CA2246712A1 - Cytokine expressed by dia/lif-deficient embryonic stem cells for the inhibition of differentiation - Google Patents

Cytokine expressed by dia/lif-deficient embryonic stem cells for the inhibition of differentiation Download PDF

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CA2246712A1
CA2246712A1 CA002246712A CA2246712A CA2246712A1 CA 2246712 A1 CA2246712 A1 CA 2246712A1 CA 002246712 A CA002246712 A CA 002246712A CA 2246712 A CA2246712 A CA 2246712A CA 2246712 A1 CA2246712 A1 CA 2246712A1
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Christian Dani
Ian Paul Chambers
Mia Lydia Buehr
Austin Gerard Smith
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Abstract

A novel cytokine having the capacity to inhibit differentiation of embryonic stem (ES) cells is provided. The cytokine is designated ESRF and is characterised by the capacity to inhibit differentiation of ES cells (i) in the absence of DIA/LIF and (ii) in the absence of cytokines which act through gp 130 and (iii) in the absence of interaction with gp 130 and (iv) in the absence of interaction with LIF receptor. The invention further provides methods of deriving and propagating ES cells, ES cells per se and cell lines useful in deriving and assaying novel factors.

Description

CYTOKINE EXPRESSED BY DIA/LIF-DE~:TCIENT EMBR~ONIC STEM CELLS FOR THE INHIBI-T~ON OF DIFFERENTIATION

Field of the Invention This invention reiates to substances having the capacity to inhibit differentiation of embryonic stem (ES) cells. The invention further provides methods of deriving and propagating ES cells, ES cells per se and cell lines useful in deriv;ng and assaying novel factors.

Backqround to the Invention Embryonic stem cells are the archetypal stem cell, being capable both of unlimited self-renewal and of differentiating to form the whole gamut of cell types found in the adult animal. Such stem cells are described as pluripotential as they are capabie of differentiating into many cell types. These cells will participate fully in normal embryogenesis following reintroduction into blastocysts and can contribute functional differentiated progeny to all somatic tissues and to the germ line. ES cells can also be induced to differentiate into a wide variety of cell types in culture, recapitulating in vitro processes responsible for tissue diversification in the developing embryo. ES cells therefore provide a unique system for the analysis of factors that control early embryonic growth and differentiation.

ES cells have the additional property of being able to participate fully in normal embryogenesis following reintroduction into host embryos and contribute functional differentiate progeny to all somatic tissues and to the germ line. Their ~ ability to form gametes allows ES cells to be used as a means of transmitting genetic modifications into animals. This is exploited for gene discovery and mutation though gene trapping strategies and most importantly for precise gene alteration via gene targeting.

W 097/30151 PCT/GB97/0~426 In general, when required for research purposes or for medicai use, stem cells have to be isolated from tissue samples by various fractionation procedures, but even after careful segregation of cell types, these stem cell preparations consist of mixed cell types and while enriched for stem cells, include high proportions of differentiated cells which are not categorised as stem cells.

Furthermore, most stem cells cannot be grown readily in culture and when attempts are made to culture stem cells, and more particularly to maintaining established lines of ES cells, the cells being cultured ~which ordinarily contain a mixed population of cell types) grow at different rates and stem cells rapidly become overgrown by non-stem cell types. An exception is that embryonic stem cells from two specific strains of mice (129 and Black 6) can be cultured in vitro.
Thus established lines of embryonic stem cells can be obtained by culturing early (3 1/2 day) embryonic cells from murine strain 129 and Black 6, or hybrids thereof.

Proven embryonic stem cells with the capacity for germ line transmission have to date only been established from specific inbred strains of mice (notablystrains 129 and C57BL/~i). They are derived by culturing early embryonic cells in the presence of a feeder layer of embryonic fibroblasts and/or of cytokine leukaemia inhibitory factor (LIF~ or related cytokines which act through the signal transducer glycoprotein 130 (gp130) (Yoshida eta/., 1994). In the absence of a source of LIF the stem cells differentiate and cannot be propagated. E~y contrast, ES cells cultures in the presence of DIA/LIF or of a feeder layer of DIA/LIF-producing cells maintain their proliferative capacity, retain characteristic stem cell morphology, and express stem cell markers such as alkaline phosphatase, stage-specific embryonic antigen-1 and the stem cell-specific transcription factor Oct-3/4.
ES cells expanded in the presence of LIF remain pluripotential and competent to produce germline chimaeras when reintroduced into mouse blastocysts (Nichols etal., 1990; 1994).

CA 022467l2 l998-08-l4 It is known that cytokines play an important role in the maintenance of the pluripotentiai phenotype of ES ceils in vitro. Thus the investigation of factorswhich regulate proiiferation and differentiation of ES cells led to the purification of a glycoprotein of apparent molecular weight 45 kDa named " Differentiation inhibiting activity" or DIA. This is identical to the cytokine "Myeloid leukaemia inhibitory factor" or LIF. DIA/LIF acts to sustain the self-renewal of undifferentiated ES cells and thereby allows their propagation in vitro. ES cells maintained in the presence of this factor retain their full development potential. Moreover ES cells can be established de novo by direct cutture of blastocysts in medium supplemented with DIAILIF. (The term "cytokine" as used herein refers to any substance which acts from outside a cell and is capable of affecting cell survival and/or growth andlor differentiation. Primarily the term denotes a proteinaceousfactor capable of inhibiting differentiation of ES ceils).

In the absence of a source of DIAILIF, the stem cells differentiate and cannot be propagated. By contrast, ES cells cultured in the presence of DIA/LIF or of afeeder layer of DlA/LlF-producing cells maintain their proliferative capacity, retain characteristic stem cell morphology and express stem cell marker proteins such as alkaline phosphatase and stage-specific embryonic antigen-1 (SSEA-1 l (Williams et al., 1988; Smith et al., 1988). Most significantly, ES cells expanded in the presence of DIAILIF remain pluripotential and competent to produce chimeras whenreintroduced into mouse blastocysts (Nichols et al., 1990; Pease et al., 1990).

Further study has revealed that undifferentiated ES cells express low levels of mRNA which gives rise to the matrix-localised form of DIAILIF, whereas differentiated cells express relatively high levels of both soluble and matrix-associated DIAILIF. It has been proposed that the enhanced production of DIAILIFby newly differentiated cells may provide a mechanism for regulating the balancebetween differentiation and self-renewal in stem cell populations. The physiological importance of DIAILIF has been established by the finding that homozygous DlAlLlF-deficient female mice are sterile due to an incapacity to support embryoimplantation. However, DIA/LIF -/- embryos are viable. This observation suggests that other factors may compensate for the absence of DIA/LIF expression during early development. It has recently been shown that a number of cytokines, including DlA/LlF, interleukin-6 (IL-6), ciliary neurotrophic factor (CNTF) and oncostatin M (OSM), share the same effector molecule gpl 30. This presumably underl;es the considerable overlap in biological activities reported for these factors.
Activation of gp130 signalling processes by any of these cytokines is sufficient to support ES cell self-renewal. However, it is not yet clear which, if any, of these molecules plays a role in the maintenance of stem cell renewal early during embryogenesis or whether other factor~s) are involved in this process.

There hag developed a pressing need to isoiate and maintain in vitro embryonic stem cells from other murine strains and more especially from other species including other laboratory animals (eg. rats, rabbits and guinea pigs), domesticated animals (eg. sheep, goats, horses, cattle and pigs~ and primates including human. The demand for this is twofold. Firstly to extend gene targeting and other sophisticated genome manipulation technologies such as chromosome modification (Smith A.J.H. et al., 1995) into other species, notably the rat, which is the experimental model of choice for the pharmaceutical industry, and the pig, which requires genetic adaptation for use in xenotransplantation. The second need is for the development of human ES cells as a universal source of donor cells for transpiantation. However, no known techniques exist for generating and maintaining established lines of true embryonic stem cells other than from the mouse strains noted above and from hybrids thereof. Also, the only known method of maintaining ES cells used either DIA/LIF or related cytokines as described above or feeder layers as a source of such cytokines. A further disadvantage of the known ES derivation methods is that expression of gp130 by donor embryo cells is essential.

-Statement of Prior Art A paper entitled "Pluripotent Embryonic Stem Cells from the Rat Are Capable of Producing Chimeras", lannaccone, P.M. eta/., Dev. E;iol. 163, 288-292 (1994~
describes a cell line designated RESC-01 which is stated in the paper to consist of "diploid rat embryonic stem cells". Further the RESC-01 cell line is stated to be capable of being "used to produce chimeras by injection into rat blastocysts". The aforementioned paper does not characterise the RESC-01 cell line by reference toits karyotype and in the absence of such characterisation, the data presented isinsufficient to support the allegation that the RESC-01 celi line consists of rat ES
cells. It is understood from subsequent disclosed information (personal communication, not published) that the RESC-01 cell line has a mouse karyotype, not rat. It is apparent therefore that lannaccone et al's stated aim "The ability to establish a stem cell population from the rat and make chimeras with them is thefirst step toward providing an important addition to the repertoire of genetic manipulation techniques in mammals" has hitherto been unfulfilled.

Further a paper entitled "Isolation of a primate embryonic stem cell line ", Thomson J.A. etal., Proc. Natl. Acad. Sci. U.S.A. describes a cell line designated R278.5 which is stated to be an ES cell line. However although R278.5 possess a number of the characteristics of ES cells, it has not been shown to be a true ES cell line by at least one of the following criteria:
(i~ extensive contribution to chimeras without tumour formation, (ii) reconstitution of host tissues, (iii) contribution of functional gametes to chimeras and generation of offspring.

CA 02246712 l99X-08-14 Summarv of the invention In order to define the contribution of DIA/LIF in vitro and establish an assay system for detecting factors which can regulate ES self-renewal, we have generated ES cells in which both copies of DIA/LIF gene have been deleted. We report here that different;ated DlA/LlF-deficient ES cells synthesize a novel soluble factor which inhibits ES cell differentiation. This factor is distinct from previously characterised ES cell maintenance factors and most significantly acts independently of direct activation of gpl30. ES cells have aiso been generated which lack LIF
receptor. The LlF-negative and LIF receptor-negative cells (LIF(-) and rLlF~-)) are additionally useful in assay procedures which form further aspects of the invention.

According to one aspect of the present invention, there is provided a novel cytokine designated ESRF (ES cell Renewal Factor) and characterised by the capacity to inhibit differentiation of ES cells in the absence of DIAILIF and without direct interaction with gpl30.

More specifically, there is provided a cytokine designated ESRF and characterised by the capacity to inhibit differentiation of ES cells (i) in the absence of DIAILIF and ~ii) in the absence of cytokines which act through gp130 and ~ inthe absence of interaction with gp t 30. The capacity to inhibit differentiation of ES
cells (iv) in the absence of interaction with LlF-receptor may further be used to characterise the cytokines of the invention.

The cytokine of the invention may be further characterised by features selected from the following:
- being distinguishable from DIAILIF
- being distinguishable from IL-61slL-6R
- being distingufshable from CNTF
- being distinguishable from oncostatin M

- being distinguishable from cardiotrophin-1 taken individually or in combination. ~"IL-6/slL-6R" is an abbreviation of "interleukin-6/soluble interleukin-6 receptor").

The cytokine designated ESRF herein is intended to include ESRF derived directly or indirectly from any mammalian species, including laboratory animals (i.e.
rodents~, domestic and farmyard animals (e.g. dogs, cats, sheep, horses, cows, pigs etc.) as well as primates including humans. The factor may be obtained by isolation of endogenously produced factor in an appropriate cell line, or by recombinant expression.

As indicated, the cytokine of the invention is believed to inhibit differentiation by a mechanism which is distinct from gp ~ 3(~ and this feature may be used as a further characterising feature thereof.

Additionally its capacity to inhibit differentiation of ES cells cannot be eliminated by neutralising anti-DlA/LlF antiserum, nor by neutralising anti-lL-6soluble receptor antiserum, nor by neutraiising anti-CNTF antiserum.

The novel cytokine of the invention was discovered by generating cell lines that were DIA/LIF deficient and identifying in supernatants from such ceil lines an activity that inhibited differentiation of ES cells. The supernatants from these cells in crude or partially purified form also form part of the present invention. Thus the present invention further provides an at least partially purified composition obtainable from supernatants of DIA/LIF deficient cells and comprising at least one polypeptide having the following characteristics - the capacity to inhibit differentiation of ES cells (i~ in the absence of DIA/LIF and (ii) in the absence of cytokines which act through gp130 and (iii) in the absence of interaction with gp130.

The capacity to inhibit differentiation of ES cells (iv) in the absence of interaction with LlF-receptor may further be used to characterise the partially W O 97/301Sl PCT/GB91/00426 -purified compositions. These may optionally further be characterised by featuresselected from the following:
- being distinguishable from DIA/LIF
- being distinguishable from IL-6/slL-6R
- being distinguishable from CNTF
- being distinguishable from oncostatin M
- being distinguishable from cardiotrophin-1 taken individually or in combination.

At least partially purified polypeptide components of said compositions also fall within the present invention.

The invention may alternatively be defined as a cytokine designated ESRF
which is obtainable by culturing cell line D7A3-PE and is characterised by - the capacity to inhibit differentiation of ES cells - being distinguishable from l~IA/LIF
- being distinguishable from IE-6/slL-6R
- being distinguishable from CNTF
- being distinguishable from oncostatin M
- being distinguishable from cardiotrophin-1 The invention further provides a method of producing the novel cytokine ESRF which comprises culturing a ESRF-producing cell line and isolating ESRF from the supernatant therefrom. Suitably the ESRF-producing cell line comprises the cell line D7A3-PE or a cell derived therefrom. The deposited cell line D7A3-PE
constitutes a further aspect of the present invention.

The invention further provides culture procedures which utilise ESRF. One is a method of propagating ES cells which comprises propagating the cells in thepresence of the cytokine designated ESRF. Another is a method of establishing EScells which comprises culturing early embryos in the presence of the cy~okine designated ESRF. These procedures can utilise ESRF as the sole ES cell-propagation enhancing agent, or others may be included in the culture medium, for example DIA/LIF or other cytokines including ones which act through gp130.
Propagation and/or establishment of ES cells in accordance with the invention may be monitored by culturing cells which include a selectable marker such as Oct-4Rgeo. Further the method of the invention may be utilised to promote the propagation of somatic stem cells such as haematopoietic stem cells.

In a particular embodiment of the invention, the cytokine of the invention, in combination with a second cytokine known to act via gpl 30, is used to derive, propagate and/or maintain a culture of embryonic stem celis in an undifferentiated state. For exarnple, a combination of the cytokine of the invention with LIF is suitable for deriving, propagating and/or maintaining embryonic stem cells of rats or other species.

In this procedure for generating ES cells it is advantageous to culture embryos, which preferably are zona-free, on a feeder layer of ceils which express matrix-associated LIF.

Suitable feeder layer cells are derived from fibroblasts. Examples include mouse embryo fibroblasts that have been transfected so as to express matrix-associated LIF. A suitable stably transfected cell line is designated DIA-M and has been deposited at the European Collection of Animal Cell Cultures (ECACC~ on 31 May 1996 under Accession No. 9~;053101.

DIA-M was produced as a clonal derivative of C3HlOT1/2 mouse embryo fibroblasts stably transfected with an expression vector containing a cDNA for the matrix-associated form of mouse LIF (Rathjen etal., 1990) and an IRES-linked neoselectable marker. (See also WO 94/24301 for details of the expression system).

Thus in its more specific aspects there is provided a new methodology for isolating and propagating embryonic stem cells from other species. The approach is based on a novel combination of soluble LIF plus the cytokine Embryonic Stem W 097/301Sl PCT/GB97/00426 Cell Renewal Factor (ESRF) plus a feeder layer of genetically modified fibroblasts which overexpress the matrix-associated isoform of LIF ~Rathjen ef a/., 1 g90J.

Using this protocoi rat embryonic stem cells can be propagated indefinitely whilst retaining a euploid rat karyotype and characteristic stem cell morphology and marker expression. Furthermore a novel method for freezing and thawing the ES
cells is described and procedures are given for chimaera production.

According to a further aspect of the invention there is provided a method for assaying and/or detecting growth factors that affect differentiation by a meohanism that is distinct from mechanisms involving DIA/LIF and/or gpl30 interactions, which comprises culturing ES cells in the presence of a sample to be assayed, and detecting variation in growth or diffe~entiation compared to cells cultured in the absence of the sample, characterised in that the ES cells have an LlF-negative (LIF(-)) and/or LIF receptor-negative (rLlF(-)) phenotype.

A specific embodiment of the invention is a cytokine having the following physicochemical properties:-~ apparent MW equal or greater than 100,000 Daltons in salineor 4M urea ~ isoelectric point = 4.25-4.5 ~ stable above pH3, but inactivated below pH3 ~ inactivated by 0.5M NaOH
~ sensitive to reduction by 10mM dithiothreitol, 30min, 37~C.
~ inactivated by incubation with trypsin inactivated by incubation at 50~C
~ stable to proionged (6 months) storage at 4~C
~ stable to freeze/thaw ~ stable to exposure to 4M urea ~ stable in 1% CHAPS or CHAPSO
~ inactivated by 0.01% SDS

The invention further provides an established line of embryonic stem cells characterised by possessing at least five and preferably at least seven of the following features:
(i) the characteristic morphology of stem cells, including - growth in clumps as small tightly packed cells with a high nuclear to cytoplasmic ratio, (ii) expression of one or more specific markers selected from (a) alkaline phosphatase, (b) stage-specific embryonic antigen-1, (c) Oct-3/4, (iii~ non-expression of differentiation markers, for example H19 RNA, (iv) sub'stantial or uniimited propagation potentiai, (v) stabiiity to freezing and thawing, (vi) stable euploid karyotype, (vii) propagation dependent on cytokines, (viii~ in vitro differentiation inducible by withdrawal of cytokine(s), aggregation or chemical differentiation inducers, (ix) ability to form teratocarcinomas comprising derivatives of endoderm, mesoderm and ectoderm, (x) ability to colonise and/or reconstitute host tissues through the production of somatic stem cells and functionally differentiated progeny, (xi) ability to colonise host embryos with contribution of functional differentiated progeny to chimeras, (xii) ability to produce functional gametes in chimeras and generation of viable offspring, (xiiil ability to integrate exogenous DNA, and further characterised in that said cell line has a karyotype other than mouse.
Such cells preferably possess at least five and preferably at least seven of thespecified features (i) to (viii), and most preferably are further characterised by possessing at least one of the specified features (ix) to (xiii).

It will be appreciated that established lines of embryonic cells provided according to the invention need not necessarily exhibit each and every one of the features ~i) to (xiii) listed above. Thus for certain species, one or more characteristics may be absent. For example in feature ~ rodent embryonic stem cells may display all three of the specific markers mentionad above, i.e. (a) alkaline phosphatase, (b) stage-specific embryonic antigen-1 and (c~ Oct-3/4,. However, stage-specific embryonic antigen-1 (feature (ii~(b~ may be absent or undetectable in embryonic stem cells of other species, especially large mammals such as primates .

Further, in respectof mammals having long gestation periods and/or reaching sexual maturity after a long period of time, it may not be practical to demonstrate the existence of features tx) and ~xi~. Also moral and legal constraints may make it impossible to demonstrate features ~x) and (xi~ in certain species such as human.

Description of Figures The invention will now be described in more detail by way of example with particular reference to the accompanying drawings of which:
Figure 1 illustrates the response of lif-r-/- ES cells to cytokines Figure 2 shows a phase contrast photomicrograph of rat ES cells Figure 3 shows a metaphase chromosome spread from rat ES cells Figures 4A show marker expression in rat ES cells of A. Alkaline & 4B phosphatase and B. Oct-4 immunostaining Figures 5A, show differentiation of rat ES cells into A. Trophoblast, 5B & 5C B. Parietal endoderm and C. Bipolar cells The production, isolation and characterisation of ESRF in accordance with the invention will now be described in more detail by way of example.

W O 97t30151 PCT/GB97/00426 1.1 Generation of DlA/LlF-deficient ES cell lines In order to abolish DIA/LIF function in ES cells, both alleles of the gene were deleted via two rounds of homologous recombination. ES cells in which one copy of the gene is inactivated were generated using a replacement vector in which the entire coding sequence of the DIA/LIF gene is replaced by a selectable HPRT mini-gene. After transfection into HPRT-deficient E1 4TG2a cells, 1 5AT-resistant ES cell clones which had undergone the recombination event were identified by DNA
hybridisation analysis using a probe external to the 3' arm of homology. To verify the expected replacement event, DNAs of positive clones were restricted with theappropriate restriction enzyme and hybridized to a 5' external probe. In total, 11 correctly targeted clones were identified from a primary screen of 89 colonies.

One germline competent clone, D6, was used for the deletion of the second allele. A hygromycin resistance cassette was substituted for the HPRT marker in the targeting vector. In parental cells this construct gave rise to homologous replacement events at a comparable frequency (10%) to that obtained with the HPRT vector. This second construct was electroporated into the D6 clone and transfectants were isolated by selection in hygromycin B. Three classes of homologous recombinant were identified amongst 162 colonies screened :
recombination into the previously targeted allele had occurred in 30% of clones;integration into the 5' or 3' homology region of the wild-type allele was detected in 4 cases; and only three ctones had undergone replacement of the wiid-type allele. Deletion of DIA/LIF coding sequences was confirmed for these three ciones by the absence of hybridisation with a full-length cDNA probe whereas clones which had undergone recombination into only one homology arm retained the gene.
The loss of DIA/LIF mRNAs was confirmed using a highly sensitive ribonuclease protection assay. E14TG2a ES cells express relatively high levei of both matrix-associated and diffusible forms of DIA/LIF mRNAs after induction of differentiation, as previously described for other ES cell lines. In contrast, no protected fragment could be detected in RNA preparations from undifferentiated or differentiated CA 022467l2 1998-08-14 W O 97/3~151 PCT/GB97/00426 doubie knock-out ES cells. These experiments confirm unambiguously that the DIA/LIF deletion is a null mutation. The similar phenotype of two independent clones, named D1 C2 and D7A3, which were isolated from separate plates during the drug selection is reported in the following experiments.

1.2 Capacity of homozygous DlAlLlF-negative ES cells for differentiation in vivo ~ IA/LIF-deficient ES cell clones were used to generate chimaeras. DIC2 andD7A3 ES cells were injected into C57~L/6 blastocysts and chimaeric offspring were produced. Chimaeras showed high ES cell contribution as judged by the sandy coat colour. THis was confirmed by the determination of the degree of ES cell contribution to blood and tail of five chimaeric mice by glucose phosphate isomerase isozyme analysis. Both clones contributed to gametogenesis as indicated by the production of viable germ-line offspring. These results establish that the two rounds of selection applied to generate double knock-out ES cell lines have not abolished their normal developmental potential.

1.3 Stem cell renewal can occur in the absence of DIA/LIF
The differentiation of ES cells in high density monolayer culture does not result in the complete elimination of stem cells. We have previously proposed a model of feedback regulation of stem cell renewal in which the synthesis of DIA/LIF
by newly differentiated ES cells contributes to the rescue of residual undifferentiated stem cells. The validity of this hypothesis was examined by investigation of the capacity of DlA/LlF-deficient ES ce~ls for stem cell rescuefollowing induction of differentiation. Wild-type, heterozygous and homozygous mutant ES cells were induced to differentiate at high cell density by exposure to 3-methoxybenzamide ~ME3A~ for three days. After a further four days is basal medium, the number of undifferentiated ES colonies was deterrnined by both morphological inspection and alkaline phosphatase staining. A similar number of undifferentiated ES colonies were recovered from the wild-type and two heterozygous ES cell cultures. In contrast, the number of ES colonies was around3-fold lower for the two DlA/LlF-negative ES clones. This decrease confirms that -the autocrine and paracr;ne production of DIA/LIF is a major component in the feed back regulation of stem cell renewal in differentiating ES cell cultures.
Significantly, however, stem cell renewal was not completely abolished in the absence of DIA/LIF, suggesting that another regulatory factor is operative in this system.

1.4 Inhibition of ES cel~ differentiation by a soluble factor (ESRF3 In order to preclude the possibility that the culture conditions imposed a selection for rare differentiation-defective variants, the stem cell rescue capacity of DlA/LlF-deficient ES cells was further investigated in co-culture assays.
Convenient indicator cell lines were generated by integration of a 13-galactosidase reporter gene into the Oct-4 locus of DlA/LlF-negative ES cells by homologous recombination. The expression of l~-galactosidase in such targeted clones is restricted to undifferentiated stem cells. The indicator cells were plated on layers of MBA-induced differentiated wild-type or mutant clones. After 4 days, the number of undifferentiated ES cells colonies derived from the indicator population was determined by staining for 13-galactosidase activity. Once again, the results indicate that the capacity of DlA/LlF-deficient differentiated cells to inhibit ES cell differentiation is reduced relative to the parental cell line, but is not abolished.
Similar results were obtained using retinoid-induced differentiated cells as thefeeder layer.

To determine whether the effect was due to a diffusible factor, a second kind of co-culture experiment was carried out in which the indicator cells were plated on a microporous insert above the layer of differentiated cells. The insert membrane prevents cell-cell contact between the two cell populations but allows the access of diffusible factors. Both parental and Oct-4-tagged ES cells were used as indicators, staining for alkaline phosphatase and f3-galactosidase respectively.
Similar results were obtained in both cases. The greater activity in wild-type cultures is significantly reduced in the presence of neutralizing DIA/LIF antiserum, but is not eliminated. This indicates that wild-type cells also synthesize active factors other than DIA/LIF. The residual activity in the presence of anti-DlA/LlF

was similar to that produced by D!A/LlF-negative cells which suggests that expression of the responsibie factor is not significantly up-regulated ;n these cells.

These data establish that a solubie factor or soluble factors other than DlA/LiF which is able to prevent ES cell differentiation is synthesized by both wild-type and DlA/LlF-deficient differentiated cells. However, the decreased numbers of colonies generated in response to the mutant cells or to wild-type cells in the presence of neutralising anti-DlA/LlF indicate thatthis factor is produced in limiting amounts .

1.5 Isoration of a differentiated cell line expressing high leveis of a stem cell renewal factor ~ESRF) In order to facilitate characterization of the stem cell renewal activity, we established differentiated cell lines from embryoid body outgrowths of the DIA/LIF-negative ES cells. Several of these cell lines produced levels of activity which were readily detectable in their culture supernatants. One cell line, named D7A3-PE, could be propagated indefinitely and produced high levels of a soluble factor which could maintain undifferentiated ES cells. In addition to their characteristic morphology, ES cells cultured in D7A3-PE conditioned medium continued to express markers of the undifferentiated state such as alkaline phosphatase and Rex-1 mRNA and in the case of Oct-4 tagged cells retained 13-galactosidase activity. This conditioned media was effective on several independent ES cell lines.
ES cells cultured in the presence of conditioned media or partially purified ESRF
formed tight, rounded up colonies, morphologically distinguishable from both differentiated ceils and ES cells maintained in DIA/LIF. ES cells serially passaged in the presence of ESRF and retained the capacity for multilineage differentiation.
The active factor could be concentrated at least 20-fold by ultrafiltration and was destroyed by incubation with trypsin, consistent with a proteinaceous macromolecule. The factor was inactivated by heating to 50~C or by acidificat;onbelow pH3.

~ CA 022467l2 l998-08-l4 1.6 Purif;cation and biochemical properties For purification of ESRF, conditioned medium is prepared from D7A3-PE cells in the absence of serum. Cells are inoculated into 1 50cm2 tissue culture fiasks in normal growth media and grown to near confluence. Cultures are then rinsed with PBS and transferred into defined medium consisting of a 50:50 mix of GMEM and Ham's F12 basal media supplemented with 1 QO,rlM 2-mercaptoethanol, 1,ug/ml insulin, 5,ug/mi transferrin and 1 OnM sodium selenite. Cultures are incubated for 4 hours then the medium is discarded and replaced with fresh defined medium (50ml/flask). This medium is conditioned by incubation with the D7A3-PE cells at37~C for 96 hours. The medium is then harvested and replaced. Three successive harvests can be obtained from each cuiture. The harvested medium is clarified bycentrifugation and passed through a sterile 0.2~m filter. The ability to inhibit ES
cell differentiation is routinely detectable at a 1 in 10 dilution of the unfractionated conditioned medium though full activity over a four day assay requires no greater than 25% dilution. Activity in the conditioned media is stable upon freezing andthawing, but is lost upon incubation at 50~C for 30 min, acidification to pH2 orincubation with trypsin. Activity can be concentrated by uitrafiltration in an Amicon cell using a membrane with a nominal molecular weight cut-off of 100,000 Daltons. Quantitative recovery of biological activity is obtained, indicating that native ESRF has a molecular weight in excess of 100,000 Daltons.

ESRF is quantitativeiy recovered from conditioned medium by stepwise precipitation with saturated ammonium sulphate. ESRF activity is recovered in the 25-35% fraction. This fraction contains 20-25% of total protein. Upon reconstitution in 1/100 volume of starting medium, a viscous solution is obtained which partitions into fluid and gel phases upon cold storage. Both phases contain biologically active ESRF. The gel material is likely to consist of highly glycosylated extracellular matrix components. ESRF can be extracted from the gel by incubation with salt buffers or more efficiently with 0.1 % CHAPS. This finding suggests that ESRF has avidity for ECM components. Consistent with this, significant levels ofESRF activity can be extracted directly from monolayers of D7A3-PE cells by incubation for 2 hours with basal medium containing 0.1% CHAPS. (Under such CA 022467l2 l998-08-l4 -conditions the ceils remain viable with no evidence of significant Iysis). It ispossible that ESRF may exist in isoforms which associate differentially with extracellular matrix. Alternative protocols for obtaining an ESRF-containing fraction by ammonium sulphate precipitation are given in Appendix 9.

Ultracentrifugation studies (see appendix 10) suggest that ESRF activity is not significantly associated with plasma membranes or subcellular organelles butis a soluble protein or protein complex.

The maximum concentration required for biological activity is 1 .5nM, based on the protein 'content of urea resolubilised ammonium sulphate precipitated material (see ~ppendix 9) and assuming a molecular weight equal to 100,000 Daltons.

Further fractionation of ESRF may be achieved on lectin columns. ESRF
binds to soya bean lectin and to lentil lectin, but not to wheat germ agglutinin(appendix 1 1~. Bioactivity is not affected by the addition of heparin to the assay medla.

Upon size exclusion chromatography of the ammonium sulphate fraction using TSK G3000SWXL HPLC column in 50mM sodium phosphate buffer, pH7.2, ESRF migrated as a single peak with a retention time shorter than BSA, indicative of a molecular weight of 100-150,000 Daltons.

ESRF can be further purified by solution phase electrofocussing of the ammonium sulphate fractionated material. Focussing may be performed in the presence of 1% CHAPS and 2% ampholytes in a BioRad Rotofor cell. ESRF is recovered quantitatively in 2-4 fractions of pH 4.25-4.5. ESRF is insoluble in these fractions, but resolubilizes upon direct addition to culture medium for the ES cell bioassay or upon adjustment of buffer pH. SDS gel electrophoresis shows that twomajor proteins with apparent molecular weights of 1 15,000 and 180,000 Daltons are specific to the active fractions.

Further purification of ESRF may be achieved by heparin agarose affinity chromatography. The sample is loaded in 20 mM phosphate buffer, p~i3.~, containing 0.1 % CHAPS. Under these conditions most material does not bind to the column and a significant purification of ESRF can be obtained. ESRF is not eluted with 1 OOmM salt, but elutes over a broad range of higher salt concentrations. The heterogenous elution profile is suggestive of variable glycosylation. (Similarly heterogenous elution profiles are also obtained on anion exchange chromatography). Bioactive fractions contain very low levels of protein(undetectai~le at 280nm). Protein is also undetectable by either coomassie blue staining, conventional silver staining, or silver staining combined with periodic acid preincubation (for improved detection of glycoproteins~ of SDS PAGE gels loaded with up to 10-fold higher amounts of material than required for full biological activity. The low amount of protein present indicates that ESRF is fully active at nanomolar concentrations.

Biotinylation of pooled fractions of active material followed by SDS PAGE in the presence of reducing agent and immunoblotting revealed the presence of a heterogeneous doublet of apparent molecular weight 70-80,000. No other bands were apparent. This observation confirms that these fractions are highly purified.
It further indicates that native ESRF may be a disulphide-linked dimer.

The concentration of IL-6 in the conditioned medium was determined using the highly sensitive B9 cell proliferation assay. Conditioned medium did induce proliferation of B9 cells but the mitogenic response 'equated to a concentration of less than ~ pg/mi IL-6. That this activity was due to IL-6 was confirmed by the use of a neutralizing IL-6 soluble receptor antibody, RS 13. The bioactivity was inhibited totally in the presence of RS13. In contrast, inhibition of ES cell differentiation by D7A3-PE cell conditioned medium was not modified by the addition of RS13, indicating that this low level of IL-6 is not responsible for the effect of this media. This conclusion was further substantiated by the finding that the conditioned medium was not mitogenic for BAF-mgp130 cells. The latter are responsive to IL-6 only in the presence of soluble IL-6 receptor, so the negative ~

. .

result in this assay indicates that the D7A3-PE cell conditioned media does not çontain any IL-6 soluble receptor.

The potential involvement of CNTF was examined both by specific immunodepletion of conditioned medium with the 4-68 anti-CNTF mAb, and by the use of a neutralizing anti-CNTF antiserum. Neither treatment affected the ability of D7A3-PE cell conditioned medium to inhibit ES cell differentiation. Furthermore, activity was retained on addition to RS13 anti-lL-6R antiserum to medium previously depleted with anti-CNTF.

These results establish that neither IL-6/slL-6R nor CNTF are responsible for the inhibition of ES cell differentiation by differentiated DlA/LlF-deficient ES cells.

1.7 The self-renewai factor is distinct from mouse oncostatin M and from cardiotrophin- 1 \/louse cardiotrophin-1 has a molecular weight of 22,0Q0 ~altons. Mouse oncostatin M has a molecular weight of 30-40,000 Daltons. ESRF, in contrast, hasan apparent molecular weight in excess of 100,000 Daltons. It is quantitatively retained by ultrafiltration membranes with a cut-off of 100,000 Daltons even in the presence of 4M urea and has a mobility on size exclusion chromatography corresponding to a molecular weight greater than 100,000 Daltons.

1.8 ESRF is active on LlF-receptor deficient ES cells LIF and related cytokines act through a heterodimeric receptor consisting of the low affinity LIF receptor and gp130. ES cells lacking LIF receptor were generated by two rounds of gene targeting. These cells can be propagated using the combination of IL-6 and soluble IL-6 receptor which acts via gp 130 homodimers without involvement of LlF-receptor. LlF-receptor negative ES cells are pluripotent and contribute to multiple tissues in chimaeras. They show no self-renewal response to LIF, CNTF, oncostatin M or cardiotrophin-1. As shown in Figure 1, however, LlF-receptor deficient ES cells remain responsive to ESRF. This findingconfirms that ESRF is distinct from the LIF group of cytokines.

W O 97/30151 PCT/GB97/00426 _ 1.9 The self-renewal facto- (ESRF) does not act through direct interaction with gp~t30 All the cytokines described to date which are capable of sustaining ES cell self-renewal act through receptor complexes containing the gp 130 signal transducer. Monoclonal antibodies have been raised against mouse gp130 which are capable of blocking gp1 30-mediated signal transduction (Saito et al., unpublished data). In the presence of these antibodies, ES cell responses to DIAILIF, IL-6/slL-6R, CNTF and human OSM are inhibited and the cetls differentiate (Saito et al, unpublished data). The activity of WEHI-3E~ cell conditioned medium (a source of mouse cardiotrophin-1~ on ES ceits atso is completely abotished by anti mouse gp 1 30 .

The effect of two different neutralising anti-mouse gp130 antibodies on the maintenance of ES cell self-renewal by ESRF was investigated. In the presence ofESRF, neither antibody inhibited the production either of alkaline phosphatase-positive undifferentiated colonies by wild-type ES cells, or of 13-galactosidase-positive, G41 8-resistant colonies by Oct-4-targeted cells (Mountford eta/, 1994).
The integrity of the antibodies at the end of the assay was confirmed by retention of the ability to block mitogenic stimulation of BAF-mgp130 cells by IL-6/slL-6R.

The resutts of these experiments with neutralising antibodies against mouse gp130 indicate that the effect of ESRF on ES cell maintenance is not mediated via direct activation of gp 130, in contrast to the actions of ali previously described ES
ceil self-renewal factors.

Addition of cytokines which act via gp130 to ES cells results in activation of STAT3 and induction of the immediate early gene tisl l. Under the same conditions, however, ESRF administration causes no apparent increase in STAT3 activity as determined by gel shift analysis and no induction of tis 1 1 transcripts by CA 022467l2 l998-08-l4 -RNase protection assay. This indicates that ESRF action is mediated via a distinct intracellular signalling pathway(s) from gp130 signal transduction.

The biological response of ES cells to ESRF is also distinguishable from their response to LIF or reiated cytokines. The ES cells are characteristically more compact in the presence of ESRF and form very tight, rounded, colonies which have a tendency to detach from the culture surface. On transfer to LlF-containing medium these colonies adopt a siightly more flattened and spread appearance, typical of ES cells cultured in LIF. Undifferentiated colonies can be maintained for at least 11 days using ESRF alone. However, the colony size does not appear to increase after the first 4 days, in contrast to the effect of LIF which promotescontinuous stem cell expansion. Additive or synergistic effects on stem cell propagation are apparent on combination of sub-optimal amounts of LIF and ESRF.
These data are consistent with distinctive effects on the self-renewal process.

1.10 Mouse ES cells maintained using ESRF remain pluripotential ESRF sustains the undifferentiated phenotype of ES cells in vitro. This effect persists for at least 11 days. However, proliferation is limited and cultures cease to expand after about four days. This contrasts with cultures propagated in the presencè of LIF which undergo a continuous increase in stem cell numbers. To determine whether ES ceils maintained in ESRF are capable of contributing to chimaeras, cells were cultured at cional density in the presence of ESRF for four days. They were then transferred to LlF-containing medium to facilitate expansion of the stem cells prior to blastocyst injection. This protocol was applied to the ES
cell line Zin40 which carries a constitutively expressed nuclear localised 13-galactosidase marker.

Zin40 cells plated in control medium underwent complete differentiation and did not give rise to any ES cell colonies upon replating in the presence of LIF. Cells plated in ESRF, however, remained undifferentiated as described above and engendered many alkaline phosphatase positive stem cell colonies on replating.
Cells from replated and expanded cultures contributed extensively to chimaeras as CA 022467l2 l998-08-l4 W O 97/301Sl PCT/GB97/0~426 .

determined by the widespread presence of 13-galactosidase positive cells in mid-gestation embryos. These chimaeric embryos were morphologically normal. The levels of Zin40 contribution were comparable to those obtained from parallel injections of cells maintained in LIF only.

1.11 Uses of ESRF
Regulation of the balance between stem cell renewal and differentiation is crucial for tissue diversification during embryogenesis and for tissue renewal and repair in adult mammals. The generation of DlA/LlF-deficient ES cells allowed usto study the role of this cytokine in stem cell renewal and differentiation and to characterize other factors involved in the regulation of this process. The results establish that DlA/LlF-deficient differentiating cultures retain some capacity for maintaining a population of undifferentiated cells. The findings indicate that factors and signalling pathways other than those characterised to date have the capacityto maintain the self-renewal of pluripotential ES cells. This may prove of fundamental importance for the isolation and propagation of stem cells from other species .

The propagation and differentiation of murine pluripotential embryonic stem (ES) cells is controlled by specific cytokines. The proliferation of ES cells in vitro is sustained through the activation of intracellular processes associated with the signal transducer gp130. In an attempt to define the relative contributions of different cytokines to self-renewal in ES cell cultures we generated ES cells lacking a functional gene for the cytokine Differentiation Inhibiting Activity ~DIA/LIF).
These cells show a significantly reduced capacity for stem cell renewal when induced to differentiate, indicating that DIA/LIF is the major regulatory cytokine present in normal ES cell cultures. However, undifferentiated ES cell colonies are still produced in the complete absence of DIA/LIF. This is due to the secretion of a soluble, macromolecular, activity by differentiated ES cell progeny. In addition to DIA/LIF, the cytokines ciliary neurotrophic factor (CNTF), interleukin-6 in combination with soluble interleukin-6 receptor ~IL-6/slL-6R~, cardiotrophin-1 and oncostatin M can each activate gp130 and support ES cell propagation. The involvement of either CNTF or IL-~/slL-6R in our system has been precluded through the use of neutralising antisera against these factors. Most significantly, the effect of all the aforementioned cytokines on ES cells is abolished in the presence of neutralising antibodies against mouse gp130, whilst the activity in D7A3-PE conditioned media is unaffected. These findings establish that ES cell self-renewal can be sustained via a gp 1 30-independent signalling pathway and that differentiated ES cell derivatives secrete a factor which activates this pathway.
The cell line designated D7A3-PE has been deposited at the European Collection of Animal Cell Cultures (ECCAC) on 1 8th November 1994 under Accession No 941 1 1845.

FXAMPLE 2- Derivation of Non-Mouse ES Cells There has only been a single report to date of establishment of purported ES-like cells from the rat (lannacone et~/[19941 Dev. Biol.) despite intense effort in several laboratories. However, as indicated above, lannacone's cells were later shown to have a mouse and not a rat karyotype. The potential application of ESRFto derivation of rat ES cells has therefore been investigated.

Z. ~ Derivation and propagation of rat embryonic stem cells in the presence of ESRF
Rat blastocysts were placed in culture on irradiated feeder layers of C3H10T1/2 derived feeder cells in standard ES cell culture medium containing LIFplus ESRF. Inner cell mass ciumps were picked, dissociated in trypsin and replated in identical conditions. Colonies of small, morphologically undifferentiated cells which arose were picked individually, dissociated and replaced. In this way stemcell cultures have reproducibly been initiated from approximately 50% of rat blastocysts of Fischer and Sprague Dawley, and at a lower percentage of BDIX andDA strains. The undifferentiated cells can be maintained for prolonged periods and expanded extensively, by regular passaging. They can be frozen by conventional procedures and recovered from storage in liquid nitrogen.

CA 022467l2 l998-08-l4 W O 97/30151 PCT/GB97/00426 _ In more detail, the procedure was as follows:
2.2 Protocol for rat ES cell derivation 2.2.1 Female rats are paired with males and checked every morning for the presence of sperm in the vagina. On the morning of the 5th day of pregnancy (day on which sperm found = day 1 ) blastocysts are flushed from the uteri, using medium 1 (Appendix 1 ) . Zonae pellucidae, if present, are removed by brief exposure to acid Tyrode's medium.

2.2.2 Feeder iayers are prepared from DIA-M fibroblasts. DIA-M cells are a clonal derivative of C3H1OT1/2 mouse embryo fibroblasts stably transfectedwith an expression vector containing a cDNA for the matrix-associated form of mouse LIF (Rathjen et71., 1990) and an IRES-linked neo selectable marker. These celis express high levels of recombinant matrix LIF. Feeder layers are made by dispensing approximately 75,000 gamma-irradiated DIA-M cells to a 15 mm diameter well of a 4-well tissue-culture plate (from Nunclon). 0.5 ml medium 2 ~Appendix 1 ) is added to each well.

2~2.3. The zona-free embryos are cultured in these wells for 5 days.
After the embryos attach to the feeders (after 2-3 days) the medium-(medium 2) is changed daily.

2.2.4. After 4 days in culture, the large masses of cells are picked individually from the feeder layers, roughly broken up by trituration in fine Pasteur pipettes, and transferred individually to wells containing DIA-M feeder layers (prepared as above) and 0.5 ml medium 3 (Appendix 1 ) per well.

Dishes are incubated at 37~C, 7%CO2 in air, and the medium is changed daily. These culture conditions are used in all further steps.

Z.2.5. Small colonies of small, clear, morphologically undifferentiated cells can be seen in the wells after ~-7 days in culture. When large enough, these are picked for trypsinisation or breaking up. (See step 5). If too small for trypsinisation, colonies are transferred intect to fresh feeders. Alternatively, if the well does not contain too much differentiating tissue, colonies may be removed from the monolayer and allowed to reattach.

2.2.6. Colonies to be trypsinised are rinsed briefly in 3 changes of phosphate-buffered saline and incubated in .05% trypsin with 0.5 mM EDTA and 0.1% chicken serum for 45-60 seconds. They are then transferred to a drop of medium 3, disaggregated into single cells and small clumps ~y trituration, and added to a new well (as described in step 3 above3. Alternatively colonies may be physically broken up into clumps without trypsin treatment by cutting them apartwith glass needles and triturating the fragments with a finely drawn pipette.

2.2.7. Cell lines are maintained by repeated passaging of colonies as described above. As the number of colonies per well increases, cultures can be split into several wells and/or transferred to larger wells.

2.2.8. Cells are karyotyped at intervals (every 3-4 passages) to ensure that euploidy is maintained, according to the protocol detailed in Appendix 2.

Z.2.9. Cells are examined at intervals (every 5-6 passages~ for the expression of oct-4 protein (Appendix 3), oct-4 mRNA (Appendix 4) alkaline phosphatase (Appendix 5) and SSEA-1 (Appendix 6).

2.2.10. Cultures are maintained in the presence either of penicillin and streptomycin, or gentamycin. The type of antibiotic used is changed every 3 to 4weeks to minimise the risk of antibiotic-resistant strains of microorganisms developing .

2.Z.11. To make chimaeric animals, cells are disaggregated in trypsin as described in step 5 above, and introduced into host embryos. Three examples of protocols for chimaera production are described below:

~ a) Host embryos at the early blastocyst stage are flushed from uteri of female rats in the morning of the 5th day of pregnancy (early blastocyst stage) using medium 1. They are cultured for 24 hours in medium 4, and the next morning disaggregated cells are injected into the blastocyst cavity.
The embryos are allowed to recover in the incubator for two hours, and are then transferred to the uteri of rats in the 5th day of pseudopregnancy.
b) Host embryos at the early blastocyst stage are collected as in 2.2.1 1 .a.
They are injected immediately with disaggregated cells and transferred immediately to the uteri of rats in the 4th day of pseudopregnancy.
c) Host embryos are flushed from the oviducts of rats in the 4th day of pregnancy (8-cell stage) using medium 1. Using a micro-manipulator, the zonas are slit and several cells are introduced into the sub-zona space. Embryos are then returned to the uteri of females in the 5th day of pseudopregnancy.

2.2.12. Cells and host blastocysts are derived from strains with different coat colours, and chimaeric animals can be identified by colour about a week after birth. Alternatively, micro satellite markers can be used to distinguish donor cells and host derived populations.

2.Z.13. Cells may be transfected by the procedure described in Appendix 7.

2.2.14. Cells may be frozen by the procedure described in Appendix 8.

2.3 Conclusions . CA 02246712 1998-08-14 W O 97/301~1 PCT/GB97/00426 Both LIF and ESRF are essential for maintenance of the undifferentiated cells.
Upon withdrawal of either component the cultures differentiate completely into trophoblastic cells.

The ES cell status of the undifferentiated cells after extended culture periods is evidenced by one or more of: ~i) maintenance of overt ES cell morphology; (ii) induction of overt differentiation by withdrawal of cytokines, ~ expression of the early embryo and ES cell specific antigen SSEA-1, (iv) expression of the pluripotent cell specific transcription factor Oct-3/4, (v) expression of alkaline phosphatase;
and (vi) non-expression of H19.

The characteristic stem cell morphology of rat ES cell cultures is shown in figure 2. these cells are morphologically indistinguishable from mouse ES cells cultured under the same conditions. The rat chromosome complement of the cultures is shown in Figure 3. Expression of markers is shown in Figure 4; upperpanel alkaline phosphatase, lower panel Oct-4 immunostaining. Figure 5 shows examples of rat ES cell differentiation; a. trophoblast, b. parietal endoderm, c.
unidentified bipolar cells.

These-findings provide a direct demonstration that ESRF can collaborate with LIF (or other cytokines which act via gp130) to enable the establishment of ES
cells.

2.4 Further Characterisation of Rat ES Cells Using the protocol we give in section (2.2), we can reproducibly derive cell lines from the rat blastocyst, which are morphologically identical to mouse ES cells grown in the same conditions. The cells are small, with high nuclear to cytoplasmic ratio and grow tightly packed together in clumps with a characteristic rounded, smooth, transparent appearance. These colonies are morphologically indistinguishable from clumps of mouse ES cells in the same conditions. Althoughthe majority of cells in these cultures maintain an undifferentiated phenotype, some CA 022467l2 l998-08-l4 W 097/30151 PCT/GB97/00426 _ degree of differentiation occurs. Cells most frequently differentiate as parietal endoderm and ~iant cells or other trophoblast-like cells, but other cellular morphologies are occasionally seen.

~ Besides having the characteristic morphology of mouse ES cells, the rat cells express the same markers. Alkaline phosphatase is expressed by primordial germ cells in the rat and mouse, and by mouse ES cells. The rat cell lines we have derived are also strongly positive for alkaline phosphatase, but cease to express this enzyme when the cells differentiate. The rat cells stain positively with anantibody to SSE~-1 (stage-specific embryonic antigen 1 ) which is also expressedby primordial gel m cells and mouse ES cells. Finally, immunohistochemical staining has demonstrated that oct-4 (a transcription factor expressed only by totipotentcells, such as primordial germ cells, the inner cell mass of the blastocyst, andmouse ES cells~ is expressed by our rat cells.

We have maintained lines of cells with these morphological characteristics and which express oct-3/4, SSEA-1 and alkaline phosphatase for more than 25 passages in vitro (over 3 months).

We have confirmed that these are indeed rat cells by examining their karyotype. They have a modal chromosome number of 42 and possess metacentric and submetacentric chromosomes characteristic of rats and not found in normal mouse strains. The cell lines remain euploid at high passage numbers.

If cells are frozen according to the protocol in Appendix 8, colonies may be stored in liquid nitrogen and subsequently thawed and maintained in culture withno increase in incidence of differentiation, or alteration of ploidy.

The maintenance of an undifferentiated phenotype in these lines is dependent upon 3 factors, each of which should be present in the system if cell lines are to remain viable and undifferentiated for more than a few passages. The medium must contain soluble DIA/LIF and ESRF (see sections 2.1), and the cells W 097/3~151 PCT/GB97/00426 are preferably grown upon feeder layers of mitotically inactivated DIA-M cells (section 2.2.2). If either LIF or ESRF is removed from the systems, the cells will all eventually differentiate (mostly as trophobiast-like cells) or die (Table 1, below).
Once established, rat cells can be propogated on alternative feeder layers or even on gelatin-coated piastic. Later passage cells may also be grown in the absence of ESRF.
maximum passage number with DIA/LIF, ESRF, and DIA-M feeders >2 without DIA/LIF 1-2 without ESRF 4 without DIA/M feeders 4-5 Chimaeras may be produced from these cells by introduction into host embryos using the procedures given in section 2.2.11.

Genetically modified rats may be produced by transgene integration or by gene targetting in rat ES cells followed by Chimaera production and germline transmission.

2.5 Activity of ESRF on ltuman Teratocarcinoma Cells The effects of conditioned medium and ammonium sulphate fractionated ESRF on the multipotent human teratocarcinoma cell line GCT 27X1 were examined. The assay involves growth of cell colonies from single cells in the absence o~ a feeder layer in serum-containing medium over a 10-14 day period.
Cells are observed on a daily basis using phase contrast microscopy. Under the conditions of the assay, cell survival and colony formation in control medium islow. ESRF preparations consistently demonstrated a positive effect on stem cell survival in these assays. Cell viability was enhanced in the early part of the assay and final colony num~er was increased substantially. Thus ESRF or an activity ~ CA 02246712 1998-08-14 associated with it is active in promoting in vitro survival o~ human pluripotent teratocarcinoma stem cells.

APPENDIX 1: Media Medium 1: Flushing med;um. P~31 (see Whittingham, D., 1971. Culture of mouse ova. J Reprod Fert (Suppl. 14):7-21~ with 10% fetal calf serum and antibiotics.
Medium 2: ESRF medium. 80% GMEM, 20% fetal calf serum, 2000 units humanDlA/ml, and either 50 units/ml penicillin, 50 mg/ml streptomycin, or 50 mg/ml gentamycin. Semi-purified ESRF is added at a concentration determined by bioassay of mouse ES cells Isee Appendix 9).
Medium 3: Gardners G1 or G2 (Barnes etal., 1995, 1 luman Reproduction 10:3243-3247) .

APPENDIX 2: Karyotyping of cells 1. Colonies of cells to be karyotyped are picked from their dishes and cultured in Colcemid at 0.8 mg/ml for 2 hours in medium 3, in dishes containing feeder layers of DIA-M cells.
2. Cell clumps are removed and rinsed briefly in changes of PBS (Dulbecco's phosphate-buffered saline).
3. Clumps are rinsed briefly in hypotonic saline (1% Na citrate, no older than 1 week), transferred to fresh saline and left for 8-10 minutes.
4. Clumps are transferred to a solid watchglass and excess hypotonic saline removed.
5. The dish is then filled with freshly made up 3:1 fixative (3 parts absolute ethanol to 1 part glacial acetic acid) and left for 1 hour.
6. Clumps of cells are transferred to a clean microscope slide and watched under a microscope until the fixative has almost entirely evaporated.
7. 2-4 drops of 60% acetic acid are then added to the cells, causing the tissue to disaggregate.
8. The drop is kept moving around the slide by blowing until it is completely evaporated .
9. Slides are stained in 2% Giemsa stain in Giemsa buffer (from Gurr). They may be mounted, or can be examined unmounted.

~ CA 022467l2 l998-08-l4 W O 97/30151 PCT/GB97/~0426 _ APPENDIX 3: Immunohistochemicai staining for oct-4 protein 1. Medium is removed from wells and cells are washed twice with complete PBS (Dulbecco's phosphate-buffered saline with 1.5 mM MgCI2 and 1 mM
CaC12~ .
2. Cells are fixed for 10 minutes in 3.7 formalin in complete PBS.
3. Cells are permeabilised for 15 minutes with 0.2~,'~ Triton in complete PBS.
4. Cells are blocked for 20 minutes in goat serum at the dilution suggested in the protocol of the Vectastain Elite ABC kit, supplied by Vector Laboratories.
5. Primary antibody (affinity-purified anti-oct-4 antiserum from rabbits Palmieri e't a/., 1995) is diluted 1:5000 in PBS and added to the cells for 30 minutes.
6. Cells are washed in PBS for 10 minutes.
7. The biotinylated secondary antibody (goat anti-rabbit) is prepared according to the protocol of the Vectastain kit (Vector Laboratories) and added to the cells for 30 minutes.
8. Cells are washed in PBS for 10 minutes.
9. The "ABC reagent" is prepared according to the protocol of the Vectastain kit (Vector Laboratories), allowed to stand for 30 minutes, and added to the ceils for 30 minutes.
10. Cells are washed in PBS for 10 minutes.
11. Peroxidase substrate is prepared from the "VIP kit" supplied by Vector Laboratories according to instructions.
12. Peroxidase substrate is added to the cells fro 2-10 minutes, until a suitable intensity of color develops.
13. Cells are washed for 5 minutes in tap water.
14. Cells should be examined and photographed at once.
-15~ PCT/GB97/00426 APPENDIX 4: in situ staining for oct-4 mRNA

Note: ail solutions are made with DEPC-treated water 1. The probe is synthesized from a Stu 1 fragment of a Bluescript piasmid carrying the POU homeodomain of the oct-4 gene, with 1.75 mM
digoxigenin~ JTP in the synthesis mixture .
2. Cells attached to tissue-culture plates are fixed in 4% paraformaldehyde in PBS (Duibecco's phosphate-buffered saline) at 4~C overnight.
3. They are rinsed with PBT (PBS + 01.% Tween) and dehydrated in a graded series of methanol (25%, 50%, 75% and 100%) and stored at-20~C until needed .
4. Cells are rehydrated through the methanol series, rinsed with PBT, and washed 3 times in RIPA (1 % NP-40, 0.5% NaDOC, 0.1 % SDS,1 mM EDTA
and 50 mM Tris in 150 mM NaCI).
5. Cells are first washed in 1 :1 hybridisation buffer:PBT (hybridisation buffer:50% formamide in 10xSSC pH 4.5, with 0.05% of a stock solution of 100 mg/ml heparin, and 0.1 % Tween 20), and then with 100%
hybridisation buffer.
6. Hybridisation buffer with herring sperm DNA (100,ug/ml) and yeast transfer RNA (10 mg/ml) is added to the cells, and the dishes are incubated at 70~C
overnight.
7. The probe is denatured, added to the wells at a dilution of 1: 100 - 1 :200, and the dishes incubated at 70~C overnight.
8. Cells are washed briefly at 65~C with posthybridisation wash buffer (50%
formamide in 2xSSC with 0.1% Tween 20). This wash is followed by 3 further washes at 65~C of 20 minutes each.
9. Cells are allowed to cool to room temperature and washed 3 times with TBST (0.8% NaCI, 0.02% KCI, Z.5% 1M Tris-HCI pH 7.5).
10. Sheep serum is inactivated by heating to 30 minutes at 70~C with regular shaking. 10% inactivated sheep serum in TBST is added to the cells and the plates are left at room temperature for 1 hour.
11. The serum is removed and replaced with anti-digoxigenin alkaline phosphatase coniugated Fab fragments in 1 % sheep serum diluted in TBST
to a concentration of 1 :2000. Dishes are stored at 4~C overnight.

- - APPFNDIX 4 ~contd.): in situ staining for oct-4 mRNA

12. Cells are washed briefly 3 times with TBST at room temperature, and then a further three times for at least 2 hours total time.
13. Cells are washed 3 times in alkaline phosphatase buffer (100 mM NaCI, 50 mM MgCI2, 0.1% Tween 20, 100 mM Tris pH9~.
14. The wash is removed and cells stained in the dark in a solution of 4.5 ul NBT
and 3.5 ul BCIP (x-phosphate) per ml alkaline phosphatase buffer.
15. When a suitable intensity of stain is observed, the reaction is stopped by rinsing 3 tirnes in PBT with 1 mM EDTA. Cells can be stored for a short time in this solution at 4~C.

CA 022467l2 l998-08-l4 APPENDiX 5: Alkaline phosphatase staining of cultured cells 1. Cells growing in tissue culture dishes are fixed in cold 80% ethanol for at least one hour. They may be stored at 20~C in this fix for several weeks.
2. Cells are hydrated by washing for 20 minutes each in solutions of 50%
absolute ethanol, 30% absolute ethanol, and two changes of distilled water.
3. Cells are stained in 0.05% Fast Red TR Salt, 0.01% a-naphthyl phosphate.
0.03% MgCI2, and 0.22% borax for 5-10 minutes.
4. Cells are washed in distilled water and observed immediately. If necessary, cells can be stored in 50% glycerine in water.

APPENDIX 6: Immunohistochemical staining for SSEA-1 1. Cells growing on feeder iayers attached to glass coverslips are placed in weiis for ease of handling. They are washed twice in PBS (Dulbecco's phosphate-buffered saline).
2. Primary antibody ~monoclonal anti-SSEA-1, obtained from J. Ansell) is diluted 1:1000 in serum-free medium with 0.15% BSA and buffered with Hepes. This is added to the cells and the dishes incubated at 4~C for 45 minutes.
3. Cells are washed 3 times in cold medium.
4. The secondary antibody (anti-mouse IgM, FITC labelled) is diluted 1 :10 with medium, added to the cells for 30 minutes at 4~C.
5. Cells are washed 3 times in cold medium.
6. Cells are washed 3 times in cold PBS.
7. Cells are fixed in cold 95% methanol/5% acetic acid for 3 minutes.
8. Cells are rinsed in PBS, the coversiips removed and inverted on drops of 10% PBS:90% giycerin on glass slides.
9. Slides are examined under a fluorescence microscope.

CA 022467l2 l998-08-l4 APPENDIX 7: Transfection of cells Procedure 1: Calcium phosphate co-precipitation.

1. Cells are trypsinised and transferred to fresh wells containing feeder iayers~ - and medium as usual.
2. Dishes are placed in an incubator at :~7~C with 2.5% C02.
3. Transfection mix (to a final concentration of 50 ul/ml BES, 0.012 M CaCI2 and 1 ug/mi DNA) is added to wells and the cells incubated overnight.
4. The transfection mix is removed next morning and replaced with normal medium .
5. Transfected cells are selected and/or identified according to the method determined by the incorporated DNA.

Procedure 2: Lipofection 1. Make up transfection solution, using lipids from the PerFect transfection kit from invitrogen, and Optimem from Gibco.
a. add lipid to Optimem ~12,ul/ml) b. add DNA to Optimem ~2 ~I/ml) c. mix lipid/Qptimem with DNA/Optimem d. Incubate at 37~C for approximately 15 minutes.
2. Wash colonies of cells in three changes of PBS.
3. Transfer colonies to trypsin for 1 minute.
4. Transfer colonies to a drop of Optimem and triturate with a pulled Pasteur pipette.
5. Remove medium from wells with feeder layers and replace with Optimem plus lipid and DNA.
6. Add trypsinised cells to the well and incubate for 5 hours.
7. Remove Optimem and replace with cell medium (medium 2~.

Procedure 3: Electroporation 1. Wash colonies 3 times in PBS.
2. Trypsinise 2-3 minutes.
3. Transfer colonies to 50,ul PBS and triturate until cells disaggregate.
4. Transfer PBS with cells to an eiectroporation cuvette containing 650,ul PBS
and 100,ug DNA (in 100,u1 PBS).
5. Leave cuvette on ice for 10 minutes.
6. ~lectroporate at 0.8 kV, 3 ,uF, time constant = 0.1.
7. Leave cuvette on ice for 10 minutes.
8. Divide contents of cuvette into 4 wells (200 ,ul each) and add 300 ,ul medium 2 to each well.
9. Leave cells for 3 hours and change medium (using medium 2).
10. Leave overnight before handling further.

APPENDIX 8: Freezing and thawing of cells 1. Dislodge colonies of cells with a drawn pipette.
2. Transfer colonies quickly to a drop of PBS and then to a drop of 0.25 ml freezing mix.
3. Transfer the drop of freezing mix quickly to a cryotube containing 0.4 ml of freezing mix.
4. Transfer to -70~ freezer for overnight freezing, then transfer to liquid N2 freezer.
To thaw:
1. Put ~.5-9.5 ml of Medium into a 25 ml universal.
2. Thaw cryovial in a waterbath then pipette the contents of vial into the universal .
3. Centrifuge at c 1000 rpm (~00-800 optimal) for 3-~i minutes.

4. Aspirate medium from DIA-M feeders.
5. Aspirate media from universal, leaving celi clumps behind.
6. Add 1 ml of Medium 2 to universal and gently resuspend.
7. Pipette cells onto feeders ~at 0.5 ml per well) and return to culture.
Freezing mixture:
42% FCS
48% Medium 3 1 0% DMSO

APPENDIX 9: ESRF purification and assay 9.1 Preparation of ESRF-containing ammonium sulphate cut of conditioned rnedium 1. ESRF-producing adherent cell line (D7A3-P~) is grown to nezr-confluency in GMEM/10% FCS. Currently, approximately 30-40 large (175 sq.cm.) flasks are used.
2. Medium is removed, cells rinsed twice with PBS then returned to serum-free GMEM/Ham's F12 (1:1) supplemented with 10mM HEPES, 3 ,LIM sodium selenite, 1 ,ug/ml transferrin and 1 ,ug/ml insulin. Cells are gassed and returned to incubator in this medium for 3-4h minimum, overnight if more convenient. This is an adaptation and washing step.
3. Medium is removed and replaced with fresh serum-free medium for conditioning over 3-5 days. 35 ml medium per flask.
4. Conditioned medium is harvested, centrifuged to remove detached cells, and filter-sterilised. Approximately 1000 ml of medium is collected before proceeding to step ~.
5. Conditioned medium is broughtto 35% saturation with ammonium sulphate.
Saturated ammonium sulphate is added at 5 ml/min with stirring,in the cold room and left for a further 60 min. The precipitated protein is pelleted by centrifugation and constitutes approximately 20% of the total protein in the conditioned medium (Bradford assay).
6. The precipitate is solubilised in 2M urea. The centrifugation (step 5) is done in polypropylene bottles and the precipitate ends up as a viscous smear down the length of the bottle. In view of this, the solubilisation is done on a rocking roller apparatus for 1 h at room temperature. 15-20 ml in 6 botttes.
7. The solubilised material is finally dialysed overnight against tissue cuiture-grade PBS ~in cold room) then frozen in aliquots.

9.2 Assay A number of embryonic stem-cell lines have been used for assaying ESRF activity,most commoniy:-CP1 for general morphology and alkaline phosphatase histochemistry CA 022467l2 l998-08-l4 COK018 for general morphology and oct4 expression (detected by lacZ reporter - - = activity).
The basic protocol is the same in each case.
1. ES cells are seeded on to gelatinised 24-well plates at a density of 5,000 cells per well in 0.5 ml GMEM/10% FCS. Antibiotic is used at an appropriate concentration (unless the ESRF sample is filter sterilised).
2. After 2-3h test samples are added to the wells and the plates returned to the incubator for 4 days.
3. After 4 days, the cells are stained for alkaline phosphatase activity ~Sigma Alkaline Phosphatase Leukocyte kit, cat. no. 86-R) or 13-galactosidase activity (X-gal stain).
4. Cells and colonies are inspected for typical ES-cell phenotype:
- small, round cells - compact, rounded colonies - high expression of alkaline phosphatase or expression of oct4 as reflected by 13-galactosidase activity.
1 unit of ES cell activity is defined as the minimai amount which produces typical ES-cell phenotype in 0.5 ml assay at the 4d point as described above (n.b. at this concentration the maiority of cell will not have ES-cell phenotype~ .

APPENDIX 10: Ultracentrifuga~ion of PE-conditioned medium 1. PE-CM prepared as described (Appendix 9).
2. PE-CM centrifuged at 1 OO,QOO x g for 75 min at 4~C; (S = 106).
3. Supernatant (S1) removed and pellet (P1) solubilised in 0.5 ml 2M urea.
4. Supernatant (S1) re-centrifuged at 265,000 x g for 18 h; (S=3.3).
5. sUPERNATANT (S2) removed and pellet solubilised in 0.5 ml 2M urea (P2).
6. S1, S2, P1 and P2 were desaltediexchanged into PBS on Pharmacia PD10 (S) or BioGel P6-DG (P) columns.
7. Samples were assayed for ESRF activity.

. CA 02246712 1998-08-14 WO 97/3~151 PCT/GB97/00426 Results S1 activity similar to PE-CM
S2 no activity detected P1 a very small amount of activity ~less than PE-CM) P2 very strong activity APPENDIX 11: Lectin-affinity chromatography of ESRF
1. 25-3~% saturated ammonium sulphate cut of PE-conditioned medium was sub~ected to fluid-phase isoelectric focussing (Rotofor).
2. precipitated material ~pl =4.25-4.5) was solubilised in 2M urea.
3. solubilised material was exchanged into lectin buffer* on a Pharmacia PD-10 column.
4. 200 ,ul exchanged material was loaded on to columns containing soyabean lectin, lentil lectin or wheat germ agglutinin (equilibrated with lectin buffer), left for 30 min, then another 200 111 added and the column left in the cold overnight.
5. columns were washed through with 5 x column volumes of lectin buffer;
washes were collected.
6. columns were eluted with 5 x column volumes competing sugar** in lectin buffer and the eluted material collected.
7. wash-through and sugar-eluted material was exchanged into 20mM sodium phosphate pH 7.3 and assayed for ESRF activity.

*Lectin buffer 20mM sodium phosphate pH 7.3 1 M NaCI
0.1mM CaC12 0.1mM MnCI2 **Sugars soyabean - galactose - lentil - ~-methyl mannoside wheat germ - N-acetylglucosamine Resu~ts Activity retained and specifically eluted on soyabean and lentil lectin columns but not on wheat germ agglutinin.

Claims (33)

1. A cytokine designated ESRF and characterised by the capacity to inhibit differentiation of ES cells (i) in the absence of DIA/LIF and (ii) in the absence of cytokines which act through gp 130 and (iii) in the absence of interaction with gp 130.
2. A cytokine as claimed in Claim 1 which is capable of inhibiting differentiation of ES ceils in the absence of interaction with LIF-receptor.
3. A cytokine as claimed in Claim 1 or Claim 2 wherein said inhibition of differentiation is effected by a mechanism which is distinct from gp 130.
4. A cytokine as claimed in any preceding claim which is obtainable by culturingcell line D7A3-PE and recovering conditioned medium therefrom.
5. A cytokine designated ESRF which is obtainable by culturing cell line D7A3-PE and is characterised by - the capacity to inhibit differentiation of ES cells - being distinguishable from DIA/LIF
- being distinguishable from IL-6/sIL-6R
- being distinguishable from CNTF
- being distinguishable from oncostatin M
- being distinguishable from cardiotrophin-1
6. A cytokine as claimed in Claim 5 wherein said inhibition of differentiation is effected by a mechanism which is distinct from gp 130.
7. A cytokine according to Claim 5 or Claim 6 characterised in that its capacityto inhibit differentiation of ES cells cannot be eliminated by neutralising anti-DIA/LIF
antiserum.
8. A cytokine according to any of Claims 5 to 7 characterised in that its capacity to inhibit differentiation of ES cells cannot be eliminated by neutralising anti-IL-6 soluble receptor antiserum.
9. A cytokine according to any preceding claim characterised in that its capacity to inhibit differentiation of ES cells cannot be eliminated by neutralising anti-CNTF antiserum.
10. A cytokine according to any preceding claim characterised in that its capacity to inhibit differentiation of ES cells cannot be eliminated by neutralising anti-gp 130 antiserum.
11. A partially purified composition or a component thereof obtainable from the supernatant of DIA/LIF deficient cells and comprising at least one polypeptide having the capacity to inhibit differentiation of ES cells (i) in the absence of DIA/LIF
and (ii) in the absence of cytokines which act through gp 130 and (iii) in the absence of interaction with gp 130.
12. A partially purified composition as claimed Claim 12 which capable of inhibiting differentiation of ES cells in the absence of interaction with LlF-receptor.
13. A partially purified composition or a component thereof according to Claim 11 or Claim 12 and additionally having at least one of the identifying characteristics specified in any one of Claims 2 to 10.
14. A purified polypeptide component of a composition according to any of Claims 11 to 13.
15. A method of producing a polypeptide having the capacity to inhibit differentiation of ES cells (i) in the absence of DIA/LIF and (ii) in the absence of cytokines which act through gp 130 and (iii) in the absence of interaction with gp 130, or a partially purified composition containing such a polypeptide, whichcomprises subjecting the supernatant of DIA/LIF deficient cells to a purification procedure whereby to isolate said polypeptide.
16. A method of propagating ES cells which comprises propagating the cells in the presence of the cytokine designated ESRF.
17. A method according to Claim 16 wherein the ES cells are propagated in the presence of ESRF in combination with DIA or other cytokines which act through gp 130.
18. A method of establishing ES cells which comprises culturing cells derived from embryos in the presence of ESRF.
19. A method according to Claim 18 wherein the celis are cultured in the presence of ESRF in combination with DIA or other cytokines which act through gp 130.
20. A method of establishing ES cells which comprises culturing primordial germ cells in the presence of ESRF.
21. A method according to Claim 18 wherein the cells are cultured in the presence of ESRF in combination with DIA or other cytokines which act through gp 130.
22. A method according to any of Claims 16 to 21 wherein the cells are rodent cells.
23. A method according to any of Claims 16 to 21 wherein the cells are derived from a livestock species.
24. A method according to any of Claims 16 to 21 wherein the cells are derived from a primate species.
25. A method according to any of Claims 14 to 22 wherein the propagated cells bear a stem cell selectable marker such as Oct-4neo or Oct-4.beta.geo.
26. A method of propagating somatic stem cells, such as haemopoietic stem cells, which comprises culturing said cells in the presence of ESRF.
27. The cell line designated D7A3-PE (ECCAC 94111845).
28. An established line of embryonic stem cells characterised by possessing at least five and preferably at least seven of the following features:
(i) the characteristic morphology of stem cells, including growth in clumps as small tightly packed ceils with a high nuclear to cytoplasmic ratio, (ii) at least one expression of specific markers selected from (a) alkaline phosphatase, (b) stage-specific embryonic antigen-1, (c) Oct-3/4, (iii) non-expression of differentiation markers, for example H19 RNA, (iv) substantial or unlimited propagation potential, (v) stability to freezing and thawing, (vi) stable euploid karyotype, (vii) propagation dependent on cytokines, (viii) in vitro differentiation induceable by withdrawal of cytokine(s), aggregation or chemical differentiation inducers, (ix) ability to form teratocarcinomas comprising derivatives of endoderm, mesoderm and ectoderm, (x) ability to colonise and/or reconstitute host tissues through the production of somatic stem cells and functionally differentiated progeny, (xi) ability to colonise host embryos with contribution of functional differentiated progeny to chimeras, (xii) ability to produce functional gametes in chimeras and generation of viable offspring, (xiii) ability to integrate exogenous DNA, and further characterised in that said cell line has a karyotype other than mouse.
29. An established line of embryonic stem cells according to Claim 28 characterised by possessing at least five and preferably at least seven of the specified features (i) to (viii).
30. An established line of embryonic stem cells according to Claim 29 further characterised by possessing at least one of the specified features (ix) to (xiii).
31. An established line of embryonic stem cells according to Claim 29 further characterised by possessing at least two of the specified features (ix) to (xiii).
32. An established line of embryonic stem cells according to Claim 28 or Claim 31 having a demonstrated rat karyotype.
33. A method for assaying and/or detecting growth factors that affect differentiation by a mechanism that is distinct from mechanisms involving DIA/LIF
and/or gp 130 interactions, which comprises culturing ES cells in the presence of a sample to be assayed, and detecting variation in growth or differentiation compared to cells cultured in the absence of the sample, characterised in that the ES cells have an LIF-negative and/or rLIF-negative phenotype.
CA002246712A 1996-02-16 1997-02-14 Cytokine expressed by dia/lif-deficient embryonic stem cells for the inhibition of differentiation Abandoned CA2246712A1 (en)

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US6667176B1 (en) 2000-01-11 2003-12-23 Geron Corporation cDNA libraries reflecting gene expression during growth and differentiation of human pluripotent stem cells
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