic T cells cocultured with ES-DC (Fig. 4A). ES cell-derived floating cells recovered from the second step (pre-ES-DC) showed little capacity to induce a response of T cells. In contrast, ES-DC following the third step before the addition of maturation stimuli (immature ES-DC) showed a weak but definite stimulation, and following exposure to the maturation stimuli (mature ES-DC) they showed a strong capacity to stimulate allogeneic T cells to proliferate.

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Figure 4. Stimulation of allogeneic T cells and antigen presentation by human ES-DC. (A): The indicated numbers of mature ES-DC (circles), immature ES-DC (diamonds), and pre-ES-DC (squares) were x-ray-irradiated (40 Gy) and cocultured with allogeneic human peripheral blood T cells (4 x 104 cells per well) in a 96-well round-bottomed culture plate for 5 days. Proliferation of T cells in the last 16 hours of the culture was measured based on [3H]-thymidine uptake. The data are indicated as the mean value ± SD of duplicate cultures. (B): The indicated numbers of KhES-1-derived mature ES-DC prepulsed with glutamic acid decarboxylase (GAD) 65111–131 peptide (squares) and those left unpulsed (diamonds) were cocultured with a GAD65-specific, HLA-DR53-restricted human CD4+ T-cell clone, SA32.5 (3 x 104 T cells per well) for 3 days. Proliferation of the T cells in the last 16 hours of the culture was measured by [3H]-thymidine uptake. (C): Mature KhES-1-derived ES-DC (1 x 104 cells per well) were cocultured with SA32.5 T cells (3 x 104 cells per well) in the presence of the indicated concentrations of glutathione S-transferase (GST)-GAD65 recombinant protein (squares) or GST protein (diamonds) for 3 days. Proliferation of the T cells in the last 16 hours of the culture was measured by [3H]-thymidine uptake. Abbreviation: ES-DC, embryonic stem cell-derived dendritic cells.
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Next, the antigen-presenting capacity of ES-DC was examined. KhES-1 is positive for the HLA-DRB4*0103 gene encoding the β chain of HLA-DR53 molecule. Presumably, ES-DC derived from KhES-1 should express the DR53 molecule, and their ability to present antigen to DR53-restricted CD4+ T cells was determined. As shown in Figure 4B, KhES-1-derived ES-DC preloaded with GAD65-derived synthetic peptide stimulated GAD65-specific DR53-restricted human T-cell clone SA32.5 to proliferate. To examine the capacity to process antigenic protein and present epitope, recombinant protein was used as the antigen (Fig. 4C). The SA32.5 T-cell clone cocultured with the ES-DC in the presence of recombinant GAD65 protein also showed a proliferative response, thus indicating that ES-DC processed the antigenic protein and presented the epitope derived from the protein in the context of HLA class II molecules.
Genetic Modification of Human ES-DC
Previous research established a strategy for the genetic modification of mouse ES-DC [1]. Briefly, the expression vectors were introduced into ES cells by electroporation, and subsequently the transfectant ES cell clones were induced to differentiate to ES-DC. The following experiments were performed to determine whether or not this strategy could be applicable to human ES cells.
PD-L1/B7-H1 is known to downmodulate responses of T cells upon interaction with the ligand, PD-1 on T cells [23]. An expression vector for human PD-L1 was introduced to KhES-1 by electroporation. The expression vector used was pCAG-INeo, driven by the CAG promoter and containing an IRES-neomycin-resistance gene cassette (Fig. 5A). Among the transfectant clones, 23 ES cell clones showing resistance to high does of G418 (2 mg/ml) were selected and subjected to the ES-DC-differentiation culture.

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Figure 5. Genetic modification of human ES-DC. (A): Structure of the expression vector for human PD-L1. The expression of PD-L1 was driven by the CAG promoter, and the PD-L1-coding sequence was followed by IRES-neomycin-resistance gene (Neo-R), a selection marker. The open box in the CAG promoter indicates exon 1 of the rabbit β-actin gene contained in CAG promoter. (B): Transgene-derived PD-L1 expressed in immature ES-DC originated from transfectant embryonic stem (ES) cells was detected by flow cytometric analysis (ES-DC-PD-L1, clone 28). As a control, the staining profile of ES-DC derived from parental ES cell line (K1ES-DC) is shown. Specific stainings with anti-human-PD-L1 monoclonal antibody (Ab) (thick line) and isotype-matched control staining (thin, broken line) are shown. (C): The alloreactive response of T cells (4 x 104 cells per well) cocultured with immature ES-DC (1 x 104 cells per well) derived from the PD-L1-transfectant ES cells (ES-DC-PD-L1, clone 28) or those derived from parental ES cell line (K1ES-DC) is shown. The culture was done under the same conditions as those shown in Figure 3A except that anti-PD-L1 blocking Ab or isotype-matched mouse IgG1 was added to the culture. The statistical significance of the differences between the T-cell responses is indicated by asterisks (*, p < .05; **, p < .01). (D): Structure of expression vector for human Ii (Ii/CD74) including GAD65-derived epitope. The class II-associated invariant chain peptide region of the Ii-coding sequence was replaced with an oligo DNA-encoding GAD65115–127. (E): Intracellular CD74 expressed in pre-ES-DC originated from transfectant ES cell clone (pre-ES-DC-human Ii [hIi], clone 23) and parental ES cell line (pre-K1ES-DC) was detected by a flow cytometric analysis. Specific staining with anti-human-CD74 monoclonal Ab (thick lines) and isotype-matched control staining (thin, broken lines) are shown. The values in the figure indicate the delta MFI between staining with the anti-CD74 and the isotype-matched control Ab. (F): SA32.5 T cells (3 x 104 cells per well) were cocultured with the indicated numbers of mature ES-DC-hIi clone 23 (squares) or nontransfectant ES-DC (circles) in the absence of exogenous antigen for 3 days. The proliferation of the T cells in the last 16 hours of the culture was measured by the [3H]-thymidine uptake. Abbreviations: delta MFI, difference of mean fluorescence intensity; ES-DC, embryonic stem cell-derived dendritic cells; GAD, glutamic acid decarboxylase; Ii, invariant chain; IRES, internal ribosomal entry site.
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The expression of PD-L1 of the transfectant clones was examined by a flow cytometric analysis at the stage of immature ES-DC, harvested on day 2 of the third step of the differentiation culture. Although even nontransfectant ES-DC evidently expressed PD-L1 after maturation (data not shown), only a small population of them expressed PD-L1 at this stage (Fig. 5B, K1ES-DC). On the basis of the results of the analysis, one transfectant clone, KhES1-PD28, expressing the highest level of PD-L1 after the differentiation into immature ES-DC, was selected (Fig. 5B). Allogeneic T cells cocultured with immature ES-DC-PD28 showed a significantly lower response than those cocultured with nontransfectant immature ES-DC (p < .05; Fig. 5C). The proliferation-reducing effect of the transgene-derived PD-L1 was abrogated by the addition of anti-PD-L1 blocking Ab (p < .01), ruling out the possibility that the introduction of the PD-L1 expression vector impaired the differentiation of ES-DC. Collectively, these results suggest that forced expression of PD-L1 on ES-DC downmodulated the proliferative response of cocultured allogeneic T cells via the interaction of PD-L1 with PD-1 on the T cells.
ES-DC carrying an epitope-presenting vector and expressing recombinant human invariant chain (Ii/CD74), which included GAD65p115–127 in the class II-associated invariant chain peptide region, were also generated (Fig. 5D). It was expected that the epitope could be efficiently targeted to the major histocompatibility complex (MHC) class II pathway [17]. Using a protocol similar to that used for the generation of PD-L1 transfectants, the vector was introduced into KhES-1 ES cells, and a transfectant clone, KhES-1-Ii23, highly expressing transgene-derived recombinant CD74, was selected by a flow cytometric analysis at the pre-ES-DC stage. The expression of CD74 was detected even in the nontransfectant pre-ES-DC, reflecting intrinsic expression of CD74 (Fig. 5E). The transfectant exhibited an increased expression of CD74 in comparison to the nontransfectants, thus indicating additional expression of the molecule derived from the transgene. The ability of the transfectant ES-DC, ES-DC-Ii23, to stimulate the GAD epitope-specific T-cell clone SA32.5 in the absence of antigenic peptide or protein was next examined. As a result, ES-DC-Ii23 stimulated SA32.5 T cells and induced their proliferation, thus demonstrating functional expression of the epitope-presentation vector in the transfectant ES-DC (Fig. 5F). The in vivo transfer of ES-DC transfected with this antigen-presenting vector is therefore expected to be useful for controlling the immune response in an antigen-specific manner [7].
Generation and Genetic Modification of Cynomolgus Monkey ES-DC
The differentiation protocol established using human ES cells was then applied to nonhuman primate ES cells. An ES cell line derived from cynomolgus monkey, CMK6 [11], was subjected to the ES-DC differentiation culture. Following the transfer to OP9 feeder layers, CMK6 cells grew and differentiated more rapidly than did human ES cells KhES-1 and KhES-3. The optimal duration of the first step of the differentiation culture for CMK6 was 11–13 days, whereas the duration ranged from 14 to 18 days for human ES cells. Figure 6A–6C illustrates the morphological changes of CMK6-derived cells following the second step of the differentiation culture. The surface phenotypes of the CMK6-derived pre-ES-DC, immature ES-DC, and mature ES-DC were then analyzed by flow cytometry (Fig. 6D). The double peaks seen in the histograms in Figure 6D reflect the heterogeneity of the analyzed cells in size and intensity of autofluorescence. Cynomolgus monkey ES-DC had the capacity to stimulate allogeneic cynomolgus monkey T cells (Fig. 6E), as human ES-DC did.

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Figure 6. Generation of ES-DC from cynomolgus monkey embryonic stem (ES) cells. (A–C): The morphologies of cynomolgus monkey ES cell-derived differentiating cells (pre-ES-DC) at day 7 in the second step (A) and those in the third step before (B) and after (C) the addition of maturation stimuli are shown. (D): Cynomolgus monkey ES cell-derived cells harvested on day 8 in the second step (pre ES-DC) and from the third step before (immature ES-DC) and after (mature ES-DC) addition of maturation stimuli were analyzed for the cell surface expression of CD80, CD86, CD40, CyLA-DR, and CyLA class I. Staining patterns with specific monoclonal antibody (thick lines) and isotype-matched controls (thin, broken lines) are shown. (E): The indicated numbers of mature ES-DC (squares), immature ES-DC (diamonds), pre-ES-DC (circles), and undifferentiated cynomolgus ES cells (triangles) were x-ray-irradiated (40 Gy) and cocultured with allogeneic cynomolgus monkey peripheral blood T cells (4 x 104 cells per well) in a 96-well round-bottomed culture plate for 5 days. The proliferative responses of T cells in the last 16 hours of the culture were measured based on the [3H]-thymidine uptake. Abbreviation: ES-DC, embryonic stem cell-derived dendritic cells.
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The expression vector for HLA-DRB4*0103 (Fig. 7A) was introduced to CMK6. An analysis of the partial nucleotide sequence of DRA (CyLA-DRA) gene of CMK6 showed that the predicted amino acid sequence of the CyLA-DR
chain is very similar to that of HLA-DR
, with only one amino acid difference in
1 domain (GenBank accession no. AY591919). This suggested that the transgene-derived HLA-DRβ chain could associate with the intrinsic CyLA-DR
chain expressed in cynomolgus ES-DC and present an antigen to human T cells. The expression of the transgene before and after the ES-DC differentiation was confirmed by an RT-PCR analysis (Fig. 7B). ES-DC derived from a transfectant ES cell clone, cES-53-23, were prepulsed with synthetic GAD65 peptide and cocultured with the HLA-DR53-restricted, GAD65-specific T-cell clone SA32.5. Figure 7C shows that the GAD65 peptide-pulsed transfectant ES-DC stimulated the T cells to proliferate. In contrast, ES-DC originating from parental ES cells prepulsed with the peptide could not stimulate the T-cell clone. In addition, DR53-transfectant cynomolgus ES-DC had the capacity to process and present a protein antigen to the T cells (Fig. 7D). These results demonstrate the antigen-processing and presenting capacity of cynomolgus ES-DC and also the functional expression of the transgene that had been introduced into the ES cells before the differentiation. Thus, the effect and safety of the immune therapy by the in vivo transfer of ES-DC can be examined by preclinical studies using cynomolgus monkeys.

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Figure 7. Antigen presentation to human T cells by genetically modified cES-DC. (A): The structure of HLA-DRB4*0103 expression vector is shown. The open box indicates the noncoding first exon of rabbit β-actin gene included in the CAG promoter. RT-PCR with PCR primers indicated by arrowheads generated PCR products of 286 base pairs from the transgene-derived mRNA. (B): Results of an RT-PCR analysis of parental cES and a transfectant embryonic stem cell clone (cES-DRB4) and derivative embryonic stem cell-derived dendritic cells (ES-DC) on the expression of transgene-derived mRNA (CAG-DRB4). The PCR products for HPRT transcript amplified from the same cDNA samples are also shown as control. (C): The indicated numbers of DRB4-transfectant ES-DC (squares) or nontransfectant ES-DC (circles) were preloaded with GAD65111–131 peptide, x-ray-irradiated (40 Gy), and cocultured with SA32.5 T cells (3 x 104 cells per well) for 3 days. The proliferation of the T cells in the last 16 hours of the culture was measured by the [3H]-thymidine uptake. (D): DRB4-transfectant ES-DC (diamonds) (1 x 104 cells per well) or nontransfectant ES-DC (squares) were cocultured with SA32.5 T cells (3 x 104 cells per well) in the presence of the indicated concentration of glutathione S-transferase (GST)-GAD recombinant protein for 3 days. DRB4-transfectant ES-DC and SA32.5 T cells were cocultured also in the presence of GST protein (circles). The proliferation of the T cells in the last 16 hours of the culture was measured by the [3H]-thymidine uptake. Abbreviations: cES, cynomolgus embryonic stem cells; cES-DC, cynomolgus embryonic stem cell-derived dendritic cells; HPRT, hypoxanthine-guanine phosphoribosyl transferase; IRES, internal ribosomal entry site; RT-PCR, reverse transcriptase polymerase chain reaction.
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DISCUSSION
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To establish the current culture protocol, various culture conditions were tested. As feeder cell lines, three lines of mouse stromal cells, OP9, PA6, and ST2, were comparatively evaluated. As a result, the use of OP9 was thus observed to produce the highest yield of ES-DC. Although ST2 also worked as feeder cells in the second step, the yield of ES-DC was approximately half of that obtained using OP9. It was also essential to remove any firmly adherent cells, when transferring the cells from the first to second step, by the procedure described in the Materials and Methods. At the end of the first step, many flat, adherent ES cell-derived cells were observed to form monolayers in the dishes. They probably differentiated into cell lineages other than mesoderm, and unless removed, they grew rapidly in the second step and inhibited the growth of hematopoietic cells.
Previously, two other groups reported the generation of functional antigen-presenting cells or DC from human ES cells. Zhan et al. adapted embryoid body-based induction of hematopoietic differentiation [24]. Slukvin et al. recently reported a method using OP9 [25]. Although there are some similarities between the method of Slukvin et al. [25] and the one reported here, the two methods differ in the following points.
In both methods, human ES cells were cocultured with OP9 feeder cells at the initial differentiation step (the first step). However, the duration of this culture step in our method (14–18 days) is significantly longer than the 10 days in the method of Slukvin et al. [25]. In our system, cells with morphology indicating mesodermal differentiation first appeared on day 8 or 9, and the extension of the first step of culture to days 14–18 significantly improved the yield of hematopoietically differentiated cells (Fig. 1D, 1E). In addition, we pretreated OP9 cells with mitomycin C before use as feeder cells, and this was essential for efficient generation of hematopoietic cells. Treatment with mitomycin C may not only inactivate the mitosis of OP9 but also enhance the capacity of OP9 to support hematopoietic differentiation [26].
In the method of Slukvin et al., cells harvested from the first step of culture were directly transferred to 2-hydroxyethyl methacrylate-coated culture containers for the second step of culture [25]. In our method, cells harvested from the first step of culture were incubated in tissue culture-coated dishes for 2–5 hours to remove adherent cells. Removal of cells committed to nonmesodermal lineages by this procedure is essential. In addition, the second step of culture was also done with OP9 feeder in our method.
After the second step of culture, removal of dead cells and aggregated cells may be necessary in the method of Slukvin et al., as described in their report [25]. Indeed, we observed many dead cells, as well as DC-like cells, when we tried that method. In our method, most of recovered cells after the second step were viable, and removal of dead cells was not necessary.
The issues of safety and efficacy are critical for the establishment of ES-DC therapy. It is presumed that preclinical in vivo studies with the nonhuman primates will be required. Therefore, the ability to generate ES-DC from cynomolgus monkey ES cells is also considered to be important. It is probable that ES-DC can be generated from the ES cells of other nonhuman primates used in medical research, such as the rhesus monkey (Macaca mulatta) [27] and the common marmoset (Callithrix jacchus) [28]. For clinical application of the ES-DC technology, development of a feeder-free differentiation method may be required. Embryoid body-mediated differentiation methods may be one way to resolve this issue. In the mouse system, induction of mesodermal differentiation of ES cells using type IV collagen-coated culture plates has been reported [29, 30]. Several molecules have been reported to be involved in support of hematopoietic cell growth or differentiation by stromal cells [31–33]. Information on the molecular basis of the interaction between differentiating ES cells and feeder cells is valuable for the development of a feeder-free differentiation system.
Considering clinical applications, manipulation of function of ES-DC by genetic modification without use of viral vectors, demonstrated in the present study, has a significant advantage. However, random integration of multiple copies of transgenes into various genomic loci of ES cells is accompanied by risks such as activation of cellular oncogenes. Thus, a method to integrate transgenes into intended loci of the genome of human ES cells needs to be established.
Previously, we demonstrated a method for efficient targeted integration of expression vectors into specific genomic sites of mouse ES cells, using exchangeable gene-trap vector with Cre-Lox-mediated recombination system [1]. We are now trying to develop a system for targeted integration of transgenes into human ES cell genome. In this system, at first, gene-targeting vector conveying a drug resistance marker gene flanked by lox sequences is introduced, and then ES cell clones carrying the vector properly integrated by homologous recombination are selected. Subsequently, expression vectors with lox sequences are introduced with the aid of the Cre-Lox recombination system. Integration of a single copy of the transgene into the intended locus can be verified by Southern blot analysis. By this strategy, we can obtain ES cell clones with defined genetic modification, thus avoiding the risks accompanying the random integration of exogenous genes.
Allogenicity caused by differences in the genetic background between human ES cell lines and the recipients is considered to be a critical problem in medical application of ES-DC. We previously reported that mouse ES-DC administered into semiallogeneic recipients, sharing one MHC haplotype with the ES-DC, effectively primed antigen-specific cytotoxic T lymphocytes (CTL), suggesting that ES-DC can survive for a period long enough to stimulate antigen-specific CTL restricted by the shared MHC class I [4]. However, in the same semiallogeneic setting, we also observed five times that injection of no antigen-loaded ES-DC significantly reduced the efficiency of priming of antigen-specific CTL induced by the subsequent injection of antigen-loaded ES-DC (unpublished observations). Thus, repetitive stimulation with ES-DC expressing allogeneic MHC may result in activation and expansion of allogeneic MHC class I-reactive CTL, and in such recipients, subsequently transferred ES-DC may be rapidly eliminated. Repeated immunization may be required in clinical applications, for example, to induce antitumor immunity. Thus, we should resolve the problem of the histoincompatibilty between ES cell lines and recipients.
Methods for targeted gene modification of human ES cells and for targeted chromosome elimination of mouse ES cells have been developed [34–36]. To overcome the problem of histoincompatibility, genetic modification to inhibit expression of endogenous HLA class I in ES-DC may be effective. Deletion of more than 1,000 kilobases of entire HLA class I region of human ES cell genome by gene targeting is infeasible by currently available technology. However, disruption of the genes of molecules necessary for the cell surface expression of HLA class I molecules, such as transporter associated with antigen processing (TAP) or β2-microglobulin (β2M), is presumably feasible. In our plan, we will introduce expression vector encoding the β2M-linked form of recipient-matched HLA class I heavy chain into TAP1- or β2M-deficient human ES cells. We are now testing this strategy by using a mouse system.
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DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST
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The authors indicate no potential conflicts of interest.
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ACKNOWLEDGMENTS
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This work was supported in part by Grants-in-Aid 12213111, 14657082, 14570421, 14370115, 16590988, 17390292, 17015035, and 18014023 from MEXT, Japan; the Program of Founding Research Centers for Emerging and Reemerging Infectious Diseases launched as a project commissioned by MEXT, Japan; a Research Grant for Intractable Diseases from Ministry of Health and Welfare, Japan; Oncotherapy Science Inc. (to Y.Ni.); and grants from Japan Science and Technology Agency; the Tokyo Biochemical Research Foundation; Uehara Memorial Foundation; and Takeda Science Foundation. We thank Risa Goswammi for the cDNA microarray experiments, the Chemo-Sero-Therapeutic Research Institute for the cynomolgus monkey peripheral blood samples, and Tanabe Seiyaku Co., Ltd. for CMK6.
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REFERENCES
|
|---|
- Senju S, Hirata S, Matsuyoshi H et al. Generation and genetic modification of dendritic cells derived from mouse embryonic stem cells. Blood 2003;101:3501–3508.[Abstract/Free Full Text]
- Fairchild PJ, Brook FA, Gardner RL et al. Directed differentiation of dendritic cells from mouse embryonic stem cells. Curr Biol 2000;10:1515–1518.[CrossRef][Medline]
- Matsuyoshi H, Senju S, Hirata S et al. Enhanced priming of antigen-specific CTLs in vivo by embryonic stem cell-derived dendritic cells expressing chemokine along with antigenic protein: Application to antitumor vaccination. J Immunol 2004;172:776–786.[Abstract/Free Full Text]
- Fukuma D, Matsuyoshi H, Hirata S et al. Cancer prevention with semi-allogeneic ES cell-derived dendritic cells. Biochem Biophys Res Commun 2005;335:5–13.[CrossRef][Medline]
- Matsuyoshi H, Hirata S, Yoshitake Y et al. Therapeutic effect of alpha-galactosylceramide-loaded dendritic cells genetically engineered to express SLC/CCL21 along with tumor antigen against peritoneally disseminated tumor cells. Cancer Sci 2005;96:889–896.[CrossRef][Medline]
- Motomura Y, Senju S, Nakatsura T et al. Embryonic stem cell-derived dendritic cells expressing glypican-3, a recently identified oncofetal antigen, induce protective immunity against highly metastatic mouse melanoma, B16–F10. Cancer Res 2006;66:2414–2422.[Abstract/Free Full Text]
- Hirata S, Senju S, Matsuyoshi H et al. Prevention of experimental autoimmune encephalomyelitis by transfer of embryonic stem cell-derived dendritic cells expressing myelin oligodendrocyte glycoprotein peptide along with TRAIL or programmed death-1 ligand. J Immunol 2005;174:1888–1897.[Abstract/Free Full Text]
- Hirata S, Matsuyoshi H, Fukuma D et al. Involvement of regulatory T cells in the experimental autoimmune encephalomyelitis-preventive effect of dendritic cells expressing myelin oligodendrocyte glycoprotein plus TRAIL. J Immunol 2007;178:918–925.[Abstract/Free Full Text]
- Suemori H, Yasuchika K, Hasegawa K et al. Efficient establishment of human embryonic stem cell lines and long-term maintenance with stable karyotype by enzymatic bulk passage. Biochem Biophys Res Commun 2006;345:926–932.[CrossRef][Medline]
- Fujioka T, Yasuchika K, Nakamura Y et al. A simple and efficient cryopreservation method for primate embryonic stem cells. Int J Dev Biol 2004;48:1149–1154.[CrossRef][Medline]
- Suemori H, Tada T, Torii R et al. Establishment of embryonic stem cell lines from cynomolgus monkey blastocysts produced by IVF or ICSI. Dev Dyn 2001;222:273–279.[CrossRef][Medline]
- Suemori H, Nakatsuji N. Growth and differentiation of cynomolgus monkey ES cells. Methods Enzymol 2003;365:419–429.[Medline]
- Frangioni JV, Neel BG. Solubilization and purification of enzymatically active glutathione S-transferase (pGEX) fusion proteins. Anal Biochem 1993;210:179–187.[CrossRef][Medline]
- Uemura Y, Senju S, Maenaka K et al. Systematic analysis of the combinatorial nature of epitopes recognized by TCR leads to identification of mimicry epitopes for glutamic acid decarboxylase 65-specific TCRs. J Immunol 2003;170:947–960.[Abstract/Free Full Text]
- Fujita H, Senju S, Yokomizo H et al. Evidence that HLA class II-restricted human CD4+ T cells specific to p53 self peptides respond to p53 proteins of both wild and mutant forms. Eur J Immunol 1998;28:305–316.[CrossRef][Medline]
- Tabata H, Kanai T, Yoshizumi H et al. Characterization of self-glutamic acid decarboxylase 65-reactive CD4+ T-cell clones established from Japanese patients with insulin-dependent diabetes mellitus. Hum Immunol 1998;59:549–560.[CrossRef][Medline]
- Fujii S, Senju S, Chen YZ et al. The CLIP-substituted invariant chain efficiently targets an antigenic peptide to HLA class II pathway in L cells. Hum Immunol 1998;59:607–614.[CrossRef][Medline]
- Furuya M, Yasuchika K, Mizutani K et al. Electroporation of cynomolgus monkey embryonic stem cells. Genesis 2003;37:180–187.[CrossRef][Medline]
- Hasegawa K, Fujioka T, Nakamura Y et al. A method for the selection of human embryonic stem cell sublines with high replating efficiency after single-cell dissociation. STEM CELLS 2006;24:2649–2660.[Abstract/Free Full Text]
- Nakano T, Kodama H, Honjo T. Generation of lymphohematopoietic cells from embryonic stem cells in culture. Science 1994;265:1098–1101.[Abstract/Free Full Text]
- Itoh T, Ueda Y, Okugawa K et al. Streptococcal preparation OK432 promotes functional maturation of human monocyte-derived dendritic cells. Cancer Immunol Immunother 2003;52:207–214.[Medline]
- Nakahara S, Tsunoda T, Baba T et al. Dendritic cells stimulated with a bacterial product, OK-432, efficiently induce cytotoxic T lymphocytes specific to tumor rejection peptide. Cancer Res 2003;63:4112–4118.[Abstract/Free Full Text]
- Freeman GJ, Long AJ, Iwai Y et al. Engagement of the PD-1 immunoinhibitory receptor by a novel B7 family member leads to negative regulation of lymphocyte activation. J Exp Med 2000;192:1027–1034.[Abstract/Free Full Text]
- Zhan X, Dravid G, Ye Z et al. Functional antigen-presenting leucocytes derived from human embryonic stem cells in vitro. Lancet 2004;364:163–171.[CrossRef][Medline]
- Slukvin II, Vodyanik MA, Thomson JA et al. Directed differentiation of human embryonic stem cells into functional dendritic cells through the myeloid pathway. J Immunol 2006;176:2924–2932.[Abstract/Free Full Text]
- Zhang WJ, Park C, Arentson E et al. Modulation of hematopoietic and endothelial cell differentiation from mouse embryonic stem cells by different culture conditions. Blood 2005;105:111–114.[Abstract/Free Full Text]
- Thomson JA, Kalishman J, Golos TG et al. Isolation of a primate embryonic stem cell line. Proc Natl Acad Sci U S A 1995;92:7844–7848.[Abstract/Free Full Text]
- Sasaki E, Hanazawa K, Kurita R et al. Establishment of novel embryonic stem cell lines derived from the common marmoset (Callithrix jacchus). STEM CELLS 2005;23:1304–1313.[Abstract/Free Full Text]
- Nishikawa SI, Nishikawa S, Hirashima M et al. Progressive lineage analysis by cell sorting and culture identifies FLK1+VE-cadherin+ cells at a diverging point of endothelial and hemopoietic lineages. Development 1998;125:1747–1757.[Abstract]
- Ogawa M, Kizumoto M, Nishikawa S et al. Expression of alpha4-integrin defines the earliest precursor of hematopoietic cell lineage diverged from endothelial cells. Blood 1999;93:1168–1177.[Abstract/Free Full Text]
- Ueno H, Sakita-Ishikawa M, Morikawa Y et al. A stromal cell-derived membrane protein that supports hematopoietic stem cells. Nat Immunol 2003;4:457–463.[CrossRef][Medline]
- Tian X, Morris JK, Linehan JL et al. Cytokine requirements differ for stroma and embryoid body-mediated hematopoiesis from human embryonic stem cells. Exp Hematol 2004;32:1000–1009.[CrossRef][Medline]
- Wang X, Hisha H, Taketani S et al. Neural cell adhesion molecule contributes to hemopoiesis-supporting capacity of stromal cell lines. STEM CELLS 2005;23:1389–1399.[Abstract/Free Full Text]
- Zwaka TP, Thomson JA. Homologous recombination in human embryonic stem cells. Nat Biotechnol 2003;21:319–321.[CrossRef][Medline]
- Urbach A, Schuldiner M, Benvenisty N. Modeling for Lesch-Nyhan disease by gene targeting in human embryonic stem cells. STEM CELLS 2004;22:635–641.[Abstract/Free Full Text]
- Matsumura H, Tada M, Otsuji T et al. Targeted chromosome elimination from ES-somatic hybrid cells. Nat Methods 2007;4:23–25.[CrossRef][Medline]
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