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. 2021 Mar 30;65(5):473–488. doi: 10.1165/rcmb.2021-0152TR

Table 1.

Summary of Differentiation Protocols for the Generation of Various EPC Populations

Starting Cell Type Cell Type Generated Protocol Summary Key Contribution Citation
mESC FLK1+/E-cadherin Generation and isolation of FLK1+ cells after 4 d in culture
Addition of VEGF165 to sorted cells results in sheets of CD31+ ECs
mESC-derived Flk1+ cells give rise to endothelial and mural cell types
VEGF165 promotes development of the endothelial lineage
Yamashita et al., 2000 (123)
hESC
Embryoid Body
CD31+/KDR+/VE-Cadherin+/CD45 Generation of EBs
Treatment with SCF, Flt3L, IL-3, IL-6, G-CSF, and BMP4
FACS sorted CD45+ and CD45 populations
Culture in EC media
Role of cytokines and BMP4 in promoting hematopoietic differentiation
Identification of CD45 bipotent cells with hematopoietic and endothelial capacity
Chadwick et al., 2003 (121)
hESC
Embryoid body
SCL+/LMO2+/FLT+/CD31/CD34/KDR Generation of early-stage EBs with factors such as BMP4, VEGF, SCF, and Tpo
Dissociation of EBs and plating single cells in semisolid blast colony growth medium
Large-scale generation of hemangioblast cells under serum-free culture conditions Lu et al., 2007 (122)
hESCs
Embryoid body
CD144+/KDR+/CD31 Generation of EBs using the established protocol by Chadwick and colleagues (2003) with varying concentrations of BMP4 BMP4 accelerates commitment of hESCs to the endothelial cell lineage while inhibiting commitment toward hematopoiesis Goldman et al., 2009 (144)
hESC/iPSC
Embryoid body
+
Monolayer
CD31+/CD146+/KDR+/CD133+/CD34+ Generation of EBs
Plating of EBs on fibronectin-coated dishes in EGM-2 media supplemented with VEGF
Expansion of vascular progenitor fraction in EGM-2 media
Three-dimensional and two-dimensional culture system for the simultaneous generation of hematopoietic and vascular progenitors
Use of minimal factors (VEGF, BMP4, FGF2)
Park et al., 2013 (145)
iPSCs
Embryoid body
CD31+/VE-cadherin+/KDR+/eNOS+ VE-cadherin+ cells are isolated from EBs and seeded on fibronectin-coated dishes Characterization of humoral-, pharmacological-, and biomechanical-induced functional phenotypes of iPSC-derived ECs Adams et al., 2013 (146)
iPSC
Monolayer
CD34+/CD31+ Adherent culture system with small molecule GSK3 inhibition in the absence of exogenous growth factors Temporal activation of WNT signaling, using small molecule CHIR, is sufficient to generate EPCs in the absence of factors VEGF and FGF2 Lian et al., 2014 (125)
hESC/iPSC
Monolayer
NRP-1+/CD31+/CD144+/KDR+ (CB-ECFCs) Adherent culture system with Activin A, BMP4, VEGF, and FGF2 in serum-free media Two-dimensional system that does not require EB development, feeder cells, or TGF-β inhibition
Protocol generates HPP-ECFCs with robust vessel-forming ability in vivo
Prasain et al., 2014 (124)
hESC
Embryoid body
+
Monolayer
VE-cadherin+/CD31+/CD34+/CD14/KDRhigh Three-phase protocol including both suspension and adherent culture method Controlled modulation of BMP, Wnt, VEGF, and Notch pathways results in rapid production of EPCs by Day 6 and mature ECs by Day 14 Sahara et al., 2014 (147)
iPSC
Monolayer
CD144+/KDR+/CD31+/CD34+/CD105+ Six-day differentiation protocol involving differentiation to mesodermal lineage with either CP21 or CHIR and/or BMP4 with subsequent exposure to VEGF-A to induce EC development Efficient and quick production of endothelial cells with efficiencies between 61.8% and 88.8% Patsch et al., 2015 (148)
hESC
Monolayer
KDR+/CD34+/CD31+/VE-cadherin+ hESCs are cultured on stem cell niche LN matrices (LN521)
This protocol involves the use of factors such as Activin A, BMP4, VEGF, and bFGF
A chemically defined, xeno-free protocol using LN coating to generate roughly 95% functional EPCs Nguyen et al., 2016 (126)
hESC/iPSC
Monolayer
CD157+/CD31+/CD144+/CD34+/KDR+/CXCR4+
(HPP-ECFCs)
Synergistic three-phase protocol using unique media compositions
Generation of primitive streak → KDR+ mesoderm → primitive endothelium
Highly efficient, fully defined protocol for generation of EPCs with minimal variability
HPP-ECFC–like cells with expression of EPC marker CD157 in addition to other standard EPC surface markers
Farkas et al., 2020 (149)

Definition of abbreviations: bFGF = basic fibroblast growth factor; BMP4 = bone morphogenetic protein 4; CB-ECFCs = cord blood endothelial colony-forming cells; EB = embryoid body; EGM-2 = endothelial growth medium-2; eNOS = endothelial nitric oxide synthase; EPCs = endothelial progenitor cells; FGF2 = fibroblast growth factor 2; hESC = human embryonic stem cell; HPP-ECFCs = high-proliferative-potential endothelial colony-forming cells; iPSC = induced pluripotent stem cell; LN = laminin; mESCs = murine embryonic stem cells; SCF = stem cell factor; TGF-β = transforming growth factor-β; VEGF = vascular endothelial growth factor.