Stem Cell Research & Therapy (Jun 2023)

Suspension culture improves iPSC expansion and pluripotency phenotype

  • Nerea Cuesta-Gomez,
  • Kevin Verhoeff,
  • Nidheesh Dadheech,
  • Tiffany Dang,
  • Ila Tewari Jasra,
  • Mario Bermudez de Leon,
  • Rena Pawlick,
  • Braulio Marfil-Garza,
  • Perveen Anwar,
  • Haide Razavy,
  • Patricio Adrián Zapata-Morin,
  • Glen Jickling,
  • Aducio Thiesen,
  • Doug O’Gorman,
  • Michael S. Kallos,
  • A. M. James Shapiro

DOI
https://doi.org/10.1186/s13287-023-03382-9
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 24

Abstract

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Abstract Background Induced pluripotent stem cells (iPSCs) offer potential to revolutionize regenerative medicine as a renewable source for islets, dopaminergic neurons, retinal cells, and cardiomyocytes. However, translation of these regenerative cell therapies requires cost-efficient mass manufacturing of high-quality human iPSCs. This study presents an improved three-dimensional Vertical-Wheel® bioreactor (3D suspension) cell expansion protocol with comparison to a two-dimensional (2D planar) protocol. Methods Sendai virus transfection of human peripheral blood mononuclear cells was used to establish mycoplasma and virus free iPSC lines without common genetic duplications or deletions. iPSCs were then expanded under 2D planar and 3D suspension culture conditions. We comparatively evaluated cell expansion capacity, genetic integrity, pluripotency phenotype, and in vitro and in vivo pluripotency potential of iPSCs. Results Expansion of iPSCs using Vertical-Wheel® bioreactors achieved 93.8-fold (IQR 30.2) growth compared to 19.1 (IQR 4.0) in 2D (p 25). 2D-cultured cells displayed a primed pluripotency phenotype, which transitioned to naïve after 3D-culture. Both 2D and 3D cells were capable of trilineage differentiation and following teratoma, 2D-expanded cells generated predominantly solid teratomas, while 3D-expanded cells produced more mature and predominantly cystic teratomas with lower Ki67+ expression within teratomas (3D: 16.7% [IQR 3.2%] vs.. 2D: 45.3% [IQR 3.0%], p = 0.002) in keeping with a naïve phenotype. Conclusion This study demonstrates nearly 100-fold iPSC expansion over 5-days using our 3D suspension culture protocol in Vertical-Wheel® bioreactors, the largest cell growth reported to date. 3D expanded cells showed enhanced in vitro and in vivo pluripotency phenotype that may support more efficient scale-up strategies and safer clinical implementation.

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