Application Note USD2976(2) Expansion and Characterization of Mesenchymal Stem Cells on Pall SoloHill® Microcarriers Table of Contents 1. Introduction ..................................................................................................................................................3 2. Materials and Methods................................................................................................................................4 2.1 Culturing of MSCs ..................................................................................................................................4 2.2 Attachment studies..................................................................................................................................4 2.3 Microcarrier spinner studies ....................................................................................................................4 2.4 Trypsinization from microcarriers ..............................................................................................................5 2.5 Stem cell marker visualization ..................................................................................................................5 2.6 Determining differentiation potential ........................................................................................................5 3. Results .........................................................................................................................................................6 3.1 Characterization on flatware ....................................................................................................................6 3.2 Attachment studies..................................................................................................................................6 3.3 Nuclei counts ..........................................................................................................................................8 3.4 Stem cell marker expression ....................................................................................................................9 3.5 Expansion on microcarriers....................................................................................................................10 3.6 Investigating differentiation ....................................................................................................................10 4. Conclusions................................................................................................................................................11 5. References .................................................................................................................................................12 2 1. Introduction Mesenchymal stem cells (MSCs) are self-renewing cells that differentiate into several terminally differentiated cell types. These cells have been isolated from multiple sources such as bone marrow, adipose tissue, peripheral blood, and other adult tissues(1-6). The interest in these cells is that they hold the potential to cure disease and are being pursued in clinical trials. Three emerging fields of interest for stem cells are cell therapy, regenerative medicine and screening of candidate drugs. In many cases, poor correlation between efficacy of candidate drugs in animal models and humans is observed. This leads to high attrition rates of candidate drugs from the developmental pipeline and also contributes to large losses in revenue spent on animal model testing. MesenchymalStemCellsseededatlowdensityandexpandedfor8daysonSoloHill’sPlasticMicrocarrier.Cellswerestainedwith DAPI(blue)andFITC-labelledphalloidin(green)forvisualization The ability to isolate, expand, and differentiate human stem cells invitro will streamline drug testing by allowing candidate drug testing on human cells at early stages thereby better predicting how human populations may react to new and developing drugs. It is hoped that the ability to reproducibly isolate and expand these cell types will facilitate the identification of candidate drugs earlier in the development process. In addition, the ability to differentiate stem cells into various cell lines should allow for more relevant toxicity testing. These achievements should ultimately lead to overall cost savings and decreased health risks in the future. In addition to drug product testing, several clinical trials have been initiated using stem cells in cell therapy treatments. Research has shown stem cell characteristics such as differentiation potential, angiogenic potential, immunosuppression, or immune-privilege may be effective in the treatment of many diseases. Clinical trials using stem cells for the treatment of osteoarthritis, spinal cord injuries, Parkinson’s disease, ischemia due to stroke, cardiac arrests, or diabetes, are seeing promising results. However, for toxicology screening and cell therapy applications, large numbers of cells are needed. Expansion of adult stem cells is difficult since they have a finite life span and pluripotency can be lost. Two-dimensional (2D) culture systems such as t-flasks, cell cubes/factories, and roller bottles are common production platforms for vaccine and biologics manufacturing as well as cell therapy. These systems are typically used for expansion of cells to seed large bioreactors. Although well-established, these formats occupy a large footprint, are labor intensive and are susceptible to contamination problems due to numerous open handling steps. Microcarriers offer a large surface area for growth of anchorage-dependent cell types, and could thereby facilitate use of bioreactors for stem cell expansion in fewer passages. In this application note we characterized MSC expansion on flatware and five SoloHill microcarriers (Collagen, C102-1521; Plastic, P102-1521; Plastic Plus, PP102-1521; Pronectin◆ F, PF102-1521; and Hillex® II, H112-170) in stirred vessels. Retention of multipotency of the MSCs expanded in stirred culture was verified by immunostaining with stem cell specific antibodies and by assessing their ability to differentiate into osteocytes and adipocytes. www.pall.com/biopharm 3 2. Materials and Methods 2.1 Culturing of MSCs Human bone marrow-derived MSCs (Passage 1) were purchased from EMD Millipore (SCR108) and expanded in spinners or on flatware in DMEM (GIBCO◆ 11054) supplemented with 10% fetal bovine serum (FBS) (HyClone◆ SH30071.03), 2 mM L-glutamine (HyClone SH30034.02), penicillin/streptomycin (ATCC 30-2300), and basic Fibroblast Growth Factor (bFGF) (EMD Millipore◆ GF003). Unless otherwise noted, medium refers to this complete formulation. For growth experiments on flatware, MSCs were cultured on Corning◆ T-flasks (430825, 430639, and 430641). To subculture cells, medium was decanted and cells were rinsed once with Dulbecco’s phosphate buffered saline (DPBS; HyClone SH30028.03). The DPBS was immediately decanted and 1-3 mL of TrypLE◆ Select (Life Technologies 12563) was added (depending on T-flask size). Flasks were incubated at 37 °C until cells detached (5-8 minutes). The cells were re-suspended with medium and then centrifuged at 300 g for 5 minutes to pellet the cells. Medium and trypsin were decanted. Cells were re-suspended in 2-5 mL plus 10% FBS but without bFGF (volume depends on T-flask size and number) and counted using trypan blue stain and a Nexcelom Cellometer◆ with associated software. Fresh T-flasks were seeded at 3x103 cells/cm2. Fresh bFGF was added (8 ng/mL) to seeded T-flasks, which were then incubated at 37 ºC ± 0.5 with 5% CO2 in complete medium. 100% media exchanges (with fresh bFGF) were performed every other day beginning on the second day of culture . 4 2.2 Attachment studies For initial microcarrier attachment studies 200,000 cells were seeded onto the equivalent of seven cm2 of each microcarrier type. Although this seeding density of ~3x104 cells/cm2 was higher than anything used subsequently, this density was used to provide enough cells for counting and visualization on the microcarriers. Cells were incubated with microcarriers in 1mL of medium (either +/- FBS) in 1.5 mL Eppendorf◆ tubes at 37 ºC ± 0.5 with 5% CO2. At various time points, tubes were removed from the incubator and microcarriers were allowed to settle. 20 µL samples of the supernatant were taken for counting on the Nexcelom counter. Time courses for percent cells attached versus unattached were determined for each condition and plotted (Figure 2). 2.3 Microcarrier spinner cultures For growth experiments on the various SoloHill microcarriers, 0.5 g of microcarriers were used per 50 mL of medium in each Corning brand 125 mL spinner vessel (Fisher Scientific 10-203B). All microcarriers were prepared according to manufacturer’s instructions by autoclaving at 121 ºC in deionized water. Spinner cultures were essentially performed as described in a previous microcarrier protocol(7). Briefly, spinners were seeded in complete medium low protein concentration (less than 0.25% FBS and no bFGF) for 30 minutes for initial attachment. After 30 minutes > 85% of cells had attached to the microcarriers. Final protein concentrations of 10% FBS and 8ng/μL bFGF were added slowly to prevent any osmotic shock from the serum. The spinners were incubated at 37 ºC ± 0.5 ºC with 5% CO2. Cell counts were performed using standard assays to quantify cell numbers and determine viability. Spinners containing cells on Hillex II microcarriers were grown at 60 rpm, whereas, all other microcarrier spinners were kept at 40 rpm. Media exchanges of 25 mL (50% volume) were performed every other day beginning on the second day of culture. Samples were retrieved daily for nuclei counts using the citric acid/crystal violet method. Nuclei were counted using the Nexcelom counter. The number of nuclei per cm2 surface area was calculated for each sample. 2.4 Trypsinization from microcarriers For trypsinization of cells from microcarriers, cells/microcarriers were allowed to settle and medium was removed. Cells and microcarriers were washed with DPBS for five minutes at room temperature with occasional rocking back and forth by hand to re-suspend microcarriers. After five minutes, the microcarriers were allowed to settle and the DPBS was removed. Five (5) mL of TrypLE Select was added. The spinners were gently pipetted once or twice to thoroughly mix and then incubated at 37 ºC for 10-15 minutes (with occasional rocking by hand). Cells and microcarriers were pipetted after five minutes and again after ten minutes to achieve a single-cell suspension that could be used to reseed fresh microcarriers. 2.5 Stem cell marker visualization To visualize the expression of several stem cell markers on MSCs expanded on SoloHill microcarriers, samples were transferred from the spinners into 15 mL tubes. Once the microcarriers settled, medium was removed and cells/microcarriers were carefully washed with DPBS for five minutes at room temperature. Once cells and microcarriers settled, DPBS was removed and cells and microcarriers were fixed in 4% paraformaldehyde for ten minutes at room temperature. The paraformaldehyde was removed and cells were washed in DPBS and stored at 4 °C until use. To visualize stem cell markers, 250 µL of each sample was transferred to a 1.5 mL tube, microcarriers settled and DPBS removed. Non-specific binding was blocked by incubation with 5% FBS in DPBS for one hour at room temperature. Samples were washed in 500 μL DPBS three times for five minutes at room temperature. Samples were then incubated in 250 µL of the dye/antibody solutions. All antibodies were used at 1:1000 except for Stro-1 (1:500). Dyes and antibodies used were: DAPI (Life Technologies, D3571), phalloidin-FITC (Life Technologies, A12379), FITC anti-human CD44 (BioLegend 338803), APC anti-human CD90 (BioLegend 328113), Alexa Fluor 647 anti-human Stro-1 (BioLegend 340103), FITC anti-human CD18 (BioLegend 302105), FITC anti-human CD19 (BioLegend 302205), Alexa Fluor◆ 647 anti-human CD14 (BioLegend 325611), and Alexa Fluor 647 anti-human CD146 (BioLegend 342005). 2.6 Determining differentiation potential To determine differentiation potential of MSCs expanded on SoloHill microcarriers, spinners were seeded at 3x103 cells/cm2 and grown for eight days. Spinners were subsequently passaged into new spinners or flatware (24 well plate) at 3x103 cells/cm2. Spinners at passage 2 on microcarriers were allowed to expand until near-confluency (2-3x104 cells/cm2). Samples from the spinners were transferred to a 24 well plate to determine differentiation capabilities on microcarriers compared to cells grown on flatware. Growth/expansion medium was removed and 1 mL of either osteogenesis induction medium (EMD Millipore SCR028) or adipogenesis induction medium (EMD Millipore SCR020) was added. Induction and maintenance media were changed according to EMD Millipore’s protocol (as recommended by supplier). Osteocyte differentiation was determined by Alizarin Red S staining and adipocyte differentiation was determined by Oil Red O staining (protocols with EMD Millipore kits). www.pall.com/biopharm 5 3. Results 3.1 Characterization on flatware To characterize MSCs on flatware, T-25s were seeded at 3x103 cells/cm2 and incubated for up to ten days to generate growth curves (Figure 1). As shown in Figure 1, MSCs seeded at 3x103 cells/cm2 MSCs reached a maximum confluent density of ~4x104 cells/cm2. Over the course of the ten day growth curve, cells had an average doubling time of about 48 hours. Figure 1 MSCGrowthCurveonFlatware 4.5 Cell Density (x 104 cells/cm2) 4 3.5 3 2.5 2 1.5 1 0.5 0 0 2 1 3 4 5 6 7 8 Cellsseededat3x10 cells/cm weregrownfor10days.Dataispresentedasmeans±SEM(n=3). 3 2 Figure 2 MSCAttachmentStudies:RemovingFBSincreasedattachmentratetoallSoloHillmicrocarriers insemi-staticconditions. B. 80 Collagen 60 Plastic 40 Plastic Plus Pronectin F 20 100 Percent Attachment 100 Percent Attachment A. 80 Collagen 60 Plastic 40 Plastic Plus Pronectin F 20 Hillex II 0 0 30 60 90 120 150 180 210 240 Attachment Time Time (Minutes) 3.2 6 Hillex II 0 0 5 10 15 20 25 30 35 40 Attachment Time Time (Minutes) Attachment studies To determine initial attachment conditions for MSCs to the SoloHill microcarriers, attachment studies in which FBS was removed from the attachment media were performed as described earlier. As shown in Figure 2A and 2B, MSCs were 70-80% bound to all microcarriers after 15 minute incubations at 37 °C. However, with 10% FBS present in the medium, attachment ranged from 30-80% after two hours and from 50-90% after four hours. Observations under light microscopy after 30 minutes of incubation at 37 °C supported these cell counts (Figure 3). Since these experiments were performed under semi-static conditions, the faster attachment rates in the conditions with low FBS were chosen for future spinner cultures. To determine the growth capabilities on SoloHill microcarriers, spinner cultures were seeded at 3x103 cells/cm2. The attachment was done in low serum concentration conditions for 30 minutes. As shown in Figure 4, after this 30 minute attachment period in the spinner flasks, very few cells remain unbound. The low seeding density of 3x103 cells/cm2 is approximately 2-3 cells/bead. Some microcarriers were observed to have more than three cells and some had no cells attached. Figure 3 MSCAttachmentStudyImage After30minutesofattachmentat37°C,highpercentagesofcellsremainedunboundtomicrocarriers(leftcolumn). DecreasingFBSconcentrationsinmediumincreasedattachmentrateandalmostnocellswerevisibleinmedium after30minutes(rightcolumn). MSC attachment to microcarriers in spinner cultures: When seeded at low densities, low serum attachment conditions led to quick attachment, although not completely uniform attachment. Figure 4 MSCattachmenttomicrocarriersinspinnercultures. At this low seeding density, uniform attachment was not possible in medium with 10% FBS. However, cells attached to approximately 70% of the microcarriers allowing good expansion over the 10 day growth period. www.pall.com/biopharm 7 3.3 Nuclei counts Figure 5 shows the nuclei counts for spinner samples over the ten day growth periods. Nuclei density reached between 6-10 x104 nuclei/cm2. MSC density on microcarriers appeared to reach a higher maximal confluent density than what was seen in T-flask growth. Figure 5 NucleiCountsforMSCSpinnerCultures 14 Cell Density (x 104 cells/cm2) 12 10 Collagen 8 Plastic 6 Plastic Plus Pronectin F 4 Hillex II 2 0 0 2 4 6 8 10 Days Nucleicountsshowmaximalconfluentdensitiesbetween6and10x104 nuclei/cm2.Datapresentedismeans±SEM (n=3). As shown in Figure 6, cells grown on all microcarriers tended to stretch across two or three microcarriers (with Hillex II microcarriers as the exception). By stretching between multiple microcarriers, cells could effectively have a larger available three-dimensional volume in which to grow, which is not possible on 2D surfaces. Figure 6 MSCExpansioninSpinnerCulture MSCstendedtoclumponcehigherdensitieswerereachedinmicrocarrierspinnercultures(Days5-10). To increase initial attachment, bFGF was removed from the medium during attachment (complete medium with low FBS and without bFGF). After 30 minutes all cells appeared attached to greater than 90 percent of microcarriers. Expansion for seven days verified uniform attachment and excellent growth, shown in Figure 7. 8 To verify the stem cell-like character of MSCs grown on SoloHill microcarriers, the expression of MSC-associated cell surface markers were determined as well as the ability of these cells to differentiate after being expanded on microcarriers. To check for the expression of cell surface markers, samples were incubated with fluorophore-conjugated antibodies. Shown in Figure 8, imaging on a Nikon (Ti65) determined these cells to be CD44+, CD90+, Stro1+ and CD146+ when grown on all five SoloHill microcarriers. The hematopoetic cell markers CD14 and CD19 were not expressed in MSCs (data not shown). Figure 7 UniformAttachmenttoMicrocarriers UsinglowFBSconcentrationandnobFGFmediumduringattachmentincreasedattachmentefficiencyfrom ~75%to>95%. 3.4 Stem cell marker expression Figure 8 StemCellMarkerExpressionofMicrocarrier-ExpandedMSCs A)MSCsexpandedonSoloHillmicrocarriers(collagenshown)wereincubatedwithanti-CD44(green),anti-CD90(red) andDAPI(blue).PopulationsofCD44expressingcellsareindicatedbygreenarrows.PopulationsofCD90expressing cellsareindicatedbyredarrows.Populationsofcellsexpressingbothmarkersareindicatedbyyellowarrows.B)MSCs wereincubatedwithanti-CD44(green),anti-Stro1(red),andDAPI(blue).PopulationsofCD44expressingcellsare indicatedbygreenarrows.PopulationsofStro-1expressingcellsareindicatedbyredarrows.Populationsofcells expressingbothmarkersareindicatedbyyellowarrows. www.pall.com/biopharm 9 3.5 Expansion on microcarriers To determine the potentiality of MSCs when expanded on microcarriers, cells were grown on Plastic microcarriers for multiple passages. MSCs were seeded at 3 x 103 cells/cm2 and expanded in spinner flasks for 8 days. Cells were trypsinized from microcarriers and seeded onto flatware for differentiation into adipocytes and osteocytes. After 21 days cells grown on plastic microcarriers were able to differentiate into adipocytes and osteocytes at a level comparable to cells grown on T-flasks alone (Figures 9A and 9B). Figure 9 PotentialityofMicrocarrier-ExpandedMSCs A)MSCsgrownonT-FlasksandPlasticmicrocarriersremaininanundifferentiatedstate.B)MSCsgrownonT–flasks andplasticmicrocarriersunderwentadipogenesisandosteogenesis.Cellsexpandedonmicrocarriersappearedto havesimilardifferentiationcapabilitiescomparedtocellsexpandedonT-flasksonly. 3.6 10 Investigating differentiation To determine if several passages on microcarriers affected the differentiation ability of MSCs, cells were passaged multiple times on plastic microcarriers. After six passages on microcarriers, cells were seeded onto flatware for differentiation. Table 1 shows that over the six passages on microcarriers, the harvesting density was consistently above 3 x 104 cells/cm2 with a doubling time of 48-51 hours when seeded at 3 x 103 cells/cm2, showing that multiple passages on microcarriers did not decrease maximal confluent density or doubling rates. The ability of cells grown on microcarriers for six passages is shown in Figure 10. The cells grown on plastic microcarriers appear undifferentiated (top panels). Additionally, these cells were able to differentiate into both adipocytes and osteocytes (bottom panels) similar to levels seen previously on earlier passages and on flatware (Figure 9). Figure 10 Differentiation MSCsgrownonplasticmicrocarriersformultiplepassagesareshownundifferentiatedinthelefttwopanels,and differentiatedintoadipocytesandosteocytesinthetworightpanels. Table 1 ContinuousPassagesonMicrocarriersinSpinnerCulture Plastic Spinners P1 P2 P3 P4 P5 P6 Seeding Density (x104 cells/cm2) Harvest Density (x104 cells/cm2) Days of Growth Number of Doublings 0.3 2 1 0.3 0.3 0.3 4.6 3.3 2.7 3.6 4.3 4.5 8 4 5 <1 5 1.3 7 3.6 8 3.8 8 3.9 SeveralpassagesonmicrocarriersdemonstratetheabilitytoexpandMSCscontinuouslyonmicrocarrierswithout decreasingmaximalconfluentdensityordoublingtimewhenseededat3x103 cells/cm2. 4. Conclusions Current obstacles limiting the use of stem cells for therapeutic benefits include a limited number of cell divisions and the potential loss of pluripotency. Due to the restricted number of population doublings, achieving maximal possible expansion in the fewest passages is vital. We have shown here that MSCs can be expanded on various types of SoloHill microcarriers. The benefit of MSC expansion on microcarriers is two-fold. First, expansion on microcarriers allows growth on large surface areas within single containers, and second microcarrier expansion increases the ratio of apparent surface area to medium volume due to the fact that MSC growth on microcarriers outpaces growth on flatware. This is particularly important with stem cells grown in medium that contains expensive supplements. Therefore, the use of microcarriers allows minimal passages for expansion of cells while decreasing the overall cost required to grow enough cells for a therapeutic dose in clinical trial treatments. We have shown that multiple passages on microcarriers do not affect the ability of MSCs to differentiate into adipocytes and osteocytes. The ability to maintain pluripotency while expanding MSCs on microcarriers for five or six passages allows for the isolation of cells from bone marrow onto a T-150 flask. Cells expanded in this fashion can subsequently seed a small scale spinner culture which could be used to seed a small bioreactor. For example, the maximal confluent cell density in a T-150 results in 2.5-3 x 106 cells and 3.5-4 x 104 cells/cm2 on microcarriers. To seed a 200 mL spinner volume requires 3.1x106 cells using 5150 cm2/L. The maximal densities on spinner cultures achieved here would result in enough cells for a minimum 10-fold expansion into a 2 L bioreactor, by the third passage after isolation and the second passage on microcarriers. Considering the recoverable cell numbers presented here, a 6.7 L bioreactor volume (at 5150 cm2/L) would result in enough cells for one therapeutic dose (~1 x 109 cells). Assuming similar growth between small scale spinners and bioreactors, a 2 L bioreactor could be used to seed a 20L bioreactor, which would result in enough cells for three doses from a single T-150 and multiple passages on microcarriers. Additionally, increasing the microcarrier concentration beyond 5150 cm2/L would decrease bioreactor volume required for a large number of recoverable MSCs. Table 2 extrapolates the expected number of cells if the Plastic microcarrier concentrations used were 10 g/L and 20 g/L. The resulting liters needed for therapeutic doses of stems cells would be 7-8 liters and 3-4 liters, for concentrations of 10 g/L and 20 g/L respectively. www.pall.com/biopharm 11 Table 2 TherapeuticDoses Microcarrier Concentration (Plastic) Surface Area Max Confluent Density (cells/cm2) Total Cells Per Liter Liters Per Therapeutic Dose 10 g/L 20 g/L 3600cm2 7200cm2 3.5-4 x 104 3.5-4 x 104 13-14 x 107 25-29 x 107 7.1-7.8 3.4-4 ExtrapolatedlitersneededfortherapeuticdosesforvariousconcentrationsofPlasticmicrocarriercultures. Work will continue to further characterize stem cells grown on SoloHill microcarriers, such as defining various populations within bone marrow-derived MSCs, any fluctuations in these populations when grown on microcarriers for multiple passages, and additional stem characteristics such as the ability of microcarrier-expanded cells to produce angiogenesis signals such as VEGF. Future work will also expand to include other stem cells such as induced-pluripotent stem cells, mouse embryonic stem cells, and mesenchymal stem cells from other sources such as placental-derived or adipose-derived. Additionally, work will continue to define growth and expansion conditions under animal component free environments, as well as direct expansion on microcarriers of isolated stem cells, thereby bypassing flatware tissue culture and increasing the number of available passages before senescence. 5. References 1. Friedenstein AJ, Gorskaja JF, Kulagina NN. Fibroblast precursors in normal and irradiated mouse hematopoietic organs. Exp Hematol 1976, 4: 267-274. 2.Fraser etal. Fat tissue: an underappreciated source of stem cells for biotechnology. Trends Biotechnol 2006, 24: 150-154. 3.Cao C, Dong Y. Study on culture and in vitro osteogenesis of blood-derived human mesenchymal stem cells. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005. 19: 642-647. 4. Griffiths Mu, Bonnet D, Janes SM. Stem Cells of the Aveolar epithelium. Lancet. 2005, 366: 249-260. 5. Beltrami etal. Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell. 2003, 114: 763-776. 6. Pittenger etal. Multilineage potential of adult human mesenchymal stem cells. Science. 1999, 284: 143-147. 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