1 Studying gene networks in stem cells: the potential of differentiation, transdifferentiation, and dedifferentiation for therapeutic purposes Ian Parrag Abstract— Cellular structure and function is defined by gene organization and expression. Using systems biology to understand gene networks, it is possible to completely characterize the genetic states of cells. By studying developmental pathways, we can expand our knowledge of gene networks and the dynamic events that occur during stem cell differentiation. Insight gained in these studies may reveal techniques to manipulate stem cells. Control of the genetic states may allow us to stimulate specification of stem cells, provoke adult stem cells to cross lineage barriers, and induce the dedifferentiation of differentiated cells to renew stem cell populations. Each of these methods holds tremendous potential in regenerative medicine and the advancement of therapies to combat diseases and injuries. Index Terms—gene networks, stem cells, systems biology I. INTRODUCTION S biology is an emerging field that attempts to understand genetic or metabolic pathways from a systems level approach [1]. Through this, a more comprehensive identification of the biological system is revealed compared to traditional molecular biology and genetic analyses. Knowledge not only of the components of the pathway, but descriptions of their interactions in a spatial-temporal manner provides more complete and physiologically relevant data on the workings of different pathways and organisms on a whole. Although in a premature state, systems biology offers a large potential in advances in several areas, including cell and molecular biology, pharmaceutics, biomedical engineering, and regenerative medicine to name a few. Using systems theory to study cellular processes, new tools may be constructed for synthesizing, testing, and refuting hypotheses, explaining counterintuitive or contradictory data, and aiding in experimental design [1]. To reach its potential, however, requires an intimate knowledge of the systems under investigation. This in turn necessitates the convergence of experimental and theoretical approaches, both of which may be limiting its universal use. As a result, systems biology currently provides a conceptual framework for which to think YSTEMS and drive biological research. In the post-genomic era and with the development of highthroughput devices, such as DNA micro-arrays, gene networks are receiving much attention using systems biology techniques [2]. As the mechanisms of gene expression and regulation continue to become lucid, the mathematical models describing these interactions are further advanced. Models of the dynamic and complex interactions involved in gene expression and regulation will not only help to gain a complete understanding of genomics, but it may also reveal methods to manipulate gene networks for therapeutic purposes. The study of gene networks in stem cells provides insight into understanding natural developmental and regenerative strategies used by different organisms. Stem cell research holds tremendous therapeutic potential for combating injuries and diseases and is the basis of regenerative medicine. Various changes in genetic networks accompanies cell differentiation processes, ultimately leading to terminally differentiated cell types. A systems level understanding of the differentiation cascades, including changes in gene organization and expression, may yield strategies for controlling cell specification in addition to enhancing tissue regeneration. Moreover, knowledge of gene networks in stem cells may allow the manipulation of these cells to cross lineage barriers, thus giving rise to cells they were conventionally unable to produce, or even the reversal of lineage restrictions in terminally differentiated cells, leading to the renewal of stem cell populations and regenerative capacity. This paper discusses gene networks in stem cells and the promise this knowledge may have for manipulating cells. The underlying principles of gene organization and expression are first introduced. Next, an understanding of gene networks in differentiation, revealed through studying developmental pathways, is presented followed by a discussion of the potential this comprehension could elucidate on mechanisms for controlling differentiation, transdifferentiation, and dedifferentiation. II. BASICS OF GENE ORGANIZATION AND EXPRESSION DNA stores information for the synthesis of all proteins and thus provides the blueprints of life. Every cell in the body contains the same genome, i.e. the ability to produce any 2 protein, yet different cells vary dramatically in the type and amount of proteins they synthesize. The expression of different genes is what gives a cell a certain morphology and function that distinguishes it from other cell types. This, in turn, is determined by many factors including, for this discussion, the way genes are organized and the factors influencing the gene transcription. A. Gene organization The DNA encoding the entire genome is divided up into chromosomes. Chromosomes consist of a single, enormously long DNA molecule that is folded and packed into a more compact arrangement [3]. Histone proteins are involved in packing the DNA and taken together, the complex of DNA and histone proteins is called chromatin. Two types of chromatin exist within the cell. Euchromatin is a less condensed form of chromatin and contains genes that are generally capable of being expressed [3]. Heterochromatin, conversely, is a more condensed form of chromatin and the genes contained here are resistant to being expressed. The type of chromatin in which genes reside is a function of the organizational level that the DNA is compacted into. Histone proteins successively coil and fold DNA into higher and higher levels of organization. Nucleosomes and the 30 nm chromatin fiber are the first levels of DNA organization. Both of these structural motifs are seen in euchromatin. Heterochromatin, on the other hand, is not well understood structurally, involving additional levels of folding and proteins other than the histones [3]. The complex organization of DNA within heterochromatin prevents access to DNA sequences within it, thus inhibiting gene expression. Similarly, the level of organization within euchromatin may prevent gene expression, however, this chromatin structure is dynamic and may change to allow transcription to take place [3]. Histone tails can undergo covalent modifications, including acetylation, methylation, and phosphorylation, which can greatly affect their function in regulating chromosomal organization. Chromatin remodeling complexes are responsible for the modifications to the histone proteins. These changes allow the DNA to be less tightly bound to the histones, permitting access to the DNA for transcription and thus gene expression. B. Gene expression While gene organization is one mechanism regulating gene expression, there are many others, including processes controlling transcription, RNA processing, RNA transport and localization, translation, mRNA degradation, and protein activity [3]. Transcription is especially important in gene expression because it is the main point in which the cell regulates what proteins are produced and at what rate. Transcription is a complex process where a particular portion of the DNA sequence is copied into an RNA sequence. Several components, both within the DNA sequence and additional proteins, are involved in transcription. RNA polymerases are proteins that catalyze the formation of bonds that link two nucleotides together. RNA polymerase binds to the promoter region of the DNA, moves along the DNA in a stepwise manner, and unwinds the DNA helix to expose the template as it moves along. A complex of transcription factors, transcriptional activators, and chromatin modifying enzymes are required for the attachment of RNA polymerase to the promoter region. The various components that are necessary for the transcription of each gene are being identified and the interactions of all these molecules are being elucidated. Once this happens, gene networks can be used to describe the dynamic events associated with transcription and gene expression. III. REGULATION OF GENETIC NETWORKS IN DEVELOPMENT During development, stem cells naturally progress through differentiation cascades to produce organized and functional tissues. By studying the development of organisms, it is possible to take what nature has supplied and use it for regenerative strategies. Understanding what genes are turned on and off, the interactions causing these effects, and the temporal aspects of these events are all necessary for describing the gene networks involved. Elucidating these mechanisms of development will yield cues and sequences for inducing the same events outside of development, which can then be used in cell-based therapies. The environment surrounding stem cells helps determine the fate of the cells [4]. Spatial cues, such as cell-cell contacts, morphogenetic gradients, and other signaling molecules, influence genetic networks driving the stem cells to a particular cell type. Determining the signaling molecules involved in development and their effects has been the focus of decades of research, essentially creating the parts list for system structure identification, referred to by Kitano [1]. More recently, the genetic networks behind these developmental decisions are beginning to be defined. The mechanisms allowing changes in gene organization during differentiation are the basis for understanding modifications in gene expression and are a key to identifying developmental processes. A. Epigenetic modifications Alterations in gene expression without changes in DNA sequence are referred to as epigenetic modifications [5]. The mechanisms behind this involve heritable and potentially reversible modifications to DNA organization. Proceeding from a state of gene expression to a state of gene silencing involves changes in chromatin structure. Changes in chromatin structure arise from DNA methylation and histone acetylation patterns and determines whether genes will be expressed or not [6]. The formation of stable chromatin structures ensures efficient silencing of genes that are no longer necessary for the determination of cell fate [5]. As a result of this, only genes that define the properties of the differentiated cell type are expressed. Epigenetic control of gene expression is a fundamental 3 feature of mammalian development. Epigenetic modifications in chromatin structure are essential for stably maintaining different functional states [6]. An example where epigenetic control establishes the appropriate mechanisms for normal development is seen in genomic imprinting, discussed below. Genomic imprinting refers to the state of chromatin organization of genes inherited from parental origin [5]. Paternal and maternal genomes exhibit epigenetic asymmetry, resulting in the expression or repression of certain genes derived from the mother and the expression or repression of other genes derived from the father. Modifications in the methylation of specific DNA sequences regulates the expression of the imprinted genes. The parental imprints, i.e. the ability of certain genes to be expressed or not based on parental origin, remain stable throughout the lifetime of the individual. It is therefore the genes that are not imprinted that change in epigenetic states during development and differentiation of stem cells. Imprinted genes are being identified and may regulate crucial aspects of mammalian physiology [5]. Consequently, understanding both the epigenetic states of the stable imprinted genes and more dynamic non-imprinted genes is necessary for gene network analyses. Identifying specific epigenetic states and determining how they can be changed or reprogrammed may yield insight into inducing differentiation, transdifferentiation, and dedifferentiation. B. Gene regulatory network in sea urchin development From a systems perspective, development proceeds as a progression of states of spatially defined regulatory gene expression [7]. Through this process, stem cells become specified, where cells express a given set of genes, and this is a function of inter- and intracellular spatial cues. Cis-regulatory elements respond to these signals by regulating the expression of transcription factors necessary for the transcription of genes involved in specification. These elements play a key role in bringing the cells from one state in the differentiation cascade to the next. Developmental processes are difficult to model because they go through successive stages of pattern formation from one intricate state to another to generate complex morphologies. A systems level approach to the developmental pathways would provide a complete understanding of gene networks in these processes. Davidson et al. [7] utilized a systems biology technique for advancing the understanding of one aspect of the developmental process. Based on the wealth of knowledge of sea urchin development and perturbation analysis, the regulatory steps involved in endomesoderm specification in the sea urchin embryo have been modeled [7]. The systems approach to sea urchin development reveals several important points about the gene network. First, while there are a few genes implicated in the differentiation of stem cells and in the production of signaling ligands, the majority of the genes involved encodes a DNA sequence-specific transcription factor used to regulate gene expression [7]. The transcription factors, regulated by cis regulatory elements, control the specification processes that can occur. Second, the model provides an explanation for why target genes are expressed where and when they are, thus highlighting the capacity to define spatial-temporal aspects of developmental events. Third, it could be inferred from the model when signaling molecules are no longer necessary, therefore indicating the completion of a specification process. Finally, the network explains some phenotypes observed when given processes are perturbed, providing an explanation for observed data. This systems biology approach yields direct evidence of the potential of this method for uncovering genetic behavior. The promise of this type of knowledge is presented in the next section. IV. POTENTIAL OF UNDERSTANDING GENE NETWORKS Several regenerative strategies are being developed and employed to enhance the regenerative capacity of mammals: 1) transplanting stem cells, progenitor cells, or differentiated cells into the injured tissue; 2) transplanting cell-seeded scaffolds into the damaged site; 3) inducing endogenous regeneration by activating the differentiation of resident stem cells; 4) transplanting transgenic stem cells with the corrected genome into injured region; and 5) targeting stem cells using gene therapy to correct genetic defects. At the heart of these strategies is the use of stem cells, defined as such by their ability to undergo self-renewal and differentiate into one or more specialized cell types. By fully characterizing the genetic states of stem cells, we may synthesize methods for controlling the genetic networks, a feat that would have a tremendous impact in the clinical setting for combating injuries and diseases. A. Influencing specification The developmental pathways give insight into the natural specification of stem cells to a differentiated phenotype. The mechanisms behind this are beginning to be elucidated and are being used in the laboratory. For example, protocols have been established for the in vitro differentiation of embryonic stem cells into cardiomyocytes, skeletal muscle, neurons, epithelium, and vascular smooth muscle cells [8]. In addition, models are also being derived to predict stem cell behavior and population dynamics in response to culture stimuli [9]. The result of these studies yields techniques to predict and manipulate stem cells but optimizing these processes would allow the production of all cell types and the appropriate numbers for cell-based therapies. Using a systems biology to study specification processes reveals insight into the complexity of development and differentiation. The sea urchin development model makes explicit the small number of differentiation genes and the large number of regulatory genes involved in this process. In addition, it provides knowledge of the spatial-temporal events required for the differentiation cascade to proceed. This model highlights key nodes required for inducing specification, including the identification of regulatory 4 mechanisms and their interactions. This knowledge may be used to define the different developmental states and appropriate signals in a spatially-temporally relevant manner to manipulate the genetic networks of stem cells and induce de novo differentiation of stem cell populations. B. Stem cell plasticity Although most cells in the adult body are differentiated cells, there remains a population of stem cells to replace senescent cells or give rise to new cells in the case of tissue injury. Conventionally, adult stem cells were believed to be restricted, giving rise to cell types specific to the tissue in which they reside. Evidence, however, suggests that adult stem cells may possess the ability to cross lineage restrictions to replace cell types different from the tissues where they inhabit, reviewed by Watt [10] for the hematopoietic system. This stem cell plasticity, or transdifferentiation, debated about in the stem cell community, but the implications of these findings could have huge impact on regenerative strategies. Changes in the gene networks of adult stem cells, as with any changes in morphology of cells, is the underlying principle inducing transdifferentiation. The claim of several studies is that the adult stem cells respond to external cues supplied by their environment allowing changes in gene expression and the generation of unrelated cell lineages [10]. Looking at this from a systems perspective, the genetic state of the adult stem cell could be identified and the changes to the genetic state, brought about by external signals, can be mapped out. The alterations in the gene networks of the stem cells could be elucidated, resulting in knowledge of chromatin organization of genes and expression patterns. Mechanisms for controlling these changes may then be developed for manipulating stem cell states and redirecting adult stem cells to regenerate damaged tissues with no inherit regenerative capabilities. C. Dedifferentiation of cells to renew stem cell populations While mammals possess some capacity to regenerate damaged tissues, there is a huge discrepancy between the regenerative abilities compared to other organisms. The salamander, for example, is capable of regenerating their limbs, tails, and jaws through a process involving cellular dedifferentiation [11]. In dedifferentiation, differentiated cells reverse the normal developmental processes thus renewing stem cell populations that can proliferate and redifferentiate to produce viable, fully functional tissue. Identifying the genetic networks regulating cellular dedifferentiation could lead to methods for inducing similar processes in mammals. The concept of dedifferentiation of mammalian cells is not such a far-fetched, science-fiction perspective. Proof that cells can reverse the epigenetic modifications accumulated during the development comes from the restoration of totipotency by transplanting the nucleus of a somatic cell into an enucleated oocyte [5]. Studies in determining how this occurs, i.e. the different elements involved in altering gene organization, as well as understanding the complications due to genomic imprinting are necessary to fully characterize the steps involved in this process. V. CONCLUSIONS The knowledge gained from a systems level understanding of gene networks in stem cells may provide the necessary information to control gene organization and expression. Cells could be manipulated to induce differentiation, transdifferentiation, or dedifferentiation. This would yield optimal therapeutic strategies for regenerating diseased or damaged organs and tissues. REFERENCES 1. Kitano, H., Looking beyond the details: a rise in system-oriented approaches in genetics and molecular biology. Current Genetics, 2002. 41: p. 1-10. 2. Wolkenhauer, O., Mathematical modeling in the post-genome era: understanding genome expression and regulation- a system theoretic approach. Biosystems, 2002. 65: p. 1-18. 3. Alberts, B., et al., Molecular biology of the cell. 4th ed. 2002, New York, NY: Garland Science. 4. Gilbert, S., Developmental biology. 6th ed. 2000, Sunderland, Mass: Sinauer Associates. 5. Surani, M., Reprogramming of Genome Function Through Epigenetic Inheritance. 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