Supplementary Information Generation of Human Epidermis-Derived Mesenchymal Stem Cell-like Pluripotent Cells (hEMSCPCs) Bing Huang1*, Kaijing Li1, Jie Yu1, Min Zhang1, Yongping Li1, Weihua Li1, Wencong Wang1 , Liping Guan1, Wenxin Zhang1, Shaochun Lin1, Xintao Huang1, Liping Lin1, Yongliang Lin1, Yichi Zhang1, Xinming Song2, Zhichong Wang1, Jian Ge1* 1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, GuangZhou 510060, China 2. Genetic Laboratory of Sun Yat-sen University, GuangZhou 510080, China Supplementary Methods PCR of Human SRY To identify hEMSCPC-derived cells in the female offspring, genomic DNA was extracted from chimera tissue samples using the Biomiga EZgene TM Tissue gDNA Miniprep Kit and human genomic DNA detected using a two-step nested PCR procedure and primers specific for the human SRY sequence: F1, 5′-CAGTGTGAAACGGGAGAAAACAGT-3′; R1, 5′CTTCCGACGAGGTCGATACTTATA-3′; F2, 5′TGTAATTTCTGTGCCTCCTGGAAGAATGG-3′; and R2, 5′GAAACGGGAGAAAACAGTAAAGGCAACGT-3′. In the first PCR reaction, human SRY was amplified in a 25 μL PCR reaction volume using primers F1 and R1. The thermocycle used was 95°C for 10 min, 35 cycles of 30 s at 95°C, 30 s at 65°C, and 30 s at 72°C, and a single 10 min extension step at 72°C. The second PCR reaction amplified 0.5 μL of the first PCR product in a 25 μL reaction volume containing F2 and R2. The same thermocycle protocol was used except that the number of cycles was reduced to 32. Amplification of GAPDH with primers F, 5′-TCACTCAAGATTGTCAGCAA-3′ and R, 5′AGATCCACGACGGACACATT-3′ was used as a control. The thermocycle for GAPDH PCR expansion was an annealing temperature at 55°C for 27 cycles. The PCR products were separated by 1.5% agarose gels. PCR and Electrophoresis Reagents and Equipment We used the Biomiga EZgene TM Tissue gDNA Miniprep Kit (Biomiga Inc., San Diego, USA), 2× Taq PCR Mix (Biomiga Inc), Biowerter Regular Agarose G-10 (Gene Company LTD., Hong Kong), and a TProfessional Standard Gradient Thermocycler (Biometra GmbH, Germany). A DYY-12 (Beijing Liuyi Instrument Factory, China) with a Vilber Lourmat Infinity gel formatter was used for electrophoresis (Vilber Lourmat, France). An ultraviolet spectrophotometer was purchased from Beckman-Coulter (Model DV800; Beckman Coulter, Inc. USA). Fluorescence in situ Hybridization (FISH) for Detection of the Human Y Chromosome in hEMSCPCs When cultures were 70%−80% confluent, the medium was exchanged and 0.2 g/ml colcemid added. Cultures were incubation at 36.8 ± 0.2°C under 5% CO2 and 100% humidity for 2−2.5 hours, the medium containing colcemid removed, and cells rinsed with PBS (×2). Cells were harvested, counted, rinsed once with PBS, and resuspended by vortex oscillation. Approximate 2 × 106 cells were added to 3 mL of 0.075 M KCl, gently blended and incubated at 37°C for 10 min and centrifuged at 1,200 rpm for 5 min. The supernatant was removed and cells fixed in 3 mL of freshly prepared pure methanol and glacial acetic acid (3:1) under gentle vortexing to prevent clumping. The centrifugation and resuspension steps were repeated and the final suspension adjusted to 1×106 cells/mL(in the same fixative) . The suspension was divided into microcentrifuge tubes, 100 µL per tube, and the tubes stored at -20°C for subsequent use. Prior to FISH, cells were thawed to room temperature, and cytospinning (Shandon, Thermo Electron Corporation, UK) was performed at 2,000 rpm with moderate acceleration over 2 min. The resultant cell smears were air-dried, soaked in 2×SSC/0.1%NP-40 rinsing solution (prepared based on the regimen provided by Abbott Molecular Inc. USA) preheated to 37°C for 30 min, and excess solution removed. Smears were dehydrated by gradient ethanol (70%, 85%, and 100% for 2 min in each gradient) at room temperature, and then air-dried. The following steps were performed under light-shielding. A human Y chromosome-specific probe mixture (10 µL per smear, prepared based on the regimen provided by Abbott Molecular Inc. USA) was added to the smears. The smears were then covered with slips and subjected to co-denaturation for 6 to 7 min at 73 ± 1°C. For hybridization, smears were placed in a sealed humid container, preheated to 42°C, for 16 hours. Following hybridization, smears were rinsed with prewarmed (73 ± 1°C) 2×SSC/0.3% NP-40 solution (according to instruction provided by Abbott Molecular Inc. USA) for 2 min and then transferred to 2×SSC/0.1% NP-40 solution at room temperature for another 2 min. Excess solution was removed, the smears air-dried, counterstained with 10 µL DAPI solution (Abbott Molecular Inc. USA), and photographed 30 min later under a laser confocal microscope (Zeiss, Germany) using blue light (405 nm excitation, 461 nm emission) and red light (543 nm excitation, 588 nm emission). FISH Detection of the Human Y Chromosome in Chimera Blood Anti-coagulated blood was obtained from mice and 200 L added to 3 mL of 0.83% NH4Cl solution pre-cooled to 4 °C. The blood/NH4Cl solution was gently pipetted, left to stand at 37°C for 15 min, mixed with 4 mL PBS, remixed, and centrifuged at 1,200 rpm for 5 min. The supernatant was removed and the cells suspended in 10 mL PBS, mixed, and centrifuged at 1,500 rpm for 5 min. These steps were repeated once more and the cell pellet suspended in 3 mL of 0.075 M KCl. All subsequent steps were as described for FISH for Detection of the Human Y Chromosome in hEMSCPCs. . Immunofluorescence Staining and FISH of Chimera Blood Immunofluorescence staining prior to FISH was performed in some cases using antibodies that showed no cross-reactivity to wild type female mouse blood in pilot experiments. Briefly, anticoagulated blood (200 L) was treated as described (FISH Detection of the Human Y Chromosome in Chimera blood) and cells suspended in 100 µL PBS. Subsequent steps were performed under light shielding. To the suspension was added an FITC-labeled anti-human monoclonal CD3, CD19, or CD16 antibody (Invitrogen, USA, titer based on the formula provided by the manufacturers). The suspension was gently pipetted, incubated at room temperature for 30−40 min (according to the procedures provided by the reagent manufacturers), rinsed in PBS, and centrifuged at 1,800 rpm for 5 min. The rinse/centrifugation/resuspension steps were repeated and the final cell pellet suspended in 1 mL pure methanol and glacial acetic acid (3:1) under gently vortexing. After centrifugation at 2,000 rpm for 5 min, the supernatant was removed and another 100 µL of fixative added drop by drop under gentle blending. Cytospinning was performed at 2,000 rpm with moderate acceleration over 2 min. The smears were air-dried and then stained as described for FISH Detection of the Human Y chromosome in hEMSCPCs. Stained smears were observed and photographed under a laser confocal microscope (Zeiss, Germany) using blue light (405 nm excitation, 461 emission), green light (488 nm excitation, 525 nm emission), and red light (543 nm excitation, 588 nm emission). Immunofluorescence Staining and FISH Detection of the Human Y Chromosome in Chimera Brain, Heart, Lung, Spleen, Liver, and Kidney No antibody used for combined immunofluorescence and FISH showed cross-reactivity in wild type female mice. The antibodies used for indirect immunolabeling were a rabbit anti-human β-III tubulin polyclonal antibody and a rabbit anti-human MAP2 monoclonal antibody (Abcam, USA). Immunolabeling was visualized using an FITC-conjugated goat anti-rabbit secondary antibody (SouthernBiotech, USA). Other antigens were labeled directly with FITC-conjugated mouse or rabbit anti-human monoclonal antibodies against troponin I, SP-C, CD31, CD16, ALB, or VEGF R2 (all antibodies from Invitrogen, USA, Santa Cruz, USA, or BD, USA). Brain, heart, lung, spleen, liver, and kidney tissues from female wild type and chimeric mice were embedded in OCT compound (Sakura Finetek, USA) and stored at -20°C for subsequent use. Tissues were tested for human Y chromosome expression by nested PCR and positive frozen sections sliced at 4 µm. Slices were air-dried and OCT gel removed. To improve adhesion and to expose structures to antibodies, smears were prepared as described. All subsequent steps were performed under light shielding. Slices were incubated with FITC-conjugated antibodies or primary antibodies for 40 min at room temperature according to the procedures provided by reagent manufacturers, rinsed in PBS pre-cooled to 6−8°C (×3 or ×4). For indirect labeling, slices were incubated in an FITC-conjugated secondary antibody at room temperature for 30 min and rinsed in PBS pre-cooled to 6−8°C (×3 or ×4). After incubation with antibodies, tissue slices were air-dried and soaked in prewarmed (37°C) 2×SSC/0.1%NP-40 solution (prepared as recommended by Abbott Molecular Inc. USA) for 30 min. Excess solution was removed and the slices dehydrated in an ethanol gradient, air-dried, and hybridized as described for hEMSCPCs. Hybridized tissue smears were counterstained with 10−15 µL DAPI solution (Abbott Molecular Inc. USA) and photographed under a laser confocal microscope (Zeiss, Germany) using the same blue, green, and red excitation/emission wavelengths. Counting tissue specific antibody-positive cells in human SRY gene-positive mouse blood samples We randomly selected five human SRY gene-positive mouse blood samples and calculated the average fractions of cells expressing CD3, CD16, and CD19 from 5 fields per sample. Supplementary Tables Supplementary Table 1 Dynamic expression of specific markers in cultured hEMSCPCs before passage 30 as determined by flow cytometry Marker P2 P10 P20 P30 P* CD73 97.975±0.689 98.438±0.574 98.713±0.296 97.625±0.697 1.182 CD90** 62.025±11.563 91.863±1.387a 90.650±3.659b 94.825±2.015c 0.002 CD105 46.700±7.356 59.225±8.041 59.075±4.730 65.813±3.793 0.171 Vimentin 77.225±5.653 88.425±2.884 87.8±4.413 86.475±4.463 0.271 Nestin*** 62.263±9.913 87.325±2.978 GFAP 0.325±0.269 1.3±0.88 β-III Tubulin 3.113±1.367 CD10 A C 87.163±2.246 0.003 1±0.528 1.975±1.062 0.347 6.288±2.609 4.525±1.607 4.488±2.434 0.765 0.838±0.404 3.488±1.630 2.963±0.968 2.025±0.652 0.227 CK19 0.225±0.156 0.188±0.174 0.35±0.151 0.138±0.089 0.265 CD34 0.388±0.090 0.575±0.185 0.15±0.05 0.413±0.146 0.138 CD45 0.05±0.038 0.025±0.025 0.038±0.018 0.15±0.07 0.134 CD3 0.375±0.096 0.4±0.08 0.25±0.06 0.763±0.293 0.093 CD19 0.125±0.059 0.063±0.042 0.063±0.026 0.1±0.033 0.649 CD16 0.1±0.027 0.038±0.018 0.163±0.068 0.175±0.077 0.116 CD31 0 0.513±0.309 0.425±0.256 0.438±0.180 0.241 VEGFR2 0 0.7±0.411 0.538±0.263 0.7±0.211 0.139 HLA-DR 4.438±3.784 0.05±0.032 0.038±0.026 0 0.284 12.113±7.633 6.95±5.576# 8.688±5.151 0.023 HLA-I**** 27.563±10.104 92.875±1.627 B * SPSS 13.0 was used for statistical analysis. Data from FACS are presented as mean ± standard error of the mean (SEM). Results were analyzed by two-way ANOVA with Bonferroni multiple comparison post-tests for pair-wise comparisons. Differences were considered statistically significant when P < 0.05. Data from n=8 independent cultures. ** hEMSCPCs at passage 2 had lower CD90 expression compared to passages 10, 20, and 30. a The comparison between passage 2 and passage 10, P= 0.009, b The comparison between passage 2 and passage 20, P= 0.013, c The comparison between passage 2 and passage 30, P=0.004. *** hEMSCPCs at passage 2 had lower nestin expression compared to passages 10, 20, and 30. A P= 0.021, B P= 0.004, C P= 0.022. **** hEMSCPCs at passage 2 had higher HLA-I expression compared to passage 20, #P= 0.035. Supplementary Table 2 Organs or tissue harboring cells derived from hEMSCPCs as revealed by nested PCR of human SRY genes and immunofluorescence staining of tissue-specific antibodies Number Blood Heart 6 8 + 10 + 11 + 13 + 15 + 17 + 18 Brain Lung Kidney + + + + 19 + + 20 + + 21 + 22 + + + + 32 + 34 + 36 + + 37 + + + + + + 38 + + 41 + 42 + 45 + + 50 52 + + 53 63 + + + + 64 66 Liver + 24 39 Spleen + + Neither wild type mice (numbers 1 to 5) nor mice with 7 negative organs are shown. hEMSCPCs were most widely distributed in blood, followed by lung, heart, brain, spleen, kidney, and finally liver (the lowest). Supplementary Table 3 Tissue specific antibody-positive cells in 5 human SRY gene-positive mouse blood samples Tissue-specific antibody Positive cell numbers/Total cell numbers Positive rate (%) 1 2 3 4 5 The average number ± SD (%) CD3 24/118 20.338 11/76 14.474 16/54 29.630 10/57 17.544 16/59 27.119 21.821±6.394 CD16 8/49 16.327 3/45 6.667 14/66 21.212 7/65 10.769 10/50 20 14.995±6.178 CD19 13/96 13.542 17/107 15.888 25/146 17.123 20/114 17.544 12/47 25.532 17.926±4.528 Supplementary Figures Fig. S1 Karyotype of hEMSCPCs. Chromosome detection of hEMSCPCs between passages 30 to 32 confirmed the karyotype as 46, XY. Fig. S2 FISH of human Y chromosome in chimeric mice and immunofluorescent images using tissue-specific antibodies. The human Y chromosomes appear as red spots as revealed by FISH, while the FITC-labeled tissue-specific antibody appears green. In chimeric mice, peripheral blood was positive for the human Y chromosome and human CD3 (A), human CD16 (B) and human CD19 (C). Brain tissue from chimeric mice was positive for both human Y chromosome and human MAP-2 (D) and human β-III tubulin (E). Cardiac tissue from chimeric mice was positive for both human Y chromosome and human troponin I (F). Lung tissue from chimeric mice was positive for both human Y chromosome and human SP-C (G). Lung tissue from chimeric mice was positive for both human Y chromosome and human CD31 (H). Splenic tissue from chimeric mice was positive for human Y chromosome and human CD16 (I). Liver tissue from chimeric mice was positive for both human Y chromosome and human ALB (J). Kidney tissue from chimeric mice was positive for both human Y chromosome and human VEGF-R2 (K).