Abstract
Mesenchymal stem cells (MSC) are heterogeneous cell populations with promising therapeutic potentials in regenerative medicine. The therapeutic values of MSC in various clinical situations have been reported. Clonal assays (expansion of MSC from a single cell) demonstrated that multiple types of cells with different developmental potential exist in a MSC population. Due to the heterogeneous nature of MSC, molecular characterization of MSC in the absence of known biomarkers is a challenge for cell therapy with MSC. Here, we review potential therapeutic applications of MSC and discuss a systematic approach for molecular characterization of heterogeneous cell population using single-cell transcriptome analysis. Differentiation/maturation of cells is orchestrated by sequential expression of a series of genes within a cell. Therefore, single-cell mRNA expression (transcriptome) profiles from consecutive developmental stages are more similar than those from disparate stages. Bioinformatic analysis can cluster single-cell transcriptome profiles from consecutive developmental stages into a dendrogram based on the similarity matrix of these profiles.
Because a single-cell is an ultimately “pure” sample in expression profiling, these dendrograms can be used to classify individual cells into molecular subpopulations within a heterogeneous cell population without known biomarkers. This approach is especially powerful in studying cell populations with little molecular information and few known biomarkers, for example the MSC populations. The molecular understanding will provide novel targets for manipulating MSC differentiation with small molecules and other drugs to enable safer and more effective therapeutic applications of MSC.
Keywords: Single-cell transcriptome, Heterogeneity, Mesenchymal stem cells
1. Introduction
There is a long history of harnessing cellular plasticity in clinical situations. While hematopoietic stem cell is the best studied system, there is a growing interest in mesenchymal stem cells (MSC). Cellular plasticity of bone marrow cells has been utilized to rebuild the hematopoietic system since 1957 (Brecher and Cronkite, 1951). Recently, cells with differentiation plasticity such as MSC have been proposed for diverse applications in regenerative medicine. The focus of regenerative medicine has gradually shifted from whole bone marrow to specific plastic cells (e.g. mobilized stem cells, cord blood and MSC). However, most primary cell populations are heterogeneous due to isolation methods, culture conditions and potentially the need for interaction among different cell types for surviving and functioning. This naturally existing cellular heterogeneity presents a challenge for molecular characterization of these cells in order to improve their medical values. MSC is one of these cell populations. MSC studies using different isolation, expansion and characterization methods have raised concerns on the consistency of results among different studies due to the heterogeneous nature of MSC and lack of precise molecular characterization of MSC (Dominici et al., 2006; Wagner et al., 2006). Consequently, developing drugs to improve MSC therapeutic efficacy is limited by the lack of molecular knowledge of MSC. Here, we briefly review some medical applications of MSC, and discuss a potential methodology, single-cell transcriptome analysis, for MSC molecular characterization and the possibility of using small molecules to improve MSC therapeutic efficacy.
2. Mesenchymal stem cells
Mesenchymal stem cells (MSC) are a highly heterogeneous subset of stromal stem cells which are difficult for molecular characterization with traditional methods. Bone marrow and adipose tissue are two main sources of MSCs for clinical applications (Mendez-Ferrer et al., 2010; Morando et al., 2012; Rodriguez et al., 2005). The International Society for Cellular Therapy (ISCT) provided 3 minimal criteria to define human MSC with culture conditions, biomarkers and developmental potentials for facilitating comparison of different studies (Dominici et al., 2006). Expression of biomarkers is only one of the 3 criteria and is often different in different studies. Although various biomarkers are reported for association with MSC populations, the exhaustive list of markers is from various subpopulations within the MSC populations. Therefore, these biomarkers are not the unique characteristics of MSC, but rather a reflection of the heterogeneity of MSCs. It is still lack of consensus on a set of well defined biomarkers for MSC (Buhring et al., 2007; Mendez-Ferrer et al., 2010; Uccelli et al., 2008). In addition, because their phenotype may be affected by the culture medium, the plating density and the oxygen tension, the precise phenotype of cultured MSC is still debated, and their identification remains ambiguous (Gnecchi et al., 2012). Numerous studies including clonal assays followed by transcriptomic analyses have been carried out for molecular characterization of MSC and demonstrated the difficulty of molecular characterization of MSC (Jia et al., 2002; Kuznetsov et al., 1997; Muraglia et al., 2000; Panepucci et al., 2004; Russell et al., 2011; Silva et al., 2003; Tremain et al., 2001; Wagner et al., 2005, 2006; Wislet-Gendebien et al., 2012a). The limitations of clonal selection are that not all cells can be clonally expanded and cellular properties could be altered during clonal expansion (Wislet-Gendebien et al., 2012b). Clonal expansion itself may eliminate and alter cellular characteristics (Gnecchi et al., 2012). Single cell transcriptomes from freshly isolated MSC could overcome this limitation and reveal the natural characteristics of MSCs without the need for cell culture and expansion.
3. Treating disease with MSC
In recent years, MSCs have been considered a promising therapeutic resource to treat many central nervous system diseases caused by acute trauma and progressive degeneration, such as Parkinson's disease (PD) (Danielyan et al., 2011), amyotrophic lateralizing sclerosis (ALS) (Choi et al., 2010), multiple system atrophy (MSA) (Lee and Park, 2009), experimental allergic encephalomyelitis (EAE) (Matysiak et al., 2011) and spinal cord injury(Nakajima et al., 2012; J.H. Park et al., 2012; S.-S. Park et al., 2012). A study by Seung et al. suggested that MSCs derived from human fat had the potential to treat brainstem gliomas (Choi et al., 2012). It has also been shown that MSCs could suppress middle cerebral artery occlusion (MCAO) focal ischemia-induced inflammation by expressing fractalkine and IL-5 (Sheikh et al., 2011). Transplanted MSCs derived from bone marrow promoted the behavioral recovery, endogenous neurogenesis as well as protected newly generated cells in rats with cerebral ischemia (Bao et al., 2011). By enhancing the expression of neurotrophic factors, MSCs derived from human cord blood can alleviate cerebellar atrophy in mice with dyskinesia and ataxia (Zhang et al., 2011). MSCs have the potential to reduce the injury and infarction area of myocardium, restore its mechanical energy, improve local and global ventricular functions, and increase blood vessel density and myocardial perfusion (Madonna and De Caterina, 2011; Ohnishi et al., 2007; Psaltis et al., 2008). It is now clear that MSCs not only contribute to reconstituting the capillary network and increasing the vessel density, and differentiating into cardiomyocyte-like cells, but also serve as a sponge cell source which can release multiple paracrine factors with protective function, and also in turn prevent advert remodeling while promoting neovascularization and activation of endogenous stem cells and proliferation of cardiomyocytes(Gnecchi et al., 2008; Li et al., 2012). Toghraie et al. directly injected MSCs derived from the infrapatellar fat pad to the damaged knee of a rabbit osteoarthritis model and found that after 20 weeks, animals injected with MSCs showed lower cartilage degeneration rate, and less degree of osteophyte formation and cartilage ossification compared to control group (Toghraie et al., 2011). Autologous MSCs effectively alleviated symptoms of type 1 diabetes for as long as 16 weeks in beagles (Zhu et al., 2011).
4. Single-cell transcriptome analysis
The molecular foundation of cellular plasticity that has led to all the therapeutic possibilities described above is largely unknown. Previous clonal assays indicated that there are many different types of pluripotent cells within a MSC population (Digirolamo et al., 1999; Kuznetsov et al., 1997; Muraglia et al., 2000; Russell et al., 2011; Wislet-Gendebien et al., 2012a). The heterogeneity of cell populations makes investigating the molecular foundation of MSC cellular plasticity very challenging. In order to obtain sufficient material for measurement, traditional molecular methods typically measure gene expression or protein levels in cell lysates which is a physical-average of all cells in the sample. Therefore, cellular heterogeneity becomes an inherent noise in the measurement of gene expressions (Evsikov et al., 2003; Ivanova et al., 2002; Ramalho-Santos et al., 2002). The cell lysate provides limited molecular knowledge. One approach for molecular characterization of heterogeneous cell populations is single-cell transcriptome analysis.
Single-cell transcriptome analysis has the potential to turn cellular heterogeneity from noise into news. Since gene–gene interaction typically happens inside a cell, analysis of the single-cell transcriptome is the most efficient method to reveal the regulatory relationship among genes. The small amount of RNA within a mammalian cell (~20–40 pg of total RNA (Uemura, 1980)) is a challenge for transcriptome analysis. Our group has overcome technical hurdles for single-cell molecular analysis by using microfluidic technology (Chen and Zhong, 2008; Fan et al., 2012; Zhong et al., 2008a). Traditional molecular analysis methods are performed in microliter scale while a mammalian cell typically has a volume of ~0.065 pl. Therefore, the total RNA is often diluted for more than 106 folds in classic molecular assay(Chen and Zhong, 2008; Zhong et al., 2008a, 2008b). Unlike PCR which is a repetitive reaction, reverse transcription (RT) for obtaining cDNA from mRNA is a single biochemical event. The concentration of RNA in RT is critical for an effective RT reaction. We have developed a microfluidic device to reduce the volume of RT reactions to nanoliter level for increasing the RNA concentration to a level that is compatible with bulk assay for effective single-cell cDNA synthesis (Chen and Zhong, 2008; Fan et al., 2012; Zhong et al., 2008a, 2008b). These microfluidic devices allow us to obtain reliable single-cell transcriptomes for investigating gene regulation. More recently, we developed phase-switch microfluidic devices with various designs to encapsulate individual cells into droplets for nanoliter RT reaction (Fig. 1). Using these microfluidic devices, we have successfully obtained whole genome transcriptomes with microarrays from individual cells (Fig. 2). The quality of single-cell data is similar to that from the population cell experiment in which 1 ng cDNA inputs was used (Fan et al., 2012).
This single-cell technology has been demonstrated on cultured cells (Chen and Zhong, 2008; Fan et al., 2012; Zhong et al., 2008a). It can also be applied to molecular characterization of freshly sorted MSCs and other primary cell populations, although there are challenges associated with such applications. Freshly isolated MSC populations are much more heterogeneous than cultured cells. Our microfluidic devices can isolate thousands of single-cells, but profiling a single-cell will cost as much as profiling a cell lysate. Therefore, there is a limitation on how many single-cells can be analyzed due to the profiling cost. At the same time, a sufficient number of single-cells must be profiled for statistically sound results. The more heterogeneous a population is, the more single-cells are needed for molecular profiling. Enriching MSCs with various methods prior to single-cell analysis can minimize the profiling cost while ensuring sufficient pluripotent MSCs are profiled. Multi-color flow cytometry has been used to isolate MSCs freshly from mouse and from human bone marrows with empirical biomarkers (Morikawa et al., 2009; Qian et al., 2012; Tormin et al., 2011). These freshly isolated MSCs are not homogenous and their purities are dependent on the isolation biomarkers. Combining advanced flow cytometry enrichment (enriching MSCs to more than 10% of the isolated population) with our single-cell technique, only one or two hundred single-cells will need to be profiled to have sufficient MSCs (with >20 profiles) to form a distinct molecular cluster. The clusters of cells with similar expression profiles will not only reveal how many subpopulations (cells with similar expression profiles) there are within a MSC-enriched population, but will also provide new biomarkers (surface biomarkers from their expression profiles) to isolate each molecular subpopulation for functional assays. The functional assay is the gold standard to determine and validate which subpopulation is the pluripotent MSCs. The quality of single-cell expression profiles can also be validated with known biomarkers during single-cell isolation such as DNA and KI67 staining for validation of cell cycle status.
Heterogeneity is a problem for traditional transcriptome analysis because the expressions of genes are physically averaged in the cell lysate. Although large amounts of materials (e.g. cell lysate) warrant repeatable measurements, the unknown heterogeneity (the composition of the cell population) allows measurement only of highly expressed genes. On the other hand, single-cell transcriptome has more measurement noise due to the small amount of RNA from one cell. However, the sample is homogenous (from a single cell) and cellular heterogeneity becomes a beneficial element by providing samples (single cells) at various developmental stages. Each single-cell transcriptome is a snapshot of a molecular event (i.e. blood cell differentiation, somatic cell reprogramming, and apoptosis). Because transcriptome from consecutive developmental stages are more similar than those from disparate stages, single-cell transcriptome profiles can be arranged with similarity to reconstructing a stepwise developmental event at the molecular level. These stepwise molecular maps reveal the sequential perturbation of the gene network. That is similar to organizing a collection of still pictures (transcriptome) into a “video” describing a cellular event at the molecular level. We are currently in the progress of building and distributing these “molecular videos” for the molecular biology community. Such molecular maps can reveal signature genes involved in cell differentiation, which serve as potential targets of genetic or pharmacological manipulation in the ongoing efforts to direct cell fate.
5. Improving MSC efficacy with small molecules
Molecular maps of single-cell transcriptome can predict possible target genes and facilitate chemical optimization of lead compounds for MSC therapeutic applications. Small molecules are critically important tools for stem cell therapeutic application (Lukaszewicz et al., 2010; Xu et al., 2008). Unlike viral vectors that typically have low efficiency delivering target genes to a cell, small molecules can enter and affect almost all cells. More importantly, small molecules do not alter DNA sequences in target cells and can be readily removed post-differentiation. Various studies including ours also demonstrated that transient perturbation of transcriptome can change cell fate permanently(Li et al., 2011; Takahashi et al., 2007; Wernig et al., 2008; Yu et al., 2007). These features make small molecules ideal tools for controlling the fate of stem cells in vitro or in vivo for therapeutic interventions. The identification of small molecules that can efficiently control the fate of stem cells poses a major challenge in the field (Xu et al., 2008). Intensive efforts have been made to meet this challenge. Based on the methodology, these efforts can be broadly divided into two categories — forward chemical genetics and reverse chemical genetics. Forward chemical genetics typically involves screening of a small-molecule library to search for hits that cause a phenotypic change to target cells (Specht and Shokat, 2002). Reverse chemical genetics, on the other hand, entails identification of small-molecule modulators of particular genes in a pathway followed by characterization of phenotypic effects of such modulators on cells (Specht and Shokat, 2002). The application of reverse chemical genetics requires the generation of a list of candidate genes which can be provided by single-cell transcriptomes from MSCs.
Forward chemical genetics is a powerful approach for identifying molecules that affect cell differentiation. Peter Schultz and coworkers were among the first to employ forward chemical genetics to identify a number of different small molecules that affect various cell fate, including stem cell self-renewal, differentiation, and lineage-specific reprogramming (Chen et al., 2004; Ding et al., 2003; Wu et al., 2002). Using the same strategy, Sheng Ding and co-workers went on to identify a series of small molecules and conditions that can replace reprogramming transcription factors in generating iPS cells from somatic cells (Li et al., 2009; Shi et al., 2008). While forward chemical genetics proves quite powerful in identifying novel small molecules that regulate the fate of stem cells, the mechanism of action of these molecules can be elusive. Different methods such as gene deletion, siRNA and affinity chromatography have been applied toward target identification of small molecules (Wu et al., 2004; Zhang et al., 2007). However they suffer from various drawbacks such as distinct phenotypes from pharmacological inhibition versus gene ablation and poor sensitivity to low-abundance proteins (Knight and Shokat, 2007). This results in a lack of mechanistic understanding of small-molecule actions in many cases, which hampers chemical optimization of lead compounds for therapeutic application.
Reverse chemical genetics yields small molecules with known mechanism of action, because these molecules have been characterized toward target proteins in vitro. The better mechanistic understanding of small-molecule actions offered by reverse chemical genetics allows for efficient chemical optimization of lead compounds, especially when the 3-dimensional structures of the target proteins are available. For example, a study identified multiple compounds that affect MSC differentiation by screening a small library of known inhibitors for different protein kinases (Song et al., 2012). These results revealed the relevance of several kinases such as PKA and ROCK in MSC differentiation and provide excellent starting points for medicinal chemistry efforts to generate compounds having improved control of MSC differentiation. Despite the advantage of reverse chemical genetics, there is a bottleneck for its application to MSC differentiation, namely the generation of a list of druggable genes that have validated roles in MSC differentiation. Multiple genes in diverse pathways including Wnt and Notch pathways were found to play important roles in MSC differentiation (Satija et al., 2007). However, the druggable targets in these established pathways are limited to a small number of proteins such as Wnt and GSK3 (Ding et al., 2003; Liu et al., 2005). Accelerated understanding of MSC biology is required to expand this list, which serves as potential targets for small-molecule intervention.
While conventional genetic studies connect individual genes to phenotypes, transcriptome analysis simultaneously associates hundreds of genes to particular biological processes. This makes transcriptome analysis a highly powerful means for generating lists of candidate genes that regulate or affect particular biological processes. As described in the previous sections, single cell transcriptome analysis is ideally suited to dissect the heterogeneity of MSC populations and elucidate the cell differentiation path.
6. Conclusion and prospects
The potential of therapeutic application of MSC under various disease settings has been amply demonstrated by multiple research groups as discussed above. However, the modest efficacy of MSC transplantation limits its clinical application currently. One of the major hurdles for improving MSC efficacy is lack of molecular characterization of MSC which is highly heterogeneous without biomarkers for classification. Single-cell transcriptome analysis is a potential systematic approach to address this issue. With the technologies developed in our group and other laboratories, single-cell transcriptomes can be as reliable as those from standard inputs (Fan et al., 2012). Using reliable single-cell transcriptomes, cells in a heterogeneous population such as MSCs can be classified molecularly based on transcriptome similarity without known biomarkers. The molecular classification in turn will provide targets for controlling MSC differentiation with small molecules for improving MSC therapeutic efficacy. The single-cell transcriptome analysis approach provides a promising solution for molecular characterization of heterogeneous MSC population for therapeutic applications and medicinal research.
Acknowledgments
This work was supported by grant R01CA164509 from the National Institutes of Health, USA (JFZ), and CHE1213161 from the National Science Foundation (JFZ), USA, and an internal grant from the University of Southern California (CZ).
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