Stauprimide Neuropathiazol Controlling Stem Cell Fate with Small Molecules - Applications in Regenerative Medicine Chantelle Capicciotti Thursday, November 18, 2010 Cardiogenol C Reversine Stem Cells • Differ from other cells of the body. • Three general properties: 1. Capable of self-renewal through cell division. 2. Unspecialized. 3. Have the ability to differentiate into specialized cells. Cell Cycle Karp, G. Cell and Molecular Biology, 4th ed.; Wiley: New York, 2004. 2 Embryonic Stem Cells • ESCs are derived from blastocyst of pre-implanted embryo. • Pluripotent – Able to differentiate into any of the three germ layers and thus all cell types. Blastocyst Blastocoel Trophectoderm Fertilization Zygote Ectoderm Mesoderm Inner Cell Mass Endoderm Thomson, J.A.; Itskovitz-Eldor, J.; Shapiro, S.S.; et al. Science. 1998, 282, 1145-1147. http://stemcells.nih.gov/info/2006report/2006Chapter1.htm Embroynic Stem Cells 3 Adult Stem Cells • Found in various tissues and organs throughout the body. • Multipotent – Able to differentiate into several distinct cell types of the organ or tissue they originate. • Maintain and repair the tissue in which they are found. Chen, S.; Hilcove, S.; Ding, S. Mol. BioSyst. 2006, 2, 18-24. 4 Adult Stem Cells http://stemcells.nih.gov/info/2006report/2006Chapter2.htm 5 Regenerative Medicine • Use of stem cells to repair, regenerate or replace diseased or injured cells, tissues and organs. • Treatment of cardiovascular and neurodegenerative diseases, diabetes and spinal cord injury. Red Blood Cells Bone marrow transplant – Hematopoietic stem cell transplant done after chemotherapy and radiation for leukemia treatment Marrow White Blood Cells Platelets http://leukemiaawareness.com/ 6 Maintaining Pluripotency Proliferation ESCs remain in pluripotent state ESC Differentiation High Expression Hyslop, L.A.; Armstrong, L.; Stojkovic, M.; Lako, M. Expert Rev. Mol. Med. 2005, 7, 1-21. Low Expression 7 Differentiation Proliferation ESCs remain in pluripotent state ESC ESCs must exit pluripotent state to become more specialized. Differentiation To differentiate into any of the three germ layers, certain pathways must be activated/deactivated. Murry, C.E.; Keller, G. Cell. 2008, 132, 661-680 8 Differentiation Blastocyst Ectoderm BMP4 Mesoderm ESCs Activin Endoderm Murry, C.E.; Keller, G. Cell. 2008, 132, 661-680 9 Culture Differentiation of ESC’s Blastocyst • Embryoid bodies spontaneously differentiate into multiple cell lineages. Inner Cell Mass ESCs Feeder Layer • Increase specificity to certain cell types by using “cocktails” of growth factors and signalling molecules. Conditions often not completely Embryoid Bodies Ectoderm defined or are non-specific. Mesoderm Endoderm Hyslop, L.A.; Armstrong, L.; Stojkovic, M.; Lako, M. Expert Rev. Mol. Med. 2005, 7, 1-21. 10 Small Molecule Approach • ESC differentiation in vitro is poorly controlled. • Use of “cocktails” does not facilitate studies on the molecular mechanisms involved in development. • Small molecules offer a solution: Can be more specific and have a high degree of control. Molecular mechanisms can be studied. Stauprimide Primes ESCs for differentiation Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 11 High-Throughput Screening Identification Image-based high-throughput screening Kinase-Oriented Library Approx. 20 000 Compounds Stauprimide Increased efficiency of differentiation towards endoderm lineage. Sox17 All Cells DMSO Stauprimide Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 12 Further Differentiation of Endoderm Cells • Stauprimide-primed endoderm cells could be further differentiated to hepatocytes and pancreatic precursor cells. Hepatocyte Differentiation Factors Stauprimide ESCs Low Conc. Activin A Hepatocytes Liver Endoderm Lineage Pancreatic Differentiation Factors Pancreas Pancreatic Progenitor Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 13 Stauprimide Primes ESCs for Differentiation • Stauprimide – Primes undifferentiated ESCs. • Activin A - Stimulus which dictates path of differentiation to endoderm lineage. • Stauprimide-primed ESCs can differentiate into other cell fates under appropriate conditions. Neural Differentiation Factors Stauprimide Ectoderm Lineage Neurons ESCs BMP-4 Beating Cardiomyocytes Mesoderm Lineage Hematopoietic Lineage Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 14 Nonspecific Kinase Inhibitors Stauprimide Staurosporine UCN-01 Promotes Differentiation Inactive Inactive Stauprimide is active well below toxic concentrations and does not inhibit kinases at this concentration. Other nonspecific kinase inhibitors did not promote differentiation of ESCs at nontoxic concentrations. Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 15 Staurosporine Family Stauprimide Staurosporine UCN-01 Staurosporine is a natural product isolated from bacterium Streptomyces staurosporeus. Stauprimide can be synthesized en route of the synthesis of Staurosporine. Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 16 Staurosporine R1≠R2 Regiochemically Different Glycosidic bond with indolic nitrogens 2nd Glycosidation (Intramolecular) 1st Glycosidation (Intermolecular) Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 17 First Glycosyl Donor Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 18 Aglycon Acceptor Glycosyl Donor + Ratio: 2.5:1 Aglycon Acceptor Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 19 Intermolecular Glycosidation + 47% 10% Isolated Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 20 Second Glycosyl Donor Glycosyl Donor Precursor Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 21 Second Glycosidation x E+ = PhSeCl, NBS, NIS, I2, , etc. AND Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 22 Second Glycosidation 23 Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. Barrett, A. G. M.; Bezuidenhoudt, B. C. B.; Gasieki, A. F.; Howell, A. R.; Russell, M. A. J. Am. Chem. Soc. 1989, 111, 1392-1396. Final Stages of Staurosporine Synthesis + Ratio: 1:1 Staurosporine Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 24 Staurosporine Family Oxidized Benzoylated Staurosporine Stauprimide UCN-01 Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 25 Final Stages of Staurosporine Synthesis Leads to UCN-01 and derivatives + Staurosporine Link, J.T.; Raghavan, S.; Gallant, M.; Danishefsky, S.J.; Chou, T.C.; Ballas, L.M. J. Am. Chem. Soc. 1996, 118, 2825-2842. 26 Stauprimide Synthesis UCN-01 Stauprimide Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 27 Nonspecific Kinase Inhibitors Stauprimide Staurosporine UCN-01 Promotes Differentiation Inactive Inactive Cellular target of Stauprimide likely not a kinase which is nonspefically inhibited by kinase inhibitors. To identify targets, a biotin-tagged analogue was used. Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 28 Biotinylated Stauprimide Linked to proteins or molecules for use in biochemical assays. Binds to avidin and streptavidin with high affinity and specificity. Biotin • This binding is exploited to isolate proteins. Biostauprimide (Biotinylated Stauprimide) Similar differentiation activity as Stauprimide. Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 29 Biostauprimide Synthesis + UCN-01 Biostauprimide Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 30 Mechanism of Stauprimide Stauprimide inhibits the transcription factor NME2 resulting in a downregulation of c-Myc expression. NME2 Stauprimide X X C-Myc Gene NME2 Promoter Region X C-Myc Differentiation Maintains ESC State Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 31 Stauprimide ESCs Stauprimide Activin A Endoderm Lineage Hepatocytes Neural Differentiation Factors BMP-4 Mesoderm Lineage Cardiomyocytes Ectoderm Lineage Neurons Stauprimide Increased efficiency of differentiation. Decreased ESC content in differentiated product. Decreased contamination of unwanted cell types. Zhu, S.; Wurdak, H.; Wang, J.; Lyssiotis, C.A.; Peters, E.C.; Cho, C.Y; Wu, X.; Schultz, P.G. Cell Stem Cell. 2009, 4, 416-426. 32 Small Molecules Can Induce Differentiation Fertilized Egg Stauprimide primed ESCs for differentiation – was not able to induce differentiation. 8 Cell Embryo Pluripotent Blastocyst Other small molecules can induce differentiation of ESCs and ASCs. Neural Cells Blood Cells Cardiac Muscle http://www.stemcellresearchfoundation.org/WhatsNew/Pluripotent.htm 33 Neuropathiazol Hippocampus Neuropathiazol Hippocampus Primary Neural Progenitor Cells Neurons Astrocytes Oligodendrocytes Adult Stem Cells (multipotent) Rat Brain Human Brain Warashina, M.; Min, K.H.; Kuwabara, T.; Huynh, A.; Gage, F.H.; Schultz, P.G.; Ding, S. Angew. Chem. Int. Ed. 2006, 45, 591-593. 34 Differentiation into Neurons Neuropathiazol Primary Neural Progenitor Cells Preferentially induces to neuronal lineage! Neurons Astrocytes Retinoic Acid Warashina, M.; Min, K.H.; Kuwabara, T.; Huynh, A.; Gage, F.H.; Schultz, P.G.; Ding, S. Angew. Chem. Int. Ed. 2006, 45, 591-593. Large number of neuronal and astroglial cells. 35 Repairing the Nervous System With Stem Cells Parkinson’s Disease – Neurodegenerative disease caused by the death of dopaminergic neurons. Transplantation of embryonic dopamine neurons into patients can result in an increase in dopamine function. Before Surgery Freed, C.R.; Greene, P.E.; Breeze, R.E.; et. al. N. Engl. J. Med. 2001, 344, 710-719 After Surgery 36 Mending a Broken Heart Cardiovascular disease is a leading cause of death. Left Ventricle Normal Heart Infarcted Infarcted Heart http://stemcells.nih.gov/info/2006report/2006Chapter6.htm Heart attack results in deprivation of oxygen to heart muscles which causes these cells to die. Stem cells have been investigated as possible sources for regenerating damaged myocardial cells. Dilated Ventricle 37 Cardiogenols Potent differentiator of ESCs towards cardiac lineage. R= Cardiogenol A (85%) R= Cardiogenol B (80%) R= Cardiogenol C (90%) R= Cardiogenol D (75%) Cardiogenol C Wu, X.; Ding, S.; Ding, Q.; Gray, N.S.; Schultz, P.G. J. Am. Chem. Soc. 2004, 126, 1590-1591. 38 Differentiation into Cardiomyocytes Mouse ESCs Cardiogenol C Cardiomyocytes Cardiogenol C resulted in 90% of cells differentiated towards cardiac lineage without the formation of embryoid bodies (EBs). • Majority of the cell population formed beating cardiomyocytes! Current cardiomyogenesis inducing conditions of ESCs requires aggregation and formation of embryoid bodies (EBs). • Results in only 5% of the cell population forming cardiomyocytes. Wu, X.; Ding, S.; Ding, Q.; Gray, N.S.; Schultz, P.G. J. Am. Chem. Soc. 2004, 126, 1590-1591. Winitsky, S.O.; Gopal, T.V.; Hassanzadeh, S.; et. al. PLoS Bio. 2005, 3, 662-671. 39 Cell Reprogramming Bone Chemical Reprogramming Skeletal Muscle Adult Fibroblast Anastasia, L.; Pelissero, G.; Venerando, B.; Tettamanti, G. Cell Death Diff. 2010, 17, Genetic Reprogramming 1230-1237. Induced Pluripotent Stem Cells Heart Tissue Other Tissues 40 Amphibian Limb Regeneration Amphibians have the ability to regenerate amputated limbs. A blastema forms at the amputation site. • Blastema cells can re-enter the cell cycle. • Multipotent mesenchymal progenitor cells. Recreated mesenchymal cells can differentiate to generate cell type needed to regenerate the limb. Brockes, J.P. Science. 1997, 276, 81-87. 41 Induced Pluripotent Stem Cells Retroviral Transfection of Pluripotency Genes Somatic Cell Reprogramming hESC Culture Conditions Pluripotent iPSC Line Retroviruses can transfect critical transcription factors to reprogram somatic cells back to a pluripotent state. • Four transcription factors: Oct4, Sox2, Klf4 and c-Myc. Reprogrammed fibroblasts to an embryonic stem cell-like state. iPSCs were similar to ESCs. • Expressed stem cell proteins. • Formed embryoid bodies. • Could undergo differentiation. Takahashi, K.; Yamanaka, S.; Cell. 2006, 126, 663–676. Takahashi, K.; Tanabe, K.; Ohnuki, M.; Narita, M.; Ichisaka, T.; Tomoda, K.; Yamanaka, S. Cell. 2007, 131, 861–872. 42 Induced Pluripotent Stem Cells Retroviral Transfection of Pluripotency Genes Somatic Cell Reprogramming hESC Culture Conditions Pluripotent iPSC Line Original methods of reprogramming were inefficient. • Less than 1% of the starting adult cell population yielded iPSCs. Viral transfection used to genetically alter the cells can potentially trigger the expression of oncogenes. Have a propensity to form tumors. • The c-Myc gene is an oncogene and is known to promote tumor growth . Takahashi, K.; Yamanaka, S.; Cell. 2006, 126, 663–676. Takahashi, K.; Tanabe, K.; Ohnuki, M.; Narita, M.; Ichisaka, T.; Tomoda, K.; Yamanaka, S. Cell. 2007, 131, 861–872. 43 Reversine Reversine Chen, S.; Zhang, Q.; Wu, X.; Schultz, P.G.; Ding, S. J. Am. Chem. Soc. 2004, 126, 410-411. 44 Reversine Reversine can cause cell reprogramming. Reversine treated myoblasts were able to form adipocytes and osteoblasts. Multipotent Progenitor Cells Myoblasts Chen, S.; Zhang, Q.; Wu, X.; Schultz, P.G.; Ding, S. J. Am. Chem. Soc. 2004, 126, 410-411. Reversine Multinucleated Muscle Cell 45 Reversine Reversine can cause cell reprogramming. Reversine treated myoblasts were able to form adipocytes and osteoblasts. Adipocytes Reversine Reversine Myoblasts Multinucleated Muscle Cell Osteoblasts Chen, S.; Zhang, Q.; Wu, X.; Schultz, P.G.; Ding, S. J. Am. Chem. Soc. 2004, 126, 410-411. 46 Reversine Reversine Reversine Dedifferentiation Multipotent Progenitor Cells Osteogenic Differentiating Conditions Myoblasts Multinucleated Muscle Cell Reversine treatment without differentiating conditions resulted in mononucleated cells. • There was no formation of osteoblasts! Osteoblasts Chen, S.; Zhang, Q.; Wu, X.; Schultz, P.G.; Ding, S. J. Am. Chem. Soc. 2004, 126, 410-411. 47 Reversine Reversine Reversine Dedifferentiation Multipotent Progenitor Cells Osteogenic Differentiating Conditions Myoblasts Multinucleated Muscle Cell Reversine dedifferentiates myoblasts into multipotent mesenchymal progenitor cells. Osteoblasts Chen, S.; Zhang, Q.; Wu, X.; Schultz, P.G.; Ding, S. J. Am. Chem. Soc. 2004, 126, 410-411. 48 Summary Member of the Staurosporine family of nonspecific protein kinase inhibitors. Primes ESCs for differentiation by downregulating expression c-Myc. Stauprimide Increased efficiency of differentiation of ESCs towards various cell lineages. Preferentially induced primary neural Neuropathiazol progenitor cells to neuron cells. 49 Summary Differentiated ESCs into functioning cardiac cells and beating cardiomyocytes. Cardiogenol C Induced dedifferentiation. Reprogrammed myoblasts into multipotent mesenchymal progenitor cells. Reversine Progenitor cells could be re-differentiated into adipocytes and osteoblasts. 50 Conclusions Small molecules can have a powerful influence on stem cell outcome and behaviour. While these results highlight the great potential of small molecules for the application of regenerative medicine, they are preliminary. • More reliable and efficient chemical reagents that rival endogenous factors are required. • Need to fully establish mechanism of action to maximize the impact of these small molecules. 51 Acknowledgments Dr. Robert N. Ben Mathieu Leclère Ross Mancini John Trant Kathryn Davis Anna Balcerzak Devin Tonelli Taz Cheema Jacqueline Tokarew Malay Doshi