Corneal endothelial cell marker and application thereof
阅读说明：本技术 角膜内皮细胞标记及其应用 (Corneal endothelial cell marker and application thereof ) 是由 西田幸二 辻川元一 原进 川崎谕 吉原正仁 伊藤昌可 川路英哉 于 2018-06-19 设计创作，主要内容包括：提供用于鉴定适于移植至角膜的细胞的方法,或使用该方法生产适于移植至角膜的细胞群的方法。生产适于移植至角膜的细胞群的方法,包括步骤：(1)制备在适于诱导分化为角膜内皮细胞的条件下培养的细胞群的步骤,以及(2)检测所述细胞群中选自POU6F2、LMX1B和TFAP2B构成的组中的至少一种基因的表达的步骤。(Methods for identifying cells suitable for transplantation to the cornea, or methods for producing cell populations suitable for transplantation to the cornea using the methods, are provided. A method of producing a population of cells suitable for transplantation into the cornea, comprising the steps of: (1) a step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, and (2) a step of detecting expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population.)
1. A method of producing a population of cells suitable for transplantation into the cornea, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, and
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population.
2. The method according to claim 1, wherein the step (1) is a step of culturing the stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
3. A method for determining whether a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells is suitable for transplantation into the cornea, the method comprising detecting expression of at least one gene of the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population.
4. The method according to claim 3, wherein the cell population is a cell population obtained by culturing stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
5. A method of producing a population of cells suitable for transplantation into the cornea, the method comprising the steps of:
(1) preparing a cell population to be cultured under conditions suitable for culturing corneal endothelial cells, and,
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population.
6. The method of claim 5, wherein the population of cells cultured under conditions suitable for culturing the corneal endothelial cells comprises cells from a corneal endothelium.
7. A method for judging whether a cell population cultured under conditions suitable for culturing corneal endothelial cells is suitable for transplantation to the cornea, the method comprising a detection step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population.
8. The method of claim 7, wherein the population of cells cultured under conditions suitable for culturing the corneal endothelial cells comprises cells from a corneal endothelium.
9. A method of producing a suspension, cell pellet or cell sphere comprising a population of cells, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, and
(2) a detection step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population, and
(3) a step of producing a suspension, a cell sheet or a cell sphere comprising a cell population expressing the gene.
10. The method according to claim 9, wherein the step (1) is a step of culturing the stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
11. A method of producing a suspension, cell pellet or cell sphere comprising a population of cells, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for culturing corneal endothelial cells,
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population, and
(3) a step of producing a suspension, a cell sheet or a cell pellet comprising a cell population expressing the gene.
12. The method of claim 11, wherein the population of cells cultured under conditions suitable for culturing corneal endothelial cells comprises cells from a corneal endothelium.
13. The method according to any one of claims 1 to 12, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Technical Field
The present invention relates to related techniques for identifying, evaluating and producing corneal endothelial cells.
Background
Human corneal endothelial cells do not substantially regenerate when destroyed in vivo, and the number of cells irreversibly decreases. A substantial decrease in cell density can trigger bullous keratopathy, causing loss of corneal transparency and thus vision loss. Heretofore, corneal transplantation has been performed by using a donor cornea, but corneal endothelial dysfunction is the indication that corneal transplantation is most suitable, and donor cornea shortage is a serious problem.
Currently, corneal endothelial regeneration therapies using adult stem cells and pluripotent stem cells are being developed, but it is difficult to identify the final target product as corneal endothelial cells due to the lack of highly reliable markers specific to corneal endothelial cells. At present, several molecules that can be used as markers for corneal endothelial cells have been reported (patent document 1). However, there has been no report on the identification of markers for mature corneal endothelial cells, and the molecular mechanism associated with maturation of corneal endothelial cells has not been clarified yet.
Disclosure of Invention
Technical problem to be solved by the invention
The object of the present invention is to provide a method for identifying cells suitable for corneal transplantation, a method for producing cells suitable for corneal transplantation based on the method, and the like.
Solution to the problem
After extensive research, the inventors found that a specific gene can be used as a marker specific to corneal endothelial cells. Based on this finding, the present invention represented by the following subject matter is provided after further research and exploration.
Item A1
A method of producing a population of cells suitable for transplantation into the cornea, said method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, and
(2) detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population.
Item A2
The method of clause a1, wherein the expression level of the gene in the population of cells suitable for transplantation into the cornea is equal to or higher than a reference value.
Item A3
The method of clauses A1 or A2, wherein step (1) is a step of culturing stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
Item A4
The method of any one of clauses a1 to A3, wherein step (1) is continued until the expression level of the gene is equal to or higher than a reference value.
Item A5
The method of any one of items a1 to a4, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item B1
A method for judging whether a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells is suitable for transplantation into the cornea, comprising detecting the expression of at least one gene of the group consisting of POU6F2, LMX1B and TFAP2B in the cell population.
Item B2
The method of clause B1, wherein the cell population is a cell population obtained by culturing stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
Item B3
The method of clause B1 or B2, wherein the population of cells is judged to be suitable for transplantation into the cornea when the expression level of the gene is equal to or higher than a reference value.
Item B4
The method of any one of items B1 to B3, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item C1
A method of producing a population of cells suitable for transplantation into the cornea, the method comprising the steps of:
(1) preparing a cell population cultured under conditions suitable for culturing corneal endothelial cells, and
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population.
Item C2
The method of clause C1, wherein the expression level of the gene in the population of cells suitable for transplantation into the cornea is equal to or higher than a reference value.
Item C3
The method of clause C1 or C2, wherein in step (1), the population of cells cultured under conditions suitable for culturing the corneal endothelial cells comprises cells from the corneal endothelium.
Item C4
The method of any one of items C1 to C3, wherein the gene is at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP 2B.
Item D1
A method of determining whether a cell population cultured under conditions suitable for culturing corneal endothelial cells is suitable for transplantation to the cornea, comprising detecting expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population.
Item D2
The method of clause D1, wherein the population of cells cultured under conditions suitable for culturing corneal endothelial cells comprises cells from the corneal endothelium.
Item D3
The method of clauses D1 or D2, wherein the population of cells is judged to be suitable for transplantation to the cornea when the expression level of the gene is equal to or higher than a reference value.
Item D4
The method of any one of items D1 to D3, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item E1
A method of producing a suspension, cell pellet or cell sphere comprising a population of cells, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, and
(2) a detection step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population, and
(3) a step of producing a suspension, a cell sheet or a cell sphere comprising a cell population expressing the gene.
Item E2
The method of clause E1, wherein step (1) is a step of culturing stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
Item E3
The method of any one of items E1 or E2, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item F1
A method of treating a patient in need of corneal transplantation, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells,
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population, and
(3) transplanting a cell population expressing the gene to a patient in need of corneal transplantation.
Item F2
The method of clause F1, wherein step (1) is a step of culturing stem cells under conditions suitable for inducing differentiation into corneal endothelial cells.
Item F3
The method of any one of items F1 or F2, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item G1
A method of producing a suspension comprising a population of cells, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for culturing corneal endothelial cells,
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population,
(3) a step of producing a suspension, a cell sheet or a cell pellet comprising a cell population expressing the gene.
Item G2
The method of item G1, wherein the cell population cultured under conditions suitable for culturing the corneal endothelial cells comprises cells from a corneal endothelium.
Item G3
The method of any one of items G1 or G2, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item H1
A method of treating a patient in need of corneal transplantation, the method comprising the steps of:
(1) a step of preparing a cell population cultured under conditions suitable for culturing corneal endothelial cells,
(2) a step of detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in the cell population, and
(3) transplanting a cell population expressing the gene to a patient in need of corneal transplantation.
Item H2
The method of clause H1, wherein the population of cells cultured under conditions suitable for culturing the corneal endothelial cells comprises cells from a corneal endothelium.
Item H3
The method of any one of items H1 or H2, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Item I1
Use of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B to determine whether a population of cells is suitable for transplantation into the cornea.
Item I2
The use according to item I1, wherein the gene is at least one gene selected from the group consisting of POU6F2 and LMX 1B.
Advantageous effects of the invention
In one embodiment, a method of determining whether a cell population is suitable for corneal transplantation is provided. In one embodiment, a method for efficiently producing a population of cells suitable for corneal transplantation is provided.
Drawings
Figure 1 shows the expression level of TFAP2B in human tissue samples.
FIG. 2 shows the expression level of TFAP2B in cultured human cell samples.
Figure 3 shows the expression level of LMX1B in human tissue samples.
FIG. 4 shows the expression level of LMX1B in cultured human cell samples.
Fig. 5 shows the expression level of POU6F2 in human tissue samples.
Fig. 6 shows the expression level of POU6F2 in cultured human cell samples.
Fig. 7 shows the quantitative PCR results of detecting the gene expression in the induced cells (neural crest cells (iNC) and the like) of iPS cells (iPS), as well as intraocular tissues. The following abbreviations are used: and (4) iPS: iPS cells, iNC: iPS cell-induced neural crest cells, HCEC: culturing corneal endothelial cells, HCEP: corneal endothelial progenitor cells, dHCEP: differentiation-induced corneal endothelial progenitor cells, Cendo: living corneal endothelium, CS: corneal stroma, IS: iris stroma, CB: ciliary body, TM: trabecular meshwork, Clim: corneal peripheral epithelium, Cepi: central corneal epithelium, LF: limbal fibroblasts, Cj: conjunctival epithelium, LN: lens, IE: iris epithelium, RPE: retinal pigment epithelium, Retina: retina, ON: the optic nerve.
FIG. 8 shows the results of RNA-seq data analysis of POU6F2, LMX1B, and TFAP2B of human corneal endothelium of adult origin and human corneal endothelium of fetal origin.
Detailed Description
Hereinafter, the above-described representative invention will be mainly described.
"cell population" refers to a population consisting of a plurality of cells. The individual cells forming the cell population may be the same type of cell or different types of cells.
"conditions suitable for inducing differentiation into corneal endothelial cells" refers to known (or later developed) conditions suitable for inducing cells to differentiate into corneal endothelial cells. Examples of conditions suitable for inducing differentiation into corneal endothelial cells include the conditions disclosed in WO2013/051722, WO2016/114242, WO2016/114285, or WO 2016/035874. WO2013/051722, WO2016/114242, WO2016/114285, and WO2016/035874 are incorporated herein by reference. The "cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells" may also be referred to as "cell population induced to differentiate into corneal endothelial cells". The cell population that induces differentiation into corneal endothelial cells may include corneal endothelial cells and/or corneal endothelial progenitor cells.
The medium for inducing differentiation into corneal endothelial cells is not limited as long as the object can be achieved. In one embodiment, the medium is preferably a serum-free medium. Serum-free medium refers to a medium that does not contain unconditioned or unpurified serum; the medium containing the purified blood-derived component or animal tissue-derived component (e.g., growth factor) belongs to the serum-free medium.
Examples of the Medium include DMEM Medium, BME Medium, α MEM Medium, serum-free DMEM/F12 Medium, BGJb Medium, CMRL1066 Medium, Glasgow MEM Medium, Improved MEMC Option Medium, IMDM Medium, Medium 199 Medium, Eagle MEM Medium, Ham 'S Medium, RPMI 1640 Medium, Fischer' S Medium, McCoy 'S Medium, Williams E Medium, essel 8 Medium, mTeSR1(Stem Cell Technologies), TeSR-E8 Medium (Stem Cell Technologies), StemSecure (and light purity), mESF Medium (and light purity), StemFit (StemFit' S element DS), S-Medium (Pharma), SAF Cell (and light purity), and culture Medium for growing human CELLs (Biotech) culture Medium (Biotech CHO, Biotech) Medium, (StemSemSecre Medium, Sapono culture Medium, and so on a culture Medium, (StemSepono-culture Medium, culture Medium for example, culture Medium for culturing animal CELLs (KmSeponiccell), culture Medium for example, culture Medium for culturing animal Cell (Biotech) for example, culture Medium for culturing animal CELLs, culture Medium for example, culture Medium for culturing animal Cell (StemSemckamSemend culture Medium (Biotech).
The medium may contain serum replacement. Serum substitutes include, for example, albumin (e.g., lipid-rich albumin), transferrin, fatty acids, collagen precursors, trace elements (e.g., zinc, selenium), B-27 (registered trademark) additive, N2 additive, KnockOut serum substitute (KSR: manufactured by Invitrogen), 2-mercaptoethanol, 3' -mercaptoglycerol, and the like. In the case of the B-27 supplement, the serum replacement is present in the medium at a concentration of 0.01 to 10% by weight, or 0.5 to 4% by weight.
Various components necessary for the maintenance and growth of cells and/or induction of differentiation may be appropriately added to the medium. Examples of these ingredients include carbon sources such as glycerin, glucose, fructose, sucrose, lactose, honey, starch, dextrin, and the like, hydrocarbons such as fatty acids, fats and oils, lecithin, alcohols, and the like, nitrogen sources such as ammonium sulfate, ammonium nitrate, ammonium chloride, urea, sodium nitrate, and the like, inorganic salts such as salts of common salt, potassium salts, phosphates, magnesium salts, calcium salts, iron salts, manganese salts, and the like, potassium dihydrogen phosphate, dipotassium hydrogen phosphate, magnesium sulfate, sodium chloride, ferrous sulfate, sodium molybdate, sodium tungstate, and manganese sulfate, various vitamins, amino acids, and the like.
The medium may or may not contain differentiation inducers such as BMP4(Bone morphogenic protein 4), transforming growth factors and activin. In one embodiment, the medium is preferably substantially free of one or more, two or more, or all of the above differentiation-inducing agents. As used herein, "substantially free" means a concentration of less than 0.5nM or less or an undetectable level.
The medium may or may not contain differentiation induction promoters such as, for example, high concentrations of retinoic acid, BMP inhibitors, TGF β inhibitors, and Noggin (Noggin). high concentrations of retinoic acid refer to about 1 μ M, especially 10 μ M, in one embodiment, the medium preferably does not substantially contain one or more, two or more, or all of the above differentiation induction promoters.
In one embodiment, the medium preferably contains one or more, two or more, three or more or four or more of the group consisting of GSK3 inhibitor, retinoic acid, TGFb2, insulin and ROCK inhibitor, or all of the differentiation inducing factors.
The pH value of the culture medium is adjusted within the range of 5.5-9.0, 6.0-8.0 or 6.5-7.5. The culture temperature can be set to 36-38 ℃ or 36.5-37.5 ℃. The gas environment for culture is 1-25% O2And 1% -15% of CO2。
The culture time is not particularly limited, and may be set in a range of, for example, 1 week to 8 weeks, 2 weeks to 6 weeks, or 3 weeks to 5 weeks.
Any vessel for cell culture may be used for the culture. Examples of containers include microplates, microwell plates, multi-platform (multiplates), multiwell plates, microslides, chamber slides, dishes (Schale), flasks, tissue culture flasks, culture dishes, Petri dishes, tissue culture dishes and multiwell dishes, tubes, trays, culture bags, roller bottles, and the like.
The inner surface of the culture vessel may be coated with any one or more of collagen, fibronectin, laminin or laminin fragments (e.g., laminin E8 fragment and laminin 511E8 fragment), vitronectin, a basal membrane matrix, gelatin, hyaluronic acid, polylysine, vitronectin, and hyaluronic acid.
The type of cells used for culture under conditions suitable for inducing differentiation into corneal endothelial cells is not particularly limited. In one embodiment, the cell is preferably a stem cell. Examples of the stem cells include induced pluripotent stem cells (iPS cells), embryonic stem cells (ES cells), fetal primordial germ cell-derived pluripotent stem cells (EG cells), testis-derived pluripotent stem cells (GS cells), and human adult stem cells (tissue stem cells) capable of differentiating into corneal endothelial cells. In one embodiment, the stem cell is preferably an iPS cell.
Examples of reprogramming factors include Oct3/4, Sox2, Sox1, Sox3, Sox15, Sox17, Klf4, Klf2, c-Myc, N-Myc, L-Myc, Nanog, Lin28, Fbx15, ERas, ECAT15-2, Tcl1, β -catenin, Lin28b, sal 1, sal 4, Esrrb, Nr5a2, Tbx3, Glis1, etc. reprogramming factors may be used alone or in combination are described in, for example, WO2007/069666, WO 2009/2008, WO 2009/2009, WO 2009/8456, and so on, and examples of reprogramming factors including human fibroblasts are not specifically reported to include the preferred cells of human fibroblast type, including cells derived from WO 2007/68653, WO 2009/848653, WO2009/058413, and so on.
ES cells can be obtained by any available technique, for example, by removing an internal cell mass from a blastocyst of a fertilized egg of a mammal (preferably a human) and culturing the internal cell mass on a fibroblast feeder layer. The mammal is not particularly limited, but is preferably a human. ES cells can be maintained by subculture using a culture medium to which a substance such as Leukemia Inhibitory Factor (LIF) and/or basic fibroblast growth factor (bFGF) is added. ES cells can be selected using expression of gene markers such as OCT-3/4, NANOG, and ECAD as an index.
EG cells are established from embryonic primordial germ cells, have the same pluripotency as ES cells, and can be established by culturing primordial germ cells in the presence of LIF, bFGF, stem Cell factor, and the like (Y.Matsui et al (1992), Cell, 70: 841-847; J.L.Resnick et al (1992), Nature, 359: 550-551).
GS cells are testis-derived pluripotent stem cells, the origin of spermatogenesis. Similar to ES cells, GS cells can induce differentiation into various types of cells. GS cells are capable of self-renewal in media containing glial cell line-derived neurotrophic factor (GDNF), and sperm stem cells can be obtained by repeated subculture under the same culture conditions as ES cells (M.Kanatsu-Shinohara et al (2003) biol. repeat., 69: 612-.
Examples of the adult cell stem cells capable of differentiating into corneal endothelial cells include corneal stroma-derived neural crest stem Cells (COPs), mesenchymal stem cells, and skin-derived multipotent progenitor cells (SKPs), etc., with COPs and SKPs being preferred. For example, the preparation of COPs is as follows: after removal of epithelium and endothelium from the cornea, the corneal stroma was treated with collagenase, and the isolated cells were cultured in DMEM/F12 medium containing EGF, FGF2, B27 supplement, and LIF. SKPs can be prepared, for example, according to the method described in Nat Cell biol., 2001vol.3, 778-784.
"conditions suitable for culturing corneal endothelial cells" refers to conditions suitable for the growth of corneal endothelial cells while maintaining their characteristics. The "conditions suitable for culturing corneal endothelial cells" may or may not be conditions capable of proliferating corneal endothelial cells. "conditions suitable for culturing corneal endothelial cells" include conditions known (for example, conditions disclosed in WO 2014/104366) or developed in the future suitable for growth of corneal endothelial cells while maintaining the characteristics thereof. The cell population cultured under conditions suitable for culturing corneal endothelial cells can include corneal endothelial cells and/or corneal endothelial progenitor cells.
Specific examples of conditions suitable for culturing corneal endothelial cells include culture conditions in a medium generally used for culture of the above-mentioned animal cells. In one embodiment, glucose may be added to the medium. The concentration of glucose in the medium is 2.0g/L or less, or 0.1 to 1.0 g/L. In one embodiment, growth factors such as Hepatocyte Growth Factor (HGF), Epidermal Growth Factor (EGF), recombinant EGF (regf), insulin and/or Fibroblast Growth Factor (FGF) are preferably added to the culture medium. One of these factors may be added alone, or a combination of two or more factors may be added to the medium. The concentration of the growth factor in the culture medium is usually 1-100 ng/mL, preferably 2-5 ng/mL. From the viewpoint of efficiently culturing corneal endothelial cells, it is preferable to add 5 to the culture medium
There is no particular limitation on the type of cells used for culture under conditions suitable for culturing corneal endothelial cells. For example, corneal endothelial cells isolated from the cornea, or cells other than corneal endothelial cells obtained by inducing differentiation into corneal endothelial cells (for example, cells obtained by inducing differentiation under the above-mentioned "conditions suitable for inducing differentiation into corneal endothelial cells") may be used.
Method for isolating corneal endothelial cells from corneaThere is no particular limitation, and methods known in the art and developed later may be appropriately selected. For example, after separation of Descemet membrane from human limbus with corneal endothelial cells attached to it, it was minced and 5% CO at 37 deg.C2And about 0.2% collagenase for 1-3 hours. As the medium, DME medium containing 15% Fetal Calf Serum (FCS) and 2ng/mL basic fibroblast growth factor (bFGF) can be used. Then, fibroblasts and the like were removed by centrifugal washing and trypsinized to obtain a cell population (primary culture cells) containing the pellet-shaped corneal endothelial cells.
"POU 6F 2" is a gene encoding a transcription factor belonging to the POU family having a POU homology domain. Its expression in the central nervous system, retinal ganglion cells and amacrine cells has been reported and is also referred to as retinal-derived POU domain factor-1(RPF-1) (Zhou H et al. JNeurosci.1996.PMID: 8601806). Furthermore, germline mutations have also been reported in Wilms tumor patients, indicating that POU6F2 is responsible for gene expression control during renal development (Peroti D et al hum Mutat.2004.PMID:15459955, Fiorino A et al int J Biochem Cell biol.2016.PMID: 27425396).
"LMX 1B" is a gene encoding a transcription factor belonging to the LIM homeodomain family. LMX1B is a causative gene for the Nail-Patella syndrome (Nail-patellar syndrome), which has been reported to be associated not only with limb development but also with development of the glomerular basement membrane of the kidney.
"TFAP 2B" is a gene encoding a transcription factor belonging to the AP-2 family. It has been reported as the causative gene of Char syndrome with special facial features, patent ductus arteriosus and dysgenesis of the middle finger of the fifth finger as the major symptoms (Satodam et al. Nat Genet.2000.PMID: 10802654).
The step of preparing a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells may be carried out by culturing the above-mentioned cells under conditions suitable for inducing differentiation into the above-mentioned corneal endothelial cells. In one embodiment, a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells can be screened by using as an index a molecule called a corneal endothelial cell marker. Examples of corneal endothelial cell markers include the molecules disclosed in WO2009/057831 (e.g. ZP4, MRGPRX3, GRIP1, GLP1R, HTR1D, CLRN1, SCNN1D, PKD1, CNTN6, NSF, CNTN3, PPIP5K1, and PCDHB 7). Screening of cell populations using corneal endothelial cell markers as an indicator can be performed using any method, for example, using FACS. In one embodiment, the screened cell population with the corneal endothelial marker as an index is preferably cultured under conditions suitable for inducing differentiation into corneal endothelial cells.
The form of the cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells is not particularly limited. For example, the cell population may be in the form of a monolayer, multilayer, sheet, pellet, or suspension, according to conventional methods. In one embodiment, the population of cells is preferably in suspension. When the cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells is a monolayer, the cell population may be brought into a suspension form according to a conventional method. Suspension-like cell populations can be obtained by suspending the cell population using, for example, proteolytic enzymes (e.g., trypsin) and/or chelators for disrupting intercellular adhesion molecules. At any time before or after detecting the expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B, a cell population in any form such as monolayer, multilayer, sheet, pellet, or suspension is prepared.
The detection of the expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B may be performed using any known method or a method for detecting intracellular gene expression that is developed in the future, among a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, or among a cell population cultured under conditions suitable for culturing corneal endothelial cells. The assay may be capable of determining whether a gene is expressed, and in one embodiment, is preferably a quantitative assay. For example, it is preferable to detect the mRNA level of each gene in the cell by a PCR method or the like (preferably, quantitative determination).
In one embodiment, the at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B, preferably comprises POU6F2 or LMX1B, preferably POU6F 2. In one embodiment, preferably only POU6F2 expression is detected, in other embodiments, a combination of POU6F2 and LMX1B, or a combination of POU6F2, LMX1B and TFAP2B is preferably detected.
As shown in the examples described later, the genes of POU6F2, LMX1B, and TFAP2B are specifically expressed in corneal endothelial cells and corneal endothelial progenitor cells. Therefore, corneal endothelial cells or cell groups suitable for transplantation to the cornea can be obtained using the expression of these genes as an index, and whether or not the cell groups are suitable for transplantation to the cornea can also be determined using the expression of these genes as an index. That is, if these genes are expressed in a cell population, it can be judged that they are suitable for transplantation to the cornea; if these genes are not expressed, it can be judged that they are not suitable for transplantation to the cornea. Also, POU6F2 was expressed at high levels in relatively mature corneal endothelial cells. Therefore, relatively mature corneal endothelial cells or a cell population suitable for transplantation to the cornea can be obtained using the expression of POU6F2 or its expression level as an index.
The detection of the expression level of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B may directly detect all cells constituting a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells, or may not require detection of all cells; by detecting the gene expression level of a part of the cells constituting the cell population, the gene expression level in the remaining cells constituting the cell population can be indirectly detected. In one embodiment, the detection of gene expression is preferably performed on a portion of the cells comprising the cell population, while indirectly detecting gene expression of the remaining cells, particularly methods for detecting gene expression that involve cell death.
High expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B in the cell population indicates that the cell population is suitable for transplantation into the cornea. In one embodiment, the expression level of the gene in the cell population is preferably equal to or higher than a preset reference value. The reference value can be arbitrarily determined from the viewpoint suitable for transplantation to the cornea. For example, the reference value may be set to be equal to or higher than the expression level of the gene in a living corneal endothelial cell and/or a cultured corneal endothelium.
Judging that a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells does not express at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B or that the expression level of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in said cells is insufficient, the cell population may be cultured under conditions more suitable for inducing differentiation into corneal endothelial cells. Further culturing under such conditions may be continued until the gene expressed by the cell population or the expression level of the judgment gene has been sufficient (e.g., until it is equal to or higher than a reference value).
Therefore, a cell population in which expression of at least one gene selected from the group consisting of POU6F2, LMX1B, and TFAP2B has been determined can be used as a cell population suitable for transplantation to the cornea. The cell population can be used as a cell preparation for regenerating corneal endothelium. Cell preparations comprising the cell populations may comprise scaffold materials, components and other pharmaceutically acceptable carriers to aid in maintenance, growth or administration to the affected area. Examples of the cell maintenance or growth components include carbon sources, nitrogen sources, vitamins, minerals, salts, medium components such as various cytokines, or media components such as MatrigelTMAnd extracellular matrix preparations.
Examples of the scaffold material or component include biodegradable polymers such as collagen, polylactic acid, hyaluronic acid, cellulose and derivatives thereof, and a composite comprising two or more of the above components, and the like; injection solutions, such as physiological saline, culture medium, PBS, and other physiological buffer solutions, and isotonic solutions containing glucose or other adjuvants (e.g., D-sorbitol, D-mannose, D-mannitol, sodium chloride).
The cell preparation may contain a solubilizing agent, such as an alcohol (particularly ethanol), a polyol, such as propylene glycol, polyethylene glycol, a nonionic surfactant (e.g.,
Other pharmaceutically acceptable carriers include pharmaceutically acceptable organic solvents, polyvinyl alcohol, polyvinyl pyrrolidone, carboxyvinyl polymers, sodium carboxymethylcellulose, sodium polyacrylate, sodium alginate, water-soluble dextran, sodium carboxymethyl starch, pectin, methyl cellulose, ethyl cellulose, xanthan gum, gum arabic, casein, agar, polyethylene glycol, diglycerin, glycerin, propylene glycol, vaseline, paraffin, stearyl alcohol, stearic acid, mannitol, sorbitol, lactose, and surfactants, buffers, emulsifiers, suspending agents, soothing agents, stabilizers, and the like, which can be used as pharmaceutical additives.
The subject (patient) to which the cell preparation is administered is not particularly limited as long as it is considered necessary. For example, the symptoms associated with the subject may include, for example, hereditary endothelial diseases such as fox (Fuchs) corneal endothelial dystrophy, corneal endothelial disorder associated with glaucoma, corneal endothelial diseases after internal eye surgery, corneal endothelial diseases after viral infection such as herpes, syndromes associated with corneal endothelial reduction after corneal transplantation, and the like. In one embodiment, the subject to whom the cell preparation is administered may be a patient with corneal endothelial dysfunction (e.g., a patient with reduced corneal endothelial cell pumping and barrier function), a bullous keratopathy, corneal edema, corneal leukoma, and/or keratoconus patient. The administration form of the cell preparation is not particularly limited. For example, it can be injected into the eye through a needle.
3. Method B for determining whether a cell population is suitable for transplantation into the cornea
In one embodiment, the method for determining whether a cell population is suitable for transplantation to the cornea preferably comprises a step of detecting the expression level of at least one gene selected from the group consisting of POU6F2, LMX1B and TFAP2B in a cell population cultured under conditions suitable for inducing differentiation into corneal endothelial cells.
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